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S u m m e r 2 0 0 9<br />

women’s<br />

healthtoday<br />

Blues<br />

bashers<br />

don’t give in to<br />

depression<br />

<strong>Marg</strong><br />

Helgenberger’s<br />

arrestingly fresh attitude page 10<br />

How does<br />

your garden<br />

grow?<br />

Put the season’s<br />

crop to full use<br />

prepare!<br />

get ready and<br />

steady for surgery<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong><br />

2139 Auburn Avenue<br />

Cincinnati OH 45219<br />

non-profit org<br />

us postage<br />

Paid<br />

cincinnati oh<br />

Permit #5489


It’s a short<br />

distance between<br />

home and peace<br />

of mind.<br />

Mason<br />

Delhi<br />

Mt. Auburn<br />

Fairfax<br />

Ohio River<br />

Breast cancer is the leading cause<br />

of death for women ages 40 – 55.<br />

It affects one out of seven women, yet statistics show that fewer<br />

and fewer women are getting their mammograms.<br />

But why?<br />

Screening is simple and easy to access.<br />

And when found early, most breast cancers are treatable.<br />

Mammography is the most important screening tool for breast<br />

cancer. Schedule your mammogram today and get the peace of<br />

mind you deserve.<br />

Breast cancer risk factors:<br />

<br />

<br />

<br />

<br />

the age of 50<br />

Call to<br />

schedule your<br />

appointment:<br />

513-585-2668<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong> offers<br />

four mammography testing<br />

locations with convenient<br />

appointment times and<br />

parking, digital technology<br />

and board-certified<br />

radiologists experienced<br />

in the interpretation of<br />

mammograms.<br />

Mt. Auburn<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong><br />

Medical Office Building,<br />

Suite 324<br />

2123 Auburn Ave.<br />

Cincinnati, OH 45219<br />

Delhi<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong><br />

Delhi Testing Center<br />

5310 Rapid Run Road<br />

Cincinnati, OH 45238<br />

Mason<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong><br />

Mason Testing Center<br />

608 Reading Road<br />

Mason, OH 45040<br />

Fairfax<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong><br />

Imaging Center<br />

4440 Red Bank Road,<br />

First Floor<br />

Cincinnati, OH 45227


women’s<br />

healthtoday<br />

S u m m e r 2 0 0 9<br />

in this issue . . .<br />

2 L E T T E R F R O M T H E F O U N D E R<br />

Scared of surgery?<br />

3 Taking the mystery out of hysterectomy<br />

4 Arresting heart failure<br />

5 10 questions to ask at your next checkup<br />

4<br />

6 H E A L T H H E A D L I N E S<br />

What’s making news in women’s health<br />

8 Not a headache? Not a toothache?<br />

Maybe it’s TMJ<br />

9 S E X & G E N D E R M A T T E R S<br />

Protect your sight!<br />

Get checked for glaucoma<br />

10 Stealing the scene<br />

<strong>Marg</strong> Helgenberger investigates all life has to offer!<br />

13 H E A L T H Y M I N D<br />

Beat the blues<br />

Women and depression<br />

14 Surgery? Steady now!<br />

Get your body and mind ready<br />

16 Easy cancer-prevention tactics<br />

17 A positive approach to PMS<br />

10<br />

18 H E A L T H Y M O V E S<br />

Which exercise is best for you?<br />

Answer these simple questions to find out<br />

20 Breathe easy!<br />

Reduce your risk of COPD<br />

21 7 smart things you can do<br />

for your baby<br />

22 H E A L T H Y B I T E S<br />

Just-picked dishes<br />

Take advantage of the season’s fresh crop!<br />

24 H E A L T H S M A R T S<br />

Serious smoking stats<br />

20<br />

www.womenshealthexperience.com


Letter from the founder<br />

women’s<br />

healthtoday<br />

t h e m a g a z i n e o f<br />

t h e f o u n d a t i o n f o r f e m a l e h e a l t h a w a r e n e s s<br />

Scared of surgery?<br />

You surely aren’t alone! No one looks forward to any procedure, especially<br />

one that involves general anesthesia. However, today’s operating<br />

team of surgeons, anesthesiologists and specially trained nurses have<br />

technology on their side—whether it’s a minimally invasive surgical robot or a<br />

high-tech chemical cocktail that puts you out quickly and safely. Read about<br />

how you can put your surgery and anesthesia fears to rest and get your mind<br />

and body in tip-top pre-op shape in “Surgery? Steady now!” on page 14.<br />

Our “Health Smarts” column in this issue of Women’s Health Today<br />

focuses on facts about cigarette smoking. If you, a loved one or a friend can’t<br />

kick this habit, read “Serious smoking stats” on page 24. <strong>The</strong> stark and scary<br />

data you’ll read may provide the incentive you need to rid yourself of this<br />

deadly addiction. Also in this issue, you’ll find articles on chronic obstructive<br />

pulmonary disease (“Breathe easy!” on page 20), seasonal fresh vegetables<br />

(“Just-picked dishes,” page 22) and finding the best way to keep active<br />

(“Which exercise is best for you?” on page 18).<br />

I think you’ll find the wide variety of topics in this issue of Women’s Health<br />

Today to be informative and useful. Please let me know what other topics you’d<br />

like to read about in future issues. I’d love to hear from you!<br />

Sincerely,<br />

F o u n d e r s<br />

Mickey M. Karram, MD / Mona Karram<br />

N a t i o n a l A d v i s o r y B o a r d<br />

Linda Brubaker, MD, Professor of Obstetrics and Gynecology,<br />

Urogynecology Urology, Loyola University Chicago Stritch School<br />

of Medicine; Co-Director, Women’s Pelvic Medicine Center,<br />

Loyola University Medical Center<br />

Vivien K. Burt, MD, PhD, Associate Professor of Clinical Psychiatry,<br />

<strong>The</strong> David Geffen School of Medicine at UCLA; Founder and Director,<br />

Women’s Life Center, UCLA Neuropsychiatric Institute and <strong>Hospital</strong><br />

Vivian M. Dickerson, MD, Associate Clinical Professor of<br />

Obstetrics and Gynecology, University of California Irvine; Director,<br />

Division of General Obstetrics and Gynecology, UCI Medical Center;<br />

Director of UCI’s Post Reproductive Women’s Integrative Health Center<br />

Tommaso Falcone, MD, Professor and Chairman, Department<br />

of Gynecology and Obstetrics, <strong>The</strong> Cleveland Clinic Foundation;<br />

Co-Director, Center for Advanced Research in Human Reproduction<br />

and Infertility<br />

Sebastian Faro, MD, PhD, Clinical Professor of Obstetrics and<br />

Gynecology, Women’s <strong>Hospital</strong> of Texas<br />

Nieca Goldberg, MD, Assistant Professor of Medicine,<br />

SUNY Health Science Center, Brooklyn, New York;<br />

Clinical Assistant Professor of Medicine, New York University<br />

Thomas Herzog, MD, Professor of Clinical Obstetrics and<br />

Gynecology, Columbia University College of Physicians and Surgeons;<br />

Director, Division of Gynecologic Oncology, Columbia University<br />

Medical Center, New York<br />

Barbara Levy, MD, Medical Director, Women’s Health & Breast<br />

Center, St. Francis <strong>Hospital</strong>, Federal Way, Washington; Assistant<br />

Clinical Professor of Obstetrics & Gynecology, Yale University School<br />

of Medicine; Assistant Clinical Professor of Obstetrics and Gynecology,<br />

University of Washington School of Medicine<br />

Wendy l. wright, ARNP, FAANP, Adult/Family Nurse<br />

Practitioner; Adjunct Faculty, Fay W. Whitney School of Nursing,<br />

University of Wyoming<br />

T h e C h r i s t H o s p i t a l S T A F F<br />

President and CEO Susan Croushore<br />

Vice President, Operations Victor DiPilla<br />

CNO/Vice President, Nursing Deborah Hayes<br />

Vice President, Marketing and Community Relations Heather Adkins<br />

Vice President and Chief Medical Officer Berc Gawne, MD<br />

Editor Arin Kraemer<br />

c u s t o m e r s e r v i c e<br />

For more information about services at <strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong>,<br />

please contact Arin Kraemer at arin.kraemer@thechristhospital.com or<br />

(513) 585-3945.<br />

Women’s Health Today is published four times a year by<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong>, 2139 Auburn Avenue, Cincinnati, OH 45219,<br />

in conjunction with the Foundation for Female Health Awareness,<br />

PO Box 43028, Cincinnati, OH 45243. This is Volume 5, Issue 3.<br />

© 2009 by <strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong> and the Foundation for<br />

