Menopausal hormone therapy (MHT) Archive

Last year the FDA approved a hormone-free birth control option called Phexxi. It's a contraceptive gel that changes the pH of the vagina to help immobilize sperm, rather than a spermicide. How effective is it, what are the possible side effects, and which other available birth control options could you consider?

My doctor prescribed a low-dose vaginal estrogen cream, applied twice a week, for atrophic vaginitis. I've heard this dose is so low that it carries no health risk. Do you agree?

Some air pollution levels have inched up in recent years, and accumulating evidence suggests that higher levels of particulates in the air are linked with increased levels of hospitalization for many serious health problems. But we can make choices to help both the environment and our health.

Lifestyle changes, such as adding fiber to the diet and increasing water intake, can help minimize symptoms caused by a specific type of pelvic organ prolapse called rectocele, where the rectum bulges into the vagina.

It's not unusual for women to feel down or depressed after giving birth, but if the feelings persist or become debilitating, it's cause for concern. Many of the symptoms overlap between postpartum depression and postpartum anxiety, but some women do not respond as well to some treatments for depression, so it's important to establish the correct diagnosis.

Before the pandemic did you schedule a routine, in-person health checkup every year? Is this necessary or can you safely skip a year or consider a telehealth visit or a combination of in-person and virtual care? There are pros and cons to these options and no single solution will work for everyone.