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

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                              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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Revisiting Hemingway’s homes

This past summer my husband and I visited Michigan for the first time and stayed in a charming little town, Boyne City.

While visiting friends there, we learned that Ernest Hemingway’s family owned a cottage on near-by Walloon Lake. Unlike his home in Key West Florida, Windmere, the Michigan lake house ,is still a private home and not open to public visitors.

Ernest Hemingway cottage on Walloon Lake, Michigan
Ernest Hemingway cottage on Walloon Lake, Michigan John Scott Mendinghall • Public domain

The discovery was interesting none the less, and we understand why his family enjoyed living in the area. The towns are old and historic, the architecture quaint , the landscaping beautifully tended, and the lakes and boats beckon even land lubbers like us. Here are a few photos from this recent trip, followed by a past post where I explain what I learned from visiting Hemingway’s Key West home.

Dr. Aletha 

Hemingway’s study- chaos and creativity

Ernest Hemingway wrote some of his popular novels, including To Have and Have Not, in the study of his Key West Florida home.

The house, on the National Register of Historic Places, has been preserved as it was when he and his wife Pauline lived there and is open to visitors, like myself, when I visited there a couple of years ago.

the study of Ernest Hemingway, with a cat sleeping on the floor

Chaos

This entire house, and especially the narrative of his life (as related to us by our verbose tour guide) is itself a study of a man whose life and career was largely shaped by mental illness.

Ernest Hemingway displayed mood swings and abused drugs and alcohol. Despite numerous psychiatric hospital stays where he was treated with ECT, electroconvulsive therapy, he struggled with chronic depression.

He died from a self-inflicted gunshot wound to his head in 1961.

CATWALK

Creativity

While dealing with mental illness and traumatic brain injuries, he continued to write prolifically and successfully, winning the Nobel Prize for literature in 1954 for The Old Man and the Sea.

photos of Ernest Hemingway displayed at his Key West home

He wrote acclaimed novels, several of which became major movies. His personal life was not so successful; three of his four marriages ended in divorce.

Ernest Hemingway’s novels and movies 

(an affiliate link, if you use it, at no additional cost, this blog will earn funding.)

The challenge of mental illness

Mental illness often runs in families. Ernest’s father, Dr. Clarence Hemingway, a gynecologist, suffered from manic-depression and died by suicide.  Ernest and his siblings likely inherited it from their father.

2016-06-16 10.05.16

Sadly, it did not end with him. His granddaughter, Margaux Hemingway, a fashion model and actress, dealt with depression, alcoholism, and bulimia.

She died from an apparent intentional drug overdose at age 42.

Her sister Mariel reflected on her family’s troubled history in

Finding My Balance 

Finding My Balance

“A lonely life”

SOLITARYWRITER

Ernest Hemingway could not attend the ceremony to receive his Nobel Prize. He wrote a short speech which was read by John C. Cabot, the Ambassador to Sweden. In that speech he wrote, 

“Writing, at its best, is a lonely life. Organizations for writers palliate the writer’s loneliness but I doubt if they improve his writing. He grows in public stature as he sheds his loneliness and often his work deteriorates. For he does his work alone and if he is a good enough writer he must face eternity, or the lack of it, each day.”

HEMINGWAY'S STUDY-CHAOS AND CREATIVITY

Hemingway’s cats

At least 40 to 50 cats live on the grounds of the Hemingway House;  many of them are descendants of Ernest Hemingway’s cats. They live peaceful, serene lives, far different from the people who lived there long ago.

What you should know about suicide from the NIH: National Institute of Mental Health

  • Suicide is the tenth most common cause of death in the United States.
  • People may consider suicide when they are hopeless and can’t see any other solution to their problems.
  • Suicide may occur with  serious depression, alcohol or substance abuse, or a major stressful event.
  • People who have the highest risk of suicide are white men.
  • Women  and teens report more suicide attempts.
  • Therapy and medicines can help most people who have suicidal thoughts. Treating mental illnesses and substance abuse can reduce the risk of suicide.
  • If someone talks about suicide, you should take it seriously.
  • Urge them to get help from their doctor or the emergency room, or call the

National Suicide Prevention Lifeline at

1-800-273-TALK (8255).

It is available 24/7.

A psychiatrist, Dr. Melissa Welby says this about managing bipolar disorder(a form of chronic depression).

“A key to managing bipolar disorder is to recognize early relapse warning signs. Medication will minimize, but not eliminate, mood swings for many people coping with bipolar disorder. “

On her blog she offers offers these Keys to Coping with Bipolar Disorder

Understanding mental illness

I hope you will use the following links to resources to help you, your family, or anyone you know who does or may suffer from mental illness. There is help and most importantly, there is hope.

Warning signs of mental illness

“Major mental illnesses such as schizophrenia or bipolar disorder rarely appear “out of the blue.” Most often family, friends, teachers or individuals themselves begin to recognize small changes or a feeling that “something is not quite right” about their thinking, feelings or behavior before one of these illnesses appears in its full-blown form.”

Technology and the future of mental health treatment

“Excitement about the huge range of opportunities has led to a burst of app development. There are thousands of mental health apps available in iTunes and Android app stores, and the number is growing every year. However, this new technology frontier includes a lot of uncertainty. There is very little industry regulation and very little information on app effectiveness, which can lead consumers to wonder which apps they should trust.” (affiliate link used)

Suicide prevention

“The most important thing to remember about suicidal thoughts is that they are symptoms of a treatable illness associated with fluctuations in the body’s and brain’s chemistry. They are not character flaws or signs of personal weakness, nor are they conditions that will just go away on their own. “

sharing the HEART of health

Thanks for joining me to tour the unique home of Ernest Hemingway, using photos I took myself.

Please consider helping support this blog by using my affiliates. You’ll find links in the side bars, on the home page, and on the resource page.

Thank you for following  and sharing Watercress Words.

always exploring the HEART of health ,  Dr. Aletha 

man and woman with Key West visitor sign
My husband and I upon arriving in Key West, Florida the farthest south city in the U.S.A.