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Hormone Harmony: Bringing Balance to Women's Hormones

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Page 1: Hormone Harmony: Bringing Balance to Women's Hormones
Page 2: Hormone Harmony: Bringing Balance to Women's Hormones

Hormones are chemical

messengers that control

most major bodily

functions from hunger,

stress, mood and emotions,

to reproduction.

Page 3: Hormone Harmony: Bringing Balance to Women's Hormones

Hormone balance is

a complex web

Page 4: Hormone Harmony: Bringing Balance to Women's Hormones

A small selection of hormones involved in female reproduction

Page 5: Hormone Harmony: Bringing Balance to Women's Hormones
Page 6: Hormone Harmony: Bringing Balance to Women's Hormones
Page 7: Hormone Harmony: Bringing Balance to Women's Hormones

Some hormones

contribute more to our

sense of wellbeing and

balance

Page 8: Hormone Harmony: Bringing Balance to Women's Hormones

CORTISOL

Our primary stress hormone

Produced in our adrenal

glands

Page 9: Hormone Harmony: Bringing Balance to Women's Hormones

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

Page 10: Hormone Harmony: Bringing Balance to Women's Hormones

Cortisol Excess

Cortisol Deficiency

High blood pressureHigh blood sugar and diabetesWater retentionDifficulty losing weightDecreased sex driveDigestive problemsAnxietyDifficulty sleeping

Deceased ability to copeChronic fatigueMuscle weaknessDecreased sex driveLow blood sugarSalt/sugar cravingsLightheadednessDepression

Page 11: Hormone Harmony: Bringing Balance to Women's Hormones

THYROID

Thyroid hormones

include

TSH, T3 and T4

Page 12: Hormone Harmony: Bringing Balance to Women's Hormones

THYROID

MAIN ACTIONS

Thyroid hormones

control our

metabolism – the

way our body

uses energy

Page 13: Hormone Harmony: Bringing Balance to Women's Hormones

THYROID

MAIN ACTIONS

Energy

Breathing

Heart rate

Body weight

Muscle strength

Body temperature

Cholesterol levels

Menstrual cycles

Page 14: Hormone Harmony: Bringing Balance to Women's Hormones

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

Page 15: Hormone Harmony: Bringing Balance to Women's Hormones

ESTROGEN

The primary

female hormone

Produced by ovaries,

adrenal glands and

fat cells

Page 16: Hormone Harmony: Bringing Balance to Women's Hormones

ESTROGEN

Three main forms of estrogen:

Estrone

Estradiol

Estriol

Page 17: Hormone Harmony: Bringing Balance to Women's Hormones

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

Page 18: Hormone Harmony: Bringing Balance to Women's Hormones

ESTROGEN

MAIN ACTIONS of Estrogen

Breast developmentEndometrial development

Female reproductionLibido

Body fat distributionVaginal health and lubrication

Bone formation Skin and blood vessel health

Cholesterol balanceCardiovascular health

Page 19: Hormone Harmony: Bringing Balance to Women's Hormones

ESTROGEN

Breast developmentEndometrial development

Female reproductionLibido

Body fat distributionVaginal health and lubrication

Bone formation Skin and blood vessel health

Cholesterol balanceCardiovascular health

ESTROGEN DEFICIENCY

A state of imbalancebetween estrogen and

progesterone

Typically associated with MENOPAUSE

Page 20: Hormone Harmony: Bringing Balance to Women's Hormones

ESTROGEN ESTROGEN 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

Page 21: Hormone Harmony: Bringing Balance to Women's Hormones

ESTROGEN DOMINANCE

A state of imbalance between estrogen and progesterone

May reflect high estrogen or low progesterone

Page 22: Hormone Harmony: Bringing Balance to Women's Hormones

ESTROGEN DOMINANCE

Breast tendernessFibrocystic (lumpy) breastsFatigueIrritabilityBloating Sugar cravingsHeavy or irregular periodsSpotting between periodsSignificant PMSHair loss on the scalpHeadachesWeight gain

