VISIT OUR WEBSITE                 MENOPAUSE FORUMS
In This Issue
Interested in sponsoring an issue of The Menopause Minute®? 

Or, if you have a desire to write, we'd love to print your article!
Interested in starting a Red Hot Mamas
® program in you area?

Stay Connected
Ask the Experts
Our experts Dr. Mary Jane Minkin,  Dr. Mache Seibel,  Barb Dehn RN, MS, NP, FAANP,  Dr. Michael Goodman,   Dr. Verna Brooks-McKenzie, Dr. Murray Freedman, Francis Barbieri, Jr. DDS, Dr. MeLanie Modjoros,, Dr. Natalya Danilyants, Dr. Paul Mackoul, Dr. Barb DePree, Pam Rand RD, LDN, CDOE, RYT, Dr. Rupen Baxi, and
Karen Giblin field questions from our members.
Submit your question.

Your Questions Answered
Dear Red Hot Mamas,

This is embarrassing for me to ask, but I will do it anyway.  Here it goes, I have had hemorrhoids since my last child was born.  And, she is now age 30!  They are not a problem all the time, but when they flare up, wow, what pain I have.  Any suggestions to help with the pain and itching?  

Thank you for listening to me.

Judith
Dear Judith,

Hemorrhoids are very common and many women seem to be embarrassed to admit they have them.  So, it's good that you have opened up and are seeking help. It's important for you to talk to your doctor about this problem.  There are some prevention strategies you might undertake which include:
  • Don't strain.  If you have been sitting on the toilet for more than five minutes, that's probably too long.  Straining is one of the primary causes of hemorrhoids. 
  • Focus on fiber to soften your stool.  Fiber soaks up liquid in your intestinal tract and creates bulkier stools that make it easier to transport out of your body.
  • Exercise regularly.  30 minutes a day will help keep blood flowing and help with constipation.
  • Drink fluids about 6-8 glasses of water each day.
  • Plan your bathroom time and get on a set schedule.
  • Eat lots of berries which have extra fiber and will help with constipation.
  • Use moist towelettes, instead of dry toilet paper.
  • Try a sitz bath and stay in water about 20 minutes.
  • Use over-the counter hemorrhoid cream or pads to decrease inflammation and reduce pain.
  • Sit on a doughnut (a rubber circle) which keeps pressure off your bottom.
And, in closing talk to your doctor about the newest treatments to treat hemorrhoids.  
For the newest and latest menopause information visit  www.redhotmamas.org
FROM THE EDITOR...KAREN GIBLIN 
"Summer's lease hath all too short a date." 
-William Shakespeare

Dear Red Hot Mamas,

Well if you are a stargazer, get your dark eclipse lenses now because on August 21, across the USA, the moon will eclipse with the sun.  It is an incredibly rare event which occurs every 99 years.  I hope you can share this exciting event with your friends and family. 

And, if you're anything like me, almost every conversation you've had recently has contained the phrase: "Can you believe it's August already?" With only a month left of summer, it seems like everyone is savoring every last day.  Some of you may be vacationing at the seashore, enjoying a cool breeze.  Or, you may be even planning a last minute vacation.  Whatever, you do, take the time and celebrate summertime.  After all, August is the final month of summer, and before you know it Labor Day will he here.  So, make the most of the last days of summer! 

Here are a few minor holidays celebrated in August:
  • August 1: World Wide Web Day
  • August 3: National Watermelon Day
  • August 6: National Friendship Day
  • August 9: National Book Lovers Day
  • August 10: National Lazy Day
  • August 12: World Elephant Day
  • August 15: National Relaxation Day
  • August 19: World Humanitarian Day
  • August 22: Be An Angel Day
  • August 25: National Kiss and Make Up Day
  • August 30: National Toasted Marshmallow Day
In closing, August for me is the perfect month in the year.  I enjoy the fresh fruit and vegetables.  The sunshine has boosted my serotonin level which has made me feel happier.  And, I always look forward to National Relaxation Day on August 15th of each year.  And, of course, the super sales begin in the department stores. 

So, please take advantage of all that August has to offer - the great summer weather, the beautiful sunsets, and appreciate August, the summer you had and the month of it you have left.

Good Health to You All,
Karen Giblin 

TEN TIPS FOR STAYING HEALTHY
Contributed by Karen Giblin
Red Hot Mamas Medical Expert
The choices you make today will have an effect on how healthy you are in the days ahead.  So, carve out time for yourself and implement ways to stay healthy. 

