Contraception and birth control Archive

Declining testosterone is a normal part of aging, but is replacement therapy right for you? Here is what you need to know.

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Testosterone replacement therapy (TRT) has surged in popularity over the past decade. Millions of older men have turned to TRT to restore hormone levels in hopes of refueling energy and reigniting their sex drive.

Yet TRT remains controversial because of its uncertain benefits and potential health risks. Safety concerns were raised years ago when studies showed a possible association between TRT and an increased risk of cardiovascular disease.

There is little scientific proof that multivitamins or special “senior” vitamin formulas helps you live longer, feel better, or avoid disease. Spending money on fresh fruits and vegetables is a wiser and healthier investment.

Hiccups are often caused by many everyday situations, including distention of the stomach (which can be the result of overeating), swallowing air, or drinking carbonated beverages. They usually go away on their own, but episodes that last longer than 48 hours could be a sign of certain medical problems. 

Men may not be doing all they need to protect themselves from sun damage and skin cancer.

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Proper protection against skin cancer continues to be relevant once a man hits age 65. "Unfortunately, ultraviolet [UV] exposure and damage is cumulative over our lifetimes," says Dr. Joseph Merola, a dermatologist with Harvard-affiliated Brigham and Women's Hospital. "There is no safe age at which we can put down the sunscreen or stop thinking about sun protection."

Even if men are aware of the dangers of sun exposure, new research shows most do not follow basic guidelines. A study published June 17, 2015, in JAMA Dermatology found that only 14.3% of men surveyed reported they regularly use sunscreen. The study also found that men were more likely than women to never use sunscreen—43.8% of men compared with 27% of women—and perhaps most telling, only 7% knew what to look for on a sunscreen label.

Poor lifestyle habits can trigger chronic neck pain that impedes daily activities and raises your risk of serious health issues.

Muscle strains caused by poor posture and sleeping positions often trigger neck pain.
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Neck pain is a nagging ailment that affects everyone at some time. In fact, approximately 80% of people experience neck pain during their lifetime, and 20% to 50% deal with it annually, according to Dr. Frank Pedlow, an orthopedic spine surgeon at Harvard-affiliated Massachusetts General Hospital.

Increasing daily water intake by one, two, or three cups daily can help reduce total calorie intake and lower a person’s intake of saturated fat, sugar, sodium, and cholesterol.

Ask the Doctor

Q. I've found lately that when I make a routine appointment with my doctor's office, I may be seen by a physician assistant or nurse practitioner instead of my doctor. I really don't have any complaints, but I'm wondering why they seem to be taking on things that my doctor used to handle. Is this a new trend?

A. In my practice, many patients see a nurse practitioner instead of me. The appointment might be for an initial visit to get established in the practice, for routine prenatal care, for an urgent issue such as a miscarriage, or for bothersome symptoms such as those from a persistent yeast infection. If a woman has complex medical issues, the nurse practitioner immediately consults me, and together we decide the best next steps.

Ask the doctors

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Q. My daughter is 38 years old and pregnant with her first child. Her due date is in two weeks, and her doctor has recommended that she have labor induced a week early. Why can't she just allow nature to take its course?

A. Having a baby when you're "older" can have some advantages—women may feel more secure with them-selves, their relationships, or their careers. However, expectant moms 35 or older—and their babies—have some increased pregnancy-related risks.

Each of your medications may be affecting how the others work, leading to harmful side effects and complications.

Each additional medication you take increases the risk of drug interactions.
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Are you taking more than one drug? Are you taking a few different types of medications? Are you seeing several different doctors? If so, you may be at increased risk for drug interactions, which occur when a drug, a supplement, or even a food affects the way your body processes a medication. Such interactions can make a drug more powerful—so that a standard dose becomes an overdose—or can render it less potent or altogether ineffective.