Michael E. Greer, M.D.
Holistic, Herbal & Homeopathic Lectures & Consultations
737 Olive Way, Suite 1804, Seattle, WA 98101
Tele (mobile): (206) 383-9072 Fax: (206) 971-7428 (Attn: Dr. Greer)
michaelgreermd@comcast.net www.michaelgreermd.com
Female Endocrine & Hormone Intensive:
Hour-by-Hour Outline for CMU Certification: 12-Hour Seminar
Seminar Approach
Hormonal imbalances can be the result of either too much or too little glandular activity. Spinal nerve
interference from vertebral subluxation complexes decreases function & may be responsible for
endocrine dysfunction & hormonal related health problems. Pathophysiology is one of the elements of the
subluxation complex. In this element of the complex there are biochemical changes taking place in the
spinal region which include inflammatory biochemicals from injured tissues and biochemical waste
products. Each component of the subluxation must be eliminated for proper healing to occur and for the
rehabilitation process to be successful. The biochemistry of cell metabolism and the endocrine system
(balancing hormones) will be extensively described in this seminar. The understanding of the complexity
involved and the nutritional support for these endocrine imbalances and inflammatory processes are
essential for the doctor of chiropractic. The chiropractic treatment of the subluxation associated with these
imbalances along with the appropriate nutritional support will benefit the doctor of chiropractic in
achieving and maintaining total optimal health and healing for patients. "Research at the A.T. Still Institute
showed that spinal lesions resulted in pathological changes in the blood, urine, and tissue fluids. Spinal
lesions of the atlas and axis (C1 & C2) were associated with abnormal function of the pituitary which
resulted in abnormal hormone secretions."
Seminar Elements
Dysfunction Uterine Bleeding (2 Hours)
Menopause (2 Hours)
Uterine Fibroids (2 Hours)
Endometriosis (2 Hours)
Polycystic Ovarian Disease (PCOS) (2 Hours)
Amenorrhea (Premature Ovarian Failure) (1 Hours)
Premenstrual Syndrome (1 Hour)
Dysfunctional Uterine Bleeding (DUB) (2 Hours)
HOUR ONE
1.
2.
3.
4.
5.
6.
7.
8.
General causes of abnormal uterine bleeding
Definition of abnormal uterine bleeding
Anatomical causes of abnormal uterine bleeding
Hormone levels and association with DUB
Conditions in the diagnosis of DUB
Laboratory Testing for DUB
Prevention of DUB
Alternative Therapies and their application for DUB Treatments
9. Stress and its role in abnormal uterine bleeding
HOUR TWO
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Nutrition
The role of Flax seed
The role of soy protein
Nutritional supplements
Vitamins A,B and C
Bioflavonoids
a. Chaste tree
b. Ginger
c. Astringent herbs with tannins
Shepard’s purse
Uterine tonics
Traditional herbs for semi-acute blood loss
Conventional medical approaches to dub
Hysterectomy anatomy and surgical approaches
Sample treatment plans for abnormal uterine bleeding
a. Chronic recurring menorrhagia
b. Semi-acute menorrhagia
c. Oligomenorrhea (infrequent menses)
d. Polymenorrhea (frequent menses)
Menopause (2 Hours)
HOUR TWO
1.
2.
3.
4.
5.
6.
7.
8.
Incidence of Menopausal Women
Historical derivation of menopause
Age variation in Menopause
Diagnosis and Criterion for menopause
Hormonal contribution in menopause
Body fat contribution to menopausal symptoms
Adrenal input in testosterone and estrogen
Symptoms of Menopause
a. Hot flashes
b. Night sweats
c. Insomnia
d. Palpitations
e. Depression and anxiety
f. Memory loss and cognition
g. Vaginal dryness
h. Urinary dysfunction
i. Libido and sexual arousal
j. Acne and facial hair
k. Hair loss
l. Osteoporosis
m. Heart disease
HOUR THREE
1. Misdiagnosis for Menopause
a. Hyperthyroidism
2.
3.
4.
5.
6.
b. Hodgkin’s disease
c. Depression
Testing for menopause
Nutritional recommendations for menopause
a. The history of Soy
b. Lignans and Flax seed
Herbal recommendations for Menopause
a. Bioflavonoids
b. Vit B-6
c. Evening primrose oil
d. Vit E
Botanical Medicines
a. Isoflavones
b. Ginkgo
c. Panax Ginseng
d. Licorice
e. St Johns’s Wort
The summary of the Women’s Health Initiative study
Uterine Fibroids (2 Hours)
HOUR FIVE
1.
2.
3.
4.
5.
6.
7.
8.
1.
2.
3.
4.
5.
6.
7.
8.
