Vaginal marijuana for menstrual cramps. Does it really work?
Foria wants you to know they are selling vaginal suppositories of THC (tetrahydrocannabinol) and CBD (cannabidiol) called Fiora Relief for menstrual cramps. Each suppository contains 60 mg of THC and 10 mg of CBD. Foria claims they can treat the pain of menstrual cramps and endometriosis. Is this possible? THC and cannabidiol (CBD) are compounds found in marijuana. The psychoactive (i.e., high) from marijuana is believed to be due to the THC, which can relax muscles and also cause euphoria and sedation as well as anxiety, paranoia, and dysphoria. Cannabidiol can stimulate receptors in the brain, reproductive, endocrine...
Source: Kevin, M.D. - Medical Weblog - February 11, 2016 Category: Journals (General) Authors: Tags: Meds OB/GYN Source Type: blogs

Hearing Echoes Today Of Two Powerful Moments Fifty Years Past
This year the months of June and July mark two milestone anniversaries in a history of all Americans’ quest for full and equal access to health care. Fifty years ago, on June 7, 1965, the United States Supreme Court ruled in the case Griswold v. Connecticut. The decision invalidated a nineteenth-century, Connecticut Comstock law which made “the use of any drug, medicinal article, or instrument for the purpose of preventing conception” illegal. The Court in a 7-2 decision held that this law violated a “right to marital privacy,” securing people against governmental intrusion and decriminalized contraception. Then ...
Source: Health Affairs Blog - July 30, 2015 Category: Health Management Authors: Sarah Dine Tags: Costs and Spending Equity and Disparities Featured Insurance and Coverage Long-term Services and Supports Medicaid and CHIP Medicare Population Health 1960s Griswold v. Connecticut King v. Burwell Medicare Medicaid 50th Anniversary Source Type: blogs

Funtabulously Frivolous Friday Five 110
Just when you thought your brain could unwind on a Friday, you realise that it would rather be challenged with some good old-fashioned medical trivia…introducing Funtabulously Frivolous Friday Five 110 Question 1 A young fit male is out surfing, as he moves through the white water at waist depth another surfer hits in his chest and he goes into cardiac arrest. The life guards successfully defibrillate the surfer after one shock and he comes to your department sat up on the bed talking. What condition has he suffered from? + Reveal the Funtabulous Answer expand(document.getElementById('ddet1713630974'));expand(documen...
Source: Life in the Fast Lane - July 16, 2015 Category: Emergency Medicine Authors: Neil Long Tags: Frivolous Friday Five cephalosporin Commotio Cordis digoxin FFFF Sardinia Sardonic smile Sister Mary Joseph nodule strychnine Van Gogh Source Type: blogs

Cancer is Not a Death Sentence
Life is Good! If you or a loved one has just gotten a cancer diagnosis, I want to reach out to you with this article to let you know you don’t have to be afraid. Of course you will be in the beginning. We are conditioned to fear cancer. But, I want you to know that you have enormous hope for a high quality, healthy, even long, life in your future if you want that and are willing to listen to the message from your body and take action to heal it. Let’s Face the Fear Factor First I realize that having “death” in the title is a little scary, but it’s true: Cancer is not your death sentence. Being born is. At birth...
Source: Life Learning Today - May 21, 2015 Category: Consumer Health News Authors: AgentSully Tags: Green Living Happy Healthy Living How To Solving Problems Spiritual alternative cancer cures alternative cancer healing Believe faith fear fear of cancer heal yourself healing cancer healing power love yourself Source Type: blogs

Endo Awareness
March is endometriosis awareness month.  According the CDC, endometriosis occurs “when the kind of tissue that normally lines the uterus grows somewhere else”.  In other words your uterine lining can grow on ovaries, it can wrap around your intestines and in some cases on parts of the body nowhere near the female reproductive organs, like in a few rare cases the lungs.  As serious as this sounds, unfortunately, many people have heard more about ovarian cancer (which is very serious) than endometriosis.  I, however, have known about this disease and the havoc it can wreak for my entire life. Growing up I used to pra...
Source: Disruptive Women in Health Care - March 16, 2015 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Advocacy Women's Health Source Type: blogs

A fifth operation and permanent menopause
Number of days since surgery: 13Pain level: manageableMood: relieved!It's been quite a while since I last wrote but, as usual, plenty has happened! I've been put into chemical menopause, taken out of chemical menopause, put back into chemical menopause again and now I'm recovering from yet more major surgery. And I'm finally in permanent menopause.Last April, as an attempt to control the high level of pain I was having, my oncology surgeon put me on a course of Prostap injections (you can read more about this in my previous blog post). His thinking was that by temporarily shutting down my remaining ovary he could s...
Source: Diary of a Cancer Patient - February 24, 2015 Category: Cancer & Oncology Source Type: blogs

10 natural ways to treat menstrual cramps, backed by evidence
Most women report some painful or discomfort with their period. However, some women have killer cramps (the medical term is severe dysmenorrhea) and for many of them life goes on a 3 to 5-day hold once a month. Period pain is due to release of a substance called prostaglandins from the lining of the uterus during menstruation. Prostaglandins help the uterus contract (cramp), which is one of the mechanisms used to clot the blood and eventually end the period.  Why do some women have more painful periods? Studies tell us some women make more prostaglandins, and most prostaglandins mean more pain. Medical conditions, such as...
Source: Kevin, M.D. - Medical Weblog - January 20, 2015 Category: Journals (General) Authors: Tags: Meds Medications OB/GYN Source Type: blogs

