Hot Flashes And Insomnia Causes More than Lack of Sleep

Hot flashes (HF) bother sleep and lead menopausal women to have less restorative sleep. Insomnia from hot flashes can cause delayed time to sleep or night time awakening. Once you have poor sleep you are likely to report other symptoms of lack of sleep including: daytime fatigue or feeling poorly, lack of concentration or memory impairment, poor performance at work, irritability, day time sleepiness, lack of motivation, headaches or even stomach or bowel upset. Simple sleep deprivation doesn't usually cause distress, and is better tolerated, than sleep lost to actual insomnia. Most, but not all, sleep studies have shown that women with hot flashes get poor sleep. We get the most hot flashes in the first part of the night, and there is some relationship between when the flash occurs and when you will wake up. Sleep therefore, is essential for your immune system, your hormonal health, your moods, thinking and your weight! The more bothersome to you the more likely the HF will be bothersome to your sleep. Moderately to severe HF was independently associated in a graded manner with severity of insomnia symptoms and objected measures of night time wakefulness and sleep fragmentation. In less scientific terms, just to repeat, sleep disruption is the cause of poor sleep and hot flashes disrupt sleep. Two lab studies showed no problem with sleep in symptomatic menopausal women, and it is possible the sleep disorders should not be attributed to menopause in every case, but other disorders. Actually the sleep disturbances in some studies was followed by a HF. So poor sleep actually made menopause and the hot flashes worse! Not too many studies need to be done, sleep lab studies are not usually necessary. Getting hormonal levels to confirm menopause may be helpful, and morning cortisol is often high due to the hyperarousal state insomnia cause. Both blood and saliva cortisol testing may be disordered. There is lots to gab with your gyno about. Treatments that work to reduce night time awakening due to hot flashes include : estrogen: the most helpful with about 60-80% improvement in sleep, progesterone, 8% improvement, escitalopram 5-% improvement, exercise. The type of hormone therapy whether bioidentical or synthetic estrogen has not been shown to be better one way or the other for sleep improvement. Women who are the most fit have the best sleep and morning exercisers less difficulty with their sleep. Other treatments that have worked for hot flash treatment includes gabapentin, pregabalin, paroxetine, citalopram, fluoxetine and sertraline. These treatments improve sleep they all reduce hot flashes by about 60% although the sleep improvements, like those treatments already mentioned, are more modest.

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...

Post-Endometrial Ablation Syndrome

If you have had an endometrial ablation and have developed symptoms of pelvic pain you might have post endometrial ablation syndrome. What is post-endometrial ablation syndrome? It is a constellation of symptoms due to entrapped blood or tissue within a uterus that has previously undergone an endometrial ablation. We are able to diagnose this at Women's Health Practic e but occasionally other conditions are causing similar symptoms. Other complications of endometrial ablation include pregnancy, risks from pre-existing conditions such as a polyp or fibroid, an infection of the uterus, or a pregnancy. If you have had a tubal ligation then it is possible that the condition could be post-ablation tubal sterilization syndrome. The ablation procedure is designed to destroy all lining tissue, but in fact there is no way to confirm the completeness of the ablation. It is thought that either residual or regrowth of the tissue is producing the symptoms of post-endometrial ablation syndrom...

You Have an IUD: But a Positive Pregnancy Test

Fortunately IUD pregnancy failures are rare. But if you have an IUD for contraception, and you get a positive pregnancy test, you probably ask yourself, what next? Well, make your gyno appointment promptly, this is a condition that is not typically an emergency, but it can be and it’s not handled over the phone or on a blog, or through self diagnosis! That being said, some researchers from University of Texas Southwestern Medical Center in Dallas decided to look back at over 4100 women who had IUDs and of those 42 cases who became pregnant in their institution, over about a year period of time, to help understand what these women could expect when they got to their gyno and what actually happened to their pregnancies. Accurate pregnancy diagnosis, pelvic examination, and pelvic ultrasound were the cornerstones of the evaluations. They had very specific ways they looked at their ultrasound to prove there was no pregnancy in the fallopian tube, or partially in the fallopian tube...

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