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The next patient in your exam room is in her mid-40s. She notes that her last monthly period was 11 months ago. She continues to use condoms for pregnancy prevention. She has a thin body and a small bone frame, and she smokes 15-20 cigarettes a day. Her medical history indicates a family history of osteoporosis. What is your next move?
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When is "that time of month" a problem for some women? When symptoms such as depression, wide mood swings, breast tenderness, or muscle pain enter into the picture, a diagnosis of premenstrual syndrome (PMS) may be in order. However, when symptoms are more severe, clinicians may consider a diagnosis of premenstrual dysphoric disorder (PMDD).
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When using contraception to delay or stop menstrual periods, return to fertility is important to patients. Results of a national survey indicate 58% of women worry that menstrual suppression will affect their ability to have children.
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Access to emergency contraception (EC) has been expanded. Shipments of the new dual-label version of Plan B, the levonorgestrel-only EC drug, are now hitting pharmacy market shelves.
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Consider the many treatment options when presented with the following cases: the perimenopausal woman with prolonged menstrual bleeding due to uterine leiomyomas; the young woman with significant pain from spreading endometriosis; and the mother with menorrhagia. Which options will you choose?
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Growing stronger: Strength training for older adults. Altern Med Alert 2006;9(Suppl 12):S1-S4.
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Physical activity at work or during leisure time is linked to a 50% lower risk of getting colon cancer. Both vigorous and moderate levels of physical activity appear to reduce this risk.
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Greenfield RH. Gut reaction: Curcumin and colorectal cancer. Altern Med Alert 2006;9(12):140-142. Greenfield RH. Popeye was right! Olive oil (Oyl?) and the heart. Altern Med Alert 2006;9(12):142-143. Greenfield RH. D better it is: D2 or D3? Altern Med Alert 2006;9(12):143-144. Greenfield RH. Pomegranates Mess? A brief report. Altern Med Alert 2006;9(12):144.
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O'Mathuna DP. Exercise during and after cancer treatment. Altern Med Alert 2006;9(12):137-140.