Written by yvonnethornton on August 27th, 2010
Plenty of us suffer from fibroids (medical term is myoma), which are benign tumors that form in the uterus. Up to 40 percent of all women will be diagnosed with fibroids at some point in their lives, but only a relative few have severe symptoms. If you’re among the unlucky ones, and you’ve had to cope with extreme cramps and heavy bleeding during your period, backaches, painful sexual intercourse, or urinary problems, you might believe that the only way to end the misery is by getting a hysterectomy.
But there is another treatment, one that has been proven effective for many women, and doesn’t require surgery. Uterine artery embolization (UAE) is a minimally invasive outpatient or inpatient procedure performed by an interventional radiologist. Using a small x-ray camera (fluroscope), small, inert particles (embolic agents) are injected through a thin, flexible tube called a catheter into the arteries that nourish the fibroids and essentially block the blood flow, thus causing the fibroid to shrink.
A recent study in the American Journal of Obstetrics & Gynecology showed that for the vast majority of women, five years after the procedure was done, UAE had relieved symptoms enough so that a hysterectomy was not required.
Of course, any procedure has risks and there is always the possibility of side-effects from any treatment. But for women who suffer greatly from painful fibroids, who want to avoid a hysterectomy, UAE is an alternative worth considering.
- Yvonne S. Thornton, MD, MPH
Posted in Women's health issues | No Responses »
Tags: avoid surgery, fibroids, myoma, painful period, UAE, Uterine artery embolization
Written by yvonnethornton on August 18th, 2010
It’s difficult to imagine a time when women weren’t allowed to vote, especially now when the Supreme Court of the United States has, for the first time ever, three sitting women justices.
But it was just 90 years ago that the Susan B. Anthony Amendment was ratified, 14 years after her death, upon being passed by Tennessee on August 18, 1920, the last of the 36 states that were required to affirm it before it could become a part of the U.S. constitution.
The 19th was a simple amendment, the key part of which read:
“The right of citizens of the United States to vote shall not be denied or abridged by the United States or by any State on account of sex.”
Women’s full equality has taken a bit longer to achieve. But we never would have gotten this far, this soon, if suffragist, civil rights activist, and labor reformer Susan B. Anthony hadn’t first convinced a congressman to propose the amendment, giving women the right to vote, back in 1878.
So, here’s to you, Susan B. Anthony, and here’s to all the women who have followed their dreams, and succeeded in ways that might not have been possible without you. We’ve come a long way.
- Yvonne S. Thornton, MD MPH
Posted in Women's health issues | No Responses »
Tags: 19th amendment, 90th anniversary Susan B. Anthony amendment, Susan B. Anthony, women's right to vote
Written by yvonnethornton on August 16th, 2010
The FDA has just approved an emergency contraceptive that can prevent pregnancy if taken up to five days after intercourse.
The new drug, ulipristal acetate (ella), will be available by prescription only, unlike the so-called “morning-after pill,” levonorgestrel, which can be bought over-the-counter.
While ella is not the first emergency contraceptive to be approved, it gives women a wider window of opportunity to prevent pregnancy than previous emergency contraceptives such as levonorgestrel, which must be taken within 72 hours to be effective.
Although it’s been used in Europe for the past year, ella won’t be available here in the U.S. for another two to three months. And there are still risks and side-effects associated with it, as with all drugs. Still, the introduction of a new emergency alternative is good news for women and their doctors, in preventing unintended pregnancy.
- Yvonne S. Thornton, MD. MPH
Posted in Contraception (birth control), Fertility & Infertility, General health news, Women's health news | No Responses »
Tags: birth control, birth control pills, ella contraceptive, emergency contraceptive pill, levonorgestrel, prescription, ulipristal acetate (ella)
Written by yvonnethornton on July 31st, 2010
A new study confirms what earlier studies have found: girls who are obese begin puberty earlier.
With childhood obesity approaching an epidemic, early puberty is becoming more common. There appears to be a critical weight for girls, above which the body starts its journey to womanhood with thelarche (breast buds), pubarche (pubic and axillary hair) and finally, menarche (onset of menses). So, in general, the heavier a young girl is, the earlier the onset of her secondary sexual characteristics.
While we don’t know all the possible consequences of early puberty, we know that puberty is a time of emotional turmoil. For a younger child, that’s going to be more difficult.
We also know that youngsters have a great need to feel like they fit in and the combination of obesity and early puberty can punch a hole in a young girl’s self-esteem.
