Hormone Harmony: Bringing Balance to Women's Hormones
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Learn the basics of women's hormones and how to naturally achieve hormone balance with Dr. Lisa Watson, Toronto Naturopathic Doctor
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Hormone Harmony: Bringing Balance to Women's Hormones
- 2. Hormones are chemical messengers that control most major bodily functions from hunger, stress, mood and emotions, to reproduction.
- 3. Hormone balance is a complex web
- 4. A small selection of hormones involved in female reproduction
- 7. Some hormones contribute more to our sense of wellbeing and balance
- 8. CORTISOL Our primary stress hormone Produced in our adrenal glands
- 9. CORTISOL Main Actions of Cortisol Regulates the changes that occur in the body in response to stress • Blood sugar levels • Energy metabolism • Immune function • Blood pressure • Central nervous system action
- 10. Cortisol Excess Cortisol Deficiency High blood pressure High blood sugar and diabetes Water retention Difficulty losing weight Decreased sex drive Digestive problems Anxiety Difficulty sleeping Deceased ability to cope Chronic fatigue Muscle weakness Decreased sex drive Low blood sugar Salt/sugar cravings Lightheadedness Depression
- 11. THYROID Thyroid hormones include TSH, T3 and T4
- 12. THYROID MAIN ACTIONS Thyroid hormones control our metabolism – the way our body uses energy
- 13. THYROID MAIN ACTIONS Energy Breathing Heart rate Body weight Muscle strength Body temperature Cholesterol levels Menstrual cycles
- 14. HYPOTHYROID HYPERTHYROID Fatigue Insomnia Difficulty concentrating Depression Dry skin, dry hair Cold body temperature Frequent, heavy periods Joint and muscle pain Anxiety Irritability Nervousness Sweating Hand trembling Hair loss Missed or light menstrual periods
- 15. ESTROGEN The primary female hormone Produced by ovaries, adrenal glands and fat cells
- 16. ESTROGEN Three main forms of estrogen: Estrone Estradiol Estriol
- 17. ESTRONE ESTRADIOL ESTRIOL Potent estrogen Strong association with breast cancer Produced by fat cells even after menopause Strongest and most abundant estrogen Builds bone density Association with breast cancer if elevated Most commonly prescribed estrogen Weakest estrogen Protective against breast cancer Produced mainly by the placenta during pregnancy Supports vaginal health www.drlisawatson.com
- 18. ESTROGEN MAIN ACTIONS of Estrogen Breast development Endometrial development Female reproduction Libido Body fat distribution Vaginal health and lubrication Bone formation Skin and blood vessel health Cholesterol balance Cardiovascular health
- 19. ESTROGEN Breast development Endometrial development Female reproduction Libido Body fat distribution Vaginal health and lubrication Bone formation Skin and blood vessel health Cholesterol balance Cardiovascular health ESTROGEN DEFICIENCY A state of imbalance between estrogen and progesterone Typically associated with MENOPAUSE
- 20. ESTROGENESTROGEN DEFICIENCY Hot flashes Night sweats Heart palpitations Insomnia Low libido Thinning hair Decreased skin tone Urinary incontinence Foggy thinking Yeast infections Dry skin Brittle bones Depression and anxiety
- 21. ESTROGEN DOMINANCE A state of imbalance between estrogen and progesterone May reflect high estrogen or low progesterone
- 22. ESTROGEN DOMINANCE Breast tenderness Fibrocystic (lumpy) breasts Fatigue Irritability Bloating Sugar cravings Heavy or irregular periods Spotting between periods Significant PMS Hair loss on the scalp Headaches Weight gain
- 23. PROGESTERONE The female hormone BALANCER Produced by the ovaries and adrenal glands
- 24. PROGESTERONE MAIN ACTIONS Regulates menstrual cycles Sustains pregnancy Precursor for many other hormones Promotes energy production Burns fat Builds bone Anti-anxiety Balances effects of estrogen
- 25. PROGESTERONE Progesterone deficiency is the number one hormone imbalance in women aged 30-50
- 26. Progesterone Deficiency Anxiety Bloating Menstrual cramps Bleeding between periods Low libido Difficulty achieving orgasm Fatigue Endometriosis Heavy, frequent, or irregular periods Hair loss Hot flashes Inflammation and pain Insomnia Mood swings Urinary incontinence PCOS Weight gain www.drlisawatson.com
