Articles on women's health & longevity

It's that time of year when we come together with our loved ones and celebrate gratitude. Sometimes, with the daily struggle of menopause and midlife It can feel overwhelming to find a place for thanks, but research shows that women who do take the time to be thankful are healthier and happier for it.

Menopause is a natural phase in a woman's life, typically occurring in her late 40s or early 50s, when her reproductive system gradually ceases to function. It is a time marked by significant hormonal changes, which can lead to various physical and emotional symptoms, such as hot flashes, mood swings, and sleep disturbances. Practicing gratitude during the menopausal transition can be a valuable tool for coping with these changes and promoting overall well-being.

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How does a focus on gratitude impact mental health? Research shows that it can reduce stress and improve physical and mental health.

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Many studies over the past decade have found that people who consciously count their blessings tend to be happier and less depressed. This positive shift in mindset can be particularly beneficial during the menopausal transition when hormonal changes can contribute to mood swings and increased stress.

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In a study, one group wrote about things they were grateful for that had occurred during the week. A second group wrote about daily irritations or things that had displeased them, and the third wrote about events that had affected them (with no emphasis on them being positive or negative). After 10 weeks, those who wrote about gratitude were more optimistic and felt better about their lives. Surprisingly, they also exercised more and had fewer visits to physicians than those who focused on sources of aggravation (source: Harvard Health).

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There's a growing body of research on the benefits of gratitude. Studies have found that giving thanks and counting blessings can help people sleep better, lower stress, and improve interpersonal relationships. These benefits can be particularly valuable during menopause when sleep disturbances and mood swings are common (source: NPR).

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A large study conducted by Virginia Commonwealth University showed that thankfulness predicted a significantly lower risk of major depression, generalized anxiety disorder, phobia, nicotine dependence, alcohol dependence, and drug abuse. This suggests that incorporating gratitude into your daily routine during menopause can have a positive impact on your mental health (source: NAMI).

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Experiments have shown that people who partake in the "three good things" exercise, which prompts individuals to think of three good moments or things that happened that day, see considerable improvements in depression and overall happiness, sometimes in as little as a couple of weeks. This practice can be particularly helpful during the emotional ups and downs of menopause (source: Time).

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Incorporating gratitude practices into your daily life during menopause can be a powerful tool for managing stress, improving emotional well-being, and enhancing your overall mental health. These practices can help you navigate the challenges of this life transition with a positive outlook and a greater sense of resilience. Remember that menopause is a unique and individual experience, and finding strategies that work for you, including gratitude, can make the journey more manageable and fulfilling.

It’s no secret that women tend to live longer, on average, than men. Despite the extra time, however, studies have shown that women spend fewer years in good health. They also experience a sharp decline in both health and vitality following menopause. 

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The health challenges faced by women post-menopause are not just individual concerns. With chronic health conditions plaguing six out of ten women between the ages of 50-64, the global economic impact of menopause, between productivity loss and healthcare costs, is estimated at $150 billion annually. 

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Projections indicate that this demographic will represent an even larger proportion of the global GDP by 2050 making the well-being of aging women more than just a health concern — but an economic imperative. 

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Complexities of Women’s Aging

Aging is a multifaceted process, driven by a combination of genetic, environmental, and physiological factors. However, 10% of longevity is determined by genetics while 90% is based on environment and lifestyle. This means we have more opportunities to intervene and improve our lifespan through better longevity-focused care.

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Women, however, have distinct genetic traits and life experiences that shape their aging journey further. The presence of two x-chromosomes, higher levels of estrogen, and enhanced immune function can act as protective barriers against the adverse effects of aging earlier in life.

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But many reproductive and lifestyle factors such as the age a woman begins menstruating, whether or not she has children, and especially, the occurance of menopause, add layers of complexity to the aging journey. 

How Menopause Impacts Aging

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Menopause signifies much more than the end of a woman's reproductive era — it represents a profound pivot in her overall health and well-being. Menopause technically marks a single day twelve months following a woman’s last period. However, the surrounding phases are characterized by tumultuous fluctuations and an eventual decline of critical hormones like estrogen and progesterone. 

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While common symptoms of menopause such as hot flashes, insomnia, and changes in libido are well known, there are more enduring consequences that these hormonal changes impose on a woman's health. As estrogen and progesterone levels decrease, women are faced with heightened risks of serious health concerns, including cardiovascular diseases, osteoporosis, and cognitive impairments. 

