Female () is the sex of an organism, or a part of an organism, that produces non-mobile ova (egg cells). Most female mammals, including female humans, have two X chromosomes.

The ova are defined as the larger gametes in a heterogamous reproduction system, while the smaller, usually motile gamete, the spermatozoon, is produced by the male. A female individual cannot reproduce sexually without access to the gametes of a male (an exception is parthenogenesis). Some organisms can reproduce both sexually and asexually.

There is no single genetic mechanism behind sex differences in different species and the existence of two sexes seems to have evolved multiple times independently in different evolutionary lineages.[citation needed] Patterns of sexual reproduction include

Other than the defining difference in the type of gamete produced, differences between males and females in one lineage cannot always be predicted by differences in another. The concept is not limited to animals; egg cells are produced by chytrids, diatoms, water moulds and land plants, among others. In land plants, female and male designate not only the egg- and sperm-producing organisms and structures, but also the structures of the sporophytes that give rise to male and female plants.

The word female comes from the Latin femella, the diminutive form of femina, meaning "woman". It is not etymologically related to the word male, but in the late 14th century the spelling was altered in English to parallel the spelling of male.[2]

A distinguishing characteristic of the class Mammalia is the presence of mammary glands. The mammary glands are modified sweat glands that produce milk, which is used to feed the young for some time after birth. Only mammals produce milk. Mammary glands are most obvious in humans, as the female human body stores large amounts of fatty tissue near the nipples, resulting in prominent breasts. Mammary glands are present in all mammals, although they are vestigial in the male of the species.

Most mammalian females have two copies of the X chromosome as opposed to the male which carries only one X and one smaller Y chromosome (but some mammals, such as the Platypus, have different combinations). To compensate for the difference in size, one of the female's X chromosomes is randomly inactivated in each cell of placental mammals while the paternally derived X is inactived in marsupials. In birds and some reptiles, by contrast, it is the female which is heterozygous and carries a Z and a W chromosome whilst the male carries two Z chromosomes. Intersex conditions can also give rise to other combinations, but this usually results in sterility.

Mammalian females bear live young (with the rare exception of monotremes, which lay eggs). Some non-mammalian species, such as guppies, have analogous reproductive structures; and some other non-mammals, such as sharks, whose eggs hatch inside their bodies, also have the appearance of bearing live young.

A common symbol used to represent the female sex is (Unicode: U+2640 Alt codes: Alt+12), a circle with a small cross underneath. According to Schott,[3] the most established view is that the male and female symbols "are derived from contractions in Greek script of the Greek names of these planets, namely Thouros (Mars) and Phosphoros (Venus). These derivations have been traced by Renkama[4] who illustrated how Greek letters can be transformed into the graphic male and female symbols still recognised today." Thouros was abbreviated by , and Phosphoros by , which were contracted into the modern symbols.

The sex of a particular organism may be determined by a number of factors. These may be genetic or environmental, or may naturally change during the course of an organism's life. Although most species with male and female sexes have individuals that are either male or female, hermaphroditic animals have both male and female reproductive organs.

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The human female reproductive system (or female genital system) contains two main parts: the uterus, which hosts the developing fetus, produces vaginal and uterine secretions, and passes the male's sperm through to the fallopian tubes; and the ovaries, which produce the female's egg cells. These parts are internal; the vagina meets the external organs at the vulva, which includes the labia, clitoris and urethra. The vagina is attached to the uterus through the cervix, while the uterus is attached to the ovaries via the Fallopian tubes. At certain intervals, the ovaries release an ovum, which passes through the Fallopian tube into the uterus. If, in this transit, it meets with sperm, the sperm penetrate and merge with the egg, fertilizing it.

During the reproductive process, the egg releases certain molecules that are essential to guiding the sperm and these allow the surface of the egg to attach to the sperm's surface then the egg can absorb the sperm and fertilization begins. The fertilization usually occurs in the oviducts, but can happen in the uterus itself. The zygote then implants itself in the wall of the uterus, where it begins the processes of embryogenesis and morphogenesis. When developed enough to survive outside the womb, the cervix dilates and contractions of the uterus propel the fetus through the birth canal, which is the vagina.

The ova are larger than sperm and have formed by the time a female is born. Approximately every month, a process of oogenesis matures one ovum to be sent down the Fallopian tube attached to its ovary in anticipation of fertilization. If not fertilized, this egg is flushed out of the system through menstruation.

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Male infertility refers to a male's inability to cause pregnancy in a fertile female. In humans it accounts for 40-50% of infertility.[1][2][3] It affects approximately 7% of all men.[4] Male infertility is commonly due to deficiencies in the semen, and semen quality is used as a surrogate measure of male fecundity.[5]

Factors relating to male infertility include:[6]

Pre-testicular factors refer to conditions that impede adequate support of the testes and include situations of poor hormonal support and poor general health including:

Male smokers also have approximately 30% higher odds of infertility.[9][not in citation given] There is increasing evidence that the harmful products of tobacco smoking kill sperm cells.[10][11] Therefore, some governments require manufacturers to put warnings on packets. Smoking tobacco increases intake of cadmium, because the tobacco plant absorbs the metal. Cadmium, being chemically similar to zinc, may replace zinc in the DNA polymerase, which plays a critical role in sperm production. Zinc replaced by cadmium in DNA polymerase can be particularly damaging to the testes.[12]

Common inherited variants in genes that encode enzymes employed in DNA mismatch repair are associated with increased risk of sperm DNA damage and male infertility.[13] As men age there is a consistent decline in semen quality, and this decline appears to be due to DNA damage.[14] (Silva et al., 2012). These findings suggest that DNA damage is an important factor in male infertility.

Testicular factors refer to conditions where the testes produce semen of low quantity and/or poor quality despite adequate hormonal support and include:

Radiation therapy to a testis decreases its function, but infertility can efficiently be avoided by avoiding radiation to both testes.[20]

Post-testicular factors decrease male fertility due to conditions that affect the male genital system after testicular sperm production and include defects of the genital tract as well as problems in ejaculation:

The diagnosis of infertility begins with a medical history and physical exam by a physician or nurse practitioner. Typically two separate semen analyses will be required. The provider may order blood tests to look for hormone imbalances, medical conditions, or genetic issues.

