Menopausal Testing, Nutrition Support & Bioidentical Hormones
Literally, menopause means the cessation of the monthly menstrual cycle and signals the end of a woman's natural childbearing years.

Menopause is neither a disease nor an illness; it is a natural and usually gradual change in glandular function. It has its origins in the beginning of menses and culminates in a series of hormonal changes that result in the cessation of menstrual flow. This transition produces a variety of bodily manifestations and symptoms, and is due to changes in production of hormones and the timing of their release.

Do you need natural hormone replacement?
  1. Take our questionnaire
  2. Contact us for a consultation

What is perimenopause?
Perimenopause, or menopause transition, is the stage of a woman's reproductive life that begins several years before menopause, when the ovaries gradually begin to produce less estrogen. It usually starts in a woman's 40s, but can start in the 30s as well.

Perimenopause lasts up until menopause, the point when the ovaries stop releasing eggs. In the last one to two years of perimenopause, this decline in estrogen accelerates. At this stage, many women experience menopausal symptoms.

What are the symptoms of menopause?
Some of the symptoms include hot flashes, flushes, night sweats and/or cold flashes, and a clammy feeling, as well as:
  • Aching, sore joints, muscles, and tendons
  • Anxiety, feeling ill at ease
  • Breast tenderness
  • Burning tongue, burning roof of mouth, bad taste in mouth, change in breath odor
  • Changes in body odor
  • Changes in fingernails: softer, crack or break easier
  • Crashing fatigue
  • Depression
  • Difficulty concentrating, disorientation, mental confusion
  • Disturbing memory lapses
  • Dizziness, light-headedness, episodes of loss of balance
  • Dry vagina
  • Electric shock sensation under the skin and in the head
  • Exacerbation of existing conditions
  • Feelings of dread, apprehension, doom
  • Gastrointestinal distress, indigestion, flatulence, gas pain, nausea
  • Gum problems, increased bleeding
  • Hair loss or thinning: head, pubic, or whole body; increase in facial hair
  • Headache change: increase or decrease
  • Incontinence, especially upon sneezing, laughing; urge incontinence
  • Increase in allergies
  • Increased tension in muscles
  • Irregular heart beat
  • Irregular periods; shorter, lighter periods; heavier periods, flooding; phantom periods, shorter cycles, longer cycles
  • Irritability
  • Itchy, crawly skin
  • Loss of libido
  • Mood swings, sudden tears
  • Osteoporosis (after several years)
  • Sudden bouts of bloat
  • Tingling in the extremities
  • Tinnitus: ringing in ears, bells, 'whooshing,' buzzing, etc.
  • Trouble sleeping through the night (with or without night sweats)
  • Weight gain

How long does perimenopause last?
The average length of perimenopause is four years, but for some women this stage may last only a few months or continue for 10 years. Perimenopause ends the first year after menopause (when a woman has gone 12 months without having her period).

What are the signs of perimenopause?
You will know you are transitioning into menopause when you begin experiencing some or all of the following symptoms:
  • Hot flashes
  • Breast tenderness
  • Worsening of premenstrual syndrome
  • Decreased libido (sex drive)
  • Fatigue
  • Irregular periods
  • Vaginal dryness; discomfort during sex
  • Urine leakage when coughing or sneezing
  • Urinary urgency (a pressing need to urinate more frequently)
  • Mood swings
  • Difficulty sleeping

Some advantages of bioidentical hormone replacement therapy are: improved look and feel of hair and skin, weight loss, improved sex drive, improved mental health, lower cholesterol levels, decreased risk of osteoporosis, decreased risk of heart attack and stroke, and more.

Hormones tested
  • Estrogen
  • Progesterone
  • DHEA
  • Pregnenolone
  • Testosterone
  • Thyroid
  • Cortisol

Various body parts undergo change and can produce one or more of the following symptoms:
  • Bleeding irregularities
  • Vaginal dryness
  • Hot flashes / sweats
  • Changes in sex drive

Nervous system
  • Insomnia
  • Nervousness, irritability
  • Headache
  • Mood changes
  • Depression

Metabolic changes
  • Skin aging / cosmetic changes
  • Osteoporosis
  • Altered fat and carbohydrate metabolism
  • Atherosclerosis

What can you do about it?
There are several therapeutic options which may minimize or even eliminate many of the symptoms:
  1. Treat symptoms using natural hormones and nutrients without any testing.
  2. Test for hormone levels and bone loss.
  3. Improve bone health with specifically formulated nutritional products.
  4. Improve overall nutrition with Women's Twice Daily Essential Packs.

Why should you consider testing?
Hormones are powerful substances that control multiple functions throughout the body. Hormone levels should be sufficient and balanced. An imbalance of natural estrogen and progesterone is not conducive to long-term emotional, mental, and physical health.

Not measuring your hormone levels before and after treatment means that, at best, you’re taking an educated guess, since hormone levels from woman to woman can vary 200 - 1,500%. In fact, many women need only one hormone, while others require 3 or 4 different kinds.

Just as you cannot balance your bank account without numbers on your bank statements, you cannot know what dosages you need for natural hormone replacement therapy without knowing your hormone levels. Hormone testing provides both a basis for treatment and brings you closer to your goal.

After testing your hormone levels you can:
  • Customize natural hormone dosing to meet individual needs.
  • Optimize hormone levels for minimum dose to relieve symptoms. Note: avoid overdosing.
  • Achieve appropriate and compatible physiologic levels of several hormones.
  • Increase sense of "well-being" by removing underlying hormone deficits and imbalances.

Not certain what to do next?
If you are uncertain as to which products or programs to use or which tests to take, or if you would like additional help:
  • Contact us with a brief question.
  • Arrange a phone consultation with Dr. Forrest. Call (408) 354-4262