Is it “hot” in here? Getting Rid of the Heat- Introducing the “Kool Tool”!

Is it “hot” in here?  Getting Rid of the Heat- Introducing the “Kool Tool”!

Are you tired of those bothersome hot flashes?  Sweating during a meeting and losing your train of thought?  Soaking the sheets at night?

Well, you’re not alone!   Approximately eighty-five percent of the women in the United States are experiencing hot flashes of some kind as they approach menopause, and for the first few years after their periods stop.  In fact, 20-50% of women continue to experience them for up to 5 years and 15% will continue to have them their entire life!   Want some secret tips to turn down the heat?

 What are hot flashes?

A hot flash is a sudden, intense, warm feeling which occurs on the face, neck and upper body which can last for a few seconds, minutes or longer.   It can be accompanied by faster heart rate, sweating, and loss of thought.  Some women even experience an “aura”, an uneasy feeling just before the hot flash occurs, warning them of its imminent assault.   This flash is often followed by a flush, which leaves you reddened and perspiring.  At night, these same symptoms are called night sweats.

 

What causes hot flashes?

Hot flashes are usually caused by the hormonal changes occurring during menopause, specifically the precipitous decline in estrogen levels.   Some of these symptoms can also be affected by lifestyle and medications.  With the steep decline in estrogen levels during menopause, the brain experiences certain changes.  Specifically, the hypothalamus, the control center for appetite, sleep cycles, sex hormones and body temperature is affected.   The drop in estrogen confuses the hypothalamus to think that it’s “thermostat” is reading “too hot”.   

Because of this heat overload, your brain sends signals to vital organs to get rid of the heat.  Your heart rate quickens, blood vessels dilate and nervous system is activated with release of epinephrine, prostaglandins and serotonin.  Within seconds, the blood vessels in your skin dilate, radiating off heat, and sweat glands produce sweat to cool you off.    It has been reported that in some women the skin temperature can rise as much as six degrees Fahrenheit!  Your body cools down because it thinks it too hot, making you sweat during the middle of a board meeting or in the middle of a good night’s sleep.

Decrease hot flashes by avoiding these triggers:

  • Stress
  • Caffeine
  • Alcohol
  • Spicy foods
  • Tight clothing
  • Heat
  • Cigarette smoke

Get a Kool Tool!

This amazing product was developed by four incredible businesswomen living in San Diego, who are dear friends of mine.   I am an affiliate marketer with them.

 

 

Once I placed the Kool Tool around my neck a cooling sensation instantly spread across my neck and chest.  Wow, what a brilliant idea.  Now I’m using my Kool Tool at the office, on the tennis court, at the gym and while gardening outside.    It last for hours, is reusable, and is anti-microbial.  For me, it’s been a literal life-saver!

For my faithful blog followers, as an affiliate marketer, I am offering a special discount on the Kool Tool.  Simply go to my website: www.drdianahoppe.com and click the “store” button.  Then enter the following coupon codes:

Buy 2 and save $5: use coupon code:  DrD2for35

Buy 3 and save $10: use coupon code:   DrD3for50

Start feeling cooler today! 

 

 

 
Dr. Diana

Dr. Diana

Unhealthy relationship…with your “in-box” ?

Unhealthy Relationship … with your “in-box’?  

Is e-mail bogging you down?

With so many social media networks, literally at our fingertips, it’s no wonder that we can’t keep up with them.  They are taking a toll on our nerves… as well as our libidos!  Every day we are bombarded by hundreds, or potentially thousands, of e-mails, texts, tweets and Facebook messages.

How are we supposed to juggle all of them?
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Talking S-E-X With Your Doctor

When the last time your doctor asked you about sex?

Well, if you’ve been seen at my office, it was probably at your very last visit!

It is estimated that approximately 43% of women in the United States today are experiencing some form of sexual problem, with lack of sexual desire as the leading issue. Yet, in exam rooms across our nation, physicians are not bringing up the topic of sex with their patients.

According to a new University of Chicago survey of more than 1,000 obstetricians and gynecologists in the United States, less than half of the physicians asked their patients about any sexual problems or dysfunction (1). Only two-thirds asked how sexually active their patients are and less than one-third asked their patients about sexual satisfaction. Results of the study were published in Journal of Sexual Medicine with specific results highlighting only 63% routinely asked patients about their sexual activities, with 40% asking about sexual problems, 28.5% asked about sexual satisfaction and approximately 14% asked about pleasure with sexual activity ( 1 in 10 never asked this question at all).

