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Ask the Nurse Archive

Stopping Estrogen Treatment

April 18, 2018 at 9:31am

I am 66 years old. I had a total hysterectomy when I was age 52. Since then, I have been on Premarin. I have weaned myself off Premarin to start taking Estradiol, which my doctor has prescribed for me.

I don’t see any difference in the two medications. I would like to get off estrogen altogether, is that possible? Are there side effects at this age?

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Choosing Shoes for Common Foot Problems in Women

April 17, 2018 at 9:38am

Are athletic shoes with the rocker soles better for your feet than regular sneakers? I have chronic plantar fasciitis, tendonitis and arthritis. The rocker soles shoes do feel better.

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Low Sex Drive in Women

April 17, 2018 at 9:20am

I am 51 years old and do not have the urge to have sex. I do not lubricate, and when I do have sex it hurts. Please advise!

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Getting Enough Calcium in your Diet when Lactose Intolerant

April 17, 2018 at 8:56am

I am age 62 and had triple negative breast cancer 11 years ago. I was treated aggressively, which put me into menopause instantly. I enjoyed eating yogurt and calcium rich foods until this past year when I developed a serious case of intolerance to dairy products - lactose intolerance.

I cannot seem to tolerate even lactose-free dairy. I know that I have osteopenia. What does a person like me do to get adequate calcium daily? I also am recovering from a total hip replacement that has slowed down my exercising for the past year. The only exercise that I can do is walk. How I can get enough calcium in my diet since I cannot tolerate any real dairy products?

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How The Automatic Pelvic Exerciser (APEX) M Device Treats Incontinence

April 10, 2018 at 2:06pm

I am curious about the device called APEX M. Are there any studies on it? Is it a reliable product? I have read an ad and it sounds great, but is it too good to be true?

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Treating Atrophy With Estrogen

April 10, 2018 at 1:28pm

I’m interested in Mona Lisa on laser rejuvenation procedures. Also, as a practitioner, I’m curious about recent research on testosterone pellets for post-menopausal women.

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Treatment for a Thickened Endometrium

March 19, 2018 at 2:33pm

I am 61 and went through menopause at age 50-51. On a routine check-up, I had a vaginal ultrasound which indicated a thickened endometrium - the doctor said about 7mm.

The endometrium biopsy is "benign endometrial hyperplasia". The pap smear was negative and I have no symptoms, I am not overweight, and I have never been on any estrogen or any type of hormone therapy.

I’ve had 5 normal vaginal births and 1 miscarriage (at 3 weeks) due to the flu. My doctor wants to do a D&C next, but I do not understand why I cannot try treatment with progestin first. He became agitated when I brought up that option. This is a new doctor to me; I had to switch due to insurance, and I am not confident with him.

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Overactive Bladder and Water Soluble Pumpkin Seed Extract

March 16, 2018 at 2:31pm

What is your take on water soluble pumpkin seed extract for over active bladder symptoms? I’ve been reading about it and it appears that studies show there can be much improvement. I also have a few more questions:

  1. How many mg should one take per day for best results? A nutritionist recommended 2x the mg on the bottle dosage, approximately 1200 mg per day.
  2. How long does it take before one sees improvement? And if one does not see a marked improvement after say a month, is it best to abandon the supplement or go for say 6 months?
  3. Is it better to take soy isoflavones with the extract?

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Is Nausea A Menopausal Symptom

March 14, 2018 at 5:10pm

For the past few months, I’ve been experiencing what feels like random morning sickness. For no apparent reason, the thought or smell of certain foods will nauseate me and trigger an anxiety attack.

It’s worse soon after I wake up, but it can happen at any time of the day. I’m 45, not pregnant and having irregular periods. Could these "food aversions" be caused by perimenopause? How can I make it stop?

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Colonoscopy and Hemorrhoidectomy

March 14, 2018 at 4:57pm

Will having a colonoscopy disturb or make worse where I had a hemorrhoidectomy 4 years ago?

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