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In this issue:

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Botox Cosmetic Services Now Offered

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Labiaplasty / Vaginoplasty

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Obesity Kills

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Should Postmenopausal Women Take Hormone’s?

Featured Articles

Botox Cosmetic Services Now Offered

Dr. Armity Simon and Dr. Patricia Grade are now offering Botox for a decrease in frown lines as well as age lines. Botox cosmetic was the most popular medicinal cosmetic procedure for the past four years in the United States.

Why do frown lines appear? The reason frown lines appear is because the skin becomes less elastic over time and repeated muscle contractions can result in frown lines between the brows and the forehead. Botox is a purified protein that smoothes the muscle by blocking the nerve impulses. With a few tiny injections of Botox the release of the chemical that causes muscles to contract will be blocked. With less movement the skin surface gradually smoothes out and the lines begin to fade. Botox is approved for the temporary treatment of moderate to severe frown lines between the brows of people between ages 18 and 65.

Botox is a simple ten minute procedure that consists of a few tiny injections and results are typically seen in a few days and they continue to improve over a period of a few weeks. There is no anesthetic required for injection of Botox. We normally use a cold pack prior to injection of the Botox. Patients may experience a minimal and brief discomfort at the time of injection. There may be slight bruising at the time of the injection of the Botox.

If you are interested in administration of Botox by the doctors in the office, please do not hesitate to call us. Our rates are very competitive with the rates of the physicians in the area that administer Botox. Please call our office at 480-860-2322 to schedule for a free consultation.
 

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Labiaplasty

Labiaplasty (labia reduction and beautification) is becoming increasingly popular among women. Many women suffer from oversized or asymmetrical labia minora (the skin surrounding the opening of the vagina). Some women are born with this condition, and for some it can appear later in life with aging or due to stretching after childbirth. There are multiple reasons that women are requesting labiaplasty. They want to alleviate the discomfort caused by large and/or thick labia. This can interfere with working out, biking, wearing tight fitting clothes and sexual intercourse. Others want to improve the appearance of the labia, which can build confidence and improve self-esteem. Women who have these problems can now have labia surgery to reduce the outward appearance of the labia minora and correct misshapenness or irregularities.

Vaginoplasty

Vaginal rejuvenation (vaginoplasty) involves tightening and rebuilding the vaginal muscles and the perineum. Multiple childbirths, aging, and genetic factors often cause the vaginal muscles to loosen, tear, and weaken. The diameter of the vagina gets bigger and there is a loss of feeling and pleasure. Even after performing Kegel exercises, the condition of the vaginal muscles may not improve. Vaginoplasty helps to return the vagina to a "pre-pregnancy" state. The procedure tones vaginal muscles, resulting in greater contraction strength and control, leading to greater sensation during the sexual experience.

Please contact our office for more information. Your healthcare professional can answer further questions and discuss details of labiaplasty and vaginoplasty with you.

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Obesity Kills

The relationship between excess body fat and the risk of death is well known. An increased risk of cancer, heart disease, diabetes and stroke are just some of the factors that explain the connection between body mass index (BMI) and the risk of death.

A new study, sponsored by the National Cancer Institute and published in the New England Journal of Medicine, has found that being overweight during midlife increases the risk of death by 20%–40%, even if one is healthy and has never smoked. The study recommends that women in midlife, maintain a BMI at 18.5 to 24.9.

Maintaining a healthy weight can also help reduce the risk for several kinds of cancer, according to the American Cancer Society. Excess weight is associated with increased risks of endometrial cancer, breast cancer, colorectal cancer and possibly stomach cancer. Obesity contributes to 14%–20% of all cancer-related mortality. The American Cancer Society guidelines for cancer prevention, in addition to avoiding tobacco, recommend:

 

1. Maintaining a healthy weight throughout life.
2. Adopting a physically active lifestyle.

 

a. Adults: Engage in at least 30 minutes of moderate to vigorous physical activity, above usual activities, on 5 or more days of the week; 45 to 60 minutes of intentional physical activity are preferable.
b. Children and adolescents: Engage in at least 60 minutes per day of moderate to vigorous physical activity at least 5 days per week.

3. Eat a healthy diet, with an emphasis on plant sources.
4. If you drink alcoholic beverages, limit consumption.

Related Links:
http://www.pueblo.gsa.gov/cic_text/health/weightloss4life/wtloss.htm
http://www.cdc.gov/nccdphp/dnpa/nutrition/nutrition_for_everyone/healthy_weight/index.htm
http://www.webmd.com/medical_information/condition_centers/weight_control/default.htm

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Now, many women remain uncertain about taking hormone therapy for symptoms of menopause. Some women however suffer with the many symptoms associated with menopause. These common discomforts include hot flashes, vaginal dryness, painful intercourse, irritable mood, sleep difficulty and weight gain. All of these can be very distressing!

It seems that women are often concerned about risk of breast cancer when taking hormones. In fact the risks are relatively very small. Data from the Women's Health Initiative indicate that the overall attributable risk of invasive breast cancer in women receiving estrogen plus progestin was 8 more cases per 10,000 women-years. No increased risk for invasive breast cancer was detected for women who never used hormone therapy in the past or for those receiving estrogen only.

To address these concerns, the American Society for Reproductive Medicine (ASRM) convened a multidisciplinary group of healthcare providers to discuss the benefits and risks of hormone therapy for women in menopause with symptoms of night sweats, sleep problems, vaginal dryness, mood and sleep disorders.

Their conclusion was that hormone therapy, whether in pill form, transdermal, or vaginal routes, is the most effective treatment for symptoms of menopause. Healthy symptomatic women should be offered the option of hormone therapy for menopausal symptoms. Symptom relief with hormone therapy for many younger women (at the onset of menopause) with menopausal symptoms outweighs the risks and may provide an overall improvement in quality of life. Hormone therapy should be individualized for symptomatic women. This involves tailoring the regimen and dose to individual needs. Please call 480-860-2322 to schedule a consult with your healthcare professional to discuss menopause in detail.

 

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Presented by
Dr. Armity A. Simon, M.D. & Dr. Patricia A. Grade, M.D., Pharm.D.
Obstetrics and Gynecology

9070 East Desert Cove, Suite 102 
Scottsdale, Arizona 85260  (480) 860 - 2322

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