Most popular articles on women’s health
Articles on menopause and perimenopause
An introduction to perimenopause, menopause and menopausal symptoms, by Dixie Mills, MD. Here is an introduction to menopause and perimenopause, some quick definitions, and links to articles in this section.
Ending the confusion about menopause, by Dixie Mills, MD. There’s a great deal of confusion and concern among women about the most basic aspects of menopause — and what will happen to them during it. But it’s not to be dreaded or feared. Here’s an overview of what is happening and how to make menopause a wonderful transition to the way you want your life to be.
Perimenopause — the beginning of hormonal change, by Marcelle Pick, OB/GYN NP. Most women are surprised to learn how early perimenopause can start — and how many symptoms it causes. Learn more about the physiological changes going on in your body.
Talking to your doctor about menopause, by Dixie Mills, MD. Get the help you want and deserve from your doctor at this important time in your life. Here’s advice and background information on how to schedule, prepare for, set the overall tone, and guide a positive interaction with your healthcare provider in perimenopause and menopause.
Test your menopause IQ! by Jay Reighley, WHNP. Here’s a fun way to test your knowledge about a topic near and dear to most women’s hearts. Give it a go and then see what it is we believe about menopause — and how that impacts long-term health and happiness!
Talking with your partner about menopause, by Dixie Mills, MD. Menopause can be stressful not only for women, but also for their partners, who may not understand clearly what is going on. Women to Women offers suggestions on how to talk to your partner about menopause in a way that strengthens your relationship.
Estrogen dominance — is it real? by Marcelle Pick, OB/GYN NP. Dr. John Lee argued that perimenopause symptoms are caused not by a lack of estrogen but a lack of progesterone. This simplistic idea has led many to claim that progesterone alone will remedy the symptoms of perimenopause. We sort out the truth from the fiction.
Hot flashes and night sweats — causes and natural solutions, by Marcy Holmes, NP, Certified Menopause Clinician. Hot flashes and night sweats are the symptoms of perimenopause and menopause we hear about the most. Learn more about the possible causes and our natural solutions.
Rekindling desire — the soul of your libido, by Marcelle Pick, OB/GYN NP. Rekindling desire in perimenopause and menopause means redefining cultural stereotypes, reclaiming your sexual identity, cultivating intimacy, and learning to truly love yourself so that you can love sex again.
Vaginal dryness — you have options, by Marcy Holmes, NP, Certified Menopause Clinician. Vaginal dryness is experienced by so many more women than is generally realized, whether in perimenopause, menopause, or at other times of hormonal change. But you can resolve this uncomfortable, at times embarassing problem by uncovering its root causes and exploring the natural treatment options that work best for you.
FSH/menopause tests — what they can and cannot do, by Dixie Mills, MD. We’re often asked about menopause test kits — those home hormone tests of FSH levels that promise to prove whether or not you’re in menopause. Unfortunately, that isn’t what they do.
Antidepressants for menopause symptoms: pros and cons, by Dixie Mills, MD, FACS. Off-label use of antidepressants to treat symptoms of menopause is an option many doctors are suggesting to women today, and drug companies are now designing antidepressants to specifically target the menopausal woman. But research is calling their safety and their efficacy into serious question. Here’s a look at some concerns we have about antidepressants use, along with a safe natural approach you may want to consider before filling that prescription!
Birth control pills in perimenopause, by Marcy Holmes, NP, Certified Menopause Clinician. Whether you have been on birth control pills for many years or just a few and are now in perimenopause, or your doctor is now suggesting BCP’s for symptom management, there are things you should know about taking hormonal birth control during this stage of your life — and about other birth control options that are available.
Post-menopause — what happens after the change? by Dixie Mills, MD FACS. Being post-menopausal means different things to different women. Here is Dr. Dixie Mills’s perspective on what it means to be post-menopausal, and how to discover the joys of this stage in life.
Post-menopausal bleeding — what does it mean? by Marcy Holmes, NP Certified Menopause Clinician. Up to 30% of women experience a spotting or bleeding event after they’ve officially entered menopause. While this rarely signifies serious medical concern, it always warrants a closer look. Here’s why, what to expect from your evaluation, and how you can decrease the likelihood for this occurrence.
What I love about menopause, by Marcelle Pick, OB/GYN NP. Women to Women sometimes feels like an island surrounded by a sea of negative thinking — especially when it comes to menopause. The truth is you can feel and look better than you ever imagined, even if your symptoms right now are terrible. Here’s how.
A look at menopause across cultures, by Dixie Mills, MD, FACS. Why do the women of some cultures experience significant problems in menopause, while others barely have (or need) language for such symptoms? Here’s a cross-cultural look at the menopausal experience, some theories on the true “purpose” of menopause, and insight into how expectations can mold our realities.
FAQ’s on menopause, perimenopause, and post-menopause. We hear so many interesting questions from women about menopause that we’ve essentially geared our website toward answering as many of these as possible. But there are always more! Here are a few answers to those we hear frequently.