The study’s senior author and associate professor at the University of Chicago Pritzker School of Medicine, Dr. Stacy Lindau, states “sexuality is a key component of a woman’s physical and
psychological health. Simply asking a patient if she’s sexually active does not tell us whether she has good sexual function or changes in her sexual function that could indicate an underlying problem.”

Which physicians are most likely to bring us sexual issues?

Female physicians were more likely than male physicians to discuss sexual activity as well as sexual orientation and identity with female patients. Physicians practicing solely gynecology and not providing obstetrical services were also more likely to screen for sexual dysfunction. Physicians aged 60 years and older were found to be the least likely to discuss a patient’s sexual orientation or identity compared to their younger colleagues ( 11% vs 28% of those aged 46-59 vs. 32% aged 45 or younger.)

According to researchers, about 25 percent of the doctors said they have expressed disapproval of patients’ sexual practices; these were primarily doctors who were foreign medical graduates or ones
who considered religion the most important part of their lives. Those who indicated a Roman Catholic religious affiliation were significantly less likely than others in the survey to ask patients about sexual activities.

Why don’t patients bring up the topic?

“Patients are often reluctant to bring up sexual difficulties because of fear the physician will be embarrassed or will dismiss their concerns,” lead study author Dr. Lindau said. “Doctors should be taking the lead.”

What if your doctor isn’t taking the lead and bringing up sex?

5 Tips for Talking Sex with Your Doctor

1. Acknowledge your discomfort. Start the conversation with being honest about your uneasiness with this topic.

2. Approach it from the health perspective. Sexual issues can signal a larger health problem, such as thyroid disorders, depression, hormonal changes or issues with medications.

3. Write down your questions before your visit. By preparing ahead of time, you won’t forget what you want to ask or feel flustered during the exam.

4. Don’t be rushed. If you’re asking your physician about sexual issues as he/she is leaving the exam room, there won’t be enough time to discuss your concerns. Make a separate
appointment if you need to allow adequate time for this conversation.

5. Find the right doctor. This might be the most challenging of all of these tips. Ideally, you want a physician whom you can confide in, feel comfortable asking questions of, and feel “listened to”. Also, this physician should have the appropriate knowledge regarding sexual issues to help you. A physician who dismisses your concerns or makes you feel ashamed is not the health partner you desire.

You deserve the best quality health care and doctor available – don’t settle for anything less!

Citations:

1. Journal of Sexual Medicine. “What we don’t talk about when we don’t talk about sex”. DOI:10.1111/j. 1743-6109.2012.02702.x
Janelle Sobecki, MA, et al, March 22, 2012.

Sex Improves Brain Health

Can’t remember the last time you had sex?

Well maybe it’s time to share some intimacy with your partner!

It has long been known that exercise may have many health benefits, decreasing mortality, improving cardiovascular function and decreasing risk of heart attack, enhancing cognitive functioning and improving depression. This effect has been shown in older individuals as well as in individuals who complain of memory difficulty. Many of us may fear that we are developing “pre-senile dementia” when we experience minor memory lapses during the day. Most likely these are due to fatigue and brain overload, rather than true brain pathology. Yet, if we implement new health strategies, like more sex and exercise, we will be improving our brain function.

When do we start seeing decreased mental sharpness?

It is now estimated there are more than 36 million people in the US over the age of 65 and that many of them will be impacted by cognitive decline and brain atrophy associated with normal aging. Strong evidence indicates that memory and cognitive skills start declining by age 50. (1). The prevalence of dementia ranges from 5% to 10% (2.) and that of mild cognitive impairment (MCI) ranges from 12% – 18% (3). This decline in cognitive tasks has a critical impact on the quality of life. To improve the quality of life, it is essential for individuals of all ages to implement healthy strategies to improve brain health –and wouldn’t having more sex be a fun way to do this?

How does having more sex help the brain?

