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  • The HPV Vaccine: Questions, Facts, and Misconceptions

    What is HPV?

    HPV stands for human papillomavirus, and these viruses are the most common sexually transmitted viruses in the United States. Most of the people who are diagnosed with HPV are young and sexually active. The rates of HPV infection are high because most people who have HPV do not know they are infected because sometimes the virus shows no symptoms. Most HPV infections show no symptoms, and resolve within two years. However, there are many different strains of the HPV virus, and there are high-risk strains (HPV types 16 and 18) that are associated with cervical, anal, mouth, and throat cancers.

    What is the HPV vaccine?

    The HPV vaccine is a vaccine that can help protect your child against the high-risk forms of HPV that can cause cancer. It does not protect against every HPV strain (since there are more than 100), only 4 high-risk strains of HPV. The American Academy of Pediatrics recommends that girls AND boys receive the vaccine starting at ages 11-12. The vaccine is given three times over a period of six months. To receive the maximum amount of protection, your preteen should receive all three doses. The HPV vaccine can be given at the same time as other vaccines.

    Why should my child start receiving the HPV vaccine now? She’s so young!

    Many parents ask this question, because they are unsure about giving their preteen a vaccine that protects them against a sexually transmitted infection when he or she is not engaging in sexual activity. Parents will ask if the vaccine can be delayed until their child decides to start having sex. HPV vaccines offer the maximum amount of protection for your child when they are given in all three doses BEFORE your child begins to have any sexual activity with somebody else. One study has shown that almost 80% of infected teenagers have contracted HPV within 2 to 3 years of the first time they engaged in sexual activity.

  • Are we parenting from the rear view mirror?

    Over the past couple of weeks, the back-to-school rush has been in full swing. New schools, new milestones, new sports activities- it’s the beginning of lots of new things for our kiddos and for us as parents. My Facebook feed has been filled with first-day-of-school photos displayed by proud parents (me included). But, along with those proud and joyful moments, there’s often a hint of bittersweet regret. Our kids are growing up too fast. Where did the time go? They aren’t babies anymore. I hear and see those phrases a lot.

  • Blessed with tiny treasures: Carson and Kendall’s story

    Written by Heather Shields

  • What happens when we compare our child’s illness to another?

    Recently, a friend shared with me a book whose title and premise really upset her. She is the mother of a cancer survivor and friend to many cancer patients, and the title of the book offended her to the core. It’s called, “I wish my kids had cancer: a family surviving the autism epidemic.” I hesitated even to share the title of the book because it elicits such strong emotions, even to those of us who’ve never read the book. And, I’m not sure that this book deserves the attention we’ve given it, good or bad.

  • What is hand, foot, and mouth disease?

    If you’re the parent of small children, odds are you’ll become familiar with hand, foot, and mouth disease at some point. It’s fairly common, but not nearly as serious as its name might suggest.

    What is Hand, Foot, and Mouth Disease?

    Hand, foot, and mouth disease is a viral illness that can affect anyone, but is most commonly seen in children under 5 years old. Along with the usual symptoms of a virus- fever, irritability and lack of appetite- children often develop small blisters or red spots on the palms of their hands and soles of their feet. Blisters may also be found in the webs between fingers and toes, or on the buttocks, and can resemble chickenpox. Children also will develop small, painful ulcers in their mouth and on their tongue.

  • The 21st century mother: Challenges with breastfeeding and working

    To breastfeed or not to breastfeed: the looming question for soon-to-be mothers. The obvious response would be “yes, of course,” because breast milk contains antibodies that protect babies from bacteria and viruses. Breastfed children have fewer ear, respiratory, and urinary tract infections and have diarrhea less often, which means less trips to the pediatrician, and less call outs from work and out-of-pocket expenses. But, for a working mom, this is easier said than done. Not all women are confident in their decision to breastfeed after returning to work due to the stresses of pumping.

  • My journey through postpartum depression: Jenn's story

    Written by Jenn Stagg

  • What is a Certified Nurse-Midwife (CNM)?

    If you’ve ever felt a little confused about what exactly midwives do, or how they’re different than other healthcare professionals, don’t worry! Between physicians, physician assistants, nurse practitioners, and certified nurse-midwives, there’s a lot to keep straight.

  • Dr. Judith Simms-Cendan disproves common myths about the use of birth control pills

    As an adolescent gynecologist, I prescribe birth control pills (BCPs) for a variety of reasons often unrelated to sexual activity, such as treatment of irregular, heavy or painful menses. I try to be very diligent about counseling about possible side effects such as headaches and nausea, or breakthrough bleeding, especially if they are not taken correctly. Also, some patients have real medical reasons why they should not take BCPs, usually because they have a reason why they cannot take estrogen. I routinely discuss the risks and benefits of taking any medication with my patients, but there is probably no medication that is surrounded by as many pre-conceived ideas as the birth control pill. In this blog, I’m going to address two of the most common fears of taking BCPs, and the good evidence that we have after 50 years of their use. Right up front, you should know that I receive no money, lunches, pens or any other form of incentive from any pharmaceutical company, and I am not invested in any pharmaceutical company, so there is no conflict of interest here.

    Myth 1: I have a high risk of a blood clot if I take birth control pills.

    For years we have known that taking BCPs increases the risk of blood clots, but that increase is relatively very small. To have a better understanding, it is important to understand our risks from other activities; for example 1 in 5,000 of us will die from a car accident each year. In the United States the risk of dying in pregnancy is 1 in 8,700 pregnant women each year. Meanwhile the risk of death from BCPs in a non-smoker under the age of 35 is 1 in 1,667,000 (ibuprofen, acetaminophen are much riskier).

  • Emergency contraception: what every parent of a teenager should know

    In the United States, recent news about teenage sexuality is promising. Fewer teens are having sex, down 3% since 2001. Approximately 44% of girls have sex before they graduate high school according to the 2011 data from the Florida Youth Risk Behavior Survey of high school students. Teen pregnancy rates are also falling; there has been a 48% decline in teen pregnancy rates since 1988, probably due to a combination of fewer teens having sex, better long-acting contraception options such as DepoProvera, and condom use by teens. In spite of this great news, the United States still has one of the highest rates of teen pregnancy among developed countries. Nearly 80% of teen pregnancies are unplanned, a result of contraception failure or nonuse, according to the American Academy of Pediatrics (AAP).