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Women's Healthcare of Princeton
United States
เข้าร่วมเมื่อ 12 เม.ย. 2016
Women’s Healthcare of Princeton (WHP) is a nationally respected gynecology practice in Princeton, New Jersey that serves women of all ages. Under the direction of Dr. Maria Sophocles, a leader and innovator in vulvovaginal health and female sexual medicine, Women’s Healthcare of Princeton is dedicated to providing quality healthcare in a compassionate and nurturing environment.
The entire team at Women’s Healthcare of Princeton recognizes that women’s health care is a very personal experience and that choosing a provider who can relate to your needs is very important. That’s why your clinician will apply their expertise and experience in an open-minded way to the individual health needs of every patient they see. As Dr. Sophocles says, “A patient’s trust begins when she senses you care.”
Dr. Sophocles and her team of highly trained providers offer a complete menu of gynecological services.
The entire team at Women’s Healthcare of Princeton recognizes that women’s health care is a very personal experience and that choosing a provider who can relate to your needs is very important. That’s why your clinician will apply their expertise and experience in an open-minded way to the individual health needs of every patient they see. As Dr. Sophocles says, “A patient’s trust begins when she senses you care.”
Dr. Sophocles and her team of highly trained providers offer a complete menu of gynecological services.
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What of levofloxacin one time my doctor prescribed and now when I get recurrent uti I take it is it ok cause I get recurrent after sex every one week and am worried and I use condom always I thought condom was supposed to help
I have been having recurring UTI for the past few months. I asked my GP to find something to stop this recurring. He has prescribed nitrofuranton taking 4 tablets a day. He has also prescribed hiprex 2 tablets per day. I am insulin dependant type 2 diabetes. I am also diagnosed with Parkinson’s Disease. I’m an Australian resident.
I have had utis for 45 years no real help ,iuse allthe sanitation tricks,2 specialists last one told me to take cystex daily ,it works .but as sppn as i stop i get another uti .i have auto immune disease ,i think thats relative, drs say no
I use to take small dose of i think, macromid , a tiny yellow and white capsule. This was given to me by a specialist. I took for about a year but then i said , nope. He wanted me to take it for life
My dr won t let me have baths anymore . Not even if i have a shower b4 and after. I use baths for pain and it s driving me crazy
This information is very helpful because my doctor keeps prescribing Cipro, and now I know why I keep getting them. Thanks
I wish you were my doctor. So informative and wonderful bedside manner ❤
Great video. I have had recurrent uti’s for 32 years, since my honeymoon. No local doctors or even in the nearest city are as informed as you. I still have a few questions such as testing sexual partners and how to treat biofilms, but just hearing your openness to new ideas was refreshing. thank you.
I am a victim of being prescribed the Cipro antibiotic and since then I have recurring UTI and been prescribed lots of antibiotics , also became antibiotic resistant and bad side effects like hives that send me to ER often .. I tried all supplements and DMannose and strict cleaning regimens , no sex , no traveling but nothing is working . I am desperate and going to different doctors trying to find someone that will have any ideas how to treat and prevent this ! Please I appreciate your suggestions or help ..🙏🙏🙏
What about C Freundii? It might be resistant, and seems to keep coming back. They keep trying to give me cipro, but I argue about it; I don't need any more peripheral neuropathy. Cipro is a notorious PN exacerbator.
Thank you help
Allso pallopes
Ovestin cream hiprex serlan uti badley hestermony 0peration very bad uti sent 67years only getting help now
calmest most informative info I've heard yet..will try the large dose vit C and hope for the best...afraid no more! th but STILL think pool public college..can set it off...took cipro and got lost on path through woods I've walked for forty years learned that lesson!
This really a good information. I currently have a recurrent UTI in less than 1 month. We went to the ER and the first ER doctor prescribed me cefdinir, but my UTI return after a few days of taking it. And the assigned ER doctor prescribed me of new antibiotic which is macrobid. And lastly, my UTI came back again this time the assigned ER doctor prescribed me septra. I'm now in my 5th day and still have to complete my medication within 10 days. I am praying that this will be helpful. Having this UTI is so frustrating and frightening, particularly the really painful burning feeling.
Thank you so much ! I have learned a lot about my own body .
This is extremely helpful. Is hiprex an antibiotic? Why do you have to get an RX
It's not an antibiotic. It's like a sanitizer of sorts. My doctor describes it as like mouthwash for your bladder. It worked great for me! .... for 6 months. Now my infections are back. Best 6 months of my life though.
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Old info...we need estradiol for brain and heart health too.
Does first pass effect apply to estrogen introduced via intramuscular or subcutaneous injection? What if an oral tablet is taken interlingually? Do all of the above compounds need to be metabolized by the liver for the needed metabolics that provide the actual action?
I really appreciate this educational video. I am wondering about the synthetic hrt. My personal doctor is not a fan.
