Tag Archives: Menopause

Good News Regarding Hormone Replacement Therapy | Fullerton, CA

When it comes to menopause, there has been a lot of controversy surrounding the involvement of hormone therapy. Traditionally, doctors would provide hormone replacement therapy (HRT) as a treatment option in order to augment the patient’s hormone levels. However, in 2002, the Women’s Health Initiative, a government-funded study took place and revealed many questions regarding the HRT’s benefits and risks.

In 2012, The North American Menopause Society released a statement stating, “the concept of lowest dose for the shortest period of time was inadequate or even harmful for some women”. But in 2017 the stance had changed. They released a paper stating that the use of hormone replacement therapy for menopausal and postmenopausal women “guarantees to make healthcare providers and the women they treat more comfortable using HRT when women want it to improve their quality of life”.

So, what does that mean for women going forward? Here are some of the highlights:

  • The benefit-risk ratio is most favorable for women in their 50’s with hot flashes and night sweats, or at elevated risk for bone loss or fracture. Those younger may not have as many advantages.
  • Longer durations of HRT should be for documented indications and discussed with a physician.
  • Women with vulvar and vaginal symptoms, or with a loss of libido, can benefit from having hormone replacement therapy for sexual-function difficulties.
  • Women who enter menopause early will experience an estrogen-deficiency related consequence. Early estrogen treatment, in addition to endometrial protection.

To read more about the NAMS statement, click here.

If you would like more information on hormone replacement therapy, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today

Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.

Should I Get Hormone Therapy? | Fullerton, CA

As women progress into their 50’s, it is likely that they will begin to experience menopause. Menopause is a natural occurring event when their ovaries cease producing estrogen, thereby marking the end of the reproductive period of her life. The problem is women are living so much longer than they were, living well into their 80’s, which means menopause can even take up a third of their lives.

Peri-menopause is diagnosed when the menstrual cycles vary in frequency and length and may be associated with psychological, emotional and/or physical symptoms. These disturbances are due to a declining ovarian production of estrogen, progesterone and testosterone that may be periodic or continuous. In order to deal with the drastic changes going on, many sought relief in hormone therapy. However, symptoms arose with those additional hormones and studies were conducted to see if any other health issues arose by using hormone therapy, like breast cancer, stroke and heart disease.

In April 2011, the Journal of the American Medical Association (JAMA) found a statistically significant reduction in breast cancer over time, and those who did develop breast cancer were 63% less likely to die from their disease. Among the women with a prior hysterectomy treated with estrogen alone and followed for 11 years, there was NO increased risk of heart attack, stroke, blood clots, hip fracture, colon cancer or mortality. Importantly, there was a persistent decrease in the risk of breast cancer.

After a decade of fear and confusion regarding the risks and benefits of estrogen replacement therapy, medical studies have now clearly established its safety and its health benefits.

If you would like more information on menopausal hormone therapy, contact Dr. Gordon C. Gunn MD in Fullerton, CA at 714-912-2211 to schedule an appointment today. Or visit www.gordongunnmd.com for additional information regarding women’s health. 

Dr. Gordon Gunn proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and all surrounding areas.

Is Hormone Therapy Bad for Me? | Fullerton, CA

The history of hormone replacement in women has seen many swings in popularity over the past few decades. In 1991, the National Institutes of Health (N.I.H.) launched the Women’s Health Initiative (WHI), designed to test the effects of hormone therapy on heart disease, bone fractures, breast cancer and colon cancer. One group of women who had undergone a hysterectomy received oral estrogen (Premarin) alone [estrogen replacement therapy or ERT]. A second group received a combination of Premarin and progesterone (PremPro) [combination hormone replacement therapy or HRT]. A third group received a placebo, which contained no hormone. In 2002, the study was stopped because the Provera group was associated with a slight increase in the incidence of breast cancer, heart attack, stroke and blood clots.

In April 2011, the Journal of the American Medical Association (JAMA) published a follow-up study of the women in the WHI who took estrogen alone. The finding: a statistically significant reduction in breast cancer over time. Among the women with a prior hysterectomy treated with estrogen alone and followed for 11 years, there was NO increased risk of heart attack, stroke, blood clots, hip fracture, colon cancer or mortality.

After a decade of fear and confusion regarding the risks and benefits of estrogen replacement therapy, medical studies have now clearly established its safety and its health benefits. In March 2012, the North American Menopause Society released a statement that supports these findings, stating that combination hormone therapy (both estrogen and progesterone) initiated around the time of menopause is safe.

If you would like more information on hormone therapy, contact Dr. Gordon C. Gunn MD in Fullerton, CA at 714-912-2211 to schedule an appointment today. Or visit www.gordongunnmd.com for additional information regarding women’s health. 

Dr. Gordon Gunn proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and all surrounding Orange County areas.

10 Foods to Help Heart Health During Menopause | Fullerton, CA

Heart HealthyIt’s frightening but it’s a fact: Heart disease is the #1 killer of women in the United States. And if that wasn’t bad enough, women who have had their ovaries removed are especially at risk. So what’s a girl to do? Beat the odds by replacing the junk food in your cupboard with these heart-healthy foods, recommended by the American Heart Association!

Whole grains. Whole grains, like brown rice and quinoa, are packed with many nutrients that refined grains are stripped of, like fiber, folate and iron. A study by the Whole Grains Council proved that replacing refined grains with whole grains can lower the risk of heart disease by up to 28 percent.

