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Contraception and birth control Archive

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New drugs approved for advanced BRCA-positive prostate cancer

Defective BRCA genes are well known for their ability to cause breast and ovarian cancers in women. But these same gene defects are also strong risk factors for aggressive prostate cancer in men. About 10% of men with metastatic prostate cancer — meaning cancer that is spreading away from the prostate — test positive for […]

The facts about testosterone and sex

Can boosting testosterone levels improve your sex life?

The hormone testosterone plays a big part in men's health, but perhaps its most meaningful role is to fuel sex drive and performance.

Testosterone levels tend to decrease with age. They peak by early adulthood and then can drop by up to 1% per year beginning around age 40. Sometimes an abrupt fall occurs because of an injury or illness (such as an infection), chemotherapy or radiation treatment, or certain medications.

In search of sleep

Many women making the transition to menopause have trouble sleeping. Several strategies can help you get the rest you need.

If you're a woman of a certain age and you often find yourself staring at the ceiling in the middle of the night, you're not alone. The years leading up to menopause and the period that immediately follows are the times that women are most likely to report problems sleeping, according to the National Sleep Foundation. Many different conditions that are common in this stage of life — including hot flashes, obstructive sleep apnea, and mood disorders such as depression or anxiety — can cause sleep problems.

Lack of sleep is more than just a nuisance. "We now understand that high-quality sleep is absolutely vital to good health," says Dr. JoAnn E. Manson, the Michael and Lee Bell Professor of Women's Health at Harvard Medical School. This means that seeking care should be a priority if you are experiencing problems.

Can certain exercises worsen my pelvic organ prolapse?

Ask the doctors

Q. I have pelvic organ prolapse and I want to start working out. Are there exercises I should avoid?

A. Pelvic organ prolapse is a common problem, caused by a weakening of the bowl-shaped group of muscles and tissues that supports your pelvic organs. As this support fails, one or more of these organs — such as the uterus, bladder, or rectum — can shift out of place, typically pushing into (and sometimes protruding out of) the vagina.

Combining different biopsies limits uncertainty in prostate cancer diagnosis

Are prostate cancer biopsies reliably accurate? Not always. The most common method, called a systematic biopsy, sometimes misses tumors, and it can also misclassify cancer as being either more or less aggressive than it really is. During systematic biopsy, a doctor takes 12 evenly-spaced samples of the prostate, called cores, while looking at the gland […]

Some healthcare can safely wait (and some can’t)

Some routine or elective healthcare can safely wait a while, but putting off medical care for certain health conditions or potentially serious problems is risky.

All rise now — just how fit are you?

Attempting to stand up from a seated position on the floor is a good way to assess your overall fitness. No problem? Do it regularly to track your physical health. Having difficulty? Try these exercises to help you improve your fitness.

Is it time to give up your annual mammogram?

The question of what age a woman can stop having mammograms does not have a definite answer, but is one each woman must answer based on her circumstances and her feelings about the risks of the procedure versus its benefits.

Take control of rising cholesterol at menopause

Here's what the numbers mean — and strategies to lower your cholesterol if it's too high.

For some women who've had normal cholesterol readings all their lives, that changes at menopause. "Going through menopause often results in lipid and cholesterol changes for the worse," says Dr. Samia Mora, an associate professor of medicine at Harvard Medical School and a specialist in cardiovascular medicine the Brigham and Women's Hospital. Drops in the female hormone, estrogen, are associated with a rise in total cholesterol levels due to higher amounts of low-density lipoprotein (LDL), the "bad" cholesterol, and another blood lipid (fat) known as triglyceride. Over time this can raise heart risks, which is a reason for concern, as cardiovascular disease is the No. 1 cause of death in postmenopausal women, says Dr. Mora.

"So, it's especially important to track the numbers in perimenopause and the early years after menopause, as LDL cholesterol and total cholesterol tend to increase," she says.

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