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Menopause also accelerates cellular aging by 6%, amplifying the inflammatory processes which not only increases a woman’s susceptibility to a range of diseases, but also exerts a significant influence on her mood and day-to-day quality of life.

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Further compounding the challenges, the symptoms of menopause can cause ripple effects on a woman's long-term health and longevity. One example of this is that chronic disruptions in sleep due to night sweats or insomnia can lead to sleep deprivation. Over time, insufficient sleep has been associated with a range of health problems, including cardiovascular disease, obesity, and cognitive decline. In a sleep study, researchers from UCLA found that postmenopausal women with five insomnia symptoms were nearly two years older biologically than women who were the same age with no insomnia symptoms.

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Understanding the link between menopause and longevity — and recognizing the intricate interplay of factors around women’s aging — it becomes clear that women need a personalized and holistic approach not only to menopause care, but to longevity care. And that's where FemGevity comes in. 

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As the only concierge menopause and longevity telehealth platform, FemGevity is uniquely positioned to support women’s health through menopause and beyond.

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Revolutionizing Women's Health and Longevity

Navigating the complexities of aging in women requires an understanding that goes beyond generalized medical knowledge. It demands precision care informed by advanced diagnostics and years of expertise in the unique challenges and transformations that women undergo during this phase of life.

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To provide this specialized level of care, FemGevity’s core care pillars are designed to address the nuances of aging women’s health comprehensively.

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Advanced Diagnostics

At FemGevity, we're pioneering the future of personalized women's menopause and longevity care by making advanced diagnostics part of our comprehensive care model. While there are many tests we use to inform our treatment, two are critical in helping women understand the specifics of their longevity.

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First, our AI Genomic Panel offers patients a genetic deep dive. Through the insights gleaned from this panel, we can develop personalized action plans based on our patient’s genetic predispositions to various diseases, ensuring early prevention or tailored treatments. 

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Complementing our genetic test is the Micronutrient Test, which equips us with the knowledge to address specific nutrient deficiencies or surpluses, ensuring balanced health. By measuring vital antioxidants, patients can bolster their body's defenses against oxidative stress, which accelerates aging. Further, pinpointing causes of chronic inflammation helps in its management, thereby enhancing longevity and wellness. 

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Precision and Personalized Medicine

In-depth analysis of diagnostic tests is just the beginning. Our comprehensive and compassionate approach ensures women get the personalized care they need to address their symptoms of menopause and enhance their longevity. Our patients meet one-on-one with a care provider both before and after testing. 

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Beyond the typical recommendations, our care plans may include dietary and nutritional guidance, integrating mindfulness and stress-reducing techniques, or personalized exercise regimens, We take into consideration factors such as genetics, environment, lifestyle, but also our patient’s personal preferences. Additionally we offer our patients access to targeted hormonal treatments, non-hormonal medications, or supplement recommendations.

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Proactive Preventive Care

Unlike other menopause digital health companies, our distinctive approach focuses on improving long-term health from day one. We begin treating our patients during their perimenopausal years, helping them reach optimal health before challenges arise.

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By catching early signs and markers through our advanced diagnostic tools, we equip our patietns with the insights and recommendations to mitigate the risks of chronic conditions, ensure timely interventions, and ultimately pave the way for a longer, healthier, and more fulfilling life.

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Continuous Care

Recognizing that women's health needs are dynamic and evolve with time, our care doesn't end with a diagnosis or a prescription; it's a sustained partnership. Through regular check-ins and consultations, we adjust treatments and recommendations to align with the shifting landscapes of a woman's post-menopausal journey. This continuous care model ensures that every woman feels supported, understood, and empowered, every step of the way.

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Accessibility and Convenience

The current health system for women —especially aging women — is fractured and confusing. At FemGevity, we've streamlined the process for later age women to get the care they need, making it incredibly convenient to access state-of-the-art tests and treatment, all in one place.

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Empowering Longevity and Healthy Aging

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In the face of the undeniable and intricate challenges aging women confront, particularly during the menopause transition, the necessity for a specialized, personalized, and sustained approach to their health is evident. 

