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Thryoid Imbalances and Sex Hormones _Final

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>> Hey there, thanks for being here today. Do you know why women are five to eight times more likely to develop thyroid disease than men? Here's a hint. It has to do with making babies. If this has you scratching your head, don't worry. In this lecture, we'll explore this relationship in more detail. And since there are other causes of thyroid disease, risk factors that affect both men and women, we'll also take a look at the top eight environmental toxins that are known to have a direct effect on the thyroid. So looking first at why so many more women than men are impacted by thyroid disease, it becomes clear when we look at what differentiates the two sexes. In particular, there are three main events in women's lives that are uniquely female. Can you think of them? They are menstruation, pregnancy, and birth control pill use. So what's the connection to thyroid disease? Let's take a look at each one. First, women menstruate on a monthly basis. As the term cycle implies during the menstrual cycle, hormones are shifted around and around and around, and this means there's a continuous cycle of estrogen and progesterone that goes up and down during the month like a wave. This constant fluctuation can predispose a woman to various imbalances, estrogen dominance in particular. This is significant because estrogen dominance can contribute to thyroid disease. Estrogen dominance is a common menstrual hormone disorder that can arise from stress. During times of high stress, progesterone production is decreased, and when the scales become tipped too much, estrogen dominates over progesterone. Estrogen dominance affects the immune system creating inflammation in the body, so for clients with thyroid issues, this can contribute to the development of autoimmune disorders, particularly Hashimoto's thyroiditis. And in the United States, most hypothyroidism and hyperthyroidism syndromes are due to autoimmune disorders. Next, pregnancy also plays a role in thyroid disease. This is twofold. First, pregnancy puts a huge demand on the thyroid gland. Adequate amounts of thyroid hormone are required for a mother to be able to sustain a healthy pregnancy and for the baby to develop and grow. Additionally, if the immune system didn't adjust itself to pregnancy, the fetus would be rejected by the mother's body as a foreign object. When a woman is pregnant, her immune system quiets down its signaling process so the mother and the baby can coexist in the same body. Sometimes, this system gets off track, and antibodies are produced to attack the baby and the mother's own body. A common result of this is autoimmune thyroid disease which may occur temporarily during pregnancy or arise in the postpartum period. Lastly, birth control pills can also shift the balance of thyroid hormones. One of the reasons birth control pills may not be great for everyone's health is that hormones are used in the pill and don't exactly match hormones produced by the body. They're similar, hormone-like, but they're not the same. The artificial estrogen in the pills still stimulates the estrogen receptor but the message is distorted. They can jam the receptor open or close, so they don't function in the body the same way that estrogen and progesterone do. If you've ever wondered how exactly the birth control pill works, estrogen receptors are triggered by the artificial hormones in the pill and send the signal back to the hypothalamus that no more hormone is needed. This stops ovulation which in turn works to prevent pregnancy. This works wonders for preventing unwanted pregnancies, but the downside is that this also causes estrogen to dominate over progesterone because ovulation no longer occurs. And as I just mentioned, estrogen dominance is a risk factor for thyroid imbalance. In addition to all of this, birth control pills deplete the body of crucial nutrients that are required for the thyroid to work properly. These include magnesium, selenium, and zinc. And if all that wasn't bad enough, the high dose of estrogen in birth control pills increases the activity of thyroxin-binding globulin or TBG which binds the thyroid hormone. More circulating TBG leads to lower levels of free thyroid hormone available for use by the body. So for your clients who are on birth control pills, who've been diagnosed with thyroid disease, the big question they'll likely want to know is is it possible for them to stay on the pill and balance their thyroid hormones. The answer is tricky. It's most important to remember that because ovulation doesn't occur while a woman is on the birth control pill, she's not getting a real period. She's having what is commonly referred to as pill-bleed, which is a bleed caused by hormone withdrawal while she's taking the week of sugar pills. From a hormonal health standpoint, it's recommended that a woman who is taking hormonal contraceptives solely to prevent unwanted pregnancy consider other contraceptive alternatives in order to correct underlying thyroid dysfunction, especially if she's not even having those pill-bleeds anymore. There are a number of non-hormonal birth control options available such as the ParaGard IUD, and fertility awareness based methods. Unlike other prescribed medications, hormonal contraceptive pills can be discontinued at any time, but you must make sure that she is consulted with her doctor or healthcare provider before discontinuing any hormonal birth control and assess that she has a plan in place for using an alternate birth control method. Also, keep in mind that some women are prescribed hormonal contraceptives by their doctors to assist in balancing sex hormones or to help treat various conditions, so you want to be careful not to jump to any conclusions or start bashing birth control when a