Women’s Health
Breast Cancer Screening Is a Conversation for Every Specialty
October is Breast Cancer Awareness Month, and the guidance behind that conversation has moved in the last two years. Patients now arrive with questions about density notices, earlier screening, and what their insurance will cover. They bring those questions to every kind of appointment, not only primary care and OB/GYN. Here is what has changed…
Read MorePolycystic ovary syndrome is more than ovarian
Oluyemisi Famuyiwa, M.D. Montgomery Fertility Center The name polycystic ovary syndrome may have unintentionally narrowed how medicine understood one of the most common endocrine disorders affecting women. The ovaries were visible. The deeper physiology was not. For decades, the syndrome was largely framed around irregular ovulation, infertility, excess androgen symptoms, and the characteristic “string of…
Read MoreEstrogen-Dopamine Connection in ADHD
Nadia Sirdar, M.D., MPH Bethesda Modern Primary Care May is Mental Health Awareness Month. I want to share something that rarely gets identified correctly in a standard care visit: ADHD that unmasks during perimenopause. Estrogen directly supports dopamine activity in the brain. As estrogen drops during perimenopause, the brain that has been quietly managing ADHD…
Read MoreThe View From The Exam Room
Harita Raja, M.D. Bethesda Women’s Mental Health In my practice, I’m seeing more women who don’t “look” like they’re struggling because by most external measures, they’re not. They’re working efficiently, caregiving with a smile, and showing up for their children. Underneath that, though, there’s a steady hum of anxiety, poor sleep, irritability and/or physical symptoms that…
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