Articles on hormone replacement therapy and bioidentical hormones
Hormone Replacement Therapy (HRT), by Dixie Mills, MD. An introductory overview of our current knowledge about hormone replacement therapy, with summaries and links to all of Women to Women’s articles on conventional and bioidentical hormone replacement options.
Hormone replacement therapy (HRT) — a history behind HRT and new alternatives, such as bioidentical hormones, by Dixie Mills, MD. Here is a brief history of the hormone replacement therapy, including development of synthetic HRT such as Premarin and Prempro, and how women have been turning to bioidentical hormones as an alternative to synthetic forms.
Bioidentical hormones, by Marcelle Pick, OB/GYN NP. Suzanne Somers has brought bioidentical hormones onto center stage. In her book, The Sexy Years, she describes how bioidentical hormones relieved her menopause symptoms. She also makes it clear that she intends to stay on them for the rest of her life. Should you? Here’s our answer, based on 20 years of using bioidentical hormones in our medical practice.
Our perspective on the risks of HRT, by Marcelle Pick, OB/GYN NP. Here’s our perspective on the findings about HRT that caused so much concern and confusion — among women as well as among their healthcare providers.
What to expect when you’re stopping HRT, by Marcy Holmes, NP, Certified Menopause Clinician. We’ve helped thousands of women get off HRT safely and sensibly. Learn what to expect and how to make this important transition as smooth as possible.
Talking with your doctor about bioidentical hormones, by Dixie Mills, MD & Marcy Holmes, NP, Certified Menopause Clinician. While bioidentical hormones have been around for a long time — we’ve used them for almost 20 years — most practitioners have little or no experience with the kind of individualized approach they require. Here’s how to get what you want and need, even if your doctor lacks the knowledge and skills involved.
FAQ’s on bio-HRT and other forms of hormone replacement therapy. Want to clear up confusion around synthetic, equine–based, and bioidentical forms — and figure out what your best options are? Here are answers to a few of the questions we hear most about HRT issues.

Articles on hysterectomy and alternatives
An intro to hysterectomy and hormones, by Marcelle Pick, OB/GYN NP & Marcy Holmes NP, Certified Menopause Clinician. Whether you’re contemplating elective surgery, have already undergone a hysterectomy or you’re trying to avoid one, you are well served by learning all you can about your options. This introduction to our hysterectomy section will help you find the info you need.
For women who have had a hysterectomy, by Marcelle Pick, OB/GYN NP. Over half the women who undergo hysterectomy but retain their ovaries will experience symptoms of hormonal imbalance. Women who have an oophorectomy enter menopause overnight. Fortunately, there are natural ways to restore hormonal balance.
For women considering hysterectomy, by Dixie Mills, MD & Marcy Holmes, NP, Certified Menopause Clinician. There are many reasons why women are advised to consider an elective hysterectomy. Read our update on new treatment options and minimally invasive surgical techniques.
What you should know about endometriosis, by Marcelle Pick, OB/GYN NP & Marcy Holmes, NP, Certified Menopause Clinician. As is true of fibroids, “endo” is on the increase. Learn its underlying causes, and what you can do to make it better short of surgery.
Uterine fibroids — and natural alternatives to hysterectomy, by Marcy Holmes, NP, Certified Menopause Clinician. Uterine fibroids are on the increase, and are a leading cause of hysterectomy. While their exact cause is still unknown, hormonal imbalance is clearly a factor. The good news is that there are effective, natural alternatives to surgery.
FAQ’s on hysterectomy. We hear such a wide range of questions about hysterectomy. Our readers and patients wonder if they really need one, what surgical menopause will be like, how to recover quickly from surgery, or how to wean from HRT down the road. Here is a list of the most frequent ones we’ve heard over the years.

Articles on thyroid health
Hypothyroidism in women, by Marcelle Pick, OB/GYN NP. Here is an introduction to thyroid function with links to the articles in this section.
Hypothyroidism and hormonal balance, by Marcy Holmes, NP, Certified Menopause Clinician & Marcelle Pick, OB/GYN NP. Over 20% of menopausal women in the US are diagnosed with thyroid dysfunction. Recent studies suggest that millions more suffer from subclinical problems but are undiagnosed. The great majority of these women suffer from hypothyroidism — a sluggish thyroid — which leads to fatigue, weight gain, depression, high cholesterol and other symptoms.
Hypothyroidism in menopause — a whole-body perspective, by Marcelle Pick, OB/GYN NP. lthough it’s common for women to develop hypothyroid conditions in menopause, the connection between menopause and thyroid balance is rarely discussed. Women to Women clarifies the thyroid–menopause connection.
Hypothyroidism and weight gain, by Marcelle Pick, OB/GYN NP. Hypothyroidism is often associated with weight gain and difficulty losing weight. Find out why, and what you can do about it.
Hypothryoid symptoms, by Marcelle Pick, OB/GYN NP. Hypothyroidism can be very difficult to diagnose because the symptoms resemble those experienced by women in perimenopause and menopause. This list of hypothryoid symptoms is a good place to start if you suspect you might have a thyroid problem.
Alternative hypothyroidism treatments, by Marcelle Pick, OB/GYN NP. The advantage to alternative thyroid treatments is that they resolve the underlying causes of hypothyroidism. Read about your options and the simple, natural steps you can take to improve your thyroid health.
Thyroid testing for hypothyroidism, by Marcelle Pick, OB/GYN NP. Conventional thyroid tests usually overlook subclinical thyroid problems, even if you have symptoms of hypothyroidism. Learn about what options are available for assessing thyroid function and how to interpret thyroid tests.
Hyperthyroidism — overactive thyroid. Hyperthyroidism, or overactive thyroid, occurs much more frequently in women than in men. Here is a list of hyperthyroid symptoms and information about the causes of hyperthyroidism and natural alternative treatments.
Thyroid and Hyperthyroidism Frequently Asked Questions, by Marcy Holmes, NP, Certified Menopause Clinician. Here you will find the answers to some questions that we often hear at the clinic.