With any form of exercise – and let’s face it, sex is a form of exercise – blood flow increases. The increased circulation of blood transports oxygen-enriched blood to the hypothalamus, the center of the brain for memory and learning. One study done by Yaffe and colleagues followed over 5,900 women (more than 65 years old) for 6 to 8 years with baseline self-report exercise measures (4). Women with a greater physical activity level at baseline experienced less cognitive decline during the 6 to 8 years of follow-up: cognitive decline occurred in 17%, 18%, 22% and 24% of those in the highest, third, second and lowest quartiles of blocks walked per week, respectively.

This also holds true for men. In a study of 2,257 men, the risk of dementia was 1.8 fold increased in men who walked the least (less than 0.25 miles/day) compared to those who walked more than 2 miles/day (17.8 versus 10.3/1,000 person-years) (5).

Interestingly, a recent review of over 11 studies of aerobic exercise programs for healthy older persons also indicated improved cognitive function with fitness improvement. The most consistent effects were seen with thought processing and attention, as well as memory, language and visuospatial skills (6).

So what are we waiting for?
Get out there and start spending some time with your partner frolicking in the hay!

Yet, if you or your partner is not physically able to have sex, think of some creative and romantic ways to be intimate. One idea: pack up a picnic lunch and go for a long stroll on the beach or in the mountains. Hold hands, enjoy the view and the connection with your partner— knowing that you’re helping your hearts, your brains and raising spirits!

Citations:

1. Salthouse, T.A. Memory aging from 18-80. Alzheimer Dis Assoc Disord. 2003; 17: 162-167.

2. Plassman, BL et al. Prevalence of dementia in the United States; the aging, demographics and memory study. Neuroepidemiology, 2007; 29: 125-132.

3. Petersen, R. et al. The Mayo Clinical Study of Aging: Incidence of Mild Cognitive Impairment. Alzheimers Dement 2008; 4: T130.

4. Yaffe,K et al. A prospective study of physical activity and cognitive decline in elderly women: women who walk. Arch Intern Med. 2001; 161: 1703-1708.

5. Abbott, RD et al. Walking and Dementiain physically capable elderly men. JAMA. 2004; 292:1447-1453.

Angevaren M, et al. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database Syst Rev. 2008. P. CD005381

Gratitude: A Hidden Key To Better Health

It’s no secret that stress causes us to become sick – leading to heart disease, diabetes and depression, among many others. In fact, up to 90% of all doctor visits are due to stress related conditions.

What if I told you there is something you could do today, right now, to lessen your level of stress? And it wouldn’t break the bank doing it!

A few weeks ago, I shared the intriguing research and Satisfaction of Life Scale of Edward Diener, Ph.D, a.k.a, “Dr. Happiness”. I proposed the concept of a “gratitude” journal, writing what you are grateful for in your life.

Why keep a gratitude journal?

Because gratitude, it turns out, helps us better manage stress and life’s challenges and leads to sounder sleep, less anxiety, higher long-term satisfaction with life and kinder behaviors toward others, including our romantic partners (1). Now, wouldn’t that put a smile on your, as well as your partner’s, face?

According to Dr. Robert Emmons, psychology professor at the University of California , Davis, “ Gratitude research is beginning to suggest that feelings of thankfulness have tremendous positive value in helping people cope with daily problems, especially stress.” (2) In fact, showing gratitude and having a positive outlook can boost your immune system. Dr. Lisa Aspinwall, a psychology professor at the University of Utah, compared the immune systems of healthy, first-year law students under stress and found that, by midterm, students characterized as optimistic ( based on survey responses) maintained higher numbers of blood cells that protect the immune system, compared with their more pessimistic classmates. Optimism can also have a positive health impact on people with compromised health, such as patients confronting AIDS (3). By showing gratitude and optimism, higher levels of white blood cells (CD4) cells and slower disease progression was seen in these patients.

Cultivating an “Attitude of Gratitude”

Here are 6 Tips from Dr. Emmons for getting the most from your gratitude journal (4).

1. Don’t just go through the motions. Journaling is most effective if you first make a definite conscious decision to become happier and more grateful. “Motivation to become happier plays a role in the efficacy of journaling, “says Emmons.

2. Go for depth rather than breadth. Elaborating in vivid detail about a particular event for which you are grateful for carries much greater benefit than a superficial list of many things.

