Post-Menopausal Vaginal Syndrome

If you are around the age of menopause or beyond and you have painful intercourse you may have post-menopausal vaginal syndrome. Estrogen during the premenopausal years is important for walls of the vaginal and the tissues of the vulva to remain healthy. It is important for the whole urogenital tract to remain healthy, so even the urethra and the tissues near the anus can become affected when the levels of estrogen decline as women get older. With post-menopausal vaginal syndrome women may experience vaginal dryness, vaginal discharge, burning with urination, itching of the vaginal area, and itching of the area of tissue between the vagina and the rectum known as the perineum. In severe cases women will report bleeding after sex, bleeding after exercising or spot bleeding unexpectedly. If you have a pelvic exam you may be told by your gyno that you have vaginal atrophy which is a thinning and dryness of the vaginal walls. Lack of estrogen and the post-menopausal vaginal syndrome may also loosen the muscle tone of the vagina. Post-menopausal estrogen syndrome typically will not occur in perimenopause, but occurs a few years after your ovaries quit making estrogen. If a woman gets treated with estrogen to cure the post-menopausal vaginal syndrome you probably know that the treatment is working if your symptoms improve. After estrogen treatment the vaginal pH will decrease back to your premenopausal levels, and a pap test can show that the cells of the lining of the vagina are reverting to their normal state. Estrogen creams or pills or delivered in rings are the most effective treatments for this condition.And now in February 2013 the FDA has just approved a new medication for this called Osphena. So women will have a choice of medications, and no longer necessarily have to use estrogen as their only treatment.

Passing Your Uterine Lining, Menstrual Period Norms

Decidual Cast Periods can be fairly easy, passing some tissue at a time, or off can come the whole lining in one piece called a decidual cast. Generally the lining of the uterus is only 6-8 mm thick at the time of the menstrual period, and it is shed gradually, a few cells at a time. The decidual cast is when the entire lining passes spontaneously. It's not uncommon, but it usually both uncomfortable, and alarming to some. But us women are designed to have some sort of periods Or Not? We have to pass tissue each month. Or Not? Are they good for us? Or Not? Do we want them? Or Not? Is this something that is individual? Or Not? It's a complex topic that I will be discussing a lot over my time in this blog. So lets start with basics: How much do we bleed and what are we loosing, and just what was this that the patient passed? And another basic: track your periods, and the Women's Health Practice site http://www.womenshealthpractice.com/media/pdf/menstrual_chart.pdf you

Endocervial polyps

2 cm Endometrial Polyp After Removal Polyps in the cervix are almost never cancerous, but can bleed or get infected and should be removed. The are not directly related to an endometrial or uterine polyp (which is a precancerous condition), but your gyno may want to make sure these two conditions do not co-exist.

Irregular Periods can Be the Sign of Other Medical Conditions

Heavy menstrual Bleeding Menstrual Period Norms The menstrual period's normal physiologic function to shed the lining and then prepare the lining for a pregnancy. Thus a sample of the lining under the microsope looks like it has glands within tissue. It’s hard to know if this is a heavy period, or one that is really so heavy that you need treatment without really checking completely with your gyno! Experts have used a number of definitions to determine if the period you are having is too heavy. Your perception is important. The actual amount of blood lost is important, but that can be determined by collecting each pad and weighing them before and after blood collection. So gynos have struggled with how to determine the formal definition of heavy bleeding. A basic check up, and a basic blood count, is not going to really make your version of heavy periods fit the typical “FDA” approved definition because that is defined by the exact amount of blood lost, which is los

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