Blog Archive

Sometimes you gotta see a GYN.. May 4th, 2020

As it becomes clear that there will be long term financial and social consequences to this current pandemic, Today's Woman has created a special offering for those who unemployed or without health insurance. On Wednesdays at TODAY'S WOMAN you can have: - 30 minute office visit including history, breast and...

Should I keep my GYN appointment during this Coronavirus pandemic? Mar 15th, 2020

Consider this: If too many people get sick at the same time, it will overwhelm our healthcare system.   If it's a routine GYN checkup  - no problem, no concerns; RESCHEDULE FOR LATER. If you are having a problem - pain, abnormal bleeding; KEEP YOUR APPOINTMENT.   While you won't...

Dear Black Woman Jan 3rd, 2020

You're really awesome. However, the strong black woman is hurting. Your health statistics are tragic. And it's not OK. A change is needed. It starts  with: assuming responsibility for your health understanding the current US healthcare system The current healthcare system works "best" when you are ill, when you need...

Hysterectomies Are So Passé Aug 7th, 2019

Fact #1. Fibroids are common. Risk factors for fibroids include: Race Age Family history Time since last birth Premenopausal state Hypertension Diet    Fact #2. Many women are unaware of prevalence, symptoms, and treatment choices for fibroids.    If you are a black woman, odds are that you already have...

Ways to avoid vaginal dryness Jul 18th, 2019

Ways to avoid vaginal dryness   Most women are too embarassed to ask. Don't suffer in silence. Make this the best time of your life.   Regular sexual activity with partner, device and/or solo.   Elimination of smoking   Hydration   Pelvic floor muscle toning- resistance training   ?Probiotics, dietary...

What’s a Phthalate? Jul 16th, 2019

Phthalates are chemicals which are put in our food, in our homes and in our personal care, hair and beauty products. They are present in products that we use daily such as cosmetics, moisturizers and perfumes. While they aren’t the main ingredients, they are incorporated into products to make them...

Updates on Female Sexual Health Jul 16th, 2019

FEMALE SEXUAL DYSFUNCTION includes: Pain with sex Inability to orgasm Low sex drive HSDD (hypoactive sexual desire disorder) is a low sex drive which causes personal or inter-personal distress which is not due to any medical, psychiatric or problem within the relation. MEDICATIONS: Addyi (Flibanserin) Vyleesi (Bremelanotide) What we want.....

ABORTION 2019 May 30th, 2019

Forty six years ago, the US Supreme Court ruled that women had a fundamental right to privacy including a pregnant woman's right to choose whether or not to terminate her pregnancy (Roe  v Wade). To balance the concerns regarding the unborn fetuws, the court ruled that governments could set regulations...

I have a headache.. Apr 16th, 2019

Throughout history and in various societies, female sexuality has been focused on how to please and how to be more appealing to men. Too often, our sexual education/exploration/growth gets stunted because of incest and general societal norms regarding being “a good girl”. The result being: We don’t talk about sex....

Today’s Woman Boutique GYN Care Apr 16th, 2019

You’re worth it!

WITH EACH MENSTRUAL CYCLE -- ARE YOU BLEEDING TOO MUCH? Mar 11th, 2019

The following is a true story..   She was going to work everyday, but she was tired. She thought her fatigue was due to lack of sleep, but when she became short of breath while walking up stairs, she started to worry that something might be wrong. The symptoms worsened....

No Surgery for Fibroids Feb 22nd, 2019

Part 1   "She's 24 years old. An ultrasound showed multiple small fibroids. She's in grad school now, but plans to marry and have children within the next 5 years. What can she do?"     Fibroids are a common problem for many women globally.  Fibroids are benign tumors that...

Why should I care? Jan 3rd, 2019

January is Cervical Health Awareness Month. The cervix is that part of a female's body that she can't see, but she can feel. It's situated at the top of the vagina and has a opening that leads into the womb (uterus). Misunderstood, mistreated or abused - it becomes susceptible to...

Why MonaLisa Jun 13th, 2018

At 20 weeks, study participants reported significant improvement of symptoms of genito-urinary syndrome of menopause as well as improved sexual function. An uncontrolled report based on 30 women with overactive bladder noted the laser's efficacy in treating urgency, burning and recurrent urinary tract infections.

Spring has sprung. Apr 10th, 2018

Enjoy all aspects of your life.

