91 likes, 13 comments - drselkdownthere on January 12, 2026: "Ontario update — hot off the press. Later this year, NIPT will be publicly funded in Ontario to screen for fetal Rh status. What this me...

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Here’s something I didn’t learn in training — and honestly didn’t want to believe at first:For some people, combined oral contraceptive pills can contribute to pain with intimacy.Why this can happen:• Combined pills lower free androgens• Some people appear more sensitive to androgen changes• Small studies show differences in androgen receptor expression• We don’t currently have a clinical test to predict who this will affectA very common story I hear:Pain-free intimacy → starts the pill → months or years later develops pain.Stopping the pill alone is often not enough.In some cases, topical estrogen + testosterone for several months (sometimes longer) is needed to help restore tissue health.This doesn’t happen to everyone.And birth control pills are still an excellent option for many.But if this is your experience —the pain is not in your head.It’s real, and it deserves proper care.Educational only — not medical advice.Follow @drselkdownthere for evidence-based women’s health — without dismissal or myths.Save or share if this helps someone feel less alone.#WomensHealth#OBGYN#BirthControl#PelvicHealth#HealthEducation

Midlife hormones change how the body processes alcohol — especially its impact on sleep.This isn’t medical advice, and it’s not an endorsement of drinking. It’s simply physiology.Alcohol disrupts sleep in everyone (men and women) by reducing REM and increasing night waking —hello 3am. But in midlife women, perimenopause and menopause add extra layers: hot flashes, temperature swings, and neurotransmitter shifts that make alcohol’s sleep disruption feel more intense.Timing, dose, and alcohol content all matter.Understanding this isn’t about judgment — it’s about having clear information so you can make choices that work for you.If sleep is a struggle, this may be one piece of the puzzle. #MidlifeHealth#SleepScience#Perimenopause#WomensHealthEducation#DrSelkDownThereHave you noticed alcohol affects your sleep differently in midlife?View all comments

Not everything in women’s health has one root cause — and anyone who claims they can find it for every condition is usually selling something.Some symptoms are hormonal.Some are inflammatory.Some are genetic.Some are just how bodies change with time.Simple isn’t always scientific.Your symptoms are real — even when the explanation is complex.👉 Follow @drselkdownthere for evidence-based women’s health #WomensHealth #OBGYN #GynHealth #HealthEducation #DrSelkDownThere

73 likes, 27 comments - drselkdownthere on December 29, 2025: "Topical steroids are one of the best tools we have in gyne dermatology — yet the myths surrounding them are so strong that people often s...

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After decades of decline, rates of cervical cancer within Canada have plateaued, according to the Canadian Cancer Society — a troubling trend for some experts, given that the type of cancer is prevent...