The history should include prior testicular or penile insults (torsion, cryptorchidism, trauma), infections (mumps orchitis, epididymitis), environmental factors, excessive heat, radiation, medications, and drug use (anabolic steroids, alcohol, smoking).

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The development of in vitro fertilitzation (IVF) has allowed many couples to have the families they might otherwise have been unable to create independently. At the same time, this technology has allowed researchers to study the genetic make-up of the earliest stages of embryos. These advances are providing insights into the link between genetics and infertility and how defects (mutations) in specific genes may result in male or female infertility.It is possible that many cases of unexplained infertility will one day be found to have a clear genetic basis.

What has been learned in the last two decades of assisted reproduction is that some cases of severe male factor infertility are clearly related to gene deletions, mutations or chromosomal abnormalities.

Some men with very severe male factor infertility will be found, upon testing their blood chromosomes (known as a karyotype) to have an extra X chromosome. That is, instead of having a 46 XY karyotype, they have a 47 XXY karyotype. This condition is known as Klinefelter Syndrome and can result in failure to achieve puberty or even when puberty is achieved, these men often have male infertility. Some men with Klinefelter Syndrome can father pregnancies through the use of in vitro fertilitzation (IVF) with Intra-Cytoplasmic Sperm injection (ICSI).So far, we are not seeing an increased risk of Klinefelter Syndrome or other chromosome abnormalities in the offspring achieved in these cases.

Also discovered in recent years is that some men with very severe low sperm counts will be found to have deletions in a certain part of their Y chromosome, known as the DAZ gene. Their karyotype is normal (46 XY) but close inspection of the Y chromosome shows there are sections of the chromosome that are missing. A portion of these men will have no recoverable sperm in the ejaculate or on testicular surgery and donor sperm is the only option. With other deletions in the DAZ gene, there is a small amount of sperm present and conception with IVF-ICSI is possible. In these cases, the male offspring which will always inherit their fathers Y chromosome, will also have this deletion, and will themselves be infertile.

A single gene mutation in the gene for Cystic Fibrosis (CF) is associated with absence of the part of the tube (the vas deferens) that leads from the testicle to the urethra in the penis. These men are usually carriers for the CF gene mutation and do not themselves have the disease of Cystic Fibrosis. Sperm can be recovered from the testicles in these men to be used for IVF with ICSI but it is imperative that their wife (or egg provider) be fully tested for CF mutations as well, otherwise there is significant risk of having a child with Cystic Fibrosis.

For men with sperm counts routinely in the less than 5 million total motile sperm range, testing for genetic conditions is warranted so that these men or couples can be made aware of the genetic issues and how these issues might affect their offspring.

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This article is merely an attempt to find the scientific reasoning behind the origins of the ancient Gotra System and in no way endorses its imposition in the modern Hindu society to decide marriages or other things. In all probabilities, the modern Gotra system is no more relevant, and the best method to verify the genetic feasibility of a marriage, if at all required, would be to avoid cousin marriages (which have been proved to increase the risk of genetic disorders in the off springs) or to do a genetic test of the bride and grooms DNA for any possible genetic disorders in their off springs.

The Gotra is a system which associates a person with his most ancient or root ancestor in an unbroken male lineage. For instance if a person says that he belongs to the Bharadwaja Gotra then it means that he traces back his male ancestry to the ancient Rishi (Saint or Seer) Bharadwaja. So Gotra refers to the Root Person in a persons male lineage.

The Gotra system is practiced amongst most Hindus. See here for a List of Hindu Gotras practiced by different sections of the Hindu Society

Brahmins identify their male lineage by considering themselves to be the descendants of the 8 great Rishis ie Saptarshis (The Seven Sacred Saints) + Bharadwaja Rishi. So the list of root Brahmin Gotras is as follows

These 8 Rishis are called Gotrakarin meaning roots of Gotras. All other Brahmin Gotras evolved from one of the above Gotras. What this means is that the descendants of these Rishis over time started their own Gotras. The total number of established Gotras today is 49. However each of them finally trace back to one of the root Gotrakarin Rishi.

The word Gotra is formed from the two Sanskrit words Gau (meaning Cow) and Trahi (meaning Shed). Note that the English word Cow is a derived word of the Sanskrit word Gau with the same meaning Gau.

So Gotra means Cowshed, where in the context is that Gotra is like the Cowshed protecting a particular male lineage. Cows are extremely important sacred animals to Hindus and there were a large number of best breeds of Cows that ancient Hindus reared and worshipped, and hence the name Gotra referring to the system of maintaining individual male lineages seems more appropriate.

This Gotra system helps one identify his male lineage and is passed down automatically from Father to Son. But the Gotra system does not get automatically passed down from Father to Daughter. Suppose a person with Gotra Angirasa has a Son. Now suppose the Son gets married to a girl whose father belongs to Gotra Kashyapa. The Gotra of the girl automatically is said to become Angirasa after her marriage even though her father belonged to Gotra Kashyapa.

So the rule of the Gotra system is that the Gotra of men remains the same, while the Gotra of the woman becomes the Gotra of their husband after marriage. Now suppose a person has only daughters and no sons. In that case his Gotra will end with him in that lineage because his daughters will belong to the Gotras of their husbands after their marriage!

This was probably the reason why in the ancient vedic or hindu societies it was preferred to have atleast one Son along with any number of daughters, so that the Gotra of the father could continue.

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Life extension deniers part 3: their ignorance and stupidity
via YouTube Capture.

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An argument with a life extension denier
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Forever Young - Short Documentary (Regenerative Medicine/Life Extension)
Features interviews with Dr. Udi Sarig and Elio de Berardinis on the subject of regenerative medicine and the possible implications of life extension.

By: Luke Watson

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Life extension science, also known as anti-aging medicine, indefinite life extension, experimental gerontology, and biomedical gerontology, is the study of slowing down or reversing the processes of aging to extend both the maximum and average lifespan. Some researchers in this area, and "life extensionists", "immortalists" or "longevists" (those who wish to achieve longer lives themselves), believe that future breakthroughs in tissue rejuvenation, stem cells, regenerative medicine, molecular repair, pharmaceuticals, and organ replacement (such as with artificial organs or xenotransplantations) will eventually enable humans to have indefinite lifespans (agerasia[1]) through complete rejuvenation to a healthy youthful condition.

