Vulvovaginal thinning, known as atrophic vaginitis, or more recently, genitourinary syndrome of menopause, is the thinning and drying of vulvovaginal mucosa associated with lower estrogen levels, often seen in perimenopause and menopause. Symptoms include vulvovaginal discomfort, dryness, burning, itching, and dyspareunia. Intravaginal and/or topical vulvar estrogen is the conventional treatment of choice. Sea buckthorn (Hippophae […]
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Cervical dysplasia is a potentially pre-cancerous condition and in many cases can resolve on its own, but in others, can progress to more severe dysplasia and even cervical cancer. The likelihood of regression of mild dysplasia, called cervical intraepithelial neoplasia grade 1 (CIN1), is 60%. The likelihood of progression to cervical cancer if it does […]
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Most practitioners of women’s health are familiar with the terms vulvovaginal atrophy and atrophic vaginitis. Many women with this condition, also are familiar with these terms. However, they can be quite inadequate and not precise enough for describing the actual physical changes that are occurring and the symptoms that result from these changes that occur […]
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In early July, 2014, the American College of Physicians (ACP) issued guidelines challenging the need for a vaginal speculum and bimanual (internal) pelvic exam as an integral part of a routine well-woman office visit. The ACP reviewed the evidence and concluded that the routine pelvic examination is not useful in screening for malignancies other than […]
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Posted in General, Prevention, Vaginal Health on Apr 15th, 2013
A study was done by Johns Hopkins biophysicists to investigate several different personal lubricants currently available on the market, and to compare their effect on genital tissues and susceptibility to infections. The researchers took the path of analyzing osmolarity of the products. Osmolarity describes the concentration of chemical ingredients within a cell and products with […]
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The Affordable Care Act, enacted August of 2012, helps to make preventive services affordable and accessible by requiring health insurance plans to cover preventive services recommended by the U.S. Preventive Services Task Force (USPSTF), an advisory committee on immunization and guidelines recommended by the Academy of Pediatrics. The act also requires insurance companies to cover […]
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If you go to your doctor’s office and get told to not come back for a pap smear in 1 year or 3 years or 5 years…. this may be an appropriate recommendation according to the pap smear guidelines, (based on pap smear history, risk of cervical dysplasia, age and history of human papilloma virus- […]
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Posted in General, Vaginal Health on Oct 24th, 2010
One hundred twenty healthy Chinese women with a history or recurring bacterial vaginosis (BV) were randomly assigned to a daily vaginal probiotic capsule as prophylaxis that contained 8 billion colony forming units of Lactobacillus rhamnosus, L. acidophilus and Streptococcus thermophilus or a daily vaginal placebo capsule. Women were to insert the capsule 7 days on, […]
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