Category: Women’s Health

How to sleep better on your period

 

Sleep_woman

Now that Spring Break is over and the end of the semester is approaching faster than any of us would like, I know that I need to get as much sleep as possible to keep my mind fresh and make it through each overscheduled day. I’ve noticed lately that the week before my period starts that I lie awake and review my growing to-do list over and over again and get a really restless night of sleep. Thirty percent of women reported that their sleep was disturbed during their period and 23% reported that their sleep was disturbed in the week before their period started.

Why do our periods give us insomnia when we would give anything to fall asleep quickly and get some good rest?

  • Your body temperature rises over the course of your menstrual cycle and can make it hard to sleep. An evening drop in temperature is what helps our bodies feel sleepy.
  • Mood swings can make you feel anxious or depressed.
  • Stomach issues, cramps, or headaches can make it hard to sleep.
  • Your cycle does cause insomnia. The drop in progesterone levels is likely a cause as progesterone has a mild sedative effect.

How to fix this

  • Make sure your bedroom is cooled to an optimal temperature.
  • Try deep breathing, meditation, or yoga to relax and de-stress before bedtime.
  • Eat a snack that is kind to your stomach before bed.
  • Take an ibuprofen or other pain reliever right before bed.
  • Avoid caffeine for several hours before bed.
  • Keep a period log that includes your sleep patterns in order to be prepared for your next cycle or to show your doctor at your next appointment.
  • Use a hormonal form of birth control to reduce the fluctuation in estrogen and progesterone. In addition to all of the other benefits of hormonal birth control, it can also help you sleep!

Breaking Rural Health Barriers

For those of us that are fortunate to live near hospitals and primary care clinics, that question of rural vs. urban care is unlikely to even cross our minds. But for those living in remote locations, lack of access is a common issue. Unfortunately, what many of us take for granted is another person’s struggle, especially if they are plagued with chronic conditions, such as asthma or diabetes. And in many cases, most folks in this situation often go without treatment.

The National Rural Health Association reports that while a quarter of the U.S. population lives in rural areas, only one-tenth of our nation’s physicians choose to practice in these areas. And while only a third of automobile crashes occur in rural locations, two-thirds of deaths attributed to those accidents occur on rural roads, indicating a shortage in acute trauma care.

These figures certainly give rise to the need for increased access to care within rural communities. Another factor that contributes to this issue is that Medicare reimburses rural hospitals at a lower rate than urban hospitals, resulting in fewer physicians choosing to practice in such locations. Over the last 25 years, nearly 500 hospitals have closed, many of which were located in rural communities.

Fortunately, this is the age of digital know-how. Technology is king, and health care is one of the leading industries taking advantage of such innovation and wisdom. General Electric (GE) is doing its part to improve women’s health in remote areas like Wyoming, where the average woman has to commute 70 miles just to receive a mammogram.

In 2014, the company started the GE healthymagination program, to expedite cancer innovation and improve cancer care to 10 million patients, over the next six years (until 2020). One of the program’s most influential aspects is the GE Mammovan, equipped with mammography technology to provide free mammograms to all women living in remote areas.

GE chose to pilot the program in Wyoming, which has the lowest number of citizens and lowest population density (after Alaska). Many of the women using the van cited it was their first time having ever received a mammogram, stating that travel time or insurance requirements had precluded them from being screened for breast cancer. GE’s website reports that because of Wyoming’s uneven population distribution, a third of women living in that state over age 40 never receive a mammogram.

Since nearly two years ago, the mobile unit has traveled throughout the state, setting up in locations where women can receive a mammogram within an hour, allowing them to avoid the hassles of taking off from work and/or driving long distances. In many ways, the van serves a dual purpose—by eliminating the barriers rural residents previously faced and improving access to preventative care. By detecting breast cancer as early as possible saves the health care industry billions and ultimately, saves lives.

While North Carolina isn’t as rural as Wyoming, you might be surprised to learn that 85 percent of our state’s counties are, in fact, considered to be rural. And with nearly 2 million people receiving Medicaid, access to care is certainly an issue of interest among health care workers and lawmakers. And while mobile units are pricey to create and maintain, the progress the GE Mammovan has made in Wyoming is a good example of how health information technology can work to address some of our most pressing issues that impede quality health for everyone.

To Celebrate Women’s History Month, Protect Reproductive Rights

Reproductive rights

March is Women’s History Month! This month, it is important to remember the past contributions of inspiring women, but it is also important to think about how events taking place right now be remembered during Women’s History Months in the future.

As you may know, on March 2, Whole Woman’s Health vs. Hellerstedt was argued in front of the Supreme Court. The case focuses on a Texas law that is designed to shut down more than 75% of women’s health clinics that provide abortion services in the state. This case will set the precedent on whether or not safe abortion care will be accessible to individuals throughout the United States. While Texas is at the center of the Supreme Court right now, 17 states in 2015 alone passed more than 50 abortion restrictions known as TRAP laws, and 11 states cut funding to Planned Parenthood. These TRAP laws have been enacted under the guise of “protecting women’s health,” but these laws have mostly placed an additional burden on already vulnerable women and also cut access to family planning clinics and services.