Female Health Awareness. All rights reserved.<br />

Mickey M. Karram, MD<br />

PRESIDENT AND Co-Founder<br />

Foundation for Female Health Awareness<br />

Dr. Karram and his wife, Mona, are the founders of the Foundation for Female Health<br />

Awareness, a nonprofit organization dedicated to improving women’s health by supporting<br />

unbiased medical research and educating women about their health.<br />

<strong>The</strong> information contained herein is not a substitute for professional<br />

medical care or advice. If you have medical concerns, seek the<br />

guidance of a healthcare professional.<br />

Women’s Health Today magazine is part of<br />

Women’s Health Experience, the flagship program of the<br />

Foundation for Female Health Awareness. Women’s Health<br />

recycle-logo_2options_v2.ai<br />

Experience is a unique initiative aimed at connecting women with<br />

healthcare experts, as well as their local hospitals, to learn about<br />

important issues that may affect their health. Through Women’s<br />

Health Experience, Women’s Health Today magazine and<br />

www.womenshealthexperience.com, you’ll get objective, timely<br />

information. You can also sign up for free e-newsletters containing<br />

health news Printed With and Soy Inkresults Printed of With medical Soy Ink studies.<br />

Sign up now at www.womenshealthexperience.com.<br />

Please Recycle This Publication<br />

<br />

Women’s Health Today<br />

c o v e r : M a r g H e l g e n b e r g e r<br />

© 2 0 0 9 J o n atPlease h a n Recycle S kow / CThis o rPublication<br />

b i s O u t l i n e<br />

Printed With Soy Ink<br />

Please Recycle This Publication<br />

Printed With Soy Ink


By Marcia Bowling, MD<br />

Taking the<br />

mystery out<br />

of hysterectomy<br />

About one-third of American women will<br />

eventually have a hysterectomy, the second<br />

most common surgery after cesarean<br />

section. Why so common? Basically,<br />

hysterectomy can cure a variety of uterine problems:<br />

✿ Fibroids. Hysterectomy is most often recommended<br />

for serious cases of fibroids (benign tumors<br />

that grow in the uterus wall). Fibroids can grow<br />

large and may cause great pain and heavy bleeding.<br />

Depending on the severity, physicians and patients<br />

may decide to try treatments other than hysterectomy.<br />

In a surgery called myomectomy, the fibroids<br />

are removed but the uterus stays in place. Also, drug<br />

therapy may shrink fibroids temporarily, and after<br />

menopause, fibroids may shrink without treatment.<br />

For serious cases, hysterectomy is often the best<br />

choice because it’s a definite cure.<br />

✿ Endometriosis. Hysterectomy can treat severe<br />

cases of endometriosis, a common disease in which<br />

tissue shed from the uterus grows outside the uterus,<br />

causing pain and possibly leading to infertility. Drug<br />

therapy can help but may not stop pain in serious cases.<br />

✿ Prolapse. Many physicians recommend hysterectomy<br />

for severe prolapse—a sagging of the uterus<br />

into the vagina when the ligaments that support<br />

the uterus get weak over time. <strong>The</strong>se ligaments can<br />

sometimes be shortened with surgery. In other cases,<br />

physicians may place a pessary, or support ring,<br />

around the cervix. If ligaments are badly damaged,<br />

hysterectomy may be necessary.<br />

✿ Gynecologic cancer. Hysterectomy is usually<br />

required when a woman has cancer of the uterus or<br />

cervix. <strong>The</strong> only real alternative is radiation therapy.<br />

However, radiation therapy may not be as effective<br />

and may involve many side effects.<br />

Coping with change<br />

After a hysterectomy, a woman may be emotionally<br />

distraught. Some women identify the uterus with childbearing<br />

and with their younger years, so it’s possible to<br />

feel a sense of loss. Women need support and understanding<br />

from family and friends and should talk with<br />

their physicians about ways to cope with this change. WHT<br />

Robotic-assisted<br />

hysterectomy<br />

If your physician recommends hysterectomy (or<br />

if you need uterine fibroid removal or prolapse<br />

treatment), you may be a candidate for a roboticassisted<br />

procedure using the da Vinci ® Surgical<br />

System. <strong>The</strong> system helps your surgeon perform<br />

a more precise, minimally invasive hysterectomy<br />

and can offer numerous potential benefits over<br />

traditional surgical approaches, including:<br />

• a shorter hospital stay<br />

• less pain<br />

• faster recovery<br />

• a quicker return to normal activities<br />

• less risk of wound infection<br />

• less blood loss and scarring<br />

Many different procedures are used to perform<br />

hysterectomies. Be sure your physician is<br />

experienced with several techniques so that the<br />

best option can be chosen for you.<br />

Suffer no more!<br />

To learn how robotic-assisted gynecologic<br />

surgery can help reduce your discomfort, visit<br />

www.<strong>The</strong><strong>Christ</strong><strong>Hospital</strong>.com or call 513-585-1000.<br />

Marcia Bowling, MD, an obstetrician and gynecologist with <strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong>, specializes in treating gynecological cancers.<br />

www.womenshealthexperience.com


Arresting heart failure<br />

If your heart is damaged—whether by high<br />

blood pressure, diabetes or some form of coronary<br />

artery disease (including angina and heart<br />

attack)—it can’t pump blood or relax as well as<br />

it should. This condition is known as heart failure.<br />

Despite its name, heart failure doesn’t mean that<br />

your heart has stopped or that you’ve had a heart<br />

attack, but instead that your heart is weak and working<br />

inefficiently.<br />

Warning signs of heart failure include:<br />

§ Shortness of breath. Breathing problems can<br />

occur during activity or when lying down as blood<br />

backs up in the pulmonary veins, causing fluid to<br />

leak into the lungs.<br />

§ Fatigue. Simple activities like getting dressed<br />

or walking can trigger extreme fatigue and make<br />

everyday chores seem impossible.<br />

§ Water retention. Fluid builds up in the legs,<br />

feet, ankles and, sometimes, abdomen. Other waterretention<br />

signs include frequent urination and<br />

weight gain.<br />

§ Coughing or wheezing. Fluid buildup in the lungs<br />

can cause coughing that produces white or pink<br />

blood-tinged mucus.<br />

§ Appetite loss or nausea. Digestive problems can<br />

make you feel full or sick to your stomach.<br />

§ Confusion or impaired thinking. Changing levels of<br />

sodium and other substances in the blood can cause<br />

memory disturbances and disorientation.<br />

§ Increased heart rate. A racing heart or palpitations<br />

can occur when the heart starts beating faster<br />

to make up for loss in pumping capacity.<br />

Get prompt medical care if you have any of<br />

these symptoms. Heart failure is the leading cause of<br />

hospitalizations among people ages 65 and older. WHT<br />

Help for your<br />

heart is here!<br />

<strong>The</strong> Healthcare Accreditation Colloquium<br />

recently recognized <strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong> as a fully<br />

accredited heart failure center of excellence.<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong> is the first hospital in Greater<br />

Cincinnati, and only the fifth in the United<br />

States, to achieve this recognition. <strong>The</strong> <strong>Christ</strong><br />

<strong>Hospital</strong> heart failure services include:<br />

• <strong>The</strong> Carl H. & Edyth Lindner Heart Failure<br />

Treatment Center. A unique 28-bed unit offering<br />

state-of-the-art care for patients with heart failure.<br />

• Heart Link. A unique tool that helps heart<br />

failure patients transition from hospital to home.<br />

Specially trained nurses connect with patients<br />

after discharge to review diet, exercise and<br />

medication.<br />

• Congestive heart failure clinic. Physicians<br />

and nurses treat the growing aging population of<br />

heart failure patients, specifically those who are<br />

uninsured or underinsured.<br />

• Participation in nationally published research<br />

on heart failure management and treatment<br />

methods.<br />

Get heart healthy!<br />

Visit www.<strong>The</strong><strong>Christ</strong><strong>Hospital</strong>.com to learn more<br />

about heart failure treatment at <strong>The</strong> <strong>Christ</strong><br />