- 27. Progesterone Excess Acne Breast swelling Depression Difficulty losing weight Daytime sleepiness Facial hair Fatigue Sugar cravings Nausea Nipple tenderness Yeast infections www.drlisawatson.com
- 28. TESTOSTERON EProduced in the ovaries and adrenal glands Continues to be produced after menopause
- 29. TESTOSTERON EMAIN ACTIONS Libido Enhances mood Improves memory Strength and muscle mass Decreases body fat Protects against heart disease Prevents osteoporosis
- 30. TESTOSTERON ELOW TESTOSTERONE HIGH TESTOSTERONE Hot flashes, night sweats Arthritis/ painful joints Depression and anxiety High cholesterol Low energy Loss of muscle mass Low libido Memory loss Thinning skin Dry hair and skin Weight gain Vaginal dryness Weight gain (muffin top) Acne, oily skin Depression and anxiety Difficulty falling asleep Excessive energy Hair growth on chip/ upper lip Male pattern hair loss Salt and sugar cravings PCOS
- 31. HONOURABLE MENTIONS LEPTIN: appetite-suppressing, satiety hormone GHRELIN: hunger hormone, produced by the stomach INSULIN: blood sugar stabilizing hormone, gets sugar into cells where it is needed GROWTH HORMONE: tissue repair, muscle growth, bone density. Highest production before 25 years DHEA: most abundant hormone in the body. Precursor for other hormones
- 32. CONDITIONS OF HORMONE IMBALANCE
- 33. Arise from a low production of progesterone, erratic estrogen levels, and lifestyle
- 35. Reproductive peak. Issues of hormone imbalance are still common.
- 36. Acne PCOS Endometriosis Weight gain Irregular periods PMS Hypothyroid Hair growth/loss Stress
- 39. PCOS Worsening PMS Infertility Hypothyroid Endometriosis Fibroids Heavy periods Painful periods Weight gain
- 40. Most significant age for hormone imbalances.
- 41. All female hormone imbalances are at their highest incidence in this age group.
- 42. Acne Infertility PMS PCOS Fibroids Endometriosis Weight gain Hair loss Facial hair Hypothyroid Perimenopause
- 43. Menopausal transition leads to fluctuating progesterone levels, declining testosterone and estrogen levels.
- 44. Average age of menopause: 52 Average years of symptoms: 7
- 45. Hot flashes Night sweats Weight gain Depression Insomnia Vaginal dryness Low libido Hypothyroid
- 46. Continual, gradual hormonal decline Hormone balance can contribute to risk factors for aging and mortality
- 47. HORMONE TESTING
- 48. BALANCE is more important than individual hormone levels
- 49. TIMING matters. Time of day & time of month both influence laboratory hormone values
- 51. HORMONE TESTING Blood (Serum) Best for thyroid hormones, FSH, LH, insulin, glucose, hCG, prolactin, vitamin D www.drlisawatson.com Does not accurately measure free hormone levels
- 52. HORMONE TESTING Saliva Best for steroid hormones – estrogen, testosterone, DHEA, DHT, cortisol, progesterone www.drlisawatson.com Does not measure metabolites Less established reference ranges
- 53. HORMONE TESTING Urine Best for hormone and metabolite testing. Provides information on detoxification and metabolism of hormones. www.drlisawatson.com 24 hour urine does not show circadian changes in levels
- 59. Eat a plant based diet
- 65. GET TESTED
- 68. Saw Palmetto Decreases testosterone Decreases DHT Decreases estrogen May lower prolactin levels Main indications: PCOS Female hair loss Hirsutism
- 69. Black Cohosh Acts as a selective estrogen receptor modulator (SERM) Does not impact FSH or LH Main indications: Perimenopause Menopause
- 70. Chaste Berry Decreases prolactin Normalizes progesterone Selective estrogen receptor binding (ER-beta) Main indications: Painful, irregular periods PMS/ PMDD Infertility Low libido Perimenopause
- 71. Licorice Enhances cortisol Phytoestrogen Reduces prolactin Main indications: Stress Fatigue Immune support Menopausal hot flashes
- 72. Ashwaganda Balances thyroid hormones Enhances cortisol Main indications: Stress Fatigue Anxiety and depression Hypothyroidism Hashimoto’s thyroiditis
- 74. BHRT The use of bioidentical hormones, synthesized from plants, to restore balance to the body and manage symptoms of hormone imbalance
