Heavy Periods with Clots After 40 — What to Know and When to Seek Help
After age 40, periods often become heavier and less predictable as hormones shift toward menopause. This is commonly due to perimenopause, but heavier bleeding and clots can also signal anemia, fibroids or polyps, thyroid problems, or medication/device effects. Track changes and see a clinician if bleeding is very heavy or symptoms worsen. What’s Going On? […]
Questions You Should Be Asking Your Gynecologist
When should I consider egg freezing? The discussion of fertility and family planning should take a front seat in your early 30s. We know that fertility declines significantly in your mid-30’s and declines even more closer to 40. If you are single and you’re not even thinking about future fertility, it may be time […]
Rainbow V: The Medical Community Needs to Step It Up for LGBT Community
My first priority is giving my patients not only the best care possible, but the respect and compassion that women need and deserve. I reach out to my LGBT community because they are in the minority, the underdogs in receiving medical care and gainful employment. The National Survey of American Growth suggests that 1.1 […]
Secrets to Healthy Aging- What I try to do!
I’ve been thinking about how to age well — not just get older, but stay healthy, active, and happy. Here’s what I’ve learned and what I try to do in my own life. First, take stock of your health. I go to regular checkups (and I don’t skip the dentist or eye doctor). Routine […]
Screening tests for women in their 40’s
Pap smears can be done every 3 years if you have a history of normal screening. Women 30 to 65 will have a pap smear along with HPV test every 3 years. HPV is the most common sexually transmitted infection and affects 75 – 80% of men and women, causing genital warts and cervical cancer. […]
Calcium-The Basics
Calcium is an essential mineral critical for bone and tooth structure, muscle contraction, nerve signaling, blood clotting, and cellular signaling. The “hype” about calcium is partly justified: strong evidence supports its role in preventing osteoporosis and fractures when part of an overall bone-healthy strategy (adequate vitamin D, protein, weight-bearing exercise). Benefits for cardiovascular outcomes are […]
Self-Breast Exams
You should learn to know what your “normal” breast tissue feels like so you can detect something “abnormal”. Breast tissue can be intimidating in the beginning but once you are familiar with your own breast tissue and all its normal lumps and bumps, you will be able to find abnormal changes if they occur. The […]
The Infertility Work-Up
What counts as infertility? If a woman is under 35 and hasn’t conceived after 12 months of regular, unprotected sex, consider evaluation. If she is 35 or older and hasn’t conceived after 6 months, consider evaluation. Immediate evaluation for women over 40 or anyone with known risk factors (like PCOS, endometriosis, prior surgeries, or known […]
The Real Conversation About Domestic Violence
Everyone knew when Tanya was in my office getting a pap smear or having a gynecological problem. Her scented perfume of a Hawaiian vacation was noticed by everyone, including those patients in my waiting room. She was always coming from a Soul Cycle workout dressed in the perfect workout ensemble and pristine Nike shoes that […]
The Vagina Revolution is on NOW!
In 2012, a bill was presented on the House floor seeking to regulate the use of the word vagina after Michigan Representative Lisa Brown was banned from speaking because she used the term in a debate over an anti-abortion bill. Representative Mike Callton said, “Brown’s comment was so offensive, I don’t even want to say […]