Normal Weight Is Not the Only Criteria for Fitness: The Obese Normal-Weight Woman

More normal weight women are being diagnosed with Type 2 Diabetes in spite of being normal weight and not seeming to have the traditional risk factors for diabetes. In an article about this condition in the Mayo Clinic Proceedings they looked at the factors that cause the condition they now call the 'metabolically obese normal weight' individual and found that diet was the most important reason individuals find themselves in this condition. The key points in the article were that it is possible to be obese, and have too much body fact and be normal weight, we have to use alternative definitions for metabolic obesity to identify these patients and help them resolve their condition, because they are at risk for cardiovascular disease. One of the most important points in the article was that abdominal obesity was a more important indicator of risk than overall weight. The two diet strategies they found most helpful were DASH (a heart healthy anti-hypertensive diet), and the HEI diet developed by USDA to be able to track how well an individual were adhering to the food pyramid. Clinically the obese normal weight woman has more fact, especially internal gut (visceral) fat, higher glucose and cholesterol readings, and impaired sensitivity to insulin. The Mayo clinic group estimates that it is possible that up to 30% of women may have this condition. Laboratory testing, monitoring blood pressure, measuring location of the body fat by accurate body composition studies such as in the DXA, can identify this condition. Modifying your risk factors help to prevent long term disease, and even lower the death rate from this condition. For those women who have not been tested for this condition, we encourage them to have a consultation at Women's Health Practice.

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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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