Closing the Orgasm Gap

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Statistically, women report fewer orgasms than men. A study in orgasm frequency of US adults showed heterosexual men usually orgasmed during intimacy (95%) followed by gay men (89%), bisexual men (88%), lesbian women (86%), bisexual women (66%) and heterosexual women (65%). Women who orgasmed more frequently were more likely to receive more oral sex, have longer duration of sex, be more satisfied with their relationship, ask for what they want in bed, act out fantasies and express love during sex. Women were more likely to orgasm if their last sexual encounter included deep kissing, manual genital stimulation and oral sex in addition to vaginal intercourse.

Why the Orgasm Gap Exists

There are theories as to why women don’t orgasm as much as they’d like to. There is too much emphasis on penetrative sex. Our Western culture is goal oriented. For men the goal is to orgasm, and then the fun stops. Biologically, it’s more difficult for women to achieve orgasm from penetrative sex alone. According to sex experts 80% of women do not orgasm through intercourse alone. Most need direct clitoral stimulation to experience orgasm.

Female Orgasm During Intercourse

Fortunately there are ways to ensure women experience mind-blowing orgasms during sex. Penis in vagina intercourse is just one type of sex. Using your hands and mouth to arouse one another should be a central part of your sex life. Start with lots of full body touch. We recommend female orgasm or high arousal before penetration. Using your fingers in the vagina before inserting a penis can help warm her up. Emphasize clitoral stimulation before and during intercourse. The clitoris is the anatomical match to the penis, so just imagine men trying to reach orgasm without touching their penis and you’ll get a sense of how essential clitoral stimulation is to female orgasm. It can be easiest for her to keep touching her clitoris once intercourse has started.

The first moment of penetration can be exquisite and set the tone for the entire time. Make sure to not penetrate until she is ready. Try holding still and letting her slide onto the penis at her own pace, or going in one inch at a time.  Wetness is not a good indicator of arousal. Women can be aroused but not wet, or wet but not aroused. Whenever it is needed, use good quality lube.  Explore different depths, rhythms and speeds. Ask her what works well for her. Experiment with sensible sex positions. Focus on comfort and the ability to thrust and move easily. Take turns being the more active one. Try making sex last longer with foreplay, more attention to her pleasure, and gaining control over ejaculation. Have fun with extras such as holding still while she squeezes and releases pelvic muscles, make and hold eye contact, using full body touch during intercourse to maximize skin to skin contact. Adjust your erotic attitude from sexual scarcity to sexual abundance.

Four Ways to Close the Orgasm Gap

Explore the many, different kinds of female orgasm.

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The Clitoral orgasm is from the clitoris, a small organ filled with nerve fibers that is derived from the same tissue in utero as the penis. It becomes erect and engorged with blood during sexual arousal. There are 2 sex positions that allow for more direct stimulation of it, the CAT (coital alignment technique) and the Reverse Cowgirl.

The Reverse Cowgirl sex position is one of the more well-known positions out there. Your man first needs to start by lying down on his back. You then get onto your knees, with one on either side of him, and lower yourself down on him while facing toward his feet. You lean against his upper thighs and grind against him to stimulate your clitoris. The CAT position is great if you like clitoral stimulation. You lie on your back with your legs open while your man is on top of you. But instead of thrusting in and out, you man moves forward so that the angle of the penis is more pointing downward so that his pubic bone will come into contact with your clitoris. It can also be performed with a strap-on.

The G-spot orgasm is from a sensitive area in the front wall of the vagina. When stimulated correctly, many women report intense orgasms that are different from clitoral orgasms. To stimulate the G-Spot curl two fingers into the vagina and press them into the upper wall in a come hither motion. Or slide 3 fingers into the vagina and sweep them back and forth like windshield wipers against the upper wall. The more you take the time to get to know your G-spot and what type of stimulation feels good, the more pleasure you’ll be able to derive from this erogenous zone.

The Blended orgasm is a combination of two or more different types, such as from stimulation of clitoris and nipple.

Anal orgasm involves intense pleasure from stimulation of nerves in the vagina and rectum. So for vagina owners, it may be possible for sexual arousal to occur from rectal stimulation. This definitely needs extra lubrication!

