Blog Posts in 2009

  • Making Sense of Cervical Cancer Screening Recommendations

    In the United States the incidence of cervical cancer has decreased more than 50% in the past 30 years because of widespread screening with the Pap smear. Attributable deaths have undergone a similar decrease. The discovery of the Human Papillomavirus (HPV) as a necessary factor in cancer of the cervix has resulted in the development of new screening technologies and vaccines. Consequently, ...
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  • Breast Cancer - Myths vs. Facts

    Although many advances have been made in breast cancer detection and treatment over the last quarter century, the fact is we still don’t know much about the causes or cures. This leaves many people misunderstanding the facts. It’s time we dispel those myths and replace them with what we know is true about breast cancer in 2009. 1. Myth : I’m too young to worry about breast ...
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  • Warning Report Bleeding After Menopause!

    Uterine cancer is the most common gynecologic malignancy in the United States. It commonly presents as postmenopausal bleeding (vaginal bleeding/spotting that occurs after menstrual periods had previously stopped for over one year). The clinical approach to postmenopausal bleeding requires a prompt and efficient evaluation to diagnose or exclude cancer. The American College of Obstetrics & ...
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  • Recurrent Yeast Infections

    Vaginal yeast infections are common. Yeast naturally inhabits the vagina in small numbers. However when something disturbs the balance of bacteria in the vagina, yeast may overgrow leading to symptoms of thick white discharge and prominent itching. Antibiotics are a classical provocative factor. So are pregnancy and birth control pills. Some women such as those with diabetes or immune system ...
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  • "Silent Sufferers" Needlessly Endure Heavy Periods

    A survey of women age 35 49 years old reported the following: 58% with excess menstrual bleeding have not discussed it with a health care provider 82% of women who discussed heavy menses had to initiate the dialog 62% waited more than one year, and 1 in 5 waited more than 5 years to discuss it with their doctor These women have been labeled “Silent Sufferers.” Another study reported ...
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  • Vaginal Health in Menopause

    A recent survey showed that 63% of postmenopausal women experience vaginal dryness that makes sex uncomfortable. Because of personal privacy and embarrassment, only half of them reported this to their physician. The vagina is very estrogen dependent, without it the tissues often become thin and dry. Then during intercourse friction creates discomfort. Consequently, vaginal dryness and pain with ...
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  • Abdominal Pain? Might be Irritable Bowel Syndrome

    Abdominal pain occurs for many reasons. 1 in 5 American adults have irritable bowel syndrome (IBS). Yet many people are uncomfortable talking about it because their symptoms may be too embarrassing. No one knows exactly what causes irritable bowel syndrome. The walls of the intestines are lined with muscles that contract and relax as they move food through your intestinal tract. Normally, this ...
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  • Ovaries Make Cysts for a Living

    Last month we discussed when to save and when to remove ovaries. With the frequent use of CT scans, MRIs, and sonograms, an asymptomatic ovarian cyst (a fluid filled growth, imagine a water balloon) is commonly found. It is present but the person is unaware of it. Each menstrual cycle a woman ovulates creating a small cyst on her ovary, which we call a follicle that is < 3cm, approximately 1 ...
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  • Saving Ovaries, Saving Lives

    Many women falsely believe that a total hysterectomy implies that their ovaries will be removed during the procedure. Up until recently it was common practice to prophylactically remove ovaries to decrease the risk of ovarian cancer concurrent with hysterectomy for benign disease in women beyond 45 years of age. A recent study looked at maximizing survival demonstrated that ovarian conservation ...
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