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Influenza Type A and B

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Can you catch Type A flu and Type B flu at the same time? I am 72 and exposed to both.


Colonoscopy and Hemorrhoidectomy

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


Is Nausea A Menopausal Symptom

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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?


Overactive Bladder and Water Soluble Pumpkin Seed Extract

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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?

Treatment for a Thickened Endometrium

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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.


Treating Atrophy With Estrogen

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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.


Getting Enough Calcium in your Diet when Lactose Intolerant

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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?


Low Sex Drive in Women

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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!


Choosing Shoes for Common Foot Problems in Women

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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.


Stopping Estrogen Treatment

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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?


Bacterial Vaginosis

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I’ve struggled with bacterial vagina infections for months. I complete the antibiotics and still have the infection. How can I fix this as it’s frustrating for me and my partner? Is there a way my partner could be treated as well?


Migraine Symptoms

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I am 36 years old and have just recently been diagnosed with migraines. I went through a lot of tests to rule out serious issues that may be causing the migraines and have seen a neurologist. I am not having the migraines as intensely or as frequently, but I am still having out of the ordinary symptoms that are alarming at times.

Some of the symptoms are hard to describe. I just don’t think it is migraines that I am having. I thought about seeing an endocrinologist. Would they be able to help me determine what is going on?


No Sexual Desire and Vaginal Dryness

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I had a hysterectomy in 2005, 13 years later I have no sexual drive and severe vaginal dryness. I am on antidepressants and have had back surgery. I still have my ovaries, but I have gone through menopause. My husband is 14 years younger and is still very interested in sex as where I have NO desire. What is your advice?


Are Testosterone Pellets Safe?

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What is the latest information and safety profile for testosterone pellets?


Is my ovary working?

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I recently had a hysterectomy leaving one ovary. I was started on oral conjugated estrogens daily as I had a high FSH test at 8 weeks. Would an estradiol test show a reading on Premarin, as my estradiol showed 197 last week? Could my ovary be working again?


What can I do About Breast Cysts?

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I have an enlarged cyst in my breast that is becoming very painful. Can I have it "biopsied" or aspirated for relief?


Do Antibiotics Affect A Woman's Period?

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I am currently five days late for my period. A little less than a month ago (right after my last period), I was on antibiotics for my UTI, and I was wondering if that could make my period late?


Does Insurance Cover CoolSculpting®​?

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I was wondering if my medical insurance covers non-surgical treatment CoolSculpting®?


What can I do About Hot Flashes and Insomnia?

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I am just getting 1 or 2 hours of sleep a night as my hot flashes keep me awake all night. I have the air conditioning on as cold as I can without freezing others. After the hot flash I get cold, so all night I am pulling the covers off, then putting them back on. I can't have my husband lay close to me at all.

I am a Minister and when I speak to the congregation as soon as I start to move around or get excited the hot flash will start, and I am not able to give the best sermon or concentrate like I should. I can’t take black cohosh because it hurts my stomach. My forgetfulness is horrible and it is hard to remember what I just said or what I was talking about. It is hard to function at work and I am not giving my family the attention they deserve. My baby girl is getting married and I am doing everything I can to muster up the energy to remember and give my daughter the support from her mother. Please help!


Is Vaginal DHEA Safe To Take If I Have Breast Cancer?

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I have stage IV breast cancer and take an Aromatase Inhibitor (Letrozole) as part of my treatment. I have severe vaginal dryness and atrophy, continuous UTIs and pain in the urogenital area. I recently read an article saying "Intrarosa 0.5% DHEA nightly vaginal suppository contains NO estrogen and is safe to use in women who have to avoid estrogen." None of my doctors agree that Intrarosa would be safe for me to use because of my ER/PR+ cancer. They claim that DHEA turns into estrogen, so I should not take it.

One gynecologist did suggest the possibility of me using Intrarosa (vaginal DHEA) when my regular gynecologist was out. What are your thoughts?