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Women’s Health

Hormone therapy following menopause

Carl Sherman November 12, 2009

The revised position statement issued by the North American Menopause Society evaluates the latest evidence and offers recommendations on who should pursue hormone therapy.

HPV vaccine protects older women, say data

August 04, 2009

The human papillomavirus vaccine is effective in most adult women who have never been infected, interim data from an ongoing study suggest.

Hormone replacement therapy linked to ovarian cancer

By Traci Dantoni July 16, 2009

A large Danish investigation found that the risk of ovarian cancer increased up to 38% among hormone therapy's users.

Chlamydia, gonorrhea top U.S. list of STDs

March 13, 2009

Chlamydia and gonorrhea were the two most common infectious diseases in 2007, hitting young women and minorities especially hard, the CDC announced in its annual report on sexually transmitted disease.

Overactive bladder reduced in obese women who lose weight

March 04, 2009

You can add incontinence relief to the list of benefits obese patients gain when they shed pounds, according to a recent NIH-funded clinical trial.

Gender-related cravings

Question by Felix N. Chien, DO, Newport Beach, Calif., and response by Daniel G. Tobin, MD February 14, 2009

Is there scientific evidence that women have more difficulty suppressing cravings than men?

Inhaled steroids for pregnant patients

Question by Absar Quereshi, MD, Columbus; answer by R. Steven Tharratt, MD, MPVM January 07, 2009

Are the recommendations for inhaled steroids different for pregnan patients?

Rx for exercise boosts activity

By Myra Dembrow January 07, 2009

If you want to encourage your patients to exercise more, try writing a prescription. The tactic has been successful for women in New Zealand, a recent study reported in BMJ.

Replacing B12 in a pregnant patient

Questions posed by James E. Gaydos, DO, Montpelier, Vt., and answered by Gwen L. Nichols, MD November 24, 2008

In the course of working up a patient for chronic lower back pain, I discovered that her vitamin B12 level was in the second percentile (195 pg/mL; normal 180-900). She then told me that she was three weeks pregnant....

Standards for PAP and HPV testing?

Question raised by Jack Zoldan, MD, Chicago and answered by Daniel R. Mishell Jr, MD September 18, 2008

Does the current standard of care call for stopping Pap smears after age 65 in women with negative Pap histories? Should human papillomavirus (HPV) testing be routine with Pap smears?

PAP AND HIGH-RISK HPV

Question raised by Smita Kapoor, MD, Phoenix and answered by Daniel R. Mishell Jr, MD May 15, 2008

Should a Pap smear be repeated if the first report reads "no endocervical cells found"? Also, what should I do if the Pap smear is normal, but high-risk human papillomavirus (HPV) is detected? What is the likelihood the HPV will resolve on its own over time?

Preventing PID: The case for routine STD screening

By Sharon Adler, MD, MPH January 23, 2008

Just three months after having a normal physical examination, a young woman complains of intermittent lower abdominal pain. What did her doctor miss during that earlier exam?

HPV: Who should receive the vaccine and why

By Martin C. Mahoney, MD, PhD August 14, 2007

Arrival of the first preventive vaccine against human papillomavirus has sparked numerous questions. Our expert helps field them.

Iron deficiency anemia or something else?

CASE AND ANALYSIS BY TIMOTHY E. MATTISON, DO June 06, 2006

Multiple specialists attempt to determine the etiology of microcytic anemia in a patient with vague abdominal complaints.

Perimenopausal migraine prophylaxis

Question raised by Paula Y. Carruthers, MD, Sherman Oaks, Calif. and answered by Douglas Dulli, MD, associate professor of neurology, University of Wisconsin Medical School, Madison May 06, 2006

How well does standard migraine prophylaxis work in perimenopausal women averse to hormone therapy?

The favorable prognosis for female incontinence

Lisa Gibbons, DO, and Jong M. Choe, MD, FACS February 20, 2006

Urinary incontinence (UI) afflicts about 13 million Americans — predominantly women.1,2 Up to 60% of nursing home patients and 30% of elderly living at home are incontinent. An estimated 50%-70% of women with UI fail to seek medical evaluation and treatment, mainly because of social stigma.

Worsening right upper-quadrant pain strikes a young woman

BARBARA A. MAJERONI, MD February 20, 2006

A hard landing after a fall exacerbates the pain and results in the patient's serendipitous return to the ER.

Breast self-exam tip

Question raised by — Marvin H. Levick, MD, Pittsburgh February 16, 2006

Women learning how to examine their breasts often ask what they're feeling for or what a nodule feels like. I tell them to place the tip of their tongue against their cheek and massage the exterior skin gently with their hand....