Are menopausal symptoms just an extension of PMS?
Please review Table 2 for some of the common factors which can aggravate both PMS and menopausal symptoms.
SEVEN FACTS YOU SHOULD KNOW ABOUT THE USE OF ESTROGEN
l. The rising incidence of uterine cancer coincides with the increases in sales of estrogen pills which have more than quadrupled since 1962. 
2. In 1975 the New England Journal of Medicine reported that Estrogen Replacement Therapy (ERT) is associated with a 5 to 14 times increase of a woman's chances of developing cancer in the lining of the uterus. 
3. A study conducted by medical researchers at Harvard University, the University of Louisville and the National Cancer Institute showed that estrogen use was associated with 30% more breast cancer cases than expected and concluded that the use of estrogen increases the risk of developing breast cancer.  That report also showed that many women receive from 3 to 5 times as much estrogen as they need for normal body functioning. 
4. Women do not stop producing estrogen during the menopausal years. When the ovaries begin producing less estrogen during the normal aging process, the body's adrenal glands and other extraglandular sources begin producing estrogen to compensate for the loss. In fact, there are healthy women in their 70's and 80's whose bodies are still producing estrogen! 
5. Heavy and sore breasts and water retention (a common symptom of PMS) is often caused not by a lack of estrogen, but rather a lack of progesterone. 
6. The "PAP Smear" test is not an accurate guide to the need for estrogen. 
7. Adding estrogen pills to an already high level of blood estrogens may do more harm than good! How many physicians who prescribe estrogen run a total estrogen blood test (Estradiol, Estrone, Estriol) before they prescribe Premarin� or other estrogens? Tests might show that total estrogen levels are already higher than normal in a large number of women. Why should these women be prescribed even more estrogen and perhaps worsen their symptoms and cause new health problems?***********PLEASE NOTE***********
Although we definitely caution against the overutilization of estrogen and make a strong effort to alert our patients to its many possible harmful side effects, it may be necessary, in certain medical conditions such as true estrogen deficiencies, to use estrogen in order to restore the body to a more normal hormonal balance.
Next Chapter 6 : HYPOGLYCEMIA