The Nipple orgasm can occur from breast stimulation as the nipple is an erogenous zone for many people and can lead to incredible orgasms. For men and women, nipple play is rewarding foreplay. A study showed that nipple stimulation enhanced sexual arousal in 82% of women and 52% of men. Nipples attract women, just like they do men. A University of Nebraska study found that women and men follow similar eye patterns when looking at women. They quickly look at breasts before moving on to other areas of the body. Piercing? In a study from 2008 94% of men and 87% of women polled about their nipple piercings said they’d do it again. They liked the look of it.

The Fantasy orgasm is possible if your brain is powerful enough to take your daydreams into orgasm territory with nothing more than naughty thoughts!

If you’re a fitness junkie, a Coregasm might be for you. Also known as exercise-induced orgasms, they occur during workouts, and may be due to vibrations from the abdominal and pelvic muscles.

Masturbate More

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It doesn’t take two to have an exciting empowering sex life. Masturbation is good for your health and for improving your sexual encounters with your partner. There are numerous health benefits such as a boost of endorphins, reduced anxiety, a better sex life and increased blood flow to the vagina, which can reduce dryness and be especially helpful as you become older. Friction can cause discomfort, so using a lubricant (see pictures of two good brands) can help. For clitoral, try lying on your back.  With a pillow under your head, spread your legs and start to rub your clitoris with whatever feels good. For vaginal, try squatting. Squatting makes it easier to find your G-spot, whjch is about 2-3 inches inside your vaginal canal. Slide your fingers or toy inside your vagina, moving deeper as you go. For anal, try face-down doggy style. The position gives you room to insert your fingers or toy in your behind with one hand while rubbing yourself with the other. For the combo, try the pretend lover. Think of the pretend lover as the cowgirl for one. Put your favorite dildo or vibrator on your bed, and lower yourself down until you find a sensation you like- either penetration, clitoral or both. Ride your toy as fast or slow as you want. At the same time rub your clitoris or play with your nipples. If you want to get your other senses involved, erotic stories can let you discover your sensual and sexual side. Check out literotica.com for some femme-friendly stories. If you’re more visual, watching porn can increase your libido and relieve stress in a safe way. If you like listening, audiobooks.com has steamy audio books. Masturbation is a fun, sexy and safe way to explore your desires and learn what turns you on.

Sex Toys Can Help Erase the Orgasm Gap

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Some people think sex toys are for solo sex only, but using toys in the bedroom can be a shared experience, and can help take some pressure off when it comes to helping your partner orgasm.  Toys come in all shapes and sizes, and many of them emit a range of vibrations that you can adjust to your need and desire. Three companies who sell sex toys are We-VibeLelo and Tantus.

Communicate with Your Partner

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To better communicate,  demand you get what you need. Women are less likely than men to verbalize their sexual desires or speak up when they are not satisfied during sex. As for men, they assume that women all want the same thing in bed. All women are different with different wiring, different anatomy and different responses.  If you feel awkward stating your desires during sex, you can start beforehand. Not sure what to say? Here’s a list:

The orgasm gap does not have to exist. Women deserve just as much pleasure as men. With a little attention to detail and more focus on female pleasure, you can narrow the gap for good, and that’s something worth getting excited about!

Posted in Gynecology, Sex Ed | Leave a comment

Are Hormones for Menopause Safe?

I recently attended the American Congress of Obstetricians and Gynecologists Annual Clinical Meeting and heard an excellent talk from one of George Washington University’s Professors, James Simon MD. The talk was inspirational! He spoke about a very important topic, “The Status of Hormone Replacement Therapy.”

By way of background, in the past many women were treated for symptoms of menopause with hormones, but in 2002 a report came out, called the “Women’s Health Initiative,” which changed everything by painting a very negative picture about the harm that hormones could cause. As a result, many women, all over the world, were scared into stopping hormones, and some of that fear persists to this day, despite much evidence to the contrary. Years later we have gradually discovered that the study was deeply flawed.

Dr Simon described this as an example of a  “Zombie Idea,” an idea that should have been killed by evidence, but refuses to die! This actually is similar to the current situation involving fear of vaccines, which was originally based on a fraudulent and discredited study, but still lingers on despite overwhelming evidence of vaccine safety.

Similarly, the WHI Study from 2002 was also flawed and following its recommendations has caused harm.

