Dr. Laura Erdman on Hormones & Women's Health
Why don't you talk to us I about some of the common complaints and things that you see as women come to you either in their late thirties or early forties? And some of the things you often suggest to help them with it. So one of the main things what one of the things that I tried to to to model my practice around is I've been lucky to have a great pediatricians for my kids over the years and one of the things that I loved about them is that at their annual visit I sort of have gotten over the years. An anticipation of what's to come in their development. So when they were four and I was reminded not to be surprised about nightmares when they were six, make sure everybody knew how to swim and as I've sort of modeled my practice around that so Different Ages. I talked to women about what to expect what's coming, and so pretty much what I'd like to cover when women turn forty is. First of all period irregularities. So periods go wacky at the age of forty for many many many women sometimes they get closer together. Sometimes, they get heavier sometimes stay longer in it's really important to know what is normal versus what is just what is abnormal and could be a sign of something being wrong. So I tried to explain what's going on in the background because that helps a lot of women understand and a lot of. Women whom I see just want to know that everything is okay. They see some changes they don't necessarily they're not bothered by them. They don't necessarily want to treat them are going any medicine. They just want to know that everything is okay. But when you see a change in your period when you've always had a perfectly regular monthly period now all of a sudden is coming every three weeks that might see have normal where actually. Isn't. So it's important to remember that in the background are ovaries are getting better, and so they have a limited life span, which is around forty five to fifty years about the age of fifty or fifty one most famous start the transition into menopause Tomase, your ovaries just stop responding to the input from the rain they start making their Hormuz they stop ovulating but before that they get a little bit lazy and they don't really. Respond they don't really let the brain know too well that they're still doing their job. So your brain starts driving them a little bit harder. The brain doesn't age the brain would like our to keep working for forever. So that signal from the brain gets really really really strong but sometimes array say okay, fine I got it. I'll do my thing and so you get pretty much higher highs and lower lows of your normal hormones. And the cycle links between your periods gets a little bit shorter 'cause ovaries almost working a little bit too well in response to does signal from the brain. So that's why if you've had a period that has always been every twenty eight days and now all of a sudden, it is twenty four days that seems like as almost a week too early, but it's not that's totally fine. That's just the brain responding to that increased influence from the or the ovaries responding to the increased signal from the brain. But also since your hormones are hitting your ovarian hormone estrogen progesterone are hitting higher highs and lows. Things like PMS can become a little bit more exacerbated if you have a much higher progesterone level in that second half of your cycle, some people actually start to feel. The beginning of hot flashes right before their period as your estrogen is hitting alot than it ever has before the period can get a little bit heavier because the lining grows a little bit thicker if that estrogen is high in the beginning of the cycle higher than it has been. So all these things have a reason why they're happening, but they can be really really really bothersome. So these are like higher amplitude screens which were already doing but now they're actually kind of going wider in either direction and potentially at a higher frequency, which is what all of us want right now I'm scared. So. It's really really annoying. Now again, none of this is is is there's nothing wrong. Then this there's note illness there's disease there's nothing wrong but as just really really bothersome and it comes at a time in life where for many women their children are getting older there might be other life changes, just normal body aging into it's more difficult to lose weight the joint start aching a little bit more perhaps there's more responsibility in a job, and so it just hits all together at the very wrong time.