The Importance of Women's Health

Lori Poston • December 28, 2022

Why Women's Health Is Important

By Lori Poston



An old expression says, "Women are the backbone of the world." 


Nothing could be truer. Women are the nurturers, the caregivers to the sick and elderly. Women do the bulk of the childcare and household work and are the glue that holds the family and the community together. Add in women's economic and political role, and you see how strong and supportive this "backbone" really is. 


Here is the caveat, while women are busy taking care of everyone else, they often forget to put their names on the list! 


Annual physicals get postponed. 


Dentist appointments take a back seat to their kids' needs. 


Annual mammograms tend not to be so annual. 


Work, childcare, elder care, and household duties leave little time for women's health. 


We as a society need to change this scenario. Women, partners, families, work environments, and societal expectations must be adjusted. 


We all need to heed the instructions from flight attendants, "put your own facemask on first, so you can help others."


Studies have shown that women juggling all these roles experience a much higher stress rate. This stress can manifest in many ways, such as depression, insomnia, heart disease, high blood pressure, and stroke. In addition, postponing annual pap tests and mammograms can lead to more advanced cancers.


Here are some of the most common health issues facing women:




Heart Disease/Stroke


According to the CDC, heart disease is women's leading cause of death [1].


Heart disease refers to several heart conditions, including coronary artery disease and heart attack. Such conditions include blood pressure and high cholesterol, and are exacerbated by smoking, stress, and obesity. While you may assume heart disease is more of an issue for men, in reality, almost as many women as men die annually in the United States from heart disease. This number comes out to be approximately one in every five female deaths. 


Poor heart health and conditions like high cholesterol and smoking also contribute to the high number of strokes women experience yearly, with strokes being the 5th leading cause of death for women in America [2]


It is essential to know the symptoms of heart disease in women as these symptoms can differ from those of men. The most common symptoms of heart disease are dull and heavy neck, jaw, or throat pain and upper back or abdomen pain. These symptoms may present when a woman is at rest or active. Other symptoms may include nausea, vomiting, and fatigue. Like Type ll diabetes, heart disease may not present itself until it becomes more serious. Therefore, a woman may experience the above symptoms, heart arrhythmias, or palpitations at this time. 




Breast Cancer


According to the American Cancer Society, Breast Cancer is the 2nd most common form of cancer found in women and one of the leading causes of death in women[3].


The best defense against breast cancer is early detection. A monthly breast self-examination and a yearly mammogram are essential in detecting breast cancer before it can spread to other body parts. Unfortunately, women are not taught how to do a monthly self-breast exam. If a woman knows her own body, she may be able to detect changes or abnormalities before they become more severe issues. Teaching teenage girls the importance of self-exams and reducing the fear many women have about doing this quick 2–3-minute check once a month could save lives.


It is important to note that not all breast cancers will present symptoms, which further underscores the need for early detection as someone may have breast cancer and be unaware of it. 




Diabetes


Diabetes is also a chief concern for women. Complications caused by diabetes include blindness, kidney disease, depression, and an increased risk of heart disease [4].


Yearly physical examinations and blood tests to assess your A1C (blood sugar) level are crucial in detecting this disease early enough so that you can control your symptoms and avoid more serious complications. To better detect diabetes, women should also be knowledgeable about the symptoms of diabetes. These symptoms include increased thirst, urinating frequently, unexplained weight loss, weakness, exhaustion, mood changes, irritability, sores that are slow to heal, and vision changes. 


The symptoms of type II diabetes may not be as common. Many people can live with type ll diabetes for years and not know it, which is another reason why it is so important for women not to postpone their own healthcare exams. 




Depression and Mental Health


While both men and women experience depression and mental health struggles, women experience depression almost twice as often as men do, according to the Mayo Clinic [5].


Depression can make motherhood and family life even more challenging and strain relationships. Consulting with a therapist or doctor can help to combat this disorder. In addition, your doctor may recommend various medications available for treating depression.




Gynecological Health


Gynecological Health covers diverse issues such as pregnancy, cervical cancer, ovarian cancer, pelvic infections, infertility, reproductive problems, pelvic pain, sexually transmitted diseases, and endometriosis. It also covers urological issues such as incontinence, menopause, sexual health, etc. 


