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Notes on Women's Health

Notes on Women's Health

Leaking Urine? Urinary Incontinence

One of the most common complaints we see in clinical practice is urinary incontinence, or the involuntary leaking of urine. 

Many women are reluctant to discuss this complaint with their providers as they are embarrassed, are unaware that treatments exist, and/or fear surgery.  I commonly hear from my patients that they thought that leaking urine is “what happens as women age” and “normal after childbirth”.  While the prevalence of leaking urine does increase with age, we don’t consider this a normal symptom, and treatment does exist! Read More

Caffeine and Miscarriage – Coffee Lovers Beware!

Caffeine - MiscarriageAccording to a new study, published online in the journal Fertility and Sterility, a woman is more likely to miscarry if she and her partner drink more than two caffeinated beverages a day during the weeks leading up to conception.  Similarly, women who drank more than two daily caffeinated beverages during the first seven weeks of pregnancy were also more likely to miscarry.  This comes as quite a shock as most of us think nothing of drinking a couple of cups of coffee a day.  In fact, just last year a U.S. government panel stated that coffee could be part of a “healthy lifestyle” and that most Americans could drink up to five cups of coffee daily without concern. Read More

The Zika Virus and Pregnancy: Answers for Women Who Are Expecting

Zika VirusNews headlines in recent weeks have highlighted the dangers and recent spread of the Zika virus, and it seems like the available information changes almost every day. These headlines are alarming, and they’re resulting in lots of questions among our patients. So what do we really know about the Zika virus? And what does the Zika virus mean for pregnant women? Read More

Placenta Pills: Is There Any Benefit?

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If you’ve been keeping up with the Kardashians, you may have heard the belief that consuming human placenta can offer a new mother various health benefits, such as help with treatment of postpartum depression.

While a quick look online finds a placenta cookbook on Amazon.com, a more mainstream approach is “encapsulated” placenta, which is when placental tissue is dried, ground up and then packaged into clear gelatin capsules like a vitamin supplement. Read More

Weight Loss After Pregnancy: Staying Healthy as You Get Your Body Back

Post-Pregnancy-ExercisingIt seems like you only need to go as far as the nearest supermarket checkout line to see photos of celebrity moms flaunting their post-pregnancy figures – a few months or even weeks after giving birth.

One week it’s Blake Lively or Duchess Catherine, the next it’s Halle Berry or Christina Aguilera. But while speedy celebrity transformations are certainly impressive, are they healthy? What are the effects of rapid weight loss on the new mother – and, indirectly, the new child?

What are the best ways to lose weight after pregnancy? These are questions we hear regularly at our practice … and here are a few answers. Read More

Low Libido in Women: What to Do When Your Sex Drive Fades

ggggggReduced libido: a fact of life for many women

If you’re experiencing low libido, fear not … you’re not alone! In a recent U.S. study of more than 2,000 women between the ages of 30 and 70, more than a third had low sexual desire. It’s one of the most common concerns we hear from our patients. And it’s no wonder: As women navigate their middle years, they often find themselves deep into a long-term relationship, a career, raising teens, and taking care of aging relatives.

All of these situations can cause stress, which can have a negative effect on your sex life. And that’s just for starters. Read More

In the News: AAP Recommends LARCs for Sexually Active Adolescents

garOctober 30, 2014 – Earlier this month, the American Academy of Pediatrics (AAP) recommended that the first-line contraceptive choice for sexually active adolescents is a long-acting reversible contraceptive (LARC). This is a new recommendation for the APP, which is an organization of 62,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well-being of infants, children, adolescents and young adults. Read More

Discovery to Cure

Discovery to CureOn September 28, we are forming a team of walkers to support Discovery to Cure and New Treatments for Women’s Reproductive Cancers

Hundreds of walkers will be strolling through the Yale University campus for two miles with tour guides along the way to point out the sites on a beautiful fall day. The walk begins with registration at 10:00 A.M. and will end at approximately noon followed by door and raffle prize drawings. All registered walkers will be entered and must be present to win door prizes.

Join our office team at The Yale Commons (enter through Woolsey Hall) at 168 Grove Street (corner of College Street), New Haven. This is a family friendly event (sorry, no pets). Only people who are pre-registered by September 14th will be guaranteed the customized t-shirts. Registration is $20 for adults. Children under 16 are free.

This is a fundraiser for a great cause. Please plan to ask your friends and family to contribute towards your walk and personal fundraising goals!!

Follow This Link to visit my personal web page and help me in my efforts to support Discovery to Cure.

A primer on emergency contraception pills

Thoughtful woman sitting on floor using laptop in living roomYou’ve heard about emergency contraception pills but do you really understand exactly what they do?

First, the simplest way we describe these pills to our patients is to call them emergency contraception that prevents pregnancy after unprotected sex. They are not traditional birth control. And they do not cause abortion because they work before a pregnancy occurs.

According to the American College of Obstetricians and Gynecologists, fertilization, the union of an egg and a sperm, occurs in the fallopian tube. During the next few days the fused egg and sperm move through the fallopian tube to the lining of the uterus, where it implants as a cluster of cells that will become the fetus and placenta. Emergency contraception pills do not work at this point. Read More

Your daughter’s all-important first visit to our office

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“When should my daughter first see a gynecologist?” is a question our patients often ask during their visits to us, followed by an almost always immediate second question: “What kinds of things do you do to calm the nerves of the first visit?”

The optimum time for a first visit to our office is between ages 13 and 15. As for the second answer, because it can be scary for your daughter as young girls often feel embarrassed or nervous discussing their bodies, we make the visit as pleasant and comfortable as possible, and consider this a get-to-know-you session, where we begin building relationships and talk about health, education and prevention.
In most cases young girls visit our nurse practitioner Laury Berkwitt, who specializes in women’s health, is a mother of two, and is passionate about caring for young women and adolescents. She knows how to speak to young girls and is able to get them to open up, talk and ask questions. Read More