Articles on diet, nutrition and weight loss
Intro to diet, nutrition and weight loss, by Marcelle Pick, OB/GYN NP. We’ve heard it time and again — that nutrition is the keystone to a good health foundation — so why is it so often difficult for us to make the “right” choices? This section of our website offers an in-depth look at all the variables in the diet, nutrition and weight loss equation.
Perimenopause and weight gain — causes and solutions, by Marcy Holmes, NP, Certified Menopause Clinician. The answer to the perennial question — “Why am I gaining this weight?" — lies in the links between weight and hormonal changes during perimenopause and menopause. When you understand them it’s much easier to achieve and maintain your ideal, healthy weight.
Soy: a natural solution in menopause, by Marcelle Pick, OB/GYN NP. We’ve called soy a “menopause superfood” because of its effectiveness in reducing menopause symptoms. Learn about the health benefits of soy in menopause and for overall wellbeing.
Natural weight loss, by Marcelle Pick, OB/GYN NP. The Women to Women approach to weight loss is holistic, healthy, effective and lasting. Learn how to manage your metabolism, lose weight and improve your health.
Choosing the best multivitamin, by Marcelle Pick, OB/GYN NP. Choosing the best multivitamin is vital, but it can be difficult. How do you decide what to do? Here’s our guide to finding the best nutritional supplements.
Omega-3 fatty acids — essential to health and happiness, by Marcelle Pick, OB/GYN NP. From conception to old age, every cell in our bodies needs omega-3’s. Learn how omega-3 fatty acids benefit every body system — from the brain to the heart, breast, bones, colon, skin and more, this is one nutrient that can make all the difference to our health, our happiness, and — perhaps best of all — our longevity.
The trouble with fad diets, by Marcelle Pick, OB/GYN NP. At least four out of every ten women are dieting at any time. But only a minority lose the weight they want, and less than four percent keep it off. Here we explain what’s wrong with fad diets, including Atkins, South Beach and others, and how to lose weight — and keep it off.
Emotional eating, by Marcelle Pick, OB/GYN NP. Everyone has certain emotional associations with food, and so much of our emotional attachment to food is cultural and familial. Learning to recognize the associations your emotions have with your eating patterns is a great first step to dealing with your emotional eating.
Personal Program nutritional and lifestyle guidelines, by Marcelle Pick, OB/GYN NP. These simple steps to healthy living are helpful for women of all ages, especially those trying to lose weight and regain hormonal balance.
New health information on the controversy about soy by Dixie Mills, MD. Women to Women examines the controversy about soy’s safety to help women learn the truth and benefits of soy.
Health benefits of soy by Dixie Mills, MD. Get the scoop on the health benefits versus the dangers of soy from Women to Women’s breast specialist. Learn how to decide whether adding soy foods or supplements to your diet is right for you.
The truth about cholesterol and fat, by Marcelle Pick, OB/GYN NP. Most women still believe that cholesterol and fat will cause weight gain and heart disease. They don’t understand how a low-fat diet creates hormonal imbalance, menopause symptoms and accelerated aging. Here’s our guide to the good, the bad and the ugly.
Sugar substitutes and the potential danger of Splenda, by Marcelle Pick, OB/GYN NP. “Low-sugar” is the latest fad in food products, most of them based on Splenda. But is Splenda really safe? Here’s our view, plus insight into sucralose and other artificial sweeteners and the underlying issue of sugar versus sugar substitutes.
Diet soda — how healthy is it? by Marcelle Pick, OB/GYN NP. It’s hot, and you’re thirsty, and if you are like most Americans the first drink you reach for will be a soda pop — a carbonated soft drink. If you’re worried about your sugar or caloric intake, your choice will likely be a diet soda. Are diet sodas healthy or are they a wolf in sheep’s clothing?
Health and vitamins — who should take dietary supplements and why? by Marcelle Pick, OB/GYN NP. Virtually everyone has a family history that includes a chronic illness such as heart disease, diabetes or cancer. You may be concerned that you carry a genetic predisposition to one or more of these diseases. The good news is that with proper nutrition, including nutritional supplements, you can rewrite your life story with a happier ending.
Why doctors oppose nutritional supplements, by Marcelle Pick, OB/GYN NP. Despite the fact that the Journal of the American Medical Association published a study advocating that every adult take a multivitamin to reduce the risk of disease, we often hear of doctors who oppose nutritional supplements. Frankly, we understand many of the reasons doctors are concerned, and we think you should too before you start taking a multivitamin.
Preventing vitamin D deficiency — the new breakthrough? by Marcelle Pick, OB/GYN NP. Some are claiming that vitamin D is a miraculous solution to many health concerns, including depression, heart disease, cancer, osteoporosis and others. We’ve used it therapeutically for years. Here’s what you should know.
Basic nutrition and healthy eating, by Liz Lipski, PhD, CCN. The author of the classic work, Digestive Wellness, gives us an overview of the crucial role nutrition plays in our health, affecting how we feel, how our immune system functions, and how we heal.

Articles on insulin resistance
An introduction to insulin resistance, by Marcelle Pick, OB/GYN NP. Learn more about what causes insulin resistance in women, and how you can naturally prevent or reverse problems associated with it, including PCOS, unwanted hair growth, diabetes, and metabolic syndrome.
A natural approach to insulin resistance, by Marcelle Pick, OB/GYN NP. At least 25% of all Americans are insulin resistant. Among perimenopausal women the percentage is much higher. Fortunately, it can be reversed in most cases. Here’s how.
Polycystic ovarian syndrome (PCOS), by Marcelle Pick, OB/GYN NP. Though the cause of PCOS is unknown, it’s clearly related to insulin resistance, and its prevalence is increasing rapidly. Its symptoms include irregular periods, infertility, depression, weight gain and hair growth. Fortunately, we’ve seen PCOS respond well to our integrative approach.
Preventing type 2 diabetes and metabolic syndrome, by Marcelle Pick, OB/GYN NP. Learn how diet, lifestyle, and genetics interact to create metabolic health or disease, and how you can intervene to prevent, manage, or reverse insulin resistance, type 2 diabetes and metabolic syndrome.