<strong>Hospital</strong>, or call the heart failure clinic at<br />

513-585-2472.<br />

© istockphoto.com/Shannon Keegan/Karen Roach<br />

<br />

Women’s Health Today


By Nancy Slattery, MD<br />

10<br />

questions to ask<br />

at your next checkup<br />

Your annual physical should be more than a quick checkup and a “See<br />

you next year, doc.” It’s your chance to strengthen a vital partnership<br />

with your healthcare provider and assess your medical outlook.<br />

© istockphoto.com/Amanda Rohde<br />

Covering your bases<br />

Think of your physical as a two-part process.<br />

First is the exam itself. <strong>The</strong> second part is gaining<br />

a thorough understanding of your health. Here are<br />

some questions to ask that will help you gain insight:<br />

˛1 Are all my signs normal or within accepted<br />

limits? Ask about your:<br />

• body-mass index (BMI), ratio of weight to height<br />

• blood pressure and pulse<br />

• breathing<br />

• skin and nail color, texture and appearance,<br />

which give clues to underlying disorders of your vital<br />

organs<br />

˛2 Is my health better, the same or worse since my<br />

last checkup?<br />

˛3 What are the best ways I can maintain my health<br />

or manage my condition? Ask for advice on diet,<br />

physical activity and stress-management tips to ease<br />

chronic tension and anxiety.<br />

˛4 Given my personal and family medical history,<br />

do I have a higher than normal risk for certain illnesses?<br />

Review your:<br />

• family medical history: whether grandparents,<br />

parents or siblings had heart attacks, strokes, breast<br />

or other cancers and other illnesses<br />

• personal medical history, including any childhood<br />

sunburns, severe allergies or high fevers that are<br />

risk factors for diseases later in life, and any hospitalizations,<br />

surgeries or allergies to drugs or food<br />

˛5 Given my age and health, what symptoms may<br />

indicate the onset of an illness?<br />

˛6 Given my medical status, what specific symptoms<br />

may indicate a health emergency?<br />

˛7 What screenings should I have? Your physician<br />

may recommend a mammogram, a bone density<br />

scan, a colonoscopy, a Pap test or cardiovascular and<br />

cholesterol-related blood tests.<br />

˛8 Should I be seeing a specialist for any reason?<br />

˛9 What new therapies or changes in treatment<br />

since my last checkup should I know about?<br />

˛10 Should I get a flu shot?<br />

Be informative<br />

Mention any current symptoms or unusual<br />

feelings—physical or emotional—that you may have.<br />

Never let embarrassment, fear or shame keep you<br />

from telling your physician about a problem. <strong>The</strong>y’re<br />

trained to handle all your medical concerns—and you<br />

won’t be the first patient with a sensitive issue.<br />

Call your physician’s office any time you have a<br />

question about your health or are having trouble following<br />

his or her instructions. Communicating<br />

openly with your physician is just as important as<br />

eating right, exercising and watching your weight. WHT<br />

Need a primary care<br />

physician?<br />

Call 513-585-1000 to find a physician with<br />

<strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong> Medical Associates.<br />

Nancy Slattery, MD, is an internal medicine physician with <strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong> Medical Associates in Cincinnati.<br />

www.womenshealthexperience.com


what’s<br />

making news<br />

in women’s<br />

health<br />

healthhead<br />

Stroke signs: Still a<br />

mystery to many<br />

A new oral cancer<br />

protection brewing?<br />

Your coffee-drinking<br />

habit might not<br />

be entirely bad for<br />

you, according to<br />

findings that coffee<br />

consumption<br />

is associated with<br />

fewer cancers of the<br />

mouth, pharynx and<br />

esophagus. Japanese<br />

researchers evaluated the diets of more than<br />

38,000 people. <strong>The</strong>y found that compared to<br />

people who did not drink coffee, those who<br />

sipped a cup or more a day had only half the<br />

risk of developing these cancers. <strong>The</strong> risk reduction<br />

was noted even among people at high risk<br />

for these cancers, such as those who drank alcohol<br />

or smoked. <strong>The</strong> research was published in<br />

the American Journal of Epidemiology.<br />

Quick: List the warning signs of stroke and what you should do if you think someone is having<br />

one. Give up? Many people—especially those most likely to suffer a stroke—can’t name<br />

the warning signs, according to researchers at the International Stroke Conference in San Diego.<br />

In 2007, they polled more than 86,000 people by phone and found that fewer than two in five<br />

knew all of the stroke warning signs: sudden weakness in the face, arm or leg; sudden severe<br />

headache with no known cause; sudden vision problems in one or both eyes; sudden confusion<br />

or difficulty speaking; and sudden dizziness, loss of balance, loss of coordination or problems<br />

walking. Many of those polled also didn’t know to call 911 immediately. Older adults, prior stroke<br />

sufferers, minorities, people with lower incomes and people with less education fared poorly in<br />

the poll. Researchers stress the importance of knowing the warning signs, as the quicker you’re<br />

treated for stroke, the better your odds of surviving and limiting any stroke-related disabilities.<br />

© istockphoto.com/Megan Tamaccio<br />

<br />

Women’s Health Today


lines<br />

Too close for comfort?<br />

Do too many family members under one roof hurt the heart? That’s the question<br />

pondered by researchers at Osaka University, who followed more than 90,000<br />

Japanese women and men ages 40 to 69 for as long as 14 years. What they found:<br />

