Saturday, September 5, 2015

Gyno Book Club: Sex Scenes in Great Literary Works

Carson McCullers wrote of a shocking murder in the south in Reflections in a Golden Eye published in 1941. Although the portent of what happens in the novel is clear in every sentence, passions are always kindled when you read each word  of the passage describing Mrs. Penderton's disrobing and the brash walk out the two lovers have out their front door. Maybe you should try that shag dance she describes  when sprinkling brown sugar on your oven ham. Do you do the 20's swing version or do you prefer the Carolina Shag with a few more complex steps to your courtship? Keep reading, you won't want to miss the passages of the young man in the woods, the runaway horse Firebird, and the woods that attracts the Captain, to hear young women tell the tales, those two taught men are there still. I will run your hormone levels in the office if you aren't stirring after these words.

Sunday, May 24, 2015

Objectively Speaking How is Your Sex Life?

Judging sexual health is a complex topic. If you think you're happy, essentially your gyno will think you are happy as well. But if your gyno wants answers to just how happy you are with your sex life she is going to want facts. One simple ways that a gyno measures your sexual function is the questionnaire developed study with Raymond Rosen, Ph.D. at Robert Wood Johnson Medical School as the lead investigator. And what they developed was a simple set of questions about some of the most important aspects of your sex life  desire, arousal, lubrication, orgasm, satisfaction and pain and it's available on line as the FSFI . If you would like to take the quiz,you can do that and if you'd like to improve these aspects, it may be time to gab with your gyno as there are many new therapies available, including creams for orgasms, new vaginal treatments including DHEA creams, non-hormonal safe vaginal rejuvenation, and no reason to not bring up sex for discussion!

Saturday, May 23, 2015

G spot? G region? New Therapies to Improve Sex Take This Into Consideration

Women universally will state the act of being loved, being hugged, and engaging in all types of cuddling and hugging is the pinnacle of sex and that actual orgasm itself, a nice culmination; but oddly not the ultimate joy in the bedroom. The master scientists of sex have ‘come around’ to that which women knew for centuries libido and orgasmic medical issues as one entity with a common physiology. Improving your desire for sex, improves the arousal, improves the bliss of sex, and improves the orgasm. Improving orgasms can improve the desire for sex.  First of all very few women will never have had an orgasm, but if you do not have orgasms, check with your gyno to see if there is a treatable condition. If you are determined that you do not have anything medically wrong, there may be various treatments. One has been the PRP treatment of the clitoral area, one is improvement of the vaginal tissue, and the other is treatment of the G spot also termed the g area or g region. This area can be improved with PRP treatment. The vaginal walls can also be rejuvenated with fractional CO2 laser therapy.

Friday, May 22, 2015

Fixing Labial Fusion

Surgery for labial fusion can correct cases not cured by traditional therapy
Traditional therapy has been estrogen treatment, but surgery can correct the severe form of labial fusion to restore normal anatomy. In this case the fusion was interfering with urination so the patient had chronic vaginal infections. There is evidence that proper vaginal therapy, and restoration of normal vulvar and vaginal mucosa can prevent the anatomic changes seen in this patient below from ever occurring.
When estrogen gets low and untreated labial fusion can occur, often estrogen therapy alone is not enough to fix this condition

Top Ten Things To Help You Get Pregnant (Plus Many More)

Many couples planning pregnancy come in with similar basic questions regarding pregnancy planning and sexuality for pregnancy planning. Here are some basic questions answered.

1.  Have sex, don't worry about exact position. All sex positions work for conception. Being in missionary position, having a pillow under your hips, and having orgasms have been talked about to lead to more often getting pregnant, but no medical studies back these pieces of advice up!

2. Enjoy your time cuddling or whatever you want to do after conception sex, no true evidence to the various exercises you need to put your hips through to encourage sperm to swim to their destination. Laying still after sex to enhance pregnancy also has not reliably been studied, but douching after intercourse does decrease your chance of conceiving.

3. Earlier is better, so have sex before you ovulate. Your highest chance to conceive is to have sex just before ovulation. Ovulation occurs on day 13 or 14 for women with a 28 day cycle. The fertile window is the 6 days ending on the day of ovulation as the egg may not be able to survive more than a few hours and sperm can survive for about 6 days.

4. Trying for a boy? Boy sperm do swim faster. Having sex close to ovulation statistically helps to have a boy, but only by a very few %. For having a girl, try to have sex two to three days prior to ovulating.

