3 位女士与女性荷尔蒙生命周期，第 3 部分 - 更年期

5 月 1, 2024

为了庆祝我们的女性健康系列产品的发布，Good Health 自然疗法团队撰写了一系列健康文章，深入探讨奇妙而复杂的三位女士--初潮、月经和更年期。我们还将探讨女性荷尔蒙生命周期和微生物群、可能出现的潜在问题，以及如何支持女性特有的一些祖传秘方。

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Sometimes being female feels like a cruel cosmic joke— from puberty to menopause, many of us have to deal with emotional and physical suffering for 1–2 weeks out of every month, which appears to get worse and worse as we age, and then, when all that stops at menopause, and we think we can finally chill out and breathe, we’re subjected to a barrage of constant disruptions that can make the premenstrual period each month look like it was a ride at Disneyland… albeit, one of the scarier rides! To top it off, women are often gaslit or misdiagnosed by health professionals. It doesn’t have to be like that, but you do need to take control of your own health, and there may be a lot we can learn from humans living a more evolutionarily consistent lifestyle about how to keep our hormones balanced and functioning well, even into older age.

Welcome to Part 3—Menopause…and Perimenopause

In many cultures, menopause is considered a gift: where women become the wise “grandmother,” supporting and guiding while free to enjoy other aspects of life, including vitality, joyfulness, and sexuality, with no further responsibility for pregnancy. Unfortunately, in the developed world, with our fast-paced, modern lifestyles and ultra-processed diets, women can find their quality of life deteriorating when they hit perimenopause. Menopausal symptoms—temperature fluctuations, poor sleep, mood changes, stiff joints, weight gain, brain fog, etc.—are known to plague over 80% of Western women. During the reproductive years, the influence of oestrogens leads to fat accumulation in the breasts, hips, and buttocks, while post-menopause weight gain can be in the central and visceral (around organs) areas, especially if metabolism is dysfunctional.

Menopause is the cessation of the fertile menstrual cycle in women, but there can be a number of years when fertility goes into decline—the rate of follicle disappearance increases, the ovaries shrink in size, and the ovarian hormonal output declines. The ovaries generally do not disappear completely, but the adrenals and fat tissue take over, making the bulk of the androgens and oestrogens (oestrogens, mainly in the form of oestrone—E1). There is evidence to suggest that the reproductive hormones do not have to go into a tailspin and that, with a focus on giving the body what it needs to be a healthy human animal, we can keep our reproductive hormones balanced and functioning very well, indeed.

在西方，更年期的年龄也越来越小。我们被告知，更年期症状是意料之中的，我们唯一能做的就是使用外源性（来自体外）激素进行干预，但这可能会带来副作用。许多女性都在寻找自然支持性的方法来解决生殖问题，却没有意识到简单的饮食和生活方式的改变会产生多么大的影响。

健康新西兰 - 更年期女士

生殖激素问题

In traditional Chinese practice, it is considered abnormal for a woman to experience any trouble with any part of her menstrual cycle, that a woman’s periods should come and go with as much ease as the sun rising and setting, and menopause should simply be a cessation of menstruation. There should be little to no brain fog, mood swings, joint issues, or any other of the afflictions that go hand in hand with “the change”. 重要提示：如果您对自己的生理周期、围绝经期或更年期有任何担忧，请咨询专业医护人员。

It is thought that rollercoaster menopausal “symptoms” are merely caused by an increasing ebb and flow of the female hormones, particularly a decreasing level of oestrogens; however, it is becoming clear that a malfunctioning metabolism, stress, nutrient deficiencies, and low progesterone are the major factors. Those things will certainly affect the internal organs that regulate and support hormonal health. Thyroid and liver health are particularly important for reproductive hormone health.

Even though a menopausal body still makes oestrogens, it is possible that some Western women may experience a sort of oestrogen “withdrawal,” much like going cold turkey, as their body produces lower amounts. It has been suggested that western women are exposed to higher levels of the oestrogens during their reproductive years due to “oestrogen dominance,” exposure to xenoestrogens, and low progesterone levels. Research has shown that it could be more of a drop in progesterone that causes most perimenopausal women in the West to experience a rollercoaster ride. Other researchers have demonstrated that high levels of luteinising hormone (LH) and follicle-stimulating hormone (FSH) during menopause are because regulatory nerves have lost sensitivity to higher-than-optimal levels of oestrogens, or oestrogen dominance. Increases in LH and/or FSH hormones can cause many of the unpleasant physical symptoms that many women in perimenopause experience. In addition, pathologically high prolactin levels, which can be caused by things like stress, liver or thyroid issues, high tissue oestrogens, and metabolic dysfunction, can cause some of the menopausal manifestations that are blamed on “not enough oestrogen.”

有趣的是，当压力水平较高时，雌激素的分泌也会增加，而我们往往并不知情。围绝经期的血液检测可能不能说明全部问题，因为雌激素（雌酮）水平细胞和组织中 can be sufficient, or even in excess, despite blood levels of oestradiol decreasing markedly. Oestrone is produced by the enzyme aromatase in many tissues in the body, including the breast and endometrium. Aromatase increases with aging. One of progesterone’s jobs is to help the cells in these tissues release oestrogens into the blood to be metabolised by the liver and then excreted. Evidence suggests that for many of us, a rough menopause may simply be a continuation of the oestrogen dominance and unhealthy oestrogen/progesterone ratio and compromised thyroid and liver function that many Western women experience for years to sometimes decades prior. Unhealthy aging and stress on the metabolic organs, particularly the liver, may shift Oestrogen metabolism away from the relatively “weak and safe” metabolite, 2-hydroxy estrone (2-OHE1) to 16-hydroxy estrone (16-OHE1), and 4-hydroxy estrone (4-OHE1). The two latter metabolites are strongly associated with poorer health outcomes.

