Ann Louise Gittleman holds a PhD, is a Certified Nutrition Specialist, and has written extensively about the impact of nutrition in menopause. Her most incisive point to me was that nobody was connecting the dots for menopausal women.
She gave the example of patients who were experiencing recurring urinary infections, even those who were not sexually active. She elucidated that the infections were the result of a “changing vaginal environment.” She said, “When the vaginal tissue atrophies, it makes the urethra more exposed and vulnerable.”
Gittleman has found the bioidentical cream Estriol to be especially effective, while still considered the weakest form of estrogen. She strongly supports getting a saliva test every two months to show what the balance between hormones is. “The key to what you need is in the test,” she said.
Gittleman believes that the progesterone to estradiol ratio tells the most—as the two hormones should be in balance. She sees progesterone as being important because it stabilizes uterine lining cell growth. For Gittleman, “Balance is everything.”
For those women who prefer a strictly homeopathic approach, Gittleman recommends that they find a practitioner in that field, in order to obtain an individualized program tailored to their unique biochemical needs.
Dr. Laurie Steelsmith, a licensed naturopathic physician specializing in women's health, fits that description.