Here are simple things you can do to stay healthy:

1.     Maintain a healthy body weight

2.     Start moving and exercise regularly at least 30 minutes each day

3.     Don't smoke

4.     Eat a healthy diet which includes 5 or more servings of fruits and vegetables daily.  And, avoid refined sugars and starches

5.     Drink alcohol only in moderation (no more than 2 drinks per day for men and 1 drink for women)

6.     Protect yourself from the sun and use a sunscreen

7.     Catch more ZZZs.  Get enough sleep as your body needs ample rest

8.     Get checkups and routine screenings (pap tests, mammograms, colonoscopies; immunizations; and checks of your blood pressure and cholesterol)

9.     Manage stress properly (take time to read a good book, have a massage or spa day)

10.   Wash your hands often to prevent yourself from getting sick


In conclusion, make time to incorporate modifications to adapting a healthier lifestyle.  Your efforts will pay off in many ways, and for the rest of your life.
HORMONE THERAPY REMAINS THE MOST EFFECTIVE TREATMENT FOR HOT FLASHES AND OTHER TROUBLESOME MENOPAUSE SYMPTOMS, REGARDLESS OF A WOMAN'S AGE 
Contributed by NAMS 2017 Position Statement on Updated Guidelines for Hormone Therapy Use 
CLEVELAND, Ohio (June 20, 2017)-A new position statement on the use of hormone therapy (HT) for menopausal and postmenopausal women from The North American Menopause Society (NAMS) has been published online today in the Society's journal, Menopause. "The use of hormone therapy continues to be one of the most controversial and debated topics," says Dr. JoAnn V. Pinkerton, NAMS executive director. "The goal of this updated version of the Society's position statement is to provide excellent, evidence-based, current clinical recommendations to menopause practitioners for the improvement of care for women depending on them to help relieve menopause symptoms." The statement also reviews the effects of HT on various health conditions, such as cardiovascular disease and breast cancer, at different stages of a woman's life.

What's new in the 2017 position statement? The statement expands on and solidifies NAMS's previous position on several critical areas of confusion regarding HT:

* The risks of HT differ for different women, depending on type, dose, duration of use, route of administration, timing of initiation, and whether a progestogen is needed. Treatment should be individualized using the best available evidence to maximize benefits and minimize risks, with periodic reevaluation for the benefits and risks of HT continuation.
* For women aged younger than 60 years or who are within 10 years of menopause onset and have no contraindications, the benefit-risk ratio appears favorable for treatment of bothersome hot flashes and for those at elevated risk of bone loss or fracture. Longer duration may be more favorable for estrogen-alone therapy than for estrogen-progestogen therapy, based on the Women's Health Initiative randomized, controlled trials.
* For women who initiate HT more than 10 or 20 years from menopause onset or when aged 60 years or older, the benefit-risk ratio appears less favorable than for younger women because of greater absolute risks of coronary heart disease, stroke, venous thromboembolism, and dementia.
* Hormone therapy does not need to be routinely discontinued in women aged older than 60 or 65 years and can be considered for continuation beyond age 65 years for persistent hot flashes, quality-of-life issues, or prevention of osteoporosis after appropriate evaluation and counseling of benefits and risks.
* Vaginal estrogen (and systemic if required) or other nonestrogen therapies may be used at any age for prevention or treatment of the genitourinary syndrome of menopause.

"NAMS discovered through its review of the literature that the previous position that hormone therapy should be prescribed only for the 'lowest dose for the shortest period of time' may be inadequate or even harmful for some women," says Dr. Pinkerton. "NAMS has clarified this position to the more fitting concept of the 'appropriate dose, duration, regimen, and route of administration' that provides the most benefit with the minimal amount of risk. In addition, women older than 65 years old will be relieved to know that they don't have to stop using hormone therapy for their bothersome hot flashes just because of their age. The data simply do not support it, but individualized evaluation and discussion is recommended."

NAMS has developed a patient education piece, "Deciding About Hormone Therapy Use," part of its MenoNote series available on its website (www.menopause.org). This valuable handout simplifies the data in the new position statement for women trying to make decisions about using HT.

###
Founded in 1989, The North American Menopause Society (NAMS) is North America's leading nonprofit organization dedicated to promoting the health and quality of life of all women during midlife and beyond through an understanding of menopause and healthy aging. Its multidisciplinary membership of 2,000 leaders in the field-including clinical and basic science experts from medicine, nursing, sociology, psychology, nutrition, anthropology, epidemiology, pharmacy, and education-makes NAMS uniquely qualified to serve as the definitive resource for health professionals and the public for accurate, unbiased information about menopause and healthy aging. To learn more about NAMS, visit www.menopause.org.
8 TIPS FOR FEMALES TRAVELING ALONE
Contributed by Paul Watson
Guest Contributor
Traveling around the world alone as a woman? Worried something terrible might happen? Are you nervous? Do you think your loved ones might be correct about how it is "dangerous"? Not certain where to start?

Well, fear not. Numerous women travel  around the world by themselves and end up not only fine but relishing great memories. Follow these 8 tips for traveling alone and you too can have a safe and memorable adventure.

