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From Menarche to Menopause: The Story of Progesterone

From Menarche to Menopause: The Story of Progesterone

The hormone progesterone frequently is discussed with regard to menstruation, fertility, pregnancy, and contraception during reproductive years or in the context of hormone replacement therapy (HRT) with estrogen in menopause. Women, however, often have questions as to the nature of “natural” progesterone as compared with a progestin, which is a synthetic version, or why the route of administration may at times create different reactions, risks, and benefits.

Can Some Cancer Patients Take Hormone Replacement Therapy?

Can Some Cancer Patients Take Hormone Replacement Therapy?

When someone receives the diagnosis of cancer, life changes forever. Just one minute before, that individual and her family led normal lives. Never more. They suddenly are flooded with questions. “What does this mean? What can be done? Do I need a second opinion? Do I need surgery, chemotherapy, radiation therapy, and/or immunotherapy? Am I going to die? And again, what did you just say?”

Breast Cancer: Tragedy, Followed by Discovery, Then Played Forward

Breast Cancer: Tragedy, Followed by Discovery, Then Played Forward

This short article, sent anonymously by a gynecologist to the periFACTS OB/GYN Academy, describes one man’s journey to discovery.

I am a physician, a husband, a father, and a grandfather. Many years ago, at the age of 43, my former wife was diagnosed with triple negative breast cancer and died at age 47. Our journey began the day before Valentine’s Day when her mammogram was scheduled. I had ordered flowers to be delivered the next day. What should have been a perfect Valentine’s Day instead was filled with phone calls to a surgeon and an oncologist regarding how to manage breast cancer. While outsiders might have felt sympathy, sadness, even pity, could they really understand the significance of those next four years? The path my wife and I took can truly be appreciated only by those who have traveled it.

Menopause Transition: Don't Miss This Important Preventative Health Opportunity

Menopause Transition: Don't Miss This Important Preventative Health Opportunity

Sometime between ages 45 and 55, for many women, gynecologic and related health issues begin to emerge. Menstrual cycles now seem different, mood swings and memory lapses appear, and sleep becomes more chaotic, coupled with warm flushes. And the weight! Why at the mid-section? These irritating acknowledgments belie a more ominous change. During this menopause transition, loosely referred to as “perimenopause,” events are unfolding that have an impact on a woman’s cardiovascular risk.

SPICE, PICKLES FOR LEG CRAMPS... Can it be that simple?

SPICE, PICKLES FOR LEG CRAMPS... Can it be that simple?

Most people have experienced muscle cramps, usually in the form of leg cramps. Surveys suggest that one‐third of adults over 60 years old and half of those over 80 experience muscle cramps, some reporting symptoms for ten years or longer. They strike without warning, often in the night, and usually, slowly respond as one keeps the extremity involved on stretch until the cramps  subside. Extrapolating from the experiences of athletes who get exercise‐induced cramps and people with peripheral vascular disease who get activity‐related cramps, one would assume that  muscle cramps must represent muscle fatigue, electrolyte imbalance, or tissue ischemia. Yet,  many muscle cramps occur temporally distant from any physical exertion and often when  hydration is not an issue. And for many athletes, hydration or electrolyte solutions have failed to  prevent or adequately treat their occurrence.