Preeclampsia: Not just<br />

a pregnancy problem<br />

If you had preeclampsia<br />

during pregnancy, you<br />

may be at an increased risk<br />

of having problems such<br />

as high blood pressure,<br />

diabetes and blood clots for<br />

the rest of your life. That’s<br />

according to researchers<br />

at Yale School of Medicine<br />

and the University of<br />

Copenhagen, who looked<br />

at data on more than<br />

1.3 million women who<br />

gave birth between 1978 and 2007. Preeclampsia,<br />

or pregnancy-induced hypertension, is marked by<br />

high blood pressure and excess protein in the urine<br />

after the 20th week of pregnancy. <strong>The</strong> findings<br />

strengthen the link that other studies have found<br />

between preeclampsia and heart conditions. <strong>The</strong>re’s<br />

no known way to prevent preeclampsia—which is<br />

why it’s important to get early and regular prenatal<br />

care—and the only cure for it is to deliver the baby.<br />

If the condition develops early on, your physician<br />

may suggest bed rest or medications to prolong the<br />

pregnancy.<br />

• Women who lived with a spouse, children and<br />

aging parents or with a spouse and parents were<br />

two to three times more likely to suffer from heart<br />

disease than women who only lived with a spouse.<br />

• Men living in these multigenerational households<br />

didn’t experience the same heart-risk increase.<br />

Researchers hypothesize that, for women, the<br />

stress of juggling multiple family roles may be taking<br />

a toll. Japanese women not only care for their<br />

family members and keep the household running<br />

but also work outside the home full time—a<br />

scenario not unfamiliar to American women. So if<br />

you’re a stressed-out caregiver—or if you live with<br />

one—perhaps it’s time to give your heart a break<br />

and divvy up those responsibilities.<br />

www.womenshealthexperience.com


Not a<br />

headache?<br />

Not a<br />

toothache?<br />

Maybe it’s TMJ<br />

<strong>The</strong> dull ache in Lisa’s right cheek led her to<br />

the dentist’s office, where she figured she’d<br />

need a cavity filled at best or root canal at<br />

worst. She was surprised to learn that her<br />

teeth were fine—and to be referred to a medical specialist.<br />

Lisa turned out to have temporomandibular<br />

joint (TMJ) syndrome. Working with this specialist,<br />

she found that a combination of medication and<br />

lifestyle changes—not oral surgery—was the key to<br />

relieving her pain.<br />

What is TMJ?<br />

TMJ affects women in their childbearing years<br />

more than it affects men. Most cases are the result<br />

of displacement of the cartilage disk between the jaw<br />

bones, sometimes caused by an injury to the head,<br />

neck or face. This displacement produces pressure<br />

and stretching of the nerves, leading to pain. TMJ<br />

discomfort is also produced when the muscles used<br />

for chewing spasm. This spasm is commonly caused<br />

by clenching or grinding of the teeth (often while<br />

sleeping), or a poor bite.<br />

TMJ affects women in their<br />

childbearing years more than<br />

it affects men. <strong>The</strong> pain may<br />

be dull or shooting.<br />

Just as the causes of TMJ can differ, so, too,<br />

can the symptoms. Pain may be dull or shooting,<br />

feel like a toothache or a headache or radiate<br />

around the cheek or ear. Sometimes you can hear<br />

the joint pop as you open and close your mouth.<br />

Sometimes you can barely even open your mouth.<br />

Treating TMJ<br />

Treatment varies according to the causes and<br />

severity of your symptoms. If your problem is<br />

muscular, then appropriate actions may include<br />

massaging the muscles, eating soft foods that<br />

require little chewing, applying moist heat to your<br />

cheeks and taking muscle-relaxant medication.<br />

Some patients benefit from wearing a bite splint or<br />

a device like a dental retainer, which prevents<br />

clenching and grinding of the teeth during sleep.<br />

Braces or other orthodontia may be needed. Only<br />

in severe cases is surgery needed. If your pain<br />

points to TMJ, call your healthcare provider for<br />

a referral to a specialist trained in treating this<br />

syndrome. WHT<br />

<br />

Women’s Health Today


sex & Gender matters<br />

<strong>The</strong> latest findings on women-specific health<br />

from the Society for Women’s Health Research<br />

By Jennifer Wider, MD<br />

Protect your sight! ><br />

Get checked for glaucoma<br />

<strong>The</strong> second leading cause of blindness in<br />

the United States is glaucoma, a group of<br />

conditions that result in damage to the<br />

optic nerve, oftentimes from extremely<br />

high pressure inside the eye. More than two million<br />

people suffer from glaucoma, and it seems to affect<br />

women disproportionately. “It’s been speculated that<br />

since women live longer than men on average, there<br />

are more women who are at an age in which glaucoma<br />

develops,” explains Cynthia L. Grosskreutz, MD,<br />

PhD, associate professor of ophthalmology at Harvard<br />

Medical School and the co-director of the Glaucoma<br />

Service at the Massachusetts Eye and Ear Infirmary<br />

in Boston.<br />

Recognize the risks<br />

Because glaucoma in its early stages is a silent disease,<br />

it’s important to know the risk factors and what<br />

you can do to minimize them. In addition to gender,<br />

other risk factors for developing glaucoma include:<br />

• increasing age<br />

• being African-American<br />

• a family history of glaucoma<br />

• pre-existing conditions including diabetes,<br />

high blood pressure, heart disease and<br />

hypothyroidism<br />

• a prior severe eye injury<br />

• prolonged use of corticosteroids<br />

• smoking<br />

Early diagnosis and treatment can substantially<br />

lessen the suffering from the disease. “<strong>The</strong> best way<br />

to know whether or not you have glaucoma is to<br />

be screened by an eye care provider, giving specific<br />

attention to your intraocular pressure, family history<br />

and health of the optic nerve,” says Dr. Grosskreutz.<br />

Glaucoma screening is quick, painless and noninvasive,<br />

and treatment involves a variety of methods aimed at<br />

reducing the buildup of eye pressure, including eye<br />

drops, medication and surgery after other methods<br />

are exhausted. “Most patients are initially treated with<br />

medicine or possibly laser procedures and subsequently<br />

move on to surgery if needed,” says Dr. Grosskreutz.<br />

While there’s currently no cure, treatment and<br />

regular checkups can prevent or slow the progression<br />

of glaucoma. And check with your eye care physician<br />

or eye center for information on glaucoma support<br />

groups. WHT<br />

© 2009 Elizabeth Knox/Gettyimages<br />

Learn more!<br />

<strong>The</strong> Society for Women’s Health Research is a nonprofit<br />

research, education and advocacy organization<br />

that works to improve women’s health through sexspecific<br />

research, education and advocacy. To find<br />

this article and more of the latest news and research<br />

on women’s health, visit their Web site at www.womens<br />

healthresearch.org.<br />

Jennifer Wider, MD, is a medical advisor for the Society for Women’s Health Research in Washington, D.C.<br />

www.womenshealthexperience.com


© 2009 Jonathan Skow/Corbis Outline<br />

10<br />

Women’s Health Today


STEALING<br />

the<br />

scene<br />

<strong>Marg</strong> Helgenberger investigates all life has to offer!<br />

By Bonnie Siegler<br />

Saline solution? Got it. Lip gloss? Got it. Wallet and keys? Check,<br />

check. Ready to go. “CSI: Crime Scene Investigation” star <strong>Marg</strong><br />

Helgenberger’s basic tool kit illustrates the contrast between her<br />

simplified life and that of her TV character, senior crime scene<br />

investigator Catherine Willows, who requires a vast array of high-tech equipment<br />

and latex gloves to get her job done.<br />

<strong>The</strong> contrast doesn’t stop there. “Catherine’s a former exotic dancer, a<br />

Vegas girl who’s connected to the history of the town,” says Helgenberger,<br />

one of the original cast members of the popular CBS drama. “But over<br />

the years we’ve both grown wiser, more reflective, confident, relaxed and<br />

assured.” Recently turning the big 5-O, it’s clear that Helgenberger is comfortable<br />

and happy in her own skin. And why not? <strong>The</strong> Nebraska native<br />

has a youthfulness about her that women half her age would envy. “Being<br />

open-minded is an important factor in staying young,” explains the actress.<br />