The sale of putative anti-aging products such as nutrition, physical fitness, skin care, hormone replacements, vitamins, supplements and herbs is a lucrative global industry, with the US market generating about $50billion of revenue each year.[2] Some medical experts state that the use of such products has not been proven to affect the aging process and many claims regarding the efficacy of these marketed products have been roundly criticized by medical experts, including the American Medical Association.[2][3][4][5][6]

However, it has not been shown that the goal of indefinite human lifespans itself is necessarily unfeasible; some animals such as hydra, planarian flatworms, and certain sponges, corals, and jellyfish do not die of old age and exhibit potential immortality.[7][8][9][10] The ethical ramifications of life extension are debated by bioethicists.

Life extension is a controversial topic due to fear of overpopulation and possible effects on society.[11] Religious people are no more likely to oppose life extension than the unaffiliated,[12] though some variation exists between religious denominations. Biogerontologist Aubrey De Grey counters the overpopulation critique by pointing out that the therapy could postpone or eliminate menopause, allowing women to space out their pregnancies over more years and thus decreasing the yearly population growth rate.[13] Moreover, the philosopher and futurist Max More argues that, given the fact the worldwide population growth rate is slowing down and is projected to eventually stabilize and begin falling, superlongevity would be unlikely to contribute to overpopulation.[11]

A Spring 2013 Pew Research poll in the United States found that 38% of Americans would want life extension treatments, and 56% would reject it. However, it also found that 68% believed most people would want it and that only 4% consider an "ideal lifespan" to be more than 120 years. The median "ideal lifespan" was 91 years of age and the majority of the public (63%) viewed medical advances aimed at prolonging life as generally good. 41% of Americans believed that radical life extension would be good for society, while 51% said they believed it would be bad for society.[12] One possibility for why 56% of Americans claim they would reject life extension treatments may be due to the cultural perception that living longer would result in a longer period of decrepitude, and that the elderly in our current society are unhealthy.[14]

During the process of aging, an organism accumulates damage to its macromolecules, cells, tissues, and organs. Specifically, aging is characterized as and thought to be caused by "genomic instability, telomere attrition, epigenetic alterations, loss of proteostasis, deregulated nutrient sensing, mitochondrial dysfunction, cellular senescence, stem cell exhaustion, and altered intercellular communication."[15]Oxidation damage to cellular contents caused by free radicals is believed to contribute to aging as well.[16][16][17]

The longest a human has ever been proven to live is 122 years, the case of Jeanne Calment who was born in 1875 and died in 1997, whereas the maximum lifespan of a wildtype mouse, commonly used as a model in research on aging, is about three years.[18] Genetic differences between humans and mice that may account for these different aging rates include differences in efficiency of DNA repair, antioxidant defenses, energy metabolism, proteostasis maintenance, and recycling mechanisms such as autophagy.[19]

Average lifespan in a population is lowered by infant and child mortality, which are frequently linked to infectious diseases or nutrition problems. Later in life, vulnerability to accidents and age-related chronic disease such as cancer or cardiovascular disease play an increasing role in mortality. Extension of expected lifespan can often be achieved by access to improved medical care, vaccinations, good diet, exercise and avoidance of hazards such as smoking.

Maximum lifespan is determined by the rate of aging for a species inherent in its genes and by environmental factors. Widely recognized methods of extending maximum lifespan in model organisms such as nematodes, fruit flies, and mice include caloric restriction, gene manipulation, and administration of pharmaceuticals.[20] Another technique uses evolutionary pressures such as breeding from only older members or altering levels of extrinsic mortality.[21][22]

Theoretically, extension of maximum lifespan in humans could be achieved by reducing the rate of aging damage by periodic replacement of damaged tissues, molecular repair or rejuvenation of deteriorated cells and tissues, reversal of harmful epigenetic changes, or the enhancement of telomerase enzyme activity.[23][24]

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Hockey legend Gordie Howes star power is raising awareness in the United States and Canada about advances in stem-cell therapies as he continues what is being called a miraculous recovery from a massive stroke.

Those closest to him, including his son, Toledo radiologist Dr. Murray Howe, are convinced the former Detroit Red Wings player would have died if he had not traveled to a medical clinic in Tijuana, Mexico, for an experimental stem-cell treatment not yet available in the United States.

After a debilitating stroke on Oct. 26, Mr. Howe, 86, had a few weeks of slight recovery, but then his health went downhill quickly, said Dr. Howe, director of sports medicine imaging for ProMedica Toledo Hospital. The family had started preparing for his funeral. But that all turned around after he had the adult stem-cell treatment on Dec. 8.

If you saw him now, you wouldnt know he had a stroke, Dr. Howe said.

Its been wonderful. Every day I would say hes a little bit better, and there are little hints of improvement. Certainly in the first month, every day his strength, coordination, and balance were better. He has been eating like a horse. He had lost 20 pounds, and now he has gained back 25 pounds, so he is pretty close to his playing weight now, Dr. Howe said.

In describing his fathers treatment and recovery in the last three months, Dr. Howe does not hesitate to use words such as unbelievable, astonishing, and amazing.

Eight hours after Mr. Howe received what is called a lumbar puncture, where stem cells were injected in the spinal fluid of his lower back by an anesthesiologist, he went from being bedridden and only mumbling short sentences to speaking clearly and walking with assistance, Dr. Howe said.

On the second day at the clinic, he received an IV infusion of a different type of adult stem-cell treatment.

When he returned to his home in Lubbock, Texas, on Dec. 10, Mr. Howes recovery from the stroke continued at an rapid rate, his son said.

His vocabulary had dropped down. If you showed him pictures the speech therapists when they were testing him, he could name about one of 10 items. After his stem-cell treatments, he was able to identify 80 percent of the pictures. The speech therapist was just floored, Dr. Howe said.

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Genesis Health Institute

Genesis Health Institute is a national leader in bioidentical hormone replacement therapy. With clinics located across the United States, our doctors have worked with thousands of patients to dramatically improve their quality of life and reduce their risk of getting chronic diseases like heart disease, diabetes, and cancer.