In February, Guttmacher released that the US abortion rate had declined to 16.9 abortions per 1,000 women from the 1981 peak of 29.3 per 1,000 women. An even more recent study from Guttmacher was just released that demonstrates that the unintended pregnancy rate was reduced by 18% between 2008 and 2011, which is the lowest it has been in 30 years. Additionally, 40% of unintended pregnancies in 2011 ended in aborted compared with 40% in 2008. While the abortion rates remained the same, the number of abortions has declined. These two recent studies demonstrate that the decrease in the abortion rate is attributable to the decrease in unintended pregnancies and not restrictions on abortion access.

If you’re interested learning more and haven’t already seen the video, check out John Oliver talking about this very issue. If you are passionate about this issue learn how to join the conversation on social media to support the Center for Reproductive Rights.

Is an IUD right for me?

IUD

I avoided getting an IUD for years because my provider had never told me it was an option for younger women and because of all the negative rumors I had heard about them. When I finally decided to get one after doing research, and talking to my provider, my friends and family had lots of questions for me, mostly because there are so many myths and misconceptions surrounding them.

Many of the negative facts about the IUD that you may hear are talking about the Dalkon Shield that was on the market in the 1970’s and not the Mirena and Paragard IUDs that are available today. Also, the people I talked to thought that I wasn’t eligible to get an IUD since I haven’t had children yet, but that is definitely not true! Many of the concerns about IUDs for young women are tied to the fact that IUDs don’t protect against STIs and that infection can occur if you have an activgetting e and untreated STI when the IUD is inserted. Your provider will give you an STI test before insertion to be sure that you don’t have an STI and will recommend using condoms to protect against future infection.

IUDs can last up to 6 years for the hormonal options and up to 12 years for the non-hormonal IUD, but there is no minimum requirement for how long that you need to keep using it. All you need to do when you don’t want your IUD anymore is call your doctor and make an appointment to have it removed. While using IUDs only 0.05-0.8% of women experience unintended pregnancies compared to 9% of women who use the pill and 18% of women who rely on condoms. The best part is that after IUD insertion, users don’t have to remember to do anything to prevent pregnancy. I know that I definitely don’t miss remembering to take my pill every day.

IUDs aren’t for everyone, but are an option that should be considered if you are looking to start using a contraceptive method or want to change methods. Check out this step-by-step guide from Bedsider for more information.

What Contraceptive Method is Right for You?

Plaquettes_de_pilule

Have you been meaning to start using a contraceptive method, but can’t choose? Or is your current method not working for you? These days it seems like there are too many methods to choose from. Use the Bedsider Method Explorer to learn more about all of the options available to you. You can filter methods by categories to find out which contraceptive method is right for your lifestyle.

If you don’t know much about contraceptive methods, now is the time to learn! According to Guttmacher, knowledge about contraceptive methods is a strong predictor of use among young adults. A 2012 study among unmarried women aged 18–29 found that for each correct response on a contraceptive knowledge scale, women’s odds of currently using a hormonal or long-acting reversible method increased by 17%, and their odds of using no method decreased by 17%.

Remember that only you can decide the best option for you. If you have a partner, you can include them in the conversation, but ultimately this is your choice.

If you’ve chosen a method that requires a prescription or insertion, make an appointment with your doctor to talk about next steps! If you’re still confused, make an appointment with your doctor to ask lots of questions and get more information.

What’s the Deal with the Tampon Tax?

Tampon

It’s taboo in our society to talk about our periods. On top of that, in 40 states tampons are taxed as luxury goods. In July 2015, Canada became the first country to eliminate the tampon tax, and now there is momentum in the United States to do the same.

So what’s happening exactly? Tampons and other feminine hygiene products are not considered necessity items by state governments and are subject to sales tax. Items considered necessity items and exempt from sales tax include groceries, medical purchases (like prescriptions), and food stamp purchases. Maryland, Massachusetts, Pennsylvania, Minnesota and New Jersey have actively chosen not to tax tampons, and the five other states that don’t tax tampon purchases don’t have sales tax.

A measure was recently proposed in California to make feminine hygiene products exempt from sales tax in the state and classify tampons and other products as medical necessities. California currently collects $20 million annually from sales tax on tampons and other products and estimates that women spend an average of $7 per month for 40 years on these products.

Getting your period is not a choice and is a necessary part of life. This tax is not insignificant to women, especially poor women. Tampons are not a luxury, and hopefully more states follow in California’s footsteps.