Articles on adrenal health
Adrenal health in women, by Marcelle Pick, OB/GYN NP. This article introduces the adrenal glands and the describes effects of adrenal hormones, particularly cortisol, when we’re under stress, with links to other articles in this section.
Adrenal fatigue — the effect of stress and high cortisol, by Marcy Holmes, NP, Certified Menopause Clinician. Every woman who comes to our clinic with fatigue, insomnia, weight gain or depression is tested for adrenal function. In almost every case, those tests show dysregulated cortisol levels and adrenal insufficiency. Learn more about this little known problem and what you can do about it.
DHEA — fueling your hormonal balance, by Marcelle Pick, OB/GYN NP. Low DHEA is a common problem among women suffering from adrenal fatigue and exhaustion. But there are risks associated with DHEA supplements. Learn what DHEA is, how it supports your hormonal balance, and what you can do to increase your DHEA levels naturally.
Eating to support your adrenal glands, by Marcelle Pick, OB/GYN NP. When women have adrenal fatigue, sometimes a change in what, when, and how they eat can really help in restoring normal adrenal gland function. Women to Women offers guidance on how to support adrenal gland health naturally with simple healthy eating habits.

Articles on emotions, health and stress
Let it out — the power of anger, by Marcelle Pick, OB/GYN, NP. Many women are taught they’re not supposed to feel anger, or if they do, then they’d better not show it. It’s no surprise that stuffed anger in women shows up later as deep-seated guilt, depression, and resentment, as well as eroding physical health. By learning to honor the full range of human expression — including the “no-no” emotion of anger — we bring greater wellness to our own lives and to the world.
Stress and your health — it’s not just about being happier, by Marcelle Pick, OB/GYN, NP. We’d all like to reduce our stress load and be happier, but did you know that happiness isn’t the only benefit you get from emotional health? Learn how improving your emotional health can also improve your physical health.
How emotional experience determines your health, by Marcelle Pick, OB/GYN NP. Your health is determined by your emotional experience more than by your genetics, infection or lifestyle. That’s not just our theory — there’s solid science to back it up. This is a must-read article for anyone seriously interested in preventative health care.
The Emotional Freedom Technique, by Marcelle Pick, OB/GYN NP. Grounded in the ancient precepts of acupuncture, EFT is a modality we’ve been using and recommending for many years. Learn how you can tap into this easy, affordable, and highly effective treatment modality.
Avoiding holiday stress, by Marcelle Pick, OB/GYN NP. The holiday season — despite its joy and beauty — can be immensely stressful for women. Luckily, we all have the power to rewrite our inner holiday scripts, just as we have the choice to provide our bodies with additional support during this demanding time.

Articles on fatigue and insomnia
Information on fatigue, insomnia and stress, by Marcelle Pick, OB/GYN NP. This article provides a brief description of the effects stress and fatigue have on the body and mind, with links to other articles in this section.
Chronic fatigue — get your energy back! by Marcelle Pick, OB/GYN NP. Daily fatigue — like a quiet thief who robs us little by little — has become so common that we tend to ignore it until our reserves are fully depleted. Though the causes of fatigue range from simple to mysterious, and its symptoms from transient to profound, they should always be taken seriously. Learn how to redress the insidious process of chronic fatigue and recover your energy stores.
Am I losing my mind? — what you can do about fuzzy thinking, by Marcelle Pick, OB/GYN NP. Many women worry about lapses in memory and attention in perimenopause. When is it a serious concern, and when is it just a symptom of fatigue, stress, hormonal imbalance, or simply trying to do too much? Includes links to our subpages on ADHD and Alzheimer’s disease.
Alternative treatments for insomnia, by Marcelle Pick, OB/GYN NP. The brightly lit, tightly wound tempo of our lives today can easily sabotage our circadian rhythm and prevent us from getting a good night’s sleep, and chronic insomnia is an oft-cited problem among women of all ages. But you can get the measure of your insomnia, learn to unplug from a culture that prizes productivity, and reset your biological clock with Women to Women’s safe, easy to implement, commonsense approach.
The caffeine controversy, by Marcelle Pick, OB/GYN NP. So what’s the buzz — is caffeine bad or good for you? What we do know is that the effects of coffee and other caffeinated drinks vary tremendously among individuals. Find out how to read the signals your body is sending you and answer the good-bad-or-indifferent question for yourself.
Deep breathing — the truly essential exercise, by Marcelle Pick, OB/GYN NP. Deep breathing is key to our well-being, with proven links to heart health, immune function and other vital systems. Studies have shown it to be effective in reducing depression, anxiety and the severity of hot flashes. Deep breathing provides many of the benefits of exercise and is a great way to begin an exercise program. And it’s so easy! Here’s how to get started.
Lyme disease — could it be causing your fatigue? When caught early and treated properly, Lyme disease is usually curable. But this bacterial infection is transmitted by tiny ticks, which often go unnoticed. The problem is that as it progresses, Lyme disease can cause a range of confusing and disabling symptoms, including severe fatigue. If you think you have Lyme disease, the time to get tested is now.