So, watch the eating habits of your whole family, and help your children make good choices – just as you make healthier choices for yourself. As I’ve said before, when it comes to battling the bulge, I’ve been there, so I know it’s a struggle. But maintaining a healthy weight is essential, for everyone.
- Yvonne S. Thornton, MD, MPH
Posted in Menstruation, Women's health issues, Women's health news | No Responses »
Tags: childhood obesity, onset of menstruation, puberty
Written by yvonnethornton on July 22nd, 2010
I read a press release the other day from the University of Illinois at Chicago where researcher David Marquez is conducting a study. He plans to get older Latinos out on the dance floor to determine whether doing the mambo, merengue and cha-cha-cha will help them stay fit, and perhaps avoid obesity, diabetes and other ills of a sedentary lifestyle.
While the results won’t yet be in for a while, I whole-heartedly endorse the premise. A number of years ago, I had gained a lot of weight, was overworked and was getting little exercise. Then I signed up for ballroom dancing classes. Not only did I have a blast (winning a dance contest along the way), but I whittled down my waistline while doing it. Other studies have shown that ballroom dancing can also benefit your mental fitness and decrease your risk of developing Alzheimer’s disease.
So, if you’re bored with exercise machines, and if jogging just isn’t your thing, put on your dancing shoes and go. Unless your doctor advises against physically challenging activity, I can’t think of a better, more fun-filled fitness routine.
See you on the dance floor.
- Yvonne S. Thornton, MD, MPH
Posted in General health news, Women's health issues | No Responses »
Tags: ballroom dancing, dance as exercise, fitness, obesity, weight gain
Written by yvonnethornton on July 14th, 2010
Since the pill first appeared on the scene, about 50 years ago, women have felt secure knowing that they had an almost foolproof way to avoid unwanted pregnancies. And that’s been mostly true.
But maybe not for all women.
If you’re overweight or obese, recent studies suggest that birth control pills might not be as effective for you as they are for more slender women:
“In one study of oral contraceptive pills, women with a body mass index (BMI) in the overweight range (a BMI of 25 or more) had a higher risk of pregnancy that those in the normal weight range. In another study of contraceptive skin patches, higher body weight — not higher BMI — was associated with higher risks of pregnancy.”
In addition to the sobering news about the lessened effectiveness of hormonal birth control, these birth control methods are thought to slightly increase a woman’s risks of heart disease, high blood pressure and other conditions. When you consider that overweight and obese women are already at increased risk of heart disease, diabetes and other ills, and that pregnancy is a riskier venture, overall, for obese women and their babies, you have a new incentive for getting your weight down.
I know it isn’t easy. I’ve struggled with weight myself and can attest to the fact that it’s a constant battle. But it’s a battle we must fight – and win. And now, we have one more reason to do it.
- Yvonne S. Thornton, MD, MPH
Posted in Contraception (birth control), Fertility & Infertility, General health news, Pregnancy, Women's health issues, Women's health news | 1 Response »
Tags: birth control pills, Contraception (birth control), obese, obesity in pregnancy
Written by yvonnethornton on July 9th, 2010
After all the hoopla, once healthcare reform was signed into law earlier this year, it didn’t immediately seem like much had changed. Most of the provisions of the new healthcare bill aren’t slated to take effect for a few years yet.
But there’s one provision, an all-important one for people who have been denied health insurance in the past, that could be a lifesaver.
And it takes effect this summer.
You can now get health insurance – good comprehensive coverage – if you’ve previously been turned down due to a pre-existing condition. Your new insurance will cover that pre-existing condition along with your other medical needs. Perhaps best of all, according to law, the premiums for this insurance must be affordable. You should pay about what anyone else your age pays, regardless of health.
Depending on the state where you live, the insurance plan will either be run by the state or federal government. Go here to find out about how to apply in your state.
So, if you have been denied insurance, or denied insurance for your pre-existing condition, and have been without any health insurance for six months or more, this is for you.
Take advantage. And here’s to your good health.
- Yvonne S. Thornton, MD, MPH
Posted in General health news, Women's health issues, Women's health news | No Responses »
Tags: coverage for pre-existing conditions, health insurance, healthcare law, healthcare reform, pre-existing conditions
Written by yvonnethornton on July 9th, 2010
The Ditchdigger’s Daughters movie is scheduled to be re-broadcast this Sunday, July 11th at 5:30 pm (EDT), on BET. Get your TIVO out, if you haven’t seen it before.
