Category: News

Breaking the Stigma: A Closer Look at Herpes Viruses

Herpes viruses belong to a widespread family of viruses that are common in the United States. In fact according to the CDC, it is estimated that more than 50% of U.S. adults are affected by some form of herpes. The following provides an overview to help you better understand this group of viruses.

• Question: What are common forms of the Herpes Virus?
  Answer: The Herpes Virus has over 8 families that affect humans. The most common of the 8 are Herpes Simplex Virus-1 (HSV-1) and Herpes Simplex Virus-2 (HSV-2).
  
• Question: What is the difference between HSV-1 and HSV-2?
  Answer: HSV-1 is often associated with oral herpes which may cause cold sores or fever blisters around the mouth. HSV-2 is typically transmitted through vaginal, anal, oral sex. 
  
• Question: How do you contract genital herpes?
  Answer: HSV-1 or HSV-2 strains can cause genital herpes. These strains are spread  through skin-to-skin contact (e.g. sexual intimacy, kissing) with an infected person.
  
• Question: What are the signs of genital herpes?
  Answer: Common signs of herpes include ulcers, open sores, or blisters in the genital region. Painful urination and flu-like symptoms such as headache and fever may also be present. Some may be asymptomatic– they may not present with any symptoms despite having the virus.
  
• Question: How can I prevent contracting genital herpes?
  Answer: The best way of minimizing risk include using safe sex practices such as using condoms and getting tested with your sexual partners prior to intimacy.
  
• Question: Is there a cure for genital herpes?
  Answer: There is no cure for genital herpes. However, there are medications to relieve outbreak symptoms and minimize the risk of transmitting the virus to partners.

At Trust Women’s Healthcare, we prioritize creating a judgment-free space where our clients feel comfortable discussing all aspects of their sexual health. Whether you’re seeking STI screenings or have questions about managing symptoms and reducing the risk of transmitting the virus to your partners, we’re here to provide the care and support you need. Schedule an appointment today to take charge of your sexual well-being.

A Weight Loss Blueprint

A  healthy body weight is essential to maintaining wellbeing. Obesity, specifically excessive fat is linked to several health conditions— including breast cancer, polycystic ovarian syndrome, cardiovascular disease, and diabetes^1-4. Small habits can lead to significant reduction in weight. Below we incorporated a few tips to make your dreams of losing weight become your reality!¹

The Main Differences

• Tip 1: Hold off on beverages high in sugar A big source of added sugar in the American diet is sugary beverages. Limit the amount of sugar in your morning coffees, and consider water, unsweetened tea. If your body is craving some flavor, try adding slices of lemon, lime, or other fresh fruits.
  
• Tip 2. Limit alcohol consumption Alcohol is another beverage that can be high in calories. Drinking in moderation and avoiding daily consumption can help reduce the amount of excess calories. 
  
• Tip 3: Enjoy your favorite foods in moderation. Depriving yourself of your favorite foods can cause more harm than good. Eating correct portion sizes and incorporating whole foods like fruits and vegetables can help you achieve a more balanced diet. Try to use smaller plates to help with portion size. The foods you eat do not have to be “boring”- remember, the best diet is one that you can stick to!
  
• Tip 4. Increase your fiber intake. Foods high in fiber can promote feelings of fullness which decreases the likelihood of binge eating. Try to incorporate foods such as spinach and kale into your diet.
  
• Tip 5: Sleep. This is an overlooked factor in terms of weight regulation. Lack of sleep can cause dysregulation of your metabolism and hormones that regulate hunger. increasing the risk of weight gain. It is important to try and get at least 7 hours of sleep. Practicing good sleep hygiene (ex: limiting screen time before bed) is also important to ensure good quality of sleep.
  
• Tip 6. Keep moving. The benefits of exercise are too important to go unrecognized. Staying active can boost your metabolism and help you shed calories among other benefits such as mood regulation. You do not need a gym membership to stay active. Take walks in your neighborhood, take the stairs at your job, or put on a youtube video for guided beginner friendly workouts, or just simply put on your favorite song and dance. Find an activity that makes you feel good!

If you have not been convinced as yet, the good news is that losing weight is not impossible! At Trust Women’s Healthcare, we offer medically-managed weight loss services that can include medication, nutritional and physical activity counseling, and behavioral support to help you achieve the tips mentioned above. If you are ready to transform your health, schedule an appointment with us!