My doctor has me on ' Minvey' and I am experiencing all of the side effects. Rapid weight gain, headaches and massive hair loss and scalp thinning.
PAs also do pelvic exams and we do them well.
Progesterone does far more than just protect a woman's uterus. You are lying to millions of women. I'm a man and older men often need progesterone to help prevent osteoporosis. Progesterone regulates many hormones such as estradiol, testosterone, cortisol,aldosterone, insulin, DHT, and thyroid hormone. Progesterone is one of the top hormones for health in women and men
What about all the benefits besides hot flashes? I started HRT, got symptom relief and then read about all the other benefits. I do not see me EVER going off HRT! Thank you for this video.
What I want to really get to the bottom of is that if women are supposed to go through menopause and have a DECLINE of estrogen and progesterone then if we take HRT is this not counter intiuitve to what nature is asking are trying to initiatie? Our adrenals are supposed to take over production of our hormones as the ovaries shut down. One famous Dr, Dr Louise Newson (i think her name is ) i the UK who is doing excellent work on menopause and getting information out to women, is suggesting that nature didn't intend for women to be living 30 years + after menopause but due to better nutrition and lifestyle factors women are living much, much longer. To a point, that makes a lot of sense but equally, to me, it doesn't make sense to expect our bodies to take even the safest form of HRT for a long time and keep our levels topped up because nature never intended this to continue for sooooooo, long in our lives. Yet at the same time, asking women to put up with horrible symptoms from aches and sever pains to vaginal atrophy which can be absolutely dibilating is not fair either. I don't have the answer and I sit on the fence but I cannot for the life of me get this perspective resolved and find adequate information to shed some light on this. If MOST women around the world took HRT for symptoms or prevention of illnesses/diseases then the pharmaceutical companies would be rich beyond belief to eyewatering levels!!! I can't and don't belive that pharmaceutical companies do not have invested interest in pushing it. Again, don't misunderstand me, Im not saying don't or do do take it. It has wonderful benefits but the downsides for long term use in my opinion are not well spoken about even if they have been investigated thoroughly. What is the risk factor for heart disease, demtia, breast cancer and osteoporosis etc etc etc in percentage terms for a woman who is perhaps eating 100& Whole Food Plant-Based, excercising at least 30 minutes a day (say a very brisk walk) or perhaps twice a week for 30 minutes doing weight bearing exercise, getting enough vitamins and minerals including Vit D and B12, consuming no alchohol, not smoking, meditating , stress under control to reasonable every day levels, keeping active with her hobbies etc etc? What is her risk factor for NOT taking HRT when and if all of those points i listed are being taken care for optimally? Can she not raise her estrogen and progesterone and testosterone to reasonable levels via her diet alone? If not fine! But, is the medical profession saying this is totally impossible and no amount of soy products which the science now states is helpful and totally safe (dairy industry piled billions of money to damage soy reputation), legumes, lentils , herbs, spices, green leafy vegetables and vegetables and fruits, nuts and seeds will make a difference? I know our ancestors obviously didn't live 30+ years post menopause but did they suffer the same way as ladies do now!? How much of our diet is responsible? I see women all the time thinking they eat right but live off meat, dairy, eggs and little vegetables and fruit and only eat greens with every other meal and still have a glasses of wine every night or at the weekend and sadly perhaps not execising enough and of course, none of these factors are always their fault either but if they live like this and resort to HRT then ignore their diet and lifestyle then what? When I asked for HRT my Dr didn't question a thing about my diet and lifestyle!! Not one word! Im based in the UK. So, how much does estrogen contribute towards helping these terrible diseases in contrast to someone clearing up the lifestyle and diet?
You tube channel MENOPAUSE TAYLOR is very informative about this topic
@@cristinaabusamor8692 yes she is. I am now on HRT and thank goodness. I still cannot get my questions answered by Taylor though. She's very defensive.
@@cristinaabusamor8692 I am a pharmacist very interested in this topic and have read a lot of the medical lit. To be quite honest, some of the TH-camrs are not 100% accurate in the way they relay information, such as “ estrogen prevents dementia”. Ummm, nooooo. It would be more accurate to say estrogen likely helps lower The Risk of…..”. See my reply above.
