Category Archives: the visual arts, music and dance

2019 Women’s health update- hormones, the heart, and HPV

Multiple health issues impact women exclusively or differently than men, so new and updated information is important to share. The issues we women face vary with our age, stage of life and health status.

Let’s look at some medical news about women’s health issues, information I picked up recently from several medical journals I follow.

This is current, general medical information that helps a doctor and patient make decisions about what is right for her. Medical recommendations and practice changes as we learn new things.
If you deal with any of these issues , please discuss with your doctor before  taking any action.

I’m illustrating this post with photos of art featuring women. I’ll tell you more about the source at the end.

statue of a woman holding an infant

Human papillomavirus and cancer 

Infection with the human papillomavirus, HPV, can cause  genital warts and cervical cancer.

The percentage of young women with confirmed HPV (human papillomavirus) infection  in the United States fell significantly from 2006 to 2012. Women who had received the HPV vaccine showed the greatest decline in infection rates, compared to those who had not. Even one dose was effective, even though 2 or 3 are recommended.

A new study reported by the New England Journal of Medicine shows that women who become infected with the HPV strains 16 and 18 have a much higher risk of changes in their cervix called CIN-cervical intraepithelial neoplasia-which can be a precursor to cancer. These changes may not be picked up by a Papanicolaou (Pap) test.

Thus, protection against infection with HPV should also provide protection against cancers caused by HPV.

Human papillomavirus vaccine

Gardasil, a vaccine which targets the HPV has been available to females and males from 9 years old to 26 years old. Now the age has been extended through age 45 years for both genders.

Here is a link to detailed information about HPV vaccination from the National Cancer Institute.


Human Papillomavirus (HPV) Vaccines

statue of a pioneer woman with rifle and infant

Long-acting reversible contraception-LARC  

Two forms of long-acting reversible contraception are available to women in the United States.

Nexplanon, a contraceptive implant, slowly releases the hormone progestin and does not have estrogen. It can be used in women who cannot take estrogen, such as those with uterine fibroids or endometrial cancer.

Intrauterine devices, IUDs, containing copper only are appropriate for women with past or present breast cancer, ischemic heart disease, and women at risk for blood clots.

Use of LARCs accounts for 12% of all contraceptive use. Additional benefits include controlling excessive menstrual bleeding, potentially saving women from surgery.

Here is a link to Quick Fact about intrauterine devices and other forms of contraception from the Department of Health and Human Services

Intrauterine Device

statue of woman, holding infant, standing next to a child

Hormone therapy and prevention of heart disease

A 2015 Cochrane review of 40,410 postmenopausal women examined the use of oral hormone therapy (estrogen with or without progesterone) taken for at least six months, compared with placebo (no real drug), to determine the effect on death from any cause, and deaths caused by heart disease, stroke, and blood clot in a leg or lung.

The review found no benefits for preventing heart attack (fatal or nonfatal), or death due to any cause.

In women who took hormones they found

 
1 in 165 women had a stroke
1 in 118 women had a blood clot in the leg or lung
1 in 242 women had a blood clot in the lung

The women in this study were all older than 60 years old, so it is possible there might be benefit in younger women.

statue of woman with arm raised and holding an infant

Vaginal estrogen and heart health

While estrogen replacement after menopause is effective at controlling the undesirable effects of night sweats, hot flashes, and vaginal dryness, it potentially increases the risk of developing cardiovascular disease-heart attacks and stroke, and some cancers-breast and uterine.

However, results of the Nurses Health Study over 18 years shows no increase in incidence of these complications in women who used vaginal estrogen, suggesting this is a safe option for women who elect to use estrogen. (from the journal Menopause)

The photos- a tribute to women

I took these photos during a recent visit to Woolaroc ,a museum and wildlife preserve located in the Osage Hills of Northeastern Oklahoma. Woolaroc was established in 1925 as the ranch retreat of oilman Frank Phillips. 

These statues displayed there were all models considered for a larger project now known as the Pioneer Woman Statue in Ponca City, Oklahoma.

What do you think? Would you have chosen one of the other statues for the final version?

More women’s health info coming soon

Thanks for joining me to review women’s health and women’s art. Please follow Watercress Words so you don’t miss part 2 of this series.

                              Dr. Aletha 

a statue of a woman holding a child, "CROSSING THE PRAIRIE"
“CROSSING THE PRAIRIE” by Glenna Goodacre, Broken Arrow, Oklahoma

 

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Imagination- the path to anywhere

This is one of my favorite posts for several reasons.

It introduces a guest post I was asked to do for a fellow blogger, Kathleen Aherne. I was flattered and honored.

I share some of my personal life, which I don’t do very often.

It was a featured post at Blogger’s Pit Stop.

So here it is, and it’s actually two posts in one- a post I shared to introduce and link to the guest post. Enjoy and imagine.

 

Let imagination take you where you want to go

I’m a physician who studied mostly science classes in school, so I don’t think of myself as artistic.  This blog serves as a creative outlet for me, but that’s about where it ends.  I  find inspiration in multiple sources- my family and friends, nature, the patients I treat, music, and reading but I don’t think of myself as creative.

So when Kathleen Aherne asked me to write a guest post for her website, Let’s Create, I was a little surprised but also excited at the chance to share some of what has inspired my life. She asked me to write a two part story, so I am sharing part 1 with you here.

You can start reading it here, and then continue with the link to the rest of the post at  Let’s Create.

Reading-The fastest way to everywhere

I grew up as an only child, in a home that was not well off financially. With no siblings, and few neighborhood kids, I used  my imagination to have fun. I watched television shows but there was no internet or digital devices for entertainment. Mostly, I read books which became my favorite pastime.

I still have my three favorite books-      Mother Goose Nursery Rhymes,

 

 

 

 

 

 

Better Homes and Gardens Story Book, and   

The Golden Treasury of Natural History,

all of which have survived multiple moves in readable condition. I don’t read them now, but reading continues to be my favorite way to pass a relaxing evening or rainy afternoon.

When I was young, my mother enjoyed country music and she never missed a TV show featuring a pretty young blonde singer. With her bouffant hairstyle and frilly dresses, I thought the singer was a famous star. I didn’t know she was new to country music, trying to break into the business, and this was her first major opportunity.

Enjoy reading further at Let’s Create

The Blogger's Pit Stop

 

 

 

 

 

 

 

 

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Thanks for joining me to explore the HEART of health. I hope you will come back. Let me know what you like about Watercress Words and what you would like to read more about. Contact me here.

         Dr. Aletha  stethoscope with a heart