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Women's Health Topics
Ask an Expert
Susan Maayah, M.D.
Palo Alto Medical Foundation
I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Douching is not recommended for several reasons.Douche cleansing fluids tend to alter the vaginal pH and this can negatively impact the vagina's normal healthy bacterial flora and mucus and make one more suscep... continue reading about I'm 41 and have had my tubes tied/clamped. I'm in a committed relationship so we do not use condoms and are rather sexually active. Is there any need to douche? I never have, and have heard conflicting opinions from friends.
Susan Maayah, M.D.
Palo Alto Medical Foundation
My physician recently changed my brand of birth control pills. I read reviews that described bad side effects for the new brand. Do all birth control pills have the same ingredients? If so, why would some cause different side effects?
All birth control pills are formulated with a synthetic estrogen and progestin hormone (with the exception of one that has progestin only). Most common side effects of birth control pills occur when you first b... continue reading about My physician recently changed my brand of birth control pills. I read reviews that described bad side effects for the new brand. Do all birth control pills have the same ingredients? If so, why would some cause different side effects?
Susan Maayah, M.D.
Palo Alto Medical Foundation
Two years ago I was diagnosed with a rare uterine cancer. The doctors took everything including some lymph nodes. I've always had a healthy sexual appetite but since my surgery I feel numb - like a robot with no feelings. Is there anything I can do?
It is quite common after having a complete hysterectomy and removal of the ovaries for women to feel a loss of libido. The ovaries produce hormones such as estrogens, progesterones and androgens which are parti... continue reading about Two years ago I was diagnosed with a rare uterine cancer. The doctors took everything including some lymph nodes. I've always had a healthy sexual appetite but since my surgery I feel numb - like a robot with no feelings. Is there anything I can do?
Ravin Agah, M.D., Ph.D.
Palo Alto Medical Foundation
What is the relationship between herpes and shingles? I have been diagnosed with herpes, and am experiencing breakouts of pimples/blisters on my arms, legs and chest, made worse by stress and physical activity that makes me sweat. What can be done?
Herpes and shingles are actually caused by two different viruses, from the same family. What we traditionally call "herpes" is caused by herpes simplex. Oral herpes, causing fever blisters and cold sores, is ca... continue reading about What is the relationship between herpes and shingles? I have been diagnosed with herpes, and am experiencing breakouts of pimples/blisters on my arms, legs and chest, made worse by stress and physical activity that makes me sweat. What can be done?
Deborah Quinn-Chen, M.D.
Palo Alto Medical Foundation
I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause?
Women commonly believe that after a certain age they cannot conceive because they are too old. That is not entirely true. As a woman ages her fertility declines. A 45-year-old woman is less likely to conceive t... continue reading about I am 51 years old. What is my chance of still getting pregnant, and how should I handle birth control as I move through menopause?
Susan Maayah, M.D.
Palo Alto Medical Foundation
How do I prevent, or treat, recurring urinary tract infections?
Urinary tract infections (UTIs) are very common in women. This is due to the short urethra that leads from the bladder to outside the body and the plethora of bacteria that reside in the surrounding areas inclu... continue reading about How do I prevent, or treat, recurring urinary tract infections?
Patricia Hockett, M.D.
Palo Alto Medical Foundation
Why do I still have PMS every month even though I’ve had a full hysterectomy? I thought the days of irritability, depression and bloating would be gone since it’s been four years since the surgery. I’ve talked to three doctors but they can’t explain it.
Symptoms of PMS arise as a response to hormonal fluctuations. Many women can continue to experience symptoms of PMS (and even feel like they are cycling) if the ovaries are not removed at the time of a hysterec... continue reading about Why do I still have PMS every month even though I’ve had a full hysterectomy? I thought the days of irritability, depression and bloating would be gone since it’s been four years since the surgery. I’ve talked to three doctors but they can’t explain it.
Susan Maayah, M.D.
Palo Alto Medical Foundation
Is vertigo tied to menopause? Also, I'm taking 1000 mcg of biotin for my hair and nails and noticing that I have more intense hot flashes. Does biotin increase hot flashes?
Menopause can cause exacerbation of different symptoms for different women. Though there is no direct medical connection with vertigo and menopause, it is possible that there is some effect of hormonal fluctuat... continue reading about Is vertigo tied to menopause? Also, I'm taking 1000 mcg of biotin for my hair and nails and noticing that I have more intense hot flashes. Does biotin increase hot flashes?
Susan Maayah, M.D.
Palo Alto Medical Foundation
What's the difference between a yeast infection and bacterial vaginosis?
Vaginal yeast infections are caused by overgrowth of fungal organisms, usually the Candida Albicans species. Symptoms are usually itching, burning, and white, cottage-cheese appearing discharge. They are caused... continue reading about What's the difference between a yeast infection and bacterial vaginosis?
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