1.  Obesity and African Americans | Office of Minority Health. Accessed November 3, 2023. https://minorityhealth.hhs.gov/obesity-and-african-americans
2. Barnes AS. The epidemic of obesity and diabetes: trends and treatments. Tex Heart Inst J. 2011;38(2):142-144.
3. Obesity and Cancer | CDC. Published August 14, 2023. Accessed November 13, 2023. https://www.cdc.gov/cancer/obesity/index.htm
4. Sarwer DB, Polonsky HM. The Psychosocial Burden of Obesity. Endocrinol Metab Clin North Am. 2016;45(3):677-688. doi:10.1016/j.ecl.2016.04.016

D’lightful Living: Things You Should Know About Vitamin D

As we transition to fall, the days get shorter and many of us miss the delicacy of the summer sun. Less sun exposure during the winter months can impact various aspects of health, including your vitamin D levels. It is important to get your annual women’s wellness visit to assess your vitamin D levels, that way you can consider adding Vitamin D rich foods to your diet, spending more time in the sun (with sunscreen of course), or discuss with your provider about vitamin D supplementation. Below are a few reasons to care about your Vitamin D levels.¹

The Main Differences

1. Vitamin D can help with osteoporosis, or weak bones. Vitamin D and calcium are needed for protecting bone health. This is especially true for menopausal women where osteoporosis is common.
   
2. Vitamin D can impact your brain health. Low vitamin D levels are associated with increased risk of depression. Low vitamin D levels have also been associated with the development of multiple sclerosis, a neurological disorder that impacts the central nervous system. 
   
3. Vitamin D is important for regulating blood sugar levels. Vitamin D can help ensure your blood sugar is present at appropriate levels.  When unable to maintain the correct amount, this can lead to high blood sugar known as diabetes.

Vitamin D is used in various bodily processes and is essential for maintaining good health. Certain individuals, including those with darker complexion and older adults, are at higher risk of vitamin D deficiency. Symptoms of low vitamin D levels include muscle pain, bone pain, sensation of “pins and needles” throughout the body, among many other symptoms. However, increasing your diet with vitamin D rich foods (milk, orange juice, cereal, fatty fishes, etc.) and prescribed Vitamin D supplements under the direction of a provider can raise your vitamin level. Consider getting your Vitamin D levels checked with us at Trust Women’s Healthcare – schedule here!

1. National Institutes of Health, Office of Dietary Supplements (2024). “Vitamin D Fact Sheet for Health Professionals”. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/

5 Things You May Not Know About Breast Cancer

Breast cancer is the second most common cancer in the United States following skin cancer.¹ This Breast Cancer Awareness Month, we would like to provide you with interesting facts about breast cancer from risk to survivorship.

The Main Differences

1. Genetics. Some people have genes, portions of their DNA that increase their risk of breast cancer. For example, people with BRCA 1 and 2 genes are at ~50% higher risk of developing breast cancer.¹ Some individuals may be recommended for genetic testing based on their history for breast cancer. Getting the results can be anxiety-inducing– but know there are actions (for example hormone therapy) that you can take if you test positive for one of the gene variants for breast cancer. Talk to a trusted provider to see if genetic testing is right for you.
   
2. Risk. Overall, the probability that a woman will develop breast cancer is 1 in 8 or 13% in the United States. However, this risk can be reduced by a variety of factors, from maintaining a healthy body weight, to reducing alcohol consumption, to opting to breastfeed for mothers.
   
3. Onset. There are a variety of signs associated with breast cancer beyond a lump. The initial signs may include changes in nipple appearance and discharge, breast warmth or itchiness, swelling around the breast and armpits. It is important to note any physical changes regarding your breast health to a provider.
   
4. Screening. According to the United States Preventive Services Task Force, it is recommended that all women start mammograms at age 40. However, if you are at high risk (ex: family history, genetic history, etc.), you may start screening as early as 30 years old. Currently, research is being done on other imaging exams, such as ultrasound, to see if cancer detection is more efficient for women that may have breasts.
5. Survivorship. Cancer deaths have declined over 40% in the last two decades.² This can be due to advances in medicine and breast cancer screening. However it is important note disparities in breast cancer mortality exist as Black women are more likely to die from this cancer.

