Menopause Hot Flashes Have a Circadian Rhythm

Wednesday, April 21, 2010 by Susan Lark
I recently reported in my newsletter, Women's Wellness Today, about a study in which 29 middle-aged women who were complaining of severe hot flashes had the frequency and time of day of their hot flashes logged over a 24-hour period using skin conductance monitors. The results of the study showed that the hot flashes occurred an average of 19 times in that 24-hour period, with the highest frequency occurring during late afternoon and early evening and the lowest frequency occurring at night while the women were asleep.

This was interesting and somewhat surprising considering night sweats are a common complaint among perimenopausal women. However, what the researchers called the “lowest frequency” of menopause hot flashes was still substantial, considering it was five hot flashes in just one night of sleep. Based on an eight-hour night of sleep, that amounts to more than one hot flash every 90 minutes.

How to explain these results? Human core body temperature naturally follows a circadian rhythm, meaning that throughout the course of a 24-hour day, it naturally increases during the daylight hours until it peaks in the late afternoon/early evening (around 6:30 PM), then it declines to an all-time low in the early morning before the sun comes up. And, external factors—including physical exercise, emotional stress, being overdressed, an overheated house, sleeping with a warm bed partner and/or warm covers, and having an emotionally charged dream—all can raise core body temperature enough to trigger a cooling response, particularly if your zone of tolerance has narrowed.

Pump Away Menopause Problems!

Friday, April 16, 2010 by Susan Lark

Here is another yoga pose that's good for beginners, and for anyone looking for menopause relief. This one is called "The Pump."

This exercise improves blood circulation through the pelvis, thereby promoting healthier ovarian function. It helps relieve menopause symptoms such as hot flashes, night sweats, as well as PMS and menopause-related anxiety. It also strengthens the back and abdominal muscles.

• Lie down and press the small of your back into the floor. This allows you to use your abdominal muscles without straining your lower back.

• Keep your back flat on the floor and let the rest of your body remain relaxed.

• Slowly raise your right leg while breathing in. Make a conscious effort to move slowly. Imagine your leg is being pulled up smoothly by a spring.

• Hold for a few breaths; exhale as you lower your leg.

• Repeat this exercise on your left side.

• Repeat entire sequence, alternating legs, 5-10 times.


"The Sponge" for Menopause Relief

Thursday, April 15, 2010 by Susan Lark

Yesterday, I wrote about how wonderful yoga is for reducing perimenopause symptoms, particulary hot flashes and night sweats. To follow up, I wanted to give you a few poses this week that are easy, even for beginners. This one is called "The Sponge."

This exercise relieves anxiety and stress due to emotional triggers or menopause-related tension, and other menopause problems. As an added bonus, it relieves lower back pain, and also reduces eye tension and facial swelling.

• Lie on your back with a rolled towel under your knees. Your arms should be at your sides, with your palms facing up.

• Close your eyes and relax your entire body.

• Inhale slowly, breathing from the diaphragm.

• As you inhale, visualize the energy in the air around you being drawn in through your entire body. Imagine your body is porous and open like a sponge, drawing in this energy and revitalizing every cell in your body.

• Exhale slowly and deeply, allowing all tension to drain from your body.

• Repeat 2-4 times.

Use Yoga for Menopause Relief

Wednesday, April 14, 2010 by Susan Lark
Kimberly wrote a few days ago how much yoga has helped her deal with estrogen dominance. But yoga is also a wonderful way to reduce hot flashes, night sweats, anxiety, stiffness, and soreness, and other bothersome menopause symptoms. Plus, yoga is a great exercise for improving strength and flexibility. But if you’re in midlife or beyond, or if you’ve never tried yoga, you may be reluctant to jump into a downward-facing dog without a little instruction first. If you would like to try yoga but don't know where to begin, I recommend reading Lilias! Yoga Gets Better with Age by Lilias Folan.

In this book, Lilias, who has been practicing and teaching yoga for more than 30 years, guides readers through her favorite poses and stretches—all of which are adapted for older practitioners who have reached menopause. One of the chapters I like best is called “The Yin Approach.” In traditional Asian medicine, health and well-being are believed to be a balance of two equally important, but opposing, principles—yin and yang. Yin is associated with femininity, receptivity, calmness, coolness, and moisture, while yang is associated with masculinity, aggression, heat, and dryness.

