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In the News

Surgical Treatment of Vulvar Vestibulitis Syndrome: Outcome Assessment Derived from a Postoperative

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Please see artist renderings of the surgery by clicking here.

Vulvar vestibulitis syndrome (VVS) is the most common pathology in women with sexual pain. Surgery for VVS was first described in 1981. Despite apparently high surgical success rates, most review articles suggest that surgery should be used only “as a last resort.” Risks of complications such as bleeding, scarring, and recurrence of symptoms are often used to justify these cautionary statements. However, there are little data in the peer-reviewed literature to justify this cautionary statement.

Last Updated on Friday, 24 July 2009 05:14

Results from Women’s Health Initiative Data

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Blood Clots and Estrogen
The issues of hormonal therapies are much like shifting sands, with reports following reports, on the various outcomes of studies.  Now there is a new report saying estrogen-alone therapy is associated with an increased risk of blood clots in the veins and lungs, according to a study, published in the April 10, 2006, issue of the Archives of Internal Medicine.

Last Updated on Friday, 24 July 2009 01:30

Getting to Know Your Sex Drive

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Desire Book A Preview of “Reclaiming Desire,”  a major new book by Andrew Goldstein, MD, co-medical director of ourgyn.com and Marianne Brandon, a therapist.For the vast majority (of women)...a decline in sex drive takes a tremendous physical and emotional toll. These women speak of feeling deficient, ashamed, sad, angry, anxious, or unfulfilled....
Last Updated on Friday, 24 July 2009 02:31

What the JAMA Estrogen Only Study Means To You

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A study in the Journal of the American Medical Association (JAMA, April 6,2011)) sheds new light on taking estrogen. Here is what it means to you.

Estrogen versus Estrogen and Progesterone and Uterine Cancer

Like all medications, estrogen is a powerful hormone with benefits and risks that have to be weighed and personalized for each woman. Forty years ago estrogen was so popular and considered so beneficial that almost all women were encouraged to take it from the time of menopause until death. Unfortunately, it was found that estrogen alone can cause cancer of the uterus. Women who have had a hysterectomy and had their uterus removed don’t have this problem.

Then researchers discovered that women who take daily estrogen combined with progesterone for at least 10 days of the month did not get uterine cancer. There were some risks of blood clots and strokes, but overall it was believed that estrogen plus progesterone protected the uterus from uterine cancer and estrogen helped to prevent heart disease. The heart disease part of this changed with more research.

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Heal Pelvic Pain

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ImageAmy Stein is regular contributor to Vibrance Associates sites and their forums.  Rather than excerpt a single chapter from her new book, Ms. Stein has chosen information from various chapters to share from her book, Heal Pelvic Pain: The Proven Stretching, Strengthening and Nutrition Program for Relieving Pain, Incontinence, I.B.S. and other Symptoms without Surgery (McGraw Hill, 2008) Published with permission. This is the first of four parts.
Last Updated on Thursday, 23 July 2009 21:56

Journey of a Woman: Part 5

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Yech! Is That Me?: I?ve decided that mid-life is really the pits. There. I?ve said it. And to think that I spent much of my adulthood so far seriously doubting that there even was such a thing as a ?mid-life crisis?. Silly me. What is, exactly, the nature of the ?crisis?? I wonder. Personally I think it?s the crisis of suddenly realizing your life is half over and you?re stuck in a marital and personal rut with no end in sight. I think it?s taking stock of who you are and what you?ve become and saying ?yech! Is that me??

Last Updated on Friday, 24 July 2009 00:53

The G Spot Debate on The View with Dr. Goldstein

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Dr. Andrew Goldstein, director of www.ourgyn.com, was interviewed on ABC's The View TV show on Friday the January 15th in the the great debate, the existence of the G-spot, an area in the vagina that has been reported to cause increased orgasm sensations. See the segment at abcnews.go.com/video/playerIndex?id=9572465

Last Updated on Saturday, 19 February 2011 19:08

Four Steps to Non-Hormonal Treatment of Vaginal Dryness

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Vaginal dryness is much more than a troublesome nuisance. But given the time constraints of office visits, many patients are understandably reluctant to discuss it, spending their limited time on more pressing questions. However, treating the emotional and physical discomfort that dryness can impose on a woman’s life is an opportunity to greatly improve her quality of life. For that reason, it is important to fully appreciate and communicate the potential for good that can come as a result of the right diagnosis and effective treatment for this correctable predicament.

Last Updated on Friday, 24 July 2009 04:48

Journey of a Woman: Part 4

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It’s raining again and that suits my mood just fine. I feel like I’m stuck in a dark place right now and the rain acts as a great mirror. In fact, the crazy weather lately has more often than not been an all-too-accurate gauge of my own emotions: periods of dismal, rainy weather with intermittent sunny days. That’s how I feel – dismal with intermittent hope for improvement.

Last Updated on Friday, 24 July 2009 00:56

Journey of a Woman: Part 3

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Sometimes the thing about a journey is that is the most frustrating is the thing you love the most about it: you’re going somewhere. And really it’s an interesting process if you think about it. First you have to have somewhere to go. This isn’t always a good thing, but normally you are going somewhere you’ve wanted to in the past but couldn’t. Then there’s the anticipation of the journey’s start. You wait. And wait. And finally the day comes – you’re on your way! THAT’s when it gets frustrating because the nature of a journey is not a short hop anywhere. So again you wait.

Last Updated on Friday, 24 July 2009 00:58


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ImageDr. Brandon talks with Vibrance Associates, to view the videos click here

Dr. Marianne Brandon, co-author of “Reclaiming Desire” with site Medical Director Dr. Andrew Goldstein, is the author of a new book, Monogamy: The Untold Story. Here is the introduction and excerpt from the book. See Dr. Brandon’s brief bio at the end of the excerpt.

As a clinical psychologist and sex therapist, I have devoted many years to helping people open and feel alive, both emotionally and physically. I myself have walked the same path I assist others in traveling every day. It is clear to me that when we are disengaged from any part of ourselves, including our sexuality, our hearts and bodies close in response. When we close, we stop evolving, and we no longer live and love to our fullest potential. Our lives lack creativity and joy, spontaneity and humor. As a culture, we have supported this unfortunate process in each other by ignoring the realities of our sexual instincts.

Last Updated on Saturday, 19 February 2011 19:08

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