Meet A New Kind Of Gynecologist

meet_new_kind_gynocologistA sea change is taking place in the medical profession:

Many female doctors, who once practiced gynecology and obstetrics, are dropping the obstetrical part of their practices to concentrate on the feminine sexual health of their aging patients.

This is a significant development for women in perimenopause or menopause, who now are opening up more about the dramatic physical–and mental–changes they’re experiencing, and turning to their doctors for advice and help…

 

 

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The Curious Case of My Disappearing Boobs

disappearing_boobsArticle By Michelle Ruiz


Missing: two once-perky 34Cs. Please return to owner, no questions asked!

I sometimes forget, mid-shower, whether or not I shampooed my hair just five minutes earlier. But almost 20 years since it happened, I still recall the moment when my boobs truly “arrived.”

I was 14, tap dancing in a magenta, crushed-velvet, turtleneck bodysuit at a studio on Long Island. One of my fellow tappers, a well-developed woman of 16, raised her eyebrows, impressed, as if to say, “You go, girl!” After class, she cracked, in the nicest way possible, that I should probably start wearing a bra to practice. (Though I’d been wearing cotton, clasp-front 32A Jockeys from the J.C. Penney junior’s department to school, they were purely ceremonial.) Apparently, I’d sprouted respectable, medium-size boobs over the summer—and they’d been flapping around during Time Step Two!

My cup literally ran over. As a late bloomer, I’d been waiting for my boobs since I tore through the Judy Blume canon at age 11. Dear God, I don’t really care about the period, but where are the hell is my rack? Breasts were a harbinger of womanhood, or at the very least teenhood. They were a sign that I’d one day shed my braces and bad “Rachel” haircut and graduate to my own phone line (never happened), a Sweet 16 at a neon-lit catering hall (definitely happened), and a social calendar stocked with dates. So when my knockers showed themselves in earnest that summer before ninth grade, I welcomed them with open arms and jazz hands…

 

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Everything You¹re Still Wondering About the IUD – Answered by an Ob-Gyn

We know you’ve heard all about the IUD. You probably know that the little intrauterine device, which is inserted inside the uterus, is 99 percent effective at preventing pregnancy. You may also know that there are a variety of options out there, from the hormone-free Paraguard, which lasts for 10 years, to Mirena and Skyla, which secrete a synthetic version of progesterone and last for five and three years, respectively.

“The IUD is all the rage, particularly in younger women who haven’t had children yet,” says Alyssa Dweck, M.D., an ob-gyn in Westchester, New York, and the co-author of V Is for Vagina.

Even more, the American Congress of Obstetricians and Gynecologists is now recommending that ob-gyns suggest IUDs as the first line of contraception, says Dweck.

That being said, while IUDs are becoming an increasingly popular method of birth control, there are still a few things you may be wondering about‹and are maybe even a little too shy to ask your doc. Here, Dweck answers questions she commonly gets from patients about IUDs on a daily basis.

RELATED: Someone Live-Tweeted Her IUD Insertion and We Know You¹re Curious

“There’s this persistent myth that IUDs are only for women who have had children, but that’s not the case. In older times, some practitioners thought it was easier to insert IUDs in a parous uterus, or one that¹s had children,” says Dweck. “They thought the cervix and uterus would be more extended, but they didn¹t have the benefit of these very easy-to-insert IUDs.”

Being child-free doesn’t disqualify you from getting an IUD, but if your uterus is misshapen, has fibroids, or you¹ve had pelvic inflammatory disease recently, you should consider other birth control options. Same goes for if you¹re breastfeeding after delivering a baby. “In that case, you’d still be a candidate, but the risk of perforation is a little higher,” says Dweck. “My guess is lower estrogen due breastfeeding means the uterine surface may be a little more delicate.”

Good news: Your fertility returns to normal immediately after your IUD is removed. The only major exception is if your fertility was impaired before you got an IUD, that won¹t change for the better just because you get one. Another thing to keep in mind is age. “Most women¹s fertility drops naturally by age 35 and definitely by age 40, says Dweck. “If you get an IUD at 33 and have it removed five years later, your fertility will have naturally declined.”

RELATED: 9 Things You Need to Know About IUDs

“I get this question almost every day [from patients],” says Dweck. “You can absolutely use a tampon with an IUD. The IUD is inside your uterus, and there are the little threads that come out of the cervix slightly. A tampon is in your vagina.” A tampon and an IUD occupy two totally different spaces within your anatomy, so feel free to go for it. And no need to worry that when you¹re changing a tampon, you might yank the IUD out instead. “We typically trim the strings, so while they¹re palpable, they¹re not hanging down in an elongated way,” says Dweck. “It would be difficult to grab onto them and dislodge your IUD.”

There are a few different potential complications, although they’re all highly unlikely. “It’s very unusual for an IUD to become embedded into the wall of the uterus or to perforate the uterine wall,” says Dweck. If it does happen, your doctor may perform an ultrasound to see where the IUD is and figure out next steps. “I’ve only experienced extremely rare occasions when I had to take someone to the operating room to look for an IUD,” says Dweck.

One potential issue that¹s more common is the IUD strings curling up into the cervical canal so they¹re not visible to an ob-gyn. “That can make removal a little more challenging,” says Dweck. “Most of the time, we can still get it out without difficulty by searching for it with a small instrument, even though we can’t see it.”  There’s also a small chance your uterus will expel the IUD soon after it¹s placed, in which case you can just get it again and see if it sticks the second time around, says Dweck.

