There is a strange feeling that every kid has experienced: the flip-flop sensation of your stomach dropping while you careen down the descent of an enormous roller coaster; the sinking swoop of a high-speed elevator dropping to the ground floor. My children find it hiding along a rolling country road, driving to the lake in our jeep. With the top down and the sun shining, they shriek and beg for ...

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So, have you talked to your teenage daughter about sex? Have you really talked to her about sex? I’m not talking about the superficial birds and the bees conversation; I’m talking about using words like vagina, penis, and condom. Yes, those words! As an obstetrician-gynecologist and a mother of girls, I know the challenges that our daughters face as they navigate their teenage years. I know how critical it is to have real ...

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A study published in JAMA Dermatology regarding women’s pubic hair grooming practices has people abuzz. This cosmetic act needs a formal medical name because “clamscaping” just doesn’t work on grant applications. Although why the authors couldn’t go with hair removal, I don’t know. The study wasn’t about styling, it was about removal. The study even made it into the New York Times. And yes, my first ...

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It is 6:08 p.m. on a Monday night, and I am sitting in an unlocked patient exam room, my uneaten lunch opened in front of me, clicking through a patient’s chart, all to the constant whir of my breast pump. I last breastfed my infant at 6 a.m. this morning, and the discomfort in my chest has only amplified as the 12th hour has gone by without time to express ...

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In the last presidential debate, the conversation quickly turned to a subject that is divisive and controversial for many Americans: abortion. More specifically, the topic of late-term abortions. Considering both candidates got the facts on this very sensitive topic wrong, I thought clarifying a few key points might be helpful. When discussing this topic, Donald Trump said the following: “In the ninth month you can take the baby and rip the ...

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Her 17-year-old legs dangled over the edge of the exam table. She had come for a prescription of oral contraceptives. Her boyfriend, she said, had been patient. He wasn’t ready to be a father, and so they were waiting. But lately he had started to put the pressure on and asked her to come in. She wasn’t eager for this change in their relationship, but it seemed like the next ...

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Vaginal yeast infections are common, up to 75 percent of women will have at least one and 5 percent of women suffer from chronic yeast infections (meaning four or more a year). Many women out of frustration with allopathic medicine (preventing recurrent yeast infections can be challenging) or because of their beliefs turn to alternative medicine options. More and more I am hearing about vaginal garlic. The problem with many alternative ...

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A provocative new study from Denmark supports a link between hormonal contraceptive methods (like birth control pills) and depression. The association seems to be strongest for adolescent girls. Huge studies like this are based on huge datasets. In this case, the study relies on the Danish medical system’s longstanding penchant for meticulous and integrated medical records. You couldn’t do this kind of research in the USA, where medical records ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 26-year-old woman is evaluated during a routine examination. Her last Pap smear was performed 1 year ago and was normal. She has received a complete human papillomavirus (HPV) quadrivalent vaccine series. Medical history is unremarkable. Family history is noncontributory. She takes no medications. On physical examination, temperature is normal, blood pressure ...

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"I can't find the fetal heart tones." The nurse states with a tone of underlying panic as she exits the patient room. It's around 7 a.m., and those of us working the night shift are getting ready for morning sign out before we can head home and get some much-needed sleep after a crazy 14 hours shift. "Tessa, go scan her" the resident nods towards the ultrasound machine, and I cheerfully follow ...

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