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For more than two years, the pain in Bruce Pulley’s left hip slowed him down and kept him from doing the things he loved, especially fishing. His BJC Medical Group orthopedic surgeon, Jesse Beard, DO, recommended a hip replacement as treatment to help relieve his pain, but the thought of surgery made Bruce nervous, so he put off scheduling it.

As we move into fall, you might be feeling at the top of your game — you’ve made it a priority to exercise regularly, eat a balanced diet and get stress under control. Last summer, you barely had a sniffle. Plus, you’re one of those people who just doesn’t get sick very often. You might be wondering: Can I skip getting a flu shot?

It’s no secret that when women are healthy, families and communities thrive. But from menstruation to menopause, women face many distinct — and sometimes complex — health events that require care, understanding and partnership from a health care provider.

Think of the word “infertility,” and you might picture a couple without children struggling to get pregnant or stay pregnant. But there is another set of people — those who have successfully conceived and given birth to one or more children — who struggle with infertility, too. Called secondary infertility, the condition often carries an extra burden: Those affected by it might feel guilty over wanting another child; those close to them may be unsympathetic because they are already a parent; or frustrated because getting pregnant the first (or second) time was relatively easy.

Vaccinations are a cornerstone of adult health, offering protection against multiple diseases that can affect quality of life and longevity. As we age, the immunity we gained from childhood vaccinations can wane, leaving us vulnerable to infections. Moreover, lifestyle changes, travel and age-related health changes introduce new risks that adult vaccinations can make less severe or painful.