Human Rites Apr 10th, 2018

It's a play about female genital mutilation/circumcision/cutting -thought provoking, great acting.During a post play discussion. I expressed my dismay at what I thought was a lopsided presentation regarding female genital cutting. As a result, I was invited to share my thoughts and experience during an upcoming post play discussion this...

Brief Profile of Female Sexual Function Mar 30th, 2018

Here's a 7 question survey designed to help women who are experiencing low sexual desire that is concerning to them to help them decide whether or not consult a physician.

Happy International Women's Day Mar 8th, 2018

Celebrating the wonder of a woman today and EVERYDAY!

MonaLisa Touch - FAQs Mar 8th, 2018

FAQ's#1. What is the MonaLisa Touch?It is a medical laser that delivers controlled energy to the vaginal tissue to revitalize the cells in vaginal mucosa (vaginal tissue) so that these cells make more collagen; an essential ingredient in vaginal cell health. #2. Where can I have this done?The MonaLisa Touch...

Today's Sexual Harassment. Nov 27th, 2017

Donald Trump.  Weinstein. Louis CK. Al Franken. Charlie Rose. John Conyers. All of these men have been accused of sexual harassment. And the stories keep coming. Women have taken to Twitter - #me too- to share their stories. Often the men involved are in positions of power. It's this power...

Walking & Talking Our Way To Health Jun 14th, 2017

I recently watched the following TED talk. I was impressed with their passion, their fire. It is directed to African American women for the reasons stated, however all women could benefit from this.

More Than Ever, You're Needed Jan 30th, 2017

For the past several months, I have been planning a trip to Somaliland. Why? In 2014, I had the good fortune of meeting Dr. Edna Adan the founder of the Edna Adan Maternity Hospital when she was in Philadelphia to received an honorary doctorate degree from the University of Pennsylvania...

5 Days Left! Jan 25th, 2017

Please Show Your Support! Jan 15th, 2017

Women are dying during pregnancy and childbirth. Somaliland has one of the worst maternal mortality death rates in the world. Edna Adan is working to change this by training midwives to provide the much needed care. She needs our support. Click here to donate. 

Goodbye 2016. Dec 30th, 2016

US Maternal Mortality Dec 8th, 2016

Maternal Mortality is considered one measure of the quality of a country's healthcare. Prior to 2003, only 18 states in the US had a pregnancy question on their death certificate.In 2003, the following "pregnancy question" was added to the standard US death certificate: If female: (check appropriate box)Not pregnant within...

Get It While You Can Nov 11th, 2016

IUDs are Long Acting Reversible Contraception.(LARC). Depending on the choice of IUD, there is effective contraception for 3- 10 years with contraceptive failure rates of <1.0%. It's effectiveness, low failure rate and ease of use has made it a popular form of contraception.However, its cost has been prohibitive for women...

Congratulations, President-Elect Trump. Nov 9th, 2016

President-elect Trump has promised to repeal and replace the Affordable Care Act (ACA) otherwise known as Obamacare.The Affordable Care Act was signed into law in March, 2010. The timeline for full implementation of the Affordable Care Act was from 2010 to 2022. The idea behind this health reform was that...

Is There Such A Thing As A Black Woman's Breast Cancer Oct 26th, 2016

October is Breast Cancer Awareness Month.On July 6, 2016, a study was launched to investigate how genetic and biological factors contribute to the breast cancer risk among black women. The African American Breast Cancer Consortium, the African American Breast Cancer Epidemiology and Risk (AMBER) Consortium and the NCI Cohort Consortium...

Let's Make This Less Confusing.. Oct 21st, 2016

October is Breast Cancer Awareness Month.Current Breast Cancer Screening Recommendations for Woman at Average* Risk for Breast Cancer*Average risk is defined as no personal history of breast cancer, no suspected or confirmed genetic mutation known to increase risk of breast cancer ie BRCA or history of previous radiotherapy to the chest at...

Her Glass Is Half Full Oct 18th, 2016

Her glass is half full with Yoni Eggs.I'm excited about this simple devise that can help to improve the quality of life for any woman (any age). Nothing to plug in. No harmful side effects. Non- surgical. I call this a win- win- win.If you are interested in details, contact...

Women & Children Suffer Oct 14th, 2016

Read the full article here.

