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Women's Health Topics
Ask an Expert
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm 53 and in menopause. Since perimenopause, my melasma has returned. I had it my 30s due to birth control pills. I'm using TriLuma and am fanatical about sunscreen. I'm Asian and dermatologists have told me laser or other procedures might worsen it.
Melasma is typically caused in women by exposure to estrogens. For this reason, any hormone replacement you are taking that contains estrogen can contribute, so I would refrain from using estrogens. Also, the h... continue reading about I'm 53 and in menopause. Since perimenopause, my melasma has returned. I had it my 30s due to birth control pills. I'm using TriLuma and am fanatical about sunscreen. I'm Asian and dermatologists have told me laser or other procedures might worsen it.
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.
Ravin Agah, M.D., Ph.D.
Palo Alto Medical Foundation
What is the relationship between herpes and shingles? I have been diagnosed with herpes, and am experiencing breakouts of pimples/blisters on my arms, legs and chest, made worse by stress and physical activity that makes me sweat. What can be done?
Herpes and shingles are actually caused by two different viruses, from the same family. What we traditionally call "herpes" is caused by herpes simplex. Oral herpes, causing fever blisters and cold sores, is ca... continue reading about What is the relationship between herpes and shingles? I have been diagnosed with herpes, and am experiencing breakouts of pimples/blisters on my arms, legs and chest, made worse by stress and physical activity that makes me sweat. What can be done?
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
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.
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?
Ravin Agah, M.D., Ph.D.
Palo Alto Medical Foundation
I've been experiencing a burning sensation on my tongue for two months. It only involves one inch near the tip. There is no redness, lesions or broken skin, just the burning, which causes my mouth to water. I've heard this may be a menopausal symptom.
Burning tongue syndrome is a very common symptom which has been seen in some patients with menopausal symptoms.This also could be a manifestation of other diseases such as a B12 deficiency or an absorption prob... continue reading about I've been experiencing a burning sensation on my tongue for two months. It only involves one inch near the tip. There is no redness, lesions or broken skin, just the burning, which causes my mouth to water. I've heard this may be a menopausal symptom.
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?
Susan Maayah, M.D.
Palo Alto Medical Foundation
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?
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