Articles on digestion and GI health
Digestive health for women, by Marcelle Pick, OB/GYN NP. An introduction to women’s digestive health issues, with links to all our digestion articles and their subpages.
Probiotics — for life! by Marcelle Pick, OB/GYN NP. What are probiotics, how are they used, and what are the benefits of probiotic therapy? These prolific, tiny beneficial life forms enhance our digestive health, shore up our immune system, and guard us from a wide range of diseases. This article describes this dynamic relationship, lists what you can do to keep your intestinal flora balanced and happy, and explains how to choose the best probiotics.
Systemic yeast/Candida, by Marcelle Pick, OB/GYN NP. Candida albicans, the organism responsible for yeast infection and oral thrush, is often the underlying cause of a host of women’s health problems, including IBS, fatigue, headaches, leaky gut syndrome, muscle pain, eczema, acne and more. It’s commonly misdiagnosed by conventional medicine, which is especially unfortunate because there are highly effective natural remedies.
Gastrointestinal distress — or intestinal parasites? by Marcelle Pick, OB/GYN NP. A surprisingly large number of cases of IBS are really caused by intestinal parasites, a fact usually missed by conventional lab tests. Here’s what to look for, and what you can do to find relief.
The digestive system and dysbiosis, by Marcelle Pick, OB/GYN NP. A healthy digestive system is essential for nutrient absorption, but it is relatively easy for the delicate ecology of the intestines to become imbalanced. This state of dysbiosis can result in gastrointestinal symptoms as well as further health problems related to malabsorption.
Testing for digestive problems. Conventional tests are usually inadequate for assessing digestive function. Here are diagnostic resources for people experiencing digestive symptoms. They are the same labs we use at our clinic.
The truth behind the pH balance, by Marcelle Pick, OB/GYN, NP. Eating foods that optimize the pH balance in your digestive system helps it extract the nutrients you need to keep your digestion, heart, and bones healthy all through life. Sounds simple enough, but body pH needs to be understood within a wider context. Read the article that separates the wheat from the chaff in the pH equation. Includes links to our chart of alkalizing and acidifying food groups.
Irritable bowel syndrome (IBS), by Marcelle Pick, OB/GYN, NP. Irritable bowel syndrome (IBS) is a complex, often misunderstood condition that is especially problematic for women. Understanding the many physical and emotional factors that can cause IBS will help you regain the balance you need for good digestive health.
Acid reflux — what’s eating you? by Marcelle Pick, OB/GYN, NP. Learn the root physical and emotional causes of acid reflux (GERD), and which symptoms you need to be on the look-out for with this condition. Includes links to subpages on digestive enzymes, peptic ulcers, and gastroesophageal cancer, as well as helpful further reading.
The link between irritable bowel syndrome, heartburn and antacids, by Marcelle Pick, OB/GYN, NP. Most people think of IBS in relation to the intestines, but many women experience heartburn or acid reflux as a symptom in association with IBS. Unfortunately, taking antacids can actually make this problem worse.
Your gallbladder, by Dixie Mills, MD. Why is gallbladder surgery becoming so common — especially in women — and why should you keep this seemingly unimportant little organ if at all possible? Here’s info on the causes of gallbladder disease and how to keep your gallbladder healthy.

Articles on detoxification
Detoxification — clear and cleanse your body, by Marcelle Pick, OB/GYN, NP and Dixie Mills, MD. A review of the body’s natural capacity to detoxify, with a list of articles on how you can tap in to its natural detox pathways, including Women to Women’s Quick-Cleanse detox diet.
The lymphatic system and your health, by Marcelle Pick, OB/GYN, NP. It’s a rare day when the topic of the lymph system arises in everyday conversation, and when it does many of us may draw a blank! Here’s an overview and illustration of the elegant design of the lymphatic system, whose drainage and detoxification function is surprisingly crucial to our immunity and health.
Endocrine disruptors — tipping the hormonal scales, by Dixie Mills, MD. Our endocrine systems are facing an unprecedented onslaught of manmade chemicals that can mimic, block, stimulate or inhibit our own natural hormones. The implications of this are global and daunting, but the news isn’t all bad. Includes our 12–step guide to minimizing the impact of hormone disrupting chemicals in your own life — and upon every living thing around you.
Feel better in two weeks — with Women to Women’s Quick-Cleanse, by Marcelle Pick, OB/GYN, NP. Your body has an amazing capacity to detox. But over time, repeated exposure to toxins, stress and allergens wears down your natural defense systems. Try our two–week elimination diet and just see how you feel. I am confident you’ll see significant changes, among them weight loss, increased energy, clearer skin, and better digestion! Includes links to our detailed shopping guide.
The best cellulite treatment — a holistic approach, by Marcelle Pick, OB/GYN, NP. With the countless cellulite treatments on the market, women want to know what really works. Learn about what cellulite is, how it forms, and how you can approach it from the inside.
Lymphoma and lymphedema, by Marcelle Pick, OB/GYN, NP. After reading our main article on the lymph system, you might want to explore the specifics of lymphoma and lymphedema, the two main afflictions of the lymphatic system, in greater depth. Lymphoma is a cancer of the lymphocytes, and lymphedema is swelling that develops from obstruction of the lymph vessels or nodes and the resultant fluid build-up. Includes links to additional resources.

Articles on inflammation
Inflammation — the key to chronic disease? by Marcelle Pick, OB/GYN NP. Is chronic inflammation really the cause of heart disease, cancer, osteoporosis, and autoimmune diseases from rheumatoid arthristis to psoriasis? Here you’ll find links to everything you should know about inflammation and how to reduce it in your body.
What is chronic inflammation? by Marcelle Pick, OB/GYN NP. Learn about the role of inflammation in Eastern medicine, how conventional medicine is approaching the subject, and why an integrative approach is the best way to get a handle on inflammation.
Reducing inflammation — the natural approach, by Marcelle Pick, OB/GYN NP. Reducing inflammation is a powerful way to improve your health and well-being. And it’s simpler than you might think. Here’s our guide to reducing inflammation the natural way.
Joint pain or arthritis — quieting the inflammatory noise, by Marcelle Pick, OB/GYN NP. Many of us experience joint pain and symptoms of arthritis with greater frequency and intensity as we grow older. We also tend to ignore messages our bodies send us, viewing these aches and pains as part of the “normal process of aging.” But no matter how busy you are, and whatever the cause of your joint pain, you can try this safe, simple natural approach to quiet the fire and get joint pain relief.
Allergies and sensitivities — causes and solutions, by Marcelle Pick, OB/GYN, NP. Allergies and sensitivities are on the rise — so much so that by some estimates over 60 million Americans now suffer from allergies, and millions more from sensitivities. Conventional medicine doesn’t try to identify the causes, and often ignores anything but an acute allergic response. But we’ve seen dramatic improvements in our patients’ symptoms with our natural holistic approach.
Causes of inflammation, by Marcelle Pick, OB/GYN NP. We are all exposed to some degree of inflammation. Here’s a look at some of most common causes — many of which are within your control.

