Battling a “brain storm”

Migraines, which affect nearly 40 million Americans, are likely vastly underdiagnosed and undertreated. Women are three times more likely to get migraines than men, and hormones appear to be a major trigger. Other triggers include stress, disrupted sleep patterns, hunger or dehydration, certain foods or medications, and bright lights or loud noise. Newer medications are more targeted and pose fewer side effects. They include CGRP (calcitonin gene-related peptide) blockers, more effective nasal sprays, and green light therapy.

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Prediabetes: A window of opportunity

About 96 million Americans have prediabetes, defined by elevated blood sugar levels that are not high enough to qualify as diabetes. Risk factors include overweight or obesity, family history, and inactivity. People with prediabetes may have more infections and frequent urination or blurry vision after big meals. Lifestyle changes such as maintaining a healthy weight, exercising, eating healthy foods, drinking alcohol moderately, and not smoking may prevent prediabetes from progressing to diabetes.

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IBS in the crosshairs

Irritable bowel syndrome (IBS) affects up to 45 million Americans, two-thirds of whom are women. IBS is categorized into three types depending on which symptoms dominate: diarrhea, constipation, or a mix of both. Possible contributors include changes in gut bacteria, faulty nerve signals between brain and intestine, pelvic floor problems, and genetics. Newer treatment approaches target pathways involved in symptoms. Doctors are also repurposing older drugs for IBS, including certain antidepressants and the antibiotic rifaximin (Xifaxan).

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When sex hurts

Three-quarters of women experience painful sex at some point, and up to six in 10 report painful sex during the transition to menopause and beyond. Childbirth, menopause, and a condition called hypertonic pelvic floor contribute play a role in many cases of painful sex, though other health problems and treatments can contribute as well. Treatment options include lubricants, vaginal moisturizers, vaginal estrogen, and pelvic floor physical therapy.

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