N E W S
F R O M
THE WOMEN’S HEALTH
RESOURCE CENTER
DARTMOUTH-HITCHCOCK
MEDICAL CENTER
WINTER 2005
Bioidentical Hormones –
What Are They?
Although bioidentical hormones have been around for years, they have hit the limelight recently
with the publication of Suzanne Somer’s new book, The Sexy Years. As a result, many women are
calling their healthcare providers to ask about this alternative hormone replacement therapy as
they wonder if it could be an option for their peri- and post-menopausal symptoms.
Why Use Hormone
Replacement Therapy?
than the hormones the human body produces.
Since they are not “natural”, they can be
patented and mass-produced.
At menopause, women have a significant drop
The most commonly prescribed type of synthetin their body’s production of estrogen
ic estrogen is Premarin,
and progesterone. These
which is estrogen gathered
changes in hormone balfrom pregnant horses’
Symptoms
of
lower
estrogen
ance can produce sympurine, while Provera is a
toms that are especially
and progesterone levels can
commonly used synthetic
difficult to deal with in a
include:
progesterone. These synculture that does not
thetic
hormones, and others
• hot flashes and night sweats
honor taking time for
like
them,
are not exact
• increased anxiety, depression,
women’s transitions into
copies
of
women’s
horand mood swings
midlife. Making lifestyle
mones.
They
work
because
• vaginal dryness
changes at mid-life which
they bind to the same
• painful urination
include exercise, good
places in our bodies (recep• loss of concentration and
nutrition, and stresstor sites) to which our natmemory
reduction can help
urally produced estrogen
• sleep disturbances
menopausal symptoms.
and progesterone hormones
• diminished sex drive
Some women also choose
bind.
• painful intercourse
hormone replacement
• loss of muscle strength
therapy (HRT) because
In some women, synthetic
• urinary incontinence
they continue to have difhormones can produce
• fatigue
ficulty with symptoms,
intolerable side effects,
• headaches
even after making signifisuch as breast tenderness,
• hair coarseness/loss of hair
cant lifestyle changes. In
high blood pressure, fluid
• arthritis
addition, some women are
retention, headaches, nau• breast tenderness
missing hormones from
sea, etc. Another down
• nervousness
having had their ovaries
side to synthetic hormones
• … and others!
surgically removed.
is that these mass produced products cannot be
easily tailored to a
What is
woman’s individual needs.
Conventional HRT?
Currently, conventional medicine usually prescribes synthetic hormones for the transition
into menopause. Synthetic hormones – sometimes called “patented,” “conventional,” or
“artificial” hormones – are chemically different
However, your practitioner can customize your
synthetic regimen by using lower doses,
changing the methods of delivery (such as skin
patches and vaginal rings), and by using different brands.
continued on next page
Bioidentical Hormones continued
What Are Bioidentical
Hormones?
Bioidentical hormones are manufactured to
have the exact molecular structure as the hormones made by your own body.
These hormones are sometimes called “natural hormones.” This is a misnomer because:
• bioidentical hormones can be derived from a
variety of sources, including from the
hormones of pigs or horses; and
• bioidentical hormones undergo several
synthetic processing steps before the
bioidentical end product is obtained.
There is no commercially available product
that is both completely natural and bioidentical.
That being said, the therapeutic effects of
bioidentical hormones may be associated
with fewer side effects, and a woman’s body
may be more responsive to these hormones
because they are what a woman’s body makes
naturally, prior to midlife changes.
This is a theoretical statement, as we have no
long-term studies to confirm this, although
common sense would say that our bodies
would respond better to exact copies of our
naturally-occurring hormones.
Are Bioidentical Hormones Safe?
Because we do not yet have long-term, randomized studies on bioidentical hormones, it
has not been established whether they are
safer than synthetic hormones.
One must understand that the research that
was first done on synthetic hormones was
funded by the pharmaceutical companies that
made them. This kind of funding has not been
available for bioidentical products compounded by pharmacists, as they are not
patentable, and therefore do not generate
large profits.
