laomobai/llama3-1 huggingface dataset:
system: Can any woman take birth control pills?
output: Birth control pills can be taken safely by most women. They are not recommended, though, for women over age 35 who smoke. If you don't smoke, you can use hormonal contraceptives until menopause. In addition, you should not take hormonal contraceptives if you have had: Blood clots in the arms, legs, or lungs Serious heart or liver disease Cancer of the breast or uterus Uncontrolled high blood pressure Migraines with aura There are other conditions as well that may increase your level of risk that comes with taking birth control pills. If you are not sure if you are affected by one of these conditions, ask your doctor. Also, inform your doctor if you have a first-degree relative (parent, brother, sister, child) who has had blood clots in the legs or lungs.
system: How effective are mini birth control pills?
output: When taken as directed, birth control pills are usually effective the first month you begin taking them.
system: How are birth control pills packaged?
output: You will receive a set of pills packaged in a thin case. Pill packs containing regular birth control pills have either 21 or 28 pills. Twenty-one-day pill packs contain 21 active pills. Twenty-eight day pill packs contain 21 active pills and seven inactive (placebo) pills. The pill packs are marked with the days of the week to remind you to take a pill every day. The seven inactive pills in the 28-day pill pack are added so that you are reminded to start a new pill pack after 28 days. Some newer pills have only 2 inactive pills or even no inactive pills in the pack. It's important to always take all the pills to be sure you are protected from getting pregnant. A package of extended-cycle Seasonale contains 84 active pink tablets and seven inactive white pills. With Seasonique and Lo Seasonique, the last 7 pills contain estrogen only.
system: How do extended-cycle hormonal contraceptives work?
output: Another option for hormonal contraceptives is the extended-cycle pill, such as Seasonale, which was the first one to be approved. Seasonale contains the same hormones as other birth control pills, but the hormones are taken in a longer cycle. That reduces the number of menstrual periods from 13 periods a year to only four a year. That means a woman who takes this pill will menstruate only once each season. Seasonale contains the same combination of two hormones that are commonly used in other hormonal contraceptives. But the pill is taken continuously for 12 weeks followed by one week of inactive pills, which results in a menstrual cycle. Other extended-cycle pills, such as Seasonique and Lo Seasonique use a different configuration of the same hormones. Both of these pills use estrogen in the final week, with Lo Seasonique providing a lower dose option.
system: Where can I get birth control pills?
output: Birth control pills are only available with a doctor's prescription.
system: How do I begin taking birth control pills?
output: Ask your doctor when you should start birth control pills. If you are still having your period on the day that you have been told to start your pill pack, go ahead and start the pill pack anyway. You will get your next period about 25 days after starting the pill pack. It's best to take the pills at the same time every day. You can take the pill at anytime during the day, but taking it either before breakfast or at bedtime will help make it easier to remember. Extended-cycle pills works in a similar way. You start taking the pill the first Sunday after your period starts. If your period starts on a Sunday, start Seasonale that day. Then you take one active tablet a day for 84 consecutive days. Then depending on the type of pill you're taking, you have seven days of taking one placebo or estrogen only pill per day.
system: How are birth control pills taken?
output: !s_sensitive, chron ID: $('article embeded_module[type=video][align=top]:eq(0)').attr('chronic_id'), continuous Play: true, cp Options: { flyout: true }, display Ads: true, mode: 'in-article', sticky: true }) }); }); } else { $(function(){ $('.responsive-video-container').remove(); }); } Women take the pill by mouth to prevent pregnancy, and, when taken correctly, it is up to 99.9% effective. However, the pill does not protect against sexually transmitted diseases, including HIV (the virus that causes AIDS). The latex male condom provides the best protection from most STDs. Other types of combined estrogen and progestin hormonal contraception include the patch and the vaginal ring.
system: Are there side effects of taking birth control pills?
output: Side effects include: Nausea Weight gain Sore or swollen breasts Small amounts of blood, or spotting, between periods Lighter periods Mood changes The following side effects, easily remembered by the word " ACHES," are less common but more serious. If you experience any of these, contact your doctor immediately. If you cannot reach your doctor, go to an emergency room or urgent care center for evaluation. These symptoms may indicate a serious disorder, such as liver disease, gallbladder disease, stroke, blood clots, high blood pressure, or heart disease. They include: Abdominal pain (stomach pain) Chest pain Headaches (severe) Eye problems (blurred vision) Swelling or aching in the legs and thighs Birth control pills that contain drospirenone, including YAZ and Yasmin, have been investigated by the FDA because of the possibility that they may cause an increased risk for blood clots.
system: What can happen if you forget to take your birth control pills?
output: Some newer pills have only 2 inactive pills or even no inactive pills in the pack. It's best to take the pills at the same time every day. If you forget to take a birth control pill, take it as soon as you remember. If you are taking a pill with drospirenone, talk with your doctor about your risk.