Panes, that is a loaded paragraph above but you bring up some excellent points. I’d like to answer some of them that I feel confident about, as a practicing pharmacist for 35 years with a very recent interest in this topic as I am eight years into it, joy joy lol. As a result I’ve been reading and digging into the medical literature, I am not an expert but I think I can help connect some dots. First, NOT ENOUGH DATA exist to answer all your questions definitively. Why? Well in general the medical field or maybe anybody, has not been all that interested in menopause, let’s be honest. The vast majority of OB/GYN’s go into it for other reasons not for the over 60 crowd lol. And I get it I’m not judging! I feel there’s been a little bit of a knee-jerk reaction to the women’s health initiative and nurses study and with the increase risk in breast cancer risk ( which some say is low and and others say is high enough), The pendulum definitely swung to not prescribing hormones for menopause symptoms. I have a feeling it’s slowly going to swing back towards the middle. Why? Because while the risk of breast cancer does seem to increase, other risks such as cardiovascular disease, osteoporosis, dementia and possibly some others do seem to increase if hormones are not continued! So what is a woman to do?! Well it would really be nice to have a lot more studies, well planned out and randomized, blah blah blah for data that would really be helpful. Meanwhile, back at the ranch, I feel it all comes down to the same issue with all medications and perhaps decisions in life: risk vs. benefit . I mean if someone has a very strong family history of breast cancer and even carries some of the genetic mutations I would personally not want to take the hormones. On the other hand what if one woman has a strong history of heart disease in her family including females? In that case, I think personally would want to take the hormones! Or say a woman did not even have those diseases in her family but was having severe menopause symptoms, that’s a good reason to go on hormones! Also, sadly sometimes those symptoms last for years if not decades, I’m going on my eighth year, fun fun. Now. Couple of other random things. Most primary care physicians are going to advocate against hormones, mostly due to insufficient knowledge on their part and I do not blame them one bit because menopause is a specialty unto itself. They honestly wouldn’t know, unless they have some special interest in keeping up with the North American menopause society ( I’m in US) or similar specialty recommendations , ie. British Menopause Society . So, there’s that. Next, diet and exercise - Well, for certain they likely play some role but once again, there’s just not enough information to say exactly what. However it does appear that diet and exercise are essentially INADEQUATE substitutions for hormone replacement after menopause. Sorry to say. But again, of course they help mitigate and lessen the symptoms. For the record I definitely watch my intake, have a BMI of 21 and absolutely love to work out, no alcohol intake, never smoked a cigarette in my life, but I am a happy coffee addict, lol. I’m on a SSRI for moderate intensity hot flashes and I will say it works quite, but I live in Florida which doesn’t help! But also every woman is different! So it becomes a sort of a trial and error period! Example: my mother lived to be 94, she refused HRT (stubborn Greek). Ate very healthy, walked 5 miles a day until nearly age 90 when she did develop heart arrhythmias and ended up with end-stage heart failure. But that was at age 90, what are we shooting for? Lol My aunt, passed away at age 96. Healthy diet, never exercised, also refused HRT, fell with a broken hip and passed away a few months later. But- poor dear, suffered from hot flashes until well into her 80s and now that I know more, she probably should have been on HRT! Poor thing. There needs to be a discussion at perimenopause between every woman and hopefully a specialist. It’s such an individual discussion and there’s nothing guaranteed. No one should ever say that taking hormones will prevent heart disease and prevent osteoporosis and prevent dementia, all they will do is help LESSEN THE RISK. But there’s other factors in play, so no guarantees. However, if a woman is really suffering from symptoms or perhaps even already osteopenic, than likely she would benefit from HRT! And just to throw a monkey wrench in the engine, more data and studies will come out and it all appears to be a little bit in flux so stay tuned! It’s rather complex and I wouldn’t be too quick to blame the entire medical field for not having all the answers, because really who does about anything? Find a specialist that’s willing to talk about it and doesn’t just quickly dismiss it with a “no “ Hope I didn’t overstep my bounds here, this is my summary and I could be wrong, lol. Oh - One more bonus tidbit: it does appear that vaginal estrogen seems to be mostly benign, yay yay!
@@Ayyeliki hi Angela. Well firstly a massive big thank you. I am delighted yiu have taken the time and energy to respond to my ramblings. I'm thrilled in fact. One of the best and one of the most Frank and truthful responses. I also appreciate you can only answer some of it. I am on HRT and it has made a massive difference to my life definitely. I intend to stay on it. I fund Menopause Taylor doesn't answer these types of nuisances which drives me crazy. I also find the high pitched squeaky eccentricity an annoying distraction. I just want plain talking. I also don't want to watch 500+ in order videos. I don't care how much information needs to be imparted, women don't have the time. 150 maybe! But I respect her dedication and passion without question. Heart in the right place. I find the whole issue around us living longer beyond 47 fascinating. I'd like to read more about how science has stumbled across this. Vaginal estrogen benign, can you elaborate a little? Thank you. P.s. let's hope you live to 90+ years with HRT too
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When you exercise regularly, you build more bone. This improvement in bone requires good nutrition, including adequate calcium and Vitamin D. Another benefit of exercise is that it improves balance and coordination. In addition, getting your heart rate up for at least a half hour every day helps boost estrogen levels.
Birth control pills do very little to help perimenopausal symptoms.
Excellent! Thank you!
Are you able to provide the studies to the statistics that Dr. Sophocles mentions? I would like to include them in a talk I am giving. Thank you. Jessica Flint, LCSW
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Leep procedure side effects. Lose sex drive and sex live. Lose libibo. Shorter cervix, harder to get pregnant. With positive pap smear follow up every year.