Ductal Carcinoma In Situ - Is It Cancer Or Isn't It Oct 14th, 2016

October is Breast Cancer Awareness MonthHow do we define cancer -- by its properties and characteristics which include abnormal, rapidly dividing cells which invade into surrounding and distal tissue. Dissemination and disruption of normal bodily functions are the sequelae of cancer.Ductal Carcinoma In Situ (DCIS) is an aggregation of abnormal...

You Don't Want This. Oct 7th, 2016

October is Breast Cancer Awareness Month.Triple negative breast cancer (TNBC) represents approximately 10-20% of the invasive breast cancers. It tends to occur more often in women < 50 years.In the US, the majority of women diagnosed with TNBC are African American.Unlike hormone receptor positive breast cancers which can be treated...

The O Shot Sep 30th, 2016

Injecting a woman with her own blood to enhance rejuvenation/ healing has gained popularity. There is the vampire face lift and the vampire breast lift*. Now there is the O shot.Our blood is composed of 93% red blood cells, 6% platelets and 1% white blood cells. Since 2006, Dr. Charles...

Among Them: Anarcha, Lucy, Betsey Sep 23rd, 2016

Dr. James Marion Sims (1813-1883) considered to be "the father of modern gynecology" trained at Thomas Jefferson Medical College. He is known to how used enslaved African American women as experimental subjects. He performed multiple surgeries on these women without anesthesia. This allowed him to enhanced his skills and to...

Less Than Honest Sep 14th, 2016

Coronary heart disease has been and continues to be a leading cause of death in the US.During the 1950's, the role of diet specifically sugar was suggested as a contributing factor to high rates of heart disease. Aware of the research implicating sugar intake and the development of coronary heart...

Stop Leaking. Sep 7th, 2016

Adult urinary incontinence is big business. The growth of adult diapers is outpacing that of baby diapers.* By 2020, adult diapers are projected to generate $2.7 billion dollars in sales. In ten years, the sale of adult diapers could surpass the sale of baby diapers. Adult urinary incontinence primarily affects...

Could It Be That Simple? Sep 2nd, 2016

A recent study concluded that 10 minutes of daily stretching done before bedtimedecreased symptoms of menopause and depression in middle aged  working Japanese women.The stretching involved total body extensions including extension and torsion of the shoulders, hips and torso. The stretching began with 1) standing or kneeling poses, 2) moved to sitting poses...

Your Test Results Are Back Aug 17th, 2016

This was brought to my attention by a woman diagnosed with breast cancer when she was told that her lymph nodes were positive.Her initial thought was that "positive" was good news. It was only with extended discussion that she realized that the opposite was true. Medical terminology and how information...

Use It Or Lose It Jul 31st, 2016

Do you think it is possible for a 20 year old woman to vaginally deliver a 7lb 8oz baby and 35 years later be unable to insert a device the size of an egg (similar to the picture) into her vagina?Yes, it is possible and this happens to many women....

When Is She Too Old To Have A Baby? Jul 29th, 2016

It's happening world wide.. through the use of assisted reproduction - egg freezing, egg donation and in vitro fertilization - women are having babies in the 50's, 60's and 70's.In the Bible, menopausal Sarah gave birth to Isaac at the age of 90 years. She then lived to be 127...

This May Be The Answer For You Jul 22nd, 2016

Have you ever been advised to practice Kegel exercises?These are the exercises that help to strengthen your pelvic floor muscles (a very important but often overlooked part of female anatomy). Women with strong pelvic floors have more dynamic and responsive vaginas during sexual intercourse. Women who are postpartum and older...

Aesthetic Medicine -Is It For You? Jul 6th, 2016

I recently attended an aesthetic medicine conference. I was impressed with what I saw and amazed at the amount of money people, primarily women, are willing to spend in order to remove fat and to fill in wrinkles.Well I must have been under a rock because Aesthetic Medicine is booming...

The Great Digital Divide Jul 6th, 2016

In my practice I am able to be small, mobile and responsive through the use of digital technology. I use electronic medical records. Patients can access their records, send me messages and check their labs via an encrypted, patient specific patient portal.They can schedule their appointments online without the hassle...

Is It Necessary? Jun 29th, 2016

The US Preventive Services Task Force (USPSTF) has conducted a systematic review of the literature to answer 3 questions about routine pelvic exams in otherwise asymptomatic females: (please note that pelvic exam isn't the same as pap smear):1. Do pelvic exam reduce the morbidity, mortality and/or improve 1. Do pelvic...