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FemGevity, with its groundbreaking concierge menopause and longevity telehealth platform, not only offers advanced diagnostics and precision treatments but also represents a paradigm shift in aging care, empowering women to thrive in their next chapter of life. We’re dedicated to ensuring that the journey of aging in not just about adding years to women’s lives, but adding life to those years.

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Wanna find out how FemGevity can get you started with Book a Free Consult

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Get Started with FemGevity Today

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References

American Association of Retired Persons. (2019). Global Longevity Economy Outlook. Retrieved from: https://www.aarp.org/content/dam/aarp/research/surveys_statistics/econ/2022/global-longevity-economy-report.doi.10.26419-2Fint.00052.001.pdf

Biote. (2022). Biote Women In The Workplace Survey. Retrieved from: https://biote.com/learning-center/biote-women-in-the-workplace-survey

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Kaiser Family Foundation. (2021). Women’s Health Care Utilization and Costs: Findings from the 2020 KFF Women’s Health Survey. Retrieved from: https://www.kff.org/womens-health-policy/issue-brief/womens-health-care-utilization-and-costs-findings-from-the-2020-kff-womens-health-survey/

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National Institute on Aging. (2022). Research explores the impact of menopause on women’s health and aging. Retrieved from: https://www.nia.nih.gov/news/research-explores-impact-menopause-womens-health-and-aging

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National Library of Medicine. (2016). Gender, aging and longevity in humans: an update of an intriguing/neglected scenario paving the way to a gender-specific medicine. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4994139/#B12

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National Library of Medicine. (2016). Menopause accelerates biological aging. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4995944/

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National Library of Medicine. (2022). The Influence of Female Reproductive Factors on Longevity: A Systematized Narrative Review of Epidemiological Studies. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9677315/#bibr14-23337214221138663

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Oxford Academic. (2018). Estimates of the Heritability of Human Longevity Are Substantially Inflated due to Assortative Mating. Retrieved from: https://academic.oup.com/genetics/article/210/3/1109/5931081

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Populations Resource Bureau. (2019). Older Women Live Longer But With More Disability and Financial Challenges Than Men. Retrieved from: https://www.prb.org/resources/women-live-longer-than-men/

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Striking without any warning in the day or night, one of the most noticeable and unpleasant symptoms of perimenopause and menopause is hot flashes. These sudden surges of internal heat can make it feel like your body has been thrust into an oven. They can cause your face and neck to flush, your heart to race, and leave you drenched in sweat or overwhelmed with anxiety.

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Though 75% of women in this phase of life will have hot flashes, your experience will be unique. Hot flashes may be a mere blip on your radar, barely noticeable, or they might significantly impact your quality of life. The duration, intensity, and feeling can also vary. Your hot flashes may come and go within 30 seconds or linger for up to five minutes. You may feel an intense, full-body surge of heat or warmth that radiates from a specific part of your body. Your hot flashes may occur from six months to more than ten years, and the frequency might intensify in the two years following menopause.

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While this might sound daunting, the good news is that several strategies and treatments are available to manage hot flashes effectively. 

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What causes hot flashes? 

Researchers are unsure why we get hot flashes, but one idea points to the hypothalamus. This small yet essential part of the brain controls heat production and loss. During perimenopause and menopause, hormonal shifts can destabilize the hypothalamus, with fluctuating progesterone and estrogen levels steering your body's heat balance onto an unpredictable rollercoaster.

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What can you do to manage hot flashes?

There are two ways to manage your hot flashes. The first is to try lifestyle changes to prevent them from happening. The second is to treat the source. As we’ve mentioned, every woman is different, but working with a healthcare provider knowledgeable about this life transition can infinitely improve your experience.

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Preventing hot flashes with lifestyle adjustments

Whether or not you’ll experience hot flashes is mainly out of your control, but you may start to spot patterns or triggers by becoming more mindful of what you’re doing, wearing, or eating when they occur. This self-awareness can be a powerful tool, helping you possibly reduce the frequency and intensity of your hot flashes. 

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Triggers for hot flashes can vary significantly from person to person, but common ones include: 

• Alcohol - especially red wine
• Bending over
• Caffeine
• Eating spicy foods
• Feeling stressed or anxious
• Hot weather or being in a hot room
• Using hair dryers or curling irons
• Smoking or being exposed to cigarette smoke
• Tight clothing
• Poor sleep

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To figure out what might be triggering your hot flashes, start keeping a journal about your symptoms. Write down everything you can think of related to each hot flash in your journal. What were you doing right before it happened? What had you just eaten or drunk? How were you feeling emotionally? What were you wearing? 