When dealing with menopause symptoms, you have a deficiency in yin and an abundance of yang. But with Lilias’ approach to yoga, you can focus on increasing yin, thereby reducing the heat that can lead to menopause hot flashes and other symptoms.

This is a fabulous book to get you started in yoga. I highly recommend it!

Red Light for Female Hormone Balance

Thursday, April 8, 2010 by Susan Lark

I have been using red light therapy for many years to treat a wide variety of conditions, including skin problems, migraines, and even to balance estrogen levels.  

You might be wondering what red light is all about, so let me explain. Various wavelengths of red light easily penetrate the skin and stimulate energy production within the mitochondria, the energy-producing parts of the cells. They enable the energy from food to be released and trapped as high-energy bonds called adenosine triphosphate (ATP). ATP is found in all of our cells and releases energy needed to fuel nearly all chemical reactions in our bodies. So, red light therapy helps our bodies create energy, vitality, and stamina, so every tissue and organ system can run more efficiently. 

If you suffer from PMS, irregular menstrual cycles, menstrual cramps, or menopause symptoms like hot flashes or night sweats, red light therapy can be a powerful treatment. For example, if you are post-menopausal, your ovaries and adrenal glands continue to produce small amounts of estrogen and male hormones, even though you no longer menstruate. Red light therapy helps to maximize their production, balancing out your estrogen levels and providing your tissues with more hormonal support. 

You can use red light therapy right in your own home with specially designed hand-held devices. Two red light devices I use and have been recommending for years are the X-Light from the Chee Energy Company and the Red Light-Shaker from the Light Energy Company.

Why Am I Feeling So Moody?

Friday, February 19, 2010 by Lauren Kent
Since I began writing this blog, I've been amazed to discover how my female hormones, and my estrogen level in particular, affect so many aspects of my life. From brain fog to insomnia, night sweats to fatigue, I've discovered a hormone link with all of these symptoms.

Yesterday, as I began another period, I discovered one more--mood swings. Moodiness is one of the more common PMS and menopause symptoms, but I never thought of myself as a moody person. However, last night as I was snapping at my poor girls for just about everything, I could see that my hormone levels were clearly out-of-whack. I immediately felt awful about yelling at them. After all, a 20-month-old can hardly stop herself from screaming (not crying, simply screaming for amusement) at the top of her lungs.

Luckily, once dinner was done, I started to feel a bit better, and was able to get them bathed and to bed without further yelling. And, today, I feel like a completely new person.


Recognizing Heart Disease Awareness Month

Thursday, February 11, 2010 by Susan Lark
Last Friday was National Wear Red Day, a campaign designed to raise awareness of heart disease in women. I'm so glad that more and more people now know about the dangers of heart disease in women. Unfortunately, like hot flashes, night sweats, weight gain, and vaginal dryness, heart disease is yet another effect of menopause caused by the decline and resulting imbalances of female hormones like estrogen.

Protecting the health of your heart is of paramount importance. Heart disease remains the number-one killer of women over age 50, and, at any age, more fatal heart attacks occur in women than in men.

In addition to losing excess weight, exercising regularly, and following heart-healthy diet, there are three supplements that I often recommend to maintain heart health:
  • CoQ10 enhances mitochondrial energy for high-demand heart tissues, helps maintain normal blood pressure, and fights free-radical damage. Some studies show that individuals with heart disease have low levels of CoQ10. Take 30 mg twice daily with food. 
  • L-carnitine works with CoQ10 by carrying fatty acids into the mitochondria, where they are converted to energy and help your heart work more efficiently. Take 1,000-2,000 mg daily between meals.
  • Natookinase is a powerful enzyme that can help lower blood pressure and support normal blood clotting. Take 100-200 mg per day.

Supplement #10 to Balance Estrogen Levels

Wednesday, February 3, 2010 by Susan Lark
#10: Bioflavonoids

Like wheat germ (which contains the mildly estrogenic vitamin E), bioflavonoids are mildly estrogenic. The potency of bioflavonoids is so low that they have no side effects for most women, yet they are powerful enough to balance estrogen levels and relieve menopause hot flashes and vaginal dryness. In one study of 94 women, a bioflavonoid/vitamin C combination was effective in controlling hot flashes for most of the women.