Page 23: Hormone Harmony: Bringing Balance to Women's Hormones

PROGESTERONE

The female hormone

BALANCER

Produced by the ovaries

and adrenal glands

Page 24: Hormone Harmony: Bringing Balance to Women's Hormones

PROGESTERONE

MAIN ACTIONSRegulates menstrual cycles

Sustains pregnancy

Precursor for many other hormones

Promotes energy production

Burns fat

Builds bone

Anti-anxiety

Balances effects of estrogen

Page 25: Hormone Harmony: Bringing Balance to Women's Hormones

PROGESTERONE

Progesterone deficiency

is the number one

hormone imbalance in

women aged 30-50

Page 26: Hormone Harmony: Bringing Balance to Women's Hormones

Progesterone DeficiencyAnxiety

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

Page 27: Hormone Harmony: Bringing Balance to Women's Hormones

Progesterone ExcessAcne

Breast swelling

Depression

Difficulty losing weight

Daytime sleepiness

Facial hair

Fatigue

Sugar cravings

Nausea

Nipple tenderness

Yeast infections

www.drlisawatson.com

Page 28: Hormone Harmony: Bringing Balance to Women's Hormones

TESTOSTERON

EProduced in the ovaries and

adrenal glands

Continues to be produced after

menopause

Page 29: Hormone Harmony: Bringing Balance to Women's Hormones

TESTOSTERON

EMAIN ACTIONS

Libido

Enhances mood

Improves memory

Strength and muscle mass

Decreases body fat

Protects against heart disease

Prevents osteoporosis

Page 30: Hormone Harmony: Bringing Balance to Women's Hormones

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

Page 31: Hormone Harmony: Bringing Balance to Women's Hormones

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

Page 32: Hormone Harmony: Bringing Balance to Women's Hormones

CONDITIONS OF HORMONE IMBALANCE

Page 33: Hormone Harmony: Bringing Balance to Women's Hormones

Arise from a low

production of

progesterone,

erratic estrogen

levels, and

lifestyle

Page 34: Hormone Harmony: Bringing Balance to Women's Hormones

Acne

PCOS

Endometriosis

Weight gain

Irregular periods

Menstrual

cramps

PMS

Page 35: Hormone Harmony: Bringing Balance to Women's Hormones

Reproductive

peak. Issues of

hormone

imbalance are

still common.

Page 36: Hormone Harmony: Bringing Balance to Women's Hormones

Acne

PCOS

Endometriosis

Weight gain

Irregular periods

PMS

Hypothyroid

Hair growth/loss

Stress

Page 37: Hormone Harmony: Bringing Balance to Women's Hormones

Lower

progesterone

levels, higher

stress,

increased

xenoestrogen

exposures.

Page 38: Hormone Harmony: Bringing Balance to Women's Hormones

Childbearing

leads to

significant

fluctuations in

hormone levels

Page 39: Hormone Harmony: Bringing Balance to Women's Hormones

PCOS

Worsening PMS

Infertility

Hypothyroid

Endometriosis

Fibroids

Heavy periods

Painful periods

Weight gain

Page 40: Hormone Harmony: Bringing Balance to Women's Hormones

Most significant

age for hormone

imbalances.

Page 41: Hormone Harmony: Bringing Balance to Women's Hormones

All female

hormone

imbalances are

at their highest

incidence in this

age group.

Page 42: Hormone Harmony: Bringing Balance to Women's Hormones

Acne

Infertility

PMS

PCOS

Fibroids

Endometriosis

Weight gain

Hair loss

Facial hair

Hypothyroid

Perimenopause

Page 43: Hormone Harmony: Bringing Balance to Women's Hormones

Menopausal

transition leads

to fluctuating

progesterone

levels, declining

testosterone

and estrogen

levels.

Page 44: Hormone Harmony: Bringing Balance to Women's Hormones

Average age of

menopause: 52

Average years

of symptoms: 7

Page 45: Hormone Harmony: Bringing Balance to Women's Hormones

Hot flashes

Night sweats

Weight gain

Depression

Insomnia

Vaginal dryness

Low libido

Hypothyroid

Page 46: Hormone Harmony: Bringing Balance to Women's Hormones

Continual,

gradual hormonal

decline

Hormone

balance can

contribute to risk

factors for aging

and mortality

Page 47: Hormone Harmony: Bringing Balance to Women's Hormones

HORMONE TESTING

Page 48: Hormone Harmony: Bringing Balance to Women's Hormones

BALANCE is

more important

than individual

hormone levels

Page 49: Hormone Harmony: Bringing Balance to Women's Hormones

TIMING matters.

Time of day &

time of month both

influence laboratory

hormone values

Page 50: Hormone Harmony: Bringing Balance to Women's Hormones

SAMPLE

type

matters.

Page 51: Hormone Harmony: Bringing Balance to Women's Hormones

HORMONE TESTINGBlood (Serum)

Best for thyroid hormones, FSH, LH,

insulin, glucose, hCG, prolactin, vitamin D

www.drlisawatson.com

Does not accurately measure free

hormone levels

Page 52: Hormone Harmony: Bringing Balance to Women's Hormones

HORMONE TESTINGSaliva

Best for steroid hormones – estrogen,

testosterone, DHEA, DHT, cortisol,

progesterone

www.drlisawatson.com

Does not measure metabolites

Less established reference ranges

Page 53: Hormone Harmony: Bringing Balance to Women's Hormones

HORMONE TESTINGUrine

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

Page 54: Hormone Harmony: Bringing Balance to Women's Hormones
Page 55: Hormone Harmony: Bringing Balance to Women's Hormones
Page 56: Hormone Harmony: Bringing Balance to Women's Hormones
Page 57: Hormone Harmony: Bringing Balance to Women's Hormones
Page 58: Hormone Harmony: Bringing Balance to Women's Hormones

