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Extreme Fatigue

Ask the Nurse

I have fatigue that is interfering with my life--it’s all I can do to drive home after work and immediately crawl in bed. I have no new medications, and every test comes back normal. Are there any more specific tests I can have done to see if something is off?


Are My Heart Issues Anxiety or Something Else?

Ask the Nurse

I find myself up during the night worried that I have heart issues.

I can feel my heart beating and it seams fast at times, but I sometimes feel I am missing several beats, this worries me. I sometimes have this chocking going on, so I drink lots of water to stop that feeling. Why is this happening?


APEX and Stress Incontinence

Ask the Nurse

Eight years ago, I had a prolapsed uterus, and the OB/GYN performed a laparoscopic hysterectomy and added a bladder sling.

I am now experiencing stress incontinence. Will the APEX provide any improvement to my condition under these circumstances?


A New Year's Weight Loss Plan

A New Year's Weight Loss Plan

Column

Read guest columnist Stetson T. Thacker, PhD's column on tips for effective and healthy weight loss.


Activity Factor

Health Information

Activity Factor Table Amount of Exercise/Activity Description TEE/ Maintenance Sedentary Little or no Exercise/ desk job TEE = 1.2 x BMR Lightly active Light exercise/ sports 1 – 3 days/ week TEE = 1.375 x BMR Moderately active Moderate Exercise, sports 3 – 5 days/ week TEE = 1.55 x BMR Very active Heavy Exercise/ sports 6 – 7 days/ week TEE = 1.725 x BMR Extremely…


Urinary Incontinence

Ask the Nurse

I had a hemmorrhagic stroke in 2002 and have had urinary incontinence ever since. Would this be called an overactive bladder condition?


Prolapse

Ask the Nurse

I have had two hysterectomy prolapse surgeries. However, they are both failed surgeries as the prolapse is back, stage 3.

I also just had a tibia fibia leg break 7 months ago, so I am weak in my pelvic and core muscles. Will this APEX help the prolapse? I don’t want any more surgeries and I want to be able to do things I use to.


Blackberry Chicken

Blackberry Chicken

Recipe Box

The sultry blend of blackberry jam and balsamic vinegar infuse the chicken with unbeatable flavors while the caramelized onions make a slightly sweet, savory sauce. If you’re uncertain about jam with chicken, wait until you try the moist flavored chicken!

This recipe is from Holly Clegg’s trimandTERRIFIC® Too Hot in the Kitchen.


Update on HPV Vaccine Recommendations

Update on HPV Vaccine Recommendations

Column

Read Dr. Lynn Simpson’s column on Human papillomaviruses (HPV) and the new 2017 recommendations regarding vaccination.

During the course of a lifetime, almost everyone will acquire some type of HPV infection, so you want to read this column!


Cervical cancer death rates are much higher than thought, study says

News

January 23, 2017 - The risk of dying from cervical cancer might be much higher than experts previously thought, and women are encouraged to continue recommended cancer screenings. Black women are dying from cervical cancer at a rate 77% higher than previously thought and white women are dying at a rate 47% higher, according to a new study that published in the journal Cancer on Monday. The study found that previous estimates of cervical cancer death rates didn't account for women who had…


Hormone replacement therapy in young women with primary ovarian insufficiency and early menopause

News

Women with primary ovarian insufficiency (POI) have ovarian hormone deficiency and associated increased morbidity. This review discusses hormone replacement therapy options to improve the quality of life for women with POI. List authored and from Fertility and Sterility, September 27, 2016. Sept 2016 - Primary ovarian insufficiency (POI) is a rare but important cause of ovarian hormone deficiency and infertility in women. In addition to causing infertility, POI is associated with multiple…


Hormone replacement therapy in young women with surgical primary ovarian insufficiency

News

For young women undergoing bilateral oophorectomy, estrogen therapy effectively controls symptoms, lessens risk of disease, and reduces mortality. This review discusses how disturbingly, many women go untreated due to inappropriate fears regarding estrogen use. List authored and from Fertility and Sterility, September 9, 2016. Sept 2016 - Bilateral oophorectomy performed in women before they are menopausal induces surgical primary ovarian insufficiency, an acute and chronic deficiency of…


Does Early Menstruation Mean Early Menopause?

Does Early Menstruation Mean Early Menopause?

Column

Read Dr. Thacker’s column on risk factors for early menopause and issues associated with premature menopause and surgical menopause.


Start Talking! The Opiate Drug Epidemic Must Be Stopped

Start Talking! The Opiate Drug Epidemic Must Be Stopped

Column

Read Dr. Thacker’s column on the opiate addiction crisis and the overdose epidemic. Sadly, nowadays most everyone knows someone who has been affected by this scourge on our communities.


Running Injuries Treatment Guide

Running Injuries Treatment Guide

Treatment Guides

Find relief from common running injuries. Download our free Running Injuries Treatment Guide to learn more about symptoms, treatment and prevention of the most common overuse injuries.


Sports Injuries Treatment Guide

Sports Injuries Treatment Guide

Treatment Guides

Find relief from sports-related injuries. Download our free Sports Injuries Treatment Guide to learn more about symptoms and treatments of common sports injuries, such as elbow problems, dislocations and fractures.


Guacamame

Guacamame

Recipe Box

If you like guacamole, then wait until you try this avocado and edamame combination for a wonderful delicious and nutritious diabetic, vegetarian, avocado dip. Serve with fresh veggies or chips.

This recipe is from Holly Clegg’s trimandTERRIFIC® Eating Well To Fight Arthritis.


Weight Loss Actually Possible After Menopause

News

Study proves effectiveness of exercise in managing weight and hot flashes in postmenopausal women, even those who were previously sedentaryThe North American Menopause Society CLEVELAND, Ohio (February 15, 2017)—Talk to a woman in menopause and you’re likely to hear complaints about hot flashes and an inability to lose weight, especially belly fat. A new study shows how regular exercise can help reduce weight and control bothersome symptoms such as hot flashes, even in women who previously led…


Medical management of urinary incontinence in women

News

Urinary incontinence is common, underreported, and undertreated. Primary care physicians should be comfortable discussing urinary incontinence with their female patients and managing it with conservative treatment.ELIM SHIH, MDCenter for Specialized Women’s Health, Cleveland Clinic HEATHER HIRSCH, MDThe Ohio State University Wexner Medical Center, Columbus HOLLY L. THACKER, MD, FACP, NCMP, CCDDirector, Center for Specialized Women’s Health, Department of Obstetrics and Gynecology, Cleveland…


HPV Type

Ask the Nurse

I was reading the HPV article on speakingofwomenshealth.com, dated January 19th, 2017.

I have been diagnosed with HPV. How do I know what type I have? I have to have a follow up pap test in June.