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The Most Common Conditions Associated with Hormone Imbalance - Part 2_Final

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>> Hi there. Welcome to part two of the most common conditions associated with hormone imbalance. In this lecture, we'll focus on conditions associated with hormone imbalances related to the female reproductive system. Specifically, we'll be taking a look at polycystic ovarian syndrome, premenstrual syndrome, endometriosis, dysmenorrhea, and oligomenorrhea. As I mentioned in the last lecture, it's time to start thinking like a detective when exploring your clients' health. So let's put those detective hats back on and uncover these next five common conditions. Number one, polycystic ovarian syndrome or PCOS is a condition that affects roughly 10 million women worldwide and approximately 1 in 15 or 5 to 10% of women in the United States. That's a lot. Did you know that it's the most common endocrine disorder in women of reproductive age. PCOS is often looked at as a condition, but it's important to remember that it's a syndrome, which is a collection of symptoms. These may have different causes and might not even include polycystic ovaries. Although PCOS symptoms tend to show up around puberty, most women don't find out they have the disorder until they're 20s or 30s when trying to get pregnant. PCOS is linked to insulin dysregulation, birth control pill use, underlying inflammation in the body, and nutrient deficiencies. The condition usually affects three main hormones, androgens, progesterone, and insulin. First, women with PCOS produce high levels of androgens or male hormones at the expense of female hormones like estrogen. High androgens in women can result in a number of unpleasant effects. Symptoms of high androgens in women include unwanted weight gain, and the inability to lose weight, male pattern baldness, hair growth on the face or other parts of the body not usually associated with women, aggression, acne, irregular or absent periods, and higher than normal androgens can prevent the ovaries from releasing an egg during ovulation. This is known as anovulation, which can result in infertility. That's a pretty unpleasant list. Two, if a woman isn't getting her period or her cycle is severely out of whack, she's not going to be producing enough progesterone as a result of the lack of ovulation. This can also contribute to irregular or absent periods. Third and lastly, PCOS often results in higher than normal insulin levels due to insulin resistance. Insulin is the hormone that controls blood sugar levels and how food is turned into energy in the body. Insulin resistance is a condition where cells in the body don't respond normally to insulin, usually resulting in higher than normal levels of insulin in the blood. Over time, insulin resistance is what leads to type 2 diabetes. So women with PCOS need to be especially careful about keeping their blood sugar stable through their diet, especially if there's a family history of diabetes. The exact cause of PCOS is unknown. Most experts think that several factors including genetics play a role. In fact, if a mother has PCOS the chance of her daughter having PCOS is significantly higher. Environmental toxins that mimic hormones found in plastics like Bisphenol A or BPA may also contribute. So to recap, PCOS is a cluster of symptoms that affect androgens, progesterone, and insulin in women. This common endocrine disorder may be brought on by genetics or environmental toxins, but the exact cause is unknown. Women with PCOS often have insulin resistance and should take dietary cautions against type 2 diabetes, which they are at a higher risk for. All right, now let's move on. Number two, PMS or premenstrual syndrome that dreaded emotional time of the month. In our society, it's typically treated like a joke, but PMS is a legitimate condition and it's one that many women don't realize that they don't have to suffer from. PMS refers to physical and emotional symptoms that arise in a cyclical pattern that usually coincides with the latter half of the menstrual cycle. I say usually coincides because for some women the symptoms are more erratic or actually occur during the first half of the cycle. There's really no rulebook here, and the name premenstrual syndrome could even be considered somewhat of a misnomer. Most women think that PMS is just an inevitable part of life as a female. They don't think they have any control over it or that it's anything less than normal. But really, what underlies all of the symptoms associated with PMS is hormonal imbalance. Did you know that? And the two main hormones affected are estrogen and progesterone. Estrogen and progesterone are the two main female sex hormones. The levels of these hormones change throughout a woman cycle. These hormones also heavily influence chemicals in the brain including serotonin, dopamine, and oxytocin, which all affect mood and even gastrointestinal health. Common symptoms of PMS include