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Not in the mood? Why sexual desire can dwindle

From CBS News, September 25, 2013

While people often reminisce about their youthful romps, the bedroom door can slam shut...

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Steven D. McCarus


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Chief, Division of Gynecologic Surgery - Florida Hospital Celebration Health - Assistant Professor, Department of OB/GYN - University of Central Florida - Founder and Director of the McCarus Surgical Specialists for Women Orlando, Florida

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Lori Warren


Spreading the word about state of the art surgical care for women and improving access to minimally invasive surgery.

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Andrew Brill


Dr. Andrew I. Brill is a gynecologist specializing in minimally invasive gynecology with Sutter Pacific Medical Foundation. He practices at the Center for Advanced Surgical Options in Gynecology at California Pacific Medical Center, San Francisco.

QuestionDr. McCarus, why do you believe that educating women about healthcare and minimally invasive surgery is so important and why do you support Pass the Pearls?


I am thrilled with the purpose of Pass the Pearls as there is so much misinformation about hysterectomy itself and its effect on women’s lives. Coupled with the lingering reluctance of women to discuss “intimate concerns”, medical issues that can be easily treated are delayed until the problems are intolerable. Pass the Pearls is an invaluable resource in helping woman understand that they are not alone in facing uniquely feminine issues and if they need surgery they should find the surgeon who can offer minimally invasive surgery.

Health Awareness to Patients:

Surgery should always be the last option we consider as both providers and consumers of medical care; however, if surgery is essential, minimally invasive surgery is the first option to be considered. My introduction to laparoscopic surgery was a minimally invasive surgery to remove a tubal pregnancy in 1986. I set about studying and training immediately as the benefits to the patient were amazing: Shortened hospital stays, minimal scarring, shorter operating time and greatly reduced recovery time. In spite of the advantages of minimally invasive surgery, women are still more likely to have abdominal hysterectomies, with a 3 – 4 day hospital stay, a large incision and a 6 – 8 weeks recovery time. Patient’s must acquire these basis points concerning Hysterectomy Options, this knowledge will empower patients to understand and question information as given from their health care provider. It is essential that women and their families begin researching and educating themselves on the medical issues they face. The more you know about your particular medical issue, the more you will realize how many other women are experiencing the same issue…and the easier it will be to talk about these issues and their possible solutions with your family, friends and physicians. Women must take ownership and control of their medical care, and education is the single most powerful tool we have to accomplish this. I applaud Pass the Pearls for providing a valuable resource to woman as they work towards greater self-knowledge.

Steven McCarus, MD
Orlando, Florida

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Dr. McCarus, why do you...

I am thrilled with the purpose of Pass the Pearls as there is so much...
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Dr. Warren

Question of the Month

I had my hysterectomy and ovaries removed last year and I’m not taking HRT - as I’m 50 years old. I’ve noticed that fine lines have begun to appear on my face and the texture of my skin has changed. Is this something that is related to my HRT? Menop

Dr. Warren's Answer:

Hormonal aging begins with the decline in...
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