Health News [ September 14th, 2008 ] Posted in » Womens Health

Multitasking can affect your health

People’s responses to stress differ; some can multitask a lot without any adverse effects, while others become overwhelmed, says Diane Miller, head of the chronic stress and neurotoxicology laboratory at the National Institute for Occupational Safety and Health. Among those who respond strongly, two “emergency hormones,” adrenaline and cortisol, are secreted at elevated levels to prepare the body for defensive action. Adrenaline causes the heart and respiration rates to speed up and sharpens the senses, in a “fight or flight” response. Cortisol causes the liver to release extra glucose for energy, Dr. Miller says; it also can “damp down” your immune system, a response that can be helpful in marshalling needed energy short-term, but that can jeopardize your health if it continues too long.

Is BPA the New Lead?

Like lead before the 1980s, Bisphenol-A (BPA) is everywhere. BPA is the main building block of polycarbonate plastic, a highly useful hard plastic found in a wide variety of products, such as eye glass lenses, consumer electronics, medical equipment, and bicycle helmets. It’s also found in the lining of metal food and beverage containers, and it’s used to synthesize hard plastic kitchen utensils, food storage containers, baby bottles, and water bottles.

It’s the intersection of BPA with food and beverages that has some researchers concerned. That’s because small amounts of BPA from plastics and linings can leach into our food and drinks. The problem: BPA isn’t just a building block of plastic—it’s also a weak estrogen that acts as an endocrine disruptor in the body.

Like lead, BPA poses particular risks for infants and children. In addition, maternal exposure to BPA can also impact the developing fetus. Those exposed to even low levels of BPA before reaching sexual maturity may experience structural problems with their reproductive organs, infertility, and an increased rate of reproductive cancers like breast and prostate cancer later in life.

Can Plastic Really Be Dangerous?

In November 2006, 38 of the country’s leading BPA researchers gathered to collectively review the copious literature that has been published on BPA. The panel specifically examined the impact of the low-level BPA exposures that are found in most people in the United States.

The panel concluded that there is sufficient evidence from animal and molecular studies to link low-level exposure to BPA with a variety of problems and expressed “great cause for concern” about the potential for similar problems in humans. The problems they identified included reproductive tract abnormalities, increases in reproductive cancers, decreased semen quality, early onset puberty in girls, and insulin-resistant diabetes.

Exposure to environmental estrogens like BPA early in development can permanently alter the way certain organs develop and can create a predisposition for cancer later in life. Most vulnerable are the reproductive organs, which are rich in estrogen receptors. This is not just true for females, but also for males.

“Although estrogen is thought of as a female hormone, it’s found in both males and females, and the prostate gland is rich in estrogen receptors,” says Gail Prins, Professor of Physiology at the University of Illinois at Chicago. “There are also estrogen receptors in other parts of the body, including the cardiovascular system and the brain. That’s why estrogen-mimics like BPA can influence both the reproductive tract and other parts of the body as well.

In addition to binding to estrogen receptors, BPA can also create problems by permanently altering the epigenetic programming of the cells, thereby creating permanent defects in how a person’s genes work.

“If you think of our genes as computer hardware, the epigenome is the software that tells the gene what to do,” says Randy Jirtle, Professor of Radiation Oncology and an epigenetic researcher at Duke University. “BPA can create bugs in the software. Then every time you copy the program, you copy the buggy error into another cell. If those errors get introduced early in development, all of the cells that are later generated have the same problem.”

Epigenetic changes caused by BPA not only cause problems for the exposed individual, they can also be passed on to future generations if they occur in the sperm or egg.

Evidence of Problems in Humans?

“We’ve done this experiment on humans before,” says Patricia Hunt, a geneticist at Washington State University, “only we ran it with diethylstilbestrol (DES) instead of BPA.”

Like BPA, DES is a synthetic estrogen. In fact, DES was discovered in the late 1930s, just a few years after scientists had begun exploring using BPA as an estrogen substitute for women. Scientists chose DES instead of BPA, and by the late 1940s, DES was prescribed for a number of problems, including preventing miscarriages.

Decades later, doctors discovered a rare form of vaginal cancer in girls whose mothers had taken DES while pregnant. Eventually it was found that more than 90 percent of DES daughters (those exposed to DES in utero) have abnormalities of the reproductive tract, says Retha Newbold, a reproductive and developmental biologist for the National Institute of Environmental Health Sciences, which is part of the NIH.

While the rates of problems aren’t reported to be nearly as high in DES sons, Newbold notes that some did suffer from reproductive tract abnormalities, including retained testes that had to be surgically corrected.

Once the problems with DES were discovered, researchers began studying its effects on mice and rats. The conclusion: the problems found in humans also occurred in lab animals.