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Keep your notes as detailed as possible. After a few weeks, look over your entries to see if you can identify any patterns. Once you've identified potential triggers, work on avoiding them. This might mean making some changes, like cutting back on caffeine, wearing looser clothing, or learning new stress-management techniques. Remember, figuring out which changes work best for you might take some trial and error, so be patient with yourself.

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Review your medications

You should also consider whether any medications you take contribute to your hot flashes. Certain medicines, including some high blood pressure and cholesterol medications, can trigger hot flashes in some women.

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It's important to review all your medications, including over-the-counter drugs and supplements, with your healthcare provider. They can help determine whether any of your medications could be causing or exacerbating your hot flashes and discuss possible alternatives if needed. Never stop taking a prescribed medication without first consulting with your healthcare provider.

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Medical Treatments

When lifestyle changes aren't enough, it's time to consider medical treatment. Society has taught us that menopause is something that women must endure as a “normal part of life” and that the symptoms are something we can cope with. 

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We disagree. 

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Addressing the root cause of the symptoms you’re experiencing during menopause can help you find relief and enjoy these years of your life rather than simply “getting through” them. 

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Hormonal Hot Flash Treatments

Hormone Replacement Therapy (HRT) is the gold standard for managing hot flashes. HRT helps replace the estrogen lost during perimenopause and menopause, thereby alleviating symptoms. 

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Bio-identical hormones offer a more natural approach to hormone therapy. They are chemically identical to your body's hormones, which makes them different from the synthetic hormones used in traditional HRT.  Bio-identical hormones can be found in both FDA-approved prescription products and pharmacy-compounded products. Compounded bio-identical hormone therapies are tailored to your individual hormone needs and are another method of effectively treating your menopause symptoms. 

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Before starting any form of hormonal treatment, it's crucial to have a thorough discussion with your healthcare provider. Together, you can weigh the potential benefits against the risks and side effects, which can vary depending on your personal health history and the specific hormone therapy used. 

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Hormone therapy is usually safest and most effective when initiated within the first ten years of menopause and is often recommended for a limited period. Regular follow-ups with your healthcare provider are essential to monitor your response and adjust your treatment as necessary.

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Non-Hormonal Hot Flash Treatments

In addition to hormonal treatments for menopause, non-hormonal medications such as gabapentin, selective serotonin reuptake inhibitors (SSRIs), and clonidine have also been effective in reducing hot flashes.

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In May 2023, the FDA approved a new non-hormonal medical treatment, Vezoah, or fezolinetant. Unlike HRT, fezolinetant blocks a specific neuron receptor in the brain that signals to increase body temperature. For women who can’t use or don’t wish to use hormonal treatments or SSRIs, Vezoah may provide the relief you’re looking for.

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As with most medications, there can be side effects such as diarrhea, abdominal pain, insomnia, and potential liver effects. However, these are generally not common and are manageable with regular monitoring by your healthcare provider. 

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What’s most important if you’re suffering from hot flashes is understanding that you don't have to suffer in silence. Many options are available to transform your menopause journey from a phase of endurance to a period of well-being. Remember, each woman's experience is unique, and so is her path to relief. With the right support, guidance, and a proactive approach, the horizon is bright for managing your hot flashes.

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Cardiovascular disease (CVD) is a leading cause of death worldwide, with millions of people affected by it every year. It is a complex disease with various risk factors, such as smoking, hypertension, high cholesterol, and obesity, among others. Early detection of CVD is crucial for prevention and treatment, and imaging tests such as the calcium scan and CT angiography (CTA) can help identify people at risk. Let’s explore the differences between calcium scan and CTA, their benefits and drawbacks, and how they can help prevent CVD.

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Calcium Scan

A calcium scan is a non-invasive imaging test that uses low-dose X-rays to measure the amount of calcium in the coronary arteries. Calcium in the arteries is a sign of plaque buildup, which can narrow the arteries and increase the risk of heart attack and stroke. A calcium score is calculated based on the amount of calcium detected in the scan, which can range from 0 to over 1,000.