It wasn’t until the federal government funded
research studies on hormones that the detrimental effects of synthetic hormones were found (ie.
higher risk for breast cancer and heart attacks).
Therefore, important research on the long-term
effects of bioidentical hormones will need to
also be funded by the federal government,
which may only happen when women become
more vocal about the glaring lack of research on
bioidentical hormones.
Currently, most practitioners do not recommend that any kind of HRT – bioidentical or
synthetic – be used indefinitely as a “miracle
anti-aging cure”, and that long-term use for
menopausal symptom relief (i.e. longer than
3-5 years) be only used with an extensive risk
assessment.
How Are Bioidentical Hormones
Made, and Where do you
Obtain Them?
There are several “branded versions” of
bioidentical hormones now available in a
“one-size-fits-all” dosage regime that can be
prescribed by your healthcare provider.
QUICK REFERENCE
Brand Name
Type/Gene
Premarin
Conjugated
Cenestin
Conjugated
EstraTab
Esterified es
Also available is bioidentical hormone
replacement therapy (BHRT) that is compounded by a pharmacist. This therapy has
the advantages of being individualized to
help with a woman’s specific symptoms and
can be adjusted slightly, both in dosage and
method of delivery, as her symptoms change.
Small changes can be made in the hormone
regimens used by compounding pharmacists
because they are literally “mixing the hormones” themselves.
Menest
Esterified es
Estrace
Micronized e
Ogen
Estropipate
Ortho-Est
Estropipate
Estinyl
Ethinyl estra
Alora
Estradiol
Climara
Estradiol
Estraderm
Estradiol
The compounding pharmacist prepares the
hormones from a healthcare provider’s prescription in a variety of dosage forms,
strengths, and combinations that can be customized for each patient’s needs. To create
bioidentical hormones, the pharmacist mixes
a combination of estradiol, estriol, and
estrone (for estrogen replacement), progesterone, and other hormones, if needed. The
hormones used are like the hormones of a
pre-menopausal woman.
FemPatch
Estradiol
Vivelle/Vivelle-Dot
Estradiol
Activella
Estradiol/No
Estring
Estradiol
Depo-Estradiol
Estradiol cyp
Delestrogen
Estradiol val
PremPro
Conjugated
Premphase
Conjugated
EstraTest HS
Esterified es
EstraTest
Esterified es
Femhrt
Ethinyl estra
OrthoPrefest
Estradiol/No
Combipatch
Estradiol/No
Prometrium
Micronized p
Crinone
Micronized p
Provera
Medroxypro
Cycrin
Medroxypro
Amen
Medroxypro
Aygestin
Norethindro
Testoderm
Testosteron
Androderm
Testosteron
Androgel
Testosteron
Testim
Testosteron
Striant
Testosteron
Depo-testosterone
Testosteron
Delatestryl
Testosteron
Compound Pharmacy
Estrone/Est
Compound Pharmacy
Estradiol/Es
Compound Pharmacy
Estriol
Compound Pharmacy
Progesteron
Compound Pharmacy
Testosteron
Compound Pharmacy
Testosteron
A compounding pharmacist buys synthesized
soy or yam products (from which the bioidentical hormones are derived), from the same
pharmaceutical companies that supply conventional hormone therapies. They make
these hormones from FDA-approved ingredients made in FDA-approved laboratories.
However, the FDA has not approved of all
bioidentical hormones for menopausal treatment (see adjacent chart). For example,
EstroGel® is FDA-approved, while compounded bioidentical hormones are not.
Compounding pharmacists also must comply
with the regulations of state boards of pharmacy and belong to The International Academy of
Compounding Pharmacists. To locate a compounding pharmacy that works with providers’
prescriptions, contact The International
Academy of Compounding Pharmacists: 800927-4227 or www.iacprx.org.
What Tests Are Used for
Prescribing HRT?
