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Hysterectomy and Estrogen Therapy

Ask the Nurse

I am 68 years old and have no physical ailments. I had a complete hysterectomy with both ovaries removed in 1998. I did take estrogen (estrogen patch) for some time, but my insurance started to give me a difficult time about it so I just stopped it using it in 2017.

I have been fine, but now I wake up early after a good sleep because the sheets are very damp from night sweats. Are there any natural products to help with the night sweats, or should I begin taking the estrogen patches again and try to deal with the insurance company?


Rethinking Colorectal Cancer and Colon Cancer Screening: What Women Should Know

Rethinking Colorectal Cancer and Colon Cancer Screening: What Women Should Know

Column

Read guest columnist, Specialized Women’s Health fellow and Board Certified Internist, Dr. Taryn Smith’s column on colon cancer screening.


Tips for Treating Bacterial Vaginosis (BV)

Ask the Nurse

How do I treat Bacterial Vaginosis (BV)?


Crawfish King Cake

Crawfish King Cake

Recipe Box

A recipe with fireworks – this simple, savory king cake is beyond good! Starts with crescent rolls with a scrumptious creamy Louisiana crawfish filling, topped with Mardi Gras colored Parmesan cheese. The best of Louisiana cuisine!


Treatment Options for Vaginal Atrophy

Ask the Nurse

I have thin tissue in the vaginal area, and it is very dry. My physician recommended estrogen cream to thicken my tissue, but it burns and itches me. What are my other options?


Obesity in Menopause Treatment Guide

Obesity in Menopause Treatment Guide

Treatment Guides

The most important thing you can do to understand changes relating to menopause is to arm yourself with the facts. Don’t let any stage of menopause keep you from enjoying a normal life. Download our free Obesity in Menopause Treatment Guide and get information on: Hormonal changes during menopause and the relationship to weight gainMyths and Truths of dieting and menopauseMedical and surgical options for weight loss


Hyaluronic Acid

Ask the Nurse

Can you direct me to any clinical trials or websites related to the use of hyaluronic acid and a woman who has had endometrial and ovarian cancer?


Intensity Device

Ask the Nurse

Is the Intensity for pelvic floor experiment covered by insurance?


Fat Removed From Breast, Stomach and Arm

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I want to get fat removed from my breast, stomach and arm. Is it safe?


Can I use vaginal moisturizers while using vaginal estrogen?

Ask the Nurse

I inserted vaginal estradiol tablet on Monday and Thursday. In between, can vaginal moisturizers be used?


Estrogen Therapy

Ask the Nurse

I am 75 and very healthy. I was prescribed oral conjugated estrogens 0.625 after a complete hysterectomy in 1983 and have taken it without problem ever since. I'm now getting push-back from my Medicare plan and they want to do a pre-authorization before allowing a prescription renewal. I have no other health problems, take no other medications, sleep well, eat a primarily vegan diet, exercise and am a healthy weight. If I'm forced to go off the estrogen I'll suffer bone loss, sleeplessness, hot flashes, which I can't imagine.

I have no breast cancer in the family and no diabetes. My mother died at age 95 from congestive heart failure and had severe osteoporosis, and my father died at age 91 from congestive heart failure. My mom did not take HRT.

What do I do to convince my doctor to allow me to remain on oral estrogen. Would reducing my dosage to 0.3 make a significant difference in how I feel or lessen the benefits to my bones, sleep patterns, etc?


Cellulitis

Ask the Nurse

I have cellulitis in both legs and sometimes my skin seeps. My nephew is in the hospital with Methicillin-resistant Staphylococcus aureus (MRSA) and has to get his toe amputated, is he contagious?


FDA Reports Risk of Lymphoma From Breast Implants

News

The FDA reports additional cases of cancer linked to breast implants. Anaplastic large cell lymphoma (BIA-ALCL), a type of non-Hodgkin's lymphoma is a known risk from breast implants. In 2011, the FDA was the first public health agency in the world to communicate about the risks of BIA-ALCL, warning women that the available information at the time indicated that there is a risk for women with breast implants for developing this disease. The FDA hopes that this information prompts providers and…


What is normal bone loss?

Ask the Nurse

I was diagnosed with osteoporosis last month after many years of osteopenia. My spine T-score was -2.8. I am 68 years old, 5 foot 7, 130 pounds and in good health.

I did take osteoporosis medication for about 5 years in 1993 when I went into early menopause at 43 years old. In 2016, my spinal T-score was -1.9 and in 2000 it was normal at -0.9. Isn’t this a fast decrease in the last 2 years especially since I exercise regularly?


Heart Health: There is Value in Exercise

Heart Health: There is Value in Exercise

Column

Read guest columnist and women’s health cardiologist Dr. Tamanna K. Singh's column on heart health and exercise.


Tips to help avoid Bacterial Vaginosis (BV)

Ask the Nurse

Why do I keep getting recurrent bacterial vaginosis infections? I am trying probiotics now, do you think that could work?


ApexM device can help treat urinary leakage

Ask the Nurse

Is ApexM a good option to treat urinary leakage in women who have had a bladder sling procedure?


Proposal to Lower Drug Costs by Targeting Backdoor Rebates and Encouraging Direct Discounts to Patients

News

Health and Human Services Secretary Alex Azar and Inspector General Daniel Levinson proposed a rule to lower prescription drug prices and out-of-pocket costs by encouraging manufacturers to pass discounts directly on to patients and bringing new transparency to prescription drug markets. “Every day, Americans—particularly our seniors—pay more than they need to for their prescription drugs because of a hidden system of kickbacks to middlemen. President Trump is proposing to end this…


Premature Ovarian Insufficiency

Health Information

What is Premature Ovarian Insufficiency (POI)? Premature ovarian insufficiency (POI) refers to a spectrum of conditions that causes impaired or diminished ovarian function before the age of 40. Premature ovarian insufficiency is not the same as premature menopause because ovarian function can wax and wane in women with POI. Some women with POI will stop producing sex hormones completely, but others may intermittently produce levels sufficient for ovulation, normal or irregular menstrual cycles…


How Genetic Testing May Improve Treatment Outcomes In Patients With Depression

News

Myriad Genetics has announced study findings that showed patients with major depression who received treatment guided by GeneSight®, a pharmacogenomic test, experienced a higher rate of remission and response, as well as greater improvement in symptoms than those who received treatment-as-usual. This is a land-breaking study showing how after 30 or 40 years, improvement in patient outcomes in depression by marrying-up the right medication to the right patient using their genetics. Patients…