Painful sex (dyspareunia) after surgical menopause
The post Painful sex (dyspareunia) after surgical menopause appeared first on Hysterectomy Association. A surgical menopause is one caused when a woman has her ovaries removed. It can also refer to a menopause triggered following a hysterectomy that has left her ovaries in place. There are many menopausal symptoms and some, like the hot flush, are often easier to deal with than others. Perhaps the hardest ones to overcome though are those that affect our sexual well-being and these include things like vaginal dryness or loss of libido. In this article we’re going to explore issues around painful sex because for some women libido diminishes because they start to find sex painful, so dealing with that can often sort things out in the desire department. There are two types of painful sex, also known as dyspareunia; the first is associated with sexual entry and the second is a much deeper pain that occurs when your partner thrusts into the vagina. The causes of both of these can vary and include things that concern all women, regardless of whether they have had surgery or not, and others that might be associated with the menopause and/or surgery. Entry pain The most common reason for painful sex in women who have had a hysterectomy and/or gone through the menopause is insufficient lubrication. This can be caused by falling oestrogen levels or with a lack of foreplay and it’s important to remember that you need less foreplay the younger you are and more as you get olde...
Conclusions: MGCE is safe, convenient, and tolerable for evaluating the gastric cavity and small intestine in pediatric patients. MGCE can effectively diagnose pediatric patients with abdominal pain. PMID: 31205466 [PubMed]
ConclusionIs convenient to consider a medication induced AP in patients without clear causative agent, such as the VA case presented. An etiological diagnosis algorithm of exclusion is proposed, for an adequate therapeutic approach in medication induced PNH. Algorithm validation is required.
I received a call the other day from someone supposedly at the social security administration asking for medical records for one of my patients who filed for disability. What's particularly eye raising is that I had finished seeing this patient for the first time earlier that same day. I was informed that every state has a set fee that a medical practice can charge for sending medical records for disability determinations. Is that true? I have never heard of that before. What is a fair... charging for disability forms and medical records
For NSG residency applications, does it help to have research outside of neurosurgery field (publications in neurology or psychiatry journals)? Or, does it have to be on neurosurgery research? Also, what about basic neuroscience research that is not directly relevant to neurosurgery and is more relevant to psychiatric field (for example, circuits governing thirst/hunger/depression/anxiety/etc)? Would these help as well? Thank you.
Postpartum depression (PPD) affects up to 20% of American mothers and, if left untreated, can have serious, lifelong effects on women and their children. The American Academy of Pediatrics recommends that pediatric practices screen for PPD at the 1-, 2-, 4-, and 6-month well-child checks; however, few pediatric practices oblige.
Suicides among teens have especially spiked, with an annual percentage change of 10% between 2014 and 2017 for 15- to 19-year-olds, researchers said.
ConclusionspwTNMS have a more intractable TN, one which may necessitate a more complex approach to treatment, earlier referral to secondary care and an extensive assessment of mental health. Quality of life in pwTNMS is severely affected by both their MS and their TN, suggesting management should occur in specialist centres with access to a multidisciplinary team.
Publication date: Available online 17 June 2019Source: Brain, Behavior, and ImmunityAuthor(s): Roman Fischer, Tanja Padutsch, Valerie Bracchi-Ricard, Kayla L. Murphy, George.F. Martinez, Niky Delguercio, Nicholas Elmer, Maksim Sendetski, Ricarda Diem, Ulrich L.M. Eisel, Richard J. Smeyne, Roland E. Kontermann, Klaus Pfizenmaier, John R. BetheaAbstractTumor necrosis factor receptor 2 (TNFR2) is a transmembrane receptor that promotes immune modulation and tissue regeneration and is recognized as a potential therapeutic target for multiple sclerosis (MS). However, TNFR2 also contributes to T effector cell function and macroph...
The rate at which young Americans took their own lives reached a high-water mark in 2017, driven by asharp rise in suicides among older teenage boys, according to new research.In that year alone, suicide claimed the lives of 5,016 males and 1,225 females between 15 and 24 in the United States,...
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