The problem with measuring estrogen levels
for treatment decisions is that estrogen interacts with other hormones, so the levels
change day-to-day, minute-to-minute. Levels
also fluctuate depending on time of the
month, during peri-menopause swings, and
many other factors.
continued on back
* O = Oral
T = Transdermal Patch
Adapted from D Reed-Kane: International
GUIDE TO HORMONE REPLACEMENT THERAPIES
eric Name
Route of
Administration*
Bioidentical?
FDA
Approved?
estrogens
O/V
Pregnant mares’ urine
NO
YES
estrogens
O
Synthesized from soy and yams
NO
YES
strogens (estrone, equilin)
O
Both synthesized from soy and yams
NO
YES
strogens (estrone, equilin)
O
Both synthesized from soy and yams
NO
YES
O/V
Synthesized from soy and yams
YES
YES
O/V
Synthesized from Mexican yams
NO
YES
estradiol
Source of Active Ingredients
O
Synthesized from yams
NO
YES
O
Synthesized from Mexican yams
NO
YES
T
Synthetic
YES
YES
T
Synthesized from soybeans
YES
YES
T
Synthesized from Mexican yams
YES
YES
T
Synthetic
YES
YES
T
Synthesized from Mexican yams
YES
YES
O
Synthetic
NO
YES
V
Synthesized from Mexican yams
YES
YES
pionate
I
Synthetic
NO
YES
erate
I
Synthetic
NO
YES
estrogens/Medroxyprogesterone acetate
O
Pregnant mares’ urine/Synthetic
NO
YES
estrogens/Medroxyprogesterone acetate
O
Pregnant mares’ urine/Synthetic
NO
YES
strogens/Methyltestosterone acetate
O
Synthesized from soy and yams/Synthetic
NO
YES
adiol
orethindrone acetate
strogens/Methyltestosterone acetate
O
Synthesized from soy and yams/Synthetic
NO
YES
adiol/Norethindrone acetate
O
Synthesized from soy
NO
YES
orgestimate
O
Synthesized from soy/Synthetic
NO
YES
orethindrone acetate
T
Synthesized from soy and yams
NO
YES
progesterone
O
Synthesized from Mexican yams
YES
YES
progesterone
V
Synthesized from Mexican yams
YES
YES
gesterone acetate
O
Synthetic
NO
YES
gesterone acetate
O
Synthetic
NO
YES
gesterone acetate
O
Synthetic
NO
YES
ne acetate
O
Synthetic
NO
YES
e
T
Synthetic
YES
YES
e
T
Synthesized from soy
YES
YES
e
T
Synthesized from yams or soy
YES
YES
e
T
Synthesized from soy
YES
YES
e
O
Synthesized from soy
YES
YES
e cypionate
I
Synthetic
NO
YES
e enanthate
I
Synthetic
NO
YES
O/T/S/V
Synthesized from soy
YES
NO
O/T/S/V
Synthesized from soy
YES
NO
O/T/S/V
Synthesized from soy
YES
NO
ne
O/T/S/V
Synthesized from yams or soy
YES
YES
e
O/T/S/V
Synthesized from soy
YES
YES
Synthetic
NO
YES
tradiol/Estriol (Triple estrogen)
triol (Bi-estrogen)
e propionate
I
S = Sublingual
V = Vaginal, Cream, Gel or Ring
I = Intramuscular
Journal of Pharmaceutical Compounding. Vol. 5 No. 5 September/October 2001
Bioidentical Hormones continued
Levels of hormones can hypothetically
be tested by looking at saliva, blood, or
urine. Salivary tests for estrogen levels in
a menopausal woman do not test for all
estrogens in the body; therefore this is
not a good baseline test for estrogen.
Urinary hormone levels are also problematic as they do not measure all estrogens.
Some practitioners are now using blood
serum tests or “hormone panels” as a
basis for treating with bioidentical hormones. However, these tests may be
inadequate to evaluate the effect of therapy on symptoms. Practitioners who do
use these blood tests, typically use them
every 3-6 months until hormone balance
is restored, and then once a year at the
woman’s annual exam.
There are many practitioners who feel any
kind of hormone testing is unnecessary if
the goal is to help women with their specific symptoms. In these cases, symptom
checklists are used, along with a woman
tracking of her own progress over time.
