#117 Menopause and chronic pain. Hormone replacement therapy, supplements and exercises.

In this video Doctor Andrea Furlan talks about the effects of menopause in the woman's body. There are symptoms and consequences of menopause. Symptoms are hot flashes, irritability, weight gain, insomnia and vaginal dryness. Consequences are silent changes that the woman will not notice, and they can be osteoporosis, changes in fat distribution, changes in the pain system, including the lower production of endorphins, and sarcopenia. Sarcopenia is loss of muscle mass and substitution of muscle by fat.
Hormonal replacement therapy (HRT) is not indicated to treat chronic pain in menopausal women. HRT is indicated when there are symptoms of menopause. There is no diet or vitamin to increase the production of estrogens.
It is very important to maintain physical activity during menopause.
Dr. Furlan is a pain specialist in Toronto Canada. She is a physiatrist (specialist in Physical Medicine & Rehabilitation). She holds a medical degree from the University of Sao Paulo and a Ph.D. degree from the University of Toronto. She has 30 years of experience helping people with chronic pain to get better quality of life.
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ALERT: This video is not intended to replace medical advice. If you think you have a condition that is causing you pain, please consult with your doctor to get a diagnosis and a treatment plan for you. The intent of this video is only for educational purposes. If there is any emergency, go to the nearest emergency department or call an ambulance. CLOSED CAPTIONS in this video have not been professionally verified.
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[@aliciabrandt7889]

Absolutely, hormones affect pain and fibromyalgia. Im in early menopause and have cycles of flairs according to where my hormone levels are at throughout each month.

[@drnajwaabdullahut6505]

Great mam. I myself is a interventional pain doctor from india. Your videos are very productive and useful in my practise too. I used to share some of your exercise videos to my patients🙂👍🏻

[@DrAndreaFurlan]

Glad to hear that

[@teresacrowley4076]

thanks Dr Andrea. This video is very informative.

[@DrAndreaFurlan]

Hi Teresa. I'm glad you think so. I'm trying to make videos that people will find useful. Let me know if you have any idea for future videos. Please share the channel with your friends. kzbin.info

[@jakesyaseen8494]

Chronic pain and symptoms Well explained thank you for sharing this knowledge ❤️ from Johannesburg South Africa 👍💕

[@DrAndreaFurlan]

Hi Jakes, I'm glad you like it. Greetings from Canada. Please share the channel with your friends. kzbin.info

[@HealthnMewithDrSwati]

Very nice information for women and their family members. Thankyou madam

[@mariateresaspagliardi4692]

Dottoressa Furlan, i suoi video sono sempre molto interessanti e utili... grazie, tanti saluti e buon lavoro 🤗🙋🏼🥰🇮🇹

[@DrAndreaFurlan]

Hi Maria Teresa. I'm glad you like it. Please share the channel with your friends. kzbin.info

[@sharmisthapancholi3109]

This is a very great awareness video of all women.very very useful .I needed this video earlier when I had menopause, I am going to send this video to my daughter now that she is going to turn 40. Thank u very much for your good video .God bless u dear .🙏🌹💕💕

[@DrAndreaFurlan]

Glad it was helpful!

[@hildamartinez4042]

Hola Dra. Muchas gracias por la información! Bendiciones y saludos desde la Ciudad de México.

[@DrAndreaFurlan]

Hi Hilda, I'm glad I can help. Please share the channel with your friends. kzbin.info

[@quartzlimestone4510]

Thank you Dr Andrea. 🙏🏻

[@DrAndreaFurlan]

You are so welcome!

[@user-yl5gj9su7u]

👍👏👏🙋‍♀️ Ευχαριστώ τα είπατε τόσο κατανοητα. Χαίρετε από Ελλάδα 🇬🇷

[@DrAndreaFurlan]

Thank you. Please share the channel with your friends. kzbin.info

[@happygoluckystar8069]

There are huge benefits. The pain in joints and mussles are getting away when a menopausal woman takes. HRT. Been there - done that, trust me. It works! 😎

[@DrAndreaFurlan]

Thank you for sharing that.

[@remuspierre7573]

Awesome stuff

[@DrAndreaFurlan]

I am glad you like it.

