Menopause and perimenopause Archive

A drug holiday is one recommendation to reduce the risk of a rare bone condition that affects the jaw.

A dentist refers a woman to an oral surgeon because she needs a tooth pulled. But upon reviewing her chart, the oral surgeon turns her away.

The reason? She's taking a common medication to treat her osteoporosis, a condition that causes bones to become thin, brittle, and prone to fracture.

Ask the doctors

Q. I have endometriosis, and I recently heard that it might increase my risk of certain cancers. Is this true?

A. Researchers have linked endometriosis, an often painful condition that causes endometrial-like tissue to grow outside the uterus, to a higher risk of two types of ovarian cancer — endometrioid and clear-cell subtypes. That said, even though your risk of these cancers may be higher than that of the average woman who doesn't have endometriosis, your chances of developing one of these cancers is still very small — less than 1%.

People attempting to conceive through in vitro fertilization may face the question of what to do with extra embryos, especially if they reach a point where they feel their family is complete.

Q. I'm 61 and recently began to have a vaginal discharge. It's not itchy, but sexual intercourse is painful. My doctor diagnosed it as strep B vaginitis and prescribed amoxicillin, which helped. But the discharge returned within a week. What do you recommend?

A. Some vaginal discharge is normal. It helps to protect against vaginal infections and provides lubrication for the vaginal tissues. The discharge consists of vaginal skin cells, mucus, and fluid, as well as Candida (a type of yeast) and vaginal flora, the bacteria normally found in the vagina. Strep B, or group B streptococcus, is one possible constituent of the vaginal flora. Most of the time, vaginal flora and Candida co-exist peacefully. But a change in the balance and in vaginal pH (acidity) may result in vaginal inflammation, or vaginitis.

Ask the doctors

Q. I was recently diagnosed with a prolapsed bladder. The doctor said it could be due to too much exercise. I've been exercising for more than 40 years and wonder if this is more likely to be age-related. Should people worry about exercise causing this problem?

A. When the bladder drops down from the pelvis and protrudes into the vagina, it's said to be prolapsed. This condition, known as cystocele, is uncomfortable and can also cause urinary problems.