The key is listening to a woman’s own
reports of symptoms to make the subtle
changes needed for relief, and meeting frequently enough with her healthcare
provider to adjust hormones as symptoms
improve or change.
In summary, the goal of any kind of hormone replacement therapy is to alleviate
symptoms caused by the natural decrease
in production of hormones by the body
and to bring the body back to hormonal
balance. Proponents of using compounded bioidentical hormones believe they
should be “better for you” because they
imitate the body’s natural processes as
much as is possible and can be individualized for the patient’s specific symptoms. However, it should be emphasized
that this kind of therapy requires substantial effort and time on the part of the
pharmacist and health care provider and
does not have the long-term research
behind it that conventional therapies
have. In either case – bioidentical or synthetic – prescribing HRT is perhaps more
an art than a science, requiring a collaborative relationship between patient and
healthcare provider.
For more in-depth information and other
women’s health concerns, visit our free
WHRC lending library. To learn more on
this subject, come on Wednesday, March
2, at 5:30 pm to DHMC Auditorium E for
a free lecture on bioidentical hormones
presented by Marc Cote, R.Ph., a local
compounding pharmacist.
The Women’s Health Resource Center
Located on the mall in Lebanon, New Hampshire.
Hours: 9:00 – 6:00 pm Monday & Friday
9:00 – 5:00 pm Tuesday – Thursday
Phone: 603-650-HERS or 603-650-2600
Fax:
603-650-2609
Web: www.dhmc.org/dept/whrc
Mailing address:
WHRC, One Medical Center Drive,
Lebanon, NH 03756
E-mail address:
dhmc.womens.health.resource.center
@hitchcock.org (no spaces)
Editors:
Elaine Shamos, Gay Travers
Designed by Lufkin Graphic Designs
O
U R
M
I S S I O N
The Dartmouth-Hitchcock Women’s Health
Resource Center seeks to enhance the level of
women’s physical and mental health by providing
information, advocacy and support. The Center
promotes healthy lifestyle choices and preventive
care, and encourages women to make informed,
efficient health care decisions.
One Medical Center Drive
Lebanon, New Hampshire 03756
PRESORTED STD
US POSTAGE PAID
LEBANON, NH
PERMIT NO. 211
WOMEN’S HEALTH RESOURCE CENTER
REIKI I TRAINING
Reiki means universal life force. This
ancient healing energy may reduce stress,
relieve pain and facilitate healing. This
workshop includes an overview of the history of Reiki, instruction in hand positions
used for treatment, and a summary of the
energy centers in the body. By the end of
class each student will have received the
Reiki I attunement and become certified as
a Reiki I practitioner.
Saturday, Jan 22
12 noon – 6:00 pm • $100
Linda Carley, Reiki Master Teacher
REIKI II TRAINING
Second degree Reiki is available to Reiki I
Practitioners who would like to strengthen
the Reiki energy flow of their treatments.
The use of ancient Reiki symbols will be
taught to aid in emotional issues as well as
distance healing. Prerequisite Reiki I.
Sunday, Feb 27
10:00 am – 6:00 pm • $150
Linda Carley, Reiki Master Teacher
REIKI III TRAINING
For students who would like to enhance
their Reiki skills. This class reviews the
Reiki symbols in depth and also incorporates the use of essential oils, flower
essences and crystals. Prerequisite: Reiki II.
Sundays, April 3 and April 10
1:00 – 6:00 pm • $300 for workshop
Linda Carley, Reiki Master Teacher
REIKI SHARE
Open to all Reiki Practitioners. Come
gather with other practitioners to share
and give Reiki to each other. Sure to be
a fun afternoon!
Saturday, Feb 19
1:00 – 3:00 pm • Free of charge
INDIVIDUAL REIKI SESSIONS
WHRC is now offering appointments for
individual Reiki sessions. Reiki is a
Japanese, non-invasive, “hands on” healing technique used for stress reduction and
also promotes healing from within. Reiki
can be used as a complementary therapy
for any medical or psychological illness.
