A Guide to Health Counseling (8)

Health Counseling 8  A Guide to Health Counseling (8)As noted earlier, the three counseling categories that exist for non-pregnant females are oncology, hematology, and orthopedics and rheumatology. Many of the counseling standards for these women relate to estrogen.

We’ll give you an example. Menopausal women lose estrogen production from their ovaries. In a significant number of women who develop breast cancer, estrogen is one hormone that stimulates such cancer’s growth. Studies have shown, for example, that the drugs Tamoxifen and Raloxifen inhibit the development of cancer in some women who would have otherwise developed it.

Those who are at high risk are advised to take one of these drugs as a preventive measure against breast cancer, unless they’re also at risk for a blood clot (which is even more likely in women who smoke). Some postmenopausal women may develop weaker bones because of decreased bone density, perhaps because of the absence of estrogen.

That’s why a bone density test is needed in those women who are at increased risk for osteoporosis. The second category of counseling advice to be delivered to you by your doctor is for women expecting a baby. Pregnant women should be counseled to take folic acid, see a qualified provider who can protect her infant from infection, and breastfeed her newborn for at least three months. The third counseling category is for males and females alike: dentistry, nutrition, cardiology, and social history.


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