Pregnancy Archive

Stress can raise your risk of developing a substance use disorder. Here's how to get help when you need it.

In recent months, Americans' collective stress level has risen in response to the pandemic and economic fallout. Many people are looking for ways to help themselves feel better. Unfortunately, stress can trigger a number of unhealthy coping strategies — drinking alcohol to excess, bingeing on junk food, engaging in drug use, or other harmful behaviors. If you've ever had a substance use disorder, a bout of significant stress may even put your recovery at risk.

This is likely due to the shift the human brain makes in times of trauma. Instead of focusing on long-term goals, your brain zeroes in on short-term objectives.

There's no easy answer to this question. Rather, women should make the decision based on their individual needs.

Most women don't look forward to their routine mammogram, which can be uncomfortable and stressful. You may wonder: Is there an age when can you dispense with this regular chore? 75, 80, 85?

The truth is that experts haven't determined a magic age when women no longer need breast cancer screening — largely because scientific evidence in this area is lacking, says Dr. Kathryn Rexrode, associate professor of medicine at Harvard Medical School and chief of the Division of Women's Health at Brigham and Women's Hospital. But many experts also agree that continuing mammography might not be the right choice beyond age 75. The real question, they say, is what is the right age for you to stop based on your individual needs? To decide, you need to understand both the potential risks and benefits of breast cancer screening.

Many women making the transition to menopause have trouble sleeping. Several strategies can help you get the rest you need.

If you're a woman of a certain age and you often find yourself staring at the ceiling in the middle of the night, you're not alone. The years leading up to menopause and the period that immediately follows are the times that women are most likely to report problems sleeping, according to the National Sleep Foundation. Many different conditions that are common in this stage of life — including hot flashes, obstructive sleep apnea, and mood disorders such as depression or anxiety — can cause sleep problems.

Lack of sleep is more than just a nuisance. "We now understand that high-quality sleep is absolutely vital to good health," says Dr. JoAnn E. Manson, the Michael and Lee Bell Professor of Women's Health at Harvard Medical School. This means that seeking care should be a priority if you are experiencing problems.

Ask the doctors

Q. I have pelvic organ prolapse and I want to start working out. Are there exercises I should avoid?

A. Pelvic organ prolapse is a common problem, caused by a weakening of the bowl-shaped group of muscles and tissues that supports your pelvic organs. As this support fails, one or more of these organs — such as the uterus, bladder, or rectum — can shift out of place, typically pushing into (and sometimes protruding out of) the vagina.

Some routine or elective healthcare can safely wait a while, but putting off medical care for certain health conditions or potentially serious problems is risky.

Attempting to stand up from a seated position on the floor is a good way to assess your overall fitness. No problem? Do it regularly to track your physical health. Having difficulty? Try these exercises to help you improve your fitness.