Navigating the facts of breast cancer can be overwhelming. The Trust Women’s Healthcare team is ready to support you with all your breast health concerns– schedule here!

1. Petrucelli N, Daly MB, Pal T. BRCA1- and BRCA2-associated hereditary breast and ovarian cancer. 1998 Sep 4 [Updated 2023 Sep 21]. In: Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1247/
2. American Cancer Society. Breast Cancer Statistics | How Common Is Breast Cancer? Accessed October 1, 2024. https://www.cancer.org/cancer/types/breast-cancer/about/how-common-is-breast-cancer.html

PCOS and Fibroids: A Tale of Two Hormonal Conditions

Polycystic Ovarian Syndrome (PCOS) and fibroids are two conditions that impact millions of women across the U.S. Although these conditions are not deadly, they can significantly impact a woman’s health. Keep reading as we unravel the common threads and unique differences with these conditions. 

The Main Differences

1. Disease prevalence. PCOS is the most common hormonal disorder among younger women of reproductive age affecting up to 10% of women. ¹ Whereas fibroids are estimated to impact nearly up to 80% of in a lifetime. ²
   
2. The presentation of disease is not the same. Many women with PCOS have cysts on their ovaries. However, it is important to note that the presence of ovarian cysts alone does not determine PCOS diagnosis. Women with PCOS may experience irregular or absent menstrual periods, along with symptoms such as excessive body hair growth and changes in acne patterns. Fibroids are benign tumors that appear in the uterus. Many women with these tumors are asymptomatic. However pelvic pressure, heavy and painful periods, bloating, and pain after intercourse are some symptoms of fibroids.
   
3. The causes of symptoms vary. Black women were found to have more depressive episodes compared to White women, which may be influenced by the fact that black women are less likely to be treated for their mental health conditions. 
   
4. Differences in complications. Women with PCOS may be at increased risk of infertility as a result of irregular periods. Furthermore, women with PCOS are at increased risk of insulin resistance, a condition where your body cannot properly use the insulin hormone to regulate blood sugar. This increases risk for Type II diabetes. In terms of fibroids, severe complications are unlikely, however infertility and miscarriage may be a resulting consequence similar to PCOS.

There can be many causes of period abnormalities.  Trust Women’s Healthcare we can ensure the proper diagnosis and treatment plan tailored to your needs. Schedule an appointment with us to manage any of your reproductive health concerns.

1. Polycystic Ovary Syndrome. (2022, January 24). https://www.endocrine.org/patient-engagement/endocrine-library/pcos
2. Uterine fibroids | Office on Women’s Health. (2021, February 19). Retrieved September 2, 2024, from https://www.womenshealth.gov/a-z-topics/uterine-fibroids
3. Bromberger JT, Kravitz HM, Matthews K, Youk A, Brown C, Feng W. Predictors of first lifetime episodes of major depression in midlife women. Psychol Med. 2009;39(1):55–64.
4. Hall MH, Matthews KA, Kravitz HM, Gold EB, Buysse DJ, Bromberger JT, Owens JF, Sowers M. Race and financial strain are independent correlates of sleep in midlife women: the SWAN sleep study. Sleep. 2009;32(1):73–82.

Making Meaning of Menopause: Inequities in the Transition

Menopause is a natural phase in every woman’s life, but the transition into this stage varies widely among individuals. While some women navigate menopause with minimal symptoms, others may experience more significant challenges. These differences can be influenced by a range of underlying social and economic factors, which can impact the menopausal experience across different races and socioeconomic statuses. Here is what you need to know about menopausal health disparities:​​

1. There are differences in age at menopause. One study found that Black women can experience menopause 8.5 months earlier compared to White women.¹ Black women are more likely to smoke cigarettes and have procedures such as hysterectomies contributing to an earlier onset of menopause.
   
2. The burden of symptoms may vary. Black women on average experience hot flashes for a longer duration compared to white women which may be impacted by factors such as stress. One study found that Black women experienced these symptoms for 10 years compared to 6.5 years for White women.² 
   
3. Mental health status and treatment. Black women were found to have more depressive episodes compared to White women, which may be influenced by the fact that black women are less likely to be treated for their mental health conditions.³ 
   
4. Differences in sleep quality. Black women were more likely to have difficulties falling asleep and shorter duration of sleep. Sleep quality was associated with factors such as experiences of daily discrimination and financial stress.⁴

Trust Women’s Healthcare is committed to providing equitable care that acknowledges and addresses the diverse experiences of menopause across all backgrounds. We will create a personalized treatment plan specific to your menopausal symptoms.