Maternal Death [Infographic]

maternal infographic

GUEST BLOGGER: Sophia Bernazzani

One of the United Nations Millennium Development Goals, established in 2000, calls for an improvement in maternal health, which is measured by the the number of maternal deaths. Maternal death is typically attributed to a lack of accessible and affordable prenatal care and unattended births in areas where medical birthing professionals are few and far between. However, improving the maternal death rate in countries with advanced health systems is still challenging, especially in the United States. For example, the United States spends more on hospitalization for pregnancy and childbirth than any other country, but the rate at which women are dying due to pregnancy or birth-related complications continues to rise. Nursing@Georgetown created an infographic to illustrate what causes maternal death and how it can be prevented, both in the United States and globally. Tragically, by the time you’ve finished reading it, another woman will have lost her life due to complications from pregnancy or childbirth.

The Truth About Indoor Tanning [Infographic]

GUEST BLOGGER: Fiona Erickson

indoor tanning.pngDespite the known health risks of UV overexposure, a surprising number of people still seek out tanning beds once summer fades away. In a 2010 survey, 5.6% of adults reported using indoor tanning services during the previous year.
Changing minds about indoor tanning starts with the facts. The most basic fact of all: Whether from the sun or an artificial source, UV rays are the cause of most skin cancers as well as long-term skin damage. Below are more facts:

Indoor tanning increases the likelihood of melanoma in young adults.
Use of a tanning bed is associated with a 20% higher risk of developing melanoma skin cancer (1). Indoor tanning before the age of 35 increases this risk by 87%.

Men are also at risk—even more so than women.
One study found that 39% of males under age 40 reported using indoor tanning during their lifetime (2). Men have the highest risk for skin cancer due to many factors, such as more time spent outdoors and failure to get routine screenings.

Having a “base” tan does not prevent sunburn.
A recent study confirmed that tanning via an artificial UV source does not prevent sunburn. In fact, indoor tanning was linked with a slight increase in risk (3).

It’s critical that we continue to spread awareness of indoor tanning dangers—through advocacy, policy making, and face-to-face dialogue. Health care practitioners in particular have the opportunity to play a key role in helping young adults lower their risk of cancer and maximize their chances of a healthy future.

For some eye-opening tanning statistics, check out our infographic.


 

1 Boniol et al. “Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis.” BMJ, 345:e4757 (2012): 1–12. Print.
2 Blashill et al. “Indoor Tanning Use Among Adolescent Males: The Role of Perceived Weight and Bullying.” Annals of Behavioral Medicine, 46 (2013): 232–236. Print.
3 Dennis, Leslie K. et al. “Does artificial UV use prior to spring break protect students from sunburns during spring break?” Photodermatology, Photoimmunology & Photomedicine, (2013): 29, 140–148. Print.

5 Gaps in Clinical Preventive Services for Women

The U.S. Preventive Services Task Force (USPSTF) recently released its fifth annual report to Congress on high-priority evidence gaps for clinical preventive services. This report is a requirement of The Patient Protection and Affordable Care Act, Sec. 4003 (F):

“The submission of yearly reports to Congress and related agencies identifying gaps in research such as preventive services that receive an insufficient evidence statement, and recommending priority areas that deserve further examination, including areas related to populations and age groups not adequately addressed by current recommendations.”

The USPSTF does not conduct it’s own research, but reviews existing peer-reviewed evidence to make these recommendations. These recommendations are not based on costs or insurance coverage decisions. For more information on the Task Force process for making recommendations, please see the full report here.

The five gaps the Task Force identified the following as areas in need of improvement:

  1. Screening for Intimate Partner Violence, Illicit Drug Use, and Mental Health Conditions
  2. Screening for Thyroid Dysfunction
  3. Screening for Vitamin D Deficiency, Vitamin D and Calcium Supplementation to Prevent Fractures, and Screening for Osteoporosis
  4. Screening for Cancer
  5. Implementing Clinical Preventive Services

 

Yoga Poses Shown to Be Safe During Pregnancy

Many mothers-to-be may not consider yoga — or at least certain yoga positions — to be healthy during pregnancy, but recent research seems to have provided evidence to the contrary.

A gynecologist in Lexington, Ky., was having difficulty finding any previous evidence of studies that looked at the impact of yoga on the fetus, so she decided to conduct her own.

Dr. Rachel Polis, at Kosair Children’s Hospital, started with 25 healthy pregnant women, each in their third trimester, and held a one-on-one yoga class that included 26 poses that involved standing, twisting, and stretching. They even tried poses some yoga instructors have advised pregnant women to avoid, such as downward-facing dog, the corpse pose, and the happy baby pose. Women are usually told to lie on their sides—not their backs—during pregnancy, particularly during the final stages.

To determine if these poses (as well as others) affected the fetus, women were placed on continuous fetal monitoring throughout the class. Results showed the women responded well to the yoga — vital signs all remained within normal ranges and fetal heart rate remained normal for all 26 poses. After a 24-hour follow-up, none of the women reported decreased fetal movement, contractions, leakage, or vaginal bleeding.

The results were published recently in Obstetrics & Gynecology, and although they are preliminary, they do demonstrate that healthy women in their third trimesters of pregnancy can tolerate yoga with no adverse changes to mom or baby.

Of course, women should be evaluated by their OB/GYN first before rolling out their yoga mat. Namaste.

 

photo credit: popsugar.com