GynoFiles

Vaginal Health Preservation Through Prevention is Now Available and Non-Invasive! For those at risk for declining vaginal function there is a solution we recommend. The decline in estrogen from early menopause to through the transition into menopause produces a condition of vaginal, vulvar, and other genital tissues including the bladder. The surface tissue becomes thinner, the underlying tissues and supporting ligaments of the vaginal, vulvar, rectal, and bladder areas specifically by having less musculature and the ligaments weaken as well. The health of the vagina can be spared by minimizing the effects of drying and thinning and lowering hormone levels as you age by non-invasively and proactively treating the dryness as you age. Not only is vaginal health impacted, but women also then are at increased risk of urinary tract infections (UTI) for the same reasons of decreased estrogen. The Physiology of the Changing Vaginal Tissues What possibly most impacts women...

endometrial Ablations are for removing the uterine lining in women with heavy menstrual bleeding, and it is used in women with heavy bleeding due to other gynecologic conditions such as uterine fibroids and uterine polyps. Although Ethicon recalled its  Gynecare Thermachoice III Uterine Balloon Therapy System silicone catheter, there are still many choices of devices and techniques for endometrial ablations. The “voluntary recall involves only the catheter component of the Gynecare Thermachoice system they found that stability data does not substantiate the labeled two-year shelf life of the product subject to the recall. There is no significant safety issue with the Thermachoice device.” The uterine lining is medically called the endometrium, and it is designed to be the lush baby bed. Originally, or as scientists like to say "ontogenetically" shedding the lining in the way of menstrual blood is to keep it fresh and ready for the next pregnancy. But I like to thi...

Hormone therapy should be Prioritized which essentially means taking your personal hormonal state, symptoms, and health needs into consideration during prescribing. Hormone therapy has evolved from when only Premarin was available in the 1940s to the current situation now that offers many formulas either from a pharmaceutical company, or made in a pharmacy that uses pharmaceutical grade materials in a uniquely designed amount and content. These hormones can be biologically identical to what we have from our bodies prior to menopause, or something synthetic, or something designed to act on cells in a very unique well. Thus hormone therapy  can be prescribed in so many forms. There are pills, implants, creams, patches, gels, shots, and vaginal rings just to name a few routes of administration. Further more hormone therapy can be of so many compounds: not just estrogen, but testosterone, progesterone, adrenal hormones all may be in the mix of what is prescribed. In fact menopausa...

Safety and effectiveness is what women want in their menopausal therapies. Yam cream is a hormone therapy for the signs and symptoms of menopause . Yams contain a plant progesterone. More accurately, phytoprogesterone , there are no actual human progesterone in a product that only contains a yam source of progesterone. Thus, a yam cream is not technically a bioidentical in the sense of bioidentical for humans, but it is a natural hormone in one sense, and that term bioidentical gets extended to these products by some people. The term wild yam, is the common name for a plant that is more accurately called the Dioscorea villosa. It can be cultivated, and the creams are no t t ypically made from plants foraged from the wild.   The yams also contain plant saponins which may be able to affect sour ability to produce estrogen. In menopause, it's not likely that a yam cream will help the production of estrogen from an ovary that has essentially run out of eggs and run out of the abilit...

In a 1993 New England Journal of Medicine study, that has not yet been updated, a small trial of postmenopausal women who had recurrent urinary tract infections were studied using estriol, compounded, vaginal cream. These women were suffering greatly, and had about 6 or more infections per year. The estriol cream in this study was not compared to non-compounded creams, but to placebo. In this study the women treated with the vaginal compounded estriol had fewer than one infection per year! Estriol used vaginally in another study, showed that menopausal women treated with the estriol cream responded very quickly to clear up symptoms of dryness and irritation, although in this study they didn't conclude anything about urinary tract infections. When treating urinary tract infections it is important to remember that many factors, including, sex, medications, condoms, and overall health can affect how you feel. So when considering choices, for most women, as the American College of Obs...

Hormone therapy is still safe and beneficial for many women as they transition into and through the menopause. But you do need the right type of estrogen, and the right way to deliver it to your system. Now there are newer studies regarding the type of therapy, whether you should have a bioidentical therapy, the dosage of therapy, and the route of therapy. Estrogen therapy has to be individualized by your gyno to keep your benefit maximized and risks minimized. It’s important to still watch the research, but realize, there are many studies that say we can “KEEP” our patients on therapy. A new study is about to get as much coverage as the Women’s Health Initiative (WHI) regarding women in menopause and the use of hormone therapy. They studied many fewer women than in the large WHI study, the women were not studied for as many years, but it is very interesting data. The KEEPS study, which is the Kronos Early Estrogen Prevention Study, confirms benefits of hormone therap...

Singapore Botanical Gardens There is no upper age limit on the label of your birth control pill pack, but sooner or later you won't need hormone ovulation control, and you are wondering when do you stop your birth control pills? No one wants an unplanned pregnancy late in life; thus keeping on contraception is one of the bigger topics of discussion when we plan when to take women off their oral contraceptive pills. You hit 40 and thought you were too old for your pills, but you didn’t smoke, and had no contraindications to the pill, and you found out from your gyno that many women safely use their pills into their early fifties and it can be a great treatment for perimenopausal symptoms. And others, who had not been on birth control pills up until 40 are finding out that oral contraceptive pills can be a great way to begin to control irregular cycles and PMS symptoms as you enter the menopausal transition. So now that you got the black balloon treatment from your gal pals ...