Bioidentical hormone replacement therapy is a specialized branch of medicine that uses natural hormones to restore youthful hormone levels for both men and women. Unlike traditional hormone replacement therapy, which relies on synthetic hormones and typically only addresses deficiencies in one or two hormones, bioidentical hormone replacement therapy looks at your complete hormone profile and, based on careful individual testing, adjusts levels of all your critical hormones back to the levels you enjoyed in your twenties or thirties. Our patients typically experience a cessation of hormone-deficiency symptoms, few side effects, and often report they feel like they've discovered the "fountain of youth."

Why Genesis Health Institute Is Different

Founded by nationally renowned Dr. George Shanlikian, MD, the Genesis Health Institute and its staff of physicians and therapists offers a unique level of care. We are concerned with the whole patient, not just a set of numbers on a blood or saliva test. Our philosophy of care is rooted in the idea that we can change lives both externally and internally. As a result, our proven program relies on several pillars:

In the past, many people thought that the aches and pains and chronic diseases of aging were inevitable. In fact, you are not powerless against the march of timeyou can do something now to reverse your age-related symptoms and regain your youthful vitality. Call Genesis Health Institute today to set up your initial consultation and begin your journey toward health.

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Our Specialty Treatments Click on picture below to read more Bio-identical Hormone Replacement for Men Bio-identical Hormone Replacement for Women Lyme Disease Hyperthyroidism Hypothyroidism Hashimoto's Thyroiditis Disease Low Libido Fibromyalgia/CFS Weight Loss Depression I.V. Therapy Welcome

Holtorf Medical Group was founded on the belief that every patient deserves to have the highest quality of care, compassion, and understanding when striving for a better quality of life. We practice this belief every day as we treat thousands of patients who suffer with chronic conditions, have been treated by multiple doctors and some that have even lost hope.

There is a solution!

We've dedicated our practice to providing you the best in evidenced-based, highly integrative medicine that's not only safe and effective, but provides measurable results. Our physicians are trained to provide you with cutting-edge testing and innovative treatments to find the answers you deserve and a treatment plan that is personalized to your specific condition. We'll guide you every step of the way, monitoring your results to not only improve your symptoms, but optimize your health and improve your quality of life.

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Genemedics Health Institute is the national leader in bioidentical hormone replacement therapy for men (BHRT for men) and bioidentical hormone replacement therapy for women (BHRT for women). Led by nationally renowned Dr. George Shanlikian, M.D., Genemedics Health Institutes physician experts specialize in natural bioidentical hormone replacement therapy (BHRT), personalized nutrition programs, nutritional supplements, and fitness for both men and women.

Genemedics bioidentical hormone programs are customized for each individual to alleviate symptoms associated with:

Bioidentical hormones that may need to be balanced include:

All of our physicians are board-certified in Anti-Aging and Regenerative Medicine through the American Academy of Anti-Aging Medicine (A4M). Our expert physicians have passed written and oral exams and are among the most knowledgeable physicians in the field of anti-aging and natural hormone replacement therapy. Our natural hormone replacement therapy doctors have also completed advanced fellowships in Anti-Aging and Regenerative Medicine, completing hundreds of hours of additional training in anti-aging medicine and bioidentical hormone replacement therapy.

Genemedics' physician-supervised health program consists of natural bioidentical hormone replacement therapy, along with a nutrition plan, nutritional supplement regimen, and exercise program customized to help you reach your health and fitness goals.We have seen astonishing results in the lives of our patients, who are healthier, happier, and have dramatically improved quality of life. We incorporate functional testing such as body fat assessment, fitness testing, and stretch testing to gauge patient progress. We pay close attention to detail and routinely follow up with complete lab panels to make sure you have obtained and maintain hormone balance, along with optimal health and wellness. Our comprehensive natural bioidentical hormone replacement therapy programs, combined with proper nutrition and exercise, will return you to the optimal physical, sexual, and emotional health you experienced in your twenties and thirties. Contact us today and get started on the path to a younger, healthier you!

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Maryam Lebeau

Maryam Lebeau has a particular interest in medical ethics, law and health policy. Lebeau has written professionally since 2002, focusing on health, medicine, science, family and crafts. She holds a B.S. in nature science and mathematics from Washington and Lee University.

A hormone doctor, or an endocrinologist, is a physician who treats diseases related to the endocrine system. While primary care physicians (family practitioners and internal medicine physicians) can treat many hormonal disorders without a need for specialized training, a physician may also receive advanced training and specialize in endocrinology. A primary care physician can determine whether he or she can treat a patient or whether the patient should be referred to a specialist treating only disorders of the endocrine system.

A doctor with special training that treats diseases and disorders of the endocrine system, a complex system in the human body that...

Finding a doctor who specializes in female hormones -- commonly called an endocrinologist -- is an easy process. Endocrinologists treat a variety...

Endocrinologists are doctors who specialize in hormone diseases, such as diabetes, metabolic disorders, thyroid diseases and hypertension.

One of the more common is called Armour ... most doctor would use a regular thyroid hormone which is a combination which...

How to Treat Hormone Imbalance. ... How to Convince the Doctor of a Hormone Imbalance. Problems Caused by Hormone Imbalance. Herbs for...

An endocrinologist specializes in hormones of the pituitary, thyroid, ... Endocrinologists are doctors who specialize in and treat disorders of the endocrine...

Must See: Slide Shows. How to ... How to Convince the Doctor of a Hormone Imbalance; ... A newer method of measuring...

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Members of the community turn to us to help them get through the trying time of menopause. Women's bodies experience dramatic hormone changes during this stage of life. Every women experiences different level of symptoms, but some are challenged by excessive mood swings and more. We don't just treat the symptoms of menopause, but rather we balance the hormones which cause these symptoms. Throughout the years, we have worked on various types of patients who are experiencing menopause, perio-menopause, or post-menopause. The hormones we create and administer to our clients are made from plants, such as soybeans or yams. Turn to a cost-effective and safe type of female hormone replacement for your body, so you can recover from the following symptoms:

Many men suffer from andropause without even realizing they have a condition that can be cured. If you have noticed uncomfortable changes in your body, it is possible you are suffering needlessly. Men of a certain age experience what is called andropause, which is a reduction in testosterone levels. Our clinic offers male hormone replacement therapy, or Low T therapy, to our male clients.

