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Posts for category: Women's Health

By Sharon B. Diamond, MD, FACOG, MSW
October 01, 2019
Category: Women's Health
Tags: breast cancer  

Discover some effective techniques for coping with breast cancer.

Receiving a breast cancer diagnosis can unleash a storm of powerful emotions within you. Overwhelming fear, confusion, and anger all breast cancercommonly arise within patients at this stage, and accordingly, coping with the news becomes one of the highest priorities for those who are recently diagnosed. Fortunately, Dr. Sharon Diamond, your gynecologist on the Upper East Side, NY, can help to walk you through the entire process.

Talking to Your Physician
Understanding your diagnosis is an important first step, and Dr. Diamond is here to provide you with the information you need to address your concerns. Furthermore, to ensure that you read only the most reliable online sources, Dr. Diamond can give you personal recommendations on which sites to trust. After all, the more you learn about your diagnosis, the more in control you’ll feel. Dr. Diamond is also available to meet with you and your family or friends after you’ve seen the relevant specialists (breast surgeons or oncologists) to help you digest and process the information you have been given so that you can make the best choices for you.

Sharing Your Emotions with Your Loves Ones
Bottling up your feelings will only have negative consequences. Although it will be hard to talk about, reaching out to those closest to you is an important step of the process, especially because it gives them a chance to support you throughout your treatment. During this point, don’t be alarmed if you are experiencing any of the following emotions,

  • Numbness, you might feel disconnected from yourself
  • Disbelief, especially if you feel perfectly fine
  • Fear, stemming from an unknown future
  • Anger, you may wonder what you did to deserve this
  • Sadness, worry about what may happen

Don’t Be Afraid to Ask for Help
Support comes in all different forms, from support groups and neighbors to family and your religious community. Now is the time to reach out to that caring network to share your experience and receive help. After all, talking with them about what’s going on and how you feel will be far more helpful than ignoring your feelings and struggling by yourself.

Combat Stress with Activity
Staying active is important, even with your new diagnosis. Of course, we know that some days are going to be harder than others, which is why it’s important to find simple and doable ways of staying active no matter how you’re feeling. This may mean doing something simple like taking a walk around the neighborhood or through a local park to enjoy a warm, sunny day. Any activity that helps reduce stress will also provide you with the necessary mental respite you need.

Need Care? Give Us a Call
Dr. Sharon Diamond provides top-quality gynecological care for women in the Upper New York, NY, area. If you are reeling from a breast cancer diagnosis, reach out to our office today at 212-876-2200. Our care team will be with you every step of the treatment process, answering any questions or concerns that you might have.

By Sharon B. Diamond, MD, FACOG, MSW
December 14, 2018
Category: Women's Health
Tags: Menopause  

Midlife brings many important changes to a woman's life, including menopause. This normally occurs on average at age 51 for women in menopausethe U.S. Your gynecologist in Upper East Side, NY Dr. Sharon Diamond, will help you manage your menopausal symptoms, which can include hot flashes or night sweats, vaginal dryness, mood swings and other symptoms, allowing you to feel your best and to embrace this new and exciting transition.

What is Menopause?
This refers to the time of life after a women’s menses have permanently stopped. Typically, when a woman hasn't gotten a period for 12 months in a row, she is in menopause and may need help managing the various symptoms associated with this change.

According to the North American Menopause Society (NAMS), due to fluctuating hormone levels, women often experience menopausal symptoms starting in their early 40s. The average age for the last period is around 51 although some women become menopausal years earlier or as late as 58 or 59.

Symptoms of Menopause
At middle age, a woman may expect to have menopausal symptoms such as:

  • Hot flashes and night sweats
  • Mood swings
  • Spotty or extra-heavy periods
  • Urinary urgency and frequency
  • Vaginal and urinary tract infections
  • Painful intercourse
  • Vaginal dryness
  • Weight gain

Symptoms vary in intensity and duration. No two women experience menopause in the same way, and that's why Dr. Diamond makes careful menopause management available in her Upper East Side practice.

Treating Menopause

Your physician will carefully tailor your menopause treatment plan according to your specific preferences and health care needs. Dr. Diamond may recommend simply keeping active with regular exercise and a diet that is high in omega-3 fatty acids, flax seed, iron, and calcium. Women also should limit caffeine and spicy foods if they find that these trigger hot flashes, night sweats or other symptoms.

For vaginal dryness and atrophy, Dr. Diamond may prescribe vaginal hormone cream or an innovative procedure using the Mona Lisa Touch laser. Performed in the office, the Mona Lisa Touch laser treatments stimulate the body's natural collagen, thus improving the thickness, elasticity, and moisture of vaginal tissues. A total of three treatments, six weeks apart, usually achieve the desired effect with minimal discomfort and no downtime.

Feel Your Best!

With expert and compassionate menopausal management with Dr. Sharon Diamond and her caring team, you can tackle menopause with comfort and confidence. Please contact our Upper East Side, NY office for an appointment at (212) 876-2200.

