Woman, Be Wise

Dr. Mallika Marshall Advises Boldness In Consulting Your Doctor

(CBS)  Whether they are embarrassed or just don't know they should, many woman fail to tell their physicians crucial medical information. The Saturday Early Show's Dr. Mallika Marshall shares five things that should prompt a good talk.

Persistent cough: A lot of people chalk up an irritating cough to allergies or sleeping with the air conditioning on. But a persistent cough can be a symptom of something more serious — like asthma, acid reflux disease or a heart problem. Your doctor may suggest an X-ray to get to the bottom of the problem. Most persistent coughs are treatable, so it's not something you just have to put up with. If you have a cough that's lasted for more than three weeks, get in to see your doctor.

Social smoking: A lot of people are embarrassed to admit to their doctor that they smoke. If they only smoke socially — when they're out with friends or when they're having a drink — they are even less likely to fess up to their doctor. But even occasional smoking and second-hand smoke can have damaging effects on your body. So even though you're likely to get a warning from your doctor, let them know exactly how much you smoke. You need to be fully informed on the risks, and your doctor can actually help you quit.

Pregnancy plans: A lot of women don't think to mention their desire to have kids to their doctor until they're actually pregnant. But the truth is, there are so many things you can and should do even before you get pregnant to ensure the health of your child. Doctors will recommend special vitamins to help prevent birth defects, which are most effective if started months before you get pregnant. They will talk to you about diet and exercise and what things to avoid before you get pregnant. They'll also give you advice on how to improve your chances of conceiving.

Supplements and herbal remedies: Many people see ads in magazines or on television about the latest herbal fads or supplements that promise to help them lose weight or improve their mood. Unfortunately, many women buy these things without first checking with their doctors. This is not a good idea. Remember: Supplements and vitamins do not undergo the strict approval process by the FDA that medicines do and some can be downright dangerous. They can also interact with medications you may be taking. For instance, St. John's wort, taken for depression, has been shown to decrease the effectiveness of birth control pills. Make sure to talk to your doctor before trying the second-best thing.

Sexual health problems are very common and nothing to be embarrassed about. Whatever your problem is, bring it up to your doctor. He or she probably has other patients with similar problems and knows how to deal with them. The good news is that many sexual health problems can be solved. But it's up to you to speak up.


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