- Yvonne S. Thornton, MD, MPH
Posted in Media appearances, The Ditchdigger's Daughters | 3 Responses »
Tags: film based on Yvonne Thornton's The Ditchdigger's Daughters, The Ditchdigger's Daughters
Written by yvonnethornton on June 23rd, 2010
A recent article in The New York Times talked about how the obesity epidemic is affecting pregnant women and their babies:
About one in five women are obese when they become pregnant, meaning they have a body mass index of at least 30, as would a 5-foot-5 woman weighing 180 pounds, according to researchers with the federal Centers for Disease Control and Prevention. And medical evidence suggests that obesity might be contributing to record-high rates of Caesarean sections and leading to more birth defects and deaths for mothers and babies.
New York City’s health department reported last Friday that half of the 161 women who died because of a problem with their pregnancy between 2001 and 2005 were obese. Black women were hit hardest, with a mortality rate seven times that of white women. While deaths are extremely rare in pregnancy, the city’s rate of 23.1 per every 100,000 births is twice the national average.
My new book, SOMETHING TO PROVE, is a personal memoir first, but because I’m a maternal-fetal medicine specialist and a surgeon, it also details a number of gripping moments in the operating room.
One of my most challenging cases involved a pregnant patient transferred to my care. When I walked into my new patient’s hospital room, I discovered she weighed more than 500 pounds and her baby was showing signs of distress on the fetal monitor. The patient needed to be delivered. Let me give you a sense of the challenge with a brief excerpt:
…Many surgeons would begin their cut above her navel in an attempt to avoid that enormous layer of fat, while trying to find the uterus to get the baby out. …The area above the pubis, even in a morbidly obese woman, is usually flat and firm. Instead of a vertical incision from the navel down, I’d lift up the apron of fat and do a horizontal incision just above the pubis. That would allow me to get into the uterus and get the baby out. …We taped her massive belly to her chest, swabbed her with an antiseptic solution, and I went in. I was able to perform the cesarean quickly, without incident or excessive bleeding, and delivered the baby in only a few minutes.
The surgeon who handled the case recounted in The New York Times decided to cut through all the mother’s layers of fat, rather than using my technique of retracting and taping the massive layers of fat, which a colleague dubbed the “Thornton suspenders.” While there might have been excellent reasons for the physician’s decision, I hope more obstetricians learn to use the “Thornton suspenders” for such difficult deliveries in obese moms. Because, as the Times article explains:
… where every minute counted, it took four or five minutes, rather than the usual one or two, to pull out a 1-pound 11-ounce baby boy.
- Yvonne S. Thornton, MD, MPH
Posted in Childbirth & delivery, Something To Prove: A Daughter’s Journey to Fulfill a Father’s Legacy, Women's health issues, Women's health news, Your newborn baby | No Responses »
Tags: "Thornton Suspenders", Childbirth & delivery, morbidly obese, obesity in pregnancy, Something To Prove, Yvonne Thornton's memoir
Written by yvonnethornton on June 15th, 2010
It will still be several months before SOMETHING TO PROVE: A Daughter’s Journey to Fulfill a Father’s Legacy (Kaplan 2010), is on the bookstore shelves. My publisher plans a launch in late December. But, I’m thrilled to say that Amazon.com already has it listed in the “Books” section.
Writing this new book was a response, in a way, to the thousand or more letters, emails, and phone calls, I’ve gotten from readers – women and men, grade schoolers and grandparents – who wanted me to know how much THE DITCHDIGGER’S DAUGHTERS inspired them. You asked to know what had occurred after that book ended. The answers are in SOMETHING TO PROVE, which, as the Amazon description says, picks up where THE DITCHDIGGER’S DAUGHTERS left off.
Most important, SOMETHING TO PROVE shows that what was true as I was growing up is still true today: despite bias, despite setbacks, with hard work and determination, we can accomplish whatever we set out to do.
I can’t wait for you to read it (although you will have to wait, for a little while longer, at least). And I look forward to reading your letters and emails after you’ve turned the last page.
- Yvonne S. Thornton, MD, MPH
Posted in Publishing news, Something To Prove: A Daughter’s Journey to Fulfill a Father’s Legacy | No Responses »
Tags: letter from a reader, memoir, Something To Prove, The Ditchdigger's Daughters, Yvonne S. Thornton