We now know about the “timing hypothesis” that the safety of starting hormone replacement therapy depends on when it is started in relation to menopause. Studies show a much decreased risk of complications such as stroke or heart attack if the woman starts treatment within 10 years of menopause.

Transdermal patches as a way of receiving hormones appear to decrease the risk even further, according to an extensive French study.

Re-analysis of the old WHI data shows no effect of hormones on causing breast cancer.

A Finnish nationwide study showed a decreased chance of death from breast cancer if hormone therapy with either estrogen or estrogen with progesterone was used.

To make it even more definite, a review of 17 studies looking at the risk of recurrence of breast cancer in women who had previous breast cancer, showed that 16 of the 17 studies had either no change or a reduction in recurrence of cancer if they were on hormone therapy.

Another review showed women lived longer if they received hormones starting at age 50-59. This looked at death from all causes, death from cancer, and death from stroke or heart attack.

The risk of Alzheimer’s disease or dementia was decreased by use of hormones.

How do hormones compare with other medications? Surprisingly, recent  studies found an increased risk of breast cancer from taking statins, which are often prescribed for high cholesterol levels. Medicines prescribed for improvement of bone density such as Pioglitazone showed an increased risk of breast cancer of 88 per 10,000.

Surprisingly, analysis showed one of the most dangerous medications causing breast cancer is Vitamin D, which caused 70 per 10,000 additional cases of breast cancer.

What was the aftermath of stopping hormonal therapy based on the WHI report when it came out in 2002? A study in 2009 showed a significantly increased number of bone fractures. Another study in 2011 shows more hip fractures in women who stopped hormonal therapy compared with those who continued it.

Was there an increased risk of death from stopping estrogen therapy? A study in 2013 showed over a 10 year span, starting in 2002, a minimum of 18,000 and as many as 91,000 US women died prematurely because of the avoidance of estrogen therapy.

The conclusions are that hormone therapy risks are rare, and even more rare when started in women who are less than 60 years old and/or within 10 years of beginning menopause. Starting it at a younger age does decrease the risk and increase the benefit.

The degree of risk, when it does occur, is similar to that of many commonly used medications or vitamin supplements. Hormone therapy significantly reduced the risk of bone fractures and is the most effective treatment for reducing the worst symptoms of menopause including hot flashes and atrophy of the vulva and vagina. If you have any symptoms of menopause, talk with us about being treated for it!

References:

  1. Benefits and Risks from WHI – Initiation of HT in Women 50-59 Years of Age: Manson JE, et al. JAMA 2013;310:1353-1368.
  2. Timing Hypothesis: Hodis HN, et al. J Am Geriatr Soc 2013;61:1005-1010, 1011-1018.
  3. CHD Events Associated with HRT in Younger and Older Women: Meta-analysis of 23 Randomized Controlled Trials: Salpeter S, et al. J Gen Intern Med 2006;21:363-366.
  4. Are Transdermal Preparations Safer? Canonico et al, BMJ 2008; 336 (7655);1227-1231.
  5. WHI E+P Trial: No Effect of E+P on Risk of in situ Breast Cancer: Chlebowski RT et al. JAMA 2003; 289(24):3243-3253.
  6. Finnish Nationwide Study – Risk of Breast Cancer Mortality in Women after Different Exposure Times to Estrogen: Mikkola TS, et al. Menopause 2016;23:1199-1203.
  7. Mortality Outcomes During the 18-Year Cumulative Follow-up in 50-59 Year Old Women: Manson JE, et al. JAMA 2017;318:927-938.
  8. Alzhemier’s Disease or Dementia Mortality During the 18-Year Cumulative Follow-up: Manson JE, et al. JAMA 2017;318:927-938.
  9. WHI-E in Perspective: RUTH. New Engl J Med 2006;355:125-137.
  10. Relative and Absolute Risks of Commonly used Medications and Supplements: Li Ci et al. JAMA Internal Medicine 2013;173:1629-1637. SPARCL Investigators N Eng J Med 2006;355:549-559.
  11. Relative and Absolute Mortality Risks of Commonly used Medications and Supplements: Hodis HN, et al. J Am Geriatri Soc 2013;61:1011-1018.
  12. WHI E-Only and E+P Evolving Conclusions 2017: Manson JE, et al JAMA 2017 Sep 12:318(10):927-938.
  13. Aftermath of WHI – Fracture Data: Karim R. Menopause 2011;18:1172-7
  14. Mortality Toll of Estrogen Avoidance: Sarrel PM, Njike YY, Vivante V Am J Public Health 2013;`03:1583-1588

 

 

Posted in Gynecology, Menopause | Leave a comment

Introducing Dr. Jennifer Jagoe!

