Menopause Overview

Appointments with Dr. N can be made by calling (248) 644-7200 10AM to 6PM M-F and speaking to Caroline

WHAT IS MENOPAUSE?fullsizerender

Strictly speaking menopause refers to that point in time that normal or physiologic menstrual bleeding stops. The period of time prior to menopause is referred to as premenopause and the time after as postmenopause. However, as a practical matter the term menopause is used loosely to describe the menopause and postmenopause collectively.

WHY AND WHEN DOES IT HAPPEN?

A “natural menopause” most often occurs between the ages of 48-52 and is recognized by cessation of the monthly menstrual cycle. When a woman is born, her ovaries contain approximately one million follicles, or eggs. At puberty she has about 600,000 or so remaining. It is these follicles that are responsible for the production of estrogen, the hormone that will transform her physically and mentally into an adult female capable of reproduction. She uses up about 1000 of these eggs or follicles every month in this process. After about 400 months of reproductive ability, at an average age of 48-52 her ovaries exhaust their supply of available eggs. In the absence of these estrogen-producing follicles, estrogen levels fall below the point necessary to trigger ovulation and cause physiologic uterine bleeding.

WHAT ARE THE OTHER TYPES OF MENOPAUSE?

A surgical menopause or hysterectomy refers to a menopause that is induced by a surgical removal of the uterus. If the ovaries are removed at the time of surgery the fall in hormone levels of both estrogen and testosterone is sudden and severe. Testosterone plays an important part in maintaining energy levels, sex drive, muscle mass and in a number of other important functions. If the ovaries are not removed, they may continue to function and produce adequate levels of estrogen and testosterone until the time that a natural menopause would have occurred. However, in as many as 50% of these cases, the retained ovaries cease to function normally within three years after surgery. It’s easy to see why a surgical removal of the uterus has a potential to disrupt health and the quality of life.

A premature menopause refers to a menopause that occurs prior to age 45.

Additionally, menopause can be induced by chemotherapy, infection, trauma or autoimmune disease.

Menopause occurs earlier in smokers and is a result of a smoking related reduction in estrogen levels.

WHY IS IT IMPORTANT TO KNOW ABOUT MENOPAUSE?

No one “goes through” menopause. When a woman becomes menopausal and her hormone level declines she will remain hormone deficient for the remaining one third of her life. This is a normal and expected occurrence but not benign.

The long-term consequences of hormone deficiency include the potential to impair your optimum quality of life,your health and your lifespan.

What most women mean when they say that they have “gone through menopause,” is that they are no longer having the symptoms such as hot flashes and sweats that are commonly associated with menopause. However, even if these symptoms have subsided the  negative effects of hormone deficiency will continue. For instance, the first sign of coronary artery disease may be a fatal heart attack and the first sign of menopausal bone loss is usually a fracture.

One way of looking at menopause is to think of it as the opposite of puberty. At puberty, rising sex hormonal levels stimulate the development of breasts, auxiliary and pubic hair, muscle mass, bone mass, feminine fat distribution, sex-drive and all the rest of the changes we refer to as “secondary sexual characteristics”. But, sex hormone levels do more than play the major role in the development of these tissues; they are also necessary for their maintenance and optimum function. When sex hormone levels fall, the dependent tissues lose their integrity and their ability to perform their intended role.

WHAT ABOUT HORMONE REPLACEMENT THERAPY?

A program of Hormone Replacement Therapy, (HRT), is capable of preventing the negative effects of hormone deficiency, but many women are unaware of its potential benefits. Frequently, they are frightened and confused by a cloud of “myths and misinformation,” which obscure the value of hormone replacement therapy / HRT as a health maintenance prerogative. The concept that “safest” approach to menopause is to not interfere with it is contradicted by a wealth of information that denies its validity. If you have symptoms and problems related to hormone deficiency, the most appropriate and effective treatment is to replace the hormones that are missing. Nothing … is as effective. However, for optimum benefit, an hormone replacement therapy / HRT program often needs to be individualized.

WHAT ABOUT NATURAL AND ALTERNATIVE THERAPIES?

Many women are just not comfortable with hormone replacement therapy / HRT, and/or prefer what they consider to be a more “natural” approach in the management of their menopause. There are some products that have been used for many years, such as Oil of Primrose, and others such as plant based Phytoestrogens that have recently become popular. So far, there is not much known about their safety and there is nothing to suggest they can resolve menopausal symptoms or prevent the long-term consequences of hormone deficiency. There are ongoing studies underway that should help to define these issues.