5. The best vitamins for conceiving have proper folic acid and also have omega-3 nutrients. Do ask regarding the use of shakes, supplements or specialized vitamins as they may contain ingredients that have not been tested for safety during pregnancy.

6. Be nutritionally healthy. High cholesterol means low fertility. And if you and he both have high cholesterol your fertility will even be worse. The best type of diet is a basic healthy diet that conforms to the My Plate diet. Beyond that there are some dietary restrictions that we would like to discuss with our patients. Examples of foods to avoid: do not eat undercooked meat as it could carry some risk of toxoplasmosis. And too many portions of fish per week can increase the risk of mercury.

7. Do not over exercise, but no time to slack off either. Continue your exercise routine, if you are not exercising then a specific plan to begin and increase exercise should be discussed with your physician. In a recent study of physical activity of infertility patients it was found that too much activity actually reduced the success of fertility treatments, but too little activity decreased success as well.

8. You are fertile, at least you are likely to be. American Women have a 89% chance of being fertile according to the recent CDC statistics. There are no specific tests of fertility the average healthy woman would need to perform.  The March of Dimes has pregnancy planning information as well. It is good to have normal laboratory work, and there are some global efforts to have healthier pregnancies that you may be interested in.

9. Be a comfortable temperature in bed. You can use your electric blanket still. There is no evidence that any low level magnetic fields: from computers, microwaves or electric blankets are harmful or produce birth defects

10. Limit caffeine intake to under 200 mg per day, this has been shown to help reduce the rate of miscarriage and improve overall fetal growth.

11. Being a healthy weight before conceiving increases fertility and decreases your chances of miscarriage.

12. Specific medical testing for women planning pregnancy is covered in this publication: Johnson K, Posner SF, Biermann J, et al. Recommendations to improve preconception health and health care -- United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care. CDC. MMWR Recomm Rep. 2006;55(RR-6):1-23

14. Continue to take all your routine medications, but see your physician to decide if these medications need to be changed when planning pregnancy or when early pregnant. Stopping medications on your own is not healthy.

15. Plan your pregnancy, see your physician to discuss any genetic testing that may be important. Genetic testing for over 100 diseases is currently available, it is not a necessary step on a routine basis, but only something you should have with individual consultation with your health care provider.

16. Moderate all alcohol consumption, and consult your physician regarding any alcohol consumption once you have a positive pregnancy test.

17. Women return to fertility very rapidly after stopping contraceptive pills, although there is no harm in attempting pregnancy right away some physicians recommend holding off for two cycles to allow resumption of normal ovulation.

18. Stop smoking, both of you! Smoking is a known cause of infertility.

19. Eliminate exposure to environmental toxins which include pesticides, and solvents. Check at your work place if you are exposed to chemicals there and find out if they have known harmful effects in pregnancy.

20. Normalize your BMI with exercise if possible. When fertility patients were studied in Denmark moderate levels of exercise in the group was much more likely to get pregnant regardless of a woman's overall weight, whether she is obese or whether she has a high BMI.

Stop Stress Tonight: Eat Salmon

Women experience stress in many unique ways. When you're stressed, it can ratchet up anxiety hormones, such as adrenaline and cortisol which have lots of positives, but chronically released are not good for your health. "The omega-3 fatty acids in salmon have anti-inflammatory properties that may help counteract the negative effects of stress hormones," says Lisa Cimperman, RD, of the University Hospitals Case Medical Center and a spokesperson for the Academy of Nutrition and Dietetics. In a study funded by the National Institutes of Health, Oregon State University medical students who took omega-3 supplements had a 20% reduction in anxiety compared to the group given placebo pills. One 3-ounce serving of cooked wild salmon can have more than 2,000 milligrams of omega-3s, double the daily intake recommended by the American Heart Association for people with heart disease.

