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Atrophic vaginitis can cause itching, burning, and sexual discomfort but treatments are available

Inflamed vaginal tissue may not be something most women want to talk about, but it can be painful and life altering for those who have it. Atrophic vaginitis, the medical term for this condition, occurs as a result of deterioration of the vaginal tissue. It's a common condition in postmenopausal women because as estrogen levels drop, the tissue that lines the vagina becomes thinner and more easily damaged. The top layer of cells is often lost entirely, exposing the layer below, which is more vulnerable to inflammation or infection. Vaginal secretions also decline, which can make intercourse painful. Women with atrophic vaginitis may also experience vaginal itching, burning, frequent urination, or vaginal discharge.

Women can treat this condition topically with estrogen creams, tablets (Vagifem), or an estrogen-releasing ring placed in the vagina (Estring). Oral estrogen, available with a doctor's prescription, will also restore vaginal tissue. Vaginal lubricants offer an alternative for women wary of using estrogen. Moisturizers such as Replens, Astroglide, and Lubrin can reduce symptoms and make sexual intercourse more comfortable. They are available over the counter.

The dangers of the herb ephedra

After the death of Baltimore Orioles pitcher Steve Bechler more than 10 years ago, many questions arose about the safety of ephedra and the government's role in regulating the herb. Bechler died of heat stroke while taking ephedra, which occurs naturally in the Chinese herb ma huang. The speed-like drug contains the chemical ephedrine, an amphetamine-like compound closely related to adrenaline. Athletes and average people alike started taking ephedra when word started spreading about its ability to aid weight loss and increase energy and alertness.

But just because a supplement comes from natural sources doesn't make it safe. Ephedra can cause a quickened heartbeat and elevated blood pressure. Side effects include heart palpitations, nausea, and vomiting. More than 800 dangerous reactions have been reported with use of the herb. These include heart attacks, strokes, seizures, and sudden deaths. According to a study in the Annals of Internal Medicine, ephedra products make up only 1% of herbal supplement sales in the U.S., but they are responsible for 62% of herb-related reports to poison-control centers.

The secret to an easier allergy season

Fighting back against tiny allergens before they strike can help you avoid or reduce symptoms.


Image: iStock

The spring allergy season begins next month, and if you want to avoid symptoms, you must act now. "Pretreating allergies will lead to better control of symptoms, and maybe prevent symptoms from showing up," says Dr. Ahmad Sedaghat, an ear, nose, and throat specialist at Harvard-affiliated Massachusetts Eye and Ear Infirmary.

Automatic defenses

When spring allergens—typically pollen from oak, elm, birch, poplar, or maple trees, depending on where you live—float through the air and reach the nose, the body sometimes overreacts. Mast cells in the lining of the nose mistake the harmless tree particles for dangerous invaders, and summon help by releasing chemicals such as histamine and tryptase, which then recruit more immune system cells to the battle.

Follow medication instructions

It appears that adverse drug events that lead to visits to the emergency department are increasing among older adults.

Harvard researchers renew warnings about saturated fat and heart disease

Higher intake of saturated fats is associated with a 24% greater risk of coronary artery disease. Replacing 1% of those fats with the same amount of calories from unsaturated fats, whole grains, or plant proteins appears to reduce the risk of coronary artery disease.

New prescription? Talk to your pharmacist

A conversation with this health professional can help you avoid making harmful mistakes.


 Image: wavebreakmedia/Thinkstock

When your pharmacist hands you your pills, he or she is likely to ask, "Any questions?" This is an invitation to tap into a vast store of knowledge—and one you should accept. A few minutes with your pharmacist may spare you some serious health consequences.

"People are often in the dark regarding the purpose of their medication," says Dr. Gordon Schiff, associate professor of medicine at Harvard Medical School. Although prescriptions come with a lengthy package insert containing detailed information about the drug, the information is often written in technical terms and printed in microscopic type. The lack of clear information and the confusion and misunderstandings that result figure into more than a million preventable medical complications annually.

Should I stand while I read?

Taking an hourly break from reading a book to walk around or listening to audiobooks while walking can provide the health benefits of book reading without incurring the health risks of prolonged sitting.

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