start

When to START Taking Estrogen Replacement Therapy for Menopause - 87

on your mark get set go remember when

you used to do that as a kid I think we

did it for everything we did

that's kiss so what does that mean well

it marks the starting point it's the

green light and it defines the beginning

of the race today we're talking about

the starting point for estrogen

replacement therapy and so I'm teaching

you everything about menopause and one

of the things about which you need to

know whether or not you choose to use it

is estrogen replacement therapy

we've been dissecting all the

nitty-gritty details about estrogen

replacement therapy and in the last few

tutorials you've learned about something

called your estrogen window of

opportunity and now you know that it

addresses taking estrogen to prevent

heart attack osteoporosis and

Alzheimer's disease and then you learn

that you have to take an estrogen that

travels throughout your entire body at a

certain dosage in order to accomplish

these goals plus you've learned that

menopause is an estrogen deficiency

state just like any other deficiency

State so today we're gonna talk about

when you should start taking estrogen if

you want to use it to prevent these

diseases now if you're watching these

videos and orders you you now know that

it's like building blocks and that what

I do is I give you the foundation so

that as you add each block each block

makes sense and everything is logical

because we're building this one video at

a time so if you find that when you try

to add a new block of information it

doesn't seem to work it doesn't fit it

falls out of place it might be because

you don't have the foundation so

snow that they they go in order and they

give you the foundation one video at a

time okay now this video tutorial will

only address the starting point for

estrogen replacement therapy it's the on

your mark get set go video we are not

going to address the finish line until

next week it'll be the next building

block so now maybe you're wondering well

what difference does it make

perhaps you're thinking that you don't

need to watch a video on wind to start

estrogen maybe you think you can just

start anytime well guess what you can't

start just anytime you need to learn the

facts about when to start taking

estrogen and this video will tell you

exactly what you need to know okay what

we're going to do is connect the dots

between the starting point for estrogen

replacement therapy and that thing

called the estrogen window of

opportunity that I've been teaching you

about in many of the previous videos now

you know that the estrogen window of

opportunity stipulates that the first

five to 10 years of your post menopause

is the critical time for taking estrogen

replacement if you want to use it to

prevent heart attack osteoporosis or

Alzheimer's disease so let's talk about

this 5 to 10-year time frame let's talk

about what it means and what it doesn't

mean you know time frames confuse people

and that's because different people

interpret them differently just for

kicks let's see how you interpret this

time frame of 5 to 10 years here's a

quiz question for ya the estrogen window

of opportunity refers to the first 5 to

10 years of post menopause when taking

estrogen replacement can prevent or

reverse some of the life-threatening

diseases that are associated with

menopause

what does five to ten years mean a you

should only take estrogen for a total of

five to ten years B you should

discontinue estrogen when you are five

to ten years into your post menopause C

you should start taking estrogen within

the first five to ten years of your post

menopause deep estrogen will only

prevent these diseases in the first five

to ten years of your post menopause see

what I mean you see what I mean by

different interpretations what did you

pick here's the answer it's C you should

start taking estrogen within the first

five to ten years of your post menopause

but it is not as simple as it sounds so

let's discuss this I'll begin by saying

that you know I don't really like ranges

that are that are that broad when it

comes to time frames I mean think about

it ten years is twice as long as five

years I mean at the time where I'm frame

were nine to ten years it kind of would

make much more sense but this is the

time frame that's given so when you see

ranges of time like this realize that

the range applies to the population at

large your personal time frame will be

something that you and your doctor

decide everything will be individualized

for you but I want you to understand

what things mean but we are all

different and always remember that you

have to tailor things to your own needs

that is why I'm menopause tailor okay so

here's what the five to ten-year time

frame really means it's all about the on

your mark get set go

it's the green light five to ten years

designates the critical time

in your early post-menopause to start

taking estrogen replacement to lower

your risks for heart attack osteoporosis

and Alzheimer's disease

