Coping
With Menopause Naturally: Alternatives To HRT
by Monique N. Gilbert, B.Sc.
Many women are searching for an effective natural approach to relieving
their menopausal symptoms because of the recent negative findings of
hormone replacement therapy (HRT). On May 31, 2002, the National
Institutes of Health stopped a major long-term clinical trial of the risks
and benefits of combined estrogen and progestin before the trial was
completed. Due to the increased risk of breast cancer, coronary heart
disease, stroke, and blood clots, it was determined that HRT's risks
outweigh its benefits.
The first thing to remember is that
menopause is not a disease. It is a natural part of a woman's reproductive
life cycle which can be managed with exercise and diet. Hot flashes, night
sweats, mood swings and bone loss are the chief complaints among women
going through menopause. Learning to deal with these unpleasant symptoms
will help you cope with life's changes.
Menopause not only causes a decline in
hormone levels, but can also leave you feeling moody, irritated, tired and
unfocused. This is partly due to the lack of a good night's sleep caused
by night sweats. Regular exercise (at least 3 to 4 times a week) is
probable the most important thing you can do to improve your nighttime
rest and overall health. (Taking a cool shower before bedtime can also
help promote a good night's sleep.)
Exercising strengthens your muscles and
bones, helps circulate your blood (which nourishes the skin and internal
organs); improves your mental outlook (about yourself and life in
general), and promotes a tranquil night's sleep. It also increases your
levels of serotonin, endorphins and dopamine. Serotonin, a chemical your
brain manufactures, produces a calming effect and creates a sense of
satisfaction and well-being. Endorphins decrease pain, reduce stress,
cause mood stability and a sense of happiness and joy. Dopamine
increases your vitality, concentration and alertness.
Weight bearing exercises and strength
training is also one of the most effective methods of fighting bone loss
and osteoporosis. Resistance placed upon the skeleton during physical
activity makes bones stronger and denser while improving posture, balance
and muscle tone. The positive effects of exercising keeps you fit, trim,
feeling younger and energetic. Taking a daily dose of calcium (1,200 mg to
1,500 mg), magnesium (500 mg to 750 mg) and vitamin D (400 IU) also helps
preserve bone density and strength.
The next step to help you through the
symptoms of menopause is to increase your intake of phytoestrogen rich
foods. Many women experience positive results by eating soy. Soy foods
contain isoflavones (natural plant estrogen) that have similar properties
to human estrogen, but are much weaker. Isoflavones can bind to the body's
estrogen receptors and help offset the drop in estrogen that occurs at
menopause.
Scientists have shown isoflavones function
similarly to HRT without producing the risks associated with this
controversial treatment. Soy foods offer women a more natural way to treat
their menopausal symptoms. Research on soy's protein and isoflavones
indicate that soy can help to relieve hot flashes, night sweats, fatigue,
and vaginal dryness.
Besides helping regulate estrogen when it
is declining, soy can also help with other conditions such as
osteoporosis, heart attack, stroke and breast cancer. Women have an
increased risk for these disorders during and after menopause. Many
studies show that soy can prevent these diseases by helping the body
absorb and retain calcium, inhibit bone loss, lower LDL (the bad)
cholesterol and decrease blood clotting.
The best forms of soy are those with the
highest amount of isoflavones and protein; like whole soybeans (edamame),
tempeh, textured soy protein (TVP), soynuts, and some soy protein powders.
Next would be tofu, soymilk and miso. However, the actual isoflavone
content has to be high enough to produce positive effects. Some foods made
from soy protein concentrate, like soy hotdogs, have very little
isoflavones due to their processing method. Other products, such as
soybean oil and soy sauce, contain no isoflavones in them at all.
Researchers recommend consuming at least 25
grams of soy protein and 30-50 milligrams of isoflavones daily (equal to
1-2 servings). This is only a starting point. You can safely consume 2-3
times this amount. The North American Menopause Society suggests 60 to 90
milligrams of isoflavones a day.
Many health experts encourage people to
incorporate soy foods into a balanced diet and discourage solely taking
soy supplements. Soy foods have various nutrients and compounds that
contribute to its health benefits, while soy supplements usually only
contain isoflavones. They advise taking soy supplements along with soy
foods. This way the benefits of both forms can complement and enhance each
other.
Some women have found that taking Black
Cohosh and Vitamin E (400 IU to 800 IU daily) can also provide relief from
hot flashes, night sweats and other menopausal symptoms. Black Cohosh is a
phytoestrogen herb that women have used for centuries to help manage their
hormones. Other beneficial herbs include Dong Quai, Evening Primrose Oil
and Red Clover.
Since each woman is unique and reacts
differently to natural treatments, try them out for yourself. Women
who exercise regularly and consume soy daily generally have fewer
menopausal symptoms than those who do not. Test these approaches for at
least 6 to 8 weeks to see if you get positive results.
To get you started, try this easy and
delicious soy recipe from my book "Virtues of Soy: A Practical Health
Guide and Cookbook" (http://www.virtuesofsoy.com).
Golden Tofu Strips
5.3 ounces of firm tofu (1/3 of a 16-ounce block)
1/4 teaspoon salt
1/4 teaspoon turmeric
1/2 tablespoon canola oil
Cut tofu into strips 1/4 inch wide and 2 inches long. Heat 1/2
tablespoon
canola oil. Add tofu strips, 1/4 teaspoon salt and 1/4 teaspoon
turmeric.
Stir to thoroughly coat all sides of tofu. Cook tofu strips about 5
minutes
or until golden brown. Serve on top of a salad, stir-fry, or stuffed
in a
pita with shredded lettuce. (Makes 1-2 servings)
Copyright © Monique N. Gilbert - All Rights Reserved.
___________________
Monique N. Gilbert has a Bachelor of
Science degree, is a Certified Personal Trainer/Fitness Counselor and
health advocate. She began a low-fat, whole-grain, vegetable-rich diet in
the mid-1970's. This introduced her to a healthier way of eating and
became the foundation of her dietary choices as an adult. She became a
full-fledged vegetarian on Earth Day 1990. Over the years she has
increased her knowledge and understanding about health and fitness, and
the important role diet plays in a person's strength, vitality and
longevity. Monique has a Q&A column at Veggies Unite! www.vegweb.com/guestqa/
where she gives advice about health, fitness and vegetarian/vegan diets.
Monique feels it is her mission to educate and enlighten everyone about
the benefits of healthy eating and living.
Monique N. Gilbert is a Health Advocate,
Recipe Developer, Soy Food Connoisseur and the author of "Virtues of
Soy: A Practical Health Guide and Cookbook" (Universal Publishers,
$19.95, available at most online booksellers). E-mail: monique@chef.net
- http://www.geocities.com/virtuesofsoy/
Virtues
of Soy: A Practical Health Guide and Cookbook
by Monique N. Gilbert
Price: $19.95