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Taking Medications Together

Ask the Nurse

I have been using Estring for about 8 years. I felt that it wasn’t working as well as it did the first few years. I saw my endocrinologist today and asked her about Osphena. She gave me some samples. I asked if I should still use Estring and she said no problem. I trust her but she is not a gynecologist, so I am not sure about mixing the two medications.

My primary care physician retired about a year ago. I don’t have anyone else at this time to ask about this. Thank you.


Is it okay to skip medication?

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I had a full hysterectomy 6 years ago and now I am 45 years old. I have been taking 1mg of estradial since my surgery, and I wanted to know if I don’t take my estradial for a few days what would happen? The doctor drags her feet when it comes to refills, therefor I have to wait till she gets around to approving my prescription. Right now, it’s been one day and I am feeling very weak, light headed, dizzy and can’t walk straight - just concerned if I’m going to be ok without it?


The Best Types of Sunscreen

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What should I look for in a sunscreen? What strength do I use and how often do I apply it?


Treatment for Nut and Peanut Allergies

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I just read an article on speakingofwomenshealth.com about allergies. At the end, there was mention of immunotherapy to help counteract allergies long term.

Can this be successfully used for people with nut and peanut allergies? If so, where does one get the immunotherapy treatments?


Side Effects of HRT Therapy

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I’ve just been perscribed HRT therapy: estradiol (vivelle-dot) 0.1mg and progesterone micronized 200 mg. But I have not started it, yet.

I also take 50,000 vitamin D weekly, which I started about 6 months ago.

What health risks are associated with the HRT outlined above? Will I gain weight from this HRT? Will my body composition change as a result of the HRT? How will my hair and skin change?


Female Orgasm

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I had two partial hysterectomies and three laparoscopic surgeries due to scar tissue and blocked tubes. The first surgery removed my left ovary, tubes and tissue growing on the outside of my uterus, tubes and ovaries. The second surgery removed my right ovary and uterus.

I am on hormone replacement. I am 49 years old, have been married for 29 years and I have 3 children in their 20s. My question is concerning lack of sensation to my vagina and clitoris. Direct and indirect stimulation doesn’t seem to matter and I do not have orgasms any more. I am on prescription medication for fibromyalgia. Is there anything I can do to help this problem?


Eye Exam Tests

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What kinds of tests will I have during an eye exam?


Decreasing Breast Cancer Risk

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How can I decrease my risk of breast cancer?


Emotional Changes During Menopause

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How can I cope with emotional changes during menopause?


Foods That Improve Brain Health

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Do certain foods improve focus and brain health?


What can Women use to Feel Fresh After Intercourse?

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What can a woman do to feel fresh after having intercourse, since douching is not recommended?


Left-side Abdominal Pain

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If you have a pain in your left side, what could it be a sign of besides a pulled muscle?


Tips for De-Stressing the Holidays

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What are some tips for de-stressing the holidays?


Entering Menopause

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How will I know when I have officially entered menopause?


Andrea Sikon, MD

Medical Advisory Panel

Andrea Sikon, MD, FACP, is the Chair of the Department of Internal Medicine and started the Primary Care Women’s Health Program for the Medicine Institute at Cleveland Clinic where she also started the enterprise’s Staff Mentorship Program. She is a National Certified Menopause Practitioner and Certified Densitometrist, practicing in both Internal Medicine and the Center for Specialized Women’s Health with clinical interests in Women's Health, osteoporosis, menopause, diabetes and…


Adele C. Viguera, MD

Medical Advisory Panel

Adele C. Viguera, MD, MPH, is director of research for women’s mental health of the Cleveland Clinic Neurological Institute. In addition to her research efforts, this mother of three continues to dedicate her time to teaching and mentoring psychiatric residents, fellows, medical students, and junior faculty. She enjoys listening to classical music and spending time with her family. Years of research, teaching and clinical activities have led Dr. Viguera to recognize that women have unique…


MaryAnn Mays, MD

Medical Advisory Panel

MaryAnn Mays, MD, is the Director of the Neurology Residency Program and a physician at the Headache and Facial Pain Clinic within the Neurological Institute at Cleveland Clinic. She has many clinical interests, including migraine, menstrual migraine, women’s health issues pertaining to headache including pregnancy and menopause, tension headaches, cluster headaches and chronic daily headaches. Dr. Mays received her medical degree at the Medical College of Ohio in Toledo. She returned to…


Margaret McKenzie, MD

Medical Advisory Panel

Margaret McKenzie, MD is an assistant professor of Surgery at Cleveland Clinic Lerner College of Medicine of Case Western Reserve University. She is the director for Medical Student Education, clerkship director in the Department of Ob/Gyn, and a staff member in in Cleveland Clinic's Ob/Gyn & Women's Health Institute. Dr. McKenzie maintains a busy clinical practice, yet maintains active in student education and residency as well as community education. Her passion is health care for mid-life…


Michelle Inkster, MD, PhD

Medical Advisory Panel

Michelle Inkster, MD, PhD, is a staff gastroenterologist at Cleveland Clinic's Digestive Disease Institute. She is board certified in gastroenterology and internal medicine. A wife and mother, Dr. Inkster feels women's gastrointestinal issues have been downplayed over the years, largely because most gastroenterologists were male and as a result she has seen that female gastro health issues were not receiving the attention that they deserved. As a female gastroenterologist, she sees patients…


Brooke Gurland, MD

Medical Advisory Panel

Brooke Gurland, MD is a general laparoscopic and colorectal surgeon in the Digestive Disease Institute at Cleveland Clinic. She has a special interest in evaluating and treating patients with functional bowel and complex pelvic floor disorders, including women with incontinence.She is board certified in general and colon and rectal surgery. Dr. Gurland is a recipient of the Jahnigen Career Development Scholars Award by the American Geriatric Association for a multidisciplinary approach to…