I'd Rather Lose My Uterus Than Lose My Vagina Jun 22nd, 2016

My perspective:I agree that too many hysterectomies are being done for non-cancerous reasons. And ideally, no woman should ever have to choose between her uterus or her vagina. But the uterus is linked to a woman's biologic clock. Once a woman has completed her childbearing, the purpose of the uterus...

Happy Father's Day! Jun 18th, 2016

To all the "crusty" (hard on the outside, soft on the inside) and loving fathers, husbands, men in our lives.Thank You.

Acupuncture Worked. Jun 15th, 2016

A group of 170 peri- and postmenopausal women received acupuncture treatment over a six month period. The frequency of their hot flashes and nights sweats declined dramatically by 7 weeks and remained significantly reduced 6 months after the completion of their acupuncture treatment.A control group of peri- and postmenopausal women...

Namaste Jun 8th, 2016

Menopausal symptoms are due to a decline in estrogen. Many women are either afraid or confused by the reports and recommendations given even by their various physicians.Yoga has become popular in the US. Many report improvement in a number of symptoms with an overall improvement in quality of life with...

A Bad Situation Makes Everything Worse.. Jun 3rd, 2016

Abuse is prevalent, under-reported.A recent study looked at the association between recent abuse and menopausal symptoms.All women were 40 years or older. They were predominantly white, non-Hispanic and postmenopausal. Of this reporting abuse:All women were 40 years or older. They were predominantly white, non-Hispanic and postmenopausal. Of this reporting abuse:96.8%...

Too Much Sitting Jun 1st, 2016

Over 6,000 middle aged Hispanic women from 11 different Latin American countries were surveyed about the level of their physical activity and the severity of their menopausal symptoms.Women who were sedentary had more symptoms and more severe menopausal symptoms including sexual problems, bladder problems and vaginal dryness. The sedentary women...

Be Careful What You Say Apr 18th, 2016

The pre-op visits didn't go well.She had wanted her surgery sooner than what was offered. A compromise was reached. During the interactions, she became distrustful of her surgeon. Fearing a bad surgical outcome due to these interactions, she hid a recorder on her person during her surgery "just in case"...

Don't Cry. Apr 6th, 2016

In 1990, 22% of all OBGYNs were women. By 2010, 49% of all OBGYNs were women. This trend continues. Among the 86,439 med school graduates from 2013-2014, 85% of those choosing to enter into an OBGYN residency were female.Male OBGYNs have said:"It seems like male OBGYNs are becoming dinosaurs. I...

Need For Family Planning & Contraception Feb 10th, 2016

In some countries women are being advised to delay pregnancy until 2018. This might be sage advice if the woman had control over their ability to get pregnant, if they had access and could afford contraception.Until they do, this type of advice is useless.Every woman should have the ability to...

Thank God It's Winter In The US Feb 10th, 2016

We are not immune.The number of documented cases of the Zika virus in the US continue to increase. Cases of the Zika virus have recently been documented in Delaware and Pennsylvania.No locally transmitted cases have been reported in the US. Lucky for us it's winter making the transmission for the...

We Can't Afford To Ignore Global Women's Health Feb 3rd, 2016

As we are now learning in the US that the Zika virus has been present and known to have caused infections in Africa, Asia and the South Pacific for decades. These locations are remote. Recently, there have been Zika infections noted in countries closer to the US.While these infections are...

Mary And Joseph Jan 13th, 2016

If Mary and Joseph were living in the US, they would probably be low income persons of color. And Mary would have to work in order to help make ends meet.Once pregnant, she would have calculated her personal time off (PTO) and prayed that she did not get sick or...

Elective Egg Freezing: When Is It Too Late To Consider? Jan 6th, 2016

The ability to become pregnant declines as a women gets older. When she is diagnosed with diminished ovarian reserve, infertility treatments are less successful, miscarriages increase, and the likelihood of giving birth diminish. Often these women are advised to use donor eggs.Elective egg freezing is a major breakthrough for women....

Should You Deliver Your Baby At Home? Dec 31st, 2015

As an OBGYN trained in the US, my knee jerk reaction was to shout “NO!” I have been in too many situations where a seemingly normal delivery turns into an emergency situation.That being said, I do believe that too often the obstetrical care in the US takes a normal physiologic...

Kudos To ACOG Dec 30th, 2015

Whether the health outcome is unintended pregnancies, preterm labor or diabetes related deaths there are glaring disparities between women of various racial and ethnic groups in this countryThe American College of Obstetricians and Gynecologists (ACOG) acknowledged that in addition to socioeconomic factors there are factors at the patient, practitioner and...

