Page 18 Minority & Small Business Week by D r . R ichard N. W aldman Keep Cool during Menopause Hot fla sh e s, n ig h t sw e a ts , mood sw ings, and vaginal d ry ­ ness are n o to rio u s sym ptom s a sso c ia te d w ith m enopause the tim e in a w o m a n ’s life when her o v aries stop producing eggs and m enstrual periods cease. An estim ated 6,000 w om en in the US reach m enopause each day, and m ost o f them will experience sym ptom s to som e degree. Simple lifestyle changes can help reduce menopause symptoms and lower the risk of disease in the fu­ ture. Consume a healthy, calcium- rich diet that includes plenty o f fruits, vegetables, and grains. Exercise Take Action Get Tested — ———— ______________ _ j Multnomah County Health Department's HIV Community Test Site offers | confidential HIV testing | with or without your name | at these locations: I Downtown Community Test Site Call 5 0 3 .9 8 8 .3 7 7 5 fo r an a p p t. j j M o n I T h u rs | Fri 4 2 6 SW S ta rk St., 6 th Floor, | P o rtla n d , 9 7 2 0 4 | “ Free with this coupon ” Northeast Health Center Ju st w a lk i n ! j regularly to improve mood, slow bone loss, and fight the mid-section weight gain that increases the risk o f heart disease. Avoid common hot flash triggers such as alcohol, caffeine, hot beverages, and spicy food. Quit smoking. Dress in layers so you can quickly cool down when you feel a hot flash coming on. If vaginal dryness is a problem, try an over-the-counter lubricant cream or gel to restore moisture, especially before sex. If your symptoms are intense enough to interfere with your qual­ ity o f life, talk to your doctor. Hor­ mone therapy, which replaces the hormones no longer made by the ovaries with synthetic hormones, is an effective treatment for some women. Antidepressants may be prescribed to help with mood, hot flashes, and vaginal dryness. Because certain types o f hor­ mone therapy have been linked with an increased risk o f health prob­ lems— such as blood clot, stroke, heart attack, and breast cancer— hormone therapy is not the best choice for everyone. Women who are good candidates for hormone October 6. 2010 therapy should take the lowest dose necessary to relieve symptoms for as short a time as possible. Compounded menopausal hor­ m one th erap y (o r so -c a lle d “bioidentical” hormones) are plant- derived hormones, hand-mixed by a pharmacist and marketed for the treatment o f menopausal sym p­ toms. The manufacturers o f certain compounded hormones claim that their products offer relief from meno­ pausal symptoms as well as preven­ tion or treatment for serious dis­ eases. However, the US Food and Drug Administration has stated that these claims are false, misleading, and a violation o f federal law. Nei­ th er co m -p o u n d ed nor herbal supplements, such as black cohosh and soy, are regulated by the FDA. Using substances that have not been tested for safety can result in negative health consequences. For m ore inform ation, visit pause.acog.org, the website de­ voted to menopausal and midlife health. Dr. Richard N. Waldman is presi­ dent o f the American Congress o f Obstetricians and Gynecologists. H ealth A H T uesdays | 5 :3 0 -7 :1 5 p m P arenting Classes - Newborns don’t come with instruction manuals but 5 3 2 9 NE M LK Jr. B lvd, 2 n d Floor, | parents and parents-to-be can learn about a variety o f topics from pain and W Public Health P o rtla n d , 97211 | childbirth to breastfeeding to infant CPR and much more. 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