UTIs and cranberry juice

Patient question of the day: how much cranberry juice do I have to drink to prevent a UTI? Notice the question is NOT: will drinking cranberry juice prevent a UTI? It is assumed that it will, and that I have the secret formula to give. Let’s see if I do …

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Are your ovaries workin’ it? How to tell (and why).

How well do your ovaries work?

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A caterpillar workin’ it.

If I had an office visit FAQ, this would be at the top. Women – all ages, all sorts of relationships, all phases of their reproductive lives – want to know how their ovaries are doing. They want hormone tests. They want ultrasounds. They want it all.

Should you want it all too? Moreover, do you need it?

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Marijuana use and pregnancy. Green does not mean go.

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Mission and 1st and confused

I was taken aback by this stoplight the other day. Fallen over, still functioning, and confusing everyone who saw it. You have to pay attention – green does not always mean go.

Green does not mean go for pregnant women either, in a different way. Ohhhhh yes, we’re going to talk about that green.

We don’t really know how many women use marijuana during pregnancy … probably anywhere from 3 to 34%. Different regions have higher (helloooo Colorado) or lower levels of use, and women may be hesitant to disclose their use so we can’t get a proper count.

But we see the trend. More and more states are making it legal to use marijuana, both medically and recreationally.  As of late 2015, 23 states have legalized the use of medical marijuana.  Four of these states – Alaska, Washington, Oregon, and Colorado- have also legalized use of recreational marijuana. California keeps trying but failing.

But how safe is it in pregnancy?

There are no absolute answers, but a recently published composite review (yes, marijuana is getting press from all sides) assessed information from hundreds and hundreds of studies. They looked at risks and benefits for women using marijuana during pregnancy

Below, the quick and dirty:

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