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Chances are that if you did not specifically ask, you were not informed about an alternative to hysterectomy. And, if you did inquire, you may have received an unsatisfactory response. You may have been told that "hysterectomy is the best and most reasonable solution in your situation", or that having completed your family, you "don't need your uterus and ovaries any more". Understandably, your reaction to this may have been shock, disbelief or anger and you simply couldn't accept this. You were wondering if there were any alternatives to hysterectomy?
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aubrie lemon playboyIn this site you will find answers to your questions regarding other options besides hysterectomy. While not all women are candidates for treatments other than hysterectomy, most women do have choices. All women should be fully informed about their condition and their options before undertaking definitive treatment.
the United States
each year. In
the vast majority
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Only 10% of
It has been shown that after hysterectomy, even without oophorectomy, women tend to enter menopause earlier, by as much as four years on the average according to one study. During menopause there is a sharp increase in the risk of coronary heart disease. We may conclude then that hysterectomy and oophorectomy are not likely to prolong average life span, rather they may actually shorten it, due to an increase in heart and vascular disease.
Estrogen produced by the ovaries reduces the risk of osteoporosis and possibly the risk of heart disease. Estrogen may also help to maintain cognitive and sexual function. Theoretically then, hormone replacement therapy after hysterectomy and oophorectomy could counter the negative effects of estrogen deficiency. However, a recent study (Women's Health Initiative) reports a slight increase in the risk of heart disease, thromboembolic disease, and breast cancer in women on combined estrogen-progesterone (Prempro) replacement therapy. This has led medical authorities to recommend restriction of hormone replacement therapy to be used only for short-term relief of vasomotor symptoms or vaginal dryness. Even prior to this latest study it had been shown that only about 50% of women for whom hormone replacement therapy was prescribed were still taking the medication after 12 months. Overall, only 10% of menopausal women in the U.S. are taking hormone replacement therapy and this percentage is dropping rapidly. Given these facts, there is a compelling argument for avoiding unnecessary hysterectomy whenever possible. It is clear that optimal health is maintained by uterine and ovarian preservation, except when cancer is already present or there is a family predilection for cancer.
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aubrie lemon marriedRecent studies show that the symptoms of surgical menopause (sudden onset of menopause after removal of the ovaries) are more severe and prolonged compared to symptoms during natural menopause (when ovarian function gradually diminishes). The aging ovaries continue to produce certain amounts of estrogen for at least ten years after the start of menopause and of androgens until at least age 80. The androgens are converted to estrogens by the fatty tissue and muscle to estrogens. Women who had their ovaries removed after menopause had 54% more osteoporotic fractures than women with intact ovaries. Androgen deficiency affects bone loss, libido, muscular and fat distribution, the sense of well being, energy, and appetite. Preservation of the ovarian production of estrogen and androgen, albeit reduced compared to the reproductive years, may contribute significantly to a woman's health. This is another rationale for preserving the genital organs even after menses have ceased.
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aubrie lemon cyberSwedish researchers published a very large population study that showed that women undergoing hysterectomy are twice as likely to require subsequent surgery for Stress urinary incontinence, the risk being higher within the first five years. The need for organ prolapse surgery increases 50% women with a previous total abdominal hysterectomy, doubles among women with a previous subtotal hysterectomy and quadruples with a previous vaginal hysterectomy.
A recent study reports that women who underwent oophorectomy had an increased risk of developing dementia and cognitive impairment, especially if surgery occurred before age 38. The risk of dementia and cognitive impairment increased 70% in women who underwent bilateral oophorectomy before age 46 and 260% in women who had unilateral oophorectomy before age 38. It is also significant that surgical menopause is abrupt and can cause intensified symptoms. The health risks associated with bilateral salpingo oophreectomy appear to outweigh any health benefits it might confer.
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