Women's Health Archive

Lifestyle changes may not always be enough to control biologically driven body changes.

You spend hours in the gym every day. You eat nothing but grilled chicken, fish, and salads. Yet the numbers on the scale don't budge — or worse, they slowly creep up, along with your waist measurement.

Welcome to menopause.

"The change" actually does bring changes for many women, including weight gain that can resist even the most diligent efforts to reverse it, says Dr. Fatima Cody Stanford, instructor in medicine at Harvard Medical School.

Human papilloma virus (HPV) causes about 40,000 cases of cancer every year. A long-term study of the HPV vaccine finds it offers protection against many strains of the virus, yet many teens haven’t had this safe, effective vaccine.

There are several treatment options for kidney stones. Which is best for you may depend on size and number of stones and their location in the kidney. Imaging and blood tests can help your doctor determine the right course of treatment.

Osteoporosis affects 10 million people in the United States, the majority of them women. Romosozumab is a new type of medication for treating osteoporosis that offers another treatment option for some women after menopause.

If you’re trying to take 10,000 steps a day, it can be discouraging to miss that well-known target. But why is 10,000 steps the goal? And is it really necessary to take that many steps every day?

The discomfort and potential embarrassment of urinary incontinence keeps many people from the activities they enjoy, but some simple behavioral changes can improve bladder control.

Ask the doctors

Q. I was recently diagnosed with a uterine fibroid. My doctor told me that the type I have is called a submucosal fibroid. What does this mean?

A. Uterine fibroids are common, affecting some 70% or more women. Doctors describe fibroids based on where in the uterus they are growing. There are three main types:

Ask the doctors

Q. I am 89 years old, and several months ago I was plagued by frequent urinary tract infections. The infections were treated, but is there anything I can do to avoid experiencing this problem again?

A. Urinary tract infections, or UTIs, are common infections that can occur when urine pools in the bladder and bacteria start to grow. These infections can be more common in older women for several reasons, including thinning of vaginal tissue, pelvic organ prolapse, incontinence, or difficulty with emptying the bladder completely. In addition, estrogen helps to maintain a healthy balance of bacteria in the vagina, which can protect against UTIs. But this natural protection may wane when estrogen levels drop after menopause. One of the best ways to prevent UTIs is to stay hydrated by drinking plenty of water. This flushes out potentially harmful bacteria before it can cause a problem. You'll know you are drinking enough if your urine looks clear or light yellow. Some other strategies include fully emptying your bladder when urinating, urinating after sexual intercourse, and wiping from front to back after using the toilet. Also talk to your doctor about replacing estrogen in the vagina with a cream, tablet, or vaginal insert. Your doctor may also want to examine you for pelvic organ prolapse.

The FDA may require mammography facilities to notify patients about this breast cancer risk factor, but women don't know what to do with this information.

Do you know how dense your breasts are? If you don't, a new proposal by the FDA may mean you will soon find out.

The agency proposed a change that, if approved, will require mammography facilities to send letters informing women about their breast density — a measure of the proportion of active tissue versus fat in their breasts (see "The FDA proposal").

Research we're watching

Transvaginal mesh, which has been used in transvaginal pelvic organ prolapse procedures since the 1990s, can no longer be sold in the United States because of concerns over safety and efficacy, according to the FDA. The number of women reporting problems related to these mesh products has grown over the past several years. The FDA said it made the decision because the companies that manufacture the mesh couldn't demonstrate that surgical procedures with their products work better than those without the mesh. They also failed to submit evidence that the mesh is safe and effective over the long term, said the FDA.

Women who have had procedures using mesh and are experiencing complications such as groin pain, persistent vaginal bleeding, pain during sex, or vaginal discharge should notify their doctor. Women who had procedures using mesh but aren't having any issues don't need to take any action aside from having their usual check-ups, said the FDA.