Posts for category: OBGYN
Menopause is a natural event that will occur in all women at some point as they age. Menopause occurs when menstruation stops and fertility ends. Once a woman has missed her period for one year she is considered menopausal. While the age at which a woman reaches menopause varies, it’s common for this transitional period to occur between the ages of 45 and 55.
For some women, menopause causes little to no symptoms; however, other women may experience:
- Hot flashes
- Vaginal dryness
- Memory problems
- Mood swings
- Night sweats
- Weight gain
- Dry skin
- Decreased libido
Some of these symptoms such as hot flashes and night sweats will go away after menopause. To reduce the frequency and severity of their symptoms, it’s important that menopausal women maintain a healthy lifestyle.
When should I see my gynecologist?
No matter your age, you should visit your gynecologist for routine checkups ever year. During these visits it’s important that you ask any questions or address any concerns you might have regarding your health. Your OBGYN is able to address everything from birth control options and fertility treatments to hormone replacement therapy.
The type of symptoms you are experiencing as well as their severity will determine whether it’s worth visiting your gynecologist or your general practitioner to rule out other conditions that could be responsible for these symptoms. As we mentioned earlier, some women go through menopause and don’t experience any issues; however, women who are struggling to get their symptoms under control should talk to their gynecologist.
If you are experiencing symptoms of menopause but you’re under 40 years old you should also schedule a doctor’s appointment to determine what’s causing your symptoms. Hormonal issues and imbalances could be to blame and they should be treated as soon as possible.
What can be done to ease symptoms of menopause?
Once a woman reaches perimenopause (the stage right before menopause) she may start to notice a heavier or irregular menstrual cycle. Sometimes your gynecologist may prescribe birth control pills at this time to treat these issues. Birth control may also alleviate vaginal dryness and hot flashes.
Hormone therapy is the standard treatment when it comes to managing menopause symptoms. For example, estrogen therapy has been know to treat hot flashes and vaginal dryness and can be administered as a cream, patch, or pill.
During menopause your gynecologist may also recommend getting a blood test to check your hormone levels. Hormone therapy isn’t right for every woman. Women who have a high cholesterol, gallbladder, or liver disease, a history of blood clots or breast cancer shouldn’t undergo hormone therapy. In this case, non-hormonal treatment options such as prescription medications like gabapentin may be able to treat mood swings, night sweats and other common symptoms of menopause.
If you are experiencing menopause symptoms it’s important to consult your gynecologist. When you come into our office we can help you determine the best methods for getting your symptoms under control. Call us today to schedule an appointment.
At some point all women will need to receive routine pelvic exams in order to check their vaginal and reproductive health. This exam allows your gynecologist to be able to examine the vagina, cervix, ovaries, fallopian tubes, and uterus to look for early warning signs of infection or other problems.
Unless otherwise recommended by a physician, most women will undergo their first pelvic exam at the age of 21. After which, this simple exam should become a regular part of your well-woman care.
Getting a Pelvic Exam
We know that any kind of new exam or procedure can make anyone a little nervous. That’s why we want you to know what to expect before coming into the office for your first pelvic exam. Here’s what to expect:
We will provide you with a dressing gown, which you will change into in private. From there, you will lie down on the exam table and place your feet into elevated footrests. You will move your body towards the end of the table and our gynecologist will instruct you on what to do to make sure they can perform the exam. Relaxing as much as possible during the exam is important as it will make the process more comfortable for you.
There are usually three different parts involved in a pelvic exam:
- The external exam: This allows us to look at the external tissue of the vulva to detect any irritation, abnormal discharge or warning signs of other problems like genital warts or cysts.
- The internal exam: A special instrument known as a speculum will be carefully inserted into the vagina to open up the walls so that your gynecologist can examine the uterus and cervix. Sometimes a small brush is inserted into the vagina to collect cells from the cervix for testing. This is known as a Pap smear and it allows your doctor to check for precancerous and cancerous cervical cells.
- The bimanual exam: The speculum is removed and your gynecologist will then place one or two gloved fingers into the vagina and press on the abdomen to check the size and shape of the uterus and to feel for any enlargements, tenderness, or pain.
