I’ve enjoyed many years in practice. The best part of it has always been meeting some unbelievably kind women, men and couples who are my “quiet heroes.” They don’t write books or give television interviews. They’re not likely to make it onto 60 Minutes or the evening news but they are a gift to their families, friends and communities. Let me tell you about a few of them.
Yesterday I had the good fortune to meet a truly amazing mother of four—two adopted and two biological children. Nina (not her real name) works in a government-funded position and lives a modest lifestyle. One of Nina’s children—a pre-adolescent—carries an assortment of mental health diagnoses; serious ones. And whatever the specifics the fact remains that Nina’s child is violent, has tried to attack her and other members of the family and even attempted an arson attack at the family home. By all accounts Nina’s child will soon require chronic care. And yet this mother soldiers between her job and three other children all while attending to the special needs of her troubled child. While Nina keeps moving forward with no “light” at the end of this tunnel I remain awestruck by her quiet determination and selflessness.
There are two types of spontaneous mechanical contraception available today that do not contain any type of hormone. The first is the Paragard IUD which is embedded with copper and is approved by the FDA for up to 10 years of use. The second—the Essure® device—is a permanent plug that can be placed into the openings of the fallopian tube. The technique for inserting it is called hysteroscopic tubal occlusions (HTO).
Most women in the Rochester area (and United States for that matter!) will end up having 2 children but will spend most of their reproductive lives—about 35 years—trying to avoid an unintended pregnancy. Unfortunately, about half of all pregnancies today are unintended and affect mostly younger women—teenagers and twenty-somethings.
For some women, it seems like there’s no “perfect” contraceptive yet there have never been as many high quality methods available as there are today. This series of articles will review today’s available methods and may provide some insight about how you can make a good choice for yourself. We will also share not just the science, but our personal experience in proving these methods of birth control (contraception) over the past few decades.
First—it’s important to start out by stating that not all women with heavy periods need to be “treated”. As someone who has specialized in treating women with painful or heavy periods in Rochester for the past few decades, I’m often amazed at how far some women will “let it go” before seeking treatment.
This is an important time of year for me. As the days begin to imperceptibly contract I’m mindful that earlier sunsets mean that fall isn’t far away and that we’re rapidly approaching the holiest days of the year on the Jewish calendar.
The ten days encompassing the Jewish New Year (Rosh Hashanah) and the Day of Repentance (Yom Kippur) are known as the Days of Awe. These days—this year falling between September 13th – 23rd 2015–require Jews to reflect on the full measure of their lives. No matter your religious beliefs or whether you believe in G-d or a “higher power” the messages embodied in these 10 days are worth embracing. Continue reading “Teshuvah (Seeking Forgiveness)”→