When menstrual periods do not come as expected by age 15 or 16, some teens are diagnosed with MRKH (Mayer-Rokitansky-Kuster-Hauser syndrome), which is an uncommon disorder in which the uterus and the vagina fail to develop properly.
The diagnosis of MRKH, also known as vaginal agenesis, is often an unknown entity to the teenager and family and can cause them all to experience feelings of disbelief, grief and loss.
One of the questions I ask all of my patients during their first trimester is if they currently exercise and what their plans are for prenatal exercise.
Exercise is vital to the health of a pregnant woman, not only for her physical health, but also for her mental well-being. The numerous benefits of exercise include helping to maintain your body weight during pregnancy and helping to prevent and control gestational diabetes. Exercise is also powerful in preventing depression.
Many patients are curious about whether fertility issues their parents might have struggled with may have a role in their own ability to get pregnant. My answer is always the same: your parents’ issues will not necessarily become yours.
In general, the more you know about your family’s health history, the more your medical team can start using those facts in evaluating your overall health and fertility picture.
There are many possible causes for decreased fertility, including endometriosis, fibroids, premature menopause, polycystic ovary syndrome, low sperm count, underlying conditions, and physical issues. Some of these – hypothyroidism or polycystic ovary syndrome in particular – do tend to run in families.
Still, patterns of fertility in your family may not predict how easily you will conceive.
We know, for example, that fertility decreases with age. In general, older women have a lower chance of getting pregnant. By the time women are 30 years old, a quarter of them will have issues with fertility. If your mom or sister was trying to conceive around age 40 or later, that could have been the source of her difficulties.
A “birth plan” is like a game plan for your baby’s arrival. You have little control over when your labor starts, but a birth plan ensures that you, your partner, and your care team are all aware of your wishes on some key things like pain meds, the people involved, episiotomies and cord cutting.
When to start your plan:
Usually I discuss the birth plan with my patients at the beginning of the third trimester. Often it is the childbirth classes she takes that help a woman make decisions about the type of birth she wants. If a woman has not taken classes, I suggest other resources available online or at the library that will help her make choices regarding her baby’s birth.
Many women with PCOS (polycystic ovary syndrome) are all too familiar with the wide variety of symptoms that accompany this hormonal disorder. These can include irregular periods, acne, excess hair on the face and body, and elevated insulin levels. PCOS is also the most common cause of infertility in women.
Our goals when treating PCOS are to manage these symptoms, and there are a number of medical therapies that we use to do this effectively.
Treatment options for many women can also include a number of holistic therapies that can be used alongside conventional therapies for optimal healing and illness prevention.
Here’s a quick overview of some of the more common alternatives that women with PCOS might consider:
In the pursuit of malignant tumor cells, normal tissues and organs get caught in the crossfire of cancer treatment. This has been especially true of the heart. In earlier decades, radiation to the chest could carry deadly cardiovascular risks. Newer treatment methods, however, are putting the odds in patients’ favor.
Lori Jo Pierce, M.D.
“Technological advances now allow doctors to minimize cardiovascular risks of radiation therapy,” says Lori Jo Pierce, M.D., a U-M professor of radiation oncology. Her research focuses on the use of radiation therapy in the multi-modality treatment of breast cancer. Dr. Pierce is participating in the Cancer Center’s 2013 Breast Cancer Summit 2013 as a panel speaker on “Research: What questions are we trying to answer?”
Dr. Pierce recently talked with mCancer Partner about how technological advances help to minimize cardiovascular risks to breast cancer patients, and gave a research update on a related study.
mCancer Partner: Who is at risk for radiation associated heart disease?
Dr. Pierce: Anyone who is receiving radiation to the chest could be at risk for radiation-associated heart disease so it is important to shield the heart from the radiation beam. Patients treated with radiation for Hodgkin’s disease in the past were potentially at risk for cardiac disease depending upon the location of the blocks used to protect the heart. Women treated for left sided breast cancer are carefully monitored and planning is done to minimize the heart from being in the radiation field as they, too, could be at risk. Continue reading →
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