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COMPLIMENTARY THERAPIES

 

 

There are many things that can be done along with HRT to help control the symptoms of menopause, these are called complimentary therapies because they compliment the effects of the HRT.  These therapies are basically lifestyle changes that in general improve your overall health.  The list of complimentary therapies seems endless, so below is a list and description of some of the therapies as well as some links that contain more information.  Because HRT is not for everyone, these therapies can also be used without the use of HRT to help alleviate the symptoms associated with menopause.

 

 

*      General Exercise

 

*      Yoga    

 

*      Kegel Exercises 

 

*      Nutritional therapy

 

*      References

 

 

 

GENERAL EXERCISE      

Exercise is known to be good for you it can benefit the heart and bones, help regulate weight, and contributes to a sense of overall well-being and improvement in mood. People who do not engage in regular exercise are more susceptible to coronary heart disease, obesity, high blood pressure, diabetes, and osteoporosis.  Women who regularly walk, jog, swim, bike, dance, or perform some other aerobic activity may be able to prevent these problems and also achieve beneficial as we grow older. Exercise can also prevent our reaction times from slowing down.

Recently, there has been a move away from aerobic training toward strength training and weight bearing exercise. Research suggests that any exercise involving weights can delay loss of bone and muscle tissue, which is a natural consequence of aging, whereas non-weight bearing have no real effect.

                                                                                                                                               

In a study conducted by the Mayo Clinic a group of 65 postmenopausal women not on HRT were randomly assigned into a control group and an exercise group (type of exercise was non-loading or non-weight bearing) .  These two groups had bone mineral density tests done every 6 months for 2 years, at the end of two years their was no significant difference between the two groups (Sinaki et al., 1989).

Another study in the Journal of Bone Mineral Research looked at the relationship between resistance training and bone mass.  This study showed the effectiveness strength training had in maintaining adequate bone density (Kerr et al., 2001). 

Before starting a program of exercise, consult your physician.

 

 

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YOGA

 

                              

 

Yoga can help curb menopausal symptoms such as insomnia, depression, hot flashes, and mood swings. The deep breathing and relaxation done by yoga helps to improve blood circulation, maintain muscle tone and flexibility, and increase the levels of mood-regulating chemicals in the brain.  Yoga may be beneficial for osteoporosis and heart disease, two concerns of menopausal women. This is because it provides weight-bearing exercise that encourages strong bones and it can help to lower cholesterol and improve the efficiency of the heart.  Yoga sessions are based on a combination of breathing exercises, warm-ups, poses, and meditation. According to one clinical trial held in India, yoga offers cardio- respiratory benefits that other exercises do not seem to achieve (Raju et al., 1997).

 

 

 

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KEGEL EXERCISES

 

Urinary incontinence affects 30-60% of ALL postmenopausal women.  Kegels exercises can help to strengthen the pelvic floor. This helps to prevent or alleviate urinary incontinence.  A Belgium study looked at 52 women over a 10-year period, these women were taught kegels and after 10 years they were once again questioned about their incontinence 66% reported they longer had a problem with incontinence (Cammu et al., 2000).  Another study showed that combining HRT with kegels was more effective that kegels alone (Ishiko et al., 2001).

 

You can identify pubococcygeal muscles in one of the following ways:

 

*      Begin to urinate and then stop. The same muscle you use to control urination is the muscle that you will contract then relax during the Kegel exercises.

*      Inserting a tampon and squeeze around it. These muscles are the ones used in the exercise.

 

 

How to do Kegel Exercises:

 

*      Hold pubococcygeal muscle for at least five to ten seconds and then release it slowly. After mastering the slow Kegel exercise, you should also do a series of rapid ones. They should be repeated ten to fifteen times, and the whole session should be repeated three to five times per day.

*      Kegel exercises can be done at any time of the day since they are invisible to the observer. Women can integrate Kegel exercise into any part of their daily routine-like when you are on the elevator, or driving or talking on the phone, or while taking a shower.

 

Advantages of the Kegel Exercises:

 

*      By developing the muscles around the vaginal area, the woman can have more control and pleasure during the sexual encounter.

*      Kegel exercises can tone up muscles and stop incontinence.

*      Kegel exercises can build up the muscles in order to counteract any muscle loosening that occurs as a result of menopause.

*      Doing your Kegels faithfully can restore your pelvic floor muscles enough that a sneeze or heavy lifting won't cause urination. A key point in this training-which can also improve some cases of urge incontinence-is that it can work for the properly selected patient so long as exercises are done regularly and consistently. You should consult a health-care professional for a detailed exercise program.

 

Kegel exercises in combination with low-dose estrogens is an effective therapy for incontinence. Estrogens replenish the cellular surface of the urinary opening, the base of the bladder, and the lining of the urinary passage. The exercise build up muscles. The combination is effective in the closure of the bladder so that urine will not leak out.

 

 

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       NUTRITIONAL THERAPY               

 

Eating a diet rich in soy and phytoestrogens may be beneficial to your cardiovascular system. Medical research has demonstrated numerous benefits associated with phytoestrogens. In a study published in the journal Menopause, for example, the women who participated ate one of three diets; two diets were rich in phytoestrogens such as soybeans and flax seeds, and the other diet was a standard diet.  Of the two diets rich in soy one had the soy in a single dose and the other had it split into two doses.  In the groups that ate the phytoestrogen-rich diet, cholesterol levels declined, a decrease in diastolic blood pressure was noticed in the twice a day group, there was also a difference in the vasomotor symptoms for the twice a day group, and  the menopausal symptoms, such as hot flashes and vaginal dryness, did not decrease significantly (Washburn et al., 1999).

 

 

 

 

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