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Harvard Women's Health Watch: August 2011

Articles in this issue:

Psychotherapy at midlife

 

It's never too late to benefit from talk therapy.

By midlife, you've probably spent years thinking of yourself as a certain kind of person — outgoing or introverted, high-strung or easygoing, optimistic or pessimistic. You may have become accustomed to certain roles and styles of communication in your relationships and certain ways of coping with stress. Even if you're dissatisfied with those roles and your patterns of coping aren't working so well anymore, you may think it's too late or too bothersome to question your perceptions or seek changes in important relationships.

But a woman at midlife today can ...

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Diagnosing and treating interstitial cystitis

 

Also called painful bladder syndrome, this frustrating disorder disproportionately affects women.

Interstitial cystitis is a chronic bladder condition that causes recurring bouts of pain and pressure in the bladder and pelvic area, often accompanied by an urgent and frequent need to urinate — sometimes as often as 40, 50, or 60 times a day, around the clock. Discomfort associated with interstitial cystitis can be so excruciating that, according to surveys, only about half of people with the disorder work full-time. Because symptoms are so variable, experts today describe interstitial cystitis as a member of a group of disorders collectively ...

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In the journals: Another drug prevents breast cancer in postmenopausal women

A large international trial of exemestane (Aromasin), a drug that reduces the risk of breast cancer recurrence, has found that it can also help prevent breast cancer from developing in the first place. That makes exemestane a third option for preventing breast cancer in postmenopausal women who are at elevated risk for the disease. Two other drugs, tamoxifen (Nolvadex, generic) and raloxifene (Evista), are already approved for prevention, but few women take them for that purpose because they can have serious (although rare) side effects such as stroke and blood clots. Exemestane appears to have less frightening side effects — ...

In the journals: Fibroid embolization and surgery have similar five-year outcomes

Every year in the United States, hundreds of thousands of women are treated for fibroids — noncancerous growths that form in the uterus. Fibroids can cause pelvic pain, lower abdominal pressure, and heavy menstrual bleeding. Fibroids usually shrink after menopause, and before menopause, symptoms can sometimes be managed with medications. For women with severe bleeding who can't or don't want to "wait it out," the usual approach has been surgery — myomectomy (which removes only the fibroids) or hysterectomy, which removes the uterus (and ends childbearing).

Since 1995, an alternative treatment has been available for women wanting to avoid surgery ...

Ask the doctor: What can I do about xanthelasma on my eyelids?

Q. I'm 70 and in good health. My cholesterol levels are normal. Lately, I've started to get little yellow deposits on my eyelids, which I'm told are xanthelasma. What causes these, and how can I get rid of them?

A. Xanthelasma are soft, cholesterol-filled plaques that develop under the skin, usually on or around the eyelids and most often near the nose. They occur mainly in middle-aged and older adults — and in women more often than in men. Xanthelasma are always benign; that is, they're not cancerous and they don't spread the way a cancer might. They rarely impair ...

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