Peri Menopause Symptoms

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Peri Menopause Symptoms Osteoporosis & Peri Menopause One of the worries of menopause is the loss of bone density, a disease known as Osteoporosis. For many years it was thought that women lost bone density during menopause when there was a change in estrogen levels. Now the results of several studies are showing that estrogen is only part of the process associated with bone loss. However, it still needs to be of concern to women when they start menopause. Hormones appear to have an affect on calcium metabolism. Specifically, the hormones are parathormone from the parathyroid gland, calcitonin from the thyroid gland and vitamin D from the skin. You may not be aware but Vitamin D is a hormone - this is because it is produced by one organ and then travels through the blood to other organs, which is the definition of a hormone. Vitamin D helps you absorb greater amounts of calcium, so it is very important because higher levels of calcium in the bloodstream can actually increase bone loss. Estrogen has less of a direct effect on bone. It does block the bone-resorbing effect of parathormone and also stimulates the release of calcitonin and vitamin D. Progesterone has been shown to block the effect of the adrenal hormones which can increase bone loss. How does this relate to menopausal woman? Assess your risk factors for low bone density: thinness caucasian ancestry small framed heavy alcohol use advanced age cigarette smoking family history inactive lifestyle early menopause use of corticosteroids and anticonvulsants amenorrhea low calcium diet eating disorders. But low bone density does not automatically mean that your bones will fracture. Obviously, low bone density is something you need to monitor and treat if necessary, but fractures, especially the hips and spine are a higher level concern. The risk factors for for fractures that you should be concerned with are a current weight that is less than it was at age 25 having a rapid heartbeat at rest of 80 bpm or more a maternal history of hip fracture before the age of 80 a previous fracture after age fifty if your health is fair or poor previous hyperthyroidism poor contrast sensitivity poor depth perception current use of long-acting benzos current use of anti-convulsants the inability to rise from a chair without using both arms spending less then 4 hours a day on your feet high doses of caffeine The only way to ascertain if you have Osteoporosis is by a bone-density screening. It is not painful until you suffer a fracture so you will not know whether you have it or not. Depending on your risk factors (see details above) you may want to take calcium and vitamin D supplements. Exercise can also help. There are drugs like Fosamax, Raloxifene and Evista that can be used as an alternate for HRT and other drugs like Arimidex and Femara that are proving to be effective. In the future there may be drugs that help re-grow bone loss so make sure your doctor is aware of the current research. With a little prevention, osteoporosis and fractures can be dealt with easily before they become a problem.

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