Thursday, May 21, 2015

Why Faster is Not Better

meadow rue
No one has patience when it comes to weight loss. Pounds seem to come on rapidly, and once we get in the mindset to get on with serious weight loss we all can fall prey to wanting it to occur quickly. But faster is not always better when it comes to the exact pace of weight loss.The best diets are enhanced in their weight loss by exercise. So get off the couch: you are only burning one calorie per minute, and do something energetic! Some calorie burn your fit bit isn't necessarily tracking: sex, that burns about 5 calories a minute. Exercising off the weight is a healthier way to do it, exercisers with a modest diet are not as likely to get into ketosis. Dieters who get into ketosis, which is the end metabolic consequence of too low a calorie count and too low a carb consumption put themselves at risk of harm. Long term they may find trouble with high blood lipids, and impaired immunity due to their white cells called neutrophils to not function, vision problems due to the optic nerve degenerating, osteoporosis, long term protein deficiency, fatigue and alterations in cognitive function. Before dieting this summer, think in terms of normalizing your nutrients, doing it with exercise so you maintain your bones, muscle, and energy. If you need to spot reduce, all indications are that losing fat, no matter where or how, is the key...while maintaining lean body mass. For how Coolsculpting might work with your diet, consult your primary health care provider for weight loss and consult Coolsculpting aestheticism to see if this non-invasive weight reduction technique can be beneficial for you.

Wednesday, May 20, 2015

Comprehensive Guide to Prevention and Treatment of Bikini Bumps

At bathing suit time we start to notice ingrown hairs that are typically due to recent shaving and thus are also called "razor bumps" or  "shave bumps." The medical term for razor bumps is Pseudofolliculitis barbae and it’s due to the formation of small inflammatory bumps, some of which may actually be filled with the white cells that makes up a local infection (pus) and can be cosmetically distressing. Although often it is merely a bit unsightly it can lead to pigmentation changes, secondary serious bacterial infections, even MRSA, scaring and in those who get keloids it can cause a keloid. The same condition can occur under the arms, but it’s most common for women in the bikini area. Because some of the worst areas of inflammation are actually the hairs penetrating in ways other than just out of the hair follicle, have your gyno check if the hairs are exiting out the skin near the hair follicle instead of the center or if some of the hairs are entrapped at the normally ‘free’ end of the hair. Individuals with tightly curled hairs are more likely to have this defect and there has even been a discovery of a gene that makes this more likely: hair follicle keratin gene (K6hf). Usually no cultures of the skin are necessary, but there are situations when trying to determine if it’s really a bacterial or actually a fungal infection can be helpful for getting effective treatment, again, consult your gyno.

Steps you can take:
·         Use a sponge or loofa to gently cleanse before shaving so the hairs are away from the skin and you can be less likely to accidently encourage ends to penetrate
·         Try a single blade, some double blades that pull hair up get that close initial shave but the hair may retract back into the gland and thus be encouraged to grow out the skin where it can become infected. This same issue is why electrolysis is not the preferred method of resolving these issues.
·         Try using a different shaving cream, or use warm compresses for just a few minutes to calm the areas and to try to reduce the chance of getting very sharp hair ends after the shave
·         Don’t shave for a few days, often the bumps will naturally subside; if that is really bothersome use scissors or clippers very gently so as not to disrupt the hair at the skin surface, preferably to about .05 cm length.
·         Don’t scratch, the areas shaved may be a bit itchy, but scratching can introduce more bacteria. Try mild hydrocortisone cream (2.5%) and consult your gyno if the itching becomes severe or you notice skin changes or lesions. The hydrocortisone cream also can reduce the actual inflammation
·         You may be able to gently dislodge an occasional trapped hair in which the distal end has been entrapped by using a toothpick, but generally a professional aestheticism can unroof these hairs and decompress the worst areas of infection most successfully
·         Treat the area with a topical retinoid, a alpha-hydroxyacide, or a mild glycolic acid.
·         Consider laser removal of hair in the areas that are bothersome, follicles then do not form hairs and do not get inflamed. Laser removal is extremely effective for dark hairs, blonde hairs are less effectively treated with lasers.
·         Lasers, such as fractional 2940 neodymium:yttrium-aluminum-garnet (Nd:YAG) can help treat the scaring, the infection, and the bumps, even if other wave lengths are also needed to effectively destroy the hair follicle
·         Be gentle with the skin, and don’t stretch it when trying to shave
·         Shave in the direction of the hair growth, less easily accomplished in the bikini area which tends to grow in a less consistent direction.
·         Can try hair removal creams, they do soften hairs by breaking down the bonds that makes the hair in strands, but alternatively you may get skin inflammation. If so do not continue the use of that product. Clip the longest hairs prior to using a cream so that you can use the least amount of chemical product necessary.
·         Benxol peroxide cleansing of the area
·         Topical antibiotics, available by prescription do work, clindamycin or erythromycin gels are typically the best
·         Medical therapy with anti-male hormone treatments or medications in creams such as eflornithine which inhibits hair growth
·         Pigment changes to the skin should be evaluated and treated by a professional

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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.

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