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Clinical Menopause Questions

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Group:

 

During the past several months I have treated a handful of women with

various complaints of menopausal symptoms. This is my first

experience with using herbs to treat menopausal complaints. I have

treated each uniquely according to their pattern. There is one

commonality following the initiation of treatment. Each, without

exception has begun to menstruate more regularly than they had prior

to treatment. Some had not had a period in months.

 

Since the return of menses coincided with the reduction or complete

disappearance of their presenting complaints, I interpreted this as a

positive sign. I attributed the return of menses to an improved

balance of yin, yang, blood and qi (as I was treating various

combinations of these). While this makes total sense to me, I have

been unable to directly verify this in any text I have. Can anyone

with more experience help me out?

 

A second question I have relates to a post-menopausal patient that

was put on Fosamax. She does not tolerate it well and she wants an

herbal alternative. She has had a bone scan which indicated early

stages of decalcification. Her physician really pushed HRT a few

years ago, but she refused. She has no overt signs of pattern

abnormality related to this (perhaps if I were more

skilled/experienced I could detect some). In any case, my question is

can I assume that in the presence of her post-menopausal status the

results of the bone scan point to kidney essence deficiency and

approach her from that perspective (i.e. nourish kidney essence)?

(Actually that probably poses a broader question of how much one

looks at western medical tests to guide ones TCM pattern diagnosis).

 

I would appreciate any comments or thoughts. Thanks in advance for

your input.

 

Michael Buyze, L.Ac.

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Dear Michael,

 

I can respond to the first part of your question: I treat a lot of

peri-menopausal women and menopausal ones. I have found just what you found:

if they are still menstruating, even though irregularly, their periods come

back regularly, at least for a while with treatment. This has happened to me

in my own treatment too -- and I take it as a good sign as well. As you

said, usually other unpleasant symptoms go away as well: hot flashes, memory

loss, dizziness, headaches, insomnia....maybe we are prolonging youth...and

what's wrong with that?

 

Julie

 

 

-

mbuyze <mbuyze

 

Friday, August 16, 2002 9:03 PM

Clinical Menopause Questions

 

 

> Group:

>

> During the past several months I have treated a handful of women with

> various complaints of menopausal symptoms. This is my first

> experience with using herbs to treat menopausal complaints. I have

> treated each uniquely according to their pattern. There is one

> commonality following the initiation of treatment. Each, without

> exception has begun to menstruate more regularly than they had prior

> to treatment. Some had not had a period in months.

>

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Sometimes 6 months of no period, and then they come back. I guess the true definition of menopause is 12 months no period.

 

Julie

 

-

Alon Marcus

Saturday, August 17, 2002 10:14 AM

Re: Clinical Menopause Questions

 

peri-menopausal women and menopausal ones

>>>You get resumption of mensis in fully menopausal women?

AlonChinese Herbal Medicine, a voluntary organization of licensed healthcare practitioners, matriculated students and postgraduate academics specializing in Chinese Herbal Medicine, provides a variety of professional services, including board approved online continuing education.

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