five to ten years is the time during

which you can still start taking

estrogen do you know why it's because

this five to ten years of the beginning

of your post menopause it's the time

when the benefits of taking estrogen

outweigh the risks of taking estrogen

you see everything in medicine is all

about benefit versus risk and you only

want to do the things that have more

benefits than risks

so this first five to ten years of post

menopause is when you can start taking

estrogen and it'll be safe to do so if

we were talking about running a race it

would be the time when you can still run

in the race safely without hurting

yourself if it's been more than five to

ten years since you became post

menopausal you aren't allowed to run in

the race you're disqualified

now why is that because after five to

ten years without estrogen the risks

outweigh the benefits so now you're

probably wondering why the risks of

estrogen change over time and if you're

thinking that way I am so proud of you

because it means you're really thinking

well it's because the five to ten years

is the time during what your body still

remembers what it was like to have

estrogen on board in that five to ten

years it's your body is still healthy

enough to participate in the race it's

when not enough time

past to incur so much aging that your

body has forgotten what it was like to

have estrogen on board now I just used

the word aging but I want to distinguish

between the word age and the word aging

you see the estrogen window of

opportunity is not about your age it's

about the aging process that your body

undergoes in the absence of estrogen the

reason women associate menopause with

aging is because the absence of estrogen

makes your body age both inside and out

it's the Aging on the inside that

matters with regard to this estrogen

window of opportunity and without

estrogen your heart your bones and your

brain begin to age you know they aren't

the only parts of your body that start

to age I mean think about your skin it

starts looking old after you transition

into menopause not before so some people

have referred to estrogen as the

Fountain of Youth

and this aging that happens in the

absence of estrogen is why they refer to

estrogen as the Fountain of Youth

so that's why taking estrogen in the

first 5 to 10 years of your post

menopause can prevent heart attack

osteoporosis and Alzheimer's disease it

makes sense doesn't it if your body

undergoes more than 5 to 10 years of

Aging due to the absence of estrogen it

just gets too old to handle estrogen and

as long as it hasn't been without

estrogen that aging does not occur in

other words after five to ten years

without estrogen you're just too old to

run in the race because you'll hurt

yourself so now that may lead you to ask

you said okay to start taking estrogen

replacement before you're postmenopausal

for instance is it okay to start during

perimenopause and the answer is yes you

certainly can and many women do and the

good thing about doing that is that you

make sure that your body never has to

experience experience the aging that it

undergoes in the absence of estrogen now

notice that I'm leaving progesterone out

of this conversation entirely that's

intentional if you have your uterus you

do have to take progesterone with

estrogen but this tutorial is about when

to start taking estrogen with regard to

the estrogen window of opportunity so

I'm leaving progesterone out of the

conversation for simplicity so the five

to ten years of the estrogen window of

opportunity refers to the time during

which you can still jump on the estrogen

replacement that grant Batman wagon it's

a time when you can still join the

estrogen replacement team and run the

race and the really great thing is that

you can start taking estrogen anytime

during that five to ten year time frame

so here are some examples example number

one let's say your perimenopausal and

haven't even reached post menopause yet

you can go ahead and start estrogen

replacement therapy why because you

haven't gone anytime without estrogen

your body is still young and healthy and

the benefits of estrogen still outweigh

the risks of estrogen example number two

let's say you had your last period five

years ago can you start estrogen

replacement sure you're still within

your estrogen window of opportunity

example number three let's say you had

your last period nine and a half years

ago can you still start estrogen

replacement you bet you haven't reached

that tune earmark yet

okay but what about more complicated

situations here's example number four

let's say you had your last period 12

years ago but you took estrogen

replacement for the first five years and

then you stopped can you restart

estrogen replacement what do you think

remember it's all about how long your

body has been without estrogen and how

much damage from aging has occurred

during that time so in this example if

you take the number of years since she

became post menopause puzzle which is 12

and you subtract the number of years you