Articles on bone health
Information for women on building better bone health. This article provides essential information on bone health in women, including news about osteoporosis you may find surprising, with links to other articles in this section.
Osteoporosis and Fosamax, by Marcelle Pick, OB/GYN NP. Despite all the hype about osteopenia and osteoporosis, the news remains positive: almost all women can prevent osteoporosis, and even those with the condition can arrest or even reverse their bone loss, all through natural methods. In this article we show you how, and explain the potential dangers of drugs like Fosamax.
Help prevent weak bones — what to avoid. It’s important to provide your body with the vitamins and minerals necessary for strong bones, but it’s also important to pay attention to the factors that weaken bones. Here’s a quick guide.
Bone mineral density testing and bone scan results, by Marcelle Pick, OB/GYN NP. Testing for osteoporosis and osteopenia is not foolproof. Here’s what you should know about bone mineral density testing, its uses and its limitations.
Bone density, osteoporosis and the risk of bone fracture. Most women become increasingly concerned about bone fractures as they age — particularly hip fractures. Here’s a realistic perspective on the alarming statistics and the real risk of bone fractures.

Articles on sex and fertility
Low sex drive in women — causes and solutions, by Marcy Holmes, NP, Certified Menopause Clinician & Dixie Mills, MD FACS. Almost every woman experiences changes in her libido and sexual response during perimenopause. Here’s help in understanding what’s happening to you and why — and what you can do to feel like yourself again.
Enjoying safe sex in midlife, by Marcy Holmes, NP, Certified Menopause Clinician. With more Baby Boomer women enjoying revitalized sex lives, their risk for contracting a sexually transmitted disease or infection is on the rise as well. Learn what emotional and physical factors play into sexual wellness for women in midlife, as well as practical guidance in how to talk to your partner about safe sex (a useful skill for sexually active women of all ages!).
Infertility: an alternative perspective, by Marcelle Pick, OB/GYN NP. The ability to reproduce is tied to so many of our deeply held beliefs about our sexuality, our belief systems, our self-worth, our very humanity — no wonder people don’t want to talk about it. For those who are ready, this article offers frank talk about how to make informed decisions and regain control of your fertility, including causes, treatment options, and how to naturally enhance your fertility.
How the mind/body connection affects fertility, by Niravi B. Payne, MS. If you are having difficulty conceiving or carrying a pregnancy to term, you may be unaware of how strongly your family’s history and early childhood experiences affect your overall health, which includes your ability to conceive.
Premature ovarian failure, by Marcelle Pick, OB/GYN NP. Aside from the unique emotional challenges a diagnosis of POF can present, there are unique health concerns to consider, all of which can be overwhelming. With new research on the causes of premature ovarian failure, we think the term “POF” fails to serve women experiencing this disorder. Here’s an update on conventional and alternative treatments, and advice on keeping yourself healthy through POF.
Choosing birth control — options for women, by Marcy Holmes, NP, Certified Menopause Clinician. A woman’s ability to govern her own fertility is of primary importance to her health and well-being. Here is Women to Women’s three-part approach to choosing a birth control method, based on assessing each woman’s unique needs and prefererences.
Birth control method comparison chart. A compilation of currently available choices, this chart lists the pros and cons of the various methods and can serve as a useful guide to your birth control decisions.
Answers to common questions about birth control, by Marcy Holmes, NP, Certified Menopause Clinician. Here you will find answers to the most commonly asked birth control questions we hear through our Personal Program or at the clinic.
Health benefits of self cultivation, by Carrie Levine, CNM. Over two-thirds of women report never experiencing a “vaginal” orgasm. Here is a fresh perspective on the anatomy of the clitoris, and a discussion about the reasons why masturbation is healthy for our minds and bodies.
STD signs, symptoms and testing, by Marcy Holmes, NP, Certified Menopause Clinician. STD’s are one of those global “facts of life” as old as humankind — but that doesn’t mean we should draw the covers up over our heads in dread or throw caution to the wind — neither approach will serve us. The best preventative is knowledge — and a good place to start for anyone concerned about their risks is by learning common STD signs and symptoms, as well as what’s involved in testing (see our full article on safe sex for tips on prevention).
Abnormal Pap smears and HPV, by Marcy Holmes, NP, Certified Menopause Clinician. Human papillomavirus is our most pervasive sexually transmitted infection — if you’re sexually active, you are likely to contract it. Only a few strains cause genital warts or cancer, but regular Pap screening and immunity hold the key to minimizing your risk. Includes seven ways to boost immune system function and protect reproductive health.
What to know about Pap tests and pelvic exams. Even with the advent of HPV vaccine on the horizon, it is our belief that routine pelvic exam and Pap testing is the number–one way to protect your reproductive health. Don’t let fear of the unknown put you at unnecessary risk.
Common questions about HPV and Pap smear results. There is so much we have yet to learn about HPV and its effects on our reproductive health, so when women hear they’ve contracted it and need additional evaluation, they have a lot of questions. Here are a few we hear most often.
Pap test acronyms. Getting an abnormal Pap test result can be frightening when you don’t know just what the results mean. But it’s not always as dreadful as it sounds, and the good news is that these changes can be treated. Here is a primer on the Bethesda Pap test grading system and the implications of an abnormal reading.
Further intervention: colposcopy, ECC, endometrial biopsy, and genital wart treatment. An overview of some common evaluation procedures women undergo following abnormal Pap test readings, as well as treatment options for genital wart removal.

Articles on the menstrual cycle
Menstruation and the menstrual cycle, by Marcelle Pick, OB/GYN, NP. A monthly period results from a sequential conversation between your brain, your adrenal, pituitary and thyroid glands, and your ovaries. Here we explain the basics about menstruation and what happens hormonally and physically throughout your cycle.
Irregular periods, by Marcelle Pick, OB/GYN NP. Missed periods, too-frequent periods, spotting, or bouts of heavy clotting and bleeding are usually caused by an underlying hormonal imbalance that is easily treated. Changes in your periods are also a common signal that you are entering perimenopause.
PMS and PMDD — natural solutions, by Marcy Holmes, NP, Certified Menopause Clinician. By disrupting mood, physical well-being and ability to concentrate, the hormonal imbalance associated with PMS and PMDD can be extremely difficult for some women to cope with. Fortunately, you don’t have to just live with it. Read about the root causes of PMS and PMDD and how to approach them naturally.
Advanced PMS and PMDD treatment, by Marcy Holmes, NP, Certified Menopause Clinician. It can be daunting for women to find relief from devastating PMS and PMDD. Read about the options for severe symptoms and how to bring your body to back to balance.

