Thursday, March 26, 2015
Sunday, March 22, 2015
But the trouble is that most women do not have anything that can be treated. So normalizing your nutrition, your rest, and beginning aspirin is the modern way to go when attempting pregnancy after a miscarriage.
Monday, March 16, 2015
Sunday, March 15, 2015
Saturday, March 14, 2015
Generally gynos have recommended nonhormonal moisturizers such as coconut oil, or products such as Replens if you have mild symptoms, and estrogen therapy as the treatment of choice for this condition, and now we have the new painful sex treatment ospemifene, or Osphena. Ospemifene is a selective estrogen receptor modulator that makes vaginal tissue thicker and less fragile, resulting in a reduction in the amount of pain women experience with sexual intercourse. Osphena is also a systemic treatment that likely has positive effects on your bones as well as breast cancer prevention component. Although gynos estimate that virtually all women remaining sexually active into their post menopausal years will have this complaint if not treated by hormone therapy, over half never even bring it up at a medical visit. Of women with genitourinary syndrome in menopause so a great number of women stand to benefit by considering therapy.
Before therapy you need some evaluation: do you have an infection of the vagina, a bladder infection, or perhaps badder dysfunction that can be detected by urodynamics also known as cystometrics. . Vaginal estrogen treatments are effective for all of the issues that occur with this syndrome. The doses of estrogen given do not cause estrogen blood levels to differ from women without the vaginal estrogen treatment. Women need to be treated for about 3 months for full effectiveness, and there have been rare cases of the medication can cause thickening of the lining of the uterus which would need to be evaluated. Women experiencing unusual vaginal discharge or bleeding need to see their gyno to see if they have this complication.
Thursday, March 12, 2015
Wednesday, March 11, 2015
Tuesday, March 10, 2015
Monday, March 9, 2015
There are many ways at each stage of pregnancy to determine risks of maternal diseases. Getting a pelvic ultrasound is actually a check on the mom's ovaries and any signs of pelvic disease like of the uterus and the bowel (although early cancers cannot be found this way) as well as a genetic screening test. Ultrasound is not very sensitive for picking up chromosomal birth defects, however and it only picks up about 60% of the abnormalities in pregnancy, even if done after all the organs are both formed and large enough to visualize completely. It was discovered 30 years ago that certain birth defects are associated with abnormal blood levels of certain proteins and certain hormones. For many years now we have used this test, combined with more intense testing of older mom's to try to determine which babies have some of the most common serious birth defects.
But testing ultimately, for many women, meant invasive testing through sampling the amniotic fluid with a test called amniocentesis. Now we have NIPT by testing cfDNA! While this many not on the surface sound "simplified", this testing of mom's blood during early pregnancy can determine if your baby's chromosomes are normal. It stands for "None Invasive Prenatal Testing" and it's looking for cell-free fetal DNA circulating in mom's blood. This test does not pick up all abnormalities, and should not be done without early ultrasound tests of fetal health. This has the ability to revolutionize care, as currently about 80-90% of serious birth defects are not picked up until about 18-20 weeks of pregnancy due to the tests that are most frequently used. But it gives parents an option of knowing the health of the baby in a much safer way than amniocentesis. Several companies are now doing this test, and in fact, one option is to find out the sex of your baby, very reliably, and much earlier than ever before!
And this test can show the DNA associated iwth cancers like colon cancer or lymphomas!
Sunday, March 8, 2015
1. P for protect the injured area, do not let it get re injured.
2. R for rest the area, at least reasonable rest, and not to over do the muscles of the area
3. I for ice, heat does help soothe, but ice reduces swelling
4. C for compress the area with a bandage: if swelling has begun this is less effective, but compression both feels well and helps swelling
5. Elevation, this particularly works for legs as dangling them can make the swelling much worse.
And if you are pregnant, please get your birthing provider check the baby to make sure there has been no injury. But in most cases of simple slips and falls, the baby's natural water environment is highly protective.
Saturday, March 7, 2015
or women who are high risk there is a way to
- Breast cancers, that is due to cancers that have estrogen receptors, rate can be reduced by half by medicine use
- Every woman should know whether they are at increased risk by getting Gail Model Score or National Cancer Institute's Breast Cancer Risk Assessment Tool, a modified version of the well-established Gail model
- You can be evaluated for these medications as young as age 35
- The medications used are not all the same, and have some risks, which includes the risks of blood clots, and benefits beyond breast cancer prevention, which may include osteoporosis prevention in the case of raloxifene
- Mammogram findings do not directly impact the decision to take these medications, but Halo breast pap tests can influence decision
- For more information go to ASCO’s Web site.
Tuesday, March 3, 2015
Monday, March 2, 2015
Uterine Fibroid Study
If you are a female between the ages of 18 and 50 years old and are experiencing abnormal bleeding due to uterine fibroids, you may be able to take part in the VENUS research study, testing an investigational medicine. Qualified participants will receive study-related medical evaluations and care at no cost. If interested, please call 217-356-3736.
Join one of our studies, become a patient at Women's Health Practice, come for an event, or visit any one of my websites!
Women's Health Practice
Hada Cosmetic Medicine
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