What's Wrong With This Picture? Dec 16th, 2015

Despite the medical establishment telling women that compounded hormonal replacement for menopausal systems is not FDA regulated, approved or recommended women have continued to see health care providers who will prescribed these "tailored menopause hormone therapy" at great financial cost to these women.The premise is that various hormones decline with...

A Cure For Sickle Cell Disease? Dec 9th, 2015

Ask any parent who has a child with sickle cell disease - it can be a devastating genetic disorder.Sickle Cell Disease is the most common inherited genetic disorder. While two parents with sickle cell trait have a 1:4 chance of having a child with sickle cell disease, prenatal detection is...

"Providing Healthcare To Women Is Dangerous?!" Dec 2nd, 2015

Willing to perform abortions?"NO. And I'm pro-choice." said the OBGYN.

What Hologic Didn't Say Dec 2nd, 2015

The other day, Meg Eckenroad, Hologic VP Women's Health and Professional Relations sent an email encouraging us to contact the members of Congress and to urge them to support the Protecting Access to Lifesaving Screenings (PALS) Act (H.R.3339 and S.1926)The proposed legislation would place a two year moratorium on implementing...

Fat Sex Nov 25th, 2015

A 14 year study was conducted among 2,528 midlife women looking at the association between weight or change in weight and sexual function. The women were followed annually for an average of 7.9 years.The four areas of sexual function evaluated were:desirearousalability to climaxfrequency of intercourse The baseline characteristics of the women...

Drug Pricing Nov 11th, 2015

This is a true story..She was postmenopausal and had developed vaginal dryness. Her desire for sexual activity had decreased due to this discomfort. It was not a medical emergency, it was about the quality of life and her relationship with her partner. Rather than settling for less sex, she opted...

Killer Heels Nov 4th, 2015

Whis is this not OK?Foot binding to prevent growth. The desirable length of a foot was 3 - 4 inches. This was symbol of beauty and often a requisite for getting a husband. The process was painful and left many women disabled.Whi is this OK?Now, I will confess that these...

Stop The Madness Oct 21st, 2015

The American Cancer Society recently revised its screening recommendations for mammograms.This recommendations are a modified and water downed version of the screening recommendations made by the U.S. Preventive Services Task Force in 2009.The U.S. Preventive Services Task Force has recently updated their recommendations from 2009. These recommendations are different from...

Porn Oct 14th, 2015

A recent article was published in the Economist regarding the presence and potential effects of porn seen on the Internet. (highly recommended read "Pornography A user's manual" .Economist.September 26, 2015)In 1986, the federal commission concluded that pornographydemeaned womencaused sexual violencecould potentially cause lasting damage to adolescentsthereby presenting a clear danger...

Do Only White Women Get Hot Flashes? Oct 8th, 2015

Do white women complain more about their hot flashes than other women? Is menopause a white woman's "disease". These questions sound silly.I only ask because the majority of studies regarding menopause have been conducted among middle aged white women. One wonders what are all the other women experiencing?The reality is...

Blame Suzanne Somers Sep 30th, 2015

Hormone therapy is effective in treating hot flashes, vaginal dryness and helping to prevent osteoporosis. There are commercially made FDA approved hormone therapies. However, the use of commercially made FDA approved hormone therapy has declined due to safety concerns, while the use of compounded/bioidentical hormones has increased.The use of compounded/bioidentical...

Rethinking Breast Cancer Sep 16th, 2015

A basic definition of cancer is abnormal cells growing out of control invading tissue and disrupting normal cell function. Using this definition Ductal Carcinoma in Situ (DCIS) or what is called Stage 0 breast cancer is not truly a cancer. DCIS has been thought of as a pre-cancer - a...

Penis Size Sep 9th, 2015

I follow the blog of Aaron Carroll, a contributor to The Incidental Economist. Dr. Carroll is a pediatrician who blogs about healthcare and the US healthcare system.On March 3, 2015 he posted "My obligatory post on penis size". Apparently he has learned that people are obsessed with penis size. In...

Engaged, Vigorous And Vital Sep 9th, 2015

TO ANY WOMAN WORRIED ABOUT GETTING OLDER:The other week Bonnie Hammer, chairman of NBCUniversal Cable wrote about being an older woman and refusing to " be put out to pasture". She bemoaned the fact that women get old and tired, while men of comparable age get distinguished and seasoned. Rather...

