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Hormonal Contraception And An Under-Appreciated Effect

Ask any third-year medical student how hormonal contraception prevents pregnancy, and they’ll probably tell you it prevents ovulation. What they won’t tell you is that this effect is variable and dose-dependent, and if we depended on it alone, hormonal contraception would be much less effective.

That’s because of the very important, and in my opinion, much under-appreciated effect of hormonal contraception on cervical mucus.

A Cervical Mucus Primer

Fertile cervical mucus — which forms under the influence of rising estrogen levels in the first half of the menstrual cycle and is maximal around ovulation –- is thin, watery, clear and easy for sperm to traverse.

Non-fertile mucus — which forms after ovulation and also in pregnancy under the influence of progesterone –- is the exact opposite: Thick,tacky, non-distensible and impossible for sperm to penetrate. (It’s not called the mucus plug for nothing.) Read more »

*This blog post was originally published at tbtam*

For Moms And Moms-To-Be With Diabetes

Buy this book!For anyone who has been reading my blog since my engagement three years ago, you know that motherhood has been on my radar for a long time. Longer than marriage. That quest for a decent A1C, that desire for a “normal” pregnancy, and that hope for a happy and healthy baby.

Part of the reason I wanted to write about my pregnancy here on SUM is because there wasn’t a lot of information out there about pre-existing diabetes and pregnancy. There was a LOT of information on gestational diabetes (obviously), and type 2 diabetes got some good press, but type 1 diabetes was sort of swept under the rug. Thankfully, there were a few diabetes bloggers who had chronicled their journeys, and I wanted to add my voice to that hopeful chorus.   

But also thankfully, Cheryl Alkon had taken the topic to her publisher, and she penned the first book on managing pre-existing diabetes and pregnancy. And I’m very honored to have been both featured in her book (as a woman preparing for pregnancy) and to have her contributing here on Six Until Me (SUM). Read more »

*This blog post was originally published at Six Until Me.*

Music Goes iUtero

Music In UteroThe new Ritmo Advanced Pregnancy Sound System from the Nuvo Group of Columbia, South Carolina, gives an interesting twist to “In Utero,” the title of the famous Nirvana album.

“Research in human fetal development shows that babies exposed to music while in-utero display advanced intelligence, coordination, and learning abilities,” says the product website. Read more »

*This blog post was originally published at Medgadget*

Diabetes And Pregnancy: A Success Story

I love my baby girl.Dear Baby,

I’ve been thinking about your face. Your hands. Your little feet and the chubby cheeks I’ve seen countless times on the ultrasound monitor. I’ve been thinking about the round swell of your baby belly, and the teeny nails on your little hands. Your petite ears. The little rosebud of a mouth. Read more »

*This blog post was originally published at Six Until Me.*

Fighting With Grape Juice In The Wee Hours

BEEEEEEEEEP!

Reaching for the alarm, but it’s not the clock.  Check the cell phone, but it’s not a text message.  Grope for the cat, but she’s not beeping, either.

BEEEEEEEEEP!

Oh yeah, how could I forget?

52 mg/dl.  Not too low, but apparently I’ve over-corrected with those basal changes I made two days ago, and I need to retweak just a little bit.

Wandered out to the kitchen, leaving the BEEEEEEP!ing behind in the bedroom, and also leaving the tube of glucose tabs resting on the bedside table untouched.  Make a beeline for the bottle of grape juice that sat, unopened, in the fridge. Read more »

*This blog post was originally published at Six Until Me.*

Latest Interviews

IDEA Labs: Medical Students Take The Lead In Healthcare Innovation

It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…

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How To Be A Successful Patient: Young Doctors Offer Some Advice

I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…

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Latest Book Reviews

Book Review: Is Empathy Learned By Faking It Till It’s Real?

I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…

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