2024 Women’s Health Q&A

2024 Women’s Health Q&A

In this session, we addressed questions related to the following topics:

Topic: PMS symptoms and causes

Topic: Topical estrogen safety and use in pelvic organ prolapse.

Topic: estrogen and progesterone related to cortisol levels.

Topic: Herb/drug interaction.


Here are the links I said I’d share about vaginal, estrogen supplements safety, efficacy for prolapse and, just for fun, one on estrogen cream for aging skin:

Est cream for prolapse: https://pubmed.ncbi.nlm.nih.gov/37431855/

Is topical estrogen vaginally safe? https://www.health.harvard.edu/womens-health/by-the-way-doctor-is-vaginal-estrogen-safe

Is topical estrogen for aging skin safe? https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6451761/

Here are the links I said I’d share about herb/drug interactions:

Herb/drug interaction https://hellopharmacist.com/drug-herbal-interactions


Few more things about herb/drug interaction:

Look for Common Red Flags: Certain herbs are well-known for interacting with many medications. For example:

St. John’s Wort: Often interacts with antidepressants, birth control pills, and blood thinners.

Ginkgo Biloba: Can affect blood clotting and may interact with blood thinners and anticonvulsants.

Licorice: could increase blood pressure.

Ginseng: May interfere with blood pressure medications and anticoagulants.

Grapefruit juice interferes with a number of medications, including birth control pill efficacy

Be careful if you are taking/recommending herbs that are supposed to do either the same thing or the opposite thing that a prescribed medication is also addressing.

Monitor Your Health: If you start taking a new herb while on medication, watch for any unusual symptoms or changes in how you feel. Report any adverse effects to your healthcare provider immediately.

For more detailed information and specific interactions, you can refer to the following resources:

National Center for Complementary and Integrative Health (NCCIH)


Natural Medicines Comprehensive Database

Memorial Sloan Kettering Cancer Center’s About Herbs Database

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