The best food sources of bioflavonoids are citrus fruits, cherries, grapes, papayas, green pepper, broccoli, buckwheat, and tomatoes. Since I generally recommend avoiding acidic foods such as citrus fruits, I usually suggest that menopausal women use bioflavonoid supplements--750-2,000 mg per day.

Supplement #9 to Balance Estrogen Levels

Monday, February 1, 2010 by Susan Lark
#9: Dong Quai

Dong quai is another yin-supportive nutrient that helps to balance estrogen levels. It has been used for thousands of years as a female health tonic to prevent or treat menopause symptoms—especially hot flashes and irregular menstruation.

I recommend that you take dong quai in powdered form in a 500 mg capsule. Take two capsules two to three times per day. (However, you should avoid it if you are on a blood thinner.)

Supplement #8 to Balance Estrogen Levels

Friday, January 29, 2010 by Susan Lark
#8: Royal Jelly

In traditional Asian medicine, health and well-being are believed to be a balance of two equally important, but opposing, principles—yin and yang. Yin is associated with attributes such as femininity, receptivity, calmness, coolness, and moisture. Yin also regulates the fluids, blood, and tissues of your body, as well as its structural components, including flesh, tendons, and bones. Yang, on the other hand, is associated with masculinity, aggression, heat, and dryness. It also regulates your body’s energy, which acts as the spark plug to your structural elements.

In younger women, this balance seems to be maintained almost effortlessly. But maintaining an optimal yin-yang balance becomes much more difficult once you reach middle age and menopause, when it’s common to experience symptoms such as menopause hot flashes, night sweats, tissue dryness, insomnia, and mood swings. In Asian medicine, these menopause symptoms occur, in part, because yin becomes deficient. But in Western medicine, these bodily changes are explained by the decline in estrogen—which, coincidentally, is a yin-like element.

To restore your yin--and, as a result, balance your estrogen levels--you can take a variety of yin-supporive herbs. One such supplement is royal jelly, which has been used for centuries to balance female hormones, promote reproductive health, and ease menopause symptoms. Take 1/4 teaspoon of the liquid form of organic royal jelly twice a day.

Supplement #7 to Balance Estrogen Levels

Thursday, January 28, 2010 by Susan Lark
#7: Red Clover

Like soy, red clover contains phytoestrogens (estrogen-like plant compounds). Using phytoestrogens is a great way to balance estrogen levels and reduce bothersome menopause symptoms like hot flashes and night sweats. 

According to a review of five studies published in The American Journal of Medicine, red clover helps to significantly reduce the frequency of menopause hot flashes. You can learn more about red clover here.

I suggest taking a standardized extract that contains 40 mg of total isoflavones.

Supplement #6 to Balance Estrogen Levels

Wednesday, January 27, 2010 by Susan Lark
#6: Black Cohosh

I have talked about black cohosh in this blog numerous times (here and here) because I believe so strongly in its ability to provide powerful menopause relief and balanced female hormones.

In more recent black cohosh news, according to a study in the March 2003 issue of the journal Maturitas, specific formulation of black cohosh, known among researchers as “CR BNO 1055,” has been found to significantly reduce the frequency and severity of hot flashes in breast cancer survivors—completely eliminating the hot flashes in nearly half of the women.

Black cohosh also builds bone strength as effectively as estrogen, and it decreases vaginal dryness. In conventional review studies, black cohosh is the one therapy that is universally named as the most effective for hot flashes, night sweats, and mood swings--and overall balancing of estrogen levels.

I suggest taking taking 80–160 mg of a standardized extract of black cohosh twice a day. This dose should contain 2 to 4 mg of the active components (triterpenes, calculated as 27-deoxyacteine). One good brand to try is Bionorica’s Menopret.

Supplement #5 to Balance Estrogen Levels

Monday, January 25, 2010 by Susan Lark

#5: Soy isoflavones

Soy is a hormone substitute that provides a safe, estrogen-like effect in your body to balance your female hormones.

