Women's Health Newsletters 8/16/98 - 9/27/98
- September 27, 1998
- September 20, 1998
- September 13, 1998
- September 6, 1998
- August 30, 1998
- August 23, 1998
- August 16, 1998
***** Woman's Diagnostic Cyber Newsletter ***** September 27, 1998 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This week from Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. Prenatal genetic diagnosis 4. Pap smear tutorial 5. Myths, misconceptions and facts about the pill 6. Humor is healthy Spread the word! Send a copy of this newsletter to someone you know. Note: Some of the long URLs may not wrap as a hyperlink and you may need to cut and paste. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. Prenatal genetic diagnosis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ What serves as cues that a pregnancy may be at risk for a birth defect? There are many thousands of anomalies and over a hundred tests. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4. Pap smear tutorial ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Abnormal Pap smears are difficult to understand even with the best of explanations. Sometimes images help. For a good tutorial on the Pap smear that includes images on normal, HPV, dysplasia and cancer see this University of Utah tutorial: Pap smear tutorial ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5. Myths, misconceptions and facts about the pill ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Rumors and misconceptions about birth control pills can be interesting. Many of our newsletter readers are quite knowledgeable about women's health and are often called upon as resources by their friends. You may want to browse the facts (do that first) and then the myths and misconceptions about oral contraceptives. The source of the information is a UK pharmeceutical company that markets BC pills, so keep that in mind. It's still a good source. Pill myths and facts ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6. Humor is healthy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Memory Lapse An elderly couple, her name was Rose and his was Sam, were having problems remembering things. They decided to go to their doctor to be checked out to make sure nothing was wrong with them. When they arrived at the doctor's, they explained about the problems they were having with their memory. After checking the couple out, the doctor tells them that they were physically okay but might want to start writing things down and make notes to help them remember things. The couple thanked the doctor and left. Later that night while watching TV, Sam got up from his chair and Rose asks, "Where are you going?" He replies, "To the kitchen." She asks, "Will you get me a bowl of ice cream?" He replies, "Sure." She then asks him, "Don't you think you should write it down so you can remember it?" He says, "No, I can remember that." She then says, "Well I also would like some strawberries on top. You had better write that down cause I know you'll forget that." He says, "I can remember that, you want a bowl of ice cream with strawberries." Rose replies, "Well I also would like whipped cream on top. I know you will forget that so you better write it down." With irritation in his voice, Sam says, "I don't need to write that down I can remember that." He then fumes into the kitchen. After about 20 minutes he returns from the kitchen and hands her a plate of bacon and eggs. He looks down at the paper in his hand with her name on it and says, uh.. Rose, I brought you this. She stares at the plate for a moment and says, "You forgot my toast." ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ That's it for this time. We will bring you accurate women's health answers again soon. Rick Frederick R. Jelovsek MD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
***** Woman's Diagnostic Cyber Newsletter ***** September 20, 1998 +----------------------------------------------+ This week from Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Personal health tracker 3. Hormone levels, bone fractures in older women 4. Contaminants in Asian herbal patent medicines 5. Prenatal and genetics fact sheets 6. Humor is healthy Spread the word! Send a copy of this newsletter to someone you know. Note: Some of the long URLs may not wrap as a hyper link and you may need to cut and paste. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Personal health tracker ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ At OnHealth.com there is a good list of general diseases and conditions. Also from the main page below, you can sign up for a personal health tracker that will send you email and collate topics on any health items you wish. If you wanted to follow high risk pregnancy or endometriosis you would just indicate that in your subject choices. The articles it pulls include many that are off target, but it is comprehensive. It might be quite good as a medical news and site alerter for relatively uncommon diseases or topics. On Health.com ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. Hormone levels, bone fractures in older women ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Many women can't or don't take estrogens at older ages. Yet the rate of spontaneous fractures due to osteoporosis is related to a woman's endogenous estrogen levels. See our weekly news article that discusses how much lower doses of estrogen may be able to prevent fractures and how to assess risk for fractures when a woman is not on estrogens. Hormone levels and fractures in older women ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4. Contaminants in Asian herbal patent medicines ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The California Department of Health Services, Food and Drug Branch, initiated a study to screen imported Asian patent medicines, purchased at California retail stores. Of the 260 products they investigated, at least 83 (32 percent) contained undeclared pharmaceuticals or heavy metals, and 23 had more than one adulterant. If you are a user of any herbal medicine preparations that originate in Asia, you may want to read about this. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5. Prenatal and genetics fact sheets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The March of Dimes has always had some very accurate fact sheets about birth defects. They are now available on the web. Topics like Fifths disease, chicken pox, spinal cord defects and Down syndrome, among others, are included on the March of Dimes site. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6. Humor is healthy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Things You Don't Want to Hear During Surgery: Better save that. We'll need it for the autopsy. Someone call the janitor - we're going to need a mop. Wait a minute, if this is his spleen, then what's that? Hand me that...uh...that uh.....thingie. Oops! Hey, has anyone ever survived 500ml of this stuff before? Rats, there go the lights again... Everybody stand back! I lost my contact lens! Could you stop that thing from beating? It's throwing my concentration off! What's this doing here? That's cool! now can you make his leg twitch?! I wish I hadn't forgotten my glasses. Well, folks, this will be an experiment for all of us. Sterile, shcmeril. The floor's clean, right? Anyone see where I left that scalpel? Don't worry. I think it is sharp enough. Nurse, did this patient sign the organ donation card? She's gonna blow! Everyone take cover!!! Rats! Page 47 of the manual is missing! FIRE! FIRE! Everyone get out! ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ That's it for this time. We will bring you accurate women's health answers again soon. Rick Frederick R. Jelovsek MD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
***** Woman's Diagnostic Cyber Newsletter ***** September 13, 1998 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This week from Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. Comparison of health megasites 2. Gender differences in smoking 3. Heart valve problems from diet pills 4. Treatment for recurrent herpes 5. Women and heart disease 6. Humor is healthy Spread the word! Send a copy of this newsletter to someone you know. Note: Some of the long URLs may not wrap as a hyper link and you may need to cut and paste. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. Comparison of health megasites ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A group of medical librarians did an interesting comparison of health megasites in which they evaluated about 25 sites after narrowing down from 50. They rated them on content and design. They ended up ranking a top 3 in design and a top 3 in content. It's interesting that they all are sites of links rather than original content. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Gender differences in smoking ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did you realize that smoking is not only bad for women, but it's worse than it is for men? Women who smoke have an increased risk of cervical cancer; premature menopause; impaired fertility; and complications during pregnancy. They are more susceptible to carcinogens in tobacco than males are and get lung cancer at a higher rate. Gender differences in smoking ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. Heart valve problems from diet pills ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Have you or a friend ever taken diet pills like fen-phen, Redux or Pondimin for 4 or more months while dieting? If so, there are recommendations that you may need to get an echocardiogram done to see if there are any permanent heart valve problems or damage. See this weeks Woman's Diagnostic Cyber News at: Heart valve problems from diet pills ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4. Treatment for recurrent herpes ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The usual treatment for recurrent herpes genitalis is Acyclovir. There are some drugs available and apparently one, Famvir, is more effective. 