Call 650-HERS to set up an appointment.
$60 for one hour session
$30 for half hour session
Linda Carley, trained under the Usui
System of Natural Healing, has been a
Reiki practitioner since 1995 and received
her Reiki Master Teacher Degree in 1997.
BEYOND THE KEGEL –
PELVIC FLOOR
STRENGTHENING EXERCISES
STRENGTH TRAINING FOR
OSTEOPOROSIS PREVENTION –
DAY OR EVENING CLASSES
Sign up for this fun and enlightening workshop to learn functional ways to strengthen
the pelvic floor. Participants will learn specific exercises which mimic everyday
motions, instead of those based on static
positions – ensuring a much better effect on
day-to-day life!
Saturday, March 19
4 – 5 pm • $20 for the class
Beth Baras, National Academy of Sports
Medicine Certified Personal Trainer and
Nationally Certified Massage Therapist
This 6-week course is designed specifically to help prevent bone loss (osteoporosis)
that occurs as we age — for women, this
begins in their mid-30s. Participants will be
led through a series of exercises using light
weights for the upper and lower body.
These exercises will help you increase
bone density and improve balance, flexibility, muscle tone, and strength (not build
large muscles!). Each participant must
bring a letter from their physician clearing
their participation in this class. Choose a
daytime or evening class:
Weds., Jan 19 – Mar. 16 (no class Mar. 2)
10:10 – 11:10 am - or Thurs., Jan 20 – Mar. 17 (no class Mar. 3)
5:30 – 6:30 pm
$96 for 8 classes, includes all materials
and use of weights
Beth Baras, Certified Personal Trainer
*Check with your health insurance or
employer for reimbursement of this course
WOMEN WHO LOVE
TOO MUCH: A STRESS
MANAGEMENT GROUP TO
HELP WOMEN TAKE BETTER
CARE OF THEMSELVES IN
RELATIONSHIPS
This class is designed to educate and support women who find themselves repeating
a pattern of unfulfilling relationships.
There is an educational topic for each
meeting and the class includes a copy of
the book, Women Who Love Too Much, by
Robin Norwood.
Tuesdays, Feb 1 – March 8
5:30 – 7 pm • $125 for 6 sessions,
includes book
Wendy Sichel, MEd
AMERICAN RED CROSS –
HOME ALONE
This course is designed to teach children
ages 8 to 11 how to respond safely to a
variety of home alone situations. We will
cover: gun safety, internet safety personal
safety, family communications, sibling
care, and basic emergency care.
Saturday, Feb 26
10 – 12:30 am • $55 for the course,
includes book and all other materials
Jude Powers, Red Cross Instructor
LOOK GOOD,
FEEL BETTER PROGRAM
Organized by the American Cancer
Society, the Look Good Feel Better
Program is a non-medical, brand-neutral
program founded to help women offset
appearance-related changes from cancer
treatment. Each two-hour, hands-on workshop includes a 12-step skin care/ make-up
application lesson, demonstration of
options for dealing with hair loss, and nail
care techniques. A take-home cosmetic kit
is included, and advice is provided on wigs,
scarves, and accessories.
February 1 - or - April 5
10am - 12 noon • FREE
For more information, call
NCCC help line at 800-639-6918 or
Doris Watson at 603-298-0198 or
www.lookgoodfeelbetter.org
FREE LECTURE
“WHAT ARE COMPOUNDED BIOIDENTICAL HORMONES?
Marc Cote, R.Ph, Compounding Pharmacist
Wednesday, March 2
5:30 – 7:00 pm • DHMC Auditorium E
PROGRAMS – WINTER 2005
PARENTING CLASS SERIES:
FREE SUPPORT GROUPS
Communicating with Our
Children about Sex and Sexuality
Pre-registration Preferred
All workshops led by Sarah Green of the Education & Training
Department of Planned Parenthood of Northern New England.