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One of the advantages of the calcium scan is that it is low in radiation and very inexpensive, costing a few hundred dollars. It also doesn't require contrast dye, which some people may be allergic to or have adverse reactions. However, most insurance companies don't cover it, and patients have to pay out of pocket.

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The amount of calcium detected in the scan is strongly related to the amount of plaque in the arteries, and therefore, it can help identify people at risk of CVD. However, it's worth noting that an elevated calcium score is not always a predictor of adverse events, especially in intense athletes who may have increased calcium due to their training regimen.

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CT Angiography

CT angiography is a more advanced imaging test that provides more detailed information about the coronary arteries, including the presence of blockages or stenosis. It uses contrast dye and high-dose X-rays to create 3D images of the arteries.

Compared to the calcium scan, CTA provides more information about the arteries' structure and function, making it a valuable tool for diagnosis and treatment planning. However, it is more expensive, costing $2,000-2,500, and carries a higher radiation dose than the calcium scan. Most insurance companies don't cover it, and patients have to pay out of pocket.

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CT FFR and FAI

CT angiography can also be used in combination with other tests, such as CT fractional flow reserve (CT FFR) and fat attenuation index (FAI), to provide a more comprehensive assessment of the arteries.

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CT FFR is a non-invasive test that measures blood flow through narrow or blocked arteries and helps identify people who need invasive procedures such as stents. FAI measures the characteristics of the fat around the plaque and predicts how much inflammation is around the plaque due to the fat content.

Blood Pressure and Cardiovascular Disease

High blood pressure (hypertension) is a major risk factor for CVD and is defined as blood pressure above 120/80 mmHg. Recent studies have shown that even mildly elevated blood pressure can increase the risk of adverse events, and blood pressure should not be considered a normal process of aging.

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Ambulatory blood pressure monitoring (ABPM) is a gamechanger in medicine since patients usually get their blood pressure checked in-office 1-2 times a year, which may not accurately reflect their true blood pressure. ABPM provides more accurate and reliable readings, enabling better management of hypertension.

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The Best BP Management Medication

According to Dr. Weiss, a thiazide diuretic is the best medication for managing blood pressure. Thiazide diuretics are effective

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The best way to prevent cardiovascular disease is with early detection and the management of risk factors. Two imaging tests that can help with early detection are the calcium scan and CT angiography. While both have their pros and cons, the calcium scan is a more cost-effective and low-radiation option. Managing blood pressure is also crucial, and recent studies have shown that keeping it below 120/80 can significantly reduce the risk of adverse events. Thiazide diuretics are the preferred medication for blood pressure management, but ACE inhibitors and ARBs may be more suitable for certain subpopulations. Overall, it's important to address the four risk pillars of smoking, hypertension, ApoB, and metabolic health to prevent atherosclerosis and related complications

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Cardiovascular disease (CVD) stands tall as the foremost killer among women, 1:3 to be exact. This a statistic that is both troubling and wrought with opportunity. The data paints an interesting picture: before menopause, women generally experience a lower CVD incidence than their male peers. But post-menopause, that narrative changes significantly. Even though we continue to try to place the blame on a different factor, the culprit over and over again turns out to be a dramatic drop in estrogen levels, the dominant female sex hormone.

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Looking deeper, we find estrogen isn't just pivotal for its famed reproductive role. Dive deep into its molecular dance, and you'll discover it's a natural cardioprotective agent. In laboratory settings and animal tests, estrogen emerges as a hero for the heart. Its functions are multifaceted, supporting everything from healthy mitochondrial operation to normal blood vessel dilation. But its most standout role lies in countering oxidative stress.

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Oxidative stress isn't just a fancy term thrown around in biology and biohacking labs. It's pivotal in the CVD narrative. Estrogen has this remarkable knack for fighting oxidative stress thanks to its inherent antioxidant traits. Think of it as nature's firewall against harmful reactive oxygen species and a booster for protective molecules like superoxide dismutase (SOD). Estrogen's influence doesn't stop there. It has a profound impact on the brain, guiding neurons that oversee the cardiovascular system. Plus, it's a diplomat, quelling the fire of inflammation markers associated with ailments like atherosclerosis.

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But as nature has it, post-menopausal estrogen depletion is as natural as the setting sun. This depletion makes it all the more imperative for post-menopausal women to harness other heart-healthy avenues.

