Are you having difficulty getting pregnant? Does your OBGYN believe that a fallopian tube obstruction could be to blame? If so, then chances are good that you’ll have to undergo a diagnostic test known as selective salpingography to determine the health of the fallopian tubes and to determine if there are any blockages.
Once a month an egg is released from the ovaries during ovulation. Once the egg is released it moves from the ovary through the fallopian tubes; however, if there is a blockage within the fallopian tubes the egg cannot get to the uterus. If there is only a partial blockage, it could lead to an ectopic pregnancy (a serious condition in which the egg is fertilized within the fallopian tubes).
Due to the seriousness of this condition, it’s important that we determine if a blocked fallopian tube is the root cause so that we can treat the problem right away. During a selective salpingography a small catheter is inserted and guided into the entrance of the fallopian tube with help from an X-ray. Once the catheter is at the opening of the tube, a special dye is injected into it.
If there is no blockage, the dye will successfully travel the length of the fallopian tube, but if there is a blockage the gel will be blocked (which your gynecologist will be able to detect on the X-ray machine). In some cases, the obstruction can be opened during this diagnostic procedure; however, it isn’t always possible. Your OBGYN will be able to determine if the obstruction is something that can be treated right now or if this will require a separate procedure.
In many instances, a blockage may be the result of a muscle spasm, which is not considered serious and can easily be treated. Of course, there are other reasons why you may be faced with an obstructed fallopian tube including uterine fibroids, pelvic inflammatory disease, chlamydia or endometriosis. Sometimes an obstruction can even occur as a complication of abdominal surgery.
A fallopian tube obstruction doesn’t produce any symptoms so the best way to tell whether this condition is affecting your ability to conceive is to visit your OBGYN for an evaluation right away.
Coming in to see your OBGYN once a year is an important part of every woman’s health. Even if you aren’t experiencing symptoms these examinations could prevent issues from happening and can allow your doctor to detect problems early on when problems are often much easier to treat. If we detect any suspicious growths or other symptoms during your pelvic examination then we may recommend getting a biopsy. There are different diagnostic biopsies that we may recommend depending on the symptoms and issues you are experiencing.
This biopsy is often performed if a Pap test or other diagnostic test detected abnormal cells in the cervix. In some cases, if you’ve been diagnosed with human papillomavirus (HPV) you may also require a cervical biopsy since some types of HPV can cause cervical cancer. A cervical biopsy may also help determine if the abnormal cells are potentially precancerous.
There are a few different ways that a cervical biopsy can be performed. Of course, no matter what technique is used, a cervical biopsy will need to remove a sample of the abnormal tissue for testing. Cervical biopsies are performed by a punch, cone or endocervical curettage method.
Just like a cervical biopsy removes a sample of tissue from the cervix, this specific biopsy will remove a sample from the endometrium (the lining of the uterus). This biopsy may also be one way that your gynecologist can check hormone levels that can affect the health of your endometrium. This type of biopsy may also be recommended if you are experiencing irregular, heavy or long-term bleeding and aren’t sure of the cause.
This procedure is a great way for your OBGYN to check the health of your cervix, vagina, and vulva to look for any signs or symptoms of the disease. Just like with a cervical biopsy, a colposcopy may be recommended if your Pap test came back abnormal. During your colposcopy, a small sample of tissue will be removed and examined. This diagnostic procedure is a great way to detect and diagnose certain issues such as cervicitis (inflammation of the cervix), precancerous tissue or genital warts.
If you have questions about your upcoming biopsy or if you are experiencing any symptoms or changes then it’s time you visited an OBGYN who can help you.
This might be an embarrassing conversation to start but it’s one that every woman faces at some point during her lifetime. While this might not be a topic you’ll want to bring up with your girlfriends, if you are experiencing this issue it’s always a good idea to turn to your OBGYN for more information. After all, this change in vaginal odor could be trying to tell you that there is an issue. Here are some reasons why you might be experiencing this problem and what you should do about it.
This is often the most obvious reason why a woman faces unpleasant vaginal odor. There are several different kinds of infections that could be to blame. One common infection is bacterial vaginosis, which may also cause burning during urination and a grayish-white discharge. In most cases, this condition is treated with antibiotics.
Of course, trichomoniasis (a parasitic STD) or a yeast infection could also be to blame. Some yeast infections can be treated with over-the-counter antifungal medications, but trichomoniasis will require a round of antibiotics. To play it safe, visit your gynecologist right away if you noticing any of these symptoms.
It goes without saying that your hormones fluctuate throughout the month and you may find that you experience a change in vaginal odor in that small window after ovulation but before your period. During the start of menopause, women may also notice an unpleasant watery discharge, which is often the result of reduced levels of estrogen. In this case, a gynecologist may prescribe a vaginal cream that contains estrogen, which can help reduce or even eliminate this unpleasant symptom.