This Sucks! Sep 2nd, 2015

A few days ago, Marissa Mayers, CEO of Yahoo announced that she was pregnant with twins and planned only to take limited time off.Unlike most employed women, this was her personal choice.The US national maternity leave policy sucks. Incorporated within the Family and Medical Leave Act of 1993 - a...

The Lessons Are Everywhere Aug 26th, 2015

Normally this blog is about medical issues affecting women.However, I received a powerful lesson the other morning. This is the same morning when the big news was the stock market dropping. I thought about the cliche that doctors were immune to financial worries. While no one really believes this, it's...

At Last Aug 20th, 2015

This week Flibanserin (Addyi) was approved by the FDA, making it the first medication prescribed for decreased female libido otherwise known as female hypoactive sexual desire disorder (HSDD). Decreased libido has been less of an issue for men. Male sexual dysfunction has focused on erectile dysfunction. Multiple medications have been FDA...

Who Makes The Health Care Decisions Aug 12th, 2015

I have been thinking a lot about the unique ability women have to conceive and to carry life which is lost over time. When you run out of eggs, assisted reproduction is not very helpful which is why women over 40 years are advised to use donor eggs ( yes,...

Don't Play With My Biology Aug 5th, 2015

After a while, a woman simply runs out of eggs.For the woman who has delayed getting pregnant because of school, work or not having a partner, the options had been to accept childlessness, find a surrogate or adopt.In 2013, the American Society of Reproductive Medicine (ASRM) stated that freezing eggs...

No Sex Jul 29th, 2015

The FDA advisory committee recently recommended approval of Flibanserin (Addyi) for female hypoactive sexual desire disorder. Flibanserin is an anti-depressant. So why are so many female conditions including:PMSHot flashes/ Night sweatsHot flashes/ Night sweatsChronic pelvic painChronic pelvic painNow Low sex driveNow Low sex drivetreated with antidepressants?treated with antidepressants?Flibanserin is currently...

Perinatal Depression -More Common Than You Think Jul 27th, 2015

Perinatal depression reportedly affects 10 - 20% of women, making it the most common birth related complication - more common than preterm birth, pre-eclampsia , postpartum hemorrhage or infection.Postpartum depression can start and last well beyond a woman's 6 week postpartum check -- leaving many undiagnosed and untreated.

FAILING! Jul 8th, 2015

2015 Report Card on State Healthcare Price Transparency.Consumer beware! There is no comparison shopping when it comes to healthcare. The most recent report from the Catalyst for Payment Reform show that the majority of states fail to require that health care price information be made public-- 90% of states fail...

No Fat Shaming Jun 30th, 2015

We have been recently inundated with reports about how obese we have become. Obesity is defined as a BMI (weight divided by height ratio) of 30 or higher. Black women had significantly higher levels of obesity.I say no more fat shaming!!! The deeper question is why do we continue to...

Don't Break A Leg! Jun 30th, 2015

From the pharmaceutical databases, it's been determined that anti-depressants are the 3rd most commonly prescribed drug.Certain anti-depressants - selective serotonin reuptake inhibitors (SSRI) such as paroxetine has also been recommended for treatment of hot flashes and night sweats. Paroxetine is the generic name. Brand names for paroxetine include Paxil, Brisdelle.Recent...

Senseless Killing Jun 18th, 2015

A 21 year old white male shoots and kills 9 black people during a Wednesday night Bible Study. God help us.

$1,000 ?! Jun 16th, 2015

I normally write about women's health issues. However this was so outrageous! I couldn't resist sharing.The request was to patch this area - not the entire step.

Sexual Pleasure Jun 7th, 2015

A study of 335 women aged 40-62 years showed that neither low dose estrogen pills nor anti-depression pills improved sex drive, arousal or orgasm. This study suggests that while these medications are helpful with other menopausal symptoms, we need to keep looking for ways to maintain/ improve our sex lives....

Risk Versus Benefit May 28th, 2015

If I told you that taking a pill would increase your risk for blood clots to 6 out of 10,000 persons, would you consider this to be a great risk?If I told you that taking a newer formulation of this pill would increase your risk for blood clots to 14...

Forget That Annual Physical ?! Apr 6th, 2015

NPR recently tweeted that the time honored tradition of annual physical examination in otherwise healthy and asymptomatic persons is little value. This is HUGE and something that we both practitioners and patients should consider.As a physician this could potentially take money out of my pocket, so there is a disincentive...

