Wednesday bubble: age ain’t nothing but a…
Number?
Sometimes it is just that. And sometimes it’s not.
Confused yet? I certainly am.
Australian researchers suggest that many of the more common complaints of menopause may be possibly related to aging in general and not specifically the transition. In fact, in a study presented during last month’s 8th European Congress on Menopause, they reported that menopause is strongly associated with some but not other common complaints.
So what about the other symptoms? After reviewing data from 58,724 women (ages 45 to 50) participating in the Australian Longitudinal Study on Women’s Health, the strongest associations were seen between menopause and hot flashes/night sweats. These findings remained after adjusting for age during the study, age at menopause, smoking history, body mass index, sociodemographics (i.e. education, income, marital status and geographic location) and other factors that might influence outcomes. Other symptoms, including difficulty sleeping, stiff/painful joints and poor or fair self-reported health were also associated with menopause but to a much lesser extent. Headaches, migraines and incontinence appeared to be more strongly related to the aging process.
The researchers say that treatment (in this case, HRT) should be geared primarily towards alleviating vasomotor symptoms. Less clear, however, is how long therapy should be continued, since some symptoms can last for more than seven years. This study is scheduled to appear in Menopause.
Last September, I wrote a post about a survey being reported at the North American Menopause Society’s Annual meeting suggesting that women can actually discern the symptoms of menopause from those of aging. Interestingly, many of the symptoms overlapped; in fact, 84%, 72%, and 77% of respondents associated vaginal dryness, urinary stress incontinence and weight gain, respectively, strictly with menopause, even though they can also be caused by aging as well.
So, what’s the primary point? It can be difficult to tease apart the effects of aging and the effects of menopause. Clearly, these new Australian data add a bit more to the confusion, and reinforce the point that more research and funding is needed in this particular area.
In the interim, I am just as happy to blame the ‘pause for my symptoms as I am to blame age. And equally as happy to take positive steps to overcome some of the more troublesome effects of the transition, regardless of whether it is a direct effect of menopause or not.
All in all, a good thing, right?
Read MoreFuturistic Friday – the bedfan
Besides the awful name (what comes to mind is “bed pan”) this whimsical device may actually save a few partnerships or marriages. The bedfan – a “device that blows a cool breeze under the covers.” Now, granted, it’s not quite as nifty as cleavage coolers, but it still might address those night sweats and flashes and make bedtime more pleasurable, for both parties!
Read MoreWednesday Bubble: Black cohosh strikes again…
I’m beginning to see a pattern in my Wednesday Bubble posts. It certainly is not deliberate. But there’s more good news about black cohosh and I’d like to share it.
A Yale School of Medicine researcher and physician has presented findings of a web-based survey examining the use of Remifemin black cohosh standardized extract among 692 women, ages 35 to 45. The study results, which were displayed this week at the American College of Obstetrics and Gynecology annual meeting, demonstrate that women are using black cohosh to avoid HRT. Okay, no big news there; I’ve posted about the utility of standardized black cohosh in lieu of HRT for almost a year now.
However, not only did almost 90% of women report being satisfied or highly satisfied with black cohosh, but approximately 88% noted that they felt it was effective or very effective for treating their symptoms.
More importantly, however, the study revealed that women are discussing the use of this standardized form of black cohosh with their health practitioners (mostly ob/gyns or family doctors). And, over half — an estimated 53.7% — said that their physicians were supportive of their decision to use black cohosh.
Personally, I find these results very encouraging; not only do they support a long-standing contention that black cohosh, namely Remifemin, is effective for hot flashes, night sweats, and other perimenopausal symptoms, but they also provide evidence that the communication channels between menopausal women and their practitioners are starting to open.
Notably, black cohosh is one of the few herbs that has been consistently shown to alleviate vasomotor symptoms like hot flashes and night sweats. Although there has been some questions about its safety, particularly with regards to liver toxicity, there are accumulating data disputing some of these claims. Indeed, at this year’s ACOG meeting, another researcher examined and compared liver function in 142 patients taking standardized black cohosh extract and 138 taking placebo and found no statistically sigificant changes in liver function. Moreover, analysis of a smaller group of with abnormal liver function values found only one case where there was a significant difference between the groups. This led the researchers to conclude that standardized black cohosh, namely Remifemin, can be used safely.
Personally, I’ve been using Remifemin for over a year now. Recommended by a health practitioner and endorsed by my Ob/Gyn, along with a variety of other Chinese and Western herbs, I’ve been fortunate and have found significant relief from night sweats.