Published by

DR. N

Dr. N’s website provides Information on Bio-Identical and Natural Hormone Therapy, Hormone Pellet Implants, Compounded Hormone Gels, Patches and Creams. Dr. N has specialized in the care of menopausal women and hormone deficient men for over 30 years. His office is located in Southeastern Michigan. Call us for an office or virtual visit call (248) 644-7200

80 thoughts on “Menopause Overview”

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  24. # Harvard University: A Legacy of Excellence and Innovation

    ## A Brief History of Harvard University

    Founded in 1636, **Harvard University** is the oldest and one of the most
    prestigious higher education institutions
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    a global reputation for academic excellence, groundbreaking research, and influential
    alumni. From its humble beginnings as a small college established to educate clergy, it has evolved into a world-leading university that shapes the future
    across various disciplines.

    ## Harvard’s Impact on Education and Research

    Harvard is synonymous with **innovation and intellectual leadership**.
    The university boasts:

    – **12 degree-granting schools**, including the
    renowned **Harvard Business School**, **Harvard Law School**, and **Harvard Medical School**.

    – **A faculty of world-class scholars**, many of whom are Nobel laureates,
    Pulitzer Prize winners, and pioneers in their fields.

    – **Cutting-edge research**, with Harvard leading initiatives in artificial intelligence, public health,
    climate change, and more.

    Harvard’s contribution to research is immense, with billions of dollars allocated
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    – **Mark Zuckerberg & Bill Gates** – Tech visionaries (though Gates did not graduate)
    – **Natalie Portman & Matt Damon** – Hollywood icons
    – **Malala Yousafzai** – Nobel Prize-winning activist

    The university continues to cultivate future leaders who shape industries and drive global progress.

    ## Harvard’s Stunning Campus and Iconic Library

    Harvard’s campus is a blend of **historical charm and modern innovation**.
    With over **200 buildings**, it features:

    – The **Harvard Yard**, home to the iconic **John Harvard Statue**
    (and the famous “three lies” legend).

    – The **Widener Library**, one of the largest university libraries
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    – State-of-the-art research centers, museums, and performing arts venues.

    ## Harvard Traditions and Student Life

    Harvard offers a **rich student experience**, blending
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    – **Housing system:** Students live in one of
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    – **Annual Primal Scream:** A unique tradition where students de-stress by
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    – **The Harvard-Yale Game:** A historic football rivalry that unites alumni
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    With over **450 student organizations**, Harvard students engage in a
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    ## Harvard’s Global Influence

    Beyond academics, Harvard drives change in **global policy, economics, and technology**.

    The university’s research impacts healthcare, sustainability, and artificial intelligence, with partnerships across industries worldwide.
    **Harvard’s endowment**, the largest of any university,
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    ## Conclusion

    Harvard University is more than just a school—it’s a **symbol of excellence, innovation, and leadership**.

    Its **centuries-old traditions, groundbreaking discoveries, and transformative education** make it one
    of the most influential institutions in the world. Whether through its distinguished alumni, pioneering research, or vibrant
    student life, Harvard continues to shape the future in profound ways.

    Would you like to join the ranks of Harvard’s legendary scholars?
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  65. Пинко казино: Топ-3 провайдера
    на платформе Pinco kz
    Современные азартные заведения предлагают игрокам широкий выбор развлечений, и они все больше полагаются на сотрудничество с высококачественными компаниями-разработчиками.
    В условиях жесткой конкуренции важно выделиться,
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    живые игры, которые притягивают внимание.
    Исследуем три ярких игрока, которые сделали значительный вклад в формирование игрового контента на площадке.

    Первый из них – это команда, представляющая инновационный подход
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    Третий игрок на арене – это адаптивный
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    Игровые решения от NetEnt
    Среди наиболее популярных игровых автоматов от NetEnt можно выделить
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    Классика от Microgaming
    Среди классических игр, представленных разработчиком, особенно выделяются автоматы с простым и интуитивно понятным интерфейсом, что привлекает как новичков,
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    одного любителя азартных развлечений.

  73. Stem Cell Therapy in the USA in 2024: Balancing Costs and Life-Changing Benefits

    Stem cell therapy has emerged as a revolutionary medical procedure, offering
    hope to patients across the United States and beyond. This innovative treatment involves injecting stem cells—immature, self-renewing cells—into targeted areas of the body to promote healing and regeneration. In recent years, its
    popularity has surged, not only as a treatment for serious illnesses but also as a preventative and regenerative option. However, as a cutting-edge
    technology, stem cell therapy comes with a significant price tag,
    making it essential for patients to weigh its costs against its transformative
    potential.

    At our clinic, we believe in empowering patients with clear, actionable information. This article explores the
    factors driving stem cell therapy costs in the USA, highlights its remarkable
    benefits, and offers practical guidance for choosing the right clinic—without breaking the bank.

    Why Stem Cell Therapy Is a Game-Changer

    Stem cell therapy has demonstrated impressive success in treating a
    range of conditions, from blood-related cancers to
    autoimmune diseases. Its most notable achievements include high success rates in managing aplastic anemia,
    immunodeficiencies, and cancers like leukemia, where hematopoietic
    stem cell transplants replace damaged cells after intensive treatment.
    Beyond these, researchers are exploring its potential for conditions such as type 1 diabetes, Parkinson’s disease, amyotrophic lateral sclerosis (ALS),
    heart failure, and osteoarthritis.

