Menopause and Perimenopause Specialists

San Fernando Valley Los Angeles Menopause Doctor, Anju Mathur, M.D. of Angel Longevity Medical Center helps women through life transitions that occur with menopause, perimenopause and hormone decline. While most women naturally lose their hormones between the ages of 40 to 50, other factors such as stress, lack of nutrition, poor sleeping habits, lack of exercise, smoking, and excessive alcohol intake can also cause hormones to decline. Some women may also lose hormones due to a hysterectomy or the removal of an ovary.

Perimenopause & Menopause

The right balance of hormones is important to long-term emotional, mental, and bodily health, and factors such as aging, stress, obesity, and poor nutrition can negatively affect hormonal balance. When hormones fall out of balance, Dr. Anju Mathur’s Wellness Program encompasses the use of bio-identical hormone replacement therapy, which can provide relief from perimenopausal and menopausal symptoms, and it may also help minimize the risks of cardiovascular disease, Alzheimer’s, osteoporosis, and some types of cancer. Bio-identical Hormone Replacement Therapy can underlying hormonal deficits and imbalances stemming from many causes to improve the overall sense of wellbeing; however, in aging women, it is most commonly used to reduce the symptoms of perimenopause and menopause.

Perimenopause  & Hormonal Decline

Perimenopause usually sets in around the early 40’s; however, women can experience it as early as the mid or early thirties. During this phase, the ovaries begin to produce less estrogen and progesterone, which causes women to experience changes. Usually, women first notice changes in their menstrual cycles, and the menses may become irregular, heavier, lighter, later, or earlier. Some women may experience amenorrhea, infertility, or anovulation. Because progesterone rules the menstrual cycle, waning levels of this hormone can cause these changes. In some cases, perimenopause can last from 10 to15 years before clinical menopause begins. Other symptoms of perimenopause may include:

  • Increased PMS Symptoms
  • Bloating
  • Migraines
  • Acne
  • Fatigue
  • Low Libido
  • Irregular Periods
  • Insomnia
  • Breast tenderness

Menopause & Hormonal Decline

Menopause affects millions of women each year, and it occurs when the menstrual cycle ceases, which marks the end of a woman’s natural childbearing years. Menopause is neither a disease nor an illness; it is a natural and usually gradual change in glandular function when major hormonal shifts occur as a result of ovaries not producing estrogen and progesterone. On average, this occurs at age 52, but can occur much earlier or later. As a woman enters into menopause, her hormone production may fluctuate wildly, which can cause a number of symptoms to occur. Some of these menopause symptoms may include:

  • Hot flashes
  • Moodiness
  • Depression
  • Low Libido
  • Sleep Problems
  • Memory Loss
  • Weight Gain
  • Anxiety
  • Increased Skin Wrinkling
  • Hot flashes
  • Fatigue
  • Night Sweats
  • Thinning Bones

I’ve been doing the hormone treatment for approximately 11/2 months. I wasn’t sure I’d stick with it because I had a lot of pills to take, not my favorite thing to do-at all. But I managed it remarkably well taking them and have amazing results. I feel way better than I have in years. Pains have gone away. Hot flashes have pretty much gone. I have more energy and have confronted things I put off for a long time. Looking forward to improvement more. Best thing that’s happened to me in along time.

– Carole S.

“I started hormone replacement therapy in January for hot flashes, night sweats, And “the jitters”. 4 months later, I have no hot flashes, no night sweats and I am more calm and happy, with a relaxed peaceful energy!

Thank you Dr Mathur.”



Estrogen Dominance & Hormonal Imbalance

Women going through perimenopause or menopoause run the risk of developing estrogen dominance.

The increasingly popular term Estrogen dominant does not mean women have too much estrogen but that they have too little progesterone in relation to their estrogen levels, even if the estrogen level is actually also low. There is an ideal ration between the two hormones. Women can actually have normal or even low levels of estrogen, but when they have diminished levels of progesterone, estrogen dominance results. Because estrogen is a proliferative (cell growing) hormone, too much of it without progesterone to balance it will cause problems such as Fibrocystic Breast Disease, Water Retention, Heavy or Irregular Periods, Endometriosis, Breast or Uterine Cancer, Hypothyroidism Symptoms, Migraines, Belly Weight Gain, and Bone and Mineral Loss. Balancing hormones can prevent estrogen dominance and prevent the many health concerns associated with it.

Other Hormones For Women

Balancing the levels and ratio’s of estrogen and progesterone is important, but women may also need their Thyroid hormone, DHEA, and testosterone balanced. These hormones are important to overall health and wellness, and they can decline with aging. Thyroid Hormone controls all aspects of metabolism and extracts energy from the cells and food. DHEA helps to reduce inflammation and allergies, while increasing youthfulness. Many women are also deficient in testosterone. While testosterone is often considered a male hormone, it is a critical hormone in women as well. Replacement therapy with natural testosterone can increase sexual desire, energy levels, muscle tone, and improve feelings of emotional well-being.

Bio-identical Hormone Replacement Therapy & Hormonal Decline

Dr. Anju Mathur specializes in treating and correcting symptoms using natural hormones, and she performs testing before and after treatment. For last 50 or so years women in this country have been prescribed Premarin and Provera. Premarin is a synthetic form of estrogen and is made from the urine of pregnant mares. Provera is synthetic progesterone and does not have the same functions as natural progesterone. Most women get the same dose of medication and usually do not have their hormone levels checked.

Dr. Mathur only uses bio-identical hormones, which are identical in molecular structure and function to the hormones produced in the human body. For this reason, they can be easily metabolized and used in the body without producing harmful or inconvenient side effects. Most women experience estrogen deficiencies with aging, and estrogens promote youthful cell growth in organs of the body. Some of the benefits of bio-identical estrogens include:

• Enhanced skin smoothness, firmness and elasticity

• Enhanced moistness of mucus membranes

• Enhanced muscle tone

• Enhanced sex drive

• Reduced risk of osteoporosis

• Reduced risk of colon cancer

• Improved memory and neurological function

• Greater feeling of well being.

At Angel Longevity Medical Center, Dr. Mathur takes a different approach to hormone replacement therapy. She carefully measures a woman’s entire hormone panel, not just female hormones such as estrogen, so that she can tailor a replacement program specifically for the individual. Hormones are available through compounding pharmacies in a more custom hormone dose formulation. In this way, she brings all of the hormones into balance, allowing patients to feel years younger.

Besides bio-identical hormones, Los Angeles Menopause expert Dr. Mathur can provide other therapies that help to improve perimenopause and menopausal symptoms. Nutrient IV Infusions can help to improve the effectiveness of bio-identical hormone replacement therapy. Because many women complain of weight gain during hormone decline, Dr. Mathur can also provide a Physician Supervised Medical Weight Loss program and nutritional supplements, recommendations for life style changes, whole food suggestions, and dietary plans.

Learn how Los Angeles Menopause and Perimenpause specialist, Dr. Anju Mathur’s Wellness Program can allow women to painlessly transition through these different phases of life and call 818-930-5706 to schedule an appointment or set up a consultation.

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