Like any herbal preparation, be sure to speak with a health practitioner who is certfied in practicing herbal medicine and can monitor your progress to insure that your regimen is safe and effective. But it is wonderful to know that traditional Western practitioners may be finally opening their eyes to HRT alternatives. Bravo!
Read MoreTiming is everything
Headache, irritability and mood swings….they’re going to disappear someday. Promise.
Research findings show that certain symptoms commonly linked with menopause decline linearly, meaning that as you move through the transition, those bothersome symptoms will move with you and then gradually diminish. Phew!
A study that appeared in Obstetrics & Gynecology early last year showed a direct association between menopausal symptoms and reproductive hormones at any given time during the menopause. Researchers evaluated menstrual bleeding patterns, symptoms and levels of estradiol, follicle-stimulating hormone (FSH) and testosterone in women over a nine-year period. Stages of menopause were analyzed based on bleeding patterns. All women underwent structured interviews, completed symptoms questionnaires and were followed for bleeding dates and hormone measures.
The results showed that headache was significantly associated with stage of menopause, declining in the pre- to postmenopause transition. Mood swings and irritability were both associated with declining FSH levels. Additional analyses also revealed a link between PMS, perceived stress and all three of these symptoms (i.e. headache, irritability and mood swings).
So what about other symptoms like hot flashes and night sweats and depression? A small percentage of women may have to deal with them a bit longer. In fact, data suggest that they may persist well into the postmenopausal period although the reasons are not entirely clear.
Read MoreWednesday Bubble: Just say “no”
Gonna burst that hormone bubble at least one more time. Seems that the synthetic hormone Livial, which is billed as an alternative to HRT, significantly increases the risk of breast cancer recurrence. Ouch!
Livial is a selective tissue estrogenic regulator (SERM), which mimics estrogen’s activity with regards to strengthening bones. The agent has mostly been marketed in Europe for treatment of hot flashes, night sweats and bone loss, as well as a treatment for osteoporosis.
In a study reported in the current issue of The Lancet Oncology, researchers evaluated the effectiveness of 2.5 mg/day of Livial compared to placebo in more than 3,000 women with a history of breast cancer. Although the agent had a positive effect symptoms and bone density, the trial was stopped six months early because women taking Livial had a 40% increased risk of having their breast cancer return.
The researchers state that the likely reason for this increase is that Livial interferes with the protective effect of different cancer drugs and might stimulate dormant tumors to become active again.
Clearly, Livial should not be used in women with a history of breast cancer. Then again, with data definitively showing an increased risk of cancer and heart disease with use of hormone therapy, why take a chance to begin with?
What are your thoughts? Is estrogen worth the risk for a few less symptoms? Or are you better off taking an alternative route?
Read MoreLet’s talk about sets
Cool Sets that is!
I was contacted by a consultant with Cool Sets to “test drive” some of their wicking clothing (lounge and sleepwear). You may recall that wicking fabric draws moisture away from the body and promotes absorption so you can stay cool and dry. Great for hot flashes and night sweats.
Cool Sets uses a proprietary CoolBalance moisture wicking fabric that is designed to wick away the moisture and regulate your temperature.
Okay, sounds very promising, right?
I perused the online catalog and picked out a few items. Not quite my style but a lot cuter than what I’ve seen when searching the web for wicking clothing lines. I’m also not a silk kind of girl when it comes to loungewear, even when it comes to sexy lingerie. So, admittedly, I was a bit skeptical.
Well, skeptic no more! This has got to be some of the most comfortable fabric I’ve ever worn! It’s silk like in texture but comfortable like cotton. Not cold, not hot, not scratchy, not slippery. Just right. Goldlilocks would have had a field day!
I had a rather warm evening over the weekend and the Cool Sets cami and shorts kept me dry and comfortable.
Okay, I’m starting to sound like an advert, right? But I do recommend that you take a test drive like I did.
I do have a few complaints though…
- The sizes seem a bit “big,” so a small is well, more of a medium if you ask me.
- The shorts, while cute, have a drawstring, which I’m not too crazy about.
- I wish that the clothing was geared towards the fashionista in me.
- The cami is truly adorable, but I’d lose the flower embroidery – too matronly.
Despite these minor distractions, I am thoroughly impressed. I’ve not had to wash them yet but the company recommends that you either machine or handwash. They can be laid out to dry or placed in the dryer. A note of caution however; the use of fabric softeners or dryer sheets can interfere with the fabric’s ability to absorb moisture.
Thanks Cool Sets for the test drive! Now, if somebody could only design some nice stylish clothing that looks like cotton but acts like a wicking fabric. Dare to dream!
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