The use of low-dose hormone replacement therapy, now referred to as menopausal hormone therapy, involves products that contain small amounts of estrogen and progesterone, or their derivatives.  Use progesterone to treat symptoms of perimenopause and menopause. Some women begin to notice changes that are consistent with menopause, even before they have stopped having their menstrual cycle. This time is referred to as perimenopause.  In some women, progesterone products can be used to help manage symptoms of perimenopause.  Research supports the use of progesterone supplementation during this time, as natural levels of female hormones are starting to change. Progesterone products come in several different forms, including oral tablets, vaginal gels and inserts, injections, and topical creams. A prescription strength topical cream is often prescribed to help with symptoms of perimenopause. To use the cream, a small amount is rubbed into the palms of the hands, soles of the feet, or other areas where the skin is soft, either once or twice daily. The symptoms associated with perimenopause and menopause can be disruptive to your normal routine, and severe enough to treat.  Talk to your doctor to determine if combination products that contain both estrogen and progesterone may help to provide the increased progesterone levels your body may need, while maintaining a balance in both hormones. Women with a uterus require both estrogen and progesterone to treat menopause symptoms with hormones. Women without a uterus do not require progesterone to treat menopause symptoms and should use estrogen only. Using a combination product if you do not have a uterus may increase your risk of breast cancer, heart attack, or stroke. Over time, men also experience changes in naturally occurring hormone levels.  In men, progesterone plays a key role in the production of testosterone.  As men age, progesterone and testosterone levels drop, and the balance in hormone shifts to make estrogen the dominant hormone.  Some of the symptoms men experience when progesterone levels drop can include low libido, hair loss, weight gain, fatigue, and depression.  Talk to your doctor if you are male and are noticing these changes. Your doctor will run tests to determine the levels of many different hormones to determine the best course of treatment. If your doctor prescribes medications that contain progesterone or a combination of estrogen and progesterone, get emergency medical help if you have any signs of an allergic reaction. Signs of an allergic reaction include hives, difficulty breathing, and swelling in your face, mouth, or throat. Emergency medical care is also warranted if you experience pain in the calves or chest, sudden headache, numbness or weakness, especially if you notice this to be on only one side of your body, shortness of breath, difficulty breathing, or coughing up blood. Emergency care is also needed for problems with your vision or speaking, feeling dizzy, faint, or problems with balance, changes in vision or speech, chest pain, pain spreading to the arm or shoulder, weakness or numbness in an arm or leg, pain or swelling in the legs, nausea, vomiting, stomach pain, loss of appetite, low grade fever, or changes in your urine.
++++++++++
One-sentence summary -- Ask your doctor about menopausal hormone therapy. Use progesterone products as directed. Take combination products that contain both estrogen and progesterone. Recognize symptoms of low progesterone in men. Seek immediate medical attention if severe side effects develop.

Q: Open the doors and windows of the area where you need to clean the droppings. Ventilate this space for at least 30 minutes before you begin cleaning. If you are dealing with a very large number of droppings, wear a face mask or ventilator while cleaning. Consider wearing an eye mask when cleaning after large infestations of rats. This will release any pathogens into the air and can also trap pathogens in your vacuum or on your broom. Instead, only clean up the droppings with a commercial disinfectant or a 10% chlorine bleach solution. Use paper towels to pick up droppings soaked in this solution. Combine 1.5 cups (360 mL) of chlorine bleach with one gallon (5.678 L) of hot water. You might wear a mask or ventilator to protect your throat and lungs when making this solution. Put the solution in a spray bottle. Put on rubber or latex gloves that you can dispose of or wash in very hot water. Spray the droppings with the bleach solution until they are saturated. Let the solution soak into the droppings for about five minutes. Next, put the paper towel in a plastic bag and secure the bag. Put the plastic bag with the droppings in a covered trash can that is emptied frequently. Ideally take the plastic bag to a trash receptacle outside your home. Rats often nest in attics. Remove the droppings in the attic as described above. Use this technique on any hard surfaces and in the insulation. Remove any insulation that has a large number of rat droppings, especially if these droppings are below the top surface of the insulation. Put heavily soiled insulation in a plastic bag and dispose of it immediately. You’ll have to replace the insulation.
A: Ventilate the space where you will clean. Don’t sweep or vacuum up rat droppings. Make a 10% chlorine bleach solution. Spray the solution on the droppings. Pick up the droppings with a paper towel. Clean the insulation in your attic.

Article: You should leave the last few tablespoons (several ml) of coffee in the bottom of the kettle when you make cowboy coffee. All the grains will be concentrated in the last few drops, so it’s best to discard the last of the coffee rather than drinking it. For traditional cowboy coffee, the grounds don’t get strained from the coffee.
Question: What is a summary of what this article is about?
Don’t pour the last few drops of coffee from the pot.

Article: Often called trich, trichomoniasis is a type of vaginitis that is caused by a protozoa or parasite. It affects up to five million people in the US each year. This organism is a small parasite with a tail. In men, if trich is untreated, it can lead to chronic prostatitis. The symptoms of trichomoniasis include an itchy, green, and possibly frothy discharge with a fishy odor. This disease is sexually transmitted, so if you think you have it, you should let your sexual partner know so both partners can be tested and treated before resuming intercourse. If one of you is diagnosed then both of you need treatment. Traditionally, the diagnosis for trich is done in a doctor’s office. A wet prep is done by placing vaginal secretions under the microscope with a drop of saline solution. This will cause the parasite under the microscope to swim across the field and be identified.  There can be doctor discrepancy. Because of this, your doctor may also perform more standardized testing, such as a PCR assay to determine exactly what disease you have. You may also be given a pap smear as well. If this is not treated in pregnant women, there can be complications when giving birth such as low birth weight and prematurity due to a premature rupture of membranes (PROM). As with BV, trich can be treated with oral medication such as Flagyl. The usual dose is 2 grams taken once orally. You should avoid alcohol while taking Flagyl. Your partner should also take Flagyl at the same time. While you are taking the medication, intercourse should be avoided until both partners have completed treatment. Some studies recommend the use of Tindamax for trich as well. If prescribed, you will only have to take one 2 mg dose. This medication has a cure rate between 86-100%.
Question: What is a summary of what this article is about?
Learn about trichomoniasis. Diagnose trich. Treat trich.