5. Women and heart disease ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The American Heart Association has created a web site for heart disease as it affects women. This is remarkable for the fact that for many years, heart disease has been predominantly a male problem. There hasn't always been much data or emphasis on heart disease in women because they have a very low incidence until menopause. While there is not much about the valvular disease associated with diet pills that is mentioned above, the following still has some facts worth knowing: American Heart Assoc special section for women ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6. Humor is healthy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Some years ago, a New Orleans lawyer sought a direct Veterans Administration loan for a client. He was told that the loan would be approved if he could provide proof of clear title to the property offered as collateral. The title for the property in question was complicated and he spent a considerable amount of time reviewing all pertinent documents back to 1803. Satisfied with the depth and expanse of his examination, he submitted the information to the VA. He soon received a reply from the VA. "We received your letter today enclosing application for a loan for your client, supported by abstract of title. The application forms are complete, but you have not cleared the title before the year 1803. Therefore, before full review and possible approval can a be accorded the application, it will be necessary that the title be cleared back before that year." Annoyed, the lawyer wrote the V.A. "Your letter regarding titles in case #9378329 received. I note that you wish titles extended further back than I have presented. Your attention is invited to the following information to update your records for the property prior to 1803. a) I was unaware that any educated person would not know that the United States gained clear title to Louisiana from France in 1803. This title transfer was a result of a real estate transaction known as The Louisiana Purchase. b) France gained clear title to Louisiana by right of conquest from Spain under the Treaty of San Ildefonso (1800). c) The land came into the possession of Spain by right of discovery in 1492 by a sailor named Christopher Columbus. He was acting on behalf of Isabella, Queen of Spain, and had her permission to claim newly discovered lands for Spain. d) The good Queen, being a pious woman and careful about titles -almost as careful as the V.A. - took the precaution of securing the blessing of the Pope before authorizing the voyage. e) The Pope is a servant of God; God created the world. f) Therefore, I believe that it is safe to presume that God created title to that part of the world called Louisiana and thus was the original holder of the property in question. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ That's it for this time. We will bring you accurate women's health answers again soon. Rick Frederick R. Jelovsek MD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
***** Woman's Diagnostic Cyber Newsletter ***** September 6, 1998 ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This week from Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. Low carbohydrate diets 2. Breast cancer on estrogens less aggressive 3. Androgen therapy in the menopause 4. Preeclampsia risk in women with hypertension 5. Symptoms of Eating disorders 6. Humor is healthy Spread the word! Send a copy of this newsletter to someone you know. Note: Some of the long URLs may not wrap as a hyperlink and you may need to cut and paste. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. Low carbohydrate diets ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Low carbohydrate diets aren't only for diabetes. Women with polycystic ovarian disease and premenstrual syndrome benefit from that diet too. My thanks to one of our subscribers for bringing this to my attention. In fact please feel free to use our feedback on the site to suggest topics for this newsletter. You might want to check out some low carbohydrate FAQ's to see what's involved at: Low carbohydrate FAQ's I also like the tutorial on obesity and dieting Adipose 101 There is even a Webring for low carbohydrate diets: Low carbohydrate Webring ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Breast cancer on estrogens less aggressive ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The concept that cancers that occur on estrogen therapy, e.g., endometrial cancer, are more well differentiated lesions, apparently applies to breast cancer also. In endometrial cancer, if progesterone was not taken, the cancer associated with estrogen therapy had a 90-95% survival. I haven't seen survival figures on breast cancer that occurs while taking estrogen therapy, but the article below suggests they are much less aggressive. It's possible that hormonal induction of breast and endometrial cancer just brings a preexisting tumor to detection sooner. What do you think? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. Androgen therapy in the menopause ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Use of androgens (testosterone) as a needed supplement for postmenopausal hormone replacement therapy has been available since the 1950's. What do we know about adding androgens? See our Woman's Diagnostic Cyber News at: Androgen therapy in the menopause ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4. Preeclampsia risk in women with hypertension ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Women who have chronic hypertension have a higher incidence of preeclampsia (unique hypertension and possible seizures) in pregnancy. This study looked at what risk factors would predict an increased chance of preeclampsia in pregnancy. They found that if a woman had her hypertension for more than four years or had a history of preeclampsia in a previous pregnancy, her risk in the current pregnancy was increased by about 50%. Proteinuria didn't seem to increase the risk but it was associated with having to be delivered earlier if the protein was spilling in the urine early in pregnancy. