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Women who start or restart combined hormone therapy (HT) or estrogen therapy alone about 15 years after menopause are at greater risk for cardiovascular disease and venous thromboembolism, at least during the first few years of treatment.

It seems a Thai herb that is a relative of the soybean causes estrogen-like effects on vaginal tissue, including alleviating vaginal dryness and dyspareunia, improving vaginal atrophy, and restoring the atrophic vaginal epithelium in healthy postmenopausal women.

Q: A request for Information about Premenopause osteoporosis. I am a 31 year old woman and after the birth of my second child 4 months ago have had back pain. After an x-ray that showed a collapse in one part of my spine, I was sent for a bone density test. At the test they took my height and I was 2 inches shorter. I'm looking for information on pre menopause osteoporosis and can find very little. I would like to be informed on what can be done to help me before I go over my test results with my doctor and to better understand my options. Can you help?

If your patient is in an at-risk group according to the guidelines of the US Preventive Services Task Force, she should be referred for genetic counseling and be considered for testing.

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The latest in medical products for obstetrics and gynecology.

Clomiphene is still the first choice to treat infertility and the gold standard for women with PCOS, argues this expert. He critiques research that suggests metformin is superior and discusses the reason two key trials yielded such starkly different results.

It goes without saying that expedient recognition of a rare condition, in and of itself, does not necessarily guarantee a favorable outcome. In situations where a physician exercises questionable judgment and the outcome is less than favorable, however, the door is open for second-guessers and an increased potential for litigation.