system: Is it OK to take other drugs while taking birth control pills?
output: The drugs are still available. Tell your doctor about all of the medications and over-the-counter agents (including herbs) that you take.
system: How do mini birth control pills work?
output: Hormones in the woman's body control the release of the egg from the ovary -- called ovulation -- and prepare the body to accept the fertilized egg. Hormonal contraceptives also change the cervical mucus to make it difficult for the sperm to go through the cervix and find an egg. Hormonal contraceptives can also prevent pregnancy by changing the lining of the womb so it's unlikely the fertilized egg will be implanted. A pill is taken every day.
system: What if I forget to take a birth control pill?
output: If you forget to take your pills for two days, take two pills the day you remember and two pills the next day. You will then be back on schedule. If you miss more than two pills, call your doctor. You may be told to take one pill daily until Sunday then start a new pill pack or to discard the rest of the pill pack and start over with a new pack that same day. Any time you forget to take a pill, you must use another form of birth control until you finish the pill pack. When you forget to take a pill, you increase the chance of releasing an egg from your ovary. If you miss your period and have forgotten to take one or more active pills, get a pregnancy test. If you miss two periods even though you have taken all your pills on schedule, you should get a pregnancy test. If you miss a pill or are more than three hours late for a pill you should take the pill as soon as you remember and use a backup method (such as a condom or spermicide) for the next 48 hours.
system: What are birth control pills?
output: These hormones work to inhibit the body's natural cyclical hormones to prevent pregnancy. Other extended-cycle pills, such as Seasonique and Lo Seasonique use a different configuration of the same hormones.
system: How can end-stage heart failure cause anxiety?
output: This disease can make you worry about your health. You may even have physical symptoms like sweating, shortness of breath, or fatigue. Depression or anxiety may be even more likely with advanced heart failure. Talk to your doctor about ways to get help.
system: What are the symptoms of end-stage heart failure?
output: Some are easy to confuse with normal aging or other diseases. The more advanced your heart failure, the more likely you are to have many symptoms, or the changes that you've noticed in yourself will worsen.
system: How can end-stage heart failure cause you to eat less?
output: Advanced heart failure can make this more pronounced. You may not lose weight, either.
system: How can end-stage heart failure cause shortness of breath?
output: Heart failure can make it hard to breathe when you walk up a flight of stairs. With advanced heart failure, you may get winded in a shorter period of time, or you may have trouble even when you're sitting still.
system: How can end-stage heart failure cause more bathroom visits?
output: You may have trouble nodding off to sleep, or you might wake up in the middle of the night gasping for air. That's one way your body can get rid of that extra fluid. With advanced heart disease, it's even more likely you'll make frequent bathroom trips.
system: How can end-stage heart failure cause sleep problems?
output: Heart failure can make it hard to breathe when you walk up a flight of stairs. You may have trouble nodding off to sleep, or you might wake up in the middle of the night gasping for air. Try sleeping while propped up on two or more pillows instead of lying flat. Advanced heart failure makes it even more likely you'll have trouble breathing when you're at rest. That means your bedtime problems will probably get worse, too.
system: What happens when you have end-stage heart failure?
output: Your heart pumps blood around your body to supply all of your organs with oxygen. Your ticker may not be strong enough to gather enough oxygen from your lungs, or to pump oxygen-rich blood around your body. Either way, heart failure causes health problems and must be treated by a doctor. Drugs and lifestyle changes may help you lead a more active life than you'd be able to without treatment. Over time, if your health gets worse, you may learn that you have advanced heart failure, also known as end-stage heart failure. It means the treatments you've used in the past to keep your health stable no longer work. When your heart isn't pumping the amount of blood it should, it can try to make up for the loss by going faster.
system: Should I call the doctor because of a fever?
output: If you've had a fever for more than several days, a high fever, or if you have fever and other symptoms like severe vomiting, diarrhea, earache, or cough, call your doctor. Always call a doctor for any fever in infants three months of age or younger. Also see your doctor if a child under age 3 has a fever above 102 F or if they have a fever for more than a day or two. People with a suppressed immune system, such as those with HIV, those who've had an organ transplant, those who are taking chemotherapy, or those who have any other medical conditions such as diabetes and heart disease, should also give the doctor a call.
system: Can getting a flu shot weaken your immune system and make you more likely to get the flu?
output: Getting a flu vaccine prepares your immune system for the flu. A flu vaccine teaches your immune system to recognize that virus as a threat. While some people may still get the flu after having a flu shot, they'll probably have a milder form of the illness. That's because antibodies made in response to the vaccine can still provide some protection. So why do some people swear a flu vaccine gave them the flu? Some may mistake the occasional, short-lived side effects of the vaccine (slight fever, aches) for flu symptoms. And the time of year people are most likely to get the vaccine is when colds and other respiratory illnesses are common. If you get the vaccine and then get sick with an unrelated bug, you may assume, incorrectly, that the vaccine caused the illness.