fatigue, bloating, cramping, irritability, depression, anxiety, headaches and menstrual migraines, brain fog, and breast tenderness. There's a more severe form of PMS called PMDD or premenstrual dysphoric disorder. This condition includes all of the symptoms of PMS and more. These extra symptoms of PMDD are sadness, hopelessness, feelings of worthlessness, decreased interest in usual activities, difficulty concentrating, insomnia, excessive sleeping, feelings of being overwhelmed or out of control, tension, anger, and increased conflict in relationships, irritability, and depression, or anxiety. PMS is considered PMDD when symptoms are regularly severe enough to interfere with daily activities. It's possible, this is what's at play if you have a client whose physical symptoms are so severe that she misses work or school on a regular basis when it's that time of the month. Menstrual issues tend to be dismissed, but PMDD is a serious chronic condition. It happens every month and coincides in some way with the menstrual cycle. This can really impact a person's life and it warrants attention. PMDD is easily confused with clinical depression, since they share so many overlapping symptoms. The key difference is that the mood changes are always in conjunction with menstruation with PMDD and it goes away for parts of the month. Clinical depression is a stable ongoing condition. Are you wondering what exactly causes the hormone imbalance at the root of PMS and PMDD? There are variety of factors that can be involved. This imbalance of estrogen and progesterone is commonly due to stress, environmental toxins, genetics, poor detoxification, nutrient deficiencies from a poor diet, and lifestyle factors, like, how sedentary a person is, or if they're working out too much. So to recap, PMS and PMDD are ongoing monthly conditions that many women experience as a result of estrogen and progesterone imbalance. The effects are physical and emotional, and in the case of PMDD, can regularly interrupt one's life. The good news is that these conditions are not an inevitability and can be alleviated through modifications in diet, environment, and lifestyle. The next condition involving hormone irregularities is endometriosis. This is a condition where the endometrial cells that normally form inside the uterus are found outside the uterus where they don't belong. These cells develop into growth or lesions that respond to the menstrual cycle in much the same way the tissue in the uterine lining does. The tissue builds up each month and then it breaks down and sheds. This is the point where things become problematic, because a woman with endometriosis is now menstruating from places she shouldn't be, such as the ovaries. Endometrial lesions are commonly found on organs in and around the pelvis, like the fallopian tubes, the surface of the uterus, and the lining of the pelvic cavity. These lesions are normally non-cancerous, but they can cause a lot of pain and hormonal issues for many who suffer with the condition. Symptoms of endometriosis vary quite a bit depending on the severity of the woman's lesions. The most common symptoms are pelvic pain, usually coinciding with menstruation, though some women experience this pain throughout the entire month, severe cramping during menstruation, periods that last longer than seven days, heavy menstrual flow, bowel and urinary disorders that include painful urination or IBS-like symptoms, nausea or vomiting, bloating, fatigue, anxiety, depression, pain during sex, and infertility. Over time, scar tissue and adhesions can build up around endometrial lesions, which can cause a whole host of other issues. So symptoms can worsen over time. That said, many women don't even realize they have endometriosis until they try to get pregnant and lesions are found. At this point in time, endometriosis is pretty poorly understood and researchers haven't identified one specific cause. One thing everyone can agree on though is that hormonal imbalance is at the root of this painful condition, with excess estrogen being at the forefront. And as I mentioned a moment ago, there is an immune system connection as well. A recent major study concluded that endometriosis meets most of the criteria to be classified as an autoimmune disease. Additionally, they found that it often occurs in conjunction with other autoimmune conditions like multiple sclerosis, rheumatoid arthritis, and inflammatory bowel disease, including Crohn's and ulcerative colitis. There may be a genetic component too, but more research is needed in this area. All we know is that women who have a close relative with a condition are 7 to 10 times more likely to get endometriosis. Other factors that may play a role in the development of endometriosis or are correlated with it, include alcohol consumption, which can increase estrogen in the body and decrease the liver's ability to detoxify, low body weight, irregular menstrual cycles, and pregnancy at an older age. If you have a client who is experiencing any of these symptoms of endometriosis, especially excruciatingly painful periods, we