Part 1 Hormones in Peri-Menopause and Menopause

Aug 18, 2024

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Introduction

  • Overview of Hormonal Changes in Perimenopause and Menopause

Disclaimer

  • Important Considerations Before Testing and Interpretation

Hormone Testing

  • Blood Testing
    • Total Hormones: Bound, Inactive, and Active Forms
    • Sex Steroid Hormones: Oestrogen, Progesterone, Testosterone
    • Peptide Hormones: Insulin, Thyroid Hormones
    • Hormonal Regulators and Binding Globulins: FSH, LH, SHBG
      • Saliva Testing
        • Free/Active Hormones and Relevance to Symptoms
        • Influence of Bio-Identical Creams and Troches
        • Advantages and Disadvantages of Saliva Testing
      • Urine Testing
        • Free/Unbound Hormones and Metabolites
        • Advantages and Limitations

Monitoring Hormones

  • Techniques and Challenges in Monitoring Hormonal Levels
  • Comparative Analysis of Cortisol, Estradiol, and Progesterone

Testosterone

  • Role of Testosterone in Perimenopause and Menopause
  • Measuring Testosterone: Blood Testing, SHBG Considerations

Regulatory Hormones

  • FSH and LH: Their Roles and Reference Ranges
  • Impact of Menopause on FSH Levels

Oestrogen

  • Forms of Oestrogen: Pre-Menopausal vs. Post-Menopausal
  • Oestrogen Depletion and Recalibration During Menopause
  • Reference Ranges and Testing for Oestrogen Metabolism

Menopausal Hormone Therapy (MHT)

  • Overview of MHT and Its Clinical Implications
  • Estrogen Metabolism and Related Pathways
  • Methylation and Glucuronidation Support

Special Considerations

  • Early and Late Onset Menopause
  • Postmenopausal Bleeding: Causes and Diagnostic Procedures
  • Anti-Mullerian Hormone Testing: Fertility and Menopause Indicators

Progesterone

  • Importance of Progesterone During Perimenopause
  • Deficiency Symptoms and Natural Remedies (e.g., Vitex, Ginger, Withania)
  • Micronised Progesterone in MHT

Dietary Considerations

  • Soy and Phytoestrogens: Benefits and Risks
  • Addressing Common Menopausal Symptoms like Hot Flushes

Conclusion

  • Summary and Final Thoughts
  • Resources for Further Information and Support

Course Content

Hormones in Peri-Menopause and Menopause Lecture Part 1
Lecture 1