Why Testing for Thrombophilia Before Using Birth Control Is Important

Raquel Goldstein, RPA-C, MS, is a physician assistant at Dr. Polcino’s office. Today she speaks about thrombophilia’s effect on a woman using birth control. Since about 10% of women will carry thrombophilia, it is important to be informed about this genetic trait and what is recommended if it is identified. My vimeo channel: vimeo.com/channels/drpolcino Web: dr-polcino.com Facebook: facebook.com/DrPolcino Twitter: twitter.com/DrPolcino

Herpes Information Made Simple

…..A few times a week a new case of genital herpes presents to my office, and the patient always experiences great psychological and physical pain and stress.  The classic presentation of HSV (herpes simplex virus) is a painful group of vesicles and ulcers. …..The infections are classified as primary, non-primary first episode, or recurrent.  The primary…

A New Birth Control Option That May Suit You

…..Earlier this year, the FDA approved a new IUD (intrauterine device) for the first time in over 10 years.  It is marketed under the name Skyla, and it is a hormone-releasing system similar to another FDA approved IUD.  However, it uses a lower amount of hormone called levonorgestrel, which is a synthetic progesterone, and it…

A New Medication to Help a Painful Menopausal Symptom

…..In February 2013, the FDA (Food and Drug Administration) of the US approved a new drug for the treatment of dyspareunia (painful sexual relations), caused by the thinning of the vulva and vaginal tissues in the menopausal time of life.  The drug is called Osphena (ospemifene), and it acts as a tissue selective estrogen protagonist…

What Factors Place Adolescents at an Increased Risk of Developing STIs?

…..Young women are at a high risk of acquiring STIs (sexually transmitted infections) and of developing the serious complications of untreated chlamydial and gonococcal infections.  Almost half of all STIs occur in teenagers and young adults between the ages of 15 and 25.  Physical and behavioral factors place the sexually active teenager at an increased…

Emergency Contraception – Continuing the Conversation

…..The side effects of these treatments include nausea and vomiting along with irregular vaginal bleeding.  Some patients will complain of breast tenderness, abdominal pain, dizziness, and headaches. …..These types of emergency contraception have been used successfully when initiated up to 72 hours after intercourse.  This was the findings with the initial studies.  However, more recent findings indicate…

What’s Emergency Contraception All About?

…..Let us get back to our discussion of emergency contraception.  The research on emergency contraception began in the 1960s, and the first treatment protocols arrived in 1974. …..The two most common protocols are the progesterone only pill (Plan B) and the estrogen and progesterone pills.  Plan B consists of only one pill, and the second regime…

The Availability of Emergency Contraception

…..With the mornings crisp and clear, it is certain that fall is in full swing.  As I have mentioned before, since my life has always revolved around the school year, this is my time for new projects.  Our anti-aging/bioidentical hormone program is being updated, and the new treatment options are becoming available for our practice…