    The promise of stem cell therapy lies in its ability to regenerate tissues and restore function, offering patients a chance at improved quality of
    life. However, with innovation comes cost, and understanding
    the financial aspects is key to making informed decisions.

    What Drives the Cost of Stem Cell Therapy?

    In the USA, the cost of stem cell therapy varies widely, ranging from $5,000 to
    $500,000 depending on the treatment specifics. The most common price range for a single session falls
    between $10,000 and $20,000. Several factors influence these costs:

    Type and Source of Stem Cells: Options like umbilical cord cells or mesenchymal
    stem cells differ in price and application.
    Condition Being Treated: More complex conditions, such as
    spinal injuries or advanced cancers, require higher doses
    or multiple sessions.
    Location of the Facility: Clinics in major U.S. cities
    often charge more due to overhead and demand.

    For example:

    Knee or hip injuries: $5,000–$10,000
    Spinal conditions: $10,000–$20,000
    Anti-aging treatments: $5,000–$15,000

    Beyond the procedure itself, patients should anticipate additional expenses such as diagnostic
    tests, follow-up visits, and supportive therapies. For international patients traveling to the USA, travel and accommodation costs further increase the total investment.

    The Process: What to Expect

    At our clinic, we prioritize transparency and personalized care.
    The stem cell therapy process typically involves:

    Initial Assessment: A thorough physical examination and symptom review to confirm eligibility and establish a diagnosis.

    Diagnostic Testing: For complex cases, advanced imaging like CT scans or MRIs may be required to tailor the treatment plan.
    Cost Estimation: After assessing the patient’s condition and determining the stem cell type and dosage, we provide a detailed
    cost breakdown.

    The severity and duration of the condition play a significant role in pricing.
    For instance, early-stage osteoarthritis might require fewer
    stem cells and sessions compared to advanced joint degeneration, resulting in a lower
    overall cost.
    Hidden Costs to Consider

    While the quoted price for stem cell therapy is a starting
    point, hidden costs can add up. Diagnostic tests, often performed at
    external facilities, are rarely included in initial estimates.

    Travel and lodging expenses also apply, particularly for patients seeking
    treatment abroad or across state lines. Our clinic advises patients to factor these into their budget
    for a realistic financial plan.
    Insurance and Stem Cell Therapy

    In the USA, insurance coverage for stem cell therapy remains limited.
    Most private insurers do not cover these treatments, deeming them
    experimental. However, Medicare offers partial coverage for FDA-approved procedures like hematopoietic and autologous stem cell transplants,
    primarily for blood-related cancers. Patients should consult their insurance provider
    to explore available options.
    Affordable Alternatives: Stem Cell Therapy Abroad

    For those deterred by high costs in the USA, international clinics offer a compelling alternative.
    Countries like Serbia, Thailand, and the Philippines provide high-quality stem
    cell therapy at significantly lower prices—often without sacrificing technology or expertise.
    At the IM Clinic in Belgrade, Serbia, for example, patients can access both therapeutic
    and anti-aging stem cell treatments at a fraction of U.S.
    prices. Beyond affordability, Serbia’s rich culture and tranquil landscapes create an ideal
    setting for recovery, blending medical care with a restorative experience.

    Choosing the Right Clinic

    Selecting a clinic for stem cell therapy requires careful consideration. To ensure quality and affordability, we recommend:

    Researching Credentials: Verify the clinic’s certifications,
    experience, and success rates.
    Comparing Costs: Request detailed quotes from multiple providers to assess value.

    Checking Stem Cell Sources: Confirm the types (e.g., mesenchymal, umbilical
    cord) and their appropriateness for your condition.
    Accounting for Hidden Costs: Include diagnostics, travel, and follow-up care
    in your budget.

    At the IM Clinic, we pride ourselves on offering cutting-edge treatments
    with clear pricing and a patient-centered approach, making advanced care accessible to
    all.
    The Future of Stem Cell Therapy

    Stem cell therapy stands at the forefront of medical innovation, offering life-changing
    possibilities for patients with chronic and degenerative conditions.
    While costs in the USA remain a hurdle, affordable options abroad and strategic planning
    can make this transformative treatment attainable.

    If you’re ready to explore how stem cell therapy can enhance your health, contact the IM Clinic
    in Belgrade, Serbia. Our expert team is here to guide you through every step—from
    consultation to recovery—delivering world-class care in a supportive environment.
    Take the first step toward a healthier future today.

    http://www.annunciogratis.net/author/mikemosher

  74. Pro zákazníky z hlavního města jsou připraveny také betonové střešní tašky v Praze roofer.cz, které lze snadno a rychle získat díky široké nabídce skladových zásob.

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