Articles on breast health
Mammograms — what’s best for you? by Dixie Mills, MD. Women over 40 are usually instructed to get an annual mammogram. But recent studies show that mammograms don’t improve their odds of surviving breast cancer. Clearly a mammogram doesn’t provide the protection that most women believe. And the screening itself can be painful, even humiliating. So what’s right for you? Here’s the information you need to make an informed decision.
The mystery of breast pain — and how to solve it, by Dixie Mills, MD. Because we’ve been taught that pain means something is wrong, most women jump to the conclusion that it must be cancer. However, breast cancer has few warning signs, and pain is rarely a symptom of the disease. Furthermore, there are natural steps you can take to reduce breast pain.
Causes of breast cancer — the estrogen controversy, by Dixie Mills, MD. The conventional wisdom is to blame estrogen for the high rates of breast cancer we now see. But it’s not that simple. Learn what scientific experts know and don’t know, and what that means for you.
Breast cancer, progestins, and progesterone — is there a link? by Dixie Mills, MD. Opinions abound in the news about the links drawn between synthetic progestins in conventional HRT and breast cancer rates. Fortunately, we do know that progestins and natural bioidentical progesterone do not have the same effects on the breast or elsewhere in the body. In a story that bears watching as it unfolds, here’s what you need to know about the distinctions, and how to determine the safest option for your needs.
Breast cancer awareness — my perspective, by Dixie Mills, MD. Breast cancer has increased dramatically over the last 25 years, and now often occurs in women in their 30’s. While women are surviving longer, lifetime mortality rates haven’t changed much. Here a renowned breast surgeon shares her real-world perspective, her thoughts about prevention, and her hopes for the future.
Breast discharge — why it happens and what you can do, by Dixie Mills, MD. Many women are quite surprised to learn that discharge from the nipples is common. Fortunately, nearly all breast discharge is benign. But discharge is also generally a sign of an underlying imbalance on some level in your system. Our article will help you understand what your breasts are trying to tell you.

Articles on depression, anxiety & mood
Intro to depression, anxiety and mood, by Marcelle Pick, OB/GYN NP. Viewed from Women to Women’s perspective, mood problems in women are so common in our culture because our biography is actively interacting with our biology to write our emotional history. Includes a synopsis of all our articles on the neurochemical basis of how mood issues develop, and how to address them without relying on medication.
Antidepressants and natural alternatives, by Marcelle Pick, OB/GYN NP. Most of the new patients at our medical practice come to us on antidepressants — and many want to get off. Here’s our view of what causes depression, how antidepressants work and their side effects, and the natural alternatives we’ve found to be effective.
Understanding the symptoms of depression. Information on the symptoms of depression and how mood disorders like clinical depression differ from mild, situational depression.
Anxiety in women — causes, symptoms, and natural relief, by Marcelle Pick, OB/GYN NP. Millions of women suffer from anxiety — most of them are disappointed with the drugs they are given and many more aren’t even seeking help. The good news is that there are effective, natural ways to find relief from anxiety.
Postpartum depression’s silver lining, by Marcy Holmes, Women’s Health Nurse Practitioner. If you or someone you care about is concerned about postpartum depression, this article can give you information on how to recognize PPD and offers suggestions for treating PPD naturally.
What is postpartum depression, by Marcy Holmes, Women’s Health Nurse Practitioner. If you currently struggle with PPD, have in the past, or want to help someone who has — read on to learn what this might tell us about our brain chemistry and its sensitivity to hormonal changes — and what you can do about it. PPD, like PMS, PMDD, and perimenopausal depression, lets you know your body needs more support!
Am I at risk for PPD? If you or someone you care about is concerned about postpartum depression, this article can give you information on what factors place a woman at higher risk for PPD.
Seasonal affective disorder — getting back to nature, by Marcelle Pick, OB/GYN NP. Nearly all of us notice subtle shifts in our energy with the changing seasons. But if you compartmentalize life between the “bright” days of spring and summer and the “dark” days of fall and winter, you could be suffering a common type of depression known as seasonal affective disorder. Learn to heed Mother Nature’s message behind symptoms of seasonal sadness, lethargy and carbohydrate cravings, and banish your winter blues naturally, without drugs.

Articles on urinary and pelvic health
Information on urinary and pelvic health in women, by Marcelle Pick, OB/GYN NP. A woman’s pelvic floor supports her entire upper body, so when pelvic health is compromised, it affects her total health. Here is an introduction to urinary and pelvic health with links to other articles on related topics.
Urinary incontinence — help for female bladder problems, by Marcelle Pick, OB/GYN NP. Millions of women suffer from stress incontinence, overactive bladder (OAB) or urge incontinence, especially in menopause. The loss of bladder control may seem inescapable, but there are actually great natural remedies.
Pelvic floor health — strengthening your core, by Carrie Levine, CNM, MSN. The strength and flexibility of your pelvic floor are important not just for maintaining continence, but for supporting all pelvic movement, balance, and stability. Let’s take a closer look at this elegant hammock-like structure — which also gives us the gift of sexual pleasure and human birth — and learn how to keep it strong and flexible for all the years to come.
Stop suffering from urinary tract infections, by Marcy Holmes, NP, Certified Menopause Clinician. There are reasons why women are more prone to UTI’s than men, but there are also many simple ways to boost immunity and nip them in the bud. With a better understanding of how UTI’s gain a toehold, you’ll be better equipped to prevent that from happening — naturally. (We also provide a page on what you need to know about UTI testing and urgent treatment, preventing antibiotic side-effects, and avoiding antibiotic resistance.)