8 Tips for Traveling Alone

1. Dress, act and think like a local

It is one thing to act and think like a local, but it is another to dress as though you're one of them. And if you truly love to blend in, be certain to take note of what the locals wear and then follow suit. In springtime Hong Kong for example, while it may be humid and hot for you, you may notice that the people are still wearing jacket and pants.
If you love to fit in and not be deemed as a tourist target, you need to simply go with the flow. Essentially, leave your bright summer clothing at the lowest portion of your luggage when you visit Paris .

2. Get to the target location you have to be before nightfall

If you are always travelling, it may be hard for you to monitor the time as the days, weeks, and months go by. However, the general rule for solo women travelers should be to arrive at the destination before night time.

That way, you can get the time to know your surroundings , grab spare supplies before the day turns dark and unsafe. The last think you want is to walk the streets alone with the luggage and a hidden "tourist target" on your head.

3. Always have a backup plan
There is no harm in considering a plan A, B, C, D, and E (and all that). You will be surprised to discover once you arrive at the target destination that it is not like what you have seen in the pictures. For instance, you may arrive at the airport and feel overwhelmed by all the unfamiliar places and faces.

Your unfamiliarity to the place or area can make you feel extremely uncomfortable (as airport areas frequently do). Under such circumstances, you call tell the reception personnel that you don't feel safe and secure in the area. They can guide you and even request for transport for you.

As soon as you sense something does not feel okay, you can always change your plans. Just trust your instincts; never sacrifice your security; choose plan B, C, or D when required.

4. Let somebody know where you are going

If you are the kind of traveler with an established itinerary, then provide copies of it to your friends and family before leaving. Include as many details as you can as it would provide people with a starting point if something terrible happened to you.

If you do not have one and just go with what's happening when you travel, then you can make use of your social accounts to keep loved ones updated on your location. Send emails (post an FB status or tweet) daily so that folks can monitor your whereabouts.

5. Read up on the location you're visiting for security purposes

Read articles or blogs online about any certain security concerns of the area you are visiting. Are there any scams that you ought to know about? Any safety issues you should know, particularly as a solo female traveler?

On the other hand, do not let all you saw online stop you from having fun. Just implement common sense and you ought to be good.

6. Invest in a few safety essentials

Your safety must be of extreme importance. If at any moment, your instinct tells you that something is wrong, then you should pay more attention to your environment (do not worry about being courteous, just escape the situation).

There are several safety basics I like to include on each trip. These take in pickpocket-proof clothing that has hidden pouches, so I do not have to bring a bag along, a safety whistle in order to draw attention when required, a door stopper for hotel rooms with problematic locks, along with a lock to secure my backpack zippers.

If you're going fishing, then it would be imperative to buy a small fishing boat that you can use to carry you safely over the river.

7. Sit at a bar alone

Sound scary? Being alone at a public bar makes you welcoming, and if something happened, you could just talk to the bartender. Just constantly make certain to watch your drink and drinking. Other great locations for meeting other travelers and locals include money exchanges, walking tours , home-stays and hostels, and public transportation.

8. Keep your valuables with you

But in the first place, you should not bring your valuables!

Well, true. You should not bring anything you'd be unhappy to lose: expensive jewelry, family heirlooms, birth certificate, and so on.

People today travel with modern technology that used to be unfathomable years ago. Most travelers carry a Smartphone with them at least; many bring tablets, laptops, DSLR cameras with expensive lenses, Kindles, and all that.

When you think about the costs to buy any one of those stuff, they certainly count as valuables.

And you should buy a day bag which all your important items can fit into: items include your passport, your medication, your camera , your smartphone, your credit cards, your jewelry, and any other technology, or other valuable equipment.

Never put these things into a general backpack. Also, never put these things into bus' luggage hold. And never put any of these things into a plane's checked luggage. If you let these out your sight, there is a fair possibility that they may be taken away or stolen from you.

Final Thoughts

If you are a solo traveler and you get into a position where folks want something of yours, simply give it to them. There are a few very poor individuals who do terrible things, and taking things from others is just one of them. It doesn't mean that they will harm you.

But you can buy another backpack or iPod or laptop. Do not worsen a dangerous situation by fighting back. The goal here is to be cautious, not scared. I take steps to reduce the risks, but sometimes it is just all about luck.
 
Author Bio:

Paul Watson is a blogger, who likes to share information about travel and the outdoors. He expresses his passion for camping and other outdoors no only by embarking on several outdoor adventures but also writing about them.  Follow me: Twitter

 
The information provided within this newsletter is intended for informational purposes only, it is not a substitute for professional medical advice or examination. Always seek the advice of your clinician.

Red Hot Mamas North America, Inc.
227 Church Road
Bridgewater, NJ 08807