The Hormonal Nightmare

Escape The Nightmare: Live The Dream Of Excellent Health

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Some Examples of Women With Hormonal Nightmares

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I have tested and assessed the hormonal levels of many women and of all ages who had many symptoms and problems related to hormonal imbalances and were living a hormonal nightmare. The following are a few examples of some of these women. There are many women who have experienced difficulties with the balance of their sex hormones during their reproductive years. They are often just started on the birth control pill [BCP] without their hormonal levels being tested. Many of them don’t even realize that their symptoms can be caused by hormonal imbalances.


Example #1

A 23 year old woman had always been very active and excelled at everything she did. Then she became very disinterested in everything and had difficulty concentrating. She looked and acted depressed and had already seen a psychiatrist who wanted her to go on an antidepressant. I had her do a reproductive cycle saliva test which consisted of eleven saliva specimens spread out throughout her cycle.

The following illustration shows her estradiol levels throughout her cycle:

Estradiol for 23 year old

If only one sample was collected from this woman between days 4 to 13 or days 20 to 23, it would appear that she had a normal estradiol level. On the other hand, a single sample collected on day 1 or days 15 to 18, would show that she had excess estradiol.

The following illustration shows her progesterone levels throughout her cycle:

Progesterone for 23 year old

If only one sample was collected from this woman between days 1 to 10, it would appear that she had a normal progesterone level. On the other hand, a single sample collected on days 15 to 24, would show that she was deficient in progesterone.

This 23 year old woman was started on biologically identical [bio–identical] hormones and was able to resume her normal activity and interest in life.


Example #2

A 35 year old married woman with three children complained about having very heavy menstrual periods with severe menstrual cramps. Every period, since her first period when she was 13 years old, was like this. She also complained of premenstrual symptoms [PMS] for two and a half to three and a half weeks every month. Her PMS symptoms included headaches, muscle pain, tender breasts, and not only mood swings, but also very violent thoughts and thoughts about hurting her children. She went to see her medical doctor about her violent thoughts and thoughts of hurting her children and was prescribed an antidepressant.

The following illustration shows her estradiol levels throughout her cycle:

Estradiol for 35 year old

Except for the one estradiol sample collected on day 31, this woman’s estradiol levels are all in the middle to upper part of the normal estradiol range.

The following illustration shows her progesterone levels throughout her cycle:

Progesterone for 35 year old

The progesterone levels for this woman from day 4 to day 10 are all at the bottom of the progesterone reference range. Her progesterone levels from day 11 to day 14, day 17, and day 23 to day 31 are all below the progesterone reference range. Only on day 19 of this cycle does this woman have an acceptable level of progesterone.

After being on biologically identical [bio–identical] hormones for only two months, the woman only experienced one day when she felt a little emotional. All of her PMS symptoms including the headaches, muscle pain, tender breasts, mood swings, and very violent thoughts, including thoughts about hurting her children, disappeared.


Example #3

A 43 year old woman, with regular cycles and normal periods had, and still was experiencing, a very stressful life. She complained about having sweats since she was 36 years old and is now having hot flashes.

The following table shows how important it is to do more than one sample in order to get a clear picture about what is happening with both her sex hormones and her adrenal hormones.

  • Salivary Hormones
  • Sample #1
  • Sample #2
  • E1 – Estrone
  • Normal
  • Normal
  • E2 – Estradiol
  • Normal
  • Normal
  • E3 – Estriol
  • Normal
  • Normal
  • Progesterone
  • Normal
  • Normal
  • Progesterone to Estrogen Ratio
  • Normal
  • Low
  • Testosterone
  • Low
  • Low
  • DHEA
  • Normal
  • Normal
  • Cortisol
  • Normal
  • Low

The second sample shows that as well as having a low testosterone level, this woman theoretically does not have sufficient protection for breast, endometrial or ovarian cancer some of the time. Also the second sample shows that the woman’s adrenal gland production of cortisol is affected, at times, by stress. Her symptoms stopped once her hormonal levels were balanced with biologically identical [bio–identical] hormones and her stress was decreased by deep breathing exercises, meditation, Tai Chi, and natural remedies.


Example #4

A 47 year old woman, self–medicating herself with progesterone cream from a health food store, complained about ongoing stress in her life, hot flashes, insomnia, weight gain and fatigue.

The following table shows how important it is to do initial and follow–up testing and to work with a health practitioner who understands about how all the hormones are interrelated, rather than going by symptoms and self medicating even with biologically identical [bio–identical] hormones.

