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Blood clots are more common among users.
They have side effects that can be very bother-
some and sometimes prevent women from us-
ing them. However, there is an overall improve-
ment in mortality risk among users because
even in 2025, having a baby puts a mother’s life
at risk, and oral contraceptives are effective at
preventing pregnancy.
***
DEAR DR. ROACH: I am a healthy male,
age 65. I get 7-8 hours of sleep most nights, but
during the night, I typically wake up three to
four times with a very full bladder. So, I use the
1. Horacio Llamas, the first Mexican-born UNDERSTANDING THE ASSOCATION bathroom, then return to bed.
player in the NBA, spent two seasons from BETWEEN ‘THE PILL’ AND CANCER My question is, where do my kidneys get
1997-98 with what team? DEAR DR. ROACH: I want to point out a all the water to make so much urine? I’m not
2. How old was Danish swimmer Inge So- serious health concern. My daughter turned 40
rensen when she won a bronze medal at the drinking during the night, and I don’t drink
1936 Berlin Summer Olympics? last year and got a mammogram that came back anything before I go to sleep. Where is it coming
3. Name the Little Caesars Pizza founder who with a shocking diagnosis of stage 3 microinva- from? This does not happen during my waking
was the owner of the NHL’s Detroit Red sive carcinoma. She underwent three surgeries, hours. -- B.F.
Wings and MLB’s Detroit Tigers. the last of which was a double mastectomy.
4. The Cincinnati Suds, Milwaukee Schlitz, I read that cancer incidence increases with ANSWER: When you drink or even eat food
Kentucky Bourbons and Cleveland Stepien’s hormone usage that is greater than five years in with a high water content, this fluid will be ab-
Competitors were professional teams that sorbed into your blood, but it takes time. Once
played what sport in the late 1970s and early a row. My daughter’s doctor prescribed “the pill” it’s in your blood, it will then be filtered by your
1980s? to her for much greater than five years and never
5. Name the former ESPN sportscaster who even warned her of the risk. kidneys to make urine, but this, too, takes time.
served as the New York Yankees’ radio play- How many other women are unaware of In general, I tell my patients to stop drink-
by-play announcer from 2002-04 before the risks? In many cases, these women are busy, ing 4 hours or more before bedtime. People who
joining the Los Angeles Dodgers’ radio and young professionals as my daughter is. They are
TV broadcast booth in 2005. have kidneys that aren’t at 100% function may
6. What Cuban baseball player helped the 1965 using the pill because it is so easy. Please warn need an even longer time so that they can uri-
Minnesota Twins to a World Series cham- them and their parents. -- M.R. nate all the fluid out.
pionship and was named American League ANSWER: The association of combined There are other considerations. Many men
MVP that year? oral contraceptives with breast cancer is contro-
7. Calbert Cheaney scored a Big Ten Confer- versial. Many large studies, such as the Nurses’ and women over 60 develop swollen legs during
ence career record 2,613 points playing for Health Study, didn’t find an association between the day due to leaky blood vessels and valves
what college basketball team from 1989-93?
“the pill” with breast cancer, either while a wom- in the veins. Taking in excess salt worsens this
Answers: an is using it or after she stops. problem. The fluid will go back into the blood
There have been some studies that have overnight, and it can easily be enough fluid to
shown an increase in risk, but the magnitude fill the bladder. Compression stockings can re-
7. The Indiana University Hoosiers.
of the risk is small. In a large Danish study, the duce the amount of fluid in the legs.
5. Charley Steiner. 6. Zoilo Versalles.
overall increase in risk was about one additional Finally, the body has a system for reducing
3. Mike Ilitch. 4. Men’s slow-pitch softball.
1. The Phoenix Suns. 2. 12 years old.
case of breast cancer in 8,000 women taking the urine output at night (the anti-diuretic hormone
pill for a year. For women under 35, the risk was
one case in 50,000 women per year. The stud- is secreted at night to prevent you from having
ies that showed a risk for breast cancer did not to get up), and in some people, this system fails.
show an increased risk when women took them The hormone can be given nasally in these cas-
for longer. es, but since it can affect blood sodium levels, it
Oral contraceptives certainly have risks. needs to be used very judiciously.
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