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We are very pleased to announce that our practice has grown. As you can see in the picture, we now have four doctors in our practice!

Dr. Jennifer Jagoe, pictured on the left in the above image,  has joined our practice. She has a strong background in Obstetrics and Gynecology. She served as an OBGYN physician at the Naval Medical Center San Diego, the Naval Hospital Guam, the Naval Hospital Bremerton, Washington, the Madigan Army Medical Center, Tacoma, Washington, and the Walter Reed National Military Medical Center in Bethesda, MD.

She recently worked as an Assistant Clinical Professor of Obstetrics and Gynecology at the University of Maryland School of Medicine. Her work included being a preceptor for medical students, being a member of the Perinatal Advisory Council, and a member of the Maryland Patient Safety Center.

We are very fortunate to have her joining our group!

Dr. Jagoe is available to see patients at our Rockville office on Tuesday, Thursdays and Fridays, and at our Germantown office on Mondays and Wednesdays.

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Pregnancy Dos and Don’ts

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Pregnancy is a great time, an exciting time, but it’s also a time of endless questions. Women have access through social media, television, print media, Internet searches, and their friends to much information about pregnancy, but sometimes it can be confusing or wrong. There are many questions about all facets of life including eating, drinking, sleeping, working, travel, exercise and having sex.  We are often asked these questions by our patients, and in the recent issue of our professional publication, Obstetrics and Gynecology (April 2018, p713), Dr. Fox wrote a nice summary about current, science-based recommendations regarding these topics. I’m going to summarize them for you in this article.

Prenatal Vitamins

Prenatal vitamins are designed to meet the needs of pregnant women. However, except for folic acid, iron and Vitamin D, it’s unknown if taking them makes a difference in outcome. For women with well-balanced nutritious diets, they are probably not required. Folic acid deficiency is associated with fetal birth defects, so women who don’t have it in their diet should be on 400-800 micrograms a day. Women who have had a history of a previous pregnancy complicated with a neural tube defect should be on 4,000 micrograms a day. Iron supplementation is advised to increase the mother’s blood count to avoid becoming anemic at birth.  It is more needed if the mother’s blood count is low to begin with. Vitamin D deficiency is associated with pregnancy problems including pre-eclampsia and premature birth. While testing for Vitamin D levels is not routinely recommended, taking Vitamin D (usually 200-600 IUs) daily is. Calcium supplementation has been shown to decrease high blood pressure in pregnancy. Women should be sure to consume through diet or supplements at least 1,000 mg of calcium per day. Some prenatal vitamins don’t have that much.

Nutrition and Weight Gain

Pregnant women should eat a healthy, well-balanced diet and usually should increase their calorie intake in the second and third trimesters by only a small amount, about 350-450 calories per day. A good nutrition resource is a website run by the U.S. Department of Agriculture at www.chooosemyplate.gov. Women with higher pre-pregnancy weight should not gain as much as women with normal or low weight.

Alcohol

High alcohol intake in pregnancy has been associated with fetal malformations. Studies in Denmark and Australia have found no association between a low level of maternal drinking (less than one drink per day) and developmental cognitive abilities in children. However, the threshold for safe drinking is not known, and it can’t be concluded that a small amount of drinking is safe. All major health organizations recommend abstaining from alcohol completely during pregnancy.

Artificial Sweeteners

There is no evidence that aspartame (NutraSweet), sucralose (Splenda), acesulfame potassium (Sunett), stevioside (Stevia) or saccharin (Sweet N Low) cause birth defects.

Caffeine

Most studies in humans show that low to moderate caffeine use is not associated with any adverse outcomes. Some animal studies suggest that high caffeine intake (greater than 10 cups per day) slightly increases the risk of miscarriage.

