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Women's Health Topics
Ask an Expert
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?
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm a women in her 50s who is going through perimenopause. I have only had one menstrual period this year. Is there still a possibility that I could get pregnant?
Pregnancy is very unlikely at this age and stage of minimal ovarian function. Ovulation is so rare and the egg quality is probably so poor that fertilization would not likely result in pregnancy. However, this ... continue reading about I'm a women in her 50s who is going through perimenopause. I have only had one menstrual period this year. Is there still a possibility that I could get pregnant?
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?
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Douching is not recommended for several reasons.Douche cleansing fluids tend to alter the vaginal pH and this can negatively impact the vagina's normal healthy bacterial flora and mucus and make one more suscep... continue reading about I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Susan Maayah, M.D.
Palo Alto Medical Foundation
Does the clitoris disappear with age? After 70?
The clitoris never actually disappears, but it can become smaller over time after the loss of circulating female hormones with menopause. This is part of a normal condition with aging called urogenital atrophy.... continue reading about Does the clitoris disappear with age? After 70?
Jane Varner, M.D.
Palo Alto Medical Foundation
I'm 54, eat well and exercise five times per week. Yet my BMI is 27, which translates as obese. Is a BMI of 27 really that indicative of my overall health?
First of all, congratulations on getting all of that wonderful exercise! Exercise is so good for your physical AND mental health. Don't go calling yourself obese just yet. Technically, a BMI of 27 classifies yo... continue reading about I'm 54, eat well and exercise five times per week. Yet my BMI is 27, which translates as obese. Is a BMI of 27 really that indicative of my overall health?
Susan Maayah, M.D.
Palo Alto Medical Foundation
How do I prevent, or treat, recurring urinary tract infections?
Urinary tract infections (UTIs) are very common in women. This is due to the short urethra that leads from the bladder to outside the body and the plethora of bacteria that reside in the surrounding areas inclu... continue reading about How do I prevent, or treat, recurring urinary tract infections?
Patricia Hockett, M.D.
Palo Alto Medical Foundation
Why do I still have PMS every month even though I’ve had a full hysterectomy? I thought the days of irritability, depression and bloating would be gone since it’s been four years since the surgery. I’ve talked to three doctors but they can’t explain it.
Symptoms of PMS arise as a response to hormonal fluctuations. Many women can continue to experience symptoms of PMS (and even feel like they are cycling) if the ovaries are not removed at the time of a hysterec... continue reading about Why do I still have PMS every month even though I’ve had a full hysterectomy? I thought the days of irritability, depression and bloating would be gone since it’s been four years since the surgery. I’ve talked to three doctors but they can’t explain it.
Susan Maayah, M.D.
Palo Alto Medical Foundation
Two years ago I was diagnosed with a rare uterine cancer. The doctors took everything including some lymph nodes. I've always had a healthy sexual appetite but since my surgery I feel numb - like a robot with no feelings. Is there anything I can do?
It is quite common after having a complete hysterectomy and removal of the ovaries for women to feel a loss of libido. The ovaries produce hormones such as estrogens, progesterones and androgens which are parti... continue reading about Two years ago I was diagnosed with a rare uterine cancer. The doctors took everything including some lymph nodes. I've always had a healthy sexual appetite but since my surgery I feel numb - like a robot with no feelings. Is there anything I can do?
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