Due to healthier metabolisms and organ and gland function, low to zero rates of obesity, low to zero exposure to plastics (xenoestrogens), and lower stress levels, healthy, primitive humans have lower overall exposure to oestrogens during their reproductive lifetime and potentially less ovarian atrophy. They appear to continue to have healthy amounts of all the reproductive hormones post-menopause, including the hugely important, and often overlooked, progesterone, plus they have healthy levels of prolactin. They also remain able to metabolise oestrogens to 2-OHE1.

Stress is a big problem for perimenopausal hormone balance because when we are stressed, our bodies cannot metabolise our oestrogens and excrete them, nor can many of us produce adequate quantities of testosterone and progesterone to balance the oestrogens. Stress can also cause increases in prolactin levels. Rampant oxidation, or low redox potential, and a malfunctioning circadian rhythm—the daily, natural light and dark cycle mediated by cortisol and melatonin—have been shown in research to adversely affect the menopausal transition. We need cortisol to rise and fall during the day, but our modern lifestyles and excess stress can lead to elevated levels into the night or levels that rise and fall at the wrong time. Unfortunately, elevated cortisol for long periods is associated with disruptions in metabolism and weight gain.

During perimenopause, progesterone production can decrease too much, and cortisol rises without the progesterone to keep it in check. There are other physiological reasons for a small rise in menopausal cortisol as well, but if cortisol rises TOO much, it can contribute to weight gain, hormonal disruption, cardiovascular issues, and blood sugar imbalances. Progesterone also keeps postmenopausal oestrogens from causing problems, especially in breast, brain, or uterine tissue. The answer may be in keeping progesterone levels in a healthy and effective range. Sunlight exposure and sound sleep will help with this, as can keeping your thyroid and liver in top-notch condition and eating plenty of protein and fat—think animal proteins and fats, not too much in the way of plant proteins, and definitely no vegetable oils, for hormone health. Animal fat contains cholesterol, which is the precursor to reproductive hormones, plus these unfairly maligned fats contain the 4 fat-soluble vitamins, so essential for reproductive hormone function.

In the end, for many of us, menopause can seem like a vicious circle of metabolic, organ, and hormonal dysfunction. Our modern lifestyle, with our high ultra-processed food diets, high stress, and exposure to pollutants and artificial light, especially at night, may very well be to blame for the epidemic proportions of women with menopausal issues. Xenoestrogens from the ubiquitous plastic in our lives are especially problematic. Excessive blue light exposure, chemical, air, and plastic pollution; alcohol consumption; central adiposity; inflammation; refined sugar and seed oils; medications; nutrient deficiencies, etc., have all been shown in research to cause or exacerbate serious metabolic complications. Hormonal and reproductive health, even after menopause, is a delicate and mysterious dance between all of our hormones. Humans are incredibly adaptable, but it appears that modern lifestyles have tipped the balance too far in the wrong direction.

人类祖先的智慧

在全球范围内，有一些 "原始 "人类，他们仍然像数千年前一样，生活在大自然的怀抱中，他们的女性并没有表现出围绝经期症状，也没有在绝经后增加更多的身体脂肪，或者健康状况急剧下降到慢性病的程度。据推测，这是因为他们在进化过程中保持了一贯的生活方式，因而具有健康的新陈代谢和荷尔蒙功能。

Good Health NZ - 更年期锻炼 1656615468

主要因素似乎是

营养丰富、以动物性食物为主的饮食，不食用超级加工食品
健康平衡的微生物群
与大地、自然和彼此的深厚联系
支持性社会网络
适当的活动量
几乎没有电磁、塑料、化学或空气污染
减轻总体压力
享受创造和学习
无药物治疗
每天接触自然光（几乎没有人造光--LED/荧光灯、屏幕等）

科学研究表明，这些生活方式有助于调节人体昼夜节律、平衡荷尔蒙功能、酣睡、压力管理、氧化还原潜能（健康的氧化和还原过程），以及天然的高 "感觉良好 "荷尔蒙。

如果您是处于围绝经期任何阶段的女性，并且正在经历影响生活质量的生殖激素失衡，您还可以阅读更多有关您可以尝试的支持性措施的信息, 这里.利用祖传的生活方式和饮食因素来支持你的荷尔蒙和新陈代谢，你也许能找到在围绝经期及以后的岁月里保持对生活的热情和乐趣的方法。

草药在传统医学中有着悠久的使用历史，对女性荷尔蒙有很好的支持作用。

介绍：好健康 Peri-Meno+

好健康 Peri-Meno+ 是一种含有经过科学研究的草药的综合配方，可帮助妇女度过围绝经期和绝经后时期。啤酒花对更年期妇女的体温平衡、情绪、大脑功能和放松都有帮助。众所周知，黑升麻有助于保持健康的情绪和舒适的体温，而葫芦巴则有助于更年期妇女的荷尔蒙平衡。芦根和鼠尾草的加入则是为了支持情绪、大脑健康和功能、压力管理和恢复睡眠。芦根已被证明能支持健康的皮质醇水平。所有这五种草药在传统上都被用来帮助妇女度过更年期，而且还被研究用于支持健康的体重和新陈代谢率，以及心血管和抗氧化功能。

健康新西兰 - ZZE10101 Peri Meno 60s 2100x2100px