“TURNING POINTS” BREAST CANCER
SUPPORT GROUP
BUILDING THE FOUNDATION
FOR SEXUAL HEALTH
2nd Thursday of each month
6:00 – 7:15 pm
Call 650-3513 for more information.
Margie Cole, MSW and Jill Butler, MSW
For Parents And Caregivers Of Children Aged 0-8
Sex education begins before puberty. Children under 9 are
exposed to a lot of sexual content in the media and from peers
and other schoolmates. Messages they receive from the world
around them affect the values and attitudes they are developing which have an impact on their ability to be sexually
healthy in adolescence and beyond. Starting the conversations
now, when your child is young and readily influenced by you,
will ensure the lines of communication are open when their
bodies start to go through the changes of puberty and they suddenly have a lot of questions.
Wednesdays, January 19 and 26
6:30 – 8 pm • $15 for the 2 workshops
PUBERTY EDUCATION AT HOME
For parents and caregivers of children ages 9-14
Children entering puberty may suddenly have a lot of questions
about sex, their changing bodies, friendships, and feelings, or
they may display behaviors and make comments that alert parents to their child’s exposure to sexuality and (mis)information.
Parents, sometimes caught off guard, may recognize it is critical
to respond, but may wonder: “What is the correct information?
Will I say too much? What messages do I want to give?”
Establishing yourself as an “askable” parent will be an invaluable
supplement to puberty education at school.
Wednesdays, February 9 and 16
6:30 – 8 pm • $15 for the two workshops
INFLUENCING YOUR CHILD’S SEXUAL
HEALTH IN ADOLESCENCE
For parents and caregivers of children aged 13-18
Parenting a teenager can be tough, especially when they seem
resistant or don’t seem to understand our concerned intentions.
Some of parents’ biggest worries are, “Will my child get
through adolescence without being involved in an unwanted
pregnancy, getting an STD or HIV, or engaging in non-consensual sexual behaviors?” What if they do not become sexually active until they have left home and are even further from
my sphere of influence and support?” One short unit of Sex
Education in high school is often not enough when teens
receive endlessly repeated messages from the media and their
peers that may be in direct opposition to what is best for their
sexual health and well being. Come receive the support you
need to become your teen’s primary sexuality educator.
Wednesdays, March 2 and 9
6:30 – 8 pm • $15 for the two workshops
PEER SUPPORT GROUP
FOR INFERTILITY
This monthly group is open to couples and individuals at any
stage of infertility, and provides a place for information,
sharing and support.
3rd Thursday of each month
6:30 – 8:00 pm
*Held at DHMC. For more information, call Michele
at 675-2256, or RESOLVE of NH’s HelpLine at
888-303-9144, or go to www.ResolveNH.org
“THE WOMEN’S GROUP” – A SUPPORT
GROUP FOR METASTATIC CANCER
This group is offered for woman with any type of metastatic cancer.
3rd Thursday of each month
12 noon to 1:30 pm *Held at DHMC:
8th Floor of NCCC – Rubin #890
Call 650-3513 for more information
Margie Cole, MSW and Briane Pinkson, LPN
Healing Arts Practitioner, DHMC
OVARIAN CANCER SUPPORT GROUP
This group meets once a month for patients, friends, and
family to network and gain knowledge about ovarian cancer
and complementary therapies.
2nd Wednesday of each month
1:00 – 2:00 pm *Held at Cook Conference Room, NCCC
Call Laura Urquhart at 653-3530
“UPPER VALLEY NIGHTWALKERS”
RESTLESS LEG SYNDROME SUPPORT GROUP
If you experience strange, jumping, or painful sensations in
your legs or arms when you are trying to rest, and have a
great urge to move, come meet other people just like you.
Wednesdays, Feb 23 and April 27
4:45 – 6 pm • Kendall at Hanover in the Gathering Room.
For more information call Pip Richens at 603-643-2624
or Deb Griffiths at 603-448-3702
WHRC CLASSES CALENDAR AT-A-GLANCE
This calendar shows the beginning date of our classes and programs
JANUARY
MARCH
10
Infant CPR – Family & Friends
2
Influencing Your Child’s Sexual Health in Adolescence
11
Evening Gentle Yoga
2
Free Lecture: “What are Compounded Bioidentical Hormones?