The therapy we offer can dramatically better your quality of life. Within a few short weeks, it is possible to feel renewed energy levels, sex drive, and mood swings. In one short appointment, our experts will ask you questions about your lifestyle, check your hormone levels, and determine the right hormones for your body. Let us relieve you from the symptoms of andropause, such as social withdrawl, weight gain, and irritability.

We are pioneers in the fields of health and wellness with our ability to provide bioidentical hormone replacement therapy for our clients. Our professionals don't just treat the symptoms of menopause or andropause, we get to the root of the problem by balancing your levels and changing your quality of life.

Our treatment method is also know as "Natural Hormone Therapy," which uses hormones derived from plant chemicals that are chemically identical to the hormones in your body. As people age, their bodies reduce the amount of hormones produced and this can lead to serious side effects. With a blood test, we will determine your current hormone levels and devise a custom treatment plan for you

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DIABETES AND ENDOCRINOLOGY HOME PAGE PRESENTED BY:

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DISCLAIMER The information in this web site is for educational purposes only and is not providing medical or professional advice. It should not be used for diagnosing or treating a health problem or disease. It is not a substitute for professional care. If you have or suspect you may have any health problem, you should consult your physician. Any change of insulin or medications should be made cautiously and only under medical supervision.

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Are "bioidentical" or "natural" hormones safer and more effective than hormones used in traditional hormone therapy for menopause symptoms? Answers from Shannon K. Laughlin-Tommaso, M.D.

No, they aren't. According to the Food and Drug Administration (FDA) and several medical specialty groups, the hormones marketed as "bioidentical" and "natural" aren't safer than hormones used in traditional hormone therapy, and there's no evidence they're any more effective.

The term "bioidentical" means the hormones in the product are chemically identical to those your body produces. In fact, the hormones in bioidentical medications may not be any different from those in traditional hormone therapy. Several hormone therapy products approved by the FDA and prescribed by health care providers contain bioidentical hormones.

"Natural" means the hormones in the product come from plant or animal sources; they're not synthesized in a lab. However, many of these products still need to be commercially processed to become bioidentical. Traditional hormone therapies don't necessarily exclude natural hormones. Some FDA-approved products such as Estrace, Climara and Vivelle-Dot, which contain estrogens, and Prometrium, a natural progesterone also are derived from plants.

Marketers of bioidentical hormones say their products have certain advantages over traditional hormone therapy:

Some women may benefit from nonstandard doses and forms of hormones in bioidentical hormone preparations, but there is almost no scientific support for an advantage of these compounds over common commercially produced preparations.

With

Shannon K. Laughlin-Tommaso, M.D.

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At LifeXMD we specialize in Bioidentical Hormone Replacement Therapy, Erectile Dysfunction, Nutritional Counseling, Diet and Weight Loss assistance, and Personal Training. Start today by completing theHORMONE IMBALANCE QUESTIONAIRE

Andropause, also known as Low Testosterone or Low T, is the scientific term for male menopause. The onset of Andropause, which is the result of a steady decline in testosterone and other related hormones, usually begins during a mans twenties. Left untreated, this condition can result in serious health and personal consequences, including deterioration of quality of life. Fortunately, proper treatment with bioidentical hormone therapy can result in significant symptom reduction in as little as 3 to 5 weeks. Contact LifeXMD to return to the man you used to be.

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Physician-guided therapy, including thorough laboratory evaluation and follow-up care

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Youre probably reading this because you have been experiencing symptoms that could be related to low Human Growth Hormone (HGH). Interest in HGH is very high now due to its frequent mention in newspapers, magazines like GQ and Mens Health, and TV reports on programs such as 60 Minutes and 20/20.

Until recently the effects of low HGH levels in adults were not well understood. The medical community now recognizes low adult HGH levels as a specific clinical syndrome with a great number of different physiological and psychological consequences. Bioidentical hormone replacement therapy Treatment with HGH can lead to the following IMPROVEMENTS

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LifeXmd :: Bioidentical Hormone Replacement Therapy Center

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Hormone therapy: Is it right for you?

Hormone therapy was once routinely used to treat menopausal symptoms and protect long-term health. Then large clinical trials showed health risks. What does this mean to you?

Hormone replacement therapy medications containing female hormones to replace the ones the body no longer makes after menopause used to be a standard treatment for women with hot flashes and other menopause symptoms. Hormone therapy (as it's now called) was also thought to have the long-term benefits of preventing heart disease and possibly dementia.

Use of hormone therapy changed abruptly when a large clinical trial found that the treatment actually posed more health risks than benefits for one type of hormone therapy, particularly when given to older postmenopausal women. As the concern about health hazards attributed to hormone therapy grew, doctors became less likely to prescribe it.

Hormone therapy is no longer recommended for disease prevention, such as heart disease or memory loss. However, further review of clinical trials and new evidence show that hormone therapy may be a good choice for certain women, depending on their risk factors.

The benefits of hormone therapy depend, in part, on whether you take systemic hormone therapy or low-dose vaginal preparations of estrogen.

Systemic hormone therapy. Systemic estrogen which comes in pill, skin patch, gel, cream or spray form remains the most effective treatment for relief of troublesome menopausal hot flashes and night sweats. Estrogen can also ease vaginal symptoms of menopause, such as dryness, itching, burning and discomfort with intercourse.

Although the Food and Drug Administration (FDA) still approves estrogen for the prevention of the bone-thinning disease called osteoporosis, doctors usually recommend medications called bisphosphonates to treat osteoporosis.

Long-term systemic hormone therapy for the prevention of postmenopausal conditions is no longer routinely recommended. But some data suggest that estrogen can decrease the risk of heart disease when taken early in postmenopausal years.

A recent, randomized, controlled clinical trial the Kronos Early Estrogen Prevention Study (KEEPS) explored estrogen use and heart disease in younger postmenopausal women. The study found no significant association between hormone therapy and heart disease.