1. Harlow, S.D., Burnett-Bowie, SA.M., Greendale, G.A. et al. Disparities in Reproductive Aging and Midlife Health between Black and White women: The Study of Women’s Health Across the Nation (SWAN). womens midlife health 8, 3 (2022). https://doi.org/10.1186/s40695-022-00073-y
2. Avis NE, Crawford SL, Greendale G, Bromberger JT, Everson-Rose SA, Gold EB, Hess R, Joffe H, Kravitz HM, Tepper PG, et al. Duration of menopausal vasomotor symptoms over the menopause transition. JAMA Intern Med. 2015;175(4):531–9.
3. Bromberger JT, Kravitz HM, Matthews K, Youk A, Brown C, Feng W. Predictors of first lifetime episodes of major depression in midlife women. Psychol Med. 2009;39(1):55–64.
4. Hall MH, Matthews KA, Kravitz HM, Gold EB, Buysse DJ, Bromberger JT, Owens JF, Sowers M. Race and financial strain are independent correlates of sleep in midlife women: the SWAN sleep study. Sleep. 2009;32(1):73–82.

Navigating Menopause: The Truth About Hormone Replacement Therapy

Menopause is a natural phase in every woman’s life, yet the journey can vary widely from person to person. While some women may experience minimal symptoms, others endure more intense challenges. Hormone replacement therapy (HRT) offers prescribed medications that can effectively alleviate menopausal symptoms, providing relief and improving quality of life for many women. Below are the answers to common questions about this treatment.

Question: What is hormone replacement therapy?

Answer: Hormone replacement therapy (HRT) typically involves replacing the natural hormones that your body stops producing during menopause. These medications reduce menopausal symptoms by replacing hormones such as estrogen and progesterone.

Question: What are the benefits of this therapy?

Answer: Your provider can prescribe HRT based on your symptoms. These therapies can minimize vaginal dryness, hot flashes, nighttime sweating, mood swings, incontinence, and other menopausal symptoms.

Question: What ways can I take HRT?

Answer: There are plenty of modalities for HRT depending on your symptoms. HRT may come in the form of pills, vaginal rings, patches, sprays, and gels.

Question: What are the side effects?

Answer: Like any medication, this therapy can cause side effects such as mood swings and irregular vaginal bleeding. It is important to discuss your health history with your provider to determine if this treatment is right for you.

Question: How long do I have to be on HRT?

Answer: Generally, most individuals take hormone replacement therapy (HRT) for five years or less. However, there is no fixed duration, as it depends on factors such as the severity of symptoms and the type of HRT prescribed.

Finding the right menopause treatment can take some time. At Trust Women’s Healthcare, we can regularly monitor and reassess your HRT treatment plan to ensure it remains appropriate for your needs. You do not have to endure your menopausal symptoms alone– schedule your appointment with us!

Heartfelt Differences: Sex-based Disparities in Heart Health

Cardiovascular disease stands as the primary cause of death among men and women.¹ Cardiovascular disease is a general term to describe various conditions of the heart and blood vessels such as high blood pressure, heart failure, and heart attacks. However, there are differences in how heart diseases develop and appear based on sex. The goal of this blog is to bring awareness to women’s heart health, a topic often unnoticed. 

Difference 1: Presentation of Symptoms

Men: For some conditions, such as heart attack, a common symptom is chest pain.
Women: While women may experience chest pain prior to a heart attack, they may also experience symptoms such as nausea, vomiting, dizziness, or no symptoms at all. Historical studies mainly conducted heart health research on men, so women experiencing these symptoms of a heart attack may go unrecognized.