system: Is stress bad for your health?
output: Over time, it can make you more vulnerable to illnesses, from colds and flu to chronic diseases such as diabetes and heart disease. Chronic stress seems to age the immune system, studies show, making you more likely to get a cold or the flu, and to develop diabetes and heart disease.
system: Does having a fever when you're sick weaken your immune system?
output: What you do every day can help, or hamper, your immune system. A fever can help your immune system fight infections in two ways. A higher temperature in the body speeds up the functioning of cells, including the ones that fight illness. They can respond to invading germs faster. Also, higher body temperatures make it harder for bacteria and viruses to thrive in the body.
system: Why does the health of your immune system matter?
output: A fever can help your immune system fight infections in two ways. Also, higher body temperatures make it harder for bacteria and viruses to thrive in the body.
system: Are allergies caused by the immune system?
output: While some people may still get the flu after having a flu shot, they'll probably have a milder form of the illness. Also, higher body temperatures make it harder for bacteria and viruses to thrive in the body. People can inherit a tendency toward allergies; if you have allergies, your children have a greater chance of also having allergies, although they may be allergic to different things. Allergies are treated by avoiding your allergy triggers and taking medication to control symptoms. For some people, allergy shots may be an option. Over a period of time, usually several years, allergy shots may help your immune system get used to the allergen, so that it doesn't produce the bothersome allergy symptoms.
system: Does your diet affect your immune system?
output: What you do every day can help, or hamper, your immune system. While no single food will upgrade your immune system, poor nutrition can have a negative effect on the immune system. What counts is having a balanced diet. Just about everyone could stand to eat more fruits and vegetables. If you're thinking about getting supplements to cover your nutritional needs, check with your doctor or a dietitian.
system: What is urinary stress incontinence?
output: Urinary stress incontinence occurs when an activity such as coughing, sneezing, or exercising causes a small amount of urine to leak from the urethra, which is the tube urine passes through. Stress incontinence ( SI) is the most common type of incontinence suffered by women, especially older women. In addition, women who have given birth are more likely to have stress incontinence.
system: How can a pessary help treat stress incontinence?
output: Device: The doctor can insert a device called a pessary into the vagina to stop stress incontinence. A pessary is a ring that, when inserted, puts pressure on the urethra in order to keep it in its normal location. Doing so can reduce urine leakage. Possible side effects from using a pessary include vaginal discharge and infections.
system: How can bladder training help treat stress incontinence?
output: Bladder training: In bladder training, you "stretch out" the intervals at which you go to the bathroom by waiting a little longer before you go. For instance, to start, you can plan to go to the bathroom once an hour. You follow this pattern for a period of time. Then you change the schedule to going to the bathroom every 90 minutes.
system: How can bulking agent  help  treat stress incontinence?
output: Injections: Bulking agents are substances that are injected into the lining of the urethra. They increase the size of the urethra lining. Increasing the size creates resistance against the flow of urine. Collagen is one bulking agent that is commonly used.
system: What surgical procedures can help with treating stress incontinence?
output: There are three types of surgery designed to help keep the bladder in place and treat stress incontinence: Retropubic suspension: In this procedure, the surgeon makes an incision in the abdomen. The surgeon then attaches the neck of the bladder to the pubic bone with sutures. Sling procedure: In this procedure, the surgeon uses a sling made of either natural (cadaveric) tissue or synthetic material. The sling goes around the urethra or bladder neck and is attached to the pubic bone. Artificial sphincters: Most frequently used for men but also may be appropriate for women. A fluid-filled cuff is implanted around the urethra that can be opened and closed by the patient and that serves as a valve to contain the bladder content that might otherwise leak.
system: How can timed voiding help treat stress incontinence?
output: Timed voiding: Record the times that you urinate and when you leak urine. This will give you an idea of your leakage "patterns" so that you can avoid leaking in the future by scheduling bathroom visits at those times.
system: What causes stress incontinence?
output: Stress incontinence ( SI) is the most common type of incontinence suffered by women, especially older women. That causes the leakage of urine. Things that can cause these changes include: Pregnancy and childbirth Menstruation Menopause Pelvic surgery Problems with muscles in the bladder -- the organ that holds urine -- and the urethra Weakened muscles around the bladder In cases of stress incontinence, the muscles in the pelvis can weaken. This can cause the bladder to drop down into a position that prevents the urethra from closing completely.
system: What should you do if you think someone is about to kill themself?
