We are seeing many patients who are supplementing with DHEA from outside physicians. This as outlined in the above study has been used for two primary effects. One, fertility and second for control of symptoms or presumed or diagnosed adrenal gland insufficiency or Addison's disease. Several years ago when DHEA supplementation for Diminished Ovarian
Every year we are required as part of our board certification to read a large number of scientific articles with questions. This article is on our list for 2019. Now Both relugolix and AbbVie's elagolix are oral drugs that do the same thing as Lupron, an injectable drug that has been around since the late 1980's. I have
If one reads this medical headline from ACOG to our nations physicians, one would assume/conclude that pre-eclampsia (high blood pressure in pregnancy) itself is responsible for the increase in cardiovascular disease. This is a classic example so common in medical "reporting" in the media. The following is the article title. Title: Preeclampsia and Cardiovascular Disease in
I think it is not widely known in the public arena that Chlamydia infection, even treated timely, can result in tubal infertility. We see everything from normal fertility outcome to requiring IVF to achieve pregnancy. Even when the tubes look perfectly normal at surgery this may be the case. Prevention of STD's is still the
Research Indicates The Rate Of High Blood Pressure During Pregnancy Increased Over Last 40 Years In the age-period-cohort analysis, the rate of chronic hypertension increased sharply with advancing age and period from 0.11% in 1970 to 1.52% in 2010 (rate ratio, 13.41; 95% CI, 13.22–13.61). While the absolute numbers are not that large, this represents
An increase in cancer is obvious to those of us caring for patients. From the time I was a child and in high school (1970's) until now there has been a dramatic increase in cancer. This is true of statistics and just my general impression. I don't remember knowing of any cancer in any of
Here is more support for sleep disruption as a dramatic stressor in reproduction. We have noticed that physiologic stress patients that we term "hypothalamic dysfunction" seem to have a much greater chance of miscarriage as well as no pregnancy or infertility. This study makes the basic connection and is in no way proof of causation
More evidence that estrogen is protective to brain function and hopefully inching the needle toward more acceptance of normalization of estrogen for women. The headwinds and resistance still abound when it comes to estrogen use in women. Newer studies are showing that if estrogen is started early, when the decline starts that cognitive function may
Of course this is the case. The medical system is failing endometriosis patients in a dramatic way. If you were taught that endometriosis surgery doesn't work and that it recurs anyway, and that most medicines to treat pain only work or are allowed to be used short term, then as a doctor you really don't
I know everyone gets tired of me blaming all health evils on carbohydrates, but it is the largest ingested toxin in our world by a magnitude of 100x to the next largest offender. In roughly 2008 or so a good friend of mine, a pediatrician, a great one by the way who will remain nameless