[@ferdabasak6806]

Thank you

[@dr.vigneshkumarphdphysioth6585]

Good explanations dr andrea about menopause & incidence of chronic pain . I have got many women patients with hip knee osteoarthritis above 45 itself with premature menopause history taking calcium supplements along with physiotherapy ..really osteoporosis sarcopenia are challenging it predisposes senile issues prematurely. So I think diet physical exercises you have shown in demo ( osteoporosis) and if need supplements advice properly from drs and physiotherapist advice of tailor maded exercises programme may prevent severity ...post menopausal women ....its a great awareness video of all women . Dr andrea .

[@sharmisthapancholi3109]

U are right .I agree with u .🙏

[@sharmisthapancholi3109]

Dr vigensh .🙏

[@dr.vigneshkumarphdphysioth6585]

@@sharmisthapancholi3109 thank you madam

[@lisaanne2525]

Just listened to a podcast (Liz Earle) and she said in the UK they can go on HRT indefinitely; she mentioned ‘NICE’ recommendations have changed.

[@DrAndreaFurlan]

Thanks for sharing!!

[@happydancingPritiBharti]

Thank you 🙏 doctor

[@DrAndreaFurlan]

Always welcome

[@mihaeladog7187]

Your voice is so kind soothing 😇

[@DrAndreaFurlan]

Thank you.

[@lindacarmelle8333]

I have CRPS and now I am going through menopause. I am surprised ,but laughing at myself too,because the hot flashes are not as bad as I thought they would be since I went through the Hot type of CRPS first🤣🤣🤣(Still experiencing that by the way.) In all seriousness though and to add to the subject I just had covid,for me I had the symptom of losing my voice and having my throat close. I did go to the E.R. and receive treatment ,plus Paxlovid. I still couldn't eat for another 6 days, the paxlovid made me so nauseous and sick. I lost 5.5 lbs in the 6 days. That was the end of September and 1st week of October. I am eating normally again now,but I did NOT gain the weight back. If I am understanding your educational video the symptom of losing muscle and gaining fat in the middle is a symptom of menopause. It was 1 of the "silent" symptoms that is not always noticeable to women. During covid I did feel very week for 2 weeks , coughing caused weakness in the core muscles and of course sitting around to do nothing but give the body a chance to heal didn't help much. I went from 105.5 to 100 lbs in a week. Since eating normally now I am back up to 102lbs. Should I worry about those 3 lbs that didn't come back if it was a muscle loss? I can't quite exercise yet like I was still tired and weak from not sleeping during covid and the CRPS getting crazier during that time. But my exercise routine is mainly stretching since I have CRPS and Scoliosis cardio exercise is not something I can do. Is there anything else I can do to increase muscle in my core that is not cardio? Maybe you have a video you can recommend? Thank you! This video was very informative!

[@lindacarmelle8333]

Also wondering does menopause result in hair loss for women? My doctors initially said it was the surgery or developing CRPS ,but its been over a year and a half.....that is why I was wondering if menopause would cause hair loss instead. I would think the surgery or the CRPS wouldn't continue for a year and a half....but that is my uneducated guess .

[@francesbernard2445]

Too much these days gets blamed on only menopause and on advancing old age. And so I agree that it is wrong to hope that hormone replacement therapy can solve all health problems for an older woman by only offering her hormone replacement therapy. Instead of for example offering older women too opportunities to get enough weight bearing exercise daily after being past child bearing age during for example school and then paid work at more than only ever minimum wage. Am I ever glad to have made the decision to change family doctors to one who agrees with me on that idea instead of me dwelling on any of my chronic ailments which are being experienced in his better for me and successful treatment plan which does not include any kind of hormone replacement therapy. Instead of only all of the pills, patches and the suppositories too including pills to replace youthful Testosterone for women too levels which some other doctors were often telling me that I should not according to them be ever living without. Are pharmaceutical companies offering incentives to family physicians to prescribe synthetic hormones or what? How else can we explain after I went to a college campus walk in medical office looking for help with what seemed to be a lung infection symptoms after instead of being helped when only getting asked there over and over again if I had vaginal dryness then later after I refused to ever go see that doctor ever again I found out from my youngest son that he was told by probable the same only doctor available there that in his opinion he had too high of Testosterone levels and so he needed a drug to lower those levels instead which may have instead been one of those new kind of birth control prescriptions available to men now too.

