by Guest | Dec 28, 2024 | Being Well, Featured, Uncategorized
With the introduction of hormone therapy in the 1960s, women flocked to their doctors to treat their menopause symptoms. The therapy was groundbreaking and provided relief for millions of women. The treatment grew in popularity until the early 2000s. The use of hormones abruptly dropped after a women’s health study raised serious concerns over risks. With few other options available, the fallout from the study left an entire generation of healthcare providers struggling to treat women in their menopausal years. This gaping hole in women’s health is now getting addressed with more education, research, and a look back at that sentinel study that stopped it all.
What is menopause
Natural menopause occurs when a woman or person identified as female at birth has gone 12 months without any period. This defines the end of not just menstruation but also the end of fertility, as the ovaries are no longer functioning as effectively. This decreased function results in less hormone production, primarily the estrogen hormone. An estimated 1.3 million women enter menopause each year, with approximately one-third of their lives spent in menopause. The average age for natural menopause is 51 years. But symptoms may begin up to 10 years before menopause in what is known as perimenopause or the menopause transition.
Surgical menopause involves removing both ovaries with a surgery known as an oophorectomy. The removal of ovaries relates to medical issues, which can occur at any age. The missing ovaries will trigger menopause symptoms due to the lack of hormones they typically produce.
Common Menopause Symptoms
| Hot flashes are the sudden sensation of warmth in the face, neck, or chest with or without sweating |
Night sweats are hot flashes with sweating that occur at night |
| Difficulty sleeping, which may cause daytime fatigue and irritability |
Thinning of bones (osteoporosis), which may cause bones to break more easily |
| The vaginal skin may become thin or dry, causing irritation and painful sex |
Urinary issues such as recurring urinary tract infections (UTIs) and incontinence |
| Mood changes, such as depression or irritability |
Anxiety |
| Joint pain, aches, or stiffness |
Hair loss or thinning |
| Memory or concentration problems, commonly called “brain fog” |
Heart palpitations where your heart beats suddenly become more noticeable |
| Decreased interest in sex |
Tinnitus, a constant ringing in the ears |
| Weight gain |
Increased facial hair |
Types of hormone therapy
Hormone therapy is the use of prescription medications to boost hormone levels in the body. For the treatment of menopause, this therapy replaces the declining estrogen and progesterone. For menopause, this therapy comes in two types.
Systemic therapy. Estrogen and progestin, or similar compounds, are absorbed into the blood and travel throughout the body to treat symptoms. This method is very effective at treating hot flashes. Systemic therapy comes in the form of:
- Oral pills
- Patches placed on the skin
- Gels or sprays placed on the skin
- Ring inserted into the vagina
Low-dose therapy. Also known as vaginal estrogen therapy, this medicine treats just the vaginal area in the form of topical or vaginal creams. Low doses rebuild and moisturize vaginal tissue. Because of the small doses of this therapy, there are fewer risks as only a minimal amount enters the bloodstream.
Concerns about hormones for the treatment of menopause
In 1991, the Women’s Health Initiative (WHI) began a long-term study on women’s health. The study focused on cardiovascular disease, cancer, and osteoporosis-related fractures. In 1998, the study looked at hormone therapy use with both estrogen and the combination of estrogen and progestin. By 2004, researchers had stopped both studies early after finding increased risks of heart disease, stroke, pulmonary embolism, and breast cancer. The halting of the studies made headlines, leading many women to stop using hormones. Women aged 52-65 had the greatest decline as use dropped 88% in this group.
The impact of the WHI study was profound. Few other treatments were well studied. An entire generation of healthcare providers were left lacking information on treating menopause, and women felt this. A survey in 2021 found that 73% of women ages 40-65 were not getting care for their menopause symptoms. An additional 65% said they would not consider hormone therapy.