Is She Too Old For Hormone Pills? Apr 6th, 2015

It is estimated that if a woman living in the US reaches the age of 55 years, her life expectancy will extend into her eighties. This means she will spend about one third of her life - menopausal!It probably safe to say that most of us want more than longevity....

Misoprostol - Not An Abortion Pill Mar 30th, 2015

When a fetus dies early in a pregnancy, it is called a miscarriage or spontaneous abortion. If the products of conception are not expelled, there can be uterine bleeding, infection, or death.Usually with a miscarriage, the uterus will start to contract to expel the fetus and the other products of...

#1 Cause Of Maternal Death Mar 17th, 2015

What is globally the most common cause of maternal death?Excessive bleeding -- blood loss after delivery.Can many of these deaths be prevented?Yes.

Next Time I Will Text.. Mar 17th, 2015

I walked into the family practice office of a major academic medical center the other day. I wanted to leave a message or hopefully have a moment to speak with a certain colleague.My timing was bad because the office was in full swing. There were 3 people working at the...

United Healthcare Tightens The Screws On OBGYNs Mar 12th, 2015

Effective April 6, 2015, United Healthcare will determine if and how a hysterectomy (the surgical removal of a uterus) is performed.Currently all insurance companies require prior authorization before a hysterectomy can be performed. Your OBGYN has to indicate the reason and get approval for the hysterectomy in order to get...

International Women's Day Mar 8th, 2015

On today, International Women's Day, I recommit to providing clinical care and working to improve the health of women everywhere.

The Evolving Role Of Your OBGYN Mar 4th, 2015

One OBGYN's opinion..An OBGYN is not a primary care physician (PCP).We are specialists who care for the reproductive capacity/function of women. We care for females from menarche to menopause. It's our responsibility to work to resolve problems and to manage disorders of the female reproductive tract.Does this mean, we need...

Nurse Practitioner Or Doctor - Does It Make A Difference? Feb 27th, 2015

The scope of practice and the amount of autonomy for nurse practitioners varies from state to state. In Pennsylvania, nurse practitioners are currently required to establish a collaborative agreement with a physician in order to practice. The same is true in New York. However, in New Jersey and 30 other...

A Different Approach To Medical Research - Open Heart Feb 26th, 2015

We tend to like to get the latest medical recommendations from "our personal doctors" because we believe it is their responsibility to stay current and to weigh the appropriateness of newer recommendations. We don't really like when the recommendations change because it frightening to think that we may not be...

Direct To Consumer Genetic Testing Feb 23rd, 2015

On February 19, 2015, the US FDA authorized direct to consumer marketing of genetic testing for Bloom Syndrome by the company 23andMe.Bloom syndrome is rare inherited autosomal recessive genetic disorder meaning both parents have passed on a comparable mutated gene to their child. Persons with Bloom syndrome have an increased...

Intimate Partner Violence Feb 19th, 2015

RIP, Stephanie.

Menopausal Hormone Use And Ovarian Cancer Risk Feb 18th, 2015

The data was obtained from individual participants of 52 different studies. The participants were post menopausal women with ovarian cancer. The socio-demographic, reproductive history and hormone use of postmenopausal women with ovarian cancer was individually analyzed and compared to postmenopausal women without ovarian cancer. The purpose of this study was...

Incest, Sex Trafficking, Rape Feb 17th, 2015

Too many little girls die.Too many little girls grow up to be women with dirty little secrets.Too many people look the other way.

Pink And Very Blue - POSTPARTUM DEPRESSION Feb 16th, 2015

She just had a baby. Both mom and baby are well.Consider that even with normal uneventful births, it is estimated that 70% of women suffer from the "baby blues". About 10 -20% of women will develop postpartum depression after giving birth. This makes postpartum depression the most common postpartum complication.The...

Not My Daughter Feb 6th, 2015

February 6 is the International Day of Zero Tolerance for Female Genital Mutilation.This practice involves cutting away the external genitalia (the labia "lips" and/or clitoris) of young girls. The cut edges of skin heal leaving a small opening over the vagina. The procedure does not provide any health benefits. The...

Maximum Suggested Weight Gain During Pregnancy Feb 5th, 2015

Any guesses? 20, 30, 40 lbs.?The answer is it depends. It depends on your pre-pregnant weight and whether you are pregnant with one or more babies.