Menopause is still an under-researched and discussed topic. However, an average of 27 million women between the ages of 45 and 64, or 20% of the American workforce, experience menopause each year, according to the Society for Human Resource Management[6]. In addition to insomnia and hot flashes, women may also experience brain fog, dry skin, and muscle aches. 


Incontinence issues are also a common issue. Researchers have found that one in four women experience involuntary urine leakage with aging. Unfortunately, the prevalence of this problem increases with age, with as much as 75% of women over 65 reporting urine leakage[7]


In addition, after menopause, bone mass also decreases and thus increases the possibility of osteoporosis. 


Menopausal issues also include Sexual health problems. While this is a topic finally getting the attention it deserves, many women suffer from dyspareunia (pain with intercourse), which affects relationships and self-esteem. The decrease in the hormone estrogen causes this. Helping women overcome dyspareunia includes options such as hormone replacement therapy, silicone vaginal dilators, and lubricants. As mentioned before, menopause is still an under-researched and under-discussed topic. 


Talk with your gynecologist, urogynecologist, pelvic floor physical therapist, or health care provider about any health conditions you are experiencing. 




Violence Against Women


Violence against women is a topic that is both underreported and underfunded. Unfortunately, domestic violence affecting the family is a common problem in the United States. As many as ten million people are affected by domestic violence each year. The numbers work out to 25% [8] of women and close to 10 percent of men being victims of domestic violence. In addition, this violence corresponds with a higher rate of depression and suicidal behavior. Sadly, only about 34% of people injured by their partners receive care for their medical injuries. 


Studies have also shown that about one-third of people who are abused as children will become abusers themselves. 


Children and adults with care and support needs are more likely to be at risk of domestic abuse. This abuse may manifest in physical as well as emotional abuse. 




Summary


We must address all areas of women's health in our society. When women are not at their best physically and mentally, their families, relationships, and jobs suffer. And the lack of access to health education and services all play a significant role in the health of the individual, the family, and the community. In addition, we must acknowledge women's many roles economically, politically, and socially. 


We need to make healthcare a top priority. Education and supportive work environments that encourage women to take time off for doctor's visits, as well as changing societal mores, all play an essential role. Let's never forget that the "backbone" holds everything together.



Sources:



[1] https://www.cdc.gov/women/lcod/2017/all-races-origins/index.htm


[2] https://www.utmbhealth.com/services/neurology/procedures-conditions/stroke/stroke-facts#:~:text=Stroke%20is%20the%20fifth%20leading,cause%20of%20death%20for%20women.


[3] https://www.cancer.org/cancer/breast-cancer/about/how-common-is-breast-cancer.html


[4] https://www.healthline.com/health/diabetes


[5] https://www.mayoclinic.org/diseases-conditions/depression/in-depth/depression/art-20047725


[6] https://www.axios.com/2022/11/23/the-growing-menopause-at-work-market


[7] https://www.obgyn-care.net/blog/female-urinary-incontinence-is-more-common-than-you-think#:~:text=Urinary%20incontinence%20can%20often%20seem,experience%20some%20involuntary%20urine%20loss.


[8] https://jech.bmj.com/content/58/7/536#ref-2





Thank you for reading Patient Education Essentials, the Write Shift RN blog.



Disclaimer: This article was written as a guest post for Write Shift RN LLC's blog. The information in it may not be wholly fact-checked or edited, allowing the reader to see the writer's work and skills firsthand. This information is not intended as medical advice. It is for informational and educational purposes only. Always talk to your doctor or other qualified healthcare providers about any questions or concerns you may have regarding medical conditions.



