Monday, November 30, 2015
Sunday, November 29, 2015
More on Age of Menopause, See the Book Making Peace With Change
Monday, November 23, 2015
Sunday, November 22, 2015
Historical Gynecological Research With Chimps: Endometriosis, Preeclampsia and Prevention of Hepatitis B
Since very few species menstruate, very few species get endometriosis or are able to be studied for a cure for endometriosis.Non-human primates and humans are therefore are the only species to be studied if we want to cure endometriosis. The great apes and chimps have also brought us invaluable clues to the invasive placental behavior that causes preeclampsia. We have been analyzing great ape and chimpanzees for genetic clues that may finally solve the puzzle of a cure for preeclampsia. Chimpanzees also appear in the list of classic twin research studies, and a summary can be found on the National Center for Biotechnology Information. These are a few of the more dramatic studies that have helped women. Some researchers want to keep some chimp research going, and hope to provide a happy, healthy collaborative relationship like at Chimp Haven.
If you can't stop, at least get your daughters to learn the dangers of smoking! Wet pants, ok if you just popped out of the pool, otherwise, not good for us!
Saturday, November 21, 2015
n on the sexuality of many couples to the point that artificial insemination of partner's sperm may be necessary to just avoid the performance topic all together! We know that stress produces a variety of hormones that wreak havoc on our endocrine system. These stress hormones can produce derangement in the menstrual cycle, so affect ovulation, and derangement in our blood sugar and metabolism, affecting our weight, throw off our biological clock and affect sleep, so we always thought that there must be a link between cortisol levels and conception.In the late 1990s a research group in Australia looked at levels in epinephrine, norepinephrine and cortisol, and they really couldn't detect differences in those cycles that got pregnant, their study was published in Human Reproduction. But thinking differently one study looked at those having counseling vs those not and those having counseling had better infertility treatment success, so mindful ovulation worked for that small group! In a new study published in Fertility and Sterility looking at couples in Michigan and Texas there again was no difference in the levels of cortisol hormones in the groups who did get pregnant vs the the couples who didn't get pregnant. There was a group of women however that was more likely to conceive if their biomarker alfpha-amylase, measured in saliva, was the lowest. The researchers also found something a bit different about our biologic response to stress. Chronically stressed individuals won't think one day is different than another, but their body will produce stress molecules at a variable rate. And when those stress molecules were the lowest, then in fact there was physiological benefit for conception! Remember it's important to
Friday, November 20, 2015
Monday, November 9, 2015
gain extra weight in the very first trimester) and gab about it with your gyno.
Sunday, November 1, 2015
The polypill is one good example of a pill for the healthy to prevent getting sick. It is directed at prevention of cardiovascular disease. And in the September 4th issue of JAMA 2013 it's back in the news, although almost two decades have passed in the efforts to get a polypill that will really work. The polypill was proposed over 10 years ago by Drs Wald and Law in a study in the British Medical Journal, when it was tested the medication included three half dosage anti-hpertension agents, with other agents including a intermediate-dose statin, a low dose aspirin and folic acid. With the research that was done showing about 80% reduction in heart attacks and strokes in individuals over the age 55 and older.
Too long going to the doc meant getting treated while sick. And now we expect treatment so we do not get sick. Gynos were ahead of the curve in that. Gyno doc visits at least introduced, in a mass market kind of way, the idea of screening for sickness. Our first success with screening with the pap test, although no pill really treated an abnormal pap, then we began the pregnancy screening concept dubbed prenatal care, but it was pretty much only focused on pre-eclampsia that very specialized version of high blood pressure in pregnancy at the get go. However, still in the USA most doc visits are aimed at treating the sick, with a mere nod to the concept of staying well or making you a whole lot better.
A wellness visit for women actually focuses on screening for disease, and still needs just a bit of a tweak more to focus on actually making you better. Show up at a normal weight and no obvious medical condition, no one will ever question your diet. Have a low blood pressure at your check up, were you ever told how to keep it there? Probably you have been told your health care provider to avoid secondhand smoke, perhaps a quick reminder about seat belts, wearing sun screen and using condoms. All designed to prevent illness, not to make you “even healthier.” And my favorite be healthier advice best nod to keeping you healthy beyond just exercising,…encourage sex (yes, for adults sex can be extremely healthy). In gynecology we have long touted the non-contraceptive health benefits of taking oral contraceptives, it specifically suppresses both ovulation and the uterine lining tissue, raising the blood counts and improving bone density even in the healthiest of users.
But how about taking this one step further, requiring anyone without contraindications to take at least 10 or twenty years of oral contraceptives? This strategy has been estimated to eliminate 80% of all ovarian cancers. What we have wondered about is this treatment of a pill to prevent ovarian cancer limited to just specific groups of women, or could we get this being effective for many groups of women?
One new case-control study compared 207 women with hereditary ovarian cancer and a BRCA1 or BRCA2 mutation to 161 of their sisters without ovarian cancer. Any past use of oral contraceptives was associated with a reduced rate of ovarian cancer by half if the woman got her pills for at least 6 years. And in another study they looked at women who weren't known to have the risky genes but had family members with cancer, and yes, they were protected more than lower risk women. Other small studies confirm the findings across all types of oral contraceptive pills. Only one study in Israeli Jewish women who showed that average patients were protected, but not the ones with the known family risk. But it may have not been as revealing a study because those studied were such a unique group for many reasons. So giving a birth control pill for those healthy women is very effective. What other kinds of pills should the healthy take? And going even farther to ward off disease would be to use pills to ward off high blood pressure and heart disease all together. . Using a pill to treat the entire healthy population, to help ward off disease would indeed be rather radical. But something to Gab about with your Gyno!
Thursday, October 29, 2015
Wednesday, October 28, 2015
Tuesday, October 27, 2015
Vaginal Contraceptive Ring
If you are a female between the ages of 18 and 35 you may be eligible for a contraceptive ring investigational contraceptive medication study. 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 our FB https://www.facebook.com/pages/Womens-Health-Practice/149858581724556?ref=hl
Women's Health Practice
Hada Cosmetic Medicine
Follow Women's Health Practice and Hada Cosmetic Medicine on Facebook https://www.facebook.com/pages/Hada-Cosmetic-Medicine/68631517372?fre!
Follow GynoGab on Twitter!