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Hormone therapy: Is it right for you? - Mayo Clinic

Recommendation and review posted by Bethany Smith

Hypopituitarism is the decreased (hypo) secretion of one or more of the eight hormones normally produced by the pituitary gland at the base of the brain.[1][2] If there is decreased secretion of most pituitary hormones, the term panhypopituitarism (pan meaning "all") is used.[3]

The signs and symptoms of hypopituitarism vary, depending on which hormones are undersecreted and on the underlying cause of the abnormality. The diagnosis of hypopituitarism is made by blood tests, but often specific scans and other investigations are needed to find the underlying cause, such as tumors of the pituitary, and the ideal treatment. Most hormones controlled by the secretions of the pituitary can be replaced by tablets or injections. Hypopituitarism is a rare disease, but may be significantly underdiagnosed in people with previous traumatic brain injury.[1] The first description of the condition was made in 1914 by the German physician Dr Morris Simmonds.[4]

The hormones of the pituitary have different actions in the body, and the symptoms of hypopituitarism therefore depend on which hormone is deficient. The symptoms may be subtle and are often initially attributed to other causes.[1][5] In most of the cases, three or more hormones are deficient.[6] The most common problem is insufficiency of follicle-stimulating hormone (FSH) and/or luteinizing hormone (LH) leading to sex hormone abnormalities. Growth hormone deficiency is more common in people with an underlying tumor than those with other causes.[1][6]

Sometimes, there are additional symptoms that arise from the underlying cause; for instance, if the hypopituitarism is due to a growth hormone-producing tumor, there may be symptoms of acromegaly (enlargement of the hands and feet, coarse facial features), and if the tumor extends to the optic nerve or optic chiasm, there may be visual field defects. Headaches may also accompany pituitary tumors,[1] as well as pituitary apoplexy (infarction or hemorrhage of a pituitary tumor) and lymphocytic hypophysitis (autoimmune inflammation of the pituitary).[7] Apoplexy, in addition to sudden headaches and rapidly worsening visual loss, may also be associated with double vision that results from compression of the nerves in the adjacent cavernous sinus that control the eye muscles.[8]

Pituitary failure results in many changes in the skin, hair and nails as a result of the absence of pituitary hormone action on these sites.[9]

Deficiency of all anterior pituitary hormones is more common than individual hormone deficiency.

Deficiency of luteinizing hormone (LH) and follicle-stimulating hormone (FSH), together referred to as the gonadotropins, leads to different symptoms in men and women. Women experience oligo- or amenorrhea (infrequent/light or absent menstrual periods respectively) and infertility. Men lose facial, scrotal and trunk hair, as well as suffering decreased muscle mass and anemia. Both sexes may experience a decrease in libido and loss of sexual function, and have an increased risk of osteoporosis (bone fragility). Lack of LH/FSH in children is associated with delayed puberty.[1][5]

Growth hormone (GH) deficiency leads to a decrease in muscle mass, central obesity (increase in body fat around the waist) and impaired attention and memory. Children experience growth retardation and short stature.[1][5]

Adrenocorticotropic hormone (ACTH) deficiency leads to adrenal insufficiency, a lack of production of glucocorticoids such as cortisol by the adrenal gland. If the problem is chronic, symptoms consist of fatigue, weight loss, failure to thrive (in children), delayed puberty (in adolescents), hypoglycemia (low blood sugar levels), anemia and hyponatremia (low sodium levels). If the onset is abrupt, collapse, shock and vomiting may occur.[1][5] ACTH deficiency is highly similar to primary Addison's disease, which is cortisol deficiency as the result of direct damage to the adrenal glands; the latter form, however, often leads to hyperpigmentation of the skin, which does not occur in ACTH deficiency.[10]

Thyroid-stimulating hormone (TSH) deficiency leads to hypothyroidism (lack of production of thyroxine (T4) and triiodothyronine (T3) in the thyroid). Typical symptoms are tiredness, intolerance to cold, constipation, weight gain, hair loss and slowed thinking, as well as a slowed heart rate and low blood pressure. In children, hypothyroidism leads to delayed growth and in extreme inborn forms to a syndrome called cretinism.[1][5]

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Hypopituitarism - Wikipedia, the free encyclopedia

Recommendation and review posted by Bethany Smith

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Hypopituitarism is a condition in which the pituitary gland does not produce normal amounts of some or all of its hormones.

Pituitary insufficiency

The pituitary gland is a small structure that is located just below the brain. It is attached by a stalk to the hypothalamus. This isthe area of the brain that controlsthe pituitary gland'sfunction.

The hormones released by the pituitary gland (and their functions) are:

In hypopituitarism, there is a lack of one or more pituitary hormones. Lack of a hormone leads to loss of function in the gland or organ the hormone controls. For example, lack of TSH leads to loss of normal function of the thyroid gland.

Hypopituitarism may be caused by:

Occasionally, hypopituitarism is due to uncommon immune system or metabolic diseases, such as:

Hypopituitarism is also a rare complication after pregnancy, a condition called Sheehan's syndrome.

Symptoms of hypopituitarism include any of the following:

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Hypopituitarism | University of Maryland Medical Center

Recommendation and review posted by Bethany Smith

What Is an Underactive Pituitary Gland?

Your pituitary gland is located just below your brain. It releases eight hormones that each plays its own role in your body processes. Functions range from stimulating bone growth to prompting your thyroid gland to release hormones that control your metabolism.

Hormones produced by the pituitary gland include:

Sometimes, your pituitary gland does not release enough of one or more of these hormones. This underactivity is called hypopituitarism.

Your pituitary gland may stop producing enough of one or more of its hormones if it has suffered trauma. For example, if you have had brain surgery, a brain infection, or a head injury, your pituitary gland may be affected.

Certain tumors can also affect the function of this gland. These include:

Other possible causes of hypopituitarism include:

Sometimes, doctors cant figure out what caused a particular case of hypopituitarism.

The symptoms of hypopituitarism depend on which hormones your pituitary gland is not producing enough of. For example, if the pituitary does not produce enough growth hormone in a child, he or she may have a permanently short stature. Alternately, if it doesnt produce enough follicle-stimulating hormone or luteinizing hormone, it might cause problems with sexual function, menstruation, and fertility.