17
Stress Management For bWomen Who Have Recently Moved
15
Heartsaver Certified Infant CPR Class
18
Radical Makeovers: Get In Shape Physically and Emotionally
19
Beyond the Kegel – Pelvic Floor Strengthening Exercises
19
Strength Training for Osteoporosis Prevention
22
Heartsaver Certified Adult CPR & AED Class
19
Building The Foundation For Sexual Health
22
Reiki I Training
FEBRUARY
1
APRIL
5
Look Good, Feel Better Program
3
Reiki III Training
Women Who Love Too Much: A Stress Management Group
1
Look Good, Feel Better Program
7
Life Mapping: Strategic Planning for Life’s Transitions
9
The Fear Factor, Breaking Through Your Own Fear Barrier
9
Puberty Education at Home
19
Reiki Share
26
American Red Cross – Home Alone
27
Reiki II Training
WHAT’S NEW AT THE WHRC STORE
COMPRESSION STOCKINGS
Our full line of compression stockings
are now also available in the popular
thigh high style in black, nude or
beige $16
BRAVADO PANTIES & BRAS
Now available in butterscotch, along
with white, blush, black, polka dot and
leopard! This underwear is soft cotton,
and appropriate for women of all
shapes and ages.
Bikinis . . . . . . . . . . . . . . . . . . . .2/$15 50 PEARLS OF WISDOM
Briefs . . . . . . . . . . . . . . . . . . . .2/$18
Honor a woman in your life as she
Bras
. . . . . . . . . . . . . . . . . . . . .$33
turns fifty with elegant silver or gold
necklaces, each with 50 freshwater
pearls . . . . . . . . . . . . . . . . . . . . .$65 NEW-LIFESTYLES STEP COUNTER
ASTROGLIDE PERSONAL LUBRICANT
PEDOMETER
Water-based, water-soluble, condom
Wear one and find out... Did you walk
compatible, long-lasting . .$8 and $10
10,000 steps today? . . . . . . . . . . .$30
WOMEN’S HEALTH RESOURCE CENTER PROGRAMS – WINTER 2005
IMPORTANT REGISTRATION INFORMATION • 603-650-2600
All classes take place at the Women’s Health Resource Center, on the mall in Lebanon,
unless otherwise noted.
ALL CLASSES MUST BE PAID FOR IN FULL, ONE WEEK BEFORE THE CLASS BEGINS.
We are unable to provide refunds for a program one week prior to the beginning of class.
Space is limited, so please register by calling (603) 650-2600.
WHRC reserves the right to cancel any program due to insufficient enrollment.
Many insurance plans are now offering reimbursement to their subscribers for
participation in our health care classes. Call your employer or insurance customer
representative to find out if you are eligible.
In case of bad weather, class cancellations will be made on the day of the class: by 2:30
pm for evening classes, and by 8:30 am for daytime classes.
GET IN SHAPE FOR MIDLIFE
HEALTH AND BEYOND
Call WHRC at 650-2600 to make an
appointment at your convenience
Personal Training Sessions: WHRC is
now offering individual sessions in personal fitness training and life coaching at our
weight training room or at your home. Jude
Powers is a certified personal trainer with
The American Council on Exercise and a
stress-reduction coach, trained under Jon
Kabat-Zinn at the U. of Mass. Center for
Mindfulness. Jude can help you jump-start
your fitness routine to reclaim your body
and mind for health and well-being.
$55 for one hour session
Individual Fitness Assessments: available
for cardiorespiratory fitness, body composition, flexibility and blood pressure. These
assessments allow you to know your physical working capacity and your physical fitness status. The results will help determine
a safe and effective exercise program to
meet your needs and abilities.
