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Jane's
Story - A Woman's Struggle with Estrogen Dominance
Michael Lam, MD, MPH
www.DrLam.com
(READING TIPS: For fast reading, scan through the topic headings in BOLD BLACK, important conclusions in BOLD
BLUE, and " Must Know " in BOLD RED. To jump to specific sections in this article, click on
the respective LINKS in the Contents.
| Before You Begin
Information presented here is for general
educational purposes only. Each one of us is biochemically and metabolically
different. If you have a specific health concern and wish my personalized
nutritional recommendation, write to me by clicking
here. |
Contents
Her Childhood Years
Her Teenage Years
Maturing Into Adulthood
Approaching Her Forties
Into Her Fifties- The Golden Years
Looking Back - But Little Too Late
The Smoking Gun
What Really Happened
What Jane Should Have Done
What Can Jane Do Now
What Is The Moral Of The Story
Her Childhood
Years
Little Jane stood by her mother's grave sobbing uncontrollably.
Her mother had just passed away due to the dreadful breast cancer.
As she placed some flowers on her grave, Jane could not understand fully why
her mother had been taken away from her. After all, at the tender age of 10
years old, Jane could not fully comprehend the meaning of cancer and death.
Jane relied on the rest of her family to bring her up. After her mother passed
away, she managed to lead a normal and healthy childhood. At the age of 13,
Jane entered puberty and had her first menstruation. Her body changed physically
and she became more conscious of her appearance. By the time she reached eighteen
years of age, she had a nice and fully developed body. She was very attractive
and had many boyfriends.
Her Teenage Years
 Jane
took birth control pills during the last two years of her high school.
After she entered college, she took less of it as she became sexually less active.
Due to her increased workload in college, Jane did not devote much time to exercise
although she did go to the college gym for a simple work out with her girlfriends
at least once a month. During her college years, her appetite was good and she
began to put on a little weight as she craved
for sweet desserts like chocolate ,donuts and ice cream. She is not
obese by any means.
Maturing Into Adulthood
Upon graduation, Jane found a job as an advertising executive in a large corporation
in the city. To save traveling time, she moved from the suburb where she was
living into the city. She bought a charming house that was quite near her workplace.
Unfortunately, this house was rather old and needed periodic disinfections
of termites.
A few years later, at the age of 25, she met her husband and was married. She
was a good wife and kept her home tidy and neat. They maintain a garden, and
to keep the flowers free of insects and pests, pesticides has to be used
regularly.
Jane became a workaholic. She worked an average of 12 hours a day. Her
bosses recognized her talents and efforts and promoted her to middle management
a few years later. Jane was ecstatic and felt a sense of achievement. She was
only in her thirties and she already had a staff of 20 people under her. Her
personal office had a panoramic view of the city.
Jane's work was mainly sedentary. She had plenty of meetings to attend, both
locally and overseas. Her job responsibilities included meeting important clients,
business development as well as new strategic developments for her company.
Jane was grateful that despite her stressful life at the office, her
health was good. Her hormonal history was actually quite mundane. When she was
in her teens, her periods were regular and normal. It was only after her marriage
that she would miss a period here and there, especially
when she was under severe stress at work.
In the office, Jane drank 1 to 2 cups of coffee to keep herself awake and alert. She
was told that coffee is not good ,and over the years, her coffee intake has
reduced, while she replace it with black tea. When she traveled, she would skip her regular exercise program, as
she just simply could not afford the time. Gradually, she gained more weight,
especially in the waistline due to the lavish meals rich in meat and alcohol
during her course of entertainment with clients.
Being a career woman, Jane believed that she had managed her life well enough.
Despite her long working hours, she still managed to get about five to six hours of sleep a night, and at
least one weekend off a month to be with her family. Next to her room is a street lamp which also serve as a night light in
her room as some of the light from that lamp shines into her room if the blinds
are not drawn closed.
After five years of marriage, she gave birth to her first child at the age of 31. Following
the birth, Jane's period started to become irregular. She began to notice the
onset of slight headaches, bloating, cramps and felt irritable around the mid-cycle
in her period. She ignored these symptoms as they did not really hurt her too
much and continued to work just as hard. On days when she was unable to cope
with the symptoms, she would resort to taking an aspirin or perhaps a few hours
of sleep to recuperate.
Once, she visited her family doctor to find out
if anything was amiss. He assured her that these were normal premenstrual symptoms
(PMS). As the symptoms did not affect her greatly, he just told her
to learn to live with them.
At age 33, Jane gave birth to her second child, a daughter. She decided that two is enough. Her doctor suggested a simple procedure
called tubal ligation where the fallopian
tubes were tied. This was the best way for birth control, according to her doctors.
She had it done and it was uneventful. With the
passage of time, her PMS symptoms progressively gotten worse. When she is under stress, she would also miss
a period here and there. She is a strong women, and she is able to
continue her work schedule without much interuption. Once or twice she needed
to take time off during the PMS to stay home and rest. More prominent hyper-pigmentation would appear on her face whenever
she had her periods.
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