3. Get personal. Focus on people to whom you are sincerely grateful, rather than material things.

4. Try subtraction, not just addition. Reflect on what your life would be like without certain blessings, rather than just tallying up all of the good things.
5. Savor surprises. Record events that were unexpected or surprising, as these tend to elicit stronger feelings of gratitude.

6. Write in moderation- Don’t over-do it. According to certain studies, writing once a week for six weeks reported boosts in happiness compared to those people who wrote more frequently, three times a week(5). I believe this is very individual – find the amount of journaling that is right for you.

In addition, Dr Emmons recommends that you “relish and savor” these gifts of gratitude. “In other words, we tell them not to hurry through this exercise as if it were just another item on your to-do list. This way, gratitude journaling is really different from merely listing a bunch of pleasant things in one’s life.”

So what are you waiting for? Order your own gratitude journal today and start reaping all of the benefits. Recognize the meaning of events occurring around you, create a deeper connection with your partner and sense of purpose in your life!

Click on this link right now and start your attitude of gratitude!

Citations:
1. http://www.nytimes.com/2011/11/22/science/a-serving-of-gratitude-rings-healthy-dividends
2. http://women.webmd.com/features/gratitute-health-boost
3. Ironson, G., Hayward, H. 2008. Do Positive Psychological Factors Predict Disease Progression in HIV-1? A Review of the Evidence. Psychosomatic Medicine, 70 (5): 546-554.
4. http://greatergood.berkeley.edu/article/item/tips_for_keeping_a_gratitude_journal/
5. Lyubomirsky, S. et al. 2005. Pursuing Happiness: The architecture of sustainable change. Review of General Psychology, 9: 111-131.

Understanding Your Teenage Daughter’s Emotions

photo credit: C.G.P.Grey

Wonder why your teenage daughter seems to be on an emotional roller coaster? 
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Can I use my husband’s Viagra?

photo credit: Paul-in-London

If your partner’s doctor diagnoses him with erectile dysfunction, he may be prescribed a medication such as Viagra.  While this little blue pill has done wonders for men, it has not panned out to be a panacea for women.  For men, Viagra causes smooth muscle relaxation, which increases blood flow to the penis, allowing it to engorge and become erect.  In women, the issue with
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Lost your mojo? 5 ways to re-ignite those flames of desire.

photo credit: Herval

Has your sex life taken a dive even though you are still interested in your partner?  You are not alone.  According to the recent 2009 Sex, Romance, and Relationships Survey released by the AARP in May 2010, people’s sex drives have been dropping at an alarming rate(1).  The study, which included a random sample of 1,670 American men and women aged 45 and older, reveals some intriguing findings.  Between 2004 and 2009, the percentage of people in the 50s who say they have sex once a week dove nearly 10 points for both sexes (women dropped from 43 to 32% and men from 49 to 41%).  Other age groups also show similar decreases.

One alarming statistic of this survey shows how sex has definitely “cooled down” for many menopausal women.  Approximately 1 in 5 women in their 50s say they’d be quite happy to never have sex again.  About 1 in 50 men in their 50s agree.

Every day in my gynecological practice, I see perimenopausal and menopausal women concerned about their lost desire, or the “urge to merge” as I like to call it.

Let me share 5 ways that you can re-ignite those flames of desire:
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Heighten your sexual experience by turning off your brain

To get turned on, you need to turn off your brain.  Give it a well-deserved break.  Allow it to do just one thing at a time, not 20 things.  Focus on the scene and your partner.  Mindfulness meditation is a very useful way to train your brain to do this.  Using this method, thoughts can enter your mind but go right through without without needing to be fixated on.  Have your mind focus on something peaceful or loving while you are caressing your partner.  Keep bringing your thoughts back to what is happening to you physically – how you like his touch, his cologne, what is turning you on at that moment.  This may take some practice, but is definitely achievable!

A Few Time-Saving Tips for Busy Women

clock.freephoto credit:  Melinda Nagy

When your husband is involved in a task and you ask him a question, have you been met with the answer “Can’t you see that I’m busy?” or with a request to come back when he is finished?

If the tables were turned and you were the one being interrupted while involved in a task, would there be an overall assumption that the interruption would somehow be more acceptable?

Would you feel blame and guilt if you were not able to juggle multiple duties at the same time?

Women must learn to assess their capabilities.  It’s not a failure to say “no”.  In fact,
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