Articles on heart disease
Heart disease in women: a new understanding, by Marcelle Pick, OB/GYN NP & Dixie Mills, MD. An introduction to our series on heart health for women.
Risk factors for heart disease, by Marcelle Pick, OB/GYN NP & Dixie Mills, MD. When it comes to heart disease, prevention is the wisest approach. Understanding all your risk factors — from blood test results and hormonal balance, to dietary and lifestyle habits, stress, and emotional history — is a great first step to take in creating lasting heart health.
Preventing heart disease — the natural approach, by Marcelle Pick, OB/GYN NP & Dixie Mills, MD. At Women to Women, we approach heart health from a holistic perspective, taking into account all of the factors that create heart health or disease, including diet, lifestyle, stress, genetics and emotional history. Here is our seven-step guide to leading a heart–healthy life.
High blood pressure — lowering the strain, by Marcelle Pick, OB/GYN NP. In this comprehensive look at hypertension in women, we explain why we see high blood pressure as a side effect of modern life. But no matter how stressful your life or advanced your age, you can begin to treat or reverse high blood pressure naturally today.
Cardiovascular disease — what every woman should know, by Marcelle Pick, OB/GYN NP & Dixie Mills, MD. Why is cardiovascular disease the number–one killer of American women today, and why is it different for women than it is for men? The answers lie buried in the history of heart disease in America, modern medicine’s response, and what new research is telling us today.

General women’s health articles
Women’s alternative health care — how to make it work for you, by Marcelle Pick, OB/GYN NP. Most women are using both conventional and alternative medicine to take control of their health. But often they aren’t confident that they understand the range of alternative therapies and what each offers. Here’s our helpful guide.
Phytotherapy — the key to hormonal balance? by Marcelle Pick, OB/GYN NP. Using plants for medicinal purposes is an age-old practice that we are gaining a better understanding of today. Read about how phytotherapy is a safe and effective way to gently restore hormonal balance.
Seven myths about women’s health, by Marcelle Pick, OB/GYN NP. Looking and feeling good is not about following the hype and fear put forth by conventional medicine and the media, but about understanding your unique body and what it needs to achieve balance and health naturally. Learn why these common women’s health myths are not just misguided, but can actually harm your health, and why the truth about women’s health begins with you.
How to prepare for surgery, by Dixie Mills, MD, FACS. Many women have a tremendous dread of surgery, but rather than allow fear to shape the experience into a stressful event, there are many steps we can take to prepare the mind and body, reduce pain and anxiety, and positively influence the outcome. Here’s guidance from an experienced surgeon on how to set the stage for a successful surgery and rapid recovery.
Hair loss in women, by Marcy Holmes, NP, Certified Menopause Clinician. Thinning hair is a common and emotionally devastating problem for women in perimenopause and menopause. Once you understand that your hair is a reflection of your overall health picture, you can take natural steps to improve your health and reverse thinning hair.
I have hair where? — coping with unwanted hair growth, by Dixie Mills, MD. Excess hair growth, including facial hair or chest hair, can affect women before and during menopause for many reasons — most of them benign. If you’ve been wondering whether those hairs in your chin are normal, read on to find out what you can do about unwanted hair growth.
Holistic skin care — healthy skin from the inside out, by Marcelle Pick, OB/GYN NP. Aging skin, acne, rosacea — many women spend a fortune on skin care products in an attempt to keep their skin smooth, supple and youthful. But you don’t have to. Learn the connection between inflammation and healthy skin — and how to prevent aging skin and skin conditions naturally.
Menstrual migraines and other hormonal headaches, by Marcy Holmes, NP, Certified Menopause Clinician. “Timing is of the essence” when it comes to applying natural methods to rebalance your hormones and prevent this type of headache. Learn how to identify your hormonal patterns and eliminate or soften the impact of hormonal headaches on your life.
Natural relief for chronic headaches, by Marcy Holmes, NP, Certified Menopause Clinician. With so many types of headaches and variations in triggers, finding a medication–free solution can be elusive and frustrating. But the good news is that simple daily choices offer you a proactive role in natural headache prevention.
Seeing clearly about dry eyes and menopause, by Marcelle Pick, OB/GYN, NP. Dry eye is the leading cause of eye doctor visits in the country, and women are being told it is an isolated condition. But dry eyes can indicate larger underlying imbalances. Learn how you can solve dry eye naturally with Women to Women’s alternative point of view.
Women’s unique health needs, by Liz Lipski, PhD, CCN. Why do women suffer so much more from auto-immune diseases than men? Why do they have ten times the rate of hypothyroidism? The answers explain why women have to be listened to, and why we need an integrative approach to women’s health.
Taking charge of your money — and your life, by Dixie Mills, MD. How do you feel about money, and why? Here is guidance for women of all ages on overcoming cultural beliefs, fears, and gender bias concerning money; how to jump-start your education about financial matters; what today’s top female money experts may have to offer you; and thoughts on the link between your health and your wealth that no woman can afford to ignore.
Giving yourself the gift of health, by Marcelle Pick, OB/GYN NP. We tell our patients to “pay themselves first” when it comes to health and happiness, because with every relationship and activity in which you engage, your cup needs filling before you’re ready to pour. So take a moment now to read why and how to refuel and recenter, and give yourself the gift you deserve: lifelong health.
Mother’s Day, by Dixie Mills, MD. What is the purpose of Mother’s Day? Beyond trying to find the perfect card and gift, it is a day to simply honor motherhood. Here’s our perspective.

Our Personal Program is a great place to start
The Personal Program promotes natural hormonal balance with nutritional supplements, our exclusive endocrine support formula, dietary and lifestyle guidance, and optional phone consultations with our Nurse–Educators. It is a convenient, at-home version of what we recommend to all our patients at the clinic.
Last Modified: 08/06/2008