The U.S. Food and Drug Administration on Monday instructed the maker of Essure to conduct further studies on the controversial birth control device, and recommended that a warning be added to the product label. “While the FDA believes Essure remains an appropriate option for the majority of women seeking a permanent form of birth control, some women may be at risk for serious complications,” the agency said in a statement. “These may include persistent pain, perforation of the uterus or fallopian tubes from device migration, abnormal bleeding and allergy or hypersensitivity reactions.”
Essure, approved by the FDA in 2002 for women ages 21 to 45, is a flexible coil that is inserted by doctors into the fallopian tubes. An estimated 750,000 women have received the product, manufactured by Bayer. Essure has been the target of thousands of complaints from women across the country, including in Connecticut.
Black women in Connecticut remain more likely than white or Hispanic women to deliver preterm babies, despite efforts to reduce the disparity, newly released data show. In 2014, 12 percent of all births by black women in the state were preterm, meaning they occurred before 37 weeks gestation, according to data compiled by the Henry J. Kaiser Family Foundation. That compares with 9 percent of all births by white women and 10 percent of all births by Hispanic women that were preterm during the same year. Nationally, the trend was similar with 13 percent of births by black women occurring preterm compared with 9 percent of white women’s births and 9 percent of Hispanic women’s births. In the vast majority of states, black women experience a higher rate of preterm births than whites or Hispanic women, according to the state-by-state comparison of the Kaiser data.
More Connecticut doctors, therapists and psychologists are turning to the practice of mindfulness to help treat depression, anxiety, chronic pain and even addiction. The practice -- which cultivates an awareness of the present moment and an acceptance of the feelings and emotions that come with it -- has reached the mainstream and is being adopted by new fields. Veterans groups are using mindfulness and yoga as a healing tool. Teachers in some Connecticut elementary schools have incorporated it into their classrooms to help students focus. And universities are offering mindfulness training to help students deal with stress.
A study showing that women veterans commit suicide at six times the rate of civilian women has prompted U.S. Sen. Richard Blumenthal and colleagues to propose legislation requiring the VA to develop gender-specific suicide prevention programs.
The "Female Veterans Suicide Prevention Act" would expand the Department of Veterans Affairs’ annual evaluation of mental health and suicide-prevention programs to include data specific to female veterans. The act also would require the VA to determine which programs are the most effective for female veterans. “With suicide among women veterans happening at an alarming rate, (the proposed bill) will help save lives by ensuring VA is providing the care, counseling and outreach these veterans need,” Blumenthal said. Co-sponsors include Sens. Barbara Boxer (D-CA), Joni Ernst (R-IA), and Sherrod Brown (D-OH).
When Alyson Hannan, 44, decided she was done having children, she chose Essure, a non-surgical permanent birth control option approved by the Food and Drug Administration. The day the tiny metal coils were inserted into her fallopian tubes in her doctor’s office is one that she can’t forget, said Hannan, regional sales director for Met Life who underwent the procedure on Sept. 11, 2014. “I will never forget that date. None of us will.”
Hannan is among tens of thousands of women, now referred to as “E-Sisters,” who have banded together on Facebook to share their stories of adverse health problems, including allergic reactions, chronic pelvic pain, device migration, hair loss and headaches.
As we open the book on 2016, here are a few things to watch for in the field of women’s health and well-being. In no particular order, from the Office of Healthcare Prognostication—a department I just made up—comes these predictions for the new year:
1 • The use of mobile health apps, or so-called “health wearables,” will increase, according to the American College of Sports Medicine’s 10th annual survey on fitness trends. Already, the adoption of smartphone health apps has doubled in the last two years, from 16 percent in 2013 to 32 percent of consumers saying they have at least one health app on their mobile device. 2 • Beyond measuring one’s fitness, health care in general will begin a “shift into the palms of consumers’ hands,” according to PwC’s 2015 Health Research Institute’s annual report. It’s happening already in primary care and the management of some chronic diseases, though programs such as Omada Health’s online program called Prevent are pushing into fields such as behavior modification.
About 650 U.S. women die each year during pregnancy, childbirth, or shortly after giving birth, according to the Centers for Disease Control and Prevention. Compared to other countries – and not just newly developing ones – that figure is abysmal. In fact, according to a new study from the World Health Organization and others, the U.S. is one of just 13 countries where the maternal mortality rate has actually risen between 1990 and 2013. Other countries on that list include North Korea and Zimbabwe. The gross domestic product of Zimbabwe is $13.5 billion.
The number of syphilis and chlamydia cases increased statewide last year as the number of gonorrhea cases dropped slightly, according to newly released figures from the Centers for Disease Control and Prevention (CDC). Nationally, the number of cases involving all three common sexually transmitted diseases increased for the first time since 2006, the CDC reports. The 2014 Sexually Transmitted Disease Surveillance Report, which was released in November, shows that, nationally, the number of reported cases of syphilis increased 15 percent over the number reported in 2013. The number of gonorrhea cases rose 5 percent last year, and reported chlamydia cases increased by 3 percent. Statistics for the state show a slightly different picture.
Black women with breast cancer fare worse than other women when treated with early chemotherapy, according to new research from the Yale Cancer Center. Typically, black, Hispanic and Asian women are more likely to undergo neoadjuvant chemotherapy, or chemotherapy prior to surgery, than white women because they are more likely to develop advanced-stage breast cancer. But the new study found that black women are less likely to benefit from the treatment. The finding is significant because it proves further research is needed, and could impact how future research and treatment options are pursued for black women, said Brigid Killelea, the study’s first author and associate professor of surgery at Yale School of Medicine. “African American women didn’t respond as well to the chemotherapy when a pathologist looked at the tumors under a microscope after [subsequent] surgery,” she said.
The Pentagon is not doing enough to make its sexual assault prevention strategy effective, according to a Congressional watchdog agency. The Government Accountability Office (GAO) says the Department of Defense (DOD) has failed to: identify risk factors that “promote sexual violence” in the military community and in military leadership; communicate the strategy to military bases to ensure consistency among Armed Services prevention programs; and undertake methods to measure if the strategy is working and whether changes are needed. The report to Congress notes that sexual assaults reported to the military increased from 2,800 in 2007 to 6,100 in 2014, but adds that they represent “a fraction” of actual incidents. The report cites a 2014 RAND survey, which estimated that 20,300 active-duty service members were sexually assaulted in the prior year. The report concludes that the DOD needs to take actions to better address the problem.