Brief Answer: There are measures. Detailed Answer: Hi and Thanks for the question, I completely understand your problem. You are having problems due to low hormone levels and do not want HRT. There are many natural alternatives to HRT. Plants have phytoestrogens and they can be used to improve symptoms of estrogen deficiency. Soyabeans are rich in these, so it is recommended to use soya beans in the diet. Sprouted soya beans, soya flour are useful. Many protein powders are available that contain phytoestrogens like menopro powder. They can be taken with milk twice daily to improve symptoms. Use cosmetic products like regular oiling of hair, use of moisturising lotions daily to help improve skin conditions. There are many women that undergo a hysterectomy with removal of ovaries in early life. So it also has a psychological component. Please do not be depressed. Some women may not even notice the difference and are happy. Believe in your inner beauty. If you are having too much symptoms, a short duration of HRT may be tried if it is not contraindicated. Regular exercise and inclusion of fruits in diet, lot of water intake help in making the skin suppler. If you still feel moody and feel like crying, visit a behavioral therapist for antidepressant medicines for a short term, they will help you regain your confidence and enjoy life. It is also advised to take calcium supplements to improve the bones as they tend to loose calcium. Please start this if you are already not on it. I understand your position very well and have many women in my clinics come with similar complaints. Please remember you are what you think you are. If you feel beautiful, you will look it. Ovaries do not make a difference. So please cheer up. Start the phytoestrogens and you will start noticing the difference in a few weeks. Take regular exercise and diet with soya and you will be all right. Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri Bagde Consultant Obstetrician and Gynecologist

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Brief Answer: Yes there are Detailed Answer: Hi and welcome, Vitamin A, C and D and E are important as they help in rejuvinating the system and important in promoting cell growth. D is important for bones and is usually present in calcium tablets so no added supplement is needed. Vitamin A may be taken once a week. Vitamin C is naturally present in citrus fruits like oranges, lemon, limes so a glass of lemon juice or orange juice a day is sufficient supplement for you. Vitamin E is available as evion capsules or any other in 200mg dose daily for 5 days a week is sufficient. Try these for 2-3 months for best results. I also suggest that get your hemoglobin checked as sometimes anemia causes fatigue that is attributed to menopause. You must also supplement with vitamins of the B complex group, available over the counter and can be taken once daily for 3-4 days a week. I also suggest that you take a behavioral therapy to tide over this acute phase and help you relax. Yoga and meditation as well as proper sleep, a few minutes during the day and 6-7 hours during night will also help. Phytoestrogens will help you overcoming all these. You will get over this. Try to take control of things because natural menopause would also have caused these things so they are a part of our lives and are short term. I understand it is very difficult but you will get through this. I hope that this satisfied your query. I am always here for any more queries. Take care. Dr Madhuri Bagde

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Brief Answer: Lack of hormones may not be the issue. Detailed Answer: Hello and welcome back, It is excess of hormones rather than lack that cause dizziness and nausea. The common causes of dizziness and nausea are related to the ear. Menieres disease [increased fluid in inner ear], infections of the ear or sudden change in position may cause dizziness. Other conditions like anemia also produce dizziness. Dehydration and changes in blood pressure also produce this. Prolonged use of computer screens and Television also produce nausea and dizziness. So this is not related to low hormones. Hope this answered your query. I am always here to answer any more queries that you may have. Thanks again and have a good day. Dr Madhuri.

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Brief Answer: They are part of our diet Detailed Answer: Hello and welcome back, These are present in very low amounts and are naturally present in our diet. Some people claim that as these are estrogens they may cause blood clots, but we have been consuming them everyday in our food. The only thing is that we are now more aware and the diet is more balanced. A short term use of 3-4 months will not pose any risk. Soyabean is a staple diet in many countries. Exercise and drinking plenty of water is also a part of the treatment so this decreases the risk if any. Many of my patients have used them successfully and are now doing well. So do not think so much about this as you will be taking them in low dose and natural form, no concentrated tablets. Symptoms of estrogen dominance do not occur as the amount is low and absorbed slowly with food. They help restore a feeling of well being. Hope this was helpful. It is a pleasure answering your queries.

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Brief Answer: You are most welcome! Detailed Answer: The pleasure was entirely mine!! Take care and have a good day.

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