The benefits of treating symptoms
About 70-80% of women have menopause symptoms negatively affecting their quality of life. Hot flashes are the most reported symptom and can last more than a decade. However, up to 40% of individuals will continue to have symptoms into their 60s, and up to 15% will have hot flashes into their 70s. Hot flashes affect not only physical comfort but also sleep and mood.
The tide is changing with menopause treatments. Since the WHI study, research has shown hormone therapy is safer in younger women. Starting MHT within 10 years of the onset of menopause or before age 60 poses less risk. Hormone therapy is the most effective method of treating vasomotor symptoms like hot flashes. About 80% of women get relief from symptoms within two weeks of starting hormone therapy. There are still risks, and each individual should discuss their personal risk with their healthcare provider. Risks associated with hormone therapy:
- Stroke
- Uterine cancer
- Blood blots
- Breast cancer
For many, the benefits of hormone therapy outweigh the risks.
- Reduced menopause symptoms
- Relief of vaginal discomfort and dryness
- Improved bone health
- Ease symptoms of overactive bladder
- Lower risk of cardiovascular disease
- Reduced risk of developing type 2 diabetes
But hormones aren’t the only treatments. More research backed non-hormonal options are available to treat a variety of symptoms.
When to see a healthcare provider
Menopause treatment is in the spotlight with organizations nationwide. Locally, Oregon Health and Sciences University (OHSU) began offering training on menopause care. The classes are offered statewide to primary care providers and community health partners. With this program, OHSU focuses on reaching healthcare providers located in rural areas, including Tillamook County.
The impact of menopause symptoms cannot be understated. They are disruptive for many women daily, affecting how they feel, work, and relate to others. Perimenopause and menopause symptoms last for a decade or more, yet 1 in 8 adults still avoid talking about menopause. If you have perimenopause or menopause symptoms, talk with your healthcare provider. You can discuss:
- Whether you have reached menopause
- The symptoms you have and how much they affect you
- Your health risks based on your age and general health
- Whether hormone therapy is a good option for you
- Alternative treatment options to hormone therapy
If you need assistance in finding a provider to treat your menopause symptoms, check The Menopause Society’s website for a link to menopause specialists. If you are in the Columbia Pacific CCO, look at their Find a Provider page.
Written by: Leanna Coy, FNP-BC, Freelance Health Writer
References:
Menopause definitions. (2024). The Menopause Society. Retrieved December 2, 2024. https://menopause.org/patient-education/menopause-glossary
Menopause. (2024). Society for Women’s Health Research. Retrieved December 2, 2024. https://swhr.org/health_focus_area/menopause/
Walsh, J. (January 10, 2024). How gaps in research lead to gaps in care for aging women. Harvard Medical School News & Research. https://hms.harvard.edu/news/how-gaps-scientific-data-lead-gaps-care-aging-women#:~:text=Ambrosio%3A%20Menopause%20is%20inextricably%20intertwined,third%20of%20their%20lives%20postmenopausal.
Signs and symptoms of menopause. (March 14, 2023). NHS. https://www.nhsinform.scot/healthy-living/womens-health/later-years-around-50-years-and-over/menopause-and-post-menopause-health/signs-and-symptoms-of-menopause/
Hormone Therapy. (2024). The Menopause Society. Retrieved December 2, 2024. https://menopause.org/patient-education/menopause-topics/hormone-therapy#:~:text=What%20Is%20Hormone%20Therapy?,night%20sweats%2C%20and%20sleep%20disturbances.
Kohn, G.E., Rodriguez, K.M., Pastuszak, A.W. The history of estrogen therapy. Sex Med Rev. May 27, 2019. PMID: 31147294
About WHI. (2021). The Women’s Health Initiative. Retrieved December 2, 2024. https://www.whi.org/about-whi
Iyer, T.K., Manson, J.E. Recent trends in menopausal hormone therapy use in the U.S. JAMA Network. September 27, 2024. PMID: 39331374
Elflein, J. Treatment of menopause symptoms among older U.S. women as of 2021. Statista. August 5, 2021. https://www.statista.com/statistics/1255552/treatment-of-menopause-symptoms-among-older-us-women/
The Menopause Society. September 4, 2024. Hormone therapy usage rates still low despite proven benefits. https://menopause.org/press-releases/hormone-therapy-usage-rates-still-low-despite-proven-benefits#:~:text=It’s%20estimated%20that%2070%25%20to,continue%20to%20have%20hot%20flashes.
