September 2000 Interview

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Feature Interview and Website for September 2000

Dr. Daniel Bivins (note 10.27.12 Dr. Bivins no longer with - Hormonetesting.net)

Please be sure to visit Dr. Bivins:

Hormone Stability

Dr. Bivins, presents very unique and intriguing perspectives on
Hysterectomy, Hormone Loss and Hormone Balance with focus on
healthy adrenal functioning as key in the quest to hormone balance.

I wish Dr. Bivins much success and thank him for
his time and care towards women's health.

1.)"You mentioned Hysterectomy Dynamic on your
website, can you explain this concept a little further?

Dr. Bivins:

"Hysterectomy Dynamic-after a hysterectomy, if a woman still has her
ovaries, she may be fluctuating levels of Estrogens and Progesterone.
However, there is no guarantee that because the ovaries are
intact that they are functioning as they did prior to the operation.

Elizabeth Plourde, in her book, The Ultimate Rape, tells us,
"Removal of just the uterus, alone, can result in ovarian failure.
Research reveals as many as 20 to 44% of hysterectomized women may
experience decreased ovarian function, or ovarian failure, as compared
to 13% in women who have not had surgery."

If the ovaries are producing Estrogens and Progesterone and the
woman arbitrarily takes Natural Hormone Replacement Therapy (NHRT)
she could be put at risk for Estrogen Dominance. As we know, high levels
of Estrogen increase the risk for cancer, and a variety of symptoms.
I felt there was a need to identify the possibility of creating Estrogen
Dominance with NHRT so I coined the term Hysterectomy Dynamic.

Dynamic refers to higher, even normal levels of ovarian production of
hormones. Before any NHRT is considered a woman should find out if she is
producing higher fluctuating levels (Hysterectomy Dynamic) or lower, flat and
insufficient levels of Estrogens and Progesterone (lack of ovarian production)."

2.) "How can you help women who have had a hysterectomy,
determine their own Hysterectomy-Dynamic?

Dr. Bivins:

"A multiple saliva test can determine the presence of a Hysterectomy-Dynamic.
The woman provides a small saliva sample in a tube every other day for
twenty-two days, eleven tubes. One, two or three samples are not
enough to see a fluctuation.

Certainly every woman is different and must be evaluated individually.
However, we usually see one of two things, higher fluctuating levels or
flat insufficient levels of Estradiol and Progesterone. If the levels are
higher (Hysterectomy Dynamic, suggesting ovarian production) a more
conservative approach is used with NHRT. It is not uncommon to just
support the adrenals to increase levels of DHEA, Estrogens and
Testosterone, when there is some ovarian production.

With low ovarian production, more conservative levels of NHRT may be
appropriate, based on the data. If levels are consistently low and flat,
(loss of ovarian production) supplementing with full
physiological levels would be appropriate.

Physiological levels are similar to what the body produces naturally.
Follow-up testing would determine if the NHRT levels are correct
and if your body is absorbing the hormones. Additional testing can tell
us about gut and liver function. Oral hormones may not be
fully absorbed, if your gut is not working properly. Your
liver must still process natural hormones.

Each woman should know if she has a Hysterectomy- Dynamic or if
her levels are consistently low. Every woman should know what her
level of hormone production is regardless of what type of hysterectomy
she had, before she begins NHRT. By first finding out the hormone levels
and periodically retesting a woman can safely pursue hormone balance.

Saliva Tests

There is 20 years of research on saliva tests. They are inexpensive
and accurate. The 1 to 5% of hormones in the body are in the saliva and are
available at the cellular level to do their job. The 90% or more in the
blood are bound to a protein molecule and are in storage, not available at
the cellular level. Measuring saliva levels of adrenal
and female hormones gives us functional data."

3.)"The endocrine system is complicated, yet simply works in synergy,
can you tell us a little more about how adrenal functioning
might be affected when a woman's ovaries are removed?
and:
Ovarian removal, the total loss of these organs and the hormones they
produce, very often times create serious hormone loss symptoms and
related health problems, how would your treatment differ for women who
have no ovaries as opposed to those that do?"

Dr. Bivins:

"A hysterectomy stresses the adrenal glands (Cortisol and DHEA, the stress
hormones). Mal-adaptation to stress will first raise then exhaust Cortisol
levels and lower DHEA levels. High Cortisol has a tendency to store fat
and burn bone, muscle and nerve cells for energy.

The master hormone, DHEA, is a precursor to the Estrogens and
Testosterone. If you exhaust DHEA your levels of Estrogens, and
Testosterone will become exhausted. I must assume that prior to a
hysterectomy, internal physiological stressors, the reason for the
hysterectomy, stressed the adrenals. Internal stressors also include food
intolerances, parasites, glandular dysfunction, etc. The external stressors,
mental and emotional stressors, leading up to the hysterectomy,
must have stressed the adrenals.

The Adrenal Stress Index (ASI) is a representation of the woman's lifetime
accumulation of stressors. The ASI is a saliva test that measures four Cortisols
at four different times in the day and two DHEA(S), which are averaged
into one sum. Stressors from years ago will show up in this test. The body
is a museum. Maybe your adrenals are already at some state of exhaustion
then you have the hysterectomy. Depending on the type of hysterectomy, your
body and adrenals must deal with that degree of impact and
recovery. Possibly left without ovarian production of female hormones,
adrenal hormones even become more important. Normalizing adrenal
function now becomes the goal.

This can be accomplished gently and effectively with other natural hormones,
supplements, diet and lifestyle changes. How you respond to stressors becomes
critical. The stress will still be there. You can make choices to minimize and
eliminate stressors. You can make choices on HOW you respond to stress.

The woman without ovaries (or with non-functioning ovaries),
should balance the adrenal glands as above and supplement
with NHRT to physiological levels, based on data."

4.) "Last but not least Dr. Bivins, can you explain briefly your
background and experience with women's health and hormones?"

Dr. Bivins:

"Before becoming a chiropractor I was a biofeedback technician and
mental health worker. I have been drawn toward assisting women as
I have seen the great need. As a chiropractor I believe that the
body heals itself. How can we identify system dysfunctions
scientifically and then support them naturally? After becoming a
chiropractor I worked as a national lab consultant. I trained
doctors to interpret lab tests based on a premise of identifying
insults to the body and going to the cause of the problem. I now
specialize in laboratory guided nutrition/hormones and natural
hormone balance for women. When you know something is right
it's hard not to pursue it."

The above is for educational purposes and is not
intended to replace your physician.

Thank you Dr. Bivins we look forward to hearing
from you more on adrenal function, Hysterectomy
and hormone balance.

Beautiful Background Compliments of:

UPDATED: 10.27.12

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