ACHIEVING

HORMONE

HARMONY

Page 59: Hormone Harmony: Bringing Balance to Women's Hormones

Eat a plant based diet

Page 60: Hormone Harmony: Bringing Balance to Women's Hormones

Get

enough

protein

Page 61: Hormone Harmony: Bringing Balance to Women's Hormones
Page 62: Hormone Harmony: Bringing Balance to Women's Hormones

Achieve a

healthy body

composition

Page 63: Hormone Harmony: Bringing Balance to Women's Hormones

Regular

exercise: cardio, strength

and flexibility

Page 64: Hormone Harmony: Bringing Balance to Women's Hormones

Limit

exposures to

endocrine

disrupting

chemicals

(EDCs)

Page 65: Hormone Harmony: Bringing Balance to Women's Hormones

GET

TESTED

Page 66: Hormone Harmony: Bringing Balance to Women's Hormones
Page 67: Hormone Harmony: Bringing Balance to Women's Hormones
Page 68: Hormone Harmony: Bringing Balance to Women's Hormones

Saw Palmetto

Decreases testosterone

Decreases DHT

Decreases estrogen

May lower prolactin levels

Main indications:

PCOS

Female hair loss

Hirsutism

Page 69: Hormone Harmony: Bringing Balance to Women's Hormones

Black Cohosh

Acts as a selective estrogen

receptor modulator (SERM)

Does not impact FSH or LH

Main indications:

Perimenopause

Menopause

Page 70: Hormone Harmony: Bringing Balance to Women's Hormones

Chaste Berry

Decreases prolactin

Normalizes progesterone

Selective estrogen receptor

binding (ER-beta)

Main indications:

Painful, irregular periods

PMS/ PMDD

Infertility

Low libido

Perimenopause

Page 71: Hormone Harmony: Bringing Balance to Women's Hormones

Licorice

Enhances cortisol

Phytoestrogen

Reduces prolactin

Main indications:

Stress

Fatigue

Immune support

Menopausal hot flashes

Page 72: Hormone Harmony: Bringing Balance to Women's Hormones

Ashwaganda

Balances thyroid hormones

Enhances cortisol

Main indications:

Stress

Fatigue

Anxiety and depression

Hypothyroidism

Hashimoto’s thyroiditis

Page 73: Hormone Harmony: Bringing Balance to Women's Hormones

BIOIDENTICA

L

HORMONE

THERAPY

Page 74: Hormone Harmony: Bringing Balance to Women's Hormones

BHRTThe use of bioidentical

hormones, synthesized from

plants, to restore balance to the

body and manage symptoms of

hormone imbalance

Page 75: Hormone Harmony: Bringing Balance to Women's Hormones

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

Page 76: Hormone Harmony: Bringing Balance to Women's Hormones

Bioidentical vs Synthetic

www.drlisawatson.com

Medoxyprogesterone Acetate (synthetic progestin)

Page 77: Hormone Harmony: Bringing Balance to Women's Hormones

BHRTWomen’s Health Initiative

Hormone replacement therapy of synthetic

estrogen and progestin resulted in:

o Increased risk of heart attacko Increased risk of strokeo Increased risk of blood clots o Increased risk of breast cancer

Page 78: Hormone Harmony: Bringing Balance to Women's Hormones

BHRTFrench Study

No increase in breast cancer risk with

bioidentical estradiol and progesterone

Page 79: Hormone Harmony: Bringing Balance to Women's Hormones

BHRTE3N Study

Topical use of bioidentical estrogen and oral

bioidentical progesterone does not increase

clotting and risk of stroke

Page 80: Hormone Harmony: Bringing Balance to Women's Hormones

BHRTHormone replacement

therapy is not for

everyone

Page 81: Hormone Harmony: Bringing Balance to Women's Hormones

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

Page 82: Hormone Harmony: Bringing Balance to Women's Hormones

Conditions that Benefit from BHRT

PCOS

ENDOMETRIOSISInfertility

Premenstrual

SyndromeBreast tenderness

PerimenopauseAmenorrhea

Irregular

periods

Hot flashes

WEIGHT

GAIN

Anxiety

Recurrent

miscarriage

Hormonal

Acne

HAIR

LOS

S

Fatigue

Menstrual spotting

INSOMNIA

Dysmenorrh

ea

MENOPAUSE

Page 83: Hormone Harmony: Bringing Balance to Women's Hormones

Questions?

www.drlisawatson.com


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