Vaccine Injury Stories: the Sacred Cows of the Internet?
When I first started looking into vaccines, I had no idea that an anti-vaccine movement even existed. I came across claims that the vaccines were toxic and dangerous; the diseases, it was claimed, were not. I have some background in science, so I was able to dismiss those claims as inaccurate, but I couldn’t help but be drawn in by tragic, angry and deeply personal stories from parents who claimed their children were harmed by vaccines. I dared not question them, but I still couldn’t understand… If vaccine injuries were occurring on a scale like this, why wasn’t anybody doing anything about  it?  And why wasn’t...
Source: Disruptive Women in Health Care - September 19, 2014 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Access Advocacy Publc Health Source Type: blogs

The do nothing consultation
The last few consultations I have done have been what I call “ do-nothing consultations “. This is when I tell the patient that they do not need my help in order to get pregnant  ; and that their best course of action would be continue trying in their bedroom. This might seem to be very unusual advice coming from an IVF specialist . Because I am a senior specialist, most patients come to me for a second ( and often third ) opinion , in order to have their tests and investigations reviewed by an expert. Often they have been advised surgery by a gynecologist or infertile specialist, and they need to make sure they a...
Source: The Patient's Doctor - August 18, 2014 Category: Obstetricians and Gynecologists Tags: Endometrial polyp Health In vitro fertilisation India Infertility Medical ultrasonography patient Uterus Source Type: blogs

Patient-centered care about more than just financial gains
by Thomas Dahlborg This week my intention was to follow up my recent post highlighting kindness, compassion and patient-centered care with additional positive signs of a healthcare transformation where patients and families are engaged, care teams are healthy and whole and positioned to honor their patients, and patient preferences, patient safety and healthcare outcomes are all being optimized. And then two things happened. The first was a discussion within the Robert Wood Johnson Foundation (RWFJ) Leadership Network LinkedIn forum. I asked a question relative to patient engagement, tools, lessons learned and best prac...
Source: hospital impact - August 3, 2014 Category: Health Managers Authors: Wendy Johnson Source Type: blogs

Infertile Patient query - IUI versus laparoscopy ?
Hi, Dr Malpani. I have been reading your blog and have found it to be very helpful. My husband and I have started infertility treatments and options. Briefly, this is what has happened: -We have been trying for a year naturally (both 29 years old) -Did blood work to check all hormonal levels and everything is normal -Husband did semen analysis and that is better than normal -PCT was done twice (wish I had known this is kind of outdated and most doctors don't do this but oh well, what is done is done!) and both showed that sperm were not swimming like they should at all -Doctor/OBGYN had recommended using mucinex but cervic...
Source: The Patient's Doctor - July 15, 2014 Category: Obstetricians and Gynecologists Tags: Artificial insemination Dr Malpani endometriosis In vitro fertilisation Infertility Invasiveness of surgical procedures laparoscopy Surgery Source Type: blogs

Pain management and a chemical menopause
Current CA125 level: 11Current pain level: highMood: weary and uncertainThings have been on a bit of a roller coaster since I last wrote. Everything had been starting to get better since the hysterectomy last July and I was starting to feel physically stronger. Then a few months ago the pain came back and it's been getting worse ever since.I've always had some residual abdominal pain since the hysterectomy but day-to-day things had started to become a bit easier, like walking Molly to school and carrying Tess around. I got to Christmas feeling positive about the future and hopeful that hospital admissions were fina...
Source: Diary of a Cancer Patient - April 1, 2014 Category: Cancer Source Type: blogs

Endometriosis: resources
March is National Endometriosis Awareness Month.  Endometriosis is a condition that occurs when tissue from the the lining of a woman’s uterus to grow on other organs and structures of the body, often causing pain and infertility.  More than 5 million women in the U.S. have endometriosis, making it one of the most common health issues among women in their 30s and 40s. MedlinePlus has links to resources on diagnosis, treatment and research: http://1.usa.gov/1gQJMnv (Source: BHIC)
Source: BHIC - March 31, 2014 Category: Databases & Libraries Authors: Kate Flewelling Tags: General Websites Source Type: blogs

The Infertile woman with Pelvic Pain
Pelvic pain and infertility are both common complaints in young women of reproductive age. Since they are both so common, many patients will have both pelvic pain and infertility.  There are various conditions which can cause these symptoms, including  endometriosis and pelvic inflammatory disease ( PID). Each of these needs a different line of treatment.When a patient comes to me with these complaints, then it becomes imperative to decide what to treat first.  For most patients, getting pregnant takes priority. The beauty is that getting pregnant will automatically take care of the pain as well ! Tackling t...
Source: The Patient's Doctor - March 8, 2014 Category: Obstetricians and Gynecologists Source Type: blogs

Violet Petal's Endometriosis Medical Trial
This is a first-person narrative of what it is like to go through a medical clinical trial for endometriosis.Contributor: Allison MurphyPublished: Mar 06, 2014 (Source: Most Recent Health Wellness - Associated Content)
Source: Most Recent Health Wellness - Associated Content - March 6, 2014 Category: Other Conditions Source Type: blogs