output: If you believe someone you know is in immediate danger of killing himself or herself: Do not leave the person alone. If possible, ask for help from friends or other family members. Ask the person to give you any weapons he or she might have. Take away or remove sharp objects or anything else that the person could use to hurt himself or herself. If the person is already in psychiatric treatment, help him or her to contact the doctor or therapist for guidance and help. Try to keep the person as calm as possible. Call 911 or take the person to an emergency room.
system: What are warning signs for suicide?
output: Any of the following could be potential warning signs for suicide: Excessive sadness or moodiness: Long-lasting sadness, mood swings, and unexpected rage.
system: What should you do if someone you know is showing warning signs for suicide?
output: If someone you know is exhibiting warning signs for suicide: Don't be afraid to ask if he or she is depressed or thinking about suicide. Ask if he or she is seeing a therapist or taking medication. Rather than trying to talk the person out of suicide, let him or her know that depression is temporary and treatable. In some cases, the person just needs to know that someone cares and is looking for the chance to talk about his or her feelings.
system: Can suicide be prevented?
output: Research suggests that the best way to prevent suicide is to know the risk factors, be alert to the signs of depression and other mental disorders, recognize the warning signs for suicide, and intervene before the person can complete the process of self-destruction. People who receive support from caring friends and family and who have access to mental health services are less likely to act on their suicidal impulses than are those who are socially isolated.
system: Who is most likely to commit suicide?
output: White men over the age of 65 have the highest rate of suicide. People in certain professions, such as police officers and health care providers who work with terminally ill patients People with substance abuse problems Although women are three times as likely to attempt suicide, men are far more likely to complete the act. Research suggests that the best way to prevent suicide is to know the risk factors, be alert to the signs of depression and other mental disorders, recognize the warning signs for suicide, and intervene before the person can complete the process of self-destruction. People who receive support from caring friends and family and who have access to mental health services are less likely to act on their suicidal impulses than are those who are socially isolated.
system: How is prostate cancer growth measured?
output: When your doctor diagnoses you with advanced prostate cancer, they'll use several tests to plan your treatment. A biopsy (when the doctor takes a small piece of tissue to test in a lab) and a Gleason score can check for cancer and help see how fast-growing your cancer is.
system: Why should someone get a Gleason score?
output: Your doctor will use your score along with the results of your PSA blood test and digital rectal exam to see how advanced your prostate cancer is and to suggest treatment.
system: What happens during a transrectal ultrasound-guided biopsy?
output: Your Gleason score isn't a separate test. The biopsy takes about 10 minutes. You can get it done in your urologist's office. You will be awake for it. In the most common type of biopsy, your doctor places a device called an ultrasound probe in your rectum. It gives off sound waves that bounce off your prostate and create a black and white image on a video screen.
system: What are the symptoms of pudendal neuralgia?
output: You usually feel pudendal neuralgia symptoms in your lower body, genitals, or perineum (the area between your genitals and anus). These may include: A sharp or burning pain More sensitivity Numbness or a pins-and-needles feeling, like when your leg falls asleep A swollen feeling These feelings might be worse when you sit down. Or you may have symptoms on both sides of your body, and they might go into your belly, buttocks, or legs. You also may have problems such as: A sudden or frequent need to go to the bathroom Trouble or pain during sex For men, problems getting an erection If you have pelvic pain, tell your doctor.
system: How is pudendal neuralgia diagnosed?
output: You also may have problems such as: A sudden or frequent need to go to the bathroom Trouble or pain during sex For men, problems getting an erection If you have pelvic pain, tell your doctor. At your appointment, you'll answer questions about your symptoms and get a physical examination. Your doctor will put a finger into your vagina or rectum and put pressure on the nerve to check on it. You might also get an imaging test with an MRI machine. It uses powerful magnets and radio waves to take a picture of your body's internal organs. Your doctor may also give you a pudendal nerve block. This is a shot you get in your pelvis to numb the nerve and see if your symptoms go away.
system: What is pudendal neuralgia?
output: It happens when a major nerve in the lower body is damaged or irritated, and it can make it hard to use the bathroom, have sex, or sit down. The pain comes and goes. It's not clear exactly how many people have this condition, but experts believe it's rare. You usually feel pudendal neuralgia symptoms in your lower body, genitals, or perineum (the area between your genitals and anus).
system: What causes pudendal neuralgia?
output: It can happen when you're injured, have surgery, or give birth. A tumor or an infection can squeeze or irritate it. And sometimes, certain types of exercise, like spending a lot of time on a bicycle, can cause the problem. This can ease pressure that may irritate the pudendal nerve.
system: What can I do to help prevent warts?
output: These steps help: Wash your hands, especially after you touch a wart that you already have. And keep your hands dry, since warts like moisture. Wear shower shoes, thongs, or rubber swimming shoes whenever you go to a public pool, locker room, or use a shower that other people also use. Wash your feet thoroughly with a disinfectant soap after being in an area where the virus can spread. Don't touch someone else's wart. And don't pick at your own warts.