Too embarrassed to ask a doctor? Jacksonville-area physician answers viewers’ health questions

Embarrassment can keep people from asking a doctor about sensitive health concerns — and may lead them to search online or turn to artificial intelligence for answers.

A recent KFF health tracking poll found about one-third of U.S. adults use AI for health information and advice. Among those users, 65% said they wanted an answer right away, while 36% said they felt more comfortable asking sensitive questions privately.

News4JAX host Joy Purdy invited viewers to send in questions they might hesitate to ask a doctor. Dr. Tra’Chella Johnson Foy, a Baptist Health family medicine physician with 25 years of experience, answered questions on fertility, body hair, aneurysms, menopause and more.

When should someone seek help for infertility?

One viewer, in her early 40s, said she and her partner had been trying to conceive for more than seven years. Foy said that at age 40, someone trying to get pregnant should seek medical advice right away. She said people younger than 35 may consider an evaluation after trying for six months to a year without success.

Foy said both partners should be evaluated and that a reproductive endocrinologist can help look for possible causes. A regular monthly period may be useful information to share with a clinician, but it doesn’t rule out fertility challenges.

Is hair around the nipples normal?

Foy said hair around the nipples can be common because the area has hair follicles and hormonal changes can affect hair growth. If it is the only symptom, it is often not a cause for concern, she said.

She recommended talking with a doctor if hair growth is also occurring on the chin, back or other areas, or if it comes with irregular or missed periods, heavy acne or oily skin. Those symptoms can be associated with hormonal conditions such as polycystic ovary syndrome, or PCOS. A clinician can determine whether testing is appropriate.

What should someone know about an aortic aneurysm?

The aorta is the large artery that carries blood from the heart to the body. Foy said it can weaken or widen with age, and an aneurysm may not cause noticeable symptoms. Some people, including men 65 and older who have smoked, may qualify for screening; she recommended discussing individual risk with a primary care doctor.

People already diagnosed with an aneurysm may need monitoring, with follow-up depending on its size and how quickly it changes. Foy said sudden, severe “ripping” chest pain is a reason to seek emergency care immediately.

When do periods usually stop?

Menopause is reached after 12 consecutive months without a period, Foy said. The average age is about 51 to 52, with many people reaching menopause between ages 45 and 55.

Periods stopping before 45 may be considered early menopause; before 40, it is considered premature menopause, she said. A hysterectomy stops menstrual bleeding, but if the ovaries remain, they may continue producing hormones until menopause.

Can hot flashes cause dizziness?

Hot flashes can cause a sudden flush and sweating, and some people may feel dizzy, Foy said. Stress or adrenaline — such as feeling nervous before singing in front of a congregation — may intensify the experience. Dehydration can also contribute.

She advised staying hydrated and sitting down if dizziness occurs to reduce the risk of fainting. Anyone concerned about symptoms should discuss them with a clinician.

Is vaginal estrogen compatible with oral sex?

Vaginal estrogen may be prescribed for dryness and discomfort related to menopause. Foy said it generally works locally and that intimacy, including oral sex, is usually not a problem. She advised asking the prescribing clinician about the specific product and how to use it; spacing application and intimacy may help reduce the chance of estrogen transfer to a partner.

Look for Joy’s full conversation with Foy on the News4JAX YouTube Channel Playlist, and other segments Thursdays at 3 p.m. on News4JAX+.

The answers are general information, not a diagnosis or a substitute for medical care. Foy strongly recommends discussing personal symptoms and treatment questions with your doctor.