Fish

Eating fish conveys both benefits and potential risks. Benefits are that studies have shown eating fish in pregnancy resulted in improved neurodevelopment in children, and also lowered the risk of premature birth. However, fish is also a potential source of mercury exposure and mercury can cause harm. Therefore pregnant women should try to consume 2 to 3 portions weekly of fish that are high in long chain polyunsaturated fatty acids and low in mercury, such as anchovies, Atlantic herring, Atlantic mackerel, mussels, oysters, farmed and wild salmon, sardines, snapper, and trout. Other safe fish which have less fatty acids include shrimp, pollock, tilapia, cod and catfish. Women should avoid fish with higher mercury content such as king mackerel, shark, swordfish, marlin, and tilefish. For women who do not consume 2 to 3 servings of fish a week, there is no clear evidence that supplementation with omega-3 fatty acids improves outcome in children, but they are unlikely to be harmful.

Most health organizations advise women to avoid raw fish in pregnancy. However, the fish that typically makes up sushi (tuna, salmon, yellow tail, snapper, flounder) rarely carries parasites. Therefore, the risk of infection from eating well-prepared sushi in a clean and reputable establishment is not significant.

Other Foods to Avoid

Food restrictions in pregnancy are designed to minimize exposure to harmful infections such as toxoplasmosis and Listeria.  To lower the risk of toxoplasmosis, avoid eating raw and undercooked meat, and wash all fruits and vegetables before eating them. To lower the risk of Listeria, avoid unpasteurized dairy products, raw sprouts, unwashed vegetables, and unheated deli meats. While Listeria outbreaks were linked to deli meats in the 1990s, recently outbreaks were caused by ice cream, cantaloupes, hummus, and unpasteurized dairy products, so it’s difficult to make a list of safe foods without becoming overly restrictive.

Smoking and Nicotine

Smoking in pregnancy is harmful to both maternal health and to fetal health, causing many possible pregnancy complications. Although some of the adverse effects of smoking are due to nicotine, nicotine products designed to aid in smoking cessation are acceptable as part of a smoking cessation program, since nicotine in gum or a patch would reduce exposure to other toxins in cigarettes and in second hand smoke.  Other interventions such as bupropion and varenicline are thought to be effective and safe, but data is limited. Electronic nicotine delivery systems such as electronic cigarettes and vaporizers deliver high amounts of nicotine and could potentially be harmful, but less is known about them.

Marijuana

Marijuana is the most common illicit substance used in pregnancy. Current evidence shows that marijuana use in pregnancy is not associated with premature birth, low birth weight, or an increased risk of birth defects. Doses of it are not regulated and could vary significantly. Current recommendations are to avoid marijuana in pregnancy due to concerns about fetal neurodevelopment.

Exercise and Bedrest

Women with normal pregnancies should engage in regular aerobic and strength conditioning exercise. It is prudent to avoid exercise with a higher risk of injury such as contact sports, downhill skiing, and horseback riding. Women should try to moderately exercise 20-30 minutes four to five times a week. Moderate exercise is at the level at which women can still talk while exercising.

Bedrest, or activity restriction, is associated with several risks and has not been shown to be beneficial in pregnancy. Activity restriction has not been shown to be beneficial for women with high blood pressure, premature rupture of membranes, fetal growth restriction, or placenta previa.

Avoiding Injury in the Car

Pregnant women should continue to use three-point seatbelts in pregnancy. The lap belt should be placed across the hips and below the uterus. While airbags can also reduce the risk of injury, deployment of an airbag itself can also cause injury. It’s unclear if they are beneficial or harmful.

Oral Health

Oral health and routine dental procedures should continue as scheduled during pregnancy, including cleanings, extraction, root canal and fillings. X-rays can be done if the abdomen and thyroid are shielded.

Hot Tubs and Swimming

Hot tubs have the potential to increase body temperature, which is considered a risk for miscarriage and birth defects. It is thought to be more potentially harmful if it is done within the first 4 weeks from the last menstrual period, or if it is done more often.

Swimming pools are typically maintained below normal body temperature, and their use is not associated with harmful outcomes.

Insect Repellents

Topical insect repellants can be used in pregnancy because they are not associated with adverse fetal effects. As a result of the risk of mosquito-borne illnesses including Zika virus, their use in high risk areas is recommended.