[@remuspierre7573]

Did 140,861 push-ups total in the month of October 31,2022

[@DrAndreaFurlan]

That is a lot

[@monaqweder9580]

Anew nice video. What about Prime rose oil in this stage?

[@DrAndreaFurlan]

Goo question Mona. I'll take a look.

[@lathavaratharajan5071]

My doctor said all problems are natural process and to go through it😅

[@nonamansour5619]

Ok, I am in menopause, but if I take estrogen and progesterone medications. Does muscle mass return and osteoporosis disappear? Not satisfied with calcium and anti-inflammatories. And vitamin D. Knowing that I've been feeling hot flashes for five years now, I can't stand this feeling. What do I need to stop this?; thank you Doctor

[@DrAndreaFurlan]

Hi Nona, I hope you can get the answers from your doctor. All the best.

[@DrAndreaFurlan]

Hi, I just released a video about Calcium for osteoporosis. kzbin.info/www/bejne/gqHWd56Xid-Zj9Esi=dNxjzv62bVVLJPZN

[@malinidewan6025]

It’s not good to me at all too much inflammation in the bones, pain too much 🙏🙏

[@maysmith7994]

Thank you doctor. How about lack of testosterone in women. What type of problems it causes? And can we have HRT and do another type of treatment for lack of testosterone at the same time?

[@DrAndreaFurlan]

Hi May, we don't recommend women to take testosterone, or they will start developing male features.

[@maysmith7994]

@@DrAndreaFurlan many thanks for the response doctor. My testosterone is next to nothing and I have a few numbers of problems such as low libido, back pain, headache, I am losing hair on my temples and my is receding. I do exercise everyday for my backpain but it seems I cannot build some muscles. Does low testosterone in women not cause heart disease and low bone density and the above problems I mentioned. I really would appreciate if you would answer. Thank you

[@NMW80]

Do you take progesterone and estrogen hrt? I think some progesterone will convert to testosterone. Or you can always get some dhea which helps testosterone levels too if the doctor won’t give you low dose testosterone with the hrt

[@swarupmandal2025]

❤❤❤

[@DrAndreaFurlan]

Thank you Swarup! Please share the channel with your friends. kzbin.info

[@teddyboy252]

Smart and beautiful

[@DrAndreaFurlan]

Thanks

[@jayadama1301]

Dr.Furlan when menopause is very safe?

[@DrAndreaFurlan]

I answer that in the video.

[@Liz-jp9ro]

Thank you for the information. I have no estrogen due to menopause but also bc I had a hysterectomy a few years back at age 54(now 56). However I cannot take (per my endocrinologist) Hormone replacement therapy bc I had a cryptogenic stroke end of last year. So there goes that solution. I do take vitamin D prescribed once a week. But read something about calcium (which I need I also have some osteopenia) that it can increase your cholesterol is this true?? My cholesterol was a little bit high so I’m on a statin of course since stroke though they don’t know why I had it. I want to take calcium that pcp prescribed but does this increase cholesterol? Btw, I don’t know if i feel privileged to have menopause lol 😂bc I don’t. 😂

[@DrAndreaFurlan]

Hi, I just released a video about Calcium for osteoporosis. kzbin.info/www/bejne/gqHWd56Xid-Zj9Esi=dNxjzv62bVVLJPZN

[@myintooo5695]

❤❤❤❤❤💯🙏

[@TheAMBULOCETUS]

I’m in menopause and I’m begging my doctor for HRT and she doesn’t want to give it to me. I’m still working and I’m in pain. Funny that doctors will give HRT to men and boys no problem who want to become women. I’m outraged by this because real women are often denied. Canada has become a cesspool.

[@shahramafaghi3241]

🧘‍♂️💆‍♂️

[@victoriamurphy9337]

i am 59 years old. my stop 2020, i eat seamoss later that evening my peiod come on,

[@obibenedeth3172]

please dear, what is seamoss

[@usmantahir2659]

Menopause age

[@DrAndreaFurlan]

Yes, the joys of getting old.

[@shahramafaghi3241]

🧘‍♂️💆‍♂️