Prevalence
Anatomy
Symptoms
Diagnosis
Hormone Influence
Estrogen and Myoma growth
Progesterone and Myoma Inhibition
Detoxification of Hormones/Liver Support
a. Milk Thistle
b. Artichoke Leaf
c. Dandelion Tincture
d. Goldenseal
e. Choline
f. Inositol
g. Methionine
Thyroid Glands’ Role in Endometriosis
Female Comprehensive Hormone Panel
Thyroid Antibody Panel
Heavy Metals Panel
L-Glutathione
Selenium
L-Cysteine
Anti-estrogenic Substances/Uterine Support
a. Vitex (Chaste Tree Berry)
b. Soy Isoflavones
c. Cruciferous vegetable extract
d. Saw Palmetto
e. Iodine
HOUR SIX
1. Dietary Suggestions
2. Herbal Treatments for Fibroids
3. Nutritional supplementation for uterine fibroids
a. Coenzyme Q10 (CoQ10)
b. Vitamin C
c. Zinc
d. Maitake mushrooms
e. Vitamin A
f. The antioxidant activity of beta-carotene
g. Selenium
h. Vitamin C
i. Pancreatic Enzymes
Endometriosis (2 Hours)
HOUR SEVEN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Incidence of Endometriosis
History of Endometriosis
Diagnosis of endometriosis
Symptoms of Endometriosis
Current research
Genetic factors in endometriosis
Estrogen dominance and endometriosis
Video insert for endometriosis diagnosis
Immunity and endometriosis
Liver metabolism of estrogen
Nutrition and its role in Immunity
Fiber
The role of the gut in excretion and recycling of estrogen
HOUR EIGHT
1. Recommendations and treatment plans for the endometriosis patient
2. Nutritional supplements
a. Vitamin C
b. Vitamin E
3. Role of B vitamins
4. The role of selenium
5. Lipotropics and liver metabolism
6. Botanicals
a. Wild yam
b. Cramp bark
c. Valerian root
d. Black cohosh
7. Herbal remedies for pain relief
8. Traditonal herbal therapies
a. Chaste tree
b. Dandelion root
c. Motherwort
9. Traditional medical remedies for endometriosis
Day 2
Polycystic Ovarian Disease (PCOS) (Two Hours)
HOUR NINE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
History
Etiology
Genetic Influences
EpiGenetics
Incidence
Symptoms of PCOS
a. Acne
b. FACIAL Hair
c. Infertility
d. Estrogen Dominance
e. Lipid Abnmormality
Hypothyroid
Abdominal Obesity
Diagnosis of PCOS
Bio Avail Testosterone
DHEA-S
Thyroid Function testing
Prolactin
Differential Dx
Characteristics
Elevated androgens
Menstrual Dysfunction
Polycystic Ovaries
Pathophysiology of PCOS
HOUR TEN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
Hormone Ovulatory Patterns
Hyperandrogenism
Metabolic Syndrome
Insulin Resistance
Hypothalamic Dysfunction
Dopamine Deficiency
Estrogen Dominance
Diabetes
Lipid abnormalities
Conventional Approaches to PCOS
Holistic Approaches to PCOS
a. Exercise
b. AntiOxidants
c. Minerals
12. Herbs and The Holistic Approach to PCOS
Amenorrhea (Premature Ovarian Failure) (1 Hour)
HOUR ELEVEN
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Classification of Amenorrhea
Incidence of menses
Prevalence of amenorrhea in US
Hormonal levels and cycle variation
The normal menstrual cycle
CNS contribution to the menstrual cycle
The three phases of the menstrual cycle
a. Phase
b. Secretory menstrual phase
c. Proliferative phase
The importance of a good history
The essentials of the pelvic exam
Hypergonadotrophic hypogonadism
a. Premature ovarian failure
Hyperprolactrinemia
a. Hypothyroid disease
b. Rx medication
c. Pituitary tumors
Hypogonadotrophic hypogonadism
a. Psychological stress
b. Weight loss
c. Genetic abnormalities
Normogonadotropic anovulation abnormalities
a. Polycystic ovarian syndrome
Nutrition and bulemia
a. Supplements
b. Botanicals
Premenstrual Syndrome (PMS) (1 Hour)
HOUR TWELVE
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Historical PMS
PMS Symptoms
Timing of PMS symptoms
PMS treatments
The role of vitamin B6 for PMS
Nutritional advice for the PMS patient
Refined carbohydrates
Sugar
Dairy
Sodium
Zinc
Magnesium
13.
14.
15.
16.
17.
18.
19.
Complex carbohydrates
Prostaglandins
Alcohol and PMS
Botanicals for the treatment of PMS
Chaste tree
Gingko
Exercise and PMS outcomes
Modifications in presentation order are not permitted.