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I don't want him to be funny, but every time someone mentioned men menopause, I think about it's a vocabulary because the English is my second language. That means men please pause. I don't know, uh, the word first of all, um, met a premenopause to menopause because just transitional, it's a natural course a woman takes, um, it just, uh, simply that we are not going to lead anymore. That does not mean I'm a bleed anymore. And any correct that, uh, again, um, because when, when I, when I said half a joke of the, and then a pause means that we women are going to have a new life, new age, new physical change, a physiological change and physical body where we are ready for more sex I think. And men go through menopause too. Yeah, I heard about that. Right. And now they declining. That's not right. So, um, menopause just simply means stop bleeding in my definition does not mean mentally, physically, spiritually, and desires. We don't stop. So there was nothing changed in that. And as a woman we are actually, I'll just get started to enjoy our lives better without that.

I think what's compelling about your orientation around menopause is it there's, you ha when you approach things from a spiritual place and from a place of larger, meaning you a bigger meaning for them and you approach them with more um, uh, regard I guess is the word and le ss adversarialness and more like, okay, we're going to work together here. I think that there's something I want to do right now is sort of going from, from myth to fact and then from fact to treatment. So a lot of women think, or a lot of couples or men particularly think that when a woman has goes, starts going through menopause, her libido goes out the window. And I've done enough reading to know that that's not true. What I've spoken to enough people to know that's not true, but let's say a woman I know a perfect example of a woman whose husband went on bag run. He was ready to take his shipping dock in the port there and, and her port was having, you know, some grounding problems. So, so the, the, the question I have is when you have, um, a woman who wants to very much engaged with her husband and be a part of that world, what are some of the actual treatments that you can bring to her that make her life better? And I'll start with an osteopathic approach.

Um, so libido is really interesting because it, it really is not just about hormones. It's an interplay of how you perceive yourself and your vitality. But on another level of it is about hormones too. And um, during menopause, you know, hormones do drop and that can have an effect. So first of all, your, your vagina can get dry, it can, and it can just not make you want to have sex because it can hurt more and testosterone does drop. So, I mean, not everyone experiences low libido because of this, but a lot of women do. So, and I guess the, what comes into my office are usually people who are having symptoms. So what do I do? So there's, there's a spectrum of therapies from lowers forced intervention to higher force intervention where you can work with the Diet, the lifestyle. Um, when hormones start to drop your adrenal glands, which are your stress, Oregon pick up slack.

So supporting your adrenal glands, um, sometimes even to treating. And nine, I guess we'll get into this with natural with bioidentical hormones. So, um, either vaginal, estriol type of estrogen to help, I kind of call it for women flossing your teeth. Um, it's just maintenance for the vagina to keep the walls plump. Um, maintenance for the vagina. I wanted to do to get that to the redesign. I'm going to walk up to somebody tomorrow and say maintenance for the Regina and I'm going to see what they say and not everyone needs that. And some women do well with some, sometimes vitamin e oil on their vagina. Um, some women do well with just understanding what's going on and just really working with diet and lifestyle. But um, have be more went to Ashton Kutcher. Sorry, could you repeat the whole philosophy? Oh, there's somebody that wants to repeat the flossing as the vagina. I hear Ya. Well, what I'm saying, an analogy that that vaginal estrogen, sometimes it can really just transform someone's life when they're suffering from, from dry vagina, which can happen during menopause. So I, when I put someone on the vaginal esther, y'all,

um, which is, uh, one of the types of estrogen I call it. Um, just like flossing your teeth, it's maintenance for the vagina when you get older. And what are the goals of tonight's seriously is to, is to amass a certain amount of vocabulary that we can actually go out into the world and seriously kind of have this conversation so it won't be so in the closet and talk about this stuff because it's, there are solutions for the, for the, the things inside the bedroom and outside the bedroom. We'll get to that in a second. In terms of hot flashes and things. Um, in terms of Libido, uh, Dr. Lee, do you have a certain approach? I know you, your act is acupuncture, your first line of, of treatment.

Yes. Um, I like to, uh, take the new approach first to try to balance Yin and Yang. Um, how did cold and acid and alkaline and positive, negative, everything has often decides when we go into menopause at age 50 or 50 to 51. Um, and western medicine we tend to, it's like hrt hormone replacement, but we're not really replacing because we haven't lost anything with that means is we are not producing as much as we would like to and we used to. So proper diet and, and um, and Libby de wise, um, I think this do things naturally. Um, uh, depending on all of the husband and the partner

to this leads comfortably to the next question, which is there's 40 million.

Yeah.

Women on hrt on hormone replacement therapy right now. And there's a lot of discussion around the safety of that. And I think it's like 20% of them are on it for more than five years. And they say that's the marker where people got concerned after five years. The interesting thing is before five years, they say it actually can, can um, help with the osteoporotic dysfunction that can help with coronary disease. Like some of the hr t stuff can be good, but they talk about cancer as well. So there's a lot of debate on that. We can all, we could spend all night talking about the debate of hrt. What I'm interested in doing tonight actually saying, okay, we in this room and out there in the cyber world know that we can go to our western doctor and we can get hormone replacement therapy. What I want to look at tonight is the options that you guys practice, the results you have, um, and how you share those results in a way that actually gets out into the world. Because I find that when I do my research, the ones that really are the loudest are the ones that are more from the, from the, you know, the Journal of Medicine and science, Blah Blah. And I'd like to see more results that are positive because I see mostly results. They're like, well, it Kinda, you know, vitamin E and primrose oil. Like, yeah, it doesn't really work. Go to the HR to, you're going to make your life better. So how do you approach that with your patients? Okay, well, I just want to

discuss the differences between conventional synthetic hrt and the bio identical hormones because it's comparing apples and oranges. It's it, they're very different. The synthetic hrt, which were the studies came out that was terrifying and women stopped. A lot of their hormones was with the women's health initiative. And that was, I'm studying really premarin, which was a synthetic estrogen can be made from horse urine and provera, which is synthetic progesterone. So they asked that caused more heart disease, strokes, blood clots and breast cancer. And then there's bio identical hormones. So these are hormones from natural sources, but what really makes them specific is it that they're bio identical, meaning they molecularly match our body's estrogen and progesterone, unlike the synthetic premarin and provera. So it's really two different things with the HR team. So I just wanted to clarify that because there is a lot of confusion with that.

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