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Enter phytoestrogens. Think of these as nature's mimics, imitating estrogen but with a far milder potency. Compounds like genistein and spruce lignans are not just potential aides against those pesky menopausal hot flashes; they're intertwined with heart health, too. There's intriguing evidence linking these vasomotor symptoms with potential disruptions in cardiovascular wellness.

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But our toolkit continues after phytoestrogens. Gamma-oryzanol, a treasure derived from rice bran oil, shows promise in bolstering heart health, especially when considering lipid metabolism. Preliminary studies show that it might assist in reducing cholesterol and even easing menopausal symptoms.

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Add taurine to this health-promoting lineup. This little amino acid, brimming with antioxidant properties, could be a game-changer for post-menopausal women. Early studies spotlight its potential to enhance overall antioxidant status, a beacon of hope for heart health and graceful aging.

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The conversation around heart health is complete with discussing the potent potential of estrogen replacement therapy (ERT). As the modern world pushes boundaries in medicine, ERT emerges as a pivotal player in the post-menopausal arena. Reintroducing estrogen into the body isn't just about symptom relief or a throwback to youthful vitality—it's a calculated move toward cardiovascular protection. Recent studies are increasingly leaning toward the idea that ERT can help reinforce the heart's defenses, especially when initiated close to the onset of menopause. ERT bridges the post-menopausal cardiovascular gap by actively mitigating the sharp drop in estrogen, a hormone intrinsically linked to cardioprotection. However, like any medical intervention, ERT isn't a one-size-fits-all. The decision to embark on ERT should be deeply personal, guided by thorough discussions with healthcare professionals and an understanding of both the benefits and potential risks.
In sum, while the natural ebb of estrogen post-menopause is undeniable, it's far from the end of the story. The path to heart health is paved with innovative solutions, from phytoestrogens to taurine. For the women navigating the post-menopausal journey, embracing these nutritional allies might be the key to a heart-healthy future.

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Bi-est hormone cream, also known as"bi-est cream," is a type of hormone therapy that can be used to help balance hormones for those experiencing menopause symptoms. It's a combination of bioidentical estrogen and bioidentical estriol.

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Bi-est 80/20 refers to a specific ratio of the three estrogen hormones found in Biest hormone replacement therapy. The"80/20" refers to the ratio of estradiol to estriol. In this specific ratio, 80% of the hormone mixture is estradiol and 20% is estriol. This ratio is commonly prescribed because estradiol is the most potent of the three estrogens and is responsible for many of the beneficial effects of estrogenre placement therapy, while estriol is a weaker estrogen that is believed to have fewer side effects. This ratio is commonly prescribed to alleviate symptoms of menopause and to help prevent bone loss. However, it's important to note that it's always best to consult with a healthcare professional before starting any hormone replacement therapy.

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During menopause, our bodies go through changes that can lead to symptoms like hot flashes, night sweats, and mood swings. Bi-est hormone cream can help by providing the body with the hormones it needs to balance out these changes.

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The great thing about bi-est cream is that it's made with bioidentical hormones, which means they're chemically identical to the hormones produced by our bodies. This makes them safer to use and less likely to cause side effects than traditional hormone replacement therapy.

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The estrogen component in bi-est cream can help reduce hot flashes and night sweats, as well as improve vaginal dryness and bone health. The progesterone component helps to balance the effects of estrogen and can also help with mood swings and sleep disturbances.

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Many women have found bi-est cream to be very helpful in managing their menopause symptoms and enjoying a better quality of life. It's important to note that everyone is different and what works for one person may not work for another. It's always best to consult with your healthcare provider to determine if bi-est cream is right for you.

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It's also important to mention that bi-estcream should not be used as a form of birth control. It's also not recommended for women who have had breast cancer or are at high risk of breast cancer.

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Bi-est hormone cream can be a helpful tool for managing menopause symptoms. It's made with bioidentical hormones that are chemically identical to the hormones produced by our bodies, making them safer to use and less likely to cause side effects. If you're experiencing menopause symptoms, consult with your healthcare provider to determine if bi-est cream is right for you. Remember, every person is different and what works for one person may not work for another. But, with the right treatment, you can feel like yourself again and enjoy a better quality of life during this new chapter of your life