Questions Women Ask...

[AJMD429]

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...and why they take so long to answer...

https://youtube.com/shorts/jzuxfxWidVU?feature=share

[Old Savage]

Let me just tell you what they will tell you but you probably already know and these guys here have no idea

[Nath]

spot on.... he learnt quick....unlike me

[AJMD429]

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A patient once told me that trying to converse with his wife felt like walking into a mine-field.

Some progesterone cream helped her at least lessen the explosive charges he might encounter.

Men are just less verbal in general.

I drove 3 hours to a college campus tour two different times when my kids were college-bound. Each trip included one of my kids plus two others who were ride-sharing and I was the parent driver. The kids hadn't met one another in either case. One trip was my son and two other boys, and the other was my daughter and two other girls. Within the first 15 miles of the trip, the girls each had introduced themselves, found out how many brothers and sisters they had, their names, nicknames, hobbies, boyfriend situations, and all sorts of other chatter. During the entire three-hour trip with the boys, I doubt there was a total of 100 words spoken. No introductions. Once in awhile a Corvette or motorcycle would pass us, and one of them would mutter "...cool bike...", perhaps followed by one of the others saying "...yeah...", then another 45 minutes of silence until another similar brief comment.

[gamekeeper]

If they have to ask a question you can bet your life on it being a trap of some kind....

[Nath]

[Ray]

Deleted.

[765x53]

Women don't really want their questions answered or their problems solved. It's all about the "discussion".
https://www.youtube.com/watch?v=-4EDhdAHrOg

[kaschi]

My wife: "How many guns do you NEED???!!!"

Me: "How many pairs of shoes do you NEED???!!!"

My wife (rolling eyes): "That's not the same!!!"

[Nath]

Tell us more about this progesterone cream. Does it really forestall excoriating tongue lashings ? Do they sell it by the gallon ? The old lady.....er, I mean beloved bride of 11,749 days has become quite unsubmissive. She recently cut me off from the hymeneal comforts for a whole three and a half days !

[Nath]

My wife: "How many guns do you NEED???!!!"

Me: "How many pairs of shoes do you NEED???!!!"

My wife (rolling eyes): "That's not the same!!!"

[Nath]

Women don't really want their questions answered or their problems solved. It's all about the "discussion".
https://www.youtube.com/watch?v=-4EDhdAHrOg

[Ray]

Deleted.

[AJMD429]

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For women, the ‘sex’ hormones do FAR more than facilitate bedroom activity. (Same for men actually).

The estrogen, progesterone, and testosterones (each exists in a dozen forms in humans) affect bedroom things, but also bones, brain function, liver and metabolism, and so on.

Men start dropping their testosterone levels around age 30, slowly, affecting weight, muscle mass, mood, focus, motivation, cholesterol, insulin (not sugar yet) and stuff they won’t see a doctor about. Once it affects boners they show up, although Viagra only masks the real issues.

Women mostly see gynecologists, who unlike a good family physician, don’t pay much attention to hormones unless they are doing fertility work (big money). Ob-Gyns are surgeons after all, not really into hormones or their effect in non-gynecological health.

Progesterone starts dropping around age 30-35, and leads to problems relaxing, poor sleep, thus fatigue, and sometimes dense or lumpy or sore breasts. Remember at that age women are juggling spouses, kids, often ex-spouses, jobs, and often being drafted as caregivers for the elder aging relatives. If all that, plus fatigue, inability to relax, fatigue, and perhaps sore breasts all the time, isn’t enough to stifle their libido, the next hormone to drop will be testosterone, so libido drops. This is typically IGNORED by physicians. The endocrine issues affect thyroid hormone processing, so weight gain starts, then since the proper thyroid labs aren’t usually checked, they remain untreated not only as far as progesterone and testosterone, but the thyroid is either not treated, or treated wrong (because the wrong lab tests are depended on).

Finally, after a decade of misery, fatigue, weight gain, and the resultant hormonal-driven depression, the poor woman has no self esteem, feels unattractive, has no libido, and feels guilty for not being the wife she intended to be. Intimacy becomes a chore rather than something they crave and initiate.

One of the joys of primary care is helping these women regain their zest for life, lose weight via physiologically rational and safe means, and...regain their bedroom joy.

Men probably need progesterone too, to reduce cardiac risk (although properly administered testosterone does that if estrogen increases are prevented), reduce moodiness, and reduce prostate enlargement. This is just being studied and is new stuff.

One vital thing to know is that all the sterol hormones built in the cholesterol and pregnenolone and DHEA chassis are like house keys; change one pert a bit and they activate a different set of locks. Estrogen and Testosterone BOTH strengthen bones, toughen skin, affect lipids, and grow pubic and armpit hair. But they have a hugely different effect on face hair and breast tissue. That is due to a TINY difference in their molecular structure.

Hormones are complex molecules, and the body is designed to destroy complex molecules taken orally (a coyote eating a raccoon’s pancreas or thyroid would die of hormone overdose), so men always got shots to bypass the GI neutralization of hormones (until topical gels were invented). Women aren’t keen on shots in the butt, so the drug companies just ‘modified’ horse estrogen so it could be taken orally (same for progesterone) so women took Premarin (‘pregnant mare’s urine) and Provera (now nuvaring, marina, etc).

Those synthetics are more different than the human hormone than testosterone vs estrogen, so NO WONDER women got bad things happening.

Bottom line is synthetic hormones raise cardiac risk, make lipids snd cardiac risk worse, and worsen breast cancer risk. Stay away from them.

Bioidentical hormones are made identically to the human ones, and seem to help many symptoms and reduce aging symptoms, without the huge risks associated with synthetic pharmaceuticals.

Complex topic.

Requires long discussions, thorough history and physical exam, and neither is done in today’s insurance-based care environment.

If women are willing to get away from their hospital-employed, ‘in-network’ doctors, and their glossy-brochure marketing, they may find docs who will care enough to spend time and be thorough and individualize care to optimize health, mood, physical and mental function, and bedroom function.

I saw a woman last year on her 71st birthday, married since age 20, and she said she and her husband agreed their bedroom life was better than it had ever been since they married. With arthritis and an artificial hip, I can guarantee it wasn’t the ‘athletic’ part she was referring to, but rather the passion and even the “O’s” (keeping it family friendly).

Most docs won’t bother though; takes too much time to address, and they are paid by volume of visits, and procedures generated.

That’s why I dropped insurance; I work for the PATIENT, and nobody else.

[Nath]

Well said doc.

[mark]

"Well said doc".

Mark

[Walt]

My Father was a physician here in NM specializing in tuberculosis treatment. Although he was involved in administrative work late in his career, his first love was patient care; the doctor/patient connection.