Low Libido? Studies have shown Testosterone supplementation to be effective in treating low libido in menopausal women. While Estrogen Therapy may not directly effect libido, it does promote increased vaginal lubrication, improving vaginal pain with sex. Testosterone supplements are not approved by the FDA for treatment in women. Speak with your healthcare provider regarding safety concerns. (posted 4/3/13 by @drsuzyyhall.)
Zofran use in Pregnancy deemed safe, according to new research published in the New England Journal of Medicine, 2/27/13. More than 50% of women experience nausea and/or vomiting in the first trimester of pregnancy, with the use of pharmacologic anti-nausea medications commonly prescribed. According to this study, no adverse pregnancy outcomes where associated with Ondansetron (Zofran) use in pregnancy. (posted 3/6/13 by @drsuzyyhall)
Noninvasive Testing for Fetal Chromosomal Abnormalities? There is a new blood test that screens for fetal DNA in the maternal blood stream. The test is called MaterniT21. This tests for Down syndrome and trisomy 13 and 18. Women who are pregnant at >35 y.o. or if the mother had an abnormal blood screening are at risk for these abnormalities. This is a non-invasive way to get additional information. (posted 2/21/13 by @docbchen)
At 15 years old I remember asking myself, “Is this what they mean by menstrual ‘cramps’?” The term ‘cramp’ just seemed too mild to explain the horrid, 1 or 2 day experience, which regularly preceded the start of my monthly period. Back pain, ‘front’ pain, nausea, and sweats…felt more like a suffering from the flu…with an elephant stepping on my back!... than what I’d describe as menstrual ‘cramps’. The usual ‘mother’s home remedies’ like a heating pad, hot tea, or over-the-counter pain reliever, hardly ever seemed to do enough, but I adhered to the regimen every month anyway…What else was I going to do?
As a Gynecologist, I now know the significance of the menstrual ‘cramps’. In our rhythmic, monthly, hormonal cycle, and in response to the rise in our ovarian hormones (estrogen and progesterone), our ovaries form the ‘dominant follicle’, which releases the fertilizable egg for that month. At the same time, the uterine lining develops a thick, shaggy layer (like a shag carpet) to enhance implantation of a fertilized egg (egg fertilized by a male sperm=pregnancy.) On the other hand, if no egg fertilization occurs (no pregnancy), the ovarian hormones decline, allowing for release/shedding of the previously developed thickened uterine lining tissue (representing our ‘menstrual flow’), and the obvious sign of menstrual bleeding.