Hair Dyes

Most studies on exposure to hair dye relate to the profession of cosmetology, and studies are mixed as to whether or not there is increased risk of pregnancy loss in that setting. Data on safety is limited, but for an individual pregnant woman, exposure to hair dye results in minimal systemic absorption, so hair dyes are presumed safe in pregnancy.

Travel

Airline travel is considered safe in pregnancy, but it is prudent to take precautions to lower the risk of a blood clot by periodic walking.  Pregnant women may go through security metal detectors. The radiation exposure from the newer backscatter units is also safe. In regard to travel destinations, women should be aware of the potential infection exposures (including Zika virus) as well as the availability of medical care at their destination. As the length of the pregnancy advances, the risk of travel increases, but there is no exact gestational age at which women cannot travel. In our office, it’s our policy to not allow distant travel in the last two months.

Sexual Intercourse

Sex and orgasm are not associated with an increased risk of pregnancy complications or premature birth. For women with vaginal bleeding or ruptured membranes, the risks of bleeding or infection may increase. Although there is little data to support it, most authorities recommend avoiding sexual intercourse after 20 weeks of pregnancy if a placenta previa is present.

Sleeping Position

Women are frequently advised to sleep on their sides, especially the left side. Several retrospective studies (limited by recall bias) have shown an increased risk of stillbirth when sleeping flat on one’s back. Considering the limitations of these studies as well as not knowing more about the benefits of side sleeping, it’s unclear if side sleeping conveys a benefit, how much it reduces risk and when. We recommend not sleeping flat on your back in the last 2 months of pregnancy. Sleeping on your side or on your back being tilted up by additional pillows should be safe.

Posted in Obstetrics | Leave a comment

Should I have a birth plan?

by Bailey K. Cannon, MD

We get this question a lot. You may have heard about birth plans from your friends, the internet, or even the hospital. What is a birth plan? It is a document that states your wishes for delivery. That sounds like a nice idea but when it comes to labor and delivery the only person who is in charge is the baby. Have you ever planned a family vacation and you have the great plan of how things will go, what restaurants you’ll eat at, and the sights you will see? Then only to find the roads are under construction, the restaurant you really want is closed, and the parks are closed for maintenance. You may still have had a great time but feel a little let down because “not every went as planned.” The same is true with birth and plans for it.

In our office we do not encourage birth plans. Our ONLY plan is for a healthy mom and a healthy baby. Additionally, a vaginal delivery is also always our first wish for you. We certainly care about your preferences and will discuss any ideas you may have. You are welcome to bring any music, scents, clothes, etc. that you would like. Additionally, during labor if there is a choice: we will always give you that choice. Such as: Would you like an epidural or not? That choice is 100% up to you – we are happy either way. We may use our medical education and training to suggest an intervention that we feel will help you, but as long as it is safe – you are welcome to decline. If ever you or the baby are in danger we will immediately make a medical decision and we hope you will agree.

While we do not encourage birth plans, should you desire a birth plan we will be happy to review it in the office and discuss what is reasonable or what things may be unsafe. There are many unsafe recommendations on the internet. We have included a birth plan from the March of Dimes that we think is a good choice in birth plans.

Our only plan for you is a healthy baby and healthy mom. We look forward to achieving this goal together.

Click on the following to see a sample birth plan:

 

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Finding Breast Cancer

One in eight women in the United States will be diagnosed with breast cancer. The longer someone has breast cancer before it is detected, the more difficult the treatment becomes and the worse the odds of survival. One of the best ways to find breast cancer earlier is by self-exam.

The Worldwide Breast Cancer organization has come out with a nice campaign using photos designed by a breast cancer survivor to help increase awareness of how to find breast cancer.

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This campaign gets the point across effectively and can be used in social media posts to help spread the word. The original photo has been shared nearly 35,000 times and seen by more than 3 million people. Just think about how many lives can be saved!

If you find anything like this in your breast self exam, please let your doctor know about it!

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Long or Short, Which is Better?

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A study was just released which will be coming out soon in the American Journal of Obstetrics & Gynecology ( http://dx.doi.org/10.1016/j.ajog.2016.08.033 ). It looks at two different groups of reversible birth control methods, long acting and short acting. Long acting methods of birth control include the Nexplanon implant, the Mirena IUD and the Paraguard IUD. Short acting methods include the pill, the patch and the ring.

