“I Am Not Myself Right Before My Period”

Published on Jun 3, 2016

I hear this so frequently in my office. Cyclic changes in mood and physical discomfort that usually starts after ovulation and ends with a period is called premenstrual syndrome and is often referred to as PMS. Feelings of depression, anxiety, nervous agitation, breast tenderness, and cravings are the typical symptoms of PMS. These symptoms can begin as mild but can become very severe. With age, they can get worse. Many patients complain of feeling excessively bloated. Others feel extremely sensitive, sad, annoyed or easily irritated. Some patients shyly tell me that their feelings are so unstable that they don’t know why they become excessively agitated with their significant other.

The effects of PMS can be disruptive, and cumulatively can take a negative toll on anyone’s mind and body, not to mention those around you or in contact with you on a daily basis including family and friends. I recently treated a 26-year-old patient who for one week prior to her menstruation could not leave the house. Another patient in her 40’s was so bloated she could not put her pants on before her menstrual cycle. Other times, I have received calls from husbands about the change in the mood of their spouse around the time of their periods.

The treatment we offer is in most cases very successful. A combination of special low calorie and low salt diet eliminates much of the bloating. Exercise, especially swimming also tends to mobilize much of the fluid collection in the extremities. Short duration of diuretics can also be used to relieve symptoms that do not respond to diet and exercise. For other symptoms, we try to use natural products to balance the bodies hormonal balance. Every patient is different and the range of unwanted PMS symptoms varies from patient to patient. With an individualized plan of care, we can properly address your symptoms to alleviate your monthly struggle and become as comfortable as possible with your menstrual cycle. In this day and age, there are mobile applications to monitor your menstrual cycle not only to remind you of your time of the month or how many days on average are in your cycle, but also to document and take note of your symptoms, cravings and feelings. If you are able to routinely keep track of certain things that are consistently appearing prior to and during your cycle, we can better address your needs and provide some relief to the symptoms that come and seem to stay too long.

We are happy to report that we have been able to successfully treat our patients and keep many husbands happy!

Why Am I Always Exhausted?

Published on Apr 27, 2016

Adrenal fatigue is one of the most common hormonal abnormalities in our society. The day to day stress from work, family and society, added to the changes that we and nature inflict on our bodies causes the overproduction and eventual depletion of cortisol, an adrenal hormone. The overuse and consequential lack of adequate cortisol production leads to adrenal fatigue.

Menopause and post-menopause is responsible for prolonged physical and emotional stress on the female body and plays a significant role in adrenal fatigue. Additionally, hormonal imbalances during this time further tax the adrenal glands.

A few of the common signs and symptoms of adrenal fatigue include restlessness, anxiety, insomnia, depression, fatigue, a weak immune system, irritability, temperature intolerance and a craving for sweet and spicy foods.

Hormonal imbalance and a healthy lifestyle including, good nutrition, rest and adequate exercise can bring stability and vitality to the body and mind. The use of bioidentical hormones can help balance your body in times of stress and overcome adrenal fatigue.

Compounded Testosterone Cream

Published on Mar 15, 2016

Testosterone is an essential hormone in a woman’s body. It is commonly known as a male hormone because men need a higher level of testosterone in their bodies. It peaks in women at the age of 20 and declines in perimenopausal years. They drop to their lowest levels during menopause as the ovaries cease to function.

Low levels of testosterone may be responsible for a decreased desire for sex, decreased satisfaction with sexual relations, decreased metabolism and mid body weight gain, as well as weak muscle tone and fatigue. Women using testosterone may benefit from increased desire and satisfaction with sex, including an increased sex drive. Testosterone also helps increase muscle tone and bone health. It can increase metabolism and mid line weight loss. It has also been helpful in helping women with fatigue issues, helping regain vitality and energy.

Some women are concerned about increased body or facial hair growth, or scalp hair loss, as well as problems with thickening of the voice. However, these conditions are unlikely if the hormone levels are regulated in the range that is normal for women. We use compounded testosterone cream that is prepared just for your body’s needs. It is in the form of a cream that is applied to the skin at night.

Creams are absorbed through the skin and do not involve the liver. Therefore, it does not increase cholesterol and is not expected to increase the risk of blood clots, which is of significant concern with other types of hormone preparation. All compounded hormones that we dispense are prepared by expert pharmacists in our office and the dosage is regulated within very strict standards to deliver the maximum benefit to your body. Dr. Tahery has been prescribing compounded hormones for women for more than 20 years and is known as an expert in menopause and hormone therapy for women of all ages.

Hormonal Headaches and Migraines

Published on Mar 1, 2016

Changes in estrogen and progesterone levels during the cycles may cause headaches in some women complaining of pain prior and during the menstrual cycles. Prior and during the menstrual cycle these hormone levels drop and are at the lowest levels . These headaches happen regularly with each cycle and resolve as the estrogen and progesterone levels begin to rise in the first week of the cycle.

During menopause and pregnancy, hormonal migraines usually resolve since the fluctuations in hormonal levels also disappear. However, with birth control use or hormone therapy, the headaches may return.

Many treatment options, including nonsteroidal anti-inflammatory drugs (NSAIDs) and natural hormone therapy, are effective in treatment of these headaches. But prior to any treatment, the correct diagnosis must be made and treatment must be supervised by an expert physician. Ask us about your headaches and we will be happy to help.

Hormonal Contraceptives and Decreased Sex Drive

Published on Mar 1, 2016

Many women on hormonal contraceptives complain of decreased sex drive and vaginal dryness. In fact a recent study shows that 1 in 5 women reported lack of interest in sex after 6 months on the contraceptives. Hormonal birth controls such as pills, shots, or under the skin implants release hormones that effect the entire body and alter the normal ovarian hormone production. This likely is due to the effect of the systemic hormones on the function and production of ovarian hormones estradiol and testosterone.

In some women the estradiol levels sink so low that many complain of vaginal dryness and pain with intercourse. Decrease in testosterone production is also a common effect of the hormonal birth control. Low testosterone levels may be responsible for decreased sex drive and desire, and fatigue.

Hormonal Intrauterine Device (IUD) is the only birth control method that does not alter sex drive and actually may improve participants sex life by reliably decreasing the chance of contraceptive failure. This method works within the lining of the uterus and the amount of hormones absorbed into the body through the uterus is minimal. Therefore it’s effect on the ovarian hormone production is minimal.

Numerous studies have shown that hormonal IUD is safe for all women of any age with minimal side effects. Dr. Tahery’s technique of IUD insertion minimizes pain associated with insertion and virtually eliminates the chance of uterine perforation during a blind insertion. Also IUD placement is done in a sterile environment in order to eliminate the chances of infection.