Yang, J. (November 20, 2023). Share of U.S. adults who avoid talking about menstruation or menopause as of 2022. Statista. https://www.statista.com/statistics/1424427/menstruation-and-menopause-taboo-us/
Solving the mysteries of menopause, one conversation at a time. (October 24, 2024). Oregon Health News Blog. https://covidblog.oregon.gov/solving-the-mysteries-of-menopause-one-conversation-at-a-time/?utm_medium=email&utm_source=govdelivery
by Renee Aufdermauer | Dec 18, 2024 | Being Well, Featured, Uncategorized
Michael “Smily” Hurliman’s story begins like many others—a high school kid longing to fit in and be accepted. In his teenage years, Michael quickly became known as the guy who could bring alcohol to the party, earning a false sense of popularity. What started with drinking alcohol soon led to smoking weed, and eventually, Michael was introduced to methamphetamine.
By the age of 17, Michael’s life had already begun to spiral out of control. His first visit to rehab came that year, but quickly relapsed into a destructive cycle of drug and alcohol abuse. Trouble with the law followed. Michael later described this period not as feeling defeated, but as being depleted—there was a void he didn’t yet know how to fill.
Another stint in treatment seemed hopeful but ultimately he failed to remain clean. Michael’s addictions deepened, and he began selling drugs, further entrenching himself in a life of lawlessness. His family, heartbroken and desperate to save him, staged an intervention when he was 21 years old. The confrontation triggered a torrent of emotions, and Michael retreated to his room in frustration.
It was in this pivotal moment that Michael’s fate took a remarkable turn. Holding a nickel he considered lucky, he made a decision. “Heads, I’ll go to treatment,” he said to himself. “Tails, I’ll go on the run.” When the coin landed on heads, Michael honored the result and entered treatment once again.
This time, he stayed clean for a while, but the consequences of his past caught up to him. Arrested for crimes committed during his years of addiction, Michael faced another battle.
After serving his time on parole, Michael moved to Hillsboro in hopes of starting fresh. Unfortunately, he quickly fell back into the grip of drugs and alcohol. It wasn’t long before he met the woman who would become the mother of his son. With the news of a baby on the way, Michael and Jessica made the decision to clean up their hard drug use and try to build a better life for their growing family. For a time, things seemed to be going well. But the pull of addiction was never far behind.
As the years went on, Michael found himself struggling once again. But when Jessica was diagnosed with cancer, everything changed. She fought bravely for almost 11 months before passing away, leaving Michael in a deep state of grief and despair. Her death only worsened the hold addiction had over him.
Hit hard by the loss of his partner and the mounting pressure of his addiction, Michael reached rock bottom. He realized that he couldn’t keep running from his problems and was deeply missing his son. With a long list of warrants, unpassed drug tests, and the looming threat of prison, Michael made a life-changing decision. He called his parole officer and said he wanted to turn himself in and face the consequences.
During court, Michael learned that he qualified for rehab, a decision that would become the turning point he had been waiting for. His prayer was answered, and Michael entered treatment once again, determined to break free from the chains of addiction. This time, he committed himself to staying clean.
Michael returned to Tillamook, drawn by the support system, resources, and people who had successfully overcome similar struggles. He knew he needed to be in an environment that would help him stay on the right path. He joined the reentry program offered at Helping Hands, began attending meetings at the Serenity Club and began rebuilding his life.