To see if there is a difference in success rate based on which women choose long versus short acting methods, the women who chose to participate in the study were assigned one of these groups randomly and received their contraceptives for free. Women who did not agree to randomization still submitted their results but did not receive the medication for free.

The results were striking. Of 916 participants the study, after 12 months there was an unintended pregnancy rate of 6.4% in those who were not randomized and instead chose a short term method, 7.7% in those who agreed to randomization and were assigned to the short term method group, and 0.7% for those who were randomized to the long term contraception group.

The study shows, comparing the two different classes of methods, women who use short acting birth control methods such as the pill have a ten times greater chance of becoming pregnant by accident compared with longer acting methods such as the implant or the IUD. This is true whether a person prefers one type of method or is randomly assigned to it. This may be related to the greater requirements of being on short term methods, with many more opportunities for failure to take it every day and on time. Longer acting methods have less opportunities to make mistakes.

It appears that most women are not aware of the large difference in effectiveness between these two types of birth control methods. If this information were more widely known, more women would choose the type of method with a less than 1 percent failure rate in a year rate compared with one that fails 6 to 7 percent over the same amount of time.

Posted in Uncategorized | Leave a comment

Long or Short, Which is Better?

mrqoqd8heqmgsyzomwnv

A study was just released which will be coming out soon in the American Journal of Obstetrics & Gynecology ( http://dx.doi.org/10.1016/j.ajog.2016.08.033 ). It looks at two different groups of reversible birth control methods, long acting and short acting. Long acting methods of birth control include the Nexplanon implant, the Mirena IUD and the Paraguard IUD. Short acting methods include the pill, the patch and the ring.

To see if there is a difference in success rate based on which women choose long versus short acting methods, the women who chose to participate in the study were assigned one of these groups randomly and received their contraceptives for free. Women who did not agree to randomization still submitted their results but did not receive the medication for free.

The results were striking. Of 916 participants the study, after 12 months there was an unintended pregnancy rate of 6.4% in those who were not randomized and instead chose a short term method, 7.7% in those who agreed to randomization and were assigned to the short term method group, and 0.7% for those who were randomized to the long term contraception group.

The study shows, comparing the two different classes of methods, women who use short acting birth control methods such as the pill have a ten times greater chance of becoming pregnant by accident compared with longer acting methods such as the implant or the IUD. This is true whether a person prefers one type of method or is randomly assigned to it. This may be related to the greater requirements of being on short term methods, with many more opportunities for failure to take it every day and on time. Longer acting methods have less opportunities to make mistakes.

It appears that most women are not aware of the large difference in effectiveness between these two types of birth control methods. If this information were more widely known, more women would choose the type of method with a less than 1 percent failure rate in a year rate compared with one that fails 6 to 7 percent over the same amount of time.

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Chronic Vaginal Infections

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I’m at 2016 ACOG!

I recently heard an informative lecture at the 2016 ACOG Annual Clinical Meeting about new research and treatment of chronic vaginitis. Dr Chemen Tate from the Indiana University School of Medicine spoke about the different causes of chronic vaginal infections. While most people associate vaginal infections with yeast, the actual leading cause of vaginal infections is Bacterial vaginitis, which comprises 50% of infections, compared with only 25% for yeast.

Bacterial vaginitis causes an increased discharge with a bad smelling odor. It is usually not associated with inflammation. There is found to be a reduction of the amount of lactobacilli, which usually serve to protect the vagina. (Those are the same helpful bacteria that are found in yoghurt). BV can weaken the body’s defenses and promote other infections including herpes, chlamydia, trichomonas, HIV and gonorrhea. It is highly recurrent, and 30% of women who are treated for it will have a return of symptoms within 3 months, or 3 to 4 episodes a year. This can be very distressing. Return of symptoms may be due to reinfection or a failure of treatment. Why does this happen?

Research has determined that bacterial biofilms are organized microcolonies on a surface that create a protective mode of growth allowing for survival in a hostile environment. For example, electron microscopy of the surfaces of infected medical devices have shown the presence of large numbers of slime-encased bacteria. Tissue taken from chronic infections have shown the presence of biofilm bacteria surrounded by a protective exopolysaccharide matrix. Other examples of biofilm infections include dental carries, prosthetic device infections and cystic fibrosis lung infections.

