The pelvic floor has become a hot topic lately—common on the internet, talk show chatter and among friends, but what does it mean? The pelvic floor is a group of muscles covering your entire perineum (or bottom)—from pubic bone to tailbone and sit bone to sit bone. It’s located at the base of the pelvis and plays an important role in supporting your spine and organs and controlling urine flow, the bowels and sexual satisfaction! Not a small job for a group of muscles that is typically ignored.

So how do we find these muscles?

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The American Cancer Society has released new guidelines for Mammogram Screenings. We know you’ve likely read a lot about it. I thought I’d hand it over to our old friend and writer Julie, a longtime MiddlesexMD blogging pal, who has breasts of her own and some thoughts to share.

Bottom line—understand your family history and know your risks and how your risk of risk of developing breast cancer can change from year to year. 

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Guideline Headlines!!! Okay girls! Grab them and run! But which way! When? Where? But wait!!! No!

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Years of leading Tobacco Free programs for Holland Hospital’s Healthy Life Programs have adjusted my high hopes of graduating big classes of “quitters” to the reality that just a trickle will show up ready to do the legwork required to abstain from tobacco. At a recent brainstorming session to tackle new programming ideas, one co-worker voiced the truthful blow: "quitting smoking is just not sexy!”

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Yes, dryness is generalized in menopause, because the estrogen receptors we have from head to toe (and especially in genital tissues) have far-reaching influence! As we lose estrogen, we lose moisture in all kinds of tissues. Systemic estrogen is a possible solution; it can make remarkable improvement.

Systemic hormones are prescription hormone supplements to replace hormones we've lost. We can lose hormones in a variety of ways:

•    Premature menopause brought on by the surgical removal of ovaries

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I spend most of my working hours at a place called Healthy Life Programs. For a person interested in her personal wellness, there couldn’t be a better environment for me. “Good Health” is in full swing around here. If you walk through our office, you’ll notice a nice kitchen with a full-size fridge. Open that fridge and you WON’T see sugary drinks, lots of sweet desserts, bags of take-out, or highly processed foods. You WILL see a glut of salad greens, multiple containers of low-fat yogurt and whatever fruit was on sale this week, and crisper drawers stuffed with fresh produce.

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Premenstrual syndrome (PMS) is a common disorder that up to 40% of women of childbearing age experience. It causes emotional, behavioral and physical disruptions during the one to two weeks before the start of a menstrual cycle. The most common symptoms include: fatigue, irritability, abdominal bloating, breast tenderness and depression. It may also be the reason for anxiety, anger, crying spells, swelling, food cravings, cramping, and lower back pain during that time of the month.

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In our last blog, we defined and described signs, symptoms and initial evaluation of concussions. This month, we’ll talk about treatment, activity restrictions and prevention of head injuries. To summarize, concussion is a mild brain injury resulting from a sudden, significant force upon the head or upper body which results in headache and a variety of alterations in a person mental processing. A concussion is a clinical diagnosis. In other words, it is made based upon a history and examination. Sometimes a CT scan and other studies are necessary to rule out more serious conditions.

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As any hearty Michigander will tell you, we often live for the warmer months. When the winds of winter give way to the softer, more forgiving breezes of spring, Michiganders pour from their homes to soak in the warming sunshine and enjoy the many amazing wonders that our state has to offer. During the long, cold winters I often incredulously ask myself, “why is it that I live here again!?” but then winters eventually turn into spring, glorious summers, and beautiful falls, and, once again, I receive my annual reminder of the splendors of the mitten state.
 

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So my medical journals are telling me, AGAIN, that I need to eat better and keep moving. Gee, folks, thanks for the news! But I rarely receive such specific advice as I have these past few weeks. They have handed me very, very clear directions:

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