strongly recommend referring her to a qualified physician who can properly diagnose this condition. Next up is dysmenorrhea, which is really just a fancy word for the symptoms of painful menstruation. Dysmenorrhea refers to the symptom of painful menstruation itself. This condition can be divided into two categories, primary dysmenorrhea, which is when painful menstrual cramps occur monthly and are not related to another disease or condition. The pain usually begins one to two days before bleeding and can last the duration of bleeding. And secondary dysmenorrhea, which refers to painful menstrual cramps caused by a disease state, such as endometriosis, uterine fibroids, or another condition related to a woman's reproductive organs. Pain from secondary dysmenorrhea usually begins earlier in the cycle and last longer than the menstrual cramps associated with primary dysmenorrhea. The main hormone associated with painful cramping is prostaglandin, which causes the uterus to contract. Women with dysmenorrhea typically produce higher than normal amounts of prostaglandin, or they're more sensitive to its effects. Higher than normal levels of prostaglandin can occur for many reasons, but is most commonly the body's response to chronic infections or inflammation. Common symptoms of dysmenorrhea include pain, pressure or cramping that ranges from mild discomfort to severe pain in the lower abdomen, back or thighs, nausea, vomiting, diarrhea, and extreme fatigue. Many women experience these symptoms their entire lives and come to just accept them as normal and an unavoidable part of life. They wonder with envy why they have that friend who says her period is always light and she rarely even notices it. So why is this? It's because these symptoms are not the norm. They are associated with an imbalance in estrogen and progesterone. Your clients will be so relieved to learn this. And to discover what they can do to shift their periods from dreadful to totally manageable. More on that to come later on in this course. The last condition associated with hormonal imbalance that we'll discuss in this lecture is oligomenorrhea. This is when a woman's periods become irregular or lighter than normal. The most interesting thing about this one is just how common it is. I challenge you to find a woman, especially a woman who's used hormonal birth control who hasn't experienced irregular periods. This has become such an epidemic that many women don't even think twice about it. Some may even rejoice that they've skipped a period here and there or that bleeding has lightened up. It can feel like a reprieve. But these changes in a woman cycle can potentially signify underlying medical conditions and should definitely be examined. When periods are irregular or become noticeably lighter, the body is sending a signal that something is up. It means that hormones namely estrogen and progesterone are out of whack and the reproductive system is shutting down for business. Common causes of oligomenorrhea include use or discontinuation of hormonal birth control, even if only used for a couple of months, low body weight or low body fat due to strict calorie restriction, or disordered eating, excessive exercise, and excessive physical or emotional stress. Something to watch out for with your female clients is that irregular or absent periods may sometimes be an effect of a new weight loss regime, athletic training, a stressful time in life, or shift in birth control methods. But it can also be an indicator of an eating disorder. If a client discloses or you suspect she has an eating disorder, you can continue to support her as you would any other client, but treatment of the disorder is outside your scope of practice as a Health Coach. Approaching these clients with loving compassion and encouraging them to seek help from qualified medical and psychiatric professionals is the way to go. Now, you know the ins and outs of five more common conditions that are associated with hormonal imbalance in women. To recap, we went over polycystic ovarian syndrome or PCOS. Premenstrual syndrome and premenstrual dysphoric disorder, endometriosis, dysmenorrhea and oligomenorrhea. These conditions are incredibly common and affect so many women worldwide. These women will benefit from your support and your knowledge. Are you feeling comfortable about talking to your clients about their menstrual cycles? This type of talk is often considered TMI, but as a Health Coach it's important for you to get comfortable talking about periods and asking these difficult questions. We're here to support you, so let's take this conversation over to the Facebook group page where you can share and receive feedback. Thank you so much for watching, and I'll see you in the next lecture.

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Duration: 14 minutes and 23 seconds
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Posted by: ninaz on Mar 23, 2018

The Most Common Conditions Associated with Hormone Imbalance - Part 2_Final

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