Archive for the ‘Women's Health’ Category

Today’s Daily Dose comes from the current issue of Neurology, the medical journal of the American Academy of Neurology. Researchers found, after following over 238 thousand women over the course of 40 years, that women who had a BMI of 30 or greater at the age of 18 had more than twice the risk of developing multiple sclerosis (MS), compared to women with a BMI between 18.5 and 20.9. “Our results suggest that weight during adolescence, rather than childhood or adulthood, is critical in determining the risk of MS,” said study author Kassandra Munger, ScD, of the Harvard School of Public Health. The study authors theorize the link between obesity and MS may be that obese women tend to have lower vitamin D levels (higher vitamin D levels are thought to reduce the risk of MS). In addition, fatty tissue can produce substances thought to affect immune and cellular function which may be associated with MS. [via Medical News Today]

Calculated your BMI.

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The journal Cancer reports on a new study which shows that women previously treated for breast cancer have a higher risk of cancer recurrence if they have highly dense breasts. Women who were classified as having highly dense breasts had a 21% chance of cancer recurrence, compared to 5% among women with low-density breasts. Because of this the study authors suggest that women with highly dense breasts may benefit from additional therapies, such as radiation, after breast and lymph node surgery. [via Medical News Today]

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I’ve had quite a number of patients come in lately for general check-ups because they will soon be losing their job-sponsored health insurance coverage. I commend them for coming in. After all, late is sometimes better than never. Therefore, for today’s post I’d like to share some tips on things you should consider when your coverage is about to end.

1. Get an annual physical exam, including a skin check for possible skin cancers. It could get pricey should you need a biopsy and subsequent treatment.

2. Get your routine tests done. Those over 50 years of age should get a colonoscopy every 10 years. Women over 40 should have an annual mammogram. Women should also get annual pap smears.

3. Know your numbers: check your blood pressure, cholesterol, basic chemistries, urine analysis.

4. If you’re a smoker, speak to your doctor about ways to help you quit. Quitting smoking greatly reduces your risk of cancers and cardiovascular disease.

5. Ask your doctor about your risk for osteoporosis. In general all women over the age of 65 should get a DEXA bone densitometry scan at least once.

6. Speak to your doctor about weight loss. Keeping your weight under control can reduce your risk of diabetes, heart disease, high blood pressure, osteoarthritis, and high cholesterol, among a multitude of other diseases.

7. Get a flu shot and update your vaccinations. For adults these may include hepatitis A and B, herpes zoster (shingles), Tdap, chickenpox. If you are aged 65 or older you should have a pneumovax vaccination as well.

8. Refill your medications. Depending on the medicine, it may be possible for your physician to give you more refills. Similarly, if you are diabetic make sure your doctor gives you plenty of refills for glucose testing supplies.

*There are always exceptions to the rules. These are only general guidelines. Speak to your doctor to find out what is appropriate for you.

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New research published in the obstetrics and gynecological journal BJOG shows that giving women sugarless chewing gum after cesarean section seemed to help them recover normal bowel function and shorten their time in the hospital. After abdominal surgeries intestinal function often become sluggish and may require a few days to return to normal. However, researchers say that chewing gum may help because the act of chewing sets off a nervous system response and release of digestive hormones which stimulate bowel activity. The cost and time savings should not be underestimated, especially in countries with limited health care resources. [via MSNBC]

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Did you know that it is legal in most states of the union to shackle incarcerated women during childbirth? The American Academy of Obstetrics and Gynecology condemns this practice because they say it unnecessarily risks a woman’s health. Soon, New York will become the sixth state to ban this practice, along with California, Illinois, New Mexico, Texas and Vermont. It’s unclear how many inmates are affected by the practice. The federal Bureau of Justice Statistics said 4% of state inmates and 3% of federal inmates were pregnant in 2008 when they were first incarcerated. There is no data available to indicate how many women delivered babies in prison, or were restrained while doing so. [via The Boston Globe]

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For years women who have undergone surgery for breast cancer have been told to avoid lifting heavy objects for fear of causing painful arm swelling, known as lymphedema. However, new research appearing in the New England Journal of Medicine shows that, on the contrary, weight lifting actually reduces the incidence of lymphedema. By studying 141 breast cancer survivors, it was noted that fewer weightlifters had suffered lymphedema flare-ups – 14% versus 29% among those who did not participate in weight training classes. Lead study author Kathryn Schmitz, an exercise scientist at the University of Pennsylvania, recommends that women do not rush into weight training after breast cancer surgery. Rather, she recommends the following:

• Have a certified fitness professional teach you how to do the exercises properly.
• Start slow, with a program that gradually progresses.
• Wear a well-fitting compression garment during workouts.

[via CBS News]

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In 2007, 1.4 million prescriptions for AndroGel—the most commonly dispensed gel form of testosterone—were dispensed by U.S. retail pharmacies. Testim is the other prescription topical testosterone gel, both of which are used in men who either produce low levels of testosterone or no longer produce testosterone. They are also prescribed for some off-label uses in women. Safety concerns have arisen over adverse affects from children who were inadvertently exposed to testosterone through contact with another person being treated with these products. Currently, the FDA has received eight reports of secondary exposure in children with more reports being reviewed. Adverse events reported in these children included inappropriate enlargement of the genitalia (penis or clitoris), premature development of pubic hair, advanced bone age, increased libido, and aggressive behavior. Labels on current testosterone gel products caution the user to thoroughly wash their hands after applying the product and to cover the treated skin area with clothing. Failure to do so could result in exposure of the testosterone to others with whom they physically contact. The FDA is responding to the situation by requiring manufacturers to include these new warnings on their product labels.

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