Fitness Friday: Medical Societies Reach Harmonize Hormone Therapy Advice

Hormone therapy is one of the most studied treatments in medicine. The effects of estrogen, the main component in most hormone therapy, are so wide ranging, that it's important that each individual work with a provider to decide if and when to begin therapy, what dosages and formulations to use, when to change, how to monitor, and when to stop. Given that large population studies have only given pieces of advice to providers, often women have been told what they perceive is conflicting advice. Much of the confusion stems from an interpretation of 'risk' and what some perceive as too much risk is viewed as virtually no risk to others. Given that some women are willing to assume more risk than other women, we have to recognize that Women do need to discuss their individual risk factors, and it is going to be the most beneficial if you begin your therapy within the first 10 years after your natural age of menopause, or at least by age 60. A new Revised Global Consensus statement on hormone therapy has just been issued and endorsed by many organizations.An important revelation is that the societies agree that multiple symptoms including joint pain, muscle aches, mood changes and sleep disturbances may all improve with hormone therapy. They agree that Menopausal Hormone Therapy (MHT) is the only therapy that has shown actual bone fracture prevention in women who have normal to osteopenic bone density scores. The Consensus statement also goes on to say that hormone therapy can prevent recurrent urinary tract infections. There is much to discuss with your provider

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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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