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Menopause
and Natural Hormone Replacement Therapy
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| Understanding
Menopause - Diagnostic Work Up For POF and Natural Menopause |
Before
making a diagnosis of POF the following conditions need to be ruled
out since they are treatable:
Thyroid Disease
Hyperprolactinemia
Pituitary and/or Hypothamic Disorders
Cushing's Disease
Polycystic Ovarian Syndrome (PCOS)
Other causes of amennorhea (stopped
periods) include: Excessive weight gain or weight loss (anorexia or
bulimia); use of certain drugs (such as phenothiazines -- which are
psychiatric drugs, and certain narcotics); excessive exercise; recent
use of birth control pills (it's not uncommon to stop getting periods
for up to six months after discontinuing the pill especially with
Depro-vera. However, if your periods don't return after this time,
this may not be related to the pill)
The
two key ways to determine whether or not you're actually menopausal
are
1) the length of time without a period, and
2) a test of your follicle stimulating hormone (FSH) hormone levels
other tests which are helpful include serum estradiol level and the
ratio of estradiol to estrone and HCG (pregnancy test) depending on
age.
Blood
work will demonstrate the following
FSH >30 consistently
Estradiol (E1) to Estrone (E2) ratio <1.0
Serum estradiol level <20
Negative pregnancy test (if indicated)
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Disclaimer:
The information contained on this website
has not been evaluated by the FDA. This information is not intended
to treat, diagnose, cure or prevent any disease. All material provided
in the Dr. Brizel's web site is provided for educational purposes
only. Always seek the advice of your physician or other qualified
health care provider with any questions you have regarding a medical
condition, and before undertaking any diet, exercise or other health
program.
©2002, All Rights Reserved, Center For Clinical Age Management,
Inc.
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