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The hormonal variations sometimes have an important influence on the weight. Without counting the numerous disturbances that can harm to the line. Unbalance in estrogènes, hypothyroïdie... The Dr Pierre Nys, endocrinologue and attaché of the hospitals of Paris, unveil us the origins of unrest that touch the women, but also the men. 1:  For the woman, one generally considers the period of the menopause as the one of the hormonal changes the more to risk for the weight. Is this a reality?
Dr Nys:Â It is true, the menopause is a particularly difficult period. All statistics show that the women take the weight then. Because the menopause is a stage staked out of numerous physiological modifications. An ovarian hormonal unbalance exists, with an easiness of storage, of cellulitis apparition, etc. But there is in parallel a decrease of the physical activity. And he can also have there other disturbances, thyroid notably. The prevention of the hold of weight passes by a good food hygiene and a regular physical activity. Often, the women are embarrassed by their stomach that tends to round after the menopause. It is necessary to realize that it is a normal phenomenon, bound to the jamming of the intervertebral disks. To fight against it, it is necessary to rehabilitate the abdominal strap. On the other hand, to take a substitutive hormonal treatment is not counseled to avoid the hold of weight. Not only he is more and more controversial, but if he is measured out too much, he is going to encourage the apparition of these kilograms on the contrary!
2: Can a too severe regime threaten the hormonal balance? Dr Nys: So that he occurs of serious hormonal disturbances, it is necessary more that a simple regime! One recovers catastrophic hormonal disturbances effectively for example at the anorexic, but not in the general case! On the other hand, the régimes can entail some deficiencies in trace elements and vitamins that can be source of fatigue and even paradoxically to block the loss of weight! 3: The teenagers often worry about the hold of weight bound to the pill. Are these concerns founded? Dr Nys: Yes unfortunately! It is necessary to underline all the same that today's pills are more weakly measured out that before. Nevertheless, some women, more predisposed to the hold of weight that of others, can have problems of balance bound to the pill. In this case, they must try to find an adapted pill. But sometimes, the hold of oral contraceptives maybe unadvisable. 4: The period who precedes the rules can she be the reason of a hold of weight? Dr Nys: Effectively, before the intervening of the rules, some women can endure the premenstrual syndrome. It is a phenomenon due to complex mechanisms bound to an unbalance between estrogens and progesterone. This premenstrual syndrome can entail a moderate weight hold, of one to two kilograms. But often it is about an inflation sensation rather than a real hold of weight. During this period, it is necessary to pay attention to her food, to drink a few less (and not more!) and to restrict his contributions in salt. On the other hand, it is not necessary to take some diuretics! So in the beginning, they improve the problem, they will have it then only aggravated. If trouble doesn't disappear with simple measures, it is not necessary to hesitate to consult his physician. 5: Besides the "classic" hormonal variations, real illnesses exist touch to the hormones that influence on the weight. Can you tell of it to us more? Dr Nys: Among these hormonal disturbances, the most current is the hypothyroïdie. The women who stand some are going to know a hold of weight of 4 effectively to 5 kilograms. Besides, a hold of weight of this order is a symptom that can drive to search for a thyroid disturbance. But it is necessary to reassure the women: this trouble takes care of itself very well, the treatment is efficient. The hyperthyroïdie, that usually entails a loss of weight, she is very unusually at the origin of a hold of weight. Other very rare pathologies can see an effect on the silhouette, as the disturbances of the adrenal glands or the hypophysis. 6: One has the impression that the hormonal variations influence solely on the weight of the women. Are the men saved? Dr Nys: One can also find problems of hypothyroïdie at the men. But the question that arises is especially the one of the andropause. This reduction of the male hormones occurs to an age a little more advanced than the menopause at the woman. She drags a hold of weight, but also a more important fatigue, a decrease of the libido, as well as of other unrests. But these disappear with an adapted treatment.                                                                             2008-12-17
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