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Women's Health Topics
Ask an Expert
Susan Maayah, M.D.
Mills-Peninsula Medical Center
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.
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.
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
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
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?
Susan Maayah, M.D.
Mills-Peninsula Medical Center
I had a hysterectomy in June. I still have my tubes and ovaries and a small bit of cervix. Why and how am I still having full periods every month? Where is this blood coming from?
The type of surgery you had is a supracervical hysterectomy. If your ovaries are still functioning, then you are still having monthly ovulatory cycles. The monthly cycle causes bleeding from the endometrial tis... continue reading about I had a hysterectomy in June. I still have my tubes and ovaries and a small bit of cervix. Why and how am I still having full periods every month? Where is this blood coming from?
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?
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?
Suzanne E. Pertsch, M.D.
Mills-Peninsula Medical Center
Will taking progesterone help prevent a migraine?
Taking progesterone alone as a cream or tablet has not been scientifically established as an effective treatment for migraine headaches. Many women experience migraines with their menstrual cycles, especially w... continue reading about Will taking progesterone help prevent a migraine?
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