“Remaining open to new ideas and interpretations and not passing judgment<br />

makes not only you, but the world, a happier place.” continued on page 12<br />

www.womenshealthexperience.com 11


continued from page 11<br />

Fighting hardship, onscreen and off<br />

Helgenberger’s world includes her role as mom to<br />

19-year-old Hugh, her son with actor Alan Rosenberg<br />

(the couple separated in 2008). She splits her time<br />

between family, friends and a successful career in<br />

which she’s won the hearts of TV viewers, shared in<br />

CSI’s Screen Actors Guild award in 2005 and earned<br />

an Emmy for her portrayal of a<br />

tough prostitute in “China Beach”<br />

in 1990. “I like edgier material<br />

because it suits my nature better.<br />

Bad girls or complicated women are<br />

always more fun to play than good<br />

girls,” she says. “I feel an affinity<br />

for people who’ve been through<br />

hardships but keep going.”<br />

On top of that list is<br />

Helgenberger’s mother, a breast<br />

cancer survivor. “My mom’s always<br />

looked on the bright side of life; I<br />

respect that type of person.” In part because of her<br />

mother’s experience, Helgenberger donates her time<br />

to various cancer charity events, hosting her own<br />

Helgenberger and “CSI” co-stars Laurence<br />

Fishburne (center) and Robert David Hall.<br />

annual Celebrity<br />

Weekend to fight<br />

breast cancer in<br />

Omaha, Neb.,<br />

since 1997, and<br />

attending last<br />

September’s<br />

“Stand Up To<br />

Cancer” event put<br />

together by the<br />

Entertainment<br />

Industry Foundation.<br />

On a more<br />

personal level,<br />

Helgenberger’s preventive measures include her<br />

annual physician visit. “I’ve been getting yearly<br />

mammograms for a long time,” she acknowledges.<br />

“And I do self-examinations regularly.”<br />

Taking care from the inside out<br />

Helgenberger knows the importance of nutritious<br />

eating: Yogurt, fresh berries, salad greens,<br />

tuna, sliced turkey, milk, orange juice and teas are<br />

among her nutritional staples. “I’m big on drinking<br />

“ Edgier material<br />

suits my nature<br />

better ... I feel an<br />

affinity for people<br />

who’ve been through<br />

hardships going. but keep<br />

”<br />

lots of water and teas,” she says. “I start my day with<br />

a protein-packed smoothie made with yogurt, rice<br />

milk and fresh fruit like berries or papaya.” But she’s<br />

not a sergeant with the food police. “I love chocolate<br />

chip cookies too much,” she laughs. “And those Girl<br />

Scout Thin Mints … soul food like fried chicken<br />

with macaroni and cheese … let’s see, I like Italian<br />

food ...” Helgenberger continues,<br />

ticking off her list of guilty pleasures.<br />

“I mean, who doesn’t enjoy<br />

a great pasta or pizza? Thin crust<br />

and not too cheesy!”<br />

Growing older gracefully<br />

But that doesn’t mean<br />

Helgenberger can simply ignore<br />

the pressures Hollywood’s ageism<br />

places on women. “I certainly want<br />

to look the best I possibly can, and<br />

I’ve always been a disciplined and<br />

motivated person. But I really have to work with<br />

what I’ve got and grow older gracefully. I don’t<br />

wear some of the clothes I wore 10 years ago—and<br />

certainly not the ones I wore 20 years ago.”<br />

To keep her 5-foot-6-inch figure in shape,<br />

Helgenberger attends twice-weekly yoga sessions,<br />

hikes with her dog, Henry, and meditates daily.<br />

“Stress in general is bad for your health and wellbeing.<br />

That’s why I do yoga and meditate for<br />

20 minutes every morning,” says Helgenberger.<br />

“Being out among nature also reduces my stress in a<br />

visual way. A long walk, hanging out at the beach or<br />

just appreciating the outdoors does wonders.”<br />

Singing a simple song<br />

A new element of calm for Helgenberger is a local<br />

book club she started a few years ago. “Good reading<br />

material’s always important. But I’m not one of those<br />

readers who can plow through a novel every week<br />

because I get distracted from all the things on my plate.”<br />

Helgenberger’s distractions come in many<br />

forms. So what would this self-described “loyal,<br />

hard-working, fun-loving” woman do with an extra<br />

hour in a day? “I’d probably play my guitar. I’d sing<br />

songs I’ve learned or want to learn. I guess you<br />

could say that’s just another distraction,” she smiles,<br />

“but I’d say it’s simply another stress reducer.” WHT<br />

© 2009 CBS Photo Archive/Gettyimages<br />

12<br />

Women’s Health Today


HealthY Mind<br />

Beat the blues<br />

Women and depression<br />

You’re feeling down, you can’t sleep at night<br />

or concentrate at work—and that headache<br />

just won’t go away. You could chalk<br />

these symptoms up to your busy life, but<br />

you may actually be depressed. Almost twice as many<br />

women as men develop depression, and they usually<br />

first experience the condition in their 20s or 30s. Like<br />

any medical illness, depression requires treatment.<br />

Behind your blues<br />

While hormones may deserve some of the<br />

blame, many other factors can trigger depression:<br />

• Pregnancy and birth. Up to 10 percent of new<br />

moms suffer postpartum depression.<br />

• Inequality. Women make less money than men<br />

and hold fewer positions of power.<br />

• Work and home duties. <strong>The</strong> constant juggling can<br />

be overwhelming.<br />

• Physical or sexual abuse. Women who were emotionally,<br />

physically or sexually abused as children<br />

are more likely to experience depression than those<br />

who weren’t.<br />

Searching for the signs<br />

Depression can lead to chronic aches, restlessness<br />

and overeating or loss of appetite. Researchers<br />

have come up with the acronym SAD FACES to<br />

remember the symptoms in women:<br />

S leep disturbances<br />

A nhedonia, or loss of joy for life<br />

D epressed mood most of the time<br />

F atigue or loss of energy<br />

A ppetite disturbances<br />

C oncentration problems<br />

E steem lowered, or guilt<br />

S uicidal thoughts or repeated thoughts of death<br />

If you experience several of these symptoms<br />

every day for at least two weeks, talk with your<br />

healthcare provider. He or she can help you decide<br />

what treatment may be best to bring back the old<br />

you, including:<br />

• A good support base. Being able to talk with your<br />

spouse or partner or a family member, close friend,<br />

spiritual leader or co-worker can help. Or<br />

try finding a support group that deals with<br />

the specific cause of your depression; if it<br />

was spurred by the recent death of a loved<br />

one, seek out a local bereavement group.<br />

• Antidepressants. Women may especially<br />

benefit from selective serotonin<br />

reuptake inhibitor (SSRI) drugs, such as<br />

Prozac, Zoloft or Paxil. Some research<br />

has shown that women’s brains make less<br />

of the mood-boosting substance serotonin;<br />

SSRIs can help you make more.<br />

If you’re pregnant or breastfeeding, talk<br />

with your healthcare provider about your<br />

options.<br />

• Talk therapy. A therapist can help you<br />

change behavior or perceptions that may<br />

be contributing to your depression. WHT<br />

www.womenshealthexperience.com 13


Surgery? Steady now!<br />

Get your body and mind ready<br />

Just like a football coach prepares the team<br />

before a game, you need to prepare your body<br />

and mind before an operation. Research shows<br />

that the more prepared and less anxious someone<br />

is about surgery, the faster that person heals.<br />

Find out more<br />

Know what to expect before, during and after<br />

surgery. As soon as your physician tells you that you<br />

need an operation, find out the details. Ask:<br />

• Are there alternatives to surgery?<br />

• What are the benefits and risks of<br />

the operation?<br />

• What if the operation isn’t<br />

performed?<br />

• What will happen during<br />

the surgery?<br />

Your physician may provide<br />

you with informational brochures<br />

or DVDs. <strong>The</strong>se will help you process<br />

the information at your own pace.<br />

Allaying anesthesia fears<br />

One of your worries about surgery likely has to<br />

do with being “put under” for the procedure. But you<br />

needn’t be overly concerned. Each year in the United<br />

States, physicians perform millions of procedures<br />

involving anesthesia, and the risks are extremely low.<br />

Anesthesia interrupts the flow of messages carried by<br />

nerve cells from distant parts of our body to our brain<br />

to block pain messages.<br />

“If you’re going in for major surgery, rest<br />

assured that gone are the days when patients inhaled<br />

ether through a mask,” says American Society of<br />

Anesthesiologists board member and board-certified<br />

anesthesiologist Patricia Davidson, MD. “Today’s<br />

specialists plan your anesthesia from among dozens of<br />

gases, vapors and compounds, so you receive anesthetics<br />

that are the most effective for your<br />

age, gender, condition and diagnosis.”<br />

<strong>The</strong> three basic types of anesthesia are:<br />

• Local, such as when a dentist<br />

fills a cavity. Only a small, specific<br />

part of your body is numbed, and<br />

you remain fully awake.<br />

• Regional, such as spinal or epidural<br />

anesthesia during childbirth.<br />

This numbs a section of your body. You<br />

may also receive sedatives intravenously to<br />

help you relax. You remain awake, but groggy.<br />

• General, such as for organ surgery or some hip<br />

replacements. Under careful monitoring, you’re<br />

induced to sleep with intravenous drugs and then put<br />

into an unconscious state. General anesthesia is made<br />

up of at least four compounds to produce four effects:<br />

unconsciousness, amnesia, pain relief and immobility.<br />

ASK THE EXPERT<br />

Featuring Patricia Davidson, MD<br />

Q: Will I wake up during my operation?<br />

A: Waking up during surgery, or awareness, is a very rare occurrence: 99.9 percent<br />

of patients under general anesthesia are completely unaware, according to the American<br />

Society of Anesthesiologists. Clarify with your anesthesiologist if you’ll be under general<br />

anesthesia or if you’ll be sedated; in the latter case, you will be somewhat aware.<br />

Fully discuss your concerns before the procedure, ask questions and share any past<br />

anesthesia experiences with your anesthesiologist. After surgery, if you think you experienced<br />

wakefulness during the procedure, tell your anesthesiologist, who can help you<br />

