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Now we’re cruisin’
- Guess what...
- Hormone therapy.
- Should you still see your gynecologist?
- Vaginal bleeding may be cause for concern.
Few over age 65 need to have continued screening tests for cervical cancer (hooray!). Depending on your history, your provider may recommend age-appropriate screening.
If you’re on HRT, talk to your provider about how that’s going for you. If you are still benefiting from it and have been taking hormones orally, your provider may want to discuss transitioning you to transdermal (through the skin). If you haven’t been on estrogen and are noticing more urogenital changes in your 60s and beyond, consider discussing vaginal estrogen with your provider.
If your gynecologist is helping to manage any type of HRT, you should continue to see them as recommended. If you’re not on hormone therapy and you’re not experiencing gynecological issues, you should see a primary care provider or internal medicine specialist for regular preventative health care visits. In the absence of factors that put you at higher risk, Medicare recommends a preventative pelvic and breast exam every two years–and we are happy to see you for that–or any time you’re experiencing a gynecological concern.
If you’re post-menopausal and experience vaginal bleeding, we want to talk to you right away. Call our office; we may have you talk to one of our advice nurses to help assess the situation.
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Read MoreOsteoporosis is the most common form of bone disease. It occurs when the body loses more bone than it makes, causes bones to become weak and break more easily. Risk factors for osteoporosis include age, gender, ethnicity and family history. You can reduce your risk of developing osteoporosis by:
The test for osteoporosis is called a DEXA scan, which uses dual energy x-ray absorptiometry to test your bone mineral density.
The bladder is a muscular sac located in the pelvis just above and behind the pubic bone. It stores urine as it is a produced by the body until we go to the bathroom and release it on purpose in a controlled way through the urethra and out of the body. Loss of bladder control is called urinary incontinence. Urinary incontinence can occur when the muscles of the bladder squeeze uncontrollably or when the muscles holding the bladder or opening to the urethra become weakened. Other types of bladder function problems can include bladder overflow and the retention of urine. There are a variety of ways we can help with urinary incontinence, so talk to your provider if this is an issue for you. Learn more about urinary incontinence.
Sometimes your risk of developing a disease–such as cancer, heart disease, or diabetes–is linked to family history or genetics. But there are often steps you can take to reduce your risk. (The fancy term for this is “modifiable risk factors.”) Examples of modifiable risk factors include not smoking, not drinking alcohol excessively, exercising regularly, eating a healthy diet, and controlling high blood pressure and cholesterol. Talk to your clinician about your health and family history and what you can do to minimize your risk.
Emotional health and wellbeing refers to our ability to cope with the stresses of everyday life in a positive way and recognize and manage negative emotions, like stress, anger and sadness. Emotional health is very important to physical health because when you’re not able to process negative emotions or manage stress, it can impact sleep or lead to unhealthy coping strategies—such as substance abuse, emotional eating, etc. If you’re having a hard time sleeping, your relationships are suffering or you’d like help finding healthier coping strategies, talk to your provider about a referral to one of our behavioral health specialists.
In the category of ‘what are you doing to take care of you…,” your provider may want to talk about what you’re doing to stay active physically. Exercise reduces your risk of stroke and heart disease, diabetes, osteoporosis and some types of cancer. It’s also been shown to improve cognitive function and mood. Don’t feel bad if you’re struggling! We can give you ideas for how to get more active that fit within your life.
This resource from the Oregon Medical Board provides more information on what to expect from various types of physical exams at the doctor's office, including how to advocate for your rights and what to know about medical chaperones.
A website to compare the cost of prescription medications.
A searchable database of current medical information for both patients and providers.
The website of the Centers for Disease Control and Prevention – this is a great resource for vaccination and disease screening and prevention recommendations.
A good resource for articles on sex after 40. Also includes various products, but this is not a specific endorsement of those.