 

By Sharon B. Diamond, MD, FACOG, MSW
October 16, 2017
Category: Women's Health
Tags: abnormal pap smear  

Pap smears are an important part of the gynecologic examination and Dr. Sharon Diamond in the Upper East Side of New York, NY, urges abnormal pap smearher patients and all women to make sure they see their doctors regularly.  How frequently to have a Pap test is determined by an individual woman’s history and risk factors and is an important part of the healthcare discussion with her physician.  The incidence of advanced cervical cancer in the United States has decreased by about 50 percent in the past 30 years in large part because of widespread screening with the Pap test and so having this important test is an integral part of well women care.

Pap smears

The Pap test involves analyzing the superficial cells of the cervix for abnormalities and should be performed for women starting at the age of twenty-one. The doctor will sweep a plastic spatula across the cervix and use a tiny soft brush called the cytobrush to obtain some cells from the external part of a woman's cervix and from the internal, lower part of the cervix.  These will then be examined under the microscope in a laboratory. If no abnormal cells are found, the results will come back as negative. An important additional test is also run on smears from women over the age of thirty or on smears from women of any age if the Pap is abnormal- this is testing for Human Papilloma Virus (HPV) which is a virus that, although often not significant, may have the potential to cause serious abnormalities in the cervix including cervical cancer, especially if present for many years.

Abnormal Pap Smear Classification System

Dr. Diamond uses the standard Pap classification system in her Upper East Side office in New York. This system  analyzes patients' results so that they can better understand them:

  • Normal/Negative: This means there are no cancer or pre-cancer cells.
  • Atypical squamous cells of undetermined significant (ASC-US): this is one of the more common abnormal results and is usually not significant unless also accompanied by the presence of HPV.  Depending on whether or not HPV is present, the Pap may just be repeated in 6 months or a year or additional testing may be needed – colposcopy.  Colposcopy is an examination performed with the use of a binocular magnifier that enables abnormal areas to be seen and biopsied.
  • Squamous intraepithelial lesion (SIL): There is a low-grade form (LSIL) which is caused by HPV cells that typically go away on their own, and a high-grade (HSIL) form which means there may be a more serious problem present.  Depending on the age of the patient and other risk factors colposcopy may be performed for women with LSIL but is always warranted when HSIL is present.
  • Atypical squamous cells, cannot exclude HSIL (ASC-H): Further testing including colposcopy is needed at this stage.
  • Atypical glandular cells (AGC): This is indicative of the presence of pre-cancer cells within the cervix or uterus and colposcopy, sonography and biopsies of the lining of the uterus may also need to be performed.
  • Cancer:  a very rare finding in women who have been having regular Pap smears but which must be addressed immediately.

For more information on Pap smears, just call Dr. Diamond at her Upper East Side, NY, office at 212-876-2200 and arrange for an office consultation and examination.

By Sharon B. Diamond, MD, FACOG, MSW
June 13, 2017
Category: Women's Health
Tags: Menopause  

Menopause is different for every woman. Although it is a natural part of the aging process, hormonal changes in the body may lead to Gynecology and Menopausesymptoms that vary in duration and intensity in each individual. Dr. Sharon Diamond, a gynecologist on the Upper East Side offers comprehensive and individualized menopause management in NYC.


Gynecology and Menopause Management Upper East Side, NYC

Menopause is the stage of a woman's fertility and reproductive years when the ovaries stop releasing eggs and menstruation comes to an end. In the years leading up to menopause (known as perimenopause), estrogen and progesterone production declines, and periods may begin to fluctuate. During perimenopause, there is sometimes an imbalance between the production of these two hormones that can cause irregular of heavy bleeding that has to be addressed. The process usually begins sometime in the mid to late 40s, but can begin earlier in some women. The average age for menopause is 51 but can happen earlier or later. A woman is generally considered to officially be in menopause after menstruation has ceased for an entire year.
Some of the most common symptoms of perimenopause include:

  • Hot flashes and night sweats
  • Irregular periods (heavier or lighter periods, longer or shorter in duration, skipping periods)
  • Irritability and mood swings
  • Hair loss/thinning
  • Fatigue
  • Difficulty sleeping
  • Depression
  • Anxiety
  • Weight gain and bloating
  • Headaches
  • Vaginal dryness
  • Loss of libido
  • Osteoporosis

Some women do not experience noticeable symptoms. While there is no "cure" for menopausal symptoms, there are medical, lifestyle, and behavioral modification options that can help to relieve the intensity of symptoms, manage discomfort, and improve the quality of life for women going through menopause. The most common management techniques include estrogen and progesterone (bio-identical) hormone replacement, diet and nutrition counseling to help with healthy weight management and strength training and other weight bearing exercise to build muscle and bone strength. Emotional wellbeing is also an important factor in adjusting to life after menopause, and counseling can also help women find peace and a new sense of balance with the changes to their mind and body.


Find an Upper East Side Gynecologist in NYC

For more information on personalized and compassionate menopause management, and other gynecology services on the Upper East Side, contact our office by calling 212-876-2200 to schedule an appointment with Dr. Diamond today.