1. Please feel free to chat amongst yourselves until we begin at the top of the hour.

2. Seminar Agenda Equilibrium and the Human Body Second Cousin Tilly and Menopause Aging Male Syndrome Questions & Answers

3. Equilibrium & the Human Body

4. Equilibrium: a state of balance or equality between opposing forces ▫When a new condition is introduced into the system, an adjustment may be necessary for the system to come to equilibrium Homeostasis: the ability of the organism’s body to seek and maintain a condition of equilibrium or stability within its internal environment

5. Equilibrium & the Human Body What are some examples of the human body achieving homeostasis?

6. Menopause Quiz Most women experience menopause by age 50. ▫TrueFalse Women can experience menopausal symptoms even though they still are having periods. ▫TrueFalse

7. Menopause Quiz As a women approaches menopause, she will probably experience hot flashes. ▫TrueFalse It’s normal to experience some spotting or bleeding after menopause. ▫TrueFalse

8. Menopause Quiz Women experience increase rate of bone loss after menopause. ▫TrueFalse Urinary problems in women become more common after menopause. ▫TrueFalse

9. Cousin Tilly & Menopause What is menopause?

10. Impacts of Estrogen Decline

11. Perimenopause The period prior to beginning menopause Length ranges: ~4 years average Many begin to experience symptoms ▫Many in their 40’s ▫Some never notice symptoms

12. Cousin Tilly & Menopause What treatments exist for menopause? Why do we “treat” it anyway?

13.  Particularly characteristic In late perimenopause & early Menopause  Short-lived (3-5 minutes) Sensation of heat in upper body, face & neck  Sweating may be present  heart rate  peripheral blood flow  skin temperature

14. Options to Maintain Quality of Life NATURAL - Live a Healthy Lifestyle – Leave nature alone ALTERNATIVE – use supplements, vitamins, homeopathic remedies MEDICAL TREATMENTS – treat specific symptoms with medications as they arise HORMONAL – replace the natural substance that is missing - Prevention

15. Cousin Tilly & Menopause How safe and effective are these treatments?

16. Therapeutic options No intervention/treatment Lifestyle modification Nonprescription remedies Complementary and alternative medicine (CAM) approaches Prescription drugs Surgical procedures

17. Cousin Tilly & Menopause What are the drawbacks to these treatments?

18. Cousin Tilly & Menopause If Tilly has been a smoker all her life, how might this alter her transition through menopause?

19. Write a lifestyle Rx Stop smoking Have a nutritionally sound diet Achieve and maintain healthy weight Reduce stress Avoid excess alcohol Say no to drugs and unsafe sex Wear seat belts Exercise regularly

20. Cousin Tilly & Menopause Why are hot flashes are very rare among Japanese women? http://aje.oxfordjournals.org/cgi/content/full/153/8/790

21. Aging Male Syndrome Myth or reality? What is Aging Male Syndrome?

22. Male Menopause/Andropause Do aging males undergo a menopause like women? Yes, and not surprisingly men are not spared from a “menopause”. The andropause or the “male menopause” is the time in a man’s life when the hormones naturally decline. This event brings about psychological changes as well. Like menopause, the andropause usually occurs from fifty years onwards.