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Intimate HealthEvidence check
Endometrial polyps often turn up on an ultrasound, sometimes when there's no bleeding at all. A review of 17 studies found precancer or cancer in about 5% of polyps removed after menopause, about 4.5% when there was bleeding and 1.5% when there wasn't. Here is how those numbers can shape a remove-or-watch conversation.
Bladder & Pelvic FloorEvidence check
MV140 is a preparation of inactivated bacteria taken under the tongue to prevent repeat bladder infections. In a trial of 240 women with recurring UTIs, 56 to 58% stayed infection-free for 9 months after treatment, compared with 25% on placebo. The maker funded the trial. A Canadian study found similar results. Here is what the evidence shows and what to ask.
Intimate HealthExplainer
Cream, ovules and gel have different barrier warnings. Why 72 hours, five days and seven days appear in US instructions, and what to ask about your prescription.
Intimate HealthExplainer
Discharge doesn't stop at menopause; the NHS notes it happens at any age. What changes is the background: lower estrogen, a less acidic vagina and thinner tissue. Here is what is usually fine after menopause, which changes point to common infections or dryness, and which need a prompt appointment.
Intimate HealthComparison
Vaginal estrogen comes as a cream, a small tablet or insert, or a soft ring that stays in for months. A Cochrane review of 30 trials with more than 6,000 women found no clear difference in how well the forms relieved dryness and pain. So the choice often comes down to convenience, cost and comfort.
Intimate HealthEvidence check
Air escaping from the vagina with a sound, often called queefing, is common and rarely discussed. In an Iranian study of 942 women, about 1 in 5 had it, most often during sex. At a Taiwanese pelvic floor clinic, 35% of 341 women reported it, and it went with worse sexual satisfaction. After a birth, constipation doubled the odds. Here is what the studies show and the rare sign that needs a check.
Sleep & NighttimeChecklist
Bring sleep changes to the clinician reviewing your prescribed medicine.
Menopause & HormonesExplainer
The US Veozah label excludes even weak CYP1A2 inhibitors. Cimetidine is one of them. Bring your heartburn packet to the pharmacist before combining medicines.
Intimate HealthEvidence check
In a nationally representative US survey of 2,056 women aged 18 to 60, more than half had used a vibrator. Users scored higher on desire, arousal, lubrication and orgasm, and most never had genital side effects from it. Clinicians use vibration for some sexual problems, though the evidence is still limited. Here is what the studies show and what they can't tell you.
HairGuide
Retinol, retinyl esters and beta-carotene count differently when checking the adult upper limit. Bring the full label to your appointment.
Sleep & NighttimeEvidence check
A warm bath or shower 1 to 2 hours before bed helped people fall asleep faster in a 2019 review of 17 studies, and warm footbaths improved how older adults rated their sleep. One lab trial found no change at all. Here is what the studies used: the water temperature, the timing and the minutes, plus who should skip the hot water.
Menopause & HormonesEvidence check
Many women worry that menopause will blunt the effect of the new weight-loss injections. In a manufacturer-run analysis of the tirzepatide trials, postmenopausal women lost about 23% of their body weight versus 3% on placebo, close to the results in younger women. Here is what that analysis can and can't tell you.