Soybeans contain active compounds that mimic the effects of estrogen produced in your body. Soy contains two phytoestrogens--genistein and daidzein, which belong to the class of chemicals called isoflavones. Asian women eat much more soy products than most American women, whose isoflavone intake is very low. This was confirmed in a study published in the
Lancet, which found that Japanese women who regularly ate a range of soy products had 100 to 1,000 times more isoflavone breakdown products in their urine than Western women. Additionally, menopausal women in Japan are rarely troubled by symptoms such as hot flashes.

In the meantime, for menopause relief and balanced estroten levels, take 50–100 mg of soy isoflavones each day, either through foods or isoflavone capsules, or a combination of both. If you are allergic to soy, or if it causes you digestive upset, then avoid consuming it entirely.

Supplement #4 to Balance Estrogen Levels

Friday, January 22, 2010 by Susan Lark
#4: Cobalt

Cobalt is a little-known nutrient with exciting potential in balancing estrogen levels and reducing menopause symptoms. 

Cobalt slows down the excretion of estrogen, thus allowing you to better maintain your production of estrogen, as well as that of supplemental estrogen. It does this by stimulating the production of heme oxidase. This, in turn, promotes the breakdown of cytochrome 450, a substance that normally metabolizes and detoxifies estrogen. By breaking down this substance, cobalt helps to prevent estrogen metabolism and excretion.

Cobalt can reduce night sweats, insomnia, hot flashes, depression, mood swings, and memory loss. I recommend 400–500 mcg a day. In addition, research has shown that cobalt is supplied in your body by B12. If you have adequate amounts of B12, you are likely to have adequate amounts of cobalt, as well. So,  you can also take 100–500 mcg of vitamin B12 a day.

Want Wrinkle Free Skin? Avoid Spicy Foods

Thursday, January 21, 2010 by Kimberly Day
According to Dr. Lark, there are a number of spicy foods that can actually rob your skin of moisture. Interestingly, many of these foods also increase menopause problems such as hot flashes and night sweats, so there are many benefits to striking these foods and spices from your menu.

On the food front, you’ll want to take a pass on caffeine, alcohol, and refined sugar. Sugar in particular has vasoconstrictive effects, which causes decreased circulation to the skin. This is a no-no for anyone looking for wrinkle free skin care.

On the spice front, ginger and hot spices like chili peppers and cayenne pepper are particularly drying. Opt instead for soothing spices like basil, mint, or my favorite, herbes de province.

By removing these problematic foods and spices from your diet and adding in the essential fatty acids I discussed earlier this week, you can employ natural anti aging skin care tips that not only taste great, but give you beautiful, soft skin.

Supplement #2 to Balance Estrogen Levels

Monday, January 18, 2010 by Susan Lark

#2: Boron

Boron is a trace mineral found in apples, grapes, almonds, legumes, and leafy green vegetables like kale. According to a study conducted by the U.S. Department of Agriculture, there is evidence that boron enhances estrogenic activity, therefore balancing estrogen levels in those women who are deficient. There is also anecdotal evidence that boron reduces menopausal hot flashes. Furthermore, boron is critical in the fight against osteoporosis.

To help balance estrogen levels, take 3 mg of boron daily.

The Top 10 Supplements to Balance Your Estrogen Levels

Friday, January 15, 2010 by Susan Lark
When your body starts entering menopause, your estrogen levels begin to become unbalanced. This can lead to many unpleasant symptoms--many of which I have discussed here, including hot flashes, night sweats, and vaginal dryness.

I liked Kimberly's list of decadently healthy foods so much that I decided to create my own list of my top 10 recommendations to balance estrogen levels. In each of my next several posts, I will give you a new recommendation. Today, let's start with:

#1: Wheat Germ
Wheat germ oil is rich in vitamin E, which has mildly estrogenic properties. It has been shown to increase estrogen production, which can alleviate debilitating menopause symptoms. I suggest taking 2,000–4,000 mg a day of wheat germ oil in divided doses. A good brand to try is Standard Process.

Determining Your Body Chemistry to Help With Your Natural Weightloss Routine

Wednesday, January 6, 2010 by Susan Lark
As Kimberly discussed a few weeks ago in her post, "Your Natural Weight Loss Plan of Eating," an extremely efficient way to lose excess weight is to eat for your body chemistry. As she so succinctly put it, "if you are eating properly, and your body is in balance chemically, you will be at the right weight for you."

