Hi Cynthia,

I am almost 50 and officially in menopause according to my FSH levels and cessation of periods since August. I have had a headache since 11/08. i now have noticed that I have what appears to be a prolapsing urethra. My OB/Gyn prescribed Premarin vaginal cream. What do you think of this and are you aware of a natural or homeopathic formula? I need something as I have a lot of vaginal discomfort and I don’t want the prolapsed to get any worse. I am very thin and know that this is not good as there is no excess fat for hormone storage/production.

I appreciate any advice, Teresa.

Hi Teresa,

Unfortunately I don’t have a lot to offer on this issue because my knowledge base on hormones and menopause is very elementary in comparison to the extent of knowledge that is required to address your issue adequately. So, I encourage you to find a knowledgeable physician who practices alternative medicine and has expertise with hormone imbalances and bioidentical hormones.

A prolapsing urethra that occurs after menopause is usually caused by the loss of estrogen in the body, which is why your physician has prescribed the Premarin. I am not an advocate of synthetic hormones, so again I encourage you to find an alternative medicine doctor that uses bioidentical hormones. Bioidentical hormones are safer and address the problem more thoroughly. I’m sure you’re aware there are numerous possible side-effects with Premarin like cancer, stroke, heart attack and blood clots.

Yes, this is one of those times when being thin does work against you. It is true that thin women have no where to store hormones and they often have more difficulty with hormone imbalance because of this.

Chronic headaches can be the result of many factors and hormone imbalance is one of the most common. If you didn’t have an issue with headaches prior to menopause, then hormones are probably your primary factor and they too could be relieved with bioidentical hormones.

However, chronic headaches are often the result of unidentified food sensitivities, TMJ, candida overgrowth, and low blood sugar so I would look into these factors as well.

I’m sorry I don’t have more to offer.

All the best
Cynthia