Getting clean has transformed Michael in ways he never thought possible. He is now a devoted father to his 15 year old son, and has a steady job at Bob J. Johnson Flooring, and holds the position of President and Board Member of the Serenity Club, where he has served in various roles. His experiences have fueled a deep passion to give back to his community. Michael dreams of helping others break free from addiction and regain their lives, just as he has done.
Michael’s Advice for Those Struggling
For anyone battling addiction, Michael offers simple yet powerful advice: “Just show up to a meeting.” Taking that first step to connect with others who understand what you’re going through can make all the difference. Surround yourself with a clean and sober community—friends who will support and encourage your recovery journey. Building those connections is key to staying on the path toward a better life.
During his time in treatment, Michael found strength in two quotes told to him by an old guy named “1 Legged Larry” that deeply resonated with him:
“All you have to do is change everything.”
“Do the next right thing.”
If you or someone you know is looking for support on their recovery journey, there are local resources available to help:
– Serenity Club Tillamook : 5012 Third St. Tillamook, 503-842-1115 (check out their website for meeting days/times
– Celebrate Recovery : Tillamook Church of the Nazarene, 2611 Third Street, Tillamook; 503-842-2549 and St. Mary’s By the Sea, 275 S. Pacific Street, Rockaway Beach, 503-318-2370
– Helping Hands Reentry Outreach Centers- Tillamook Hope Center : Contact Brianne Prince (503) 354-8014
These organizations provide valuable support, community, and tools for overcoming addiction and rebuilding a better life. Remember, you’re never alone—help is available, and recovery is possible.
by Michelle | Aug 10, 2024 | Being Well, Featured, Move Well, Uncategorized
August is a busy month! There are several free wellness activities coming up, some of which you can learn more about at the Tillamook County Fair.
“Treasure Your Wellness” Treasure Map: This interactive map can be found at the Tillamook Library bookmobile located near the Master Gardener’s garden by the east entrance of the fairgrounds. This fun, free, and family-friendly adventure runs From August 5th to September 30th . Explore wellness destinations like Activity Island, Be Well-Nourished Bay, Community Cove and the Isle of Inner Peace. Each location includes activity challenges —volunteer, cook a healthy meal, visit a rec center, start a savings account and more. Complete at least one activity on each island and you could win incredible wellness-themed prizes, like cornhole, pickleball, and disc golf sets or the grand prize of an ATX bike valued over $500! In addition to being available at the fair, maps can be found at local library branches, Kiawanda Community Center, Tillamook YMCA, North County Recreation District and Food Roots or on- line at This Way to Well-Being | Tillamook County Wellness.
Health Literacy Campaign: Materials from our recent health literacy campaign can also be found at the Tillamook Library booth at the fair. Bookmarks and other materials highlighting important health information like finding a primary care provider, getting vital health screenings and knowing when to visit your doctor, urgent care or emergency department, are just a few topics covered. You can also find more information here. Community Health Survey: When you visit the Library Bookmobile at the Fair, be sure to take our Community Health Needs Survey. Tell us what you and your family most need to live your best life and your areas of greatest concern impacting your health and well-being. You can also take the survey here.
Financial Wellness: Visit the Habitat for Humanity booth – located in the main pavilion building, under the stairs near the fair office – for community conversations on what financial health means to you. While you are there, learn more about first-time home buying and other ways you can work toward your financial goals. While you are at the Habitat for Humanity booth be sure to sign up for:
- FUNancial Wellness Event – Come to the Tillamook YMCA, Monday, August 19th, 2024, 5:00- 6:30 PM for food, fun and financial learning opportunities for kids 3rd -6th grade. This FREE event provides kids and families an opportunity to learn about saving, spending, growing and protecting money. Kids will take home more than just knowledge with free giveaways and prizes. Learn more and register for the event here.
- Sign Up to become a “FinLit” Financial Literacy Volunteer – This program relies on volunteers to deliver free curriculum from Financial Beginnings. Classes are held in English & Spanish at multiple community locations, including Tillamook Bay Community College, Helping Hands, and Trask High School.