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5. Symptoms of Eating disorders ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Do you have any friends who seem unusually thin or some who seem to be compulsive eaters? I came across a good site for diagnosing eating disorders including anorexia nervosa, bulemia, and compulsive overeating. It gives the symptoms to look for. Eating disorders ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6. Humor is healthy ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ One summer evening during a violent thunderstorm, a young mother was tucking her small boy into bed. She was about to turn off the light when he asked, with a tremor in his voice, "Mommy, will you sleep with me tonight?" The mother smiled and gave him a reassuring hug. "I can't dear," she said. "I have to sleep in Daddy's room." A long silence was broken at last by a shaken little boy voice saying, "The big sissy." ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ That's it for this time. We will bring you accurate women's health answers again soon. Rick Frederick R. Jelovsek MD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
***** Woman's Diagnostic Cyber Newsletter ***** August 30, 1998 +----------------------------------------------+ This week from Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. New - FAQ Library at Woman's Diagnostic Cyber 2. Fibromyalgia 3. When is high blood pressure hypertension? 4. IVF - embryo transfer number 6. Humor is healthy - Settling a dispute Spread the word! Send a copy of this newsletter to someone you know. Note: Some of the long URLs may not wrap as a hyper link and you may need to cut and paste. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. New - FAQ Library at Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ We taken some of the Message Board questions, edited them with a new look and categorized them for easier access. There are 17 categories with 150 questions currently. We will add as we can to build this into one of the best resources for women's health on the Net. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Fibromyalgia ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Speaking of good FAQ's, Dr. David A. Nye has a great page on fibromyalgia covering FAQs and the diagnosis of it. It even includes a chart of the tender/painful points on physical exam that are needed to diagnose this unusual condition. The reason for you to know about this is that during estrogen deficiency of menopause or if estrogen replacement is not adequate, many women get muscle and joint pains that on first take, can mimic the symptoms of fibromyalgia. Fibromyalgia FAQs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. When is high blood pressure hypertension? ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ What if you blood pressure is 144/92, do you need drug therapy? What can you do to prevent hypertension? This is discussed in this week's Woman's Diagnostic Cyber News at Hypertension Categories ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4. IVF - embryo transfer number ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Women who undergo in vitro fertilization as infertility treatment are, of course, very anxious to get pregnant. Fertility specialists will often transfer more than one "test tube" fertilized embryo to the mother's uterus in order to improve the chances of getting pregnant on that cycle. Sometimes they put 2-5 or more embryos in. That increases the risk of twins, triplets etc. This recent study looking at the IVF experience in Great Britain indicates that after the transfer of two embryos, you don't get any significantly higher cycle success rate but the chance of a multiple pregnancy is increased. Therefore it seems best to transfer only up to two embryos. While at first glance it might seem that twins or triplets might be welcome by a woman who has been so far unsuccessful at getting pregnant, multiple births really do have an increased risk of prematurity and its complications for the babies. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6. Humor is healthy - Settling a dispute ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ The Americans and Russians at the height of the arms race realized that if they continued in the usual manner they were going to blow up the whole world. One day they sat down and decided to settle the whole dispute with one dog fight. They would have five years to breed the best fighting dog in the world and which ever side's dog won would be entitled to dominate the world. The losing side would have to lay down its arms. The Russians found the biggest meanest Doberman and Rottweiler bitches in the world and bred them with the biggest meanest Siberian wolves. They selected only the biggest and strongest puppy from each litter, removed his siblings which gave him all the milk. They used steroids and trainers and after five years came up with the biggest meanest dog the world had ever seen. Its cage needed steel bars that were five inches thick and nobody could get near it. When the day came for the dog fight, the Americans showed up with a strange animal. It was a nine foot long Dachshund. Everyone felt sorry for the Americans because they knew there was no way that this dog could possibly last ten seconds with the Russian dog. When the cages were opened up, the Dachshund came out of it's cage and slowly waddled over towards the Russian dog. The Russian dog snarled and leaped out of it's cage and charged the American dachshund. But, when it got close enough to bite the Dachshund's neck, the Dachshund opened it's mouth and consumed the Russian dog in one bite. There was nothing left at all of the Russian dog. The Russians came up to the Americans shaking their heads in disbelief. "We don't understand how this could have happened. We had our best people working for five years with the meanest Doberman and Rottweiler bitches in the world and the biggest meanest Siberian wolves." "That's nothing", an American replied. "We had our best plastic surgeons working for five years to make an alligator look like a Dachshund." ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ That's it for this time. We will bring you accurate women's health answers again soon. Rick Frederick R. Jelovsek MD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
***** Woman's Diagnostic Cyber Newsletter ***** August 23, 1998 +----------------------------------------------+ This week from Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. Spermicide not effective for HIV, STDs 2. Antidepressant meds in pregnancy & nursing 3. Irritant vulvitis and yeast infections 4. Ultrasound measurements and capabilities 6. Naming twins Spread the word! Send a copy of this newsletter to someone you know. Note: Some of the long URLs may not wrap as a hyperlink and you may need to cut and paste. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 1. Spermicide not effective for HIV, STDs ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A while back, advocates were saying that nonoxynol 9, which is a spermicide in vaginal contraceptive foam, sponges and as a lubricant on condoms gave the user protection from HIV and other sexually transmitted diseases beyond the protection of the barrier (condom, diaphragm, sponge) itself. As you can imagine this is an extremely difficult claim to prove or disprove scientifically. It has been disproved in a study recently reported in the New England Journal of Medicine: A Controlled Trial of Nonoxynol 9 Film to Reduce Male-to-Female Transmission of Sexually Transmitted Diseases This was tested in women sex workers (prostitutes) in Cameroon. Nonoxynol 9 didn't protect against HIV or diseases such as gonorrhea and chlamydia. In fact we learned that the attack rate per 100 woman years (albeit very active sex), using condoms (reported use 90%), is: HIV - 6.6 per 100 women years Gonorrhea - 31-33 per 100 women years Chlamydia - 20-22 per 100 women years ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Antidepressant meds in pregnancy & nursing ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Michael Block, a psychiatrist in Australia has some good web pages about the safety or hazards of certain antidepressants, anti-anxiety meds and other drugs prescribed for improved mental health during pregnancy and lactation. http://www.geocities.com/HotSprings/2265/medication.html Medication, Pregnancy and Lactation ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. Irritant vulvitis and yeast infections ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Have you ever self-treated vulvar burning as a presumed yeast infection and had just as bad or worse burning after putting cream on the vulva? Irritant vulvitis with or without a secondary yeast infection may be almost as common as a primary yeast vulvovaginitis. See this week's Woman's Diagnostic Cyber News at: /npapvag.htm Irritant vulvitis ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4. Ultrasound measurements and capabilities ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Dr. Michael Applebaum has a web site focusing on ultrasound for ob, gyn, and infertility. It includes what some of the normal measurements are so if you get an ultrasound report you don't understand, you may want to look here. Some of it is fairly technical but I think generally understandable. There are some images here also. http://www.drapplebaum.com/art.htm Ultrasound ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6. Naming twins ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A man was taking his wife, who was pregnant with twins, to the hospital when his car went out of control and crashed. Upon regaining consciousness, he saw his brother, a relentless world-class practical joker, sitting at his bed side. He asked his brother how his wife was and his brother replied, "Don't worry, everybody is fine and you have a son and a daughter. But the hospital was in a real hurry to get the birth certificates filed and since both you and your wife were unconscious, I named them for you." The husband was thinking to himself, "Oh no, what has he done now?" and said with trepidation, "Well what did you name them?" The brother replied, "I named the little girl Denise." The husband, relieved, said, "That's a very pretty name! What did you come up with for my son?" The brother replied, "Denephew." ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ That's it for this time. We will bring you accurate women's health answers again soon. Rick Frederick R. Jelovsek MD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
***** Woman's Diagnostic Cyber Newsletter ***** August 16, 1998 +----------------------------------------------+ This week from Woman's Diagnostic Cyber ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Sleep disorders cause impaired memory & anxiety 3. BC pills decrease hereditary ovarian cancer 4. Fish microbe causes unusual, temporary symptoms 5. Aging and reproduction 6. Humor is the best medicine Spread the word! Send a copy of this newsletter to someone you know. Note: Some of the long URLs may not wrap as a hyperlink and you may need to cut and paste. