Coming off birth control doesn’t have to be a nightmare for skin. True, it was a nightmare last time, which is why you returned to the Pill after an only few months. But this time will be different, because this time, you know about post-Pill acne. You know it will get worse for six months, and then it will get better. And this time, you know how to treat it.Continue Reading
A few weeks ago, I tweeted my concern about a low carb diet for young women.
Apparently, my tweet was offensive to some people (men). They explained to me that it’s purely ‘anecdotal’. There is no known mechanism, they said, so it must not really be happening.
Except it is really happening. Ask anyone who works with young menstruating women. Or not menstruating, as the case may be.Continue Reading
If you suffer hair loss, facial hair (hirsutism), or acne, then you know all about androgen excess. Androgen means “male-hormone,” and your doctor may have gone so far as to test you for testosterone and other androgens. Or she may not have bothered to test, but simply made a diagnose from symptoms. Either way, she probably prescribed an androgen-suppressing drug such as spironolactone.
But let’s think this through. Why do you have androgen excess? What else can you do about it?Continue Reading
Sometimes a patient tells me she had only a salad for dinner. Or, even more puzzling: A green smoothie.
I could never do that. I’m tired at the end of the day. I’m hungry. I need a substantial dinner such as roast chicken with potatoes, vegetables, and butter. I honestly cannot imagine sitting down to just a cold green salad.
I don’t think I’m different from other women. Women get hungry. Women need food.Continue Reading