Difference 2: Medications Received

Men: In many studies, researchers found that men tend to have more aggressive treatment plans. ²
Women: Compared to men, in many cases women are less likely to receive the necessary medications according to medical guidelines.^ibid  Some researchers suspect that women are less likely to speak up about dissatisfaction with their healthcare experiences which may also affect their care.³

Difference 3: Procedures received

Men: Some studies suggest men are more likely to receive life-saving procedures after a cardiac event. ⁴
Women: Women receive such procedures at a lower rate than men, and also may experience delayed care. ⁵

The healthcare system needs to improve the gender gap with the clinical care of heart diseases. In the meantime, it is important to find a provider that you trust to manage your heart conditions. At Trust Women’s Healthcare, we take heart health seriously and we are committed to providing our patients with the highest quality of care.  Schedule an appointment with us!

1. CDC. Heart Disease Facts | cdc.gov. Centers for Disease Control and Prevention. Published May 15, 2023. Accessed January 28, 2024. https://www.cdc.gov/heartdisease/facts.htm
2. Cho L, Hoogwerf B, Huang J, Brennan DM, Hazen SL. Gender differences in utilization of effective cardiovascular secondary prevention: a Cleveland clinic prevention database study. J Womens Health (Larchmt). 2008 May;17(4):515-21. doi: 10.1089/jwh.2007.0443. PMID: 18345999; PMCID: PMC2836534.
3. Compared with Men, Women with Heart Disease More Likely to Report More Treatment and Care Disparities. Accessed February 13, 2024. https://www.hopkinsmedicine.org/news/newsroom/news-releases/2018/12/compared-with-men-women-with-heart-disease-more-likely-to-report-more-treatment-and-care-disparities
4. Skelding KA, Boga G, Sartorius J, et al. Frequency of coronary angiography and revascularization among men and women with myocardial infarction and their relationship to mortality at one year: an analysis of the Geisinger myocardial infarction cohort. J Interv Cardiol. 2013;26(1):14-21. doi:10.1111/joic.12009
5. Bugiardini R, Ricci B, Cenko E, et al. Delayed Care and Mortality Among Women and Men With Myocardial Infarction. J Am Heart Assoc. 2017;6(8):e005968. Published 2017 Aug 21. doi:10.1161/JAHA.117.005968

Heart Health 101

Cardiovascular disease is the leading cause of death in the United States. According to the CDC, one person dies from a heart condition approximately every thirty seconds.¹ Thus, it is important that you maintain healthy habits to ensure your heart maintains its function. Keep reading for some tips you can include in your daily routine to ensure optimal heart health.

1. Be aware of your health status. It is important to schedule yearly appointments with your primary care provider to monitor different aspects of your heart health such as blood pressure and cholesterol levels. Also, it is important to recall your family history of heart disease because this may increase your risk of developing such conditions. These first steps are necessary to developing a care plan appropriate for you. 
   
2. Moderate changes to your diet. Breathe– we are not telling you to go vegan! Instead of making drastic changes that you won’t be able to sustain, try making subtle changes. For example, use less salt when cooking, bake your meat instead of frying it, and slowly reduce your fast food intake per week. 
   
3. Increase your physical activity. Similarly to diet, you do not need to make drastic changes or buy a gym membership. Increasing your physical activity may look like walking instead of driving, or taking the stairs instead of the elevator. 
   
4. Quit smoking. Smoking is a risk factor for many diseases and heart health is no exception. Quitting smoking is easier said than done, but there are many resources through New York City to help you get on track. In the meantime, challenge yourself to reduce the number of cigarettes you smoke in a day, and also reduce the frequency of vaping or smoking hookah. 
   
5. Reduce alcohol intake. Alcohol can have negative impacts on your health if consumed in excess. Drink in moderation. For women, it is recommended to have no more than 1 drink per day.²
   
6. Manage stress. You may not be able to control the uncertainties of life, but you can control how you respond to the stressors. For some, this may include leaning into spirituality and for others it may include meditation and yoga, or tapping into hobbies like listening to music and reading a book.

To conclude, improving your heart health can be possible with baby steps. Schedule an appointment with us to know your heart status and receive personalized tips for your heart health journey.

1. CDC. Heart Disease Facts | cdc.gov. Centers for Disease Control and Prevention. Published May 15, 2023. Accessed January 28, 2024. https://www.cdc.gov/heartdisease/facts.htm
2. Facts about moderate drinking | CDC. Published July 25, 2022. Accessed January 28, 2024. https://www.cdc.gov/alcohol/fact-sheets/moderate-drinking.htm