In some cases, you may not have any symptoms at all. For example, if you are an adult and your pituitary gland does not produce enough growth hormone, you will probably not notice because you have already finished growing. In children, however, this condition is far more noticeable.

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Hypopituitarism: Causes, Symptoms, & Treatment

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Home Frequently asked HYPOPITUITARY questions.and their answers

When not on any thyroid meds, you find yourself with a very low TSH lab (the TSH is a pituitary hormone), yet you have a low free T3, plus hypothyroid symptoms, you may have hypopituitarism.

Here are the most frequently asked questions concerning this condition, created by Chris, a hypopituitary patient who has worked with other hypopituitary patients for several years. Please note these are quick general answers so its recommended you do your own research to learn more. You can also join Chriss Hypopituitary Support Group on Yahoo. It is closed to posting, but you can join to access the great deal of information it contains, including over 500 links and 100 files.

1) What is hypopituitarism? 2) What are symptoms of hypopituitarism? 3) What causes hypopituitarism? 4) Is adrenal and/or thyroid treatment different if I am hypopituitary? 5) What labs will detect hypopituitarism? 6) If I cant afford all those labs, can you tell just from TSH? DHEA? 7) Can you detect hypopituitarism from saliva cortisol labs? 8 ) Im already on HC, can I test cortisol or ACTH levels? 9) Is there any test for hypopituitarism once Im already on HC? 10) If one pituitary hormone is low, does that mean all of them are? 11) My Dr or Insurance wont approve further tests what should I do? 12) Should I start treating the sex hormones right away? 13) Is hypopituitarism curable? 14) My doctor says my cortisol doubled during the ACTH stimulation test, so I am ok-is he right? 15) Could I have a pituitary tumor? Should I get an MRI? Is it gonna grow? Will I need an operation? 16) Are there shades of Gray on this? Does someone get sort-of hypo-pit, then then next guys labs even more so, then finally one sets off the buzzer and gets a definitive label of Hypo-Pit? 1) What is hypopituitarism? Hypopituitary is the pituitary gland functioning below where it needs to be, and one or more hormones can be involved. The pituitary is a pea sized gland located at the base of the brain and it runs the adrenals, thyroid, and sex hormones. It also produces growth hormone and stores oxytocin and vasopressin, both of which are made in the hypothalamus. If the pituitary doesnt put out enough TSH, thyroid hormone production can decrease. It the pituitary doesnt produce enough ACTH, cortisol (and DHEA) can decrease. 2) What are the symptoms of hypopituitarism? Because the pituitary may not be sending adequate levels of TSH and or ACTH, you could feel fatigue, weakness, have low blood pressure, feel colder than normal, have a decrease in your appetite, headaches, and depression. Symptoms of hypopit (concerning low TSH, low ACTH, low LH and FSH) are the same as if thyroid-adrenals-gonads are the cause. In most cases you cant tell by symptoms if you may be hypopituitary or not. If you arent getting enough ACTH, you could have symptoms of weight loss and nausea, plus the fatigue, low blood pressure, weakness, and depression. Because of a deficiency of TSH and LH, women could lose their periods, or have problems conceiving. Men could have a decreased libido, erectile dysfunction, and loss of facial hair. If hypopituitary occurs in childhood, the result can be a short stature. Thirst and increased need to urinate can occur is you have an ADH deficiency. (Note: a large body of hypothyroid patients have a low normal TSH without hypopituitarism. Why? Because the man-made TSH lab is often slow to reveal the hypothyroid state. Those with hypopituitarism will often have a TSH at 0.8 and lower for women, and 1.8 and lower for men, with accompanying hypo symptoms. See #5 and 6 below.)

3) What causes hypopituitarism? A common cause of hypopituitarism is head injury. Even a seemingly mild bump to the head can damage the pituitary. A Pituitary tumor can also cause hypopituitary, though perhaps less than 3 percent have this as a cause. Sheehans syndrome is another cause, which is any type of blood loss, and where the pituitary at least partially dies from the lack of blood. Blood loss from childbirth, or an injury can result in Sheehans syndrome. Other causes can be radiation, antibody attack, and environmental. In most cases, it can not be known for sure what the cause is.

4) Is adrenal and/or thyroid treatment different if I am hypopituitary? In treating the adrenals and thyroid caused by low ACTH (secondary AI) and low TSH (secondary hypothyroid), treatment is the same as it is for primary Adrenal Insufficiency and primary hypothyroid. Sex hormone treatment can be different with the use of HCG (almost identical to LH) in secondaries hypogonadism (low LH and FSH production in the pituitary which will cause low sex hormones in men and women), whereas primary hypogonadism involves the gonads being the cause of low sex hormones, LH and FSH will go up. The treatment for primary hypogonadism is the use of testosterone (in men, sometimes along with estrogen blocker) and estrogen, progesterone and even testosterone in women. Some men with primary hypogonadism also use HCG, but is rarely used in women.

5) What labs will detect hypopituitarism? -low TSH (below 1.8 for men, below 0.8 for women) -low ACTH (below 30 for am. Is possible to be secondary with ACTH as high as low 40s) -ACTH stimulation or ITT that doubles cortisol from a low base value. -ITT for GH stim -low GHRH -low TRH -low vasopressin (hypothalamic hormone which is stored in the pituitary) -low renin and low aldosterone -very low or below range prolactin-usually this test is inconclusive for determing if other low pituitary hormones could be present. -low oxytocin (rarely tested, is a hypothalamic hormone which isstored and released from the pituitary) -alpha MSH (rarely tested, is a byproduct of ACTH) 6) If I cant afford all those labs, can you tell just from TSH? DHEA? If not on any thyroid treatment, I go by the TSH: less than .8 for women, less than 1.8 for men for determining secondary hypothyroid. I use 1.3 and above for women and 2.2 and above for men to determine primary hypo. In between .8 and 1.3 for women and 1.8 and 2.2 for men is less certain to whether secondary or not. A serum TRH and TRH STIM can help if you fall in that grey area. DHEA, if in the lower half of the range usually, but not always, indicates possible secondary adrenal insufficiency. Serum ACTH and ACTH STIM are the best tests for determining if secondary. If one has already started steroid without proper testing, the next best test for determining secondary AI is the renin test.