Volunteers can commit to as many or as few classes as works for their schedule. To learn more or to register to become a volunteer, visit Financial Beginnings (finbeg.org). If we don’t see you at the fair, here are other ways you can get information about these and future wellness events.
AUTHOR: Michelle Jenck, Adventist Health Tillamook Director of Community Well-Being
by Guest | May 17, 2024 | Being Well, Featured, Uncategorized
Fortunately, Buzzfeed has never claimed to be able to give you any medical diagnosis. But plenty of other sources on the internet walk the fine line between “this is not medical advice” and “this sure sounds a lot like medical advice”. There’s a quiz for everything, and a “cure” for everything. A problem you didn’t know you had, and the product that can solve it (for three easy payments of $19.95, plus shipping and handling!) Anything and everything to do with your health can be found with a few taps on your phone, so it’s important to recognize how media literacy ties in with health literacy.
Let’s take a step back. About 21% of US adults experience chronic pain, or pain that lasts for three or more months. Millions suffer from conditions that have no known treatment or cure. Our doctors don’t always have the answers we are looking for. After all, they can’t prescribe a treatment that doesn’t exist, or diagnose a condition that they don’t have the evidence for. And so, we strike out on our own determined to find a solution to the pain we carry every day. A solution beyond the scientific boundaries of conventional medical practice. Collectively, these solutions are referred to as alternative medicine.
Alternative medicine has real value to many individuals and cultures. That is not up for debate. For thousands of years, alternative medicine was the only medicine. However, there is potential for significant harm as these practices have expanded from healers utilizing medicinal herbs to Dr. Charlatan on the internet trying to sell you an at-home detox regimen that may very well do more harm than good. Many treatments or devices label themselves as alternative medicine when they are little more than a scam.
Here, health literacy and media literacy collide. Having the ability to recognize what information and products are legitimate and which are deceptive (not to mention potentially harmful and a waste of money) can make a significant difference in your health and quality of life. Let’s go over some questions to ask as you evaluate the validity of medical information online:
- Does it come from a reputable webpage, such as that of a university or hospital
system? Keep in mind that anyone can post deceiving information on social
media, or even on a website of their own. The website URL can give you some
clues. Websites ending in .edu=educational institutions, .gov=government agencies, .org =an organization (often non-profit), .com=commercial, and.net=network. Be particularly wary of .com and .net websites, as they could be hosted by anyone.
- Does it conflict with other reputable sources? If so, consider getting a second (or
third) opinion.
- Does the source profit off of your choice? Are they trying to sell you anything (a
device, a course, a supplement)? If they are promoting a supplement, is it their
own brand that they are trying to sell?
- Is it sensational? Black and white? Health information should be educational, not
headline-grabbing or clickbait.
- Do they have credible sources/citations?
- Is the person or organization making statements credentialed to do so? (Some
titles sound legitimate, but require no training or certification. For example,
anyone can claim to be a “nutritionist”, but “registered dietician” is a protected
title for trained professionals.)
To encourage a safe health practices, consider these tips:
- Avoid long gaps in medical care. Establish with a primary care provider (PCP)
and maintain regular visits. Let them know if anything changes with your health.
- Avoid self-diagnosing. Seek the most accurate diagnosis possible from a trained
physician.
- If you choose to take any supplements, ask your doctor if there is any risk that
they will interfere with your prescription medications. Remember that
supplements are not regulated by the Food and Drug Administration and
sometimes do not contain the product or dosage reflected on the label.
- Don’t change or stop any prescribed medications without consulting your doctor.
- Evaluate how much you are spending on alternative treatments, and whether you
are getting the positive outcomes you are looking for.