- 75. BHRT “Synthetic hormones are not necessarily made, sold, and prescribed because they work better than natural hormones, but because natural hormones can’t be patented.” ~ Dr. John Lee & Virginia Hopkins
- 76. Bioidentical vs Synthetic www.drlisawatson.com Medoxyprogesterone Acetate (synthetic progestin)
- 77. BHRT Women’s Health Initiative Hormone replacement therapy of synthetic estrogen and progestin resulted in: o Increased risk of heart attack o Increased risk of stroke o Increased risk of blood clots o Increased risk of breast cancer
- 78. BHRT French Study No increase in breast cancer risk with bioidentical estradiol and progesterone
- 79. BHRT E3N Study Topical use of bioidentical estrogen and oral bioidentical progesterone does not increase clotting and risk of stroke
- 80. BHRT Hormone replacement therapy is not for everyone
- 81. 1. Use hormones only if you need them 2. Use bioidentical hormones and not synthetic 3. Use hormones only in doses that create hormone balance
- 82. Conditions that Benefit from BHRT PCOS ENDOMETRIOSIS Infertility Premenstrual Syndrome Breast tenderness Perimenopause Amenorrhea Irregular periods Hot flashes WEIGHT GAIN Anxiety Recurrent miscarriage Hormonal Acne HAIR LOS S Fatigue Menstrual spotting INSOMNIA Dysmenorrh ea MENOPAUSE
Hinweis der Redaktion
- Food, nutrition, environment, lifestyle, body weight and more all influence our hormone balance Each hormone also influences every other hormone in the body – directing, altering and optimizing their actions
- Amino acid hormones: epinephrine (adrenaline), T3, T4, melatonin Eicosanoid hormones: prostaglandins, leukotrienes Peptide hormones: AMH, antidiuretic hormone, FSH, ghrelin, glucagon, human growth hormone Steroid hormones: estrogen, testosterone, progesterone, cortisol
- Most commonly associated with adolescence and perimenopause
- Estrogen prevents breakdown of bone, but progesterone encourages building bone
- Women with PCOS are most likely to have elevated testosterone Common cause of acne, hair loss, and irregular periods
- One of our weight-loss helpers, leptin is our appetite-suppressing, full-sensation hormone. It is released by fat cells and communicates with our brain that we have had enough to eat. We can improve our leptin levels through our lifestyle. Sleep, regular exercise, sufficient calories from our food and weight loss all help to balance leptin and improve our body composition. We can also sabotage our leptin balance through our lifestyle choices. A regular intake of excess saturated fat and sugar leads to “leptin resistance”. When this occurs the brain no longer respond to high circulating levels of leptin and allows you to keep eating despite not being hungry. When insulin levels are too high our cells can become less sensitive to it’s effects – leading to ‘insulin resistance’. This then leads to cravings for more sugar to meet the needs of our cells. And more insulin is released, and a vicious cycle ensues. High levels of circulating insulin are associated with weight gain (especially around the belly). When you have excess insulin you can not burn fat as energy – your body will just demand more sugar to bring the insulin levels down. This makes losing abdominal fat almost impossible. DHEA: cardiovascular, metabolic and anti-stress qualities made in adrenals, skin and brain helps reverse effects of stress on the immune system Enhances longevity
- Progesterone production peaks at 25 years of age and continues to decline until menopause
- Vegetarians eliminate more estrogen
- Protein is especially important for testosterone production and for thyroid health
- Healthy fat helps to balance hormones by aromatizing testosterone into estrogen Too little fat – too little estrogen Too much fat – excess estrogen
- Cortisol levels normalize with exercise Encourages insulin sensitivity OTHERS??
- Top exposures: - Household cleaning products, plastics, pesticides, herbicides
- Other SERMS: Soy, flaxseed, red clover, dong quai
- ER-beta – impacts on heart, bone, blood vessels, bladder – but not the breasts or uterus