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Women's Health Topics
Ask an Expert
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center
I was told that my endometriosis will go away once I pass menopause. What if I decide to take hormone therapy during menopause - will that continue to aggravate the endometrial lesions?
For women who have a history of endometriosis, and they choose to go on hormone therapy, it will not stimulate endometriosis if they take continuous estrogen and progesterone. The progesterone reduces any stimu... continue reading about I was told that my endometriosis will go away once I pass menopause. What if I decide to take hormone therapy during menopause - will that continue to aggravate the endometrial lesions?
Francine A. Yep, M.D.
Alta Bates Summit Medical Center
At what age should I have a pneumonia vaccination? Thank you!
The pneumonia vaccine helps protect you from S. pneumoniae, a bacterial germ that causes serious lung infections like pneumonia as well as blood infections and meningitis. It protects you from the most common t... continue reading about At what age should I have a pneumonia vaccination? Thank you!
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center
Is it normal for a 60-year-old woman to have bleeding after sex?
It is not normal to have bleeding after sex at any age, but particularly for post menopausal women. Bleeding after sex can be an indication of damage to vaginal tissues, which are more fragile after menopause, ... continue reading about Is it normal for a 60-year-old woman to have bleeding after sex?
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center
I had a partial hysterectomy four months ago. My left ovary was damaged so it was removed, leaving only my right. Since the surgery I have had no sex drive. And when I do it's painful. What can I do?
Women can live their whole lives with only one ovary and produce enough hormones, but it sounds like you now have become low in hormones and maybe menopausal. This might have nothing to do with your surgery and... continue reading about I had a partial hysterectomy four months ago. My left ovary was damaged so it was removed, leaving only my right. Since the surgery I have had no sex drive. And when I do it's painful. What can I do?
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center
I am 37 years old and experiencing longer periods - two to three weeks long. I also have some bleeding after orgasm. What could be causing this? Do I need to see a doctor?
Yes, you should definitely consult with your gynecologist and have an exam and pelvic ultrasound. There may be a structural problem in your uterus, such as a polyp or fibroid (benign muscle mass) that can cause... continue reading about I am 37 years old and experiencing longer periods - two to three weeks long. I also have some bleeding after orgasm. What could be causing this? Do I need to see a doctor?
Jill D. Foley, M.D., FACOG
Alta Bates Summit Medical Center
I’ve taken the birth control pill Loestrin for eight months. After starting on the pill, my period came once every two months. It’s been 14 weeks since my last period. I had unprotected sex but took the morning-after pill. Should I be concerned?
Yours is a good question. First, I want to help you understand hormone production in a normal menstrual cycle. After that, we can talk about how the pill works to prevent pregnancy and why, in some women, it re... continue reading about I’ve taken the birth control pill Loestrin for eight months. After starting on the pill, my period came once every two months. It’s been 14 weeks since my last period. I had unprotected sex but took the morning-after pill. Should I be concerned?
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center
I'm 57 years old and going through menopause. Last week I experienced three days of bleeding. It was a light flow, but at my age I'm concerned. I'm not on any type of medication, not even aspirin. Is this something out of the normal?
This may or may not be abnormal as one's hormones can fluctuate in the perimenopausal years. If it has been over a year since your last normal menses, then this is called postmenopausal bleeding and needs immed... continue reading about I'm 57 years old and going through menopause. Last week I experienced three days of bleeding. It was a light flow, but at my age I'm concerned. I'm not on any type of medication, not even aspirin. Is this something out of the normal?
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center
I'm 57, postmenopausal, and have been on HRT for a few years. My OB/GYN took me off hormones a couple months ago. My hot flashes are through the roof and making life miserable. I'm also having a lot of depression and feel like crying all the time. Help!
Clinical studies have shown that about half of women who try to go off hormones are so symptomatic that they need to go back on. Many can take a lower dose than they were on before, and then gradually taper off... continue reading about I'm 57, postmenopausal, and have been on HRT for a few years. My OB/GYN took me off hormones a couple months ago. My hot flashes are through the roof and making life miserable. I'm also having a lot of depression and feel like crying all the time. Help!
Risa Kagan, M.D., FACOG
Alta Bates Summit Medical Center
I'm 63 and have had hot flashes for the last 20 years. I still have all my 'parts' and don't take hormones. I suffer from severe depression and take anti-depressants. Is there anything I can do? Can this be thyroid related? Should I move to Alaska?
It is unusual for hot flashes to persist with this severity for 20 years. Older women can still have them but they usually get less intense. Many anti-depressants are being used as an alternative to estrogen fo... continue reading about I'm 63 and have had hot flashes for the last 20 years. I still have all my 'parts' and don't take hormones. I suffer from severe depression and take anti-depressants. Is there anything I can do? Can this be thyroid related? Should I move to Alaska?
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