7) Can you detect hypopituitarism from saliva cortisol labs? No, because the test only shows what cortisol levels are, not what ACTH levels are doing. There is no saliva lab for ACTH as far as I know. 8 ) Im already on hydrocortisone (HC), can I test cortisol and or ACTH levels? No, once steroid is started, those tests are not reliable. In every case Ive seen where a doctor uses these tests for dosing a patients cortisol replacement, the patient was left undertreated. ACTH will go to pretty much zero in proper cortisol dosing.

9) Is there any test for hypopituitarism once started on HC? For detecting secondary (low ACTH) AI when proper testing hasnt been done (serum acth, DHEA-S, acth stimulation test), the renin test (with aldosterone) is the next best thing and is highly reliable if the test is done right (fast salt for 24 hours). Renin is low 99% of the time in secondaries.seehttp://www.ncbi.nlm.nih.gov/pubmed/518024

10) If one pituitary hormone is low, does that mean all of them are? In more than 99% of cases of hypopituitary, 2 to 3 pituitary hormones will be deficient. Keep in mind interpreting tests is subjective. One doc like an osteopath (US) may see problems, an endocrinologist will probably will say your tests are ok. When all pituitary hormones are deficient to missing, this is called panhypopituitarism. True panhypopituitarism is fairly rare. Some definitions say not all pituitary hormones have to be deficient, but most. I go by the the strict definition all pituitary hormones being deficient or absent in the anterior pituitary. Ive seen one case of real panhypopituitarism.

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Frequently asked HYPOPITUITARY questions....and their ...

Recommendation and review posted by Bethany Smith

Hypogonadism is a medical term which describes a diminished functional activity of the gonads the testes and ovaries in males and females, respectively that may result in diminished sex hormone biosynthesis. In layman's terms, it is sometimes called "interrupted stage 1 puberty". Low androgen (e.g., testosterone) levels are referred to as hypoandrogenism and low estrogen (e.g., estradiol) as hypoestrogenism, and may occur as symptoms of hypogonadism in both sexes, but are generally only diagnosed in males and females respectively. Other hormones produced by the gonads which may be decreased by hypogonadism include progesterone, DHEA, anti-Mllerian hormone, activin, and inhibin. Spermatogenesis and ovulation in males and females, respectively, may be impaired by hypogonadism, which, depending on the degree of severity, may result in partial or complete infertility.

Deficiency of sex hormones can result in defective primary or secondary sexual development, or withdrawal effects (e.g., premature menopause) in adults. Defective egg or sperm development results in infertility. The term hypogonadism is usually applied to permanent rather than transient or reversible defects, and usually implies deficiency of reproductive hormones, with or without fertility defects. The term is less commonly used for infertility without hormone deficiency. There are many possible types of hypogonadism and several ways to categorize them. Hypogonadism is also categorized by endocrinologists by the level of the reproductive system that is defective. Physicians measure gonadotropins (LH and FSH) to distinguish primary from secondary hypogonadism. In primary hypogonadism the LH and/or FSH are usually elevated, meaning the problem is in the testicles, whereas in secondary hypogonadism, both are normal or low, suggesting the problem is in the brain.

Hypogonadism can involve just hormone production or just fertility, but most commonly involves both.

Women with hypogonadism will not begin menstruating and it may affect their height and breast development. Onset in women after puberty causes cessation of menstruation, lowered libido, loss of body hair and hot flashes. In boys it causes impaired muscle and beard development and reduced height. In men it can cause reduced body hair and beard, enlarged breasts, loss of muscle, and sexual difficulties. A brain tumor (central hypogonadism) may involve headaches, impaired vision, milky discharge from the breast and symptoms caused by other hormone problems.[2]

The symptoms of hypogonadotrophic hypogonadism, a subtype of hypogonadism, include late, incomplete or lack of development at puberty, and sometimes short stature or the inability to smell; in females, a lack of breasts and menstrual periods, and in males a lack of sexual development, e.g., facial hair, penis and testes enlargement, deepening voice.

Low testosterone can be identified through a simple blood test performed by a laboratory, ordered by a physician. This test is typically ordered in the morning hours, when levels are highest, as levels can drop by as much as 13% during the day.[3]

Normal total testosterone levels range from 3001000ng/dL (nanograms per decilitre)[4]

Treatment is often prescribed for total testosterone levels below 350ng/dL.[5] If the serum total testosterone level is between 230 and 350ng/dL, repeating the measurement of total testosterone with sex hormone-binding globulin (SHBG) to calculate free testosterone or free testosterone by equilibrium dialysis may be helpful.

Treatment may be necessary even if the patient's total testosterone level is within the "normal" range. The standard range given is based off widely varying ages and, given that testosterone levels naturally decrease as humans age, age-group specific averages should be taken into consideration when discussing treatment between doctor and patient.[6] A twenty-seven-year-old male with a testosterone level of 380ng/dL would be in the "normal" range, but would likely have low testosterone to blame if he experiences some or many of the above symptoms. This score would put him in the bottom 5% of his age-group, but would be a more common score for a man who is 80+ years old.[6] Although, this doesn't automatically mean that a young man with 380ng/dL has the same amount of testosterone of an 80+ year old, since there is usually a big difference in SHBG levels in the bloodstream between young and elderly, resulting in a much higher free testosterone level in the young. In fact, some people with low SHBG and low-normal testosterone experience no symptoms of hypogonadism.

A downturn in the circulation of testosterone should cause the hypothalamus and pituitary gland to trigger a release of brain hormones that stimulate the testicles to ramp up production of testosterone. The specific brain hormones include gonadotropin releasing hormone (abbreviated GnRH), which is released by the hypothalamus, and luteinizing hormone (abbreviated LH), released by the pituitary. They act to control the production of testosterone in synchrony. This response system in the body is a negative feedback loop. When this loop is functioning at its best, the body gets enough testosterone to bind to receptors on the various organs that require it. In the bodies of men as they hit their thirties and forties, testosterone falls approximately 1 to 3 percent each year.[7]

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Hypogonadism - Wikipedia, the free encyclopedia

Recommendation and review posted by Bethany Smith