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Women's Health Topics
Ask an Expert
Susan Maayah, M.D.
Mills-Peninsula Medical Center
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.
Mills-Peninsula Medical Center
Is vertigo tied to menopause? Also, I'm taking 1000 mcg of biotin for my hair and nails and noticing that I have more intense hot flashes. Does biotin increase hot flashes?
Menopause can cause exacerbation of different symptoms for different women. Though there is no direct medical connection with vertigo and menopause, it is possible that there is some effect of hormonal fluctuat... continue reading about Is vertigo tied to menopause? Also, I'm taking 1000 mcg of biotin for my hair and nails and noticing that I have more intense hot flashes. Does biotin increase hot flashes?
Deborah Kurzrock, R.D.
Mills-Peninsula Medical Center
I'm a very active pre-menopausal 50-year-old who eats right and works out four to six times a week. Why in the world can I not lose my belly cellulite and build more muscle? I'm ready to quit everything and just get fat and eat junk food!
Don't give up! As many women approach menopause they find themselves experiencing unexplained weight gain, especially around the waist and hip areas, despite their best efforts to watch what they eat and to inc... continue reading about I'm a very active pre-menopausal 50-year-old who eats right and works out four to six times a week. Why in the world can I not lose my belly cellulite and build more muscle? I'm ready to quit everything and just get fat and eat junk food!
Susan Maayah, M.D.
Mills-Peninsula Medical Center
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?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
Since I went through menopause, I am getting more UTIs. Is this normal? Why does it happen?
Frequent urinary tract infections (UTI) after menopause are common due to lack of the estrogen hormone which keeps the vaginal and periurethral tissues healthy and able to withstand most bacteria that enters in... continue reading about Since I went through menopause, I am getting more UTIs. Is this normal? Why does it happen?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
High-risk HPV detection on a pap smear indicates you are at risk for developing cervical cancer at any point in the future. With a healthy immune system, many women clear this, but sometimes severe cases requir... continue reading about If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
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.
Deborah Quinn-Chen, M.D.
Mills-Peninsula Medical Center
I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause?
Women commonly believe that after a certain age they cannot conceive because they are too old. That is not entirely true. As a woman ages her fertility declines. A 45-year-old woman is less likely to conceive t... continue reading about I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
What's the difference between a yeast infection and bacterial vaginosis?
Vaginal yeast infections are caused by overgrowth of fungal organisms, usually the Candida Albicans species. Symptoms are usually itching, burning, and white, cottage-cheese appearing discharge. They are caused... continue reading about What's the difference between a yeast infection and bacterial vaginosis?
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