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I Thought I Was In Menopause, Why Am I Bleeding?
Ask the Nurse
I am age 50. I had experienced all the symptoms of menopause and was finally diagnosed as being in active menopause. After coming to grips with the reality that I can no longer have children and not having a period for nearly a year, I suddenly started having periods again. They were extreme with heavy bleeding and pain. Why would this happen?
Is Discharge Normal?
Ask the Nurse
I am experiencing a white, quarter-size, jelly-texture discharge from my vagina. Is this normal?
Your Bones, Your Health; Why Osteoporosis Matters
November 16, 2018
Podcasts
Health By Heather Hirsch
Health by Heather Hirsch is a podcast dedicated to uncovering and answering many of the myths and misconceptions surrounding women's health issues. Dr. Hirsch is an American board certified internist who completed a women’s health fellowship at the Cleveland Clinic. Her goal is to provide listeners with the most up to date information on all things women’s health through her podcast. Her mission is to help expose the current gaps in women’s health care, and with this information, reach women across the globe. In her podcast, Dr. Hirsch covers everything from female contraception, pregnancy, postpartum, motherhood, midlife, menopause and more.
Is It Normal To Bleed After A Hysterectomy?
Ask the Nurse
Is it normal to have a period (or cramping and bleeding every day) since having a Hysteroscopy D & C two weeks ago?

Chronic Pelvic Pain in Women: The 4 Common Causes
Column
Guest columnist Dr. Jessica Strasburg of the Cleveland Clinic Chronic Pelvic Pain Program discusses the four most common causes of Chronic Pelvic Pain (CPP) in women.
Do I Have A Yeast Infection?
Ask the Nurse
I wasn't sure if I had a yeast infection or not, so I took a 1-day Monistat just to be safe. A day later, there is still some medicine inside me. When will this go away? Is there anything I can do to speed up the process?
What Treatments Should I Use For Vaginal Dryness And Pain?
Ask the Nurse
I am considering using Nature's Naturopathic DHEA vaginal suppositories to alleviate vaginal dryness and pain during intercourse. Are they safe to use, or any other DHEA creams or suppositories?
FDA Warning For Biotin Supplements
Health Information
Biotin Supplement Interferes With Lab Tests The FDA has warned that the supplement biotin may interfere with certain lab tests. Biotin is frequently taken for nails and hair. It may help nails, but has less effect on hair growth. Some physicians have recommended persons with Multiple Sclerosis (MS) take very high doses of biotin. In November 2017, the FDA issued a statement stating, “The FDA is alerting the public, health care providers, lab personnel, and lab test developers that biotin can…
FDA Approves ANNOVERA: The First Birth Control Approved As A Vaginal System
News
TherapeuticsMD announces FDA approval of ANNOVERA™ (segesterone acetate/ethinyl estradiol vaginal system) for birth control. ANNOVERA is the first long-acting prescription birth control that is patient-controlled, procedure-free and reversible.The ANNOVERA contraceptive vaginal system is a small, soft flexible ring that prevents ovulation for an entire year (13 cycles) and can be inserted and removed by a woman at her discretion in repeated four-week cycles (remaining in place…
FDA Approves Bijuva: A New Oral Bioidentical Of Estrogen and Progesterone
News
TherapeuticsMD announces FDA approval of TX-001HR: BIJUVA™ (estradiol and progesterone) capsules for the treatment of moderate to severe vasomotor symptoms due to menopause. BIJUVA is the first and only FDA-approved bio-identical hormone therapy combination of estradiol and progesterone in a single, oral capsule for the treatment of moderate to severe vasomotor symptoms (commonly known as hot flashes or flushes) due to menopause in women with a uterus. BIJUVA is expected to be available…

Spiced Walnuts
Recipe Box
Everyone is obsessed with these wonderful walnuts from Holly Clegg’s trim&TERRIFIC® Eating Well To Fight Arthritis cookbook. They have the perfect touch of spice, heat and sweet. Toss in salads, serve on cheese trays or eat as a snack.
How do I calculate my BMI?
Ask the Nurse
I am 5'4 1/2" tall. When using the BMI calculator, should I use 5'4" or 5'5"?
FDA OKs Diagnostic Blood Test to Help Determine Menopausal Status
News
The US Food and Drug Administration (FDA) has approved Ansh Labs' PicoAMH Elisa diagnostic test to help determine a woman's menopausal status. The PicoAMH Elisa test measures anti-Müllerian hormone (AMH), a marker of ovarian function, and is meant to be used in conjunction with other clinical assessments and laboratory findings. Data from 690 women aged 42 to 62 years showed that the PicoAMH Elisa test performed "reasonably well" at determining blood AMH levels and identifying women who had…
FDA Approves Single-Dose Treatment For Flu
News
The first new flu drug in 20 years won approval Wednesday from the Food and Drug Administration.
The new antiviral, generically known as baloxavir marboxil but sold under the brand name Xofluza, is a single dose treatment. It is for use only in those aged 12 or more, the F.D.A. said, and should be taken only in the first two days after symptoms like fever, aches and sniffles appear.
The pill will cost $150, according to a spokeswoman for Genentech, which will sell Xofluza in this country. Genentech will offer coupons that lower the price to $30 for patients with health insurance and to about $90 for the uninsured.
Flu season has already begun, and last year’s was one of the most lethal in decades; about 80,000 Americans died of flu or its consequences, the Centers for Disease Control and Prevention said earlier this month.
The new drug is no miracle cure and it is not approved for young children, who are one of the most vulnerable groups, so the C.D.C. still strongly recommends that every American over the age of six months get a flu shot as soon as possible.

Highlights from the 2018 North American Menopause Society
Column
Read first year Specialized Women’s Health fellow Dr. Taryn Smith’s guest column on what is new in menopause.
Tamanna Singh, MD, FACC
Medical Advisory Panel
Tamanna Singh, MD, FACC is a clinical cardiologist and a member of the Sports Cardiology Center in the Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart & Vascular Institute. She sees patients at Cleveland Clinic main campus. Dr. Singh earned her medical degree from Boston University School of Medicine and completed her Internal Medicine Residency at Boston Medical Center. She then completed a three-year fellowship in Adult Cardiovascular…
American Cancer Society Honors Cleveland Clinic Researcher Charis Eng
News
Cleveland Clinic -- Charis Eng, MD, PhD, Founding Chair of Cleveland Clinic’s Genomic Medicine Institute, Founding Director of the Center for Personalized Genetic Healthcare, and internationally recognized leader in the cancer genetics field, has received the American Cancer Society’s prestigious Medal of Honor award. The annual award recognizes individuals who have made significant contributions in basic cancer research, clinical research and cancer control. Dr. Eng was honored alongside four…

No More Middlemen! Reduce Drug costs and stop medication shortages!
Column
Read Dr. Holly L. Thacker’s column explaining Pharmacy Benefit Managers (PBM) and Group Purchasing Organizations (GPO), and what can be done about the sky rocketing costs of medicines.
What hyaluronic acid vaginal creams are best?
Ask the Nurse
What hyaluronic acid vaginal cream do you recommend?
Can I get a spinal epidural while on antibiotics?
Ask the Nurse
If taking antibiotics why is getting a spine epidural not allowed?