As many of the baby boomers are approaching the menopause there is great interest in hormone replacement therapy. Since the WHI (Women's Health Initiative) Study, women have become frightened to use estrogen and have been looking for alternatives to reduce their troubling menopausal symptoms.
Adolescence, or puberty is the period between 10 and 20 years of age. Children start having physical and emotional changes secondary to the hormones, progesterone and estrogen in girls, and testosterone in boys.
The transition from Childhood to Adulthood is not easy for them or for the parents. Parents have been in control of their lives, time and friends. Now, they relate to fashion, want to experiment and they spend more time with their friends than with their family.
Many patients believe that if they are seeing a doctor in a small or solo practice, that they will have "more personal care". Good health care however, is not a personal issue. It is a medical issue.
Having a heathy baby requires nine months of care and then a long labor course with a physician attendant overseeing the labor and delivery.
Unwanted leakage of urine in women is a very common problem. It is also a source of great embarrassment and therefore, often not revealed to the doctor unless specifically asked. Older women often think it is a normal part of aging and others may think there is nothing they can do about it. Still other women think that only surgery will help and they are either too old, not interested or have knowledge of others in whom surgery was unsuccessful.
Often, patients ask "why not just do a cesarian section?". When a patient is in labor and they are frightened, it often seems like the quick way to have the baby and not have to worry about pain. This is not a good time to be asking about a cesarian section.
While you are pregnant and feeling well and happy, you are in a better frame of mind to understand the controversial issues that are being discussed today.