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In This Issue
Hot Flashes - or Not?
PMDD
PCOS - What is it?
Dr. Saitta: Convenient Hours
Office Announcements
Quick Links
 
In the News
 
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Our Offices

 

101 Old Short Hills Rd
Atkins-Kent Building, Suite 410
West Orange NJ 07052
973-736-1100
 
33 Overlook Rd.
MAC Building
Suite 108
Summit, NJ  07901
908-522-4558
 
696 Ave. C 
Bayonne, NJ  07002
201-339-3300
 
 
Physicians
 
Robert J. Rubino,
M.D., F.A.C.O.G.
 
Audrey A. Romero, M.D., F.A.C.O.G.
 
Elizabeth Lucarelli, M.D., F.A.C.O.G.
 
Lisa Abeshaus,
M.D., F.A.C.O.G.
 
JUNE 2009
Summer has arrived! Weekends at the beach, BBQ's, time with family...and more time to read...
 
In June, we wanted to provide additional information on common topics that you might not know about or might be misunderstood including PCOS - Polycystic Ovary Syndrome and Hot Flashes, topics requested by two of our patients.
 
In addition, Jacqueline Saitta, M.D., authored the article below on PMDD.  Dr. Saitta officially joins the group on July 1st, offering extended and convenient office hours.
 
If there is topic you would like covered in our newsletter, please e-mail us at newsletter@rubinoobgyn.com.
 
As always, we will continue to provide topics that are current, informative and important to your good health. 
 
Sincerely,
Robert J. Rubino, MD and Staff
Hot Flashes - Or Maybe Not?
While hot flashes are common in pre-menopausal and 
menopausal women, other conditions may be the cause. 
 
Night sweats from menopause tend to be temporary, ranging from a month to a year. If a woman experiences dramatic, persistent or worsening conditions - it may be other causes.
 
Some medications can cause sweats as a side effect of an over-dose. SSRI medications such as Zoloft or Prozac can cause this side effect, as can too much thyroid medication.

In more serious cases, Lymphoma, Tuberculosis and other infectious disease, often contracted during international travel, may be a cause of this condition. 
 
It is important to be evaluated for other causes of night sweats rather than just assume it is menopause, since it may be correctable or indicative of a serious but treatable condition.
Premenstrual Dysphoric Disorder: PMDD
by Jacqueline Saitta, M.D.

Moodiness during the few days before your period is common.  If this moodiness starts to negatively affect your life or becomes acute around the time of your menstruation, you may have Premenstrual Dysphoric Disorder or PMDD. 
 
Symptoms include:  feeling hopeless or sad, feeling anxious or on edge, frequent crying, irritability and anger that often causes conflicts with family, friends, and co-workers.  Women with PMDD can have problems concentrating, lack energy, or lack interest in things they otherwise enjoy doing.  Some have appetite changes or have trouble sleeping.  Physical symptoms include headaches, weight gain, bloating, and muscle pain. 
 
PMDD is a severe and debilitating form of premenstrual syndrome or PMS.  Those with PMS are typically limited to just one symptom, it is mild in nature, and does not occur every month. Those with PMDD have at least five of the symptoms described above and they tend to be severe, experiencing symptoms the week before their period without relief until several days after their period begins. PMS sufferers have symptoms that go away with the onset of menses.  As many as 75% of menstruating women suffer from PMS, when only 3 to 8% of women suffer from PMDD.
 
Causes of PMDD are poorly understood, yet there are effective treatment options including lifestyle modifications such as dietary changes and exercise or dietary supplements. In addition, research studies have shown that selective serotonin reuptake inhibitors or SSRIs are very effective in relieving PMDD.  
 
If you think you may be suffering from PMDD, keep a diary of you symptoms and make an appointment with your doctor to discuss ways to improve your health and well-being.
PCOS: Polysistic Ovary Syndrome - What is it?
Polycystic (pah-lee-SIS-tik) Ovary Syndrome (PCOS) is a female health problem that can affect a woman's menstrual cycle,  ability to have children, hormones, heart, blood vessels, and appearance. 
 
Symptoms typically include: 
High levels of androgens or "male hormones" (although females also make them), missed or irregular periods, appearnace of small cysts in their ovaries (fluid-filled sacs), infertility or sub-fertility, insulin resistance, excessive hair growth, a tendancy for obesity and a characteristic 'swiss cheese' appearance of the ovaries on an ultrasound.
 
The name is actually a misnomer, since the "polycystic" description of the ovaries, is not cysts at all, they are eggs that never ovulate. That is why the condition has fertility issues and irregular cycles. 
 
Not everyone with the condition has all the symptoms, and some patients don't fit the classic mold. If you or someone you know has some of these symptoms, please forward them this newsletter.
Dr. Jacqueline Saitta Offers Convenient Hours
Jacqueline Saitta, M.D. is less than a week away from      Bilof
starting with The Rubino OB/GYN Group on July 1st.   
 
To introduce herself, she is offering convenient extended and evening hours in all three office locations in West Orange, Summit and Bayonne. 
 
Look out for ads in the local papers announcing her arrival, including the Independent Press, Orange and West Essex Tribune, Bayonne Community News and the Jersey Journal. She is also going to be featured in the Summer issue of Vicinity Magazine.
 
Please join us in welcoming Dr. Saitta to the practice and taking advantage of her extended, convenient hours.
Office Announcements
Save Time With Our Online Appointments, Consultations and Personal Health Records

The popularity of our online office has reached new heights! To schedule online appointments, consultations or view your personal health records at your convenience, just visit the home page of www.rubinoobgyn.com. You can also call 973-736-1100 now to schedule an appointment at any of our three locations. 

"Important Announcements" on Our Website
You can find important new developments and time-sensitive announcements (such as office closings) right on the upper right hand portion of our home page.