understand what happened and refer you to a counselor, if necessary.<br />

14<br />

Women’s Health Today


medical problems you have<br />

• all medicines, including aspirin or ibuprofen<br />

and dietary or herbal supplements you’re taking<br />

• whether you smoke or drink alcohol or use<br />

any illegal substances<br />

• whether you have any food or drug allergies<br />

• your and your family’s history of anesthesia<br />

reactions<br />

❝<br />

<strong>The</strong> more prepared<br />

and less anxious you<br />

are about surgery, the faster<br />

you’ll heal. ❞<br />

Separate from anesthesia, physicians also use<br />

different levels of sedation during procedures or<br />

testing. Light sedation will calm you, but you’ll<br />

still be able to readily respond to questions. With<br />

moderate sedation, you’ll require more prodding<br />

to respond, while with deep sedation, you’ll be<br />

able to respond only after significant stimulation.<br />

“Physicians frequently use deep sedation for quick<br />

but painful procedures, like setting a bone or some<br />

colonoscopies,” says Dr. Davidson.<br />

Information, please<br />

Before surgery, you’ll meet with the anesthesiologist<br />

and surgeon to discuss what’s ahead.<br />

“Remember, general anesthesia affects your entire<br />

system, so it’s very important to share your complete<br />

medical history,” says Dr. Davidson. That includes:<br />

• your current health and any underlying<br />

Take a deep breath<br />

Whether your fears revolve around anesthesia,<br />

the surgery itself or postsurgical concerns, managing<br />

your stress can also speed recovery. Here’s why:<br />

Stress raises blood pressure and heart rate, increasing<br />

the risk of cardiac complications. It may also prevent<br />

you from eating or sleeping properly, delay wound<br />

healing and deplete your body’s defenses against<br />

infection. Stress also worsens pain by tightening muscles<br />

around the incision.<br />

Before you go into surgery, imagine your<br />

recovery. Think about how good you’ll feel after<br />

your physician fixes your problem. Try to eliminate<br />

other stresses in your life, like work worries or family<br />

problems. Relaxation techniques, such as deep<br />

breathing, meditation and yoga, can help you achieve<br />

a peaceful state of mind.<br />

Easing the road to recovery<br />

Besides getting your mind and body ready for surgery,<br />

you’ll also need to make sure everything around<br />

you is prepared. Here are some things to think about:<br />

• Ask your physician what your physical limitations<br />

will be after the operation and prepare your<br />

home accordingly. If stairs will be a factor, set up a<br />

rest area on the first level of your house.<br />

• Ask if you can bring some comfort items, like a<br />

bathrobe or photographs, into your hospital room.<br />

• Ask loved ones to stay with you before and after<br />

surgery to help ease your anxiety. WHT<br />

www.womenshealthexperience.com 15


Easy cancerprevention<br />

tactics<br />

You’ve likely heard frequent and often conflicting<br />

news reports about how certain<br />

foods, vitamins or drugs may prevent—or<br />

cause—cancer. No single study can provide<br />

an answer to what causes or prevents cancer, so you<br />

shouldn’t change how you care for your health based<br />

on one news report (unless your physician agrees).<br />

But research has yielded positive news on the cancer<br />

prevention front. Here’s what we know:<br />

• Hepatitis B vaccine. This three- to four-shot<br />

series protects against contracting hepatitis B, a viral<br />

infection that may become chronic, leading to liver<br />

damage and liver cancer.<br />

• HPV vaccine. This vaccine for girls and young<br />

women ages 9 to 26 protects against the two types<br />

of human papillomavirus (more than 100 exist) that<br />

cause most cases of cervical cancer, as well as the<br />

two types that cause most genital warts.<br />

Produce pumps up protection<br />

<strong>The</strong> American Cancer Society recommends eating<br />

five or more servings of fruits and vegetables<br />

each day as part of a healthy, low-fat diet.<br />

Some plant foods in particular may reduce colon<br />

and stomach cancer risk, such as:<br />

• cruciferous vegetables like broccoli, cauliflower,<br />

brussels sprouts, kale and cabbage<br />

• green and dark yellow vegetables like spinach,<br />

romaine lettuce, carrots, squash and sweet potatoes<br />

• beans and soybean products<br />

Vaccines that vanquish cancer<br />

Because some cancers are triggered by a virus,<br />

vaccines to prevent certain viral infections can protect<br />

against cancer. Talk with your physician about:<br />

A new benefit for a common drug<br />

<strong>The</strong> drug raloxifene (brand name Evista),<br />

widely prescribed to prevent and treat osteoporosis<br />

in postmenopausal women, also protects against<br />

invasive breast cancer. Raloxifene is approved by<br />

the U.S. Food and Drug Administration as only<br />

the second drug to prevent breast cancer. <strong>The</strong> first,<br />

tamoxifen, is a better option for premenopausal<br />

women.<br />

Research continues, but so far, the most effective<br />

cancer preventives are those we’ve known for years.<br />

Lifestyle behaviors like not smoking, getting regular<br />

activity, protecting your skin from the sun and seeing<br />

your healthcare provider for timely screenings like<br />

mammograms, colonoscopies, Pap tests and prostate<br />

cancer tests shouldn’t be underestimated. WHT<br />

16<br />

Women’s Health Today


A positive approach to PMS<br />

Women endure it, physicians empathize<br />

with patients suffering from it and<br />

sitcoms make light of it, but if you’re<br />

female there’s little chance of avoiding<br />

it: premenstrual syndrome, or PMS.<br />

You probably know the signs of PMS: Seven to<br />

10 days before your period, you notice you’re retaining<br />

fluid, your breasts are sore, you suddenly crave<br />

chocolate and you may even need a good cry. In fact,<br />

physicians say more than 150 symptoms—physical,<br />

emotional or mental—can be attributed to PMS.<br />

<strong>The</strong>n, at the onset of your period, the symptoms<br />

thankfully retreat for another month.<br />

Seventy-five percent to 85 percent of menstruating<br />

women say they experience at least one PMS<br />

symptom during their monthly cycle. And an estimated<br />

3 percent to 8 percent of menstruating women<br />

suffer a type of PMS—premenstrual dysphoric<br />

disorder—so severe it affects their daily functioning.<br />

Most PMS is treatable<br />

As of yet, no tests can help physicians diagnose<br />

PMS. In addition, the severity of symptoms varies<br />

among women and can be different in the same woman<br />

from month to month. PMS usually sets in after age 20<br />

and can become a regular occurrence until menopause.<br />

Physicians believe PMS is somehow linked to the<br />

interaction of the brain and the ovaries. Beyond that,<br />

little else has been established. However, you can make<br />

some lifestyle changes to find relief from PMS, such as:<br />

• eating foods rich in complex carbohydrates,<br />

such as leafy vegetables, whole grains and fruit<br />

• exercising several times each week for a better<br />

mind‐set, more self-esteem and greater physical<br />

resistance to symptoms<br />

• using less salt to minimize bloating and swelling<br />

• decreasing caffeine and alcohol consumption<br />

to reduce irritability<br />

• practicing relaxation through yoga, deep<br />

breathing or meditation<br />

• taking supplements of chewable calcium<br />

(1,200 mg/day) and magnesium (400 mg/day), which<br />

have been shown to reduce bloating, moodiness and<br />

breast soreness by as much as 50 percent<br />

• getting sufficient sleep to reduce stress and<br />

restore yourself<br />

Several medications can also treat PMS effectively.<br />

Nonsteroidal anti-inflammatory drugs—or<br />

NSAIDs—relieve cramps and breast pain, although<br />

their long-term use may cause stomach problems.<br />

You might also ask your physician if diuretics to<br />

relieve fluid retention are appropriate for you. Low<br />

doses of selective serotonin reuptake inhibitors<br />

(SSRIs) such as Prozac, Zoloft and Paxil have<br />

reduced PMS symptoms in up to 70 percent of<br />

patients. What’s more, they can sometimes be taken<br />

just a couple of weeks each month. WHT<br />

Don’t suffer in silence!<br />

Talk with your physician about which treatments for PMS may be<br />

right for you. If you need an Ob/Gyn or a primary care physician,<br />

call <strong>The</strong> <strong>Christ</strong> <strong>Hospital</strong> physician referral line at 513-585-1000.<br />

