- Women’s Health
- Healthy Living
- Health Conditions
- Nurse Barb
Source: ACOG, Committee Opinion. April 2013 (reaffirmed 2015), number 557.
A Woman’s Normal Anatomy
PALM – Structural causes of AUB
P – Polyp
A – Adenomyosis
L – Leiomyoma (fibroids)
M – Malignancy/Hyperplasia
COEIN – Non-structural
C – Coagulopathy
O – Ovulatory
E – Endometrial
I – Iatrogenic
N –Not Classified
Source: Established by FIGO – Fédération Internationale de Gynécologie et d’Obstétrique (the International Federation of Gynecology and Obstetrics)
Many women I speak to are surprised to learn that they can take birth control pills in their 40’s and early 50’s as long as there are no contraindications.
Many women who are in Perimenopause, that is the time when there are a lot of menstrual irregularities, the start of hot flashes, night sweats and vaginal dryness, will benefit from taking a low dose birth control pill to help with their symptoms as well as provide contraception.
Fertility after 40
While fertility rates do decline after 40, if a woman is still having her period, even if it’s irregular, she can become pregnant. Contraception is advised if a woman does not want to become pregnant.
This reminds me to add a few tips about your period and when to give your health care provider a call.
• Your daughter hasn’t had a period or shown any signs of puberty by age 14, including absence of:
– breast development
– underarm hair
– pubic hair
• There’s been a gap of greater than 3 months between periods
• Periods are occurring more frequently than every 21 days
• Periods are lasting more than 10 days
• The flow is so heavy, a tampon and/or a pad is getting soaked through in less than 1 hour, and this occurs for more than 1 day
This is a great video from Hello Flo! Click the image above or watch it on YouTube here: https://www.youtube.com/watch?v=NEcZmT0fiNM
This is the first part in a multi-part series on PCOS. I care for many women with PCOS and they’ve told me that they can’t find information that’s easily understood available.
Finding out that you have PCOS can be overwhelming. I’ll be posting multiple articles on how to understand what’s going on, what you may notice and why. I’ll also cover weight loss strategies, fertility and how to combat acne and hair growth. (more…)
There’s one patient, Ellie (not her real name), who comes to mind whenever I think about how much things have changed in the last 20 years. I cared for 2 of Ellie’s 4 daughters during their pregnancies and really enjoyed their visits. I was happy to be the person who did their first ultrasounds and printed up photos of their babies. One day, the oldest daughter called me and asked if I’d be willing to see to her mother right away as she was visiting from out of town. She was concerned about her mother’s repeated blood transfusions for blood loss from heavy periods.
This is the 2nd post in my series on PCOS. Here’s the link for Part 1.
Most women with PCOS, Poly Cystic Ovarian Syndrome, see a health care provider for a few common reasons. Either they aren’t having periods, their periods come infrequently, or they have heavy bleeding.
We used to think that the biggest issue with PCOS was the multiple cysts within each ovary, which prevented ovulation, normal periods and caused infertility. We now know that PCOS is a complicated endocrine condition with multiple challenges for women.
If you’ve just been diagnosed, let me first say that it’s completely normal to feel completely overwhelmed right now. I’ll try to provide you with the same information that I give my patients so that you can be your healthiest.