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 2. Sleep disorders cause impaired memory & anxiety ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Did you know that besides sleepiness, the main symptoms of insomnia are anxiety, impaired concentration, impaired memory and irritability? Have you ever heard of restless legs syndrome? I hadn't. I was impressed at the number of links for sleeping disorders found at: http://www.sleepnet.com/index.shtml Sleepnet but especially the diagnostic information on Insomnia, Narcolepsy, Sleep Apnea, and Restless Legs Syndrome at: http://www.sleepnet.com/disorder.htm Sleep disorders ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 3. BC pills decrease hereditary ovarian cancer ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ We've known oral contraceptives decrease ovarian cancer risk by 50%, but does that also apply to women who have the hereditary cancer genes? Apparently it does. Check our cancer news at: /ncancer.htm Oral contraceptives reduce hereditary ovarian cancer ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 4. Fish microbe causes unusual, temporary symptoms ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ A microbe that kills fish also produces strange health symptoms. Pfiesteria piscicida was reported in Lancet among 26 affected people as causing a temporary symdrome which includes impaired memory, disorientation learning difficulties, skin lesions and skin that burns in contact with water. This is important to know about because it represents a new venue for health problems. Contaminated rivers and bays can give us illness through leisure activities and possibly the fish, crab, shrimp etc., that we eat. For doctors, this becomes a new question to ask, for women, this is a new source of health problem to avoid. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 5. Aging and reproduction ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I came across an interesting article on the web, Aging and Reproduction by Randy S. Morris, M.D. Not only does infertility and risk of birth anomalies go up with age but also miscarriage rates. Apparently it has to do with aging of the egg, not the uterus. If women in their 40's have egg donation by a younger donor, the rate of pregnancy is as high as with a younger woman. http://www.coolware.com/health/medical_reporter/aging.html ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ 6. Humor is the best medicine ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ At a recent computer expo (COMDEX), Bill Gates reportedly compared the computer industry with the auto industry and stated, "If G.M. had kept up with technology like the computer industry has, we would all be driving twenty-five dollar cars that got one-thousand miles to the gallon." In response to Bill's comments, General Motors issued a press release stating, "If G.M. had developed technology like Microsoft, we would all be driving cars with the following characteristics: 1. For no reason whatsoever, your car would crash twice a day. 2. Every time they repainted the lines on the road you would have to buy a new car. 3. Occasionally, your car would die on the freeway for no reason, and you would just accept this, restart, and drive on. 4. Occasionally, executing a manner such as a left turn, would cause your car to shut down and refuse to restart, in which case you would have to reinstall the engine. 5. Only one person at a time could use the car, unless you bought "Car95" or "CarNT." But then you would have to buy more seats. 6. Macintosh would make a car that was powered by the sun, reliable, five times as fast, and twice as easy to drive, but would but would only run on five percent of the roads. 7. The oil, water temperature, and alternator warning lights would be replaced by a single "general car default" warning light. 8. New seats would force everyone to have the same size butt. 9. The airbag system would say "Are you sure?" before going off. 10. Occasionally for no reason whatsoever, your car would lock you out and refuse to let you in until you simultaneously lifted the door handle, turned the key, and grabbed hold of the radio antenna. 11. G.M. would require all car buyers to also purchase a deluxe set of Rand McNally road maps (now a G.M. subsidiary), even though they neither need them nor want them. Attempting to delete this option would immediately cause the car's performance to diminish by fifty percent or more. Moreover, G.M. would become a target for investigation by the Justice Department. 12. Every time G.M. introduced a new model, car buyers would have to learn how to drive all over again because none of the controls would operate in the same manner as the old car. 13. You'd press the "start" button to shut off the engine. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ That's it for this time. We will bring you accurate women's health answers again soon. Rick Frederick R. Jelovsek MD ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
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