Women's Health Archives - Page 71 of 72 - Clinical Advisor

Women’s Health

Thyrotropin linked to fatal CHD risks in women

Women’s risk of fatal coronary heart disease (CHD) rises with levels of thyrotropin, a hormone that stimulates thyroid function— even when those levels are within the normal range, a recent study suggests…

B vitamins fail to cut CV risk

Evidence continues to mount showing that additional folic acid and B vitamin have no effect on the probability of cardiovascular (CV) events, even among high-risk women…

Managing hypertension in a breastfeeding mother-to-be

How would you manage a 31-year-old gravida 3 para 3 who is hypertensive (BP 130-160/90-110 mm Hg)? The woman is breastfeeding a 2-month-old infant and wants to continue until the baby’s first birthday because he has demonstrated intolerance to multiple formulas. The mother’s history includes a sulfa allergy and moderate persistent asthma that is currently…

Women face extra antibiotic risks

Should women of childbearing age who require antibiotics be advised that such medications may decrease the effectiveness of oral contraceptives (OCs) and therefore, they should abstain or use a backup method? Also, am I correct to assume that a negative beta human chorionic gonadotropin (β-hCG) test is advised prior to starting isotretinoin (which is teratogenic)?—Dean…

Add a bisphosphonate to raloxifene?

A healthy, asymptomatic woman with a stable bone mineral density of -2.5 on dual energy x-ray absorptiometry (DEXA) has been taking raloxifene (Evista) for seven years along with calcium and vitamin D. She also exercises regularly. Should bisphophonates be added to the Evista? Or should the Evista be stopped and the bisphosphonates used alone for…

Incontinence during sleep

A 53-year-old white woman reports that during the past year she has had three episodes of urinary incontinence during rapid-eye-movement (REM) sleep. She reports that she wakes up and can recall dreams (she does not have night terrors). A neurologic exam, MRI, and electroencephalogram (EEG) were normal. A urologist found normal urodynamics. She has no…

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