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After 15 years as a gynecologist, I can tell you that irregular periods aren't always cause for concern. If your cycle varies by a few days, it's usually normal hormone fluctuations. I've seen thousands of cases, and this is completely natural for many women.

Today, let's talk about hot flashes - a challenging symptom affecting up to 80% of menopausal women. While they can feel overwhelming, there are effective strategies to manage them. As your women's health advocate, I'll share evidence-based approaches that have helped thousands of my patients find relief.

For today's breast reconstruction, I'm going to perform a DIEP flap procedure, where I'll carefully dissect the abdominal tissue, isolate the blood vessels, and then transfer the tissue to create a natural-looking breast. Finally, I'll ensure proper blood supply and tissue positioning.

Green tea supplements might not be suitable if you're sensitive to caffeine or have anxiety issues. While they contain beneficial antioxidants, the concentrated form can cause jitters and sleep problems. The tannins might also interfere with iron absorption.

Number one, bleeding gums during brushing often indicate early stage gingivitis. Number two, persistent bad breath can signal deep-seated bacterial issues. Number three, sudden sensitivity to cold suggests a cracked tooth or worn enamel. These symptoms require immediate care. Don't wait until the pain becomes unbearable; see your dentist today.

Patient follow-up protocol: Initial assessment on admission day, blood work on day three, vital signs monitoring on day seven, medication review on day ten, and final evaluation on day fourteen. Document all readings in patient chart.

In this video, you'll learn how to use a blood pressure monitor at home. First, sit quietly for five minutes before measuring. Place the cuff about one inch above your elbow, ensuring it's not too tight. The device should be at heart level for accurate readings.

When patients come in with tingling sensations, I explain that it's like your nerves are sending incorrect messages to your brain. It's not necessarily dangerous, but we need to figure out what's causing it. Sometimes it's temporary, but sometimes it indicates something we need to address.