took estrogen which is 5 the answer is

12 minus 5 which is 7 so 7 years falls

within that 5 to 10 year requirement of

the estrogen window of opportunity so

you can still restart estrogen

replacement ok example number 5 now what

if you had your last period 20 years ago

and you took estrogen replacement for

the first 5 years but then you stopped

can you still restart estrogen

replacement now well let's do the math

20 years since your last period - five

years on estrogen replacement equals 15

years without estrogen 15 falls outside

of the 5 to 10-year time frame for the

estrogen window of opportunity so you

cannot restart estrogen okay one last

example this one's even more complicated

let's say you had your last period 20

years ago and you took estrogen

replacement for the first five years of

your post menopause then you stopped for

five years and then you restarted taking

estrogen again and you took it

for the next ten years if you do the

math on that one you get twenty years

since your last period - the first five

years on estrogen - the other ten years

on estrogen and it's only been five

years without estrogen right so in that

instance it may still be possible for

you to restart estrogen therapy you know

all of this is going to depend on your

individual situation how long it's been

how much aging what your other health

problems are but think of this in terms

of how much time you've gone with no

estrogen that is what this is all about

you know when you start a race with on

your mark get set go you only have that

one second to start when the referee

utters utters the word go right but with

the estrogen window you have five to ten

years to get started now in a race the

earlier you start the better your chance

of winning right well the same is true

for preventing diseases associated with

menopause by taking estrogen but at

least you won't lose completely if you

start a little bit late the key is that

to understand that the five to ten years

refers to the time you've gone without

estrogen and ideally you'll address this

in the first five to ten years of your

post menopause but even if it's been

more than five to 10 years since your

post menopause the real issue is how

long you've gone without estrogen and

the longer you've gone without estrogen

the greater your risks of starting

estrogen so think of it as the starting

point and nothing more it's those early

years of post menopause that are most

critical so if you've already been

deficient in estrogen for 10 years it

may be too late for you to restart it or

to you for you to start it at all the

estrogen window is the window during

which you can begin taking estrogen to

gain the benefits okay that's what it's

all about

so the big message in this tutorial is

this the five to ten years of your

estrogen window of opportunity is the

time during which you can still take

advantage of the opportunity so if you

want to think of it as a time limit you

have a limited time since you've been

without estrogen to get started and you

can only start taking estrogen in the

first five to ten years of your post

menopause or within ten years since you

last took estrogen after that your

window of opportunity closes and as you

can see it's not really about your age

obviously menopause occurs at a wide

range of ages it's about when you're

still eligible to use estrogen

replacement to prevent heart attack

osteoporosis and Alzheimer's disease and

if your estrogen window of opportunity

has closed and you can't take estrogen

it means that you'll have to find

another way to prevent heart attack

osteoporosis and Alzheimer's disease it

doesn't mean that you should give up it

doesn't mean that you have no options

you still have many options

estrogen just isn't one of them and for

everything we discuss in my videos

I'll give you options in every category

I'll give you diet and lifestyle options

vitamin and mineral options herbal and

botanical option options hormonal

medication options and non hormonal

medication options you'll have a lot of

categories from which to choose one of

the great things about this menopause

education I'm giving you is that I'll

teach you many different ways to

accomplish your goals so never give up

and never assume you have no options

knowing about this starting time for

estrogen is critical because timing is

really everything okay so that brings us

to the next question which is when to

stop taking estrogen replacement therapy

and that's another area where women make

all sorts of assumptions that are

completely incorrect and that's what

we'll discuss in the next video I'm

separating the videos

when to start taking estrogen and when

to stop taking it for a reason so don't

assume you already know everything you

need to know about when to stop it I'm

gonna bet you anything you don't so

until next week think about what we've

covered today and I'll see you in the

next video don't forget to follow me I'm

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comments on the videos ask me questions

and I'll see you the next time

you