If you are a woman in her mid-40s or older and noticing changes in vaginal odor, you could be going through menopause. Turn to your OBGYN to get all of your questions addressed about the symptoms you may be having as you approach menopause.
Just as sweating anywhere else can bring about an unpleasant change in body odor, sweating down below can also cause vaginal odor. Athletes, wearing tight clothing or being overweight can also increase your chances of developing a sweat-related vaginal odor. If this is something that happens to you, make sure to wear more breathable fabrics (e.g. cotton), change wet workout clothes immediately or lose the excess weight (if necessary).
If your vaginal odor is accompanied by symptoms such as itching, burning, redness, pain, discharge or sores, you need to visit a gynecologist right away for treatment.
While your period may put a damper on some of your activities it doesn’t have to get in the way of everything. OB-GYNs often hear women asking whether it’s okay to have sex while on their period. The simple answer is that sex is completely fine during this time of the month. Of course, there is a lot more that goes into it. Find out everything you need to know about having sex while on your period to decide whether this is the right decision for you.
The first thing to consider is how comfortable you feel with having sex while on your period. It’s completely natural and completely safe, but some women are concerned that they might feel a bit self-conscious or that they may ruin the sheets. If you are concerned about getting blood on your bedding, you can always place a towel down, or opt for another location such as the shower that won’t have you worried that you may have to throw out your nice new sheets.
One benefit to having sex while on your period is that menstruation can often act as a lubricant, which can make the act more pleasurable for everyone. Plus, with the elevation of hormones such as estrogen and testosterone, you may find yourself more sexually charged and more easily aroused, which can be a major plus. If you also find that you easily experience dryness during sex then having sex while on your period may actually improve the situation. It’s even believed that orgasms can help with menstrual cramps.
Of course, there are two other things to consider before you get down to business. The first thing you’ll want to do is discuss this with your partner to make sure that everyone is comfortable with the idea of having sex while on your period. By making sure that your partner is completely comfortable with the situation you negate any negative thoughts or concerns you may have during sex.
The second thing to consider is that many women hear that they can’t get pregnant during their period so they opt to have sex without a condom. It’s important that you talk to your gynecologist about the risks involved in not using a condom. Besides the risk of contracting STDs, there is also still a possibility that you could get pregnant. For some women, their ovulation overlaps with their menstruation. If you aren’t taking birth control then you’ll want to wear protection even during this time of the month.
If you have questions about your sexual health, menstruation or other women’s health issues, your OBGYN is here to help. There is no question too embarrassing or awkward. We are here to make sure you get the answers you need to lead a healthy life.
Zika virus has certainly gotten a lot of attention in the news lately. If you’ve been traveling recently then no doubt you’ve also seen the warning signs in the security lines. Despite the headlines in newspaper, websites and the news, perhaps you still aren’t entirely sure what Zika virus is and what it could mean for your pregnancy.
The Zika virus is contracted by a mosquito bite, but it can also be sexually transmitted or transmitted from a mother to her unborn baby. This condition can cause symptoms such as a rash, pink eye, muscle aches, low-grade fever, fatigue, and headaches. The symptoms can last a couple days or up to one week. While the symptoms are usually mild and self-limiting, this virus can be dangerous for pregnant women. If a woman contracts the Zika virus during pregnancy it can lead to brain deformities such as microcephaly, neurological disorders (e.g. seizures), vision and hearing impairments, and developmental problems in the unborn child.
Of course, your risk of contracting the Zika virus in the US is very low; however, if you are planning to travel internationally and you are pregnant, you will want to check to make sure that the Zika virus cannot be contracted in these regions in which you are visiting.
The best way to protect yourself from Zika virus is to not travel to regions in which you can contract this infection or to avoid sex with anyone who has traveled to these regions (or, at the very least, use a condom everytime you have sex). Of course, if you must travel to these areas while pregnant, there are some precautions that you can take to prevent mosquito bites including,
- Wearing long sleeves and pants
- Applying and reapplying insect repellant often
- Making sure that there are screens on door or windows in the place you are staying
If you start to come down with symptoms of Zika virus then you will want to see a doctor right away. Women who are pregnant who have to travel to these regions should talk to their doctor about regular testing.
The Zika virus can remain within the body for up to six months. Of course, once the Zika virus has gone away, this should not affect any future pregnancies you might have. If you are frequently traveling and you are pregnant, chances are good that you may have questions about Zika virus and protecting both yourself and your unborn child. Don’t hesitate to reach out to a pediatrician if you have any concerns.
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