client mentions she is on the pill. So here's what you would do with a client who is on some form of hormonal birth control. You'd start by first determining whether she's on the pill for actual birth control purposes or if she was prescribed it for a condition such as PCOS or painful periods. Next, you'd want to enquire about her symptoms and assess whether birth control may be playing a role in her health problems. You'll want to look out for things like missing periods, spotting instead of periods, mood disorders, low sex drive, lack of lubrication, and even hair loss. You'll also want to assess for irregular bleeding occurring at other times of the month than her period. Hormonal birth control can also be linked to chronic yeast or urinary tract infections or gut problems like IBS, so you want to check for these two. Then, you would explain to her the correlation between the birth control pill and these symptoms, and what she can expect when she stops taking hormonal birth control. You'll also explain how you can support her with dietary changes, blood sugar balancing, and stress management techniques to help her ease her transition off the pill. Remember, correlation means a possible link but not a cause, so avoid making any conclusive statements. The kind of symptoms I just described can be due to a variety of causes. Ultimately, your client gets to choose what kind of birth control she wants to use without any judgment. Your role here is to educate her about possible facts that may be having on her body and make recommendations for non-hormonal birth control options. If she decides the pill is right for her, then it's up to you as her coach to offer unbiased support. To recap what we've covered so far, women are more likely to have thyroid disease than men, and this is largely due to estrogen dominance, pregnancy, and use of hormonal birth control. As a coach, you should always have thyroid dysfunction in the back of your mind with your female clients. For instance, you have a client named Faith who comes to you complaining that she is just so exhausted all the time, she has to drag herself out of bed each morning even though she's getting eight, sometimes even nine hours a sleep each night. She usually drinks two to three cups of coffee by 11 am, and by 3 pm, she is crashing and reaching for the chocolate on her desk. She's constantly cold no matter how warm it is outside, and in fact, her husband even complains of her cold feet in bed. Speaking of bed, she is incredibly frustrated because her sex drive has taken a huge dip in the last six months, which is taking a toll on her relationship. She's also quite upset because her skin is dry and flaky, and she's convinced her hair is falling out much more than normal. To make matters worse, her periods have become increasingly heavier, and she is stuck at home with severe cramps on the first day of her period each month. All of these symptoms can be related to thyroid imbalances, which are most commonly brought on by issues specific to female reproduction. Hey, but guess what? Even though thyroid imbalance is largely a women's issue, you've got to remember that your male clients are also susceptible to thyroid conditions. Did you know that thyroid issues though uncommon in men can manifest themselves as low sex drive, premature ejaculation, or delayed ejaculation? For example, you have this client, let's call him Dan, and he awkwardly admits to you that he is having problems in bed with his wife. He is super attracted to her and very much in love but lately, he's just not feeling all that in the mood, and when he and his wife are intimate, he has problems getting to the finish line. Dan's really upset because as you can imagine, this is causing problems in his relationship, and he's pretty freaked out since at the age of 35, he feels too young to be having problems like erectile dysfunction. He's embarrassed to admit this but afterwards, he's sure glad he did because it turns out you can help him. While many factors can be at play here, you know that Dan is very stressed out with his job and has been gaining weight despite eating a fairly healthy diet, so you think thyroid, while it can be uncomfortable to go there, it's worth exploring these intimate issues because as you'll learn in this module, thyroid disorders are not death sentences, and with proper interventions, they can be completely reversible. All right, that wraps up our talk for today on the impact of thyroid disorders on both female and male sex hormones. To recap, we covered three specific times when a woman is more susceptible to developing a thyroid condition. These include the time in woman's life when she's menstruating, when she's pregnant, and while using hormonal birth control. And we share the symptoms you can look out for in both women and men that could indicate a possible thyroid disorder. As a Health Coach, it is super important to always have your detective hats on and to investigate your clients' symptoms as they pertain to thyroid dysfunction so that you can help them get to the bottom of their health troubles. Now that you have a better understanding of how thyroid disease can affect the sex hormones of both male and female clients, pay attention to whether any of your current clients are exhibiting any telltale signs of a thyroid imbalance. Then drop on by the Facebook group and join the discussion. Your fellow students will appreciate hearing your experiences. Thanks for joining us, and we look forward to seeing you real soon.

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Duration: 12 minutes and 5 seconds
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Language: English
License: Dotsub - Standard License
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Views: 5
Posted by: ninaz on Apr 2, 2018

Thryoid Imbalances and Sex Hormones _Final

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