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Contraception and birth control Archive

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Is male menopause real?

In general, men don't really go through "menopause" because testosterone levels slowly decline over many decades. Symptoms such as low energy and decreased sex drive can sometimes be related to low testosterone levels that may improve with replacement therapy.

Polycystic ovarian syndrome and the skin

Polycystic ovary syndrome is the most common cause of infertility in women. In many cases, women with PCOS have skin and hair issues such as acne, hair loss, or excessive hair growth in places where they normally do not have hair. Treatment options vary depending on the symptoms and each woman's preferences.

Is this normal?

Vaginal discharge can change with age. Here's how to spot signs of a problem that might warrant a trip to the doctor.

Vaginal discharge and bleeding can change during different stages of life, and what's typical for you might not be typical for your sister, your daughter, or your friend. "When it comes to vaginal discharge, a wide range of 'normal' can be considered," says Dr. Kristin Hung, instructor in obstetrics, gynecology, and reproductive biology at Harvard Medical School.

Not only is there natural variation between women, but what's normal for your own body may also change over time. So how can you tell when something is wrong, or if the changes you're noticing are just the result of aging or hormonal shifts? "Typically, most women know their own bodies, and anything new, unusual, or persistent is a reason to seek evaluation," says Dr. Hung. That said, she adds, there are some changes that are pretty typical and others that might warrant a little more scrutiny through a visit to your doctor. Here's how to tell the difference.

Can some postmenopausal women with breast cancer skip chemotherapy?

Advances in breast cancer research have led to more personalized treatments, based on subtyping and more sophisticated testing. A risk assessment test can predict that some women do not need chemotherapy but will benefit from hormone therapy, and who might benefit more from both treatments.

Women, alcohol, and COVID-19

Excessive alcohol use is a common response to coping with stress, but the physical, mental, and emotional impacts of the COVID-19 pandemic have had a disproportionate effect on women. There are medical and psychiatric consequences of increased alcohol use that women need to be aware of.

An emerging treatment option for men with recurring prostate cancer after radiation therapy

Prostate cancer is often a multifocal disease, meaning that several tumors can be present in different parts of gland at the same time. Not all of these tumors are equally problematic, however. And it’s increasingly thought that the tumor with the most aggressive features — called the index lesion — dictates how a man’s cancer […]

Should I continue PSA screening for prostate cancer?

On call

Q. I am 74 years old and unsure whether I want to continue with PSA screening for prostate cancer. Before deciding, I wanted to better understand my options since I probably would not want surgery or radiation therapy if I do have prostate cancer. What is your approach?

A. No matter what your age, men should ask themselves these types of questions before having a blood test for PSA (prostate-specific antigen) to look for hidden prostate cancer.

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