To determine how to eat for your body chemistry, you first need to determine which hormonal category you fall into. During menopause, I’ve found that things aren’t as simple as just too much or too little of any given hormone. Instead, my patients tended to experience a total shift in their entire physical and chemical makeup that manifested as one of two patterns. Their body and brain chemistry tended toward becoming either too fast or too slow. For this reason, I call the first pattern estrogen deficiency–fast processor. The second is its mirror image: estrogen deficiency–slow processor.

An estrogen deficiency–fast processor woman is in menopause with too little estrogen. Characteristics include:
• Anxiety
• Thin, dry skin and tissues
• Menopause hot flashes
• Night sweats
• Insomnia
• Vaginal dryness
• Sore joints
• Increased risk for heart disease and osteoporosis

An estrogen deficiency–slow processor woman is also in menopause, but she has the opposite body type and temperament. Characteristics include:
• Plumper/difficult time losing weight
• Fluid retention
• Stronger bones and connective tissue
• Thicker skin and hair
• Placid temperament

Based on these characteristics, if you determine that you are a fast processor, follow this eating plan. If you are a slow processor, this diet will best suit you.

The majority of women over age 50 fall distinctly into one hormonal category. However, you may find that, whether you are predominantly a fast processor or slow processor, you still have some traits that fit in the other category. If that’s the case, you should still follow the eating plan for your predominant hormone type. However, most women over 50 are usually at one end of the hormonal spectrum or another, and tend not to be "hybrids."

Ultra-Low Dose Hormone Replacement Therapy--A Disturbing New Trend

Wednesday, December 16, 2009 by Susan Lark
I just read a U.S. News and World Report article online titled, "How to Safely Combat Menopause Symptoms With Hormone Therapy." In it, the author discusses how more and more women are opting to use ultra-low doses of conventional hormone replacement therapy to alleviate their hot flashes and night sweats. I can see how this can be an appealing option for many women who truly suffer from these symptoms--after all, the conventional medical community would like you to believe that it's "safer" to use low doses of hormones for the shortest period of time possible. But, as the article states, "the question of how long a woman can safely be on hormones is a thorny one." Then, one doctor is quoted as saying, "There's just no 'risk-free interval.'"

Exactly. Conventional hormone replacement therapy is risky, no matter what dosage you use. Do you really want to take that risk when their are natural, risk-free options available to you? I encourage you to try different combinations of natural treatments--including soy, black cohosh, red clover, and even acupressure--until you find what works best for you. Remember, as with all supplements and even prescription drugs, what works for Sally down the street may not work for you, so be patient and experiment with these natural therapies until you find a combination that works for you. I also recommend reading through this entire blog, which contains a variety of unique solutions to help bring you menopause relief!

Are My Hormone Levels Causing Insomnia?

Wednesday, December 2, 2009 by Lauren Kent
Last week, as I lay in bed tossing and turning, unable to fall asleep, I started wondering what was going on. Why couldn't I fall asleep? Was it stress? Perhaps a little. Thanksgiving was coming up and I had to cook dinner for my family. But, we weren't having any guests over, so the pressure was off to make the meal perfect.

I had just started my period. Were the fluctuations in my progesterone and estrogen levels causing the sleeplessness? We know it's a common menopause symptom, especially if you're experiencing hot flashes and night sweats which cause you to wake up during the night. Could sleeplessness also be a symptom of menstruation?

I did a little research and found that not only were sleep issues a menopause symptom, but according to a poll done by the National Sleep Foundation, 33% of women experience changes to their sleep patterns during the week of menstruation. Why would this be?

I consulted Dr. Lark's latest book, Hormone Revolution, where I read about progesterone and its impact on sleep. Just before your period, production of progesterone slows, and your progesterone levels decline. Dr. Lark goes on to explain that women deficient in progesterone often have trouble falling or staying asleep.

Perhaps I've been so sleep deprived because of my little girls, that I never noticed the connection between sleep and menstruation until now. That's why I love this job. I learn something new everyday.