Power Surge Live! with Colette Bouchez Apr 7th, 9 PM, ET  

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Thursday, Apr. 7, 9 PM (ET), 6 PM (PT)  


Your Perfectly Pampered Menopause:
Health, Beauty,
and Lifestyle Advice
for the
Best Years of Your Life

* * * * * * * * * * * * * * * * * * * *

Join us Thursday, Apr 7th at 9:00 PM (ET) when
Colette Bouchez , an award-winning medical journalist
discusses her latest book, Your Perfectly Pampered Menopause.

FREE copies of
Your Perfectly Pampered Menopause
will be given away at the chat.

Colette Bouchez, is an award-winning medical journalist with more than 20 years of experience. She is the former medical writer for the New York Daily News and the author of six health books for women. Her syndicated newspaper columns on health, fitness, and beauty were regularly published in more than 1,500 newspapers around the world. Her articles have appeard in dozens of magazines.

In her newest book, Your Perfectly Pampered Menopause: Health, Beauty, and Lifestyle Advice for the Best Years of Your Life, Colette Bouchez dispenses the latest news on everything from hot flashes, insomnia, and dysfunctional bleeding to incontinence, bone health, weight control, and more. She explores the latest buzz on HRT, natural hormones, and the newest prescription drugs, as well as the latest in natural and traditional care.

Your Perfectly Pampered Menopause includes tips on anti-aging skin care, make-up, diet and exercise, having great mid-life sex and more. More than just somber discussions about HRT, award-winning journalist, Bouchez, created a rejuvenating handbook that blends authoritative clinical research with the humor, fun and conversation tone of your very best friend.

Thursday, Apr. 7th at 9 PM (ET) in
Power Surge Live! Chat
( you must register for the chat room even if
you're registered on the message boards )

FREE copies of
Your Perfectly Pampered Menopause
will be given away at the chat.  


Read the transcript here

Excerpted from "Your Perfectly Pampered Menopause: Health, Beauty and Lifestyle Advice for the Best Years of Your Life"
by Colette Bouchez


The Menopause Diagnosis Your Doctor May Miss
Don't routinely blame irregular bleeding on wonky hormones.
Here's what to rule out when cycles go awry.

While hot flashes may be the menopause symptom that frequently takes center stage, for many women those burning cheeks and blazing necklines take a back seat to what can be an even more overwhelming problem: Irregular bleeding. While seldom discussed, this otherwise common symptom can seriously disrupt everything from a day at the office to a day at the beach.

What's more, while many women assume that the classic on-again - off-again cycles are always related to those dancing hormones, in truth, there can be other problems at work. Unfortunately, once a woman is over 45, even doctors tend to ignore all the possibilities, frequently ignoring or overlooking problems that deserve attention. .

What can impact your cycles - other than those wonky hormones?

Experts say make sure you doctor doesn't overlook these possible causes:
  • Systemic diseases, such as thyroid disorder or a problem related to your blood colagulation (such as Willebrand's disease), or sometimes even a liver ailment.
  • Fibroid tumors - round "knots" of uterine muscle tissue that grow in and around the uterus
  • Polyps - growths of soft, uterine lining tissue that has bonded together in the center of your uterus.
  • Endometrial Hyperplasia -an abnormal build-up of slightly irregular uterine cells
  • Adenomyosis - Normal endometrial cells that have grown into the muscle of your uterus.
  • Damage from an IUD birth control device.
  • Pelvic Inflammatory Disease (PID) from an undiagnosed and untreated sexually transmitted disease.
  • Endometritis - a bacterial infection of the uterus

In addition, in a small number of women the underlying cause of abnormal bleeding can be the result of an early uterine cancer. While it can occur in women during the perimenopause, in most instances it develops after menopause and is normally associated with bleeding that develops after at least one year with no cycle.

The signs that your abnormal bleeding could be caused by something else:
  • Blood loss greater than 80mL during one cycle (soaking a pad every 30 minutes for several hours).
  • Anemia (a decrease in the number of red blood cells).
  • Cycles lasting longer than 7 days, or occurring closer than every 21 days, with heavy bleeding.
  • Bleeding or spotting continually occurs between cycles or after intimacy.

Certainly any one of these conditions can be part of a normal perimenopause picture - and the closer you get to approaching complete menopause the more "normal" these "abnormalities" are. That said, when these conditions do exist, or particularly if your bleeding patterns seem ultra dramatic - such as blood loss that goes on for weeks or even months - it's important that your doctor rule out any underlying conditions that might be contributing to your bleeding problems. Usually, a vaginal ultra sound or endometrial biopsy - both done in your doctor's office- will be all you need to ease your mind.

Understanding This Thing Called Menopause

My good friend Nadine hit me with a sobering thought this morning. We were headed to our local gym to meet Laura, Robyn, Tina and few other friends for our regular "We're -not- getting- older -we're - getting- better " workouts when she decided to fill me in on the mornings news.

"I read in the paper today that between the year 2005 and 2030 there will be 1 billion women going through menopause … all at the same time," she said almost innocently. I wasn't quite sure if she thought this was a good thing or a bad thing. But I know what I thought: That's waaay too many of us having hot flashes and mood swings all at the exact same moment. Talk about your weapons of mass destruction . . . .

The funny part is though, that despite what we have all been conditioned to believe or expect, it's not really this thing called menopause that's going to change our lives in any kind of dramatic way. Because - and I'm speaking strictly in medical terms here - menopause is now clinically defined as not having had a menstrual period for 12 months or more.

