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Women's Health Topics
Ask an Expert
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
About 15-20 percent of women continue to have menopausal symptoms long after menopause, although they should diminish in intensity with time. There have been many research studies on non-estrogen treatments for... continue reading about I'm 53 and take Mimvey for hot flashes and sleeplessness. I've tried to stop but the symptoms return. Is there a "hump" to get over before they stop? How long is HRT recommended? Also, are my electrical and heart problems due to hormones? Can HRT help?
Ask the Expert Team
Sutter Health
I had surgery to have my uterus taken out because of a large fibroid. I don't have periods anymore, and have not had any since my surgery in 2011. How will I know when I am actually in menopause? I turned 50 in May.
The experience of going through menopause is extremely variable. Some women breeze through it with little or no troubling symptoms, others are made miserable by hot flashes, sleep disturbance, heavy menstrual p... continue reading about I had surgery to have my uterus taken out because of a large fibroid. I don't have periods anymore, and have not had any since my surgery in 2011. How will I know when I am actually in menopause? I turned 50 in May.
Ask the Expert Team
Sutter Health
My fingernails curve deeply underneath as they grow. My doctor says "Don't worry about it, just keep cutting them short". I don't think this is a correct answer or approach, and that it could be a serious condition or lack of some element(s) in my body.
Some serious and not-so-serious medical conditions have fingernail manifestations. Examples include psoriasis and endocarditis. The serious illnesses would have other symptoms that are not subtle. Things like p... continue reading about My fingernails curve deeply underneath as they grow. My doctor says "Don't worry about it, just keep cutting them short". I don't think this is a correct answer or approach, and that it could be a serious condition or lack of some element(s) in my body.
Susan Maayah, M.D.
Palo Alto Medical Foundation
My physician recently changed my brand of birth control pills. I read reviews that described bad side effects for the new brand. Do all birth control pills have the same ingredients? If so, why would some cause different side effects?
All birth control pills are formulated with a synthetic estrogen and progestin hormone (with the exception of one that has progestin only). Most common side effects of birth control pills occur when you first b... continue reading about My physician recently changed my brand of birth control pills. I read reviews that described bad side effects for the new brand. Do all birth control pills have the same ingredients? If so, why would some cause different side effects?
Ask the Expert Team
Sutter Health
My daughter (16) has very painful periods, to the point of lying on the floor and crying. A friend told me that birth control pills will help. Needless to say, I'm not thrilled at the prospect but I hate to see her go through so much pain each month.
Birth control pills often result in lighter periods with less blood flow and cramping. Prostaglandin inhibitors, such as ibuprofen and naprosyn, are also quite effective in reducing menstrual cramps, especially... continue reading about My daughter (16) has very painful periods, to the point of lying on the floor and crying. A friend told me that birth control pills will help. Needless to say, I'm not thrilled at the prospect but I hate to see her go through so much pain each month.
Rodman S. Rogers, M.D.
SPMF San Francisco HMO Network
I'm going to get an organic bladder sling made of pigs skin. Are there any more risks to getting that kind instead of the mesh kind?
Both synthetic polypropylene and acellular porcine dermis (pig skin) mesh slings are considered safe and effective for the treatment of female stress incontinence. In general, I advise patients that their main ... continue reading about I'm going to get an organic bladder sling made of pigs skin. Are there any more risks to getting that kind instead of the mesh kind?
Susan Maayah, M.D.
Palo Alto Medical Foundation
I've been on birth control for five years. I did not skip a dose, but I'm having mid-cycle bleeding after having unprotected sex. I took vitamin C for a cold and read that excessive amounts can cause birth control to stop working. Is this true?
Taking vitamin C will not interfere with the efficacy of your birth control pill. You should not be concerned about pregnancy unless you missed your pills or started your pack late. If your mid-cycle bleeding i... continue reading about I've been on birth control for five years. I did not skip a dose, but I'm having mid-cycle bleeding after having unprotected sex. I took vitamin C for a cold and read that excessive amounts can cause birth control to stop working. Is this true?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
An ultrasound showed that I have eight fibroids, one the size of an orange. I've had fibroids in the past and had a myomectomy. I'm 45, have no symptoms other than frequent urination and bloating. Will they continue to grow and will they multiply?
Uterine fibroids (leiomyoma) are common condition found in up to 80 percent of women by age 50. The reason that the fibroids develop is unknown but it is generally considered a benign growth with less than one ... continue reading about An ultrasound showed that I have eight fibroids, one the size of an orange. I've had fibroids in the past and had a myomectomy. I'm 45, have no symptoms other than frequent urination and bloating. Will they continue to grow and will they multiply?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
There are hundreds of different brands and formulations of progesterone cream. It is considered a "nutraceutical" and is not controlled or regulated by the FDA. You can purchase progesterone creams through the ... continue reading about Is it safe for me to use Pro-G-Yam progesterone cream for hot flashes? I have a family history of breast cancer. Is progesterone the same as estrogen?
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