Contraception and birth control Archive

People at high risk of heart disease get the most benefit from these costly drugs.

If you're a woman with diabetes, your risk of developing heart disease is four times that of a woman without diabetes. That means protecting your heart health should be a top priority. It starts with adopting heart-healthy lifestyle changes. But if you have a history of heart attack or stroke or are high risk for other reasons, your doctor may suggest a diabetes medication with extra benefits.

Women and their doctors can choose from a crop of new drugs that may reduce diabetes-related heart risks. "Today we're starting to try to customize or personalize an individual's preventive medicine. We take certain subgroups of patients — such as those with a past history of stroke, heart attack, or heart failure — and steer them toward specific drugs based on new data," says Dr. David Nathan, director of the Diabetes Center and Clinical Research Center at Massachusetts General Hospital and professor of medicine at Harvard Medical School.

Research we're watching

Women experiencing heart failure are less likely than men with the same condition to receive a mechanical heart pump designed to help blood circulate through the body, says a study published in the September issue of the journal Circulation: Heart Failure. The pump, called a left ventricular assist device, or LVAD, is typically used in people who have advanced heart failure. Looking at data from nearly 30,000 hospitalizations in which people received an LVAD device, the researchers found that women made up only 21.9% of those recipients. That number represented a decline from 2004, when 25.8% of LVAD recipients were women. The study's author said the difference might reflect a reliance on outdated statistics that showed women were more likely to die after receiving LVAD devices. This is no longer the case with new versions of the device.

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Research we're watching

Women at high risk for breast cancer might benefit from taking medication to prevent the disease, says a new recommendation from the U.S. Preventive Services Task Force (USPSTF), a national group of experts. Medications such as tamoxifen (Nolvadex), raloxifene (Evista), and aromatase inhibitors have been shown to help prevent invasive, estrogen receptor-positive breast cancer, but they can cause serious side effects, such as other cancers and blood clots. For some women, the potential benefits of these drugs outweigh those risks. The USPSTF, however, recommends against routine use of these medications for women who are not at high risk for breast cancer, because the potential benefit is much smaller. Women who are over age 35 and are at high risk for breast cancer or who have had previous benign breast lesions (such as atypical ductal or lobular hyperplasia or lobular carcinoma in situ) might want to discuss this recommendation with their doctor. The USPSTF encouraged doctors to weigh the risk of breast cancer against potential drawbacks of the medications and the individual woman's risk for adverse effects.

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People who have elevated blood pressure readings in a doctor’s office but normal readings elsewhere are said to have white-coat hypertension. A new study suggests that people with this condition face a greater risk of heart disease than those whose blood pressure is always normal.

Different types of nail polish can have varying effects on fingernails, and have pros and cons depending on the chemicals used in making them.

Many products containing CBD claim to help women with various health issues, including sleep, mood, symptoms of PMS or menopause, and sexual pleasure. Currently, very little evidence supports these extravagant promises, and there are concerns about the quality and safety of CBD products.

Your core muscles are your body’s foundation, and the plank pose is a great exercise to do to help build core strength—it’s challenging but not complicated. Here’s everything you need to know to plank correctly.

Active surveillance and watchful waiting are the most conservative — and increasingly popular — approaches to prostate cancer management. Is one of these right for you?

Over the years, the outcome for prostate cancer has turned out to be better than expected for many men.

While prostate cancer is quite common, the risk of dying from the disease is low, even without treatment. In fact, most diagnosed men will die from something else, like heart disease. Even so, prostate cancer remains the second leading cause of cancer deaths (after lung cancer) in men, according to the American Cancer Society.

In the journals

Need a sexual boost? Eat more nuts. A recent study found that men who added 60 grams — about 1/2 cup — of nuts to their daily diet improved several aspects of their sexual life. The results were published online June 19, 2019, by the journal Nutrients.

Researchers asked 83 healthy men to follow either a traditional Western-style diet without nuts, or a Western-style diet that also included 60 grams (about 360 calories) of a nut mixture made from almonds, hazelnuts, and walnuts every day. A questionnaire assessed their current sexual function.

Memory problems and confusion are just the newest in a list of health problems that appear to disproportionately affect LGBT individuals.

Past research has shown that sexual and gender minority groups may be at higher risk for certain health conditions, including cardiovascular disease and mental health disorders such as anxiety and depression. A new study suggests that another condition — dementia — may also be on that list. Findings presented at the 2019 Alzheimer's Association International Conference showed that people who identified as a sexual or gender minority were more likely than other people to report worsening memory or increased confusion over the past year.

It's possible that some of the same underlying factors that affect risk of other diseases are playing a role in these reported cognitive changes as well, says Dr. Ole-Petter R. Hamnvik, an assistant professor of medicine at Harvard Medical School. "Almost any health outcome that you look at, you can find disparities in these groups. It's not just dementia," he says.