It is considered the official end to your reproductive years - and for many women that also means an end to some of the most troubling symptoms associated with this time of life - including hot flashes, night sweats, moods swings and those "touch me and I'll kill you " temper outbursts. And, in fact, as lots of women who have already passed through this transition will likely tell you, reaching menopause can seem more like a beginning than an end anyway - the start of the second phase of your life. If you look at gals who have already opened the door for us - incredible, talented, and yes gorgeus women like Diane Sawyer , Oprah Winfrey, Diane Keaton, Tina Turner, Cher, Suzanne Somers, Hillary Clinton - then you know that what's on the other side can be pretty spectacular.

But the getting there - ahhh, now that's a different story. Doctors use the word "perimenopause", which technically means "the years leading up" to menopause - a period than can begin as young as 35 or as late as 50, be as short as one year or as long as ten or more. My friends and I - well we have coined entirely different term to describe this time zone. And if you're just rounded the bend past 40 - and particularly if you are heading towards age 50 - it's likely you've got a few terms of your own to describe this particular time of life. (Does the word "YIKES" come to mind?) As you no doubt already know, it's the perimenopause years that can leave you wondering if anything about life is ever going to seem normal again.
  • You pick up the phone to call a client - and while it's ringing, you've completely forgotten whom you've called.
  • You wake up in the middle of the night warm and flushed and breathing heavy - and sex is the furthest thing from you mind.
  • The bakery is out of rye bread - and you cry for 40 minutes. In the store.
  • You begin to wonder if it's possible to have PMS for 47 days in a row.
  • You are convinced beyond any reasonable doubt that global warming has arrived - and it's hovering over your house 24/7.
  • You go on vacation and without warning your period arrives - ten days early and heavier than you've ever experienced before.

If this all sounds a bit too familiar, then you also probably know this can surely be a time that tries a woman's soul, tests her patience, challenges her resolve and in many instances leaves her wondering why, after going through labor, giving birth, raising a family - and breaking through a glass ceiling or two along the way - we now have to put up with THIS! Not to mention a partner whose testosterone levels have been dropping since he hit 35!

But before you get too discouraged, remember, there is an upside. With just a little bit of knowledge - and some patience and resolve - you can discover how to put that "kick" back in your engine, pick up speed, and land feet first in the second half of your life - raring to go! Where do you begin? For me, the best place to start was in discovering my new body - what's changed, what's different, and overall, what I can come to expect from myself and my own slightly used biology, now, and in the years to come.

Although each of us is a totally unique and different woman, in many ways, I have also come to see that the basic blueprint of our lives is cut from the same cloth. In that respect, understanding just a little bit about how that cloth is woven, as well as learning a little something about how to repair those slightly fraying edges, you can make the best of what can be the very best years of your life.

Five Ways To Head Off A Hot Flash -
And Discover What's Heating You

1. Keep a hot flash diary - and discover your triggers.
Yes, it's true, those jumping estrogen beans are what's behind all the sweating and pulsing and overheating. However, there are also a number of individual "hot flash triggers" - situations or conditions that are unique to you. By keeping a diary of your environmental factors at the time you get your flashes, you can sometimes discover what's heating you.

Things to pay attention to:
  • What you are wearing, particularly fabrics.
    Is it nylon, polyester and acrylic, wool?
  • What you're doing - Were you exercising, cooking, in a hot kitchen, taking a hot bath?
  • How You are Feeling: Angry, anxious, depressed?
    What you ate just prior to the flash : Was it spicy, sweet, hot, protein, high carb?
  • Fragrances - Your own perfume or any other scents in your environment,

In about a week you should see at least some patterns emerge - and avoiding those situations or conditions could make a significant difference in coping with your flash.

2. Watch what you eat.

Foods can trigger hot flashes - or make those that are already occurring last longer or feel worse.The most obvious are hot beverages, particularly anything with caffeine, which can naturally make your heart race and increase body temperature.

But some women find that drinking a very cold caffeinated beverage can also kick off a hot flash, so don’t' be surprised if you feel warm after a cool glass of cola.

Other foods that trigger flashes include hot spicy dishes, or any very warm foods - such as hot soup or a very hot meal. Alcohol is another big offender, often bringing on a hot flash even when you're not in perimenopause. Limit alcohol consumption and you might eliminate all but a few hot flashes.

3. Avoid hot baths, hot showers, hot tubs, whirlpools and Jacuzzis.

Anything that combines skin stimulation with hot water can kick off a hot flash. Cool showers can have the opposite effect, calming your body down and helping to head off a head flash brought on by other factors, including when it really is "hot in here".

4. Relax -and meditate

When you feel calm and relaxed your body is less likely to react even the most stressful hormonal chnages. Plus, the more you remain calm, particularly when you are having a flash, the quicker it will pass and the less likely it is to recur. By comparison, getting excited by the fact thatyou are getting a flash will only make you feel warmer, and make the flash and the sweating worse. In addition, try to breathe through your nose and not your mouth.

Mouth breathing can cause you to hyperventilate which in turn can make you feel warmer or even bring on a hot flash.

5. Keep exercising.

There is good evidence to show that regular exercise can help to deter hot flashes - and women who work out report they generally get fewer episodes than sedentary women. One theory says it's because exercise raises levels of endorphins, the natural body chemical that makes us feel good. Not coincidentally, there is some evidence to show that endorphins are involved in the regulation of body temperature. So the higher the levels, the more reliable your internal "thermostat" may be.

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Why put your body through the rigors of adjusting to the "one-size-fits-all" HRT when naturally compounded, bio-identical hormones can be tailor-made to your body's needs?

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If you haven't already done so, why not check out our extensive Educate Your Body area. There you will be able to read articles on midlife issues, as well as answers to commonly asked questions such as:

What Is Menopause?
The 34 Signs of Menopause
What's A Hot Flash?
Thinning or Losing Hair?
Why Bioidentical Hormones?
Have High Cholesterol?
Menopause And Your Sex Life
The Benefits of Soy
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Selecting A Practitioner
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