What medical treatments or information you choose to follow is ultimately your decision. If alternative medicine provides you with healing and comfort, that’s fantastic! But if you have any questions or concerns about your health, always go to a physician first. Keep up with Tillamook County Wellness’ health literacy campaign to continue learning about how you can play an active role in managing your health. And in the meantime, stick to the TikToks that teach you about gardening, not self-medicating. Be well, Tillamook!
written by Sarah Ermer, MPH, CHES, from Tillamook Family Counseling Center
Resources:
Rikard SM, Strahan AE, Schmit KM, Guy GP Jr.. Chronic Pain Among Adults — United States, 2019–2021. MMWR Morb Mortal Wkly Rep 2023;72:379–385. DOI: http://dx.doi.org/10.15585/mmwr.mm7215a1.
U.S. Department of Health and Human Services. (2024, February 13). Is this legit? accessing valid and reliable health information. National Institutes of Health.
https://nida.nih.gov/research-topics/parents-educators/lesson-plans/legit-accessing-valid-and-reliable-health-information
by Guest | May 2, 2024 | Being Well, Featured, Uncategorized
Navigating healthcare can be confusing, and knowing when and where to seek medical attention can feel like solving a complex puzzle. There are different types of medical care, including primary care, urgent care, emergency care, and online doctor visits, and each serves a specific purpose. Having a clear understanding of the differences between them is vital for maintaining your health effectively.
Primary care is your first point of contact for managing your overall health. Your primary care provider (PCP) can help with routine check-ups, preventive care, and treatment of common illnesses. Establishing a relationship with a PCP is important because they get to know your medical history and can provide personalized care and guidance. You should visit your PCP for regular screenings, vaccinations, management of chronic conditions (like diabetes or hypertension), non-emergency illnesses (like colds or infections), and general health concerns.
Urgent care centers are equipped to handle non-life-threatening medical issues that require prompt attention but are not severe enough for an emergency room visit. They offer extended hours and typically treat conditions like minor injuries, infections, and illnesses that need immediate care but are not critical. You should choose urgent care for conditions like sprains, minor burns, fever, vomiting, stitches, or other urgent but not life-threatening issues, especially when your PCP is not available.
Emergency rooms are designed to handle critical or life-threatening situations. If experiencing chest pain, difficulty breathing, sudden weakness or numbness, severe burns, or major trauma, head straight to the ER or call 9-1-1. Don’t hesitate. Use emergency care for serious injuries (broken bones, severe cuts), severe illnesses, heart attacks, strokes, or any condition that could be life-threatening.
Telemedicine or virtual visits with doctors provide a convenient way to consult healthcare professionals remotely. This option is suitable for non-emergency issues when an in-person visit is not necessary. You should consider online visits for minor illnesses (like sinus infections, rashes), medication refills, follow-up consultations, or initial assessments of symptoms.
Health literacy is a crucial skill that empowers individuals to take charge of their well-being and navigate the healthcare system effectively. Having a primary care provider is essential for several reasons, including continuity of care, preventive care, health advocacy, and chronic disease management. Your PCP manages your long-term health needs and coordinates care across specialists, ensuring holistic and personalized treatment.
When visiting a healthcare provider, whether it’s a PCP, urgent care, or online doctor, expect a comprehensive evaluation, a physical examination, diagnostic tests, and a treatment plan. Remember to communicate openly with your healthcare provider, ask questions, and voice any concerns you have about your health. Your active involvement in your healthcare journey can lead to better outcomes and improved overall well-being.
Understanding the nuances of when and where to seek medical care empowers individuals to make informed decisions about their health. By embracing health literacy and establishing a relationship with a primary care provider, individuals can navigate the complexities of healthcare with confidence, ensuring timely access to appropriate care when needed.
To learn more about Medical Services or to find a Primary Care Provider, please visit: https://adventisthealth.org/tillamook/doctors/
https://tillamookchc.org/medical-services/
https://www.nehalembayhealth.org/
Resources:
“Primary, Urgent, Emergency Care and Online Doctor Visits – What’s the Difference?” UnityPoint Health, www.unitypoint.org/news-and-articles/primary-urgent–emergency-care-whats-the-difference. Accessed 29 Apr. 2024.