RELATED: This is the Birth Control Most Doctors Use

Removal is along the same procedural lines as insertion. The doctor puts in a speculum, then uses an instrument that can grab onto those fine threads, clamp down on them, and pull out the IUD, says Dweck. There may be a little cramping, but if you¹d like another IUD to replace that one, you can get it right away and walk out of the office knowing you’re protected for years to come.


Source:  Health Medicine Network – July 9, 2015

How Does an IUD Work?

how_does_an_iud_workNot ready for kids yet? IUDs are 99% effective at preventing pregnancy and can last 10 years. Here’s how they work.

Some of us ladies think we might want to become mothers someday in the distant future. Others have put our baby-making days behind us. For any woman who wants to keep her baby oven empty, whatever the reason, a long-term birth control option such as an IUD (intrauterine device) is an excellent option. Unlike the Pill, which is highly effective but only if you remember to take it (hangovers and time zone changes be damned), IUDs are 99% effective and once they’re in, you don’t have to give them much thought … for years.

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6 Things No One Ever Tells You About Your Post-Baby Vagina

6_things_post_baby_vaginaYou’re going to do—or have already done—the seemingly impossible and deliver a small person.

But even if you read the parenting books and listened to every person on the planet dish out advice (wanted or not), we’re gonna go ahead and bet there are a few important, ahem, changes, that no one warned you about.

Here’s what you need to know about what’s going on downstairs post-baby-pushing.

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3 Labor-Inducing Tricks That Actually Work (and One That’ll Just Give You the Runs)

get_that_bun_out_of_the_ovenYou’ve spent the last nine months prepping for baby — but then your due date comes and goes with nary a contraction in sight. Ugh, is there anything more frustrating for a mama-to-be?

After someone told Bonnie Northsea (who still hadn’t gone into labor after reaching her due date) that dancing to Michael Jackson’s “Thriller” would help get things moving, she tried it. And thus, the latest viral video sensation was born…

If you’re getting a little impatient to meet your own little one, is there anything you can do to get into the delivery room faster? While most of the advice you’ve heard about how to induce labor (like eating spicy foods or walking up hills) isn’t supported by any studies, the good news is there are a few techniques that can actually get labor going.

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An OB-GYN Breaks Down The Facts We REALLY Need To Know About Birth Control

birth_control_pill_varietyEvery year on March 8 we celebrate International Women’s Day. It is a time to reflect on the extraordinary achievements of women around the world and throughout history. There is certainly a lot of work to be done, but it is also important to recognize how far we have come. In the US we are quite privileged to enjoy freedoms that many women in other parts of the world don’t. Education, the ability to vote, drive work, share our opinions publicly, and many more. One issue that is still being debated quite heavily, however, is reproductive rights for women.

Almost a year ago we saw how the US Supreme Court ruled in favor of a privately owned business which did not want to provide certain types of contraceptive for its female employees due to their religious beliefs. By the close of the SCOTUS 2015 session in June a decision will be made in this year’s landmark case King vs Burwell which is set to change the landscape of healthcare and repro rights drastically.

We hear many politicians go on and on about this issue, completely taking away the perspective of the individual woman and ignoring the blatant scientific and medical facts when it comes to birth control. In some third world countries, access to birth control is a life-saving product.

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What Happens To Your Body When You Give Birth to a Giant Baby…

What Happens When You Have A Giant Baby?You know you (and your vagina) are curious…

Have you noticed we’re in the middle of a big-baby boom?

Last week, a woman in Colorado gave birth to an infant girl who clocked in at just under 14 pounds, reports USA Today. That’s almost twice the weight of the average newborn, who tips the scales at seven or seven and a half lbs. And in the past few years, reports of bambinos weighing in at 16 and even 19 pounds have made headlines.

Driving this trend is a combination of factors. The obesity epidemic is one since heavier moms give birth to heavier kids. Genetics plays a role, too, as does gestational diabetes, a form of the disease that strikes during pregnancy, thanks to hormonal changes that leave a pregnant woman less responsive to insulin.

“Women with gestational diabetes are more likely to have a baby with macrosomia, the medical term for a large infant, which generally means over nine pounds,” says ob-gyn Alyssa Dweck, M.D., coauthor of V Is for Vagina.

 

 

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Is There Really a Connection Between Birth Control and Brain Cancer?

birth-control-cancerGet the facts behind the latest scary health headline…

When it comes to oral contraceptives and cancer, the news is mostly reassuring. Taking the Pill offers solid protection against ovarian and uterine cancer. And though recent research suggests that the Pill can jack up your breast cancer risk, other research refutes this, according to Planned Parenthood.

But a new study linking birth control pills to brain cancer has left a lot of Pill takers panicking. The study, from the British Journal of Clinical Pharmacology, looked at the incidence of a brain cancer called glioma among younger women in Denmark. Curious about whether the hormones in the pill had an affect on glioma, the research team poured through health registries, IDing all the Danish women between ages 15 and 49 who were diagnosed with glioma between 2000 and 2009.

They then looked into how many of these women had an Rx for birth control pills, recording the type they took (either the estrogen-progestin “combo pill” or the progestin-only “minipill”) and for how long. Finally, they compared them to a control group of glioma-free women in the same age range.

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