$75 for 1 1/2 hour consultation
THE FEAR FACTOR, BREAKING
THROUGH YOUR OWN
FEAR BARRIER
Fear is an affirmation of your ability to risk
and your willingness to grow. Fear never
goes away – we just learn how to recognize
it and respond with positive actions to push
through to the next level of growth. This
class moves you through a process that
starts with understanding how fear works,
shows you how to know the difference
between expectations and intentions, and
finally helps you identify your fear trigger
to get yourself off the fear cycle and put
yourself onto the path to self fulfillment.
Wednesdays, Feb 9 – March 2
7- 9 pm • $100 for the 4 classes, includes
all materials and individual
consults with instructor
Kathy Mackinnon, MEd, Life Coach
RADICAL MAKEOVERS FROM
THE INSIDE OUT: GET IN
SHAPE PHYSICALLY AND
EMOTIONALLY
This 8-week course is about moving your
body and getting in shape gradually and
gently. Based on Bob Greene’s Get with the
Program (made famous by Oprah), Dr. Phil
McGraw’s The Ultimate Weight Solution,
and Andrew Weil’s teachings on integrative
health, this course will teach you the tools
to respond to emotional obstacles that have
kept you from achieving your personal fitness and weight goals. You will be instructed in strength training exercises using free
weights and bands, and you will design a
personal fitness contract for yourself, to
help with your success.
Tuesdays, January 18 – March 8
6:00 – 7:30 pm
$195 for the 8 classes, includes book
and use of equipment
Jude Powers, Certified by
American Council on Exercise
*Check with your health insurance or
employer for reimbursement of this course
STRESS MANAGEMENT GROUP
FOR WOMEN WHO HAVE
RECENTLY MOVED
Relocating to a new area creates unique
challenges to the self-esteem of women.
The loss of one’s support network and of
the familiar details of one’s previous life
can shake our sense of ourselves. Members
of this group will: learn to understand why
as women moving is particularly difficult;
learn how this experience may be different
for the men in their lives; have a safe place
in which to process their experiences;
receive support from other women who are
going through a similar experience.
Mondays, January 17 – February 21
6:30 – 8:30 pm • $72 for 6 classes
Jill Fischer, LICSW
EVENING GENTLE YOGA
For stretch and relaxation. Wear comfortable clothing. Bring a yoga mat or purchase one at the WHRC at a discounted
price! Choose one or both sessions:
Tues, Jan 11 – Mar 8 (no class Feb 8)
Thurs, Jan 13 – Mar 10 (no class Feb 10)
5:15 – 6:30 pm
$80 for 8 classes once a week;
or $140 for 16 classes twice a week
Beverly O’Bryon, RN, ARNP, Certified
Kripalu Yoga Instructor
LIFE MAPPING: STRATEGIC
PLANNING FOR LIFE’S
TRANSITIONS
Think about when you’re lost…isn’t it easier to find your way when you have a map?
As women, we face many transitions in our
lives. What we value determines our choices. Identifying these values allows us to
use them to our advantage in the decision
making process. In this 4-week course, you
will identify your core values, reflect on
the events that have brought you here, construct a 5-year plan that will help you look
to the future, and learn techniques to keep
yourself centered and “on you path”. Your
own personal life coach will guide you
through this fun process of creating a life
map to guide you into your future.
Mondays, Feb 7 – 28
7 – 9 pm • $100 for 4 classes, includes
all materials and individual consult
with instructor
Kathy Mackinon, MEd, Life Coach
INFANT CPR –
FAMILY & FRIENDS
For infants and children up to age 8.
Choose one of the following class dates:
Monday, Jan 10 or Tuesday, Feb 8
6 – 9 pm • $30/person (includes book)
Sue Gregory, AHA, BLS instructor
HEARTSAVER CERTIFIED
INFANT CPR CLASS
Tuesday, March 15
6 – 9 pm • $45/person (includes cert.
card)
Sue Gregory, AHA, BLS instructor
HEARTSAVER CERTIFIED
ADULT CPR & AED CLASS
Tuesday, March 22
6 – 9 pm • $45/person (includes cert.
card)
Sue Gregory, AHA, BLS instructor