Biofilm infections are resistant to antibiotics and host defense mechanisms. Antibiotic therapy typically reverses the symptoms caused by the infection but may fail to kill the biofilm. Bacterial Vaginosis is a biofilm infection. An adherent vaginosis biofilm persists on the vaginal epithelium after standard treatment with oral metronidazole. What new treatments can be successful against this resistant infection?

We should council our patients that in many cases bacterial vaginitis is chronic and will come back. When the infection returns treatment needs to be adjusted to be more effective. New recommended treatment is longer treatment, and includes Metrogel, oral metronidazole, tinidazole, or clindamycin vaginal for two weeks. For a patient who has a previous history of long term symptoms, the two week treatment is to be followed by once weekly Metrogel, or twice weekly oral metronidazole or tinidazole for six months. Using the appropriate treatment for this chronic problem can be expected to cure it 80% of the time. Investigation is ongoing in this field and future therapies that attack biofilms directly may show even better results.

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Zika

Zika was reported in May 2015 in South America and since then has spread throughout the Americas. The CDC and Pan American Health Organization (PAHO) websites maintain and update the list of areas where Zika virus transmission has been identified.

The virus spreads to humans primarily through infected Aedes aegypti mosquitoes. ZikaOnce a person is infected, the incubation period for the virus is approximately 3-12 days. Symptoms of the disease are non-specific but may include fever, rash, aching in joints, and eye inflammation. It appears that only about 1 in 5 infected people will have these symptoms and most will have mild symptoms. It is not known if pregnant women are at greater risk of infection than non-pregnant.

Zika during pregnancy transmissionhas been associated with birth defects, specifically significant microcephaly (small fetal head). Transmission of Zika to the fetus has been documented in all trimesters; Zika virus RNA has been detected in fetal tissue from early miscarriages, amniotic fluid, babies and the placenta. However, much is not yet known about Zika virus in pregnancy. Uncertainties include the incidence of Zika virus infection among pregnant women in areas of Zika virus transmission, the rate of transmission to the fetus, and the rate with which infected fetuses have complications such as microcephaly or demise. The absence of this important information makes management in the setting of potential Zika virus exposure (i.e. travel to active areas) or maternal infection, difficult. Currently, there is no vaccine or treatment for this infection.

Prevention Guidance:Protect yourself

  • Avoiding exposure is best. Pregnant women should delay travel to areas where Zika outbreaks are ongoing when possible. Women considering pregnancy should discuss with their obstetricians the advisability of travel. See the CDC and PAHO websites for updated lists of affected countries.
  • When traveling to areas where Zika has been reported, women should take all precautions to avoid mosquito bites including the use of EPA-approved bug spray with DEET, covering exposed skin, staying in air-conditioned or screened-in areas, and treating clothing with permethrin.Repellents
  • Sexual transmission of Zika virus has been reported in a few cases but the frequency and efficiency of this route of infection is uncertain. Based on limited data, there is a theoretical risk of sexual transmission through exposure to semen of males with Zika virus disease. Given the potential risks of maternal Zika virus infection, pregnant women whose male partners have traveled to countries in which Zika is reported or have Zika virus infection should consider using condoms or abstaining from sexual intercourse.

Summary of Updated Guidance:

  • Antibody testing for Zika virus is now recommended for all pregnant women who have traveled to or lived in affected area regardless of the presence of clinical illness.
  • Physicians should discuss reproductive plans, including pregnancy planning and timing, with women of reproductive age considering the potential risks associated with Zika virus infection.
  • Women of reproductive age with current or previous laboratory-confirmed Zika virus infection should be aware that there currently is no evidence that prior Zika virus infection poses a risk of birth defects in future pregnancies.
  • Although the presence of Zika in breast milk has been reported, it is in very small amounts and unlikely to be harmful for the neonate. The benefits of breastfeeding likely outweigh the potential neonatal risks. Therefore, the recommendation is that women should continue to breastfeed.

Tropics

If you are pregnant or planning for pregnancy check with us before traveling to areas of the American tropics and strictly follow steps to avoid mosquito bites during your trip.

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