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Women’s Health

Hot Flashes: Is It Just Me, or Is It Getting Warm in Here?

Woman cooling off with a hand-held fan.Some women experience “hot flashes” when they begin menopause, which is when their menstrual cycle comes to an end. Hot flashes are sudden onsets of overheating—most commonly on the face, neck and chest. These onsets can cause a red flush to appear on the skin, and in some women they cause perspiration accompanied by a rapid heartbeat or chills. In this blog post, Palo Alto Medical Foundation internist Amy S. Brendel, M.D., answers some of the questions you may have about hot flashes. Read More

Delivering Medical Wonders

Brian and Gwen with twins, Mason and Gavin.

Two years ago, Gwen realized that while her job as director of constituent communications at U.C. Santa Cruz was rewarding, she wanted more in her life: she wanted a family. She’d been dating, but hadn’t found her soul mate.

“When I got to 39, I thought: ‘I want to have kids, so I’m going to do it on my own.’ I thought I should see about my fertility, so I went to the PAMF fertility clinic,” she says.

The verdict? Things looked good, except for the fibroids. Uterine fibroids – benign (noncancerous) growths – are very common, occurring in roughly 40 percent of women. They grow either underneath the uterine lining, inside the uterine wall or outside the uterus. Most fibroids are small and insignificant. They can cause problems if they are large enough to interfere with or prevent pregnancy, as was the case with Gwen. In order to get pregnant, women with large fibroids often need surgery.

According to PAMF obstetrician Howard Salvay, M.D., the only surgical option for removing fibroids used to be through open abdominal surgery called a myomectomy – a major operation requiring up to six weeks for recovery. A myomectomy can cause extensive scarring, as it involves cutting through the abdominal muscles and into the uterus. If the scar tissue lay inside the uterus, it too could interfere with pregnancy. Dr. Salvay performed Gwen’s surgery using the robotic da Vinci® surgical system, which allows for precise, high-definition 3D magnification and minimal scarring both inside and out. Her recovery time was two to three weeks.

In the middle of all this, Gwen met her soul mate, Brian. “I wasn’t expecting anything, since we’d just met. But he said he really wanted to be a dad again (he has a daughter from another marriage). He said let’s give it a try,” she says.

Four months after her surgery, she was pregnant and seemed to be getting very big very fast. Then she found out she was going to have twins. “During the first ultrasound, Dr. Salvay said, ‘It’s a miracle: you just had a myomectomy four months ago, you’re 40 and you’re pregnant!’” Gwen recalls. “Then he said I was having twins. I nearly fainted.”

Mason and Gavin were born weighing 6 pounds, 8 ounces each. With two baby boys and a wedding to plan, Gwen’s life is full. “It’s all happened very fast,” she says. “It’s been amazing.”