  • Salivary Hormones
  • Sample #1
  • Sample #2
  • E1 – Estrone
  • Normal
  • Normal
  • E2 – Estradiol
  • Normal
  • Normal
  • E3 – Estriol
  • Normal
  • Normal
  • Progesterone
  • Extremely High
  • High
  • Progesterone to Estrogen Ratio
  • Extremely High
  • High
  • Testosterone
  • Low
  • Low
  • DHEA
  • Normal
  • Low
  • Cortisol
  • Normal
  • Normal

As a result of her self medication with progesterone cream, this woman ended up with excessive amounts of progesterone which can block her estrogen receptors, prevent her body from using the normal levels of the estrogens that she has, and create symptoms as a result of the excess progesterone. Also, the results also show that just taking progesterone does not always provide a woman with the correct amounts of all her other hormones. In spite of the excessive levels of progesterone in her body, she is still deficient in testosterone.


Example #5

A 51 year old woman, complained about severe abdominal pain, lots of gas, pencil–like bowel movements, insomnia and feeling hot inside her abdomen for 4 months after she stopped taking biologically identical [bio–identical] estrogens. A check of her health history showed that she had been started on synthetic hormones for menopausal symptoms by her medical doctor and had ended up developing endometriosis [tissue from inside the uterus attaching to organs in the abdomen]. Her ovaries were surgically removed, she was started on biologically identical [bio–identical] estrogens, and she was symptom free for one and a half years before she started to have the severe abdominal pain, lots of gas, pencil–like bowel movements, insomnia and feeling hot inside her abdomen. Although of her digestive tract and abdominal symptoms had been investigated by medical doctors, nothing abnormal was found. On the other hand, the levels of her sex hormones were not even tested once after she had been started on the synthetic hormones, before she had the surgery to remove her ovaries, before she was started on biologically identical [bio–identical] estrogens, any time after she was started on the biologically identical [bio–identical] estrogens, or after she developed her symptoms on the biologically identical [bio–identical] estrogens.

In order to determine and treat the underlying cause(s) of the symptoms that this woman was having, allergy / sensitivity testing and a digestive analysis was done, as well as hormone testing.

Although there is no way to know what amounts of hormones that this woman had in her body during the time she was on the biologically identical [bio–identical] estrogens, the following table shows what her hormonal levels were after she had been off the biologically identical [bio–identical] estrogens for four months.

  • Salivary Hormones
  • Sample #1
  • Sample #2
  • E1 – Estrone
  • Normal
  • Normal
  • E2 – Estradiol
  • Normal
  • Normal
  • E3 – Estriol
  • Low
  • Low
  • Progesterone
  • Normal
  • Normal
  • Progesterone to Estrogen Ratio
  • Low
  • Low
  • Testosterone
  • Normal
  • Normal
  • DHEA
  • Normal
  • Low
  • Cortisol
  • Normal
  • Low

The test results show that she was deficient in estriol, which has been found to protect women against breast cancer. Although her progesterone levels are within the normal range, her progesterone to estrogen ratios showed that her progesterone was low relative to the amount of estrogen in her body, theoretically placing her at risk for breast, endometrial [lining of the uterus] cancer and/or ovarian cancer.


Example #6

A 68 year old woman, complained about not feeling the same since she started having menopausal symptoms when she was 54 years old. She stated that she was able to feel the difference when her hormones were in balance or out of balance, and was experiencing night sweats, anxiety when she had hot flashes and itchy skin. She stated that her hormone levels had been tested by her medical doctor, she was told that they “were out of whack”, but nothing was done to help get her hormones back in balance.

The following table shows what her hormonal levels were when she was tested.

  • Salivary Hormones
  • Sample #1
  • Sample #2
  • E1 – Estrone
  • Normal
  • Normal
  • E2 – Estradiol
  • Normal
  • Normal
  • E3 – Estriol
  • Low
  • Low
  • Progesterone
  • Normal
  • Low
  • Progesterone to Estrogen Ratio
  • Low
  • Low
  • Testosterone
  • Normal
  • Normal
  • DHEA
  • Normal
  • Normal
  • Cortisol
  • Normal
  • Low

The test results show that she was deficient in estriol, which has been found to protect women against breast cancer, one of her progesterone levels was low, and her progesterone to estrogen ratios showed that her progesterone low low relative to the amount of estrogen in her body, theoretically placing her at risk for breast, endometrial [lining of the uterus] cancer and/or ovarian cancer.


The Importance of Healthy History, Lifestyle and Hormonal Testing

These examples of a few of my patients give a general idea about how important it is to look at the health history and lifestyle of a woman, as well as looking at all her hormone levels, not just her sex hormones. Only by doing so, can all the underlying causes of her hormonal imbalances and her health risks be found and resolved.

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