The animal research also suggested that fetal exposure to DES may be correlated with hormone-sensitive cancers (such as breast and prostate cancer) later in life. As the early DES daughters approach middle age, there are indications that they are at higher risk for breast cancer as well, says Dr. Ana Soto, a professor at Tufts University School of Medicine.

After more than a decade of research on the effects of BPA, scientists are finding that the same patterns of problems associated with DES in animals and humans are also found in animals exposed to BPA.

This gives Soto reason for concern: “It would take several decades to study the correlation between prenatal exposure to BPA in humans and potentially increased rates of reproductive cancers later in life. Do we want to wait another 50 years to see what happens with BPA?”

June 21st, 2008 | Leave a Comment

Accidents Will Happen

One day, in the middle of a college class, Kady Ellison realized that she hadn’t taken her birth control pill that morning. Or the three mornings before that. Assuming that the important thing was to just take the pills and wanting to correct her mistake as soon as possible, she downed all four tablets at once as soon as she got home.

It seemed like a reasonable plan at the time. But later, after talking to a doctor, Ellison found out that she’d actually made two mistakes.

“What I should have done was start a new pack and wait a week before indulging in sexual behavior,” the 20-year-old now says. “For about a week after that I was an absolute emotional train-wreck, and it was probably the scariest thing to happen to me in the beginning of my first semester of my freshmen year away at college.”

Chances are, whether you’ve realized it or not, you’ve been in Ellison’s shoes.

“Most women miss a pill at least once a year and for some it’s even more often than that,” says Dr. Kate O’Connell, an OB-GYN with New York-Presbyterian Hospital and Columbia University Medical Center.

Dr. Vanessa Cullins, Vice President for medical affairs at the Planned Parenthood Federation of America, adds that studies have shown only 28 percent of women actually use their oral contraceptives correctly—taking them at the same time, every single day.

Mistakes can make babies

That’s a big problem. Hormonal contraception works by tricking your body into thinking that it’s already pregnant, thanks to increased levels of the hormones estrogen and progesterone. This keeps you from ovulating, or releasing fertilizable eggs from your ovaries. In order to limit the amount of side effects, there’s only so much hormone in each pill—just enough to get you through a little more than 24 hours. After that, hormone levels start to drop back toward normal and you run the risk of ovulating. Which means you run the risk of getting pregnant.

When used perfectly, contraceptives have a failure rate ranging from less than 1 percent to 3 percent, according to various studies. Imperfect use ups those numbers considerably. Dr. Ruth Merkatz, director of clinical development at the Population Council, says that, with “typical use,” the pill has a failure rate closer to 8 percent.

Granted, that’s still a far, far lower risk of pregnancy than you’d get without any birth control. On average, women not using any protection have an 85 percent chance of turning up pregnant within a year. But if a woman doesn’t want to be pregnant, that relatively measly 8 percent can be the difference between the lifestyle or level of health that she wants and the decisions or changes that she gets stuck with.

That’s something Lorri Robinson learned the hard way. When she was 21, she and her husband ended up confined to bed with the flu. She was on the pill, but not long after that week of bed “rest” she found out she was pregnant. Her son is now 28. “I never did get to find out exactly why the BC didn’t work. And really, it was moot–it didn’t work, now I was pregnant, and that was the issue to deal with.”

Follow the rules

It’s because of situations like Robinson’s that birth control experts say it’s important for women to be honest with themselves. “Each woman must do her own self-assessment about what birth control method works for her and with her at that particular time period in her life,” Cullins says. “The pill might work very well when you’re young, but as your life gets busier you might do better with an IUD or implant.”

Medications are also a factor—some can interfere with how hormonal birth control works. Of particular concern are certain classes of antibiotics, St. John’s Wort, and some of the medications taken to treat seizure disorders. Women should know how anything they’re putting in their bodies will affect their birth control.

Finally, it’s important to follow the instructions for birth control use and know the proper way to handle an error before it happens. It’s also crucial to realize that proper use may vary depending on the method of birth control, or even the type of pill, so you can’t assume that you know how to use everything simply because you’ve been on birth control before. The best thing to do is to talk with the gynecologist or nurse practitioner who prescribes your birth control. He or she can help you wade through the legalese of the package instructions to get to the practical, simple things you need to know.

Tech-Savvy Tricks

Having trouble following your birth control instructions? Technology can lend a hand. Dr. Kate O’Connell, an OB-GYN with New York-Presbyterian Hospital and Columbia University Medical Center, recommends:

Cell phones: Set up automatic text messages or calls through a Web site or your phone’s settings. It’s a great way to remember to take your pill, and to take it on time.

E-mail: Send yourself a message containing instructions for what to do if you miss a pill or make another birth control mistake. That way, no matter where you are, you don’t have to guess at the best way to handle your situation.

Maggie Koerth-Baker is a freelance writer and a contributing editor to mental_floss magazine. Her work has appeared in the Associated Press, AARP: The Magazine, and Health.

June 21st, 2008 | Leave a Comment

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