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This weekend I had my first of what I hope will be many readings from my book. I had the opportunity to share information on specific areas of women’s health, and I wanted to recap the issues I addressed.

1. Human papillomavirus (HPV) vaccine – We have a tool to help prevent cervical cancer. The vaccine has been approved for ages 9 to 45 years old. Studies have shown that even if someone has been exposed to HPV and has precancerous cells, the vaccine is helpful. I emphasized the importance of encouraging girls and boys to get the vaccine.

2. Sexually transmitted infections (STIs) – According to the CDC, STIs acquired in 2018 cost the American healthcare system nearly $ 16 billion in direct medical costs alone. We can reduce the burden by knowing our status and using condoms if not in a monogamous relationship. When one comes for their annual exam, we automatically check for the common STIs – chlamydia/gonorrhea/trichomoniasis if they are under 24 years old. If they are older, the gynecologist often asks whether they want one to be checked. You can get checked anytime you want by making the request.

3. Birth control – With so many restrictions to abortion, it is essential to take advantage of the birth control options available. Long-acting reversible contraceptives include intrauterine devices and the subdermal implant. There is the shot Depo-Provera. There are the pills, ring, and patch. There is the new contraceptive gel – Phexxi. There are condoms. The choices are much more now than what was available 20 years ago. Take advantage of what is available, so we only get pregnant when we want to get pregnant.

4. Abnormal uterine bleeding – We have the mammogram to screen for breast cancer, the colonoscopy or Cologard to screen for colon cancer, and the pap smear to screen for cervical cancer. We do not have a screening test for endometrial cancer, so you must notify your healthcare provider when you have abnormal uterine bleeding. Less than 10 % of the time, it is due to cancer, but you will not know unless you are checked. Abnormal bleeding includes the following:

1. Cycles coming more often than every 21 days
2. Bleeding longer than seven days
3. Under 40 years old, and your cycle is greater than 45 days
4. If you go a full year of not bleeding when you are menopausal and then start to bleed

5. Weight gain – There is widespread concern among women regarding weight gain. Sleep has to be part of any weight management program. Know that maintaining your weight and not gaining is progress. Lifestyle changes go a long way when it comes to weight loss.

Whenever I get to talk about topics I am passionate about, it makes for a great weekend.