By Kristina Van Winkle October 7, 2024
A Comparative Overview for Pain Management Steroid injections and Platelet-Rich Plasma (PRP) injections are two commonly used pain management treatments. While both aim to alleviate pain and promote healing, they have different mechanisms of action and long-term effects . What Are Steroid Injections ? Corticosteroids are potent drugs used extensively across various medical fields to manage a broad spectrum of conditions, making them one of the most widely prescribed drug classes in the world. They can be administered via nearly every route, including direct injection into painful or inflamed joints. "Corticosteroids" typically refers to the class of drugs that produce glucocorticoid effects. Glucocorticoids are stress hormones that regulate numerous physiologic processes within the body. They have vasoconstrictive, immunosuppressive, and anti-inflammatory effects and play a role in metabolism. What do steroid injections treat? Corticosteroids function by suppressing the immune system and reducing inflammation within the body. They inhibit the production of the body's pro-inflammatory chemicals, leading to decreased inflammation and, consequently, pain. They are prescribed for hundreds of medical conditions, including: Allergic and autoimmune disorders Adrenocortical secretion disorders Infections and inflammation Pathologic hypoglycemia Organ and graft rejections Neurological disorders Hypercalcemia Blood disorders Skin disorders Shock What are the side effects of steroid injections? Although steroids are known to some as “wonder drugs,” they impact various bodily systems, including metabolism, water and electrolyte balance, the central nervous system, and blood cells. As a result, they are associated with many adverse side effects, especially when administered in large doses or over extended periods. Adverse effects may occur in up to 90% of individuals who take them for longer than sixty days. These side effects may include: Suppression of the hypothalamic-pituitary-adrenal axis Gastrointestinal disturbances Osteoporosis and fractures Psychiatric disturbances Carpal tunnel syndrome Cardiovascular disease Immunosuppression Cushingoid features Hyperglycemia Skin disorders Glaucoma Myopathy Cataracts Diabetes The risk of adverse side effects is particularly high when taken systemically. However, side effect occurrences vary when administered as local injections for pain management. Data indicates that steroid injections into joints and the spine can produce systemic effects that can last for weeks. When assessing the risk factors associated with steroid injections, healthcare providers must consider all types and doses of steroids the person is taking, including both oral and injectable forms. Additionally, special caution is advised for certain populations, such as those who may undergo surgery soon, postmenopausal women, and individuals with diabetes. 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It can treat a wide range of conditions, including: Pain resulting from traumatic injury or degenerative conditions such as arthritis and chronic back pain Musculoskeletal conditions Tendinopathies and tears Compressive neuropathy Scars and stretch marks Osteochondral lesions Rheumatoid arthritis Erectile dysfunction Muscular injuries Plantar fasciitis Vaginal atrophy Osteoarthritis Epicondylitis Infertility Psoriasis Wounds Bursitis Vitiligo What are the side effects of PRP? Since PRP is derived from the person's own blood, the risk of allergic reactions or rejection is significantly lower compared to other injectables, such as steroids. PRP typically does not cause major side effects, though you may experience some soreness or bruising at the injection site. In rare cases, potential side effects may include: Tissue damage Nerve injuries Bleeding Infection Comparison of Steroid Injections and PRP Injections A study in the Journal of Orthopaedic Surgery and Research compared steroid injections with PRP injections in patients with mild to moderate symptomatic knee osteoarthritis (OA). The findings indicated that both treatments were safe and effective in improving short-term pain and functioning, with no significant differences observed. However, PRP therapy demonstrated superior outcomes in the long term, with benefits extending up to one year. Additionally, a literature review in Cureus Journal of Medical Science analyzed multiple studies comparing steroid injections with PRP in lumbar spondylosis and sacroiliac arthropathy. The review found that PRP was equally as effective, if not superior, to steroid injections in the short term. Neither treatment was associated with major complications, and there were no significant differences in minor complications between the two. The review concluded that both PRP and steroid injections are safe and effective for treating lumbar spondylosis and sacroiliac arthropathy, with some evidence that PRP may offer more benefits in the long term. Research has confirmed that both steroid and PRP therapy are valuable options for pain management and tissue healing. Steroid injections offer potent anti-inflammatory benefits that can provide immediate relief. However, their systemic side effects and limited duration of efficacy should be carefully considered, especially in high-risk populations. While PRP may take longer to show results, its long-term benefits make it an increasingly popular choice for treating various conditions. Ultimately, the choice between these treatments should be based on the specific needs of the individual patient, with careful attention to the patient's medical history. Thank you for reading the Write Shift RN blog. If you need an experienced RN writer for your health or healthcare educational content, contact me !
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