Answers for your specific questions.

Wondering about your health? Confused by what you’ve read? Browse our Ask the Nurse answer archive to find answers to many women's health questions and concerns. All answers are from a Cleveland Clinic women's health nurse.

Ask the Nurse Archive

Medication to help with postmenopausal weight loss.

August 25, 2019 at 8:04pm

Has metformin ever been prescribed for women who have gained weight due to menopause?

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Bioidentical Hormone Pellets - Are they safe?

August 18, 2019 at 12:39pm

I have been on bioidentical hormone creams for 25 years with great results. I recently decided to try the pellet, which was inserted in my left hip. After one week, I had a shingles outbreak in my left foot and lower left leg. I had the first shingles shot 20 years ago, but have not had the new shot. I love the results and simplicity of the pellet, but I'm hesitant to get another, so I went back on the creams. Do you think there could have been a connection to the pellet and shingles or just a coincidence?

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Are My Symptoms an Autoimmune Problem?

August 18, 2019 at 12:32pm

I am 74 years old and had breast cancer. I have osteopenia, upper back pain all the time, knee and other joint pain and I have problems sleeping. My energy level is zero and I feel stressed with no motivation. Lately, I developed an upper body rash, affecting my neck, upper torso and face similar to a heat rash. My dermatologist couldn’t diagnose the problem.

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Tips to Help Prevent Fatty Liver

August 18, 2019 at 12:21pm

I am 67 years old and recently had my yearly blood work done. My vitamin B12 level is >1500. My liver enzyme ALT is 39. I have been told that I have a fatty liver.

Can you give me advice concerning the high level of B12?

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Uterus Pain

August 18, 2019 at 12:07pm

I get an occasional quick pain in the area of my uterus. I am 69 years old, is this normal or is this something to be concerned about?

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B12 Levels

August 18, 2019 at 12:01pm

In my recent blood test results my B12 was extremely high, yet I am not taking any additional B12 supplements. (In fact, when I was younger my B12 was so low I had to get injections!)

So I have no explanation as to why it is high, and in conjunction my WB levels are low (and decreasing), my iron saturation is low, my RDW is high (increased since last test) - what is going on with me?

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Can the Estradiol Patch Help Migraines?

July 28, 2019 at 9:17pm

I have chronic migraines that are much more intense and frequent from ovulation to starting my period. I am on an estradiol patch, but it doesn't seem to be enough. Can this help with migraines?

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Can A Woman Use Multiple Vaginal Estrogen Therapies?

July 28, 2019 at 9:07pm

I was wondering if I could use multiple vaginal estrogen therapies on alternating days? I cannot use the new DHEA Medicine (Intrarosa®).

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Pelvic Stimulators and InterStim Device

July 28, 2019 at 8:51pm

I am 79 years old and have had urge incontinence for years. I have an InterStim, which is not doing much good and I am considering purchasing a pelvic stimulating device. Can I use the device with the InterStim in place if I turn it off?

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Medication options for overactive bladder

July 14, 2019 at 10:56pm

Other than Estradiol vaginal cream and D-Mannose capsules, what can help the urinary urgency feeling I get at age 66? I have been checked for UTI and I usually don’t have one.

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