www.womenshealthexperience.com 17


Healthy moves<br />

Which exercise is<br />

best for you?<br />

Answer these simple questions to find out<br />

Do you want to lose weight? Boost<br />

aerobic fitness? Prevent disease?<br />

Build strength? Maybe you want<br />

to do all four—or more. Knowing<br />

your fitness goals can help you plan an exercise<br />

program that matches your needs.<br />

Get started by circling all the numbered<br />

statements that apply to you and reading the<br />

corresponding recommendations.<br />

1<br />

2<br />

3<br />

4<br />

5<br />

6<br />

I’m concerned about a family or personal history of one or<br />

more of the following:<br />

• high blood pressure<br />

• high cholesterol<br />

• diabetes<br />

• stroke<br />

• heart disease or heart attacks<br />

• osteoporosis<br />

• stress, anxiety and depression<br />

• colon cancer<br />

I’m not very active.<br />

I’m concerned about one or more of the following:<br />

• losing my ability to function independently<br />

• falling or injuring myself<br />

• having stiff, sore muscles<br />

I’m interested in:<br />

• reducing flabbiness<br />

• increasing muscle strength<br />

• building bone mass<br />

I’d like to:<br />

• become exceptionally fit<br />

• get maximum protection against heart disease<br />

• participate in strenuous activities without tiring<br />

I don’t have much time to exercise.<br />

7<br />

8<br />

9<br />

10<br />

I’m worried about injuring myself during exercise.<br />

I’d like to stay active and feel good as I age.<br />

I’d like to extend my life span.<br />

I want to lose weight.<br />

© istockphoto.com/Cloki<br />

18<br />

Women’s Health Today


❝<br />

Knowing your fitness goals can help<br />

you plan an exercise program that matches<br />

your needs. ❞<br />

If you circled…<br />

© istockphoto.com/Doug Cannell/Jim Jurica, © 2009 Jupiterimages<br />

1<br />

Staying healthy is a priority. To<br />

help prevent or control the<br />

listed conditions, aim for regular<br />

moderate activity. Try walking<br />

(3-4 mph), swimming, cycling<br />

(under 10 mph), dancing, yard<br />

work or housecleaning. And keep<br />

the acronym “FIT” in mind:<br />

Frequency: at least five<br />

times a week.<br />

Intensity: at<br />

50 percent to<br />

85 percent of your<br />

maximum heart<br />

rate. (To find your<br />

maximum heart rate,<br />

subtract your age from 220. <strong>The</strong>n<br />

multiply that figure by 0.5 to 0.85 to<br />

find your optimal beats per minute.)<br />

Time: at least 30 minutes a day.<br />

2<br />

You may have the most to gain<br />

from getting active. If you find<br />

a 30-minute block of activity daunting,<br />

try for three 10-minute sessions<br />

each day.<br />

3<br />

Stretching exercises will help<br />

maintain flexibility and range<br />

of motion well into your later years.<br />

Aim for two or more sessions<br />

a week of strengthening<br />

activities. Old-fashioned<br />

calisthenics, handheld weights or<br />

weight machines are some of the<br />

tools you can use to build muscles.<br />

5<br />

Peak performance—and<br />

maximum disease prevention—is<br />

your aim. That means a<br />

more vigorous workout that may<br />

include brisk walking, lap swimming<br />

and competitive sports. Whatever<br />

activity you choose, aim for working<br />

at 60 percent to 90 percent of your<br />

maximum heart rate at least<br />

30 minutes a day.<br />

6<br />

4<br />

Try sneaking fitness into your<br />

daily routine. Take a half-hour<br />

walk at lunchtime. Take the stairs<br />

instead of the elevator. Use a hand<br />

mower. Every minute—and every<br />

movement—counts.<br />

7<br />

Your fear is no reason to<br />

remain inactive. <strong>The</strong> trick:<br />

Choose varied activities that match<br />

your fitness level, wear proper<br />

footwear and protective gear and<br />

remember to start low and go slow.<br />

Soon, confidence will outweigh your<br />

initial fear.<br />

8<br />

Your best bet is a complete<br />

program that includes aerobic,<br />

flexibility and strength-training<br />

exercises. Commitment to a total<br />

program will help you feel, look and<br />

act young.<br />

9<br />

You’ll be happy to hear that<br />

moderate levels of physical<br />

fitness can help extend your life span.<br />

Better news: <strong>The</strong> more active you<br />

are, the greater the benefit.<br />

10<br />

Follow a healthful diet, and<br />

do aerobic and muscle-<br />

strengthening exercises regularly.<br />

Aerobic exercises help burn calories,<br />

while muscle-strengthening<br />

exercises help increase lean body<br />

mass and boost metabolism.<br />

www.womenshealthexperience.com 19


Breathe<br />

easy<br />

Reduce your risk of COPD<br />

It’s the fourth leading cause of death in the United<br />

States, killing more women than men, yet many<br />

people haven’t even heard of chronic obstructive<br />

pulmonary disease (COPD).<br />

COPD is a term used to describe a group of<br />

lung diseases, usually chronic bronchitis and emphysema,<br />

that make it difficult to breathe. In 90 percent<br />

of COPD cases, cigarette smoking is the cause.<br />

Experts think the increase in female smokers since<br />

the 1940s may be to blame for the rise in COPD<br />

deaths among women. Other causes of COPD<br />

include on-the-job exposure to dust and chemicals.<br />

But COPD doesn’t just affect your breathing.<br />

It can also cause pulmonary hypertension and heart<br />

problems and put you at greater risk for lung cancer<br />

and depression.<br />

Looking for signs<br />

COPD can be difficult to catch early. It develops<br />

slowly, so symptoms may not appear until middle<br />

age, when the lungs have usually already suffered<br />

significant damage. Over time, the following symptoms<br />

of COPD get worse:<br />

• cough that won’t go away<br />

• cough accompanied by mucus<br />

• shortness of breath or wheezing<br />

• chest tightness<br />

• recurring respiratory infections<br />

If you have any of these symptoms, see your<br />

healthcare provider immediately. He or she can perform<br />

breathing tests to rule out other conditions,<br />

such as asthma, and confirm COPD.<br />

Prevention is key<br />

Prevention is essential, as there’s no cure for<br />

COPD, though medications and other therapies<br />

can help you live more fully with the condition. To<br />

reduce your risk:<br />

∆ Kick butt. Better your odds of quit-smoking<br />

success by being prepared:<br />

• Set a quit date and mark it on your calendar.<br />

• Start to cut back before your quit date.<br />

• Ask your healthcare provider for help; this<br />

may include advice about over-the-counter quitsmoking<br />

aids or prescription medications.<br />

• Consider joining a smoking cessation program<br />

or support group.<br />

• Throw out all smoking paraphernalia, such as<br />

ashtrays and lighters, and avoid places where people<br />

smoke.<br />

• Be prepared for withdrawal symptoms—they’ll<br />

eventually subside.<br />

• Eat healthfully and exercise to avoid weight<br />

gain. Many people are tempted to go back to cigarettes<br />

when the scale starts to creep up.<br />

∆ Stay away from smoke. If you’re a nonsmoker,<br />

avoid secondhand smoke to reduce your risk of<br />

developing COPD.<br />

∆ Protect yourself at work. If your job exposes you<br />

to chemical fumes or dust, talk with your manager<br />

about ways to reduce your exposure, such as wearing<br />

a mask. WHT<br />

20<br />

Women’s Health Today


7<br />

smart things<br />

you can do for your baby<br />

How you treat your infant now can affect his or her<br />

health, safety and intelligence throughout childhood<br />

and beyond. Consider these recommendations:<br />

1Breastfeed. <strong>The</strong> Surgeon General recommends<br />

that all babies be breastfed exclusively for the first<br />

four to six months (preferably six). Research shows<br />

that babies who aren’t breastfed exclusively are more likely<br />

to have more upper respiratory and ear infections, and<br />

breastfed babies may be less likely to develop diabetes,<br />

asthma or certain childhood cancers.<br />

4Go back to sleep. <strong>The</strong> American Academy of<br />

Pediatrics recommends that all babies sleep on<br />

their backs to reduce the risk of sudden infant<br />

death syndrome (SIDS). Other ways to reduce SIDS risk:<br />

Use a firm crib mattress; remove pillows, stuffed animals<br />

and comforters from the crib; and use infant sleep<br />

sacks instead of loose blankets.<br />

2Properly install the car<br />

seat. Baby car safety<br />

is so important that<br />

hospitals don’t release newborns<br />

without car seats. But<br />

research shows that most<br />

people don’t install the seats<br />

properly, which can lead to<br />

death or serious injury during<br />

an accident. See whether<br />

your local police or fire station<br />

offers free installation.<br />

5Fight germs. Infants<br />

don’t have fully<br />

developed immune<br />

systems, so they need to<br />

avoid people with contagious<br />

illnesses. Insist that<br />

anyone who touches your<br />

baby wash his or her hands<br />

first, especially if they’ve<br />

sneezed, coughed, gone to<br />

the bathroom, changed a<br />

diaper or touched a pet.<br />

3Give baby enough iron. Iron deficiency,<br />

which can cause anemia, is<br />

the most common nutritional deficiency in<br />

this country. In infants, it can delay movement and mental<br />

function. Your baby should get enough if you breastfeed<br />

for 12 months and introduce iron-fortified infant cereal at<br />

6 months. Or, use an iron-fortified formula.<br />

6Vaccinate. Babies are vulnerable<br />

to many diseases. Stay on pace<br />

with the Centers for Disease<br />

Control and Prevention-recommended schedule. Don’t<br />

