Barbara Seaman & Gideon Seaman, M.D. - Women and the Crisis in Sex
Hormones
[Courtesy of the Menopaus List]
MENOPAUSE CENTER OFFERS HORMONE THERAPY AND
ALTERNATIVES; BREAST HEALTH AN ISSUE
MILLBURN, N.J., June 15 /PRNewswire/ -- Women can explore many approaches to
treating clinical conditions associated with menopause, according to
physicians at Diamond Institute for Menopause in Millburn, New Jersey.
Continuing publications of studies evaluating the relationship between
hormone replacement therapy (HRT) and breast cancer contribute to a
heightened awareness among the perimenopausal and postmenopausal population,
according to Diamond Co-directors Matan Yemini, MD and Arie Birkenfeld, MD.
The two reproductive endocrinologists counsel more than two hundred patients
annually at the unique Millburn Avenue facility dedicated to women facing the
spectrum of menopause-related problems.
"For women who have not undergone a hysterectomy, estrogen
replacement is routinely accompanied by progesterone," says Dr. Yemini. "This
has been proven to significantly reduce the risk of endometrial cancer. This
week's New England Journal of Medicine study indicates that added
progesterone, however, does not add protection against breast cancer." The
study Dr. Yemini cites deals primarily with postmenopausal women over 55 who
have used hormone replacement for at least five years.
"At Diamond Institute, we individualize treatment according to
current diagnostic findings and family history," notes Dr. Birkenfeld. "When
it is decided that hormone replacement is not appropriate, we are able to
offer other regimens guarding against the major physical associatives of
menopause. These include a complete exercise program, nutrition planning and
mental-health counseling, all by certified Diamond staff Members."
During menopause, the diminishment of natural estrogen increases a
woman's risk for two major health problems -- osteoporosis and heart disease.
Other manifestations of menopause include insomnia, depression and hot
flashes. At menopause, the equilibrium between bone formation and loss is
disturbed; this can lead to an annual bone mass loss of three percent.
Without treatment, women can experience pain, height loss, spinal deformity
and, in extreme situations, spontaneous fractures. Diamond uses non-invasive
bone densitometry to detect early osteoporotic stages and guide treatment.
Estrogen depletion also causes increased risk for post-menopausal
ischemic heart disease (causing heart attacks). Diamond Institute laboratory
studies accurately assess blood chemistries related to heart and vessel
function. Based on these studies, patient histories and individual
indications for or against HRT, Drs. Birkenfeld and Yemini develop treatment
plans.
"Diamond patients are continually evaluated," says Dr. Yemini,
"with an emphasis on the total portrait. We have an extensive referral
network for ongoing breast health evaluation as well."
"Even women on regular hormone replacement therapy benefit from
varied programs offered through Diamond," says Dr. Birkenfeld. "We aim to
create the most effective and healthy approaches for all our patient in
context of their physiologic needs and symptoms and their attitudes toward
the availability of accepted treatments."
Diamond Institute consistently reviews current literature and
emerging medication information. "Ongoing studies indicate that there soon
will be additional effective drugs for osteoporosis," says Dr. Yemini. "This
is good news for those women who are not good candidates for or who do not
want to use hormone replacement."
"Women now spend a third of their lives facing the special
challenges related to all components for the menopause process," says Dr.
Birkenfeld. "Discussion with patients in our practice of gynecological
medicine and reproductive disorders indicate that many women are comfortable
in a central location where they can find answers to all their questions
about this time in their lives. It is important, when looking for the
answers, that they are given and understand the wealth of information
available today as they make their healthcare decisions."
Drs. Yemini and Birkenfeld are members of the North American
Menopause Society, (Dr. Birkenfeld is a founding member) and the American
Fertility Society. Also co-directors of Diamond Institute for Infertility,
the physicians have lectured widely about menopause and
conducted seminars on the subject.
Diamond Institute for Menopause is open, by appointment, Monday
through Friday...located in New Jersey.
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