Leafy greens. Greens such as kale and spinach are great sources of fiber, antioxidants, and other vitamins and minerals that contribute to heart health. They are easy to find and are very versatile in recipes.

Extra-virgin olive oil. This healthy fat can make a great heart-healthy substitute for butter. See where you can make the switch in your next recipe!

Raw, unsalted almonds and walnuts. These make great snacks, salad additions, and toppings. A ¼ cup a day can boost your protein and lower your cholesterol. Just be careful, eating too much more than that, could lead to packing on a lot of unnecessary calories and fats.

Tomatoes. This veggie is high in antioxidants that protect the heart. Plus, this convenient little fruit (yes, it’s a fruit!) is a super easy add-in to any recipe.

Fish. Fish are high in Omega-3s, which are known to benefit the heart. Many doctors recommend adding fish to your diet at least a couple times a week.

Beans and Lentils. Versatile and extremely healthy, beans and lentils are a great way to add fiber, protein, and iron to almost any meal.

Grapes. They may be tiny but grapes are packed with antioxidants, making heart health a little sweeter. In addition to antioxidants, they also provide phytochemicals that protect the cardiovascular system.

Berries. Filled with fiber and antioxidants, berries make great, heart-healthy desserts any time of the day.

Dark chocolate. Now that’s a change I can make to my diet, am I right, ladies? Adding just a little bit of dark chocolate to those berries and you’ve got yourself a divine, guilt-free dessert. Of course, this doesn’t give you the green light to eat chocolate all day, but studies do show that eating a small amount of dark chocolate a few days out of the week can help lower your blood pressure and improve blood flow.

If you would like to take the first step towards good heart health, contact Dr. Gordon C. Gunn MD in Fullerton, CA at 714-912-2211 to schedule an appointment today .Or visit www.gordongunnmd.com for additional information regarding women’s health. 

Dr. Gordon Gunn proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and all surrounding Orange County areas.

Menopause and Hormone Therapy | Fullerton, CA

iStock_000014235018SmallMenopause is a natural occurring event that all women will experience, usually in their early 50’s, when their ovaries cease producing estrogen. Post-menopause is diagnosed when a woman has not menstruated for one year and marks the end of the reproductive period of her life. Gunn Center of Fullerton, CA offers some interesting and useful information on menopause and hormone therapy.

Peri-menopause is diagnosed when the menstrual cycles vary in frequency and length and may be associated with psychological, emotional and/or physical symptoms (discussed later). These disturbances are due to a declining ovarian production of estrogen, progesterone and testosterone that may be periodic or continuous. Women born prior to the 1930’s had a life expectancy of about 50 yrs. Today, a woman can expect to live well into her 80’s with over one-third of her life occurring after menopause and be subject to the physical changes discussed later in this paper.

The history of hormone replacement in women has seen many swings in popularity over the past few decades. In 1991 the National Institutes of Health (N.I.H.) launched the Women’s Health Initiative (WHI) study involving about 161,000 healthy postmenopausal women aged 50-79 years with an average age of 63 years. The study was designed to test the effects of hormone therapy on heart disease, bone fractures, breast cancer and colon cancer. One group of women who had undergone a hysterectomy received oral estrogen (Premarin) alone [estrogen replacement therapy or ERT]. A second group received a combination of Premarin and progesterone (PremPro) [combination hormone replacement therapy or HRT]. A third group received a placebo, which contained no hormone. In 2002 the study was stopped because the Provera group was associated with a slight increase in the incidence of breast cancer, heart attack, stroke and blood clots.

Millions of women in the U.S. stopped their hormone out of fear and they entered into “hot-flash hell”. A recent careful re-analysis and follow up review of the data has revealed that the actual risks of breast cancer, stroke and heart disease were NOT increased over time and were, in fact decreased; especially in women who were perimenapausal when they initiated hormone therapy.

In April 2011 the Journal of the American Medical Association (JAMA) published a follow-up study of the women in the WHI who took estrogen alone. The finding: a statistically significant reduction in breast cancer over time. Further, those women who did develop breast cancer were 63% less likely to die from their disease. Among the women with a prior hysterectomy treated with estrogen alone and followed for 11 years, there was NO increased risk of heart attack, stroke, blood clots, hip fracture, colon cancer or mortality. Importantly, there was a persistent decrease in the risk of breast cancer. This finding is now contrary to the persistently held belief that estrogen causes breast cancer and increases the risk of heart attacks.

After a decade of fear and confusion regarding the risks and benefits of estrogen replacement therapy, medical studies have now clearly established its safety and its health benefits. In March 2012 the North American Menopause Society released a statement that supports these findings, stating that combination hormone therapy (both estrogen and progesterone) initiated around the time of menopause is safe.

Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.

Menopause and Hormone Replacement The Verdict is In! | Fullerton, CA

iStock_000014235018SmallAccording to Dr. Gordon Gunn in Fullerton, CA, menopause is a natural occurring event that all women will experience, usually in their early 50’s, when their ovaries cease producing estrogen. Post-menopause is diagnosed when a woman has not menstruated for one year and marks the end of the reproductive period of her life.

Peri-menopause is diagnosed when the menstrual cycles vary in frequency and length and may be associated with psychological, emotional and/or physical symptoms (discussed later). These disturbances are due to a declining ovarian production of estrogen, progesterone and testosterone that may be periodic or continuous.

Women born prior to the 1930’s had a life expectancy of about 50 yrs. Today, a woman can expect to live well into her 80’s with over one-third of her life occurring after menopause.

Contact Dr. Gordon Gunn to learn more about the treatment options available at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.