forget the flu shot: All children ages 6 months through<br />

18 years need one every year.<br />

7Childproof your home. When your baby can crawl, make sure<br />

your home is safe. Crawl around to see the world through his<br />

or her eyes; remove dangerous items from reach; and consider<br />

installing safety latches on cabinets, soft bumpers on table corners,<br />

safety gates at stairways and child-proof covers on electrical outlets.<br />

www.womenshealthexperience.com 21


Healthy bites<br />

Just-picked dishes<br />

Take advantage of the season’s fresh crop!<br />

<strong>The</strong> good news about fresh vegetables: You<br />

don’t have to grow them yourself to benefit<br />

from Mother Nature’s bounty. Here’s what<br />

some of summer’s most popular crops have<br />

to offer:<br />

Arugula. A deep green salad vegetable, arugula<br />

is a good source of the antioxidant beta-carotene. It’s<br />

rich in calcium, too—64 milligrams in 2 cups raw.<br />

Bell peppers. Surprisingly, red bell peppers<br />

provide three times as much vitamin C as oranges.<br />

Nutrient dense, they’re also good sources of vitamins<br />

A, B6 (an especially heart-healthy nutrient), betacarotene<br />

and folate (another<br />

“heart-y” vitamin).<br />

Eggplant. This vegetable’s<br />

main virtue is robust<br />

flavor and super satisfaction<br />

for very few calories and no<br />

fat—a boon to any<br />

heart-healthy diet.<br />

However, eggplant<br />

absorbs more<br />

fat than any<br />

other vegetable,<br />

so<br />

choose your<br />

cooking method<br />

wisely. Try broiling,<br />

roasting, grilling<br />

or stewing rather than<br />

frying. Or give this ratatouille<br />

a try:<br />

• 1 unpeeled eggplant, chopped<br />

• 1 cup chopped bell peppers<br />

• 1 cup chopped tomatoes<br />

• 1 cup chopped summer squash<br />

• 1 chopped onion<br />

• 2 tbsp. olive oil<br />

• 1 tbsp. each fresh oregano, basil and thyme<br />

In a large saucepan, sauté eggplant, peppers,<br />

tomatoes, squash and onion in olive oil until they<br />

begin to release their own juices. Add the herbs, salt<br />

and pepper to taste, cover the pan and simmer about<br />

20 minutes or until tender.<br />

Enjoy ratatouille as<br />

a warm or cold side dish,<br />

toss with pasta or puree for<br />

soup.<br />

Gardening ranks<br />

right up there<br />

with playing volleyball<br />

or brisk walking when it<br />

comes to calories<br />

burned.<br />

Peas. If you want a sweet<br />

and satisfying low-calorie source<br />

of protein, think peas. About ¾ cup<br />

of peas contains as much protein as an<br />

egg and less than a<br />

gram of fat. Try this classic<br />

preparation:<br />

lettuce<br />

• 1 head Bibb or Boston<br />

• 2 cups shelled green peas<br />

• ¼ cup chicken broth<br />

• fresh herbs, as desired<br />

Wash but don’t dry the<br />

lettuce leaves. Line a saucepan<br />

with one layer of lettuce<br />

leaves. Spread the shelled peas<br />

on the lettuce lining and season<br />

with herbs, salt and pepper to taste. Add broth.<br />

Cover peas with another layer of lettuce leaves.<br />

Cover the pan, and cook peas over medium heat for<br />

15 minutes, or until tender. Before serving, chop lettuce<br />

and toss with the peas.<br />

Romaine lettuce. Rich in vitamins A and C and<br />

folate, romaine is a more nutritious alternative to<br />

pale iceberg lettuce. In general, the darker green the<br />

leaves, the more nutrient-packed the salad green.<br />

Snap beans. Green and wax beans are chockfull<br />

of beta-carotene and vitamin C. <strong>The</strong>y’re also<br />

good sources of heart-healthy folate.<br />

Summer squash. Thin-skinned and light-<br />

colored, summer squashes (varieties include zucchini,<br />

pattypan and chayote) are a mild but refreshing<br />

22<br />

Women’s Health Today


Good reasons to<br />

grow your own<br />

Need an incentive for cultivating your<br />

own garden this year? Here are three:<br />

• You can reduce your risk of heart<br />

attack. Gardening just 30 to 45 minutes<br />

three times a week can decrease your<br />

blood pressure, increase your HDL<br />

cholesterol (the good kind) and help<br />

reduce your risk of type 2 diabetes.<br />

• You’ll burn calories. In fact, gardening<br />

ranks right up there with playing<br />

volleyball, brisk walking or golfing when<br />

it comes to average number of calories<br />

burned (from a low of 125 calories/hour<br />

for a 120-pound person to 328 calories/<br />

hour for a 180-pound person—more if<br />

your weight exceeds 180).<br />

• You’ll ease stress and anxiety,<br />

sharpen your mental skills and derive satisfaction<br />

from seeing your garden grow.<br />

18-calorie-a-cup addition to many dishes. Eat squashes<br />

with their skins to reap the beta-carotene benefit.<br />

Tomatoes. A leading source of vitamin C,<br />

tomatoes are heralded as a good-for-your-heart food.<br />

That’s because they contain lycopene, an antioxidant<br />

that appears to have heart-protective powers. To<br />

benefit from lycopene, the tomatoes must be cooked.<br />

So try this easy fresh tomato and basil sauce:<br />

• 1 chopped onion<br />

• 1 tbsp. olive oil<br />

• 3 cups chopped ripe tomatoes (peel and seed<br />

before chopping)<br />

• 1 /3 cup chopped fresh basil<br />

In a medium saucepan, sauté chopped onion in<br />

olive oil until translucent. Add chopped tomatoes<br />

and bring to a boil, stirring occasionally. Lower the<br />

heat, add basil and simmer the sauce for 30 minutes<br />

or until thickened. Add salt and pepper to taste.<br />

Serve with pasta, toss with cooked vegetables or use<br />

as a pizza topping. WHT<br />

www.womenshealthexperience.com 23


Health smarts<br />

Serious smoking stats<br />

More than 25 years ago, the U.S. Surgeon General<br />

stated, “Cigarette smoking is the major single<br />

cause of cancer mortality in the United States.”<br />

Unfortunately, this statement is still true today.<br />

While most everyone is aware of the obvious dangers of<br />

smoking, many people still can’t kick this habit, sometimes<br />

for lack of knowledge.<br />

Do you and your loved ones know all you need to<br />

know about smoking? Test yourself by answering true<br />

or false to these statements and checking the answers.<br />

True or false?<br />

{1} <strong>The</strong>re is no safe way to smoke cigarettes.<br />

{2} <strong>The</strong> nicotine in tobacco causes cancer.<br />

{3} <strong>The</strong>re’s no danger in smoking without inhaling.<br />

{4} No matter how long someone smokes, quitting is<br />

still beneficial.<br />

{5} Smokers are all alone in their efforts to quit.<br />

Answers<br />

{1} True. Even smoking as few as one<br />

to four cigarettes a day can still<br />

lead to an increased risk of heart<br />

disease and a shorter life span.<br />

Switching to a low-tar or<br />

low-nicotine cigarette doesn’t<br />

make smoking safer, since<br />

people often end up puffing<br />

more cigarettes to get the same<br />

nicotine dose. Smoking cigars,<br />

pipes or hand-rolled, menthol or<br />

clove cigarettes isn’t safe either:<br />

Any kind of smoking can harm the<br />

human body.<br />

{2} False. While it’s the nicotine that’s<br />

addictive to smokers, it’s not what causes cancer.<br />

Tobacco and tobacco smoke is made up of more than<br />

4,000 chemicals, of which more than 60 cause cancer.<br />

Some of these carcinogens include arsenic, benzene,<br />

cadmium, chromium, nickel and vinyl chloride.<br />

{3} False. Cigarette smoke harms any living tissue it<br />

Test your<br />

health<br />

knowledge<br />

online<br />

Take more health quizzes and<br />

assessments online at<br />

www.womenshealthexperience.com.<br />

Plus, find out what other women<br />

are saying by participating<br />

in our online polls!<br />

comes in contact with. In fact, pipe and<br />

cigar smokers, who usually don’t<br />

inhale, are at risk for cancers of<br />

the lip, mouth and tongue. Plus,<br />

inhaling your own secondhand<br />

smoke puts you at risk for lung<br />

cancer.<br />

{4} True. In just 20 minutes<br />

after your last cigarette, your<br />

body gets healthier: both your<br />

heart rate and blood pressure<br />

drop. In 12 hours, your blood’s<br />

carbon monoxide level falls to normal.<br />

<strong>The</strong> benefits increase steadily<br />

with time, until at the 15-year mark, your<br />

risk of coronary heart disease is equal to that of a<br />

non-smoker.<br />

{5} False. Start with the American Cancer Society at<br />

www.cancer.org or the American Heart Association at<br />

www.americanheart.org for a wealth of support. Search<br />

on both sites for “quit smoking” to find all you need.<br />

24<br />

Women’s Health Today


Stay informed<br />

Stay connected<br />

Stay healthy<br />

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Sign up for a free monthly e-newsletter that delivers the<br />

latest health news, trends and tips to your inbox.<br />

Test your health smarts on fitness, nutrition, disease<br />

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Take our online health assessments to learn your<br />

risk for common diseases and conditions.<br />

Learn what other women are thinking by<br />

participating in our online health polls.<br />

Find out what the Women’s Health Experience<br />

can do for you!<br />

It’s all here—and it’s all for you at<br />

www.womenshealthexperience.com<br />

TM


I<br />

FEEL<br />

BETTER<br />

ALREADY.<br />

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To learn more about robotic-assisted gynecologic surgery at<br />

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To make an appointment with one of our experts, please call:<br />

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Caring Above All ṢM<br />

2139 Auburn Avenue | Cincinnati, OH 45219 | 513-585-2000

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