While the first pelvic exam may feel a bit awkward and weird it should never feel painful or uncomfortable. If you are experiencing any discomfort please let us know. We will talk you through the entire process so you know what’s going to happen before it does. If you have any questions or concerns for us this is also the time to let us know.
How often should I get a pelvic exam?
This will depend on several factors. Based on your current health, medical history and any past medical test results we will determine whether you will only need to come in once a year or whether you could benefit from visiting us more often.
What is an IUD?
An IUD (intra uterine device) is a temporary form of birth control for women. It is a small, plastic device that is implanted into the uterus by an OBGYN to prevent pregnancy.
How Does an IUD Work?
There are two different forms of the device - hormonal and copper. The device prevents pregnancy in several ways. The copper version prevents fertilization by targeting and killing the sperm. The hormonal version releases daily low levels of levonorgestrel, thickens the mucus produced by the cervix during ovulation and thins out the uterine lining, all of which prevent the sperm from fertilizing an egg.
Do IUDs Provide STD/STI Protection?
No. IUDs only offer protection from pregnancy, and will not protect against sexually transmitted diseases and infections. Discuss sexual activity and risk factors with your OBGYN to determine the best methods for protection and safe sex with an IUD.
Who is a Good Candidate for an Intra Uterine Device?
IUDs are safe and effective for both younger women in their teens and older women, and can be used whether or not a woman has already given birth.
Will an IUD Affect the Ability to Get Pregnant in the Future?
No. The device does not affect fertility, and the woman's ability to conceive will be the same as before the device was implanted once it is removed, according to the woman's age and individual fertility levels. Once a woman is ready to become pregnant, an OBGYN can help to establish a fertility chart to determine ovulation and the best time to conceive.
Is the Device Painful?
Some women, particularly those who have never had children, may experience some initial discomfort when it is first implanted. Over the counter pain killers like Advil or Motrin prior to insertion of the device can help to minimize any pain or discomfort during and immediately following implantation.
Why Would a Hysterectomy Be Necessary?
Do you need a hysterectomy? Hysterectomy is the second most common surgery among women in America. A hysterectomy is a surgical operation to remove a woman's womb, or uterus. The uterus is where a fetus develops when a woman is pregnant. Women undergo a hysterectomy for different reasons. Read on to learn about the conditions that may be treated by hysterectomy.
Cancer- You have invasive cancer of the cervix, uterus, vagina, fallopian tubes, or ovaries. Hysterectomy is often medically necessary and lifesaving when patients are diagnosed with invasive cancer. The procedure may involve removing the uterus, fallopian tubes, and ovaries. The type of hysterectomy performed depends on your situation.
Uterine Fibroids- Uterine fibroids are treated by a hysterectomy. Uterine fibroids are benign growths in the uterine wall. In some women, they can cause long-term heavy bleeding and pain. Your doctor may try other procedures, like endometrial ablation or myomectomy, before a hysterectomy.
Heavy Periods- Infection, changes in hormone levels, or cancer can cause heavy periods. Some women lose a large amount of blood during their periods. They may also experience other symptoms, such as stomach cramps and pain. For some patients, the symptoms can have a significant impact on their quality of life. In some cases, removing the uterus may be the only way of stopping heavy or prolonged vaginal bleeding.
Uterine Prolapse- Uterine prolapse, which is a sliding of the uterus from its position into the vaginal canal. If uterine prolapse is severe, your OBGYN might recommend a hysterectomy. Talk with your healthcare provider about all your treatment options to be sure you understand the benefits and risks of each so that you can choose what's best for you.
Endometriosis- Endometriosis occurs when the tissue that lines the uterus grows on other pelvic organs, such as the ovaries. This can cause bleeding between periods and severe pain. While there's no cure for endometriosis, many women undergo a hysterectomy to alleviate intolerable symptoms of the disease.
Today, thanks to advances in technology, a hysterectomy is much less invasive which means a faster recovery time. Talk to your healthcare provider about how a hysterectomy might improve your symptoms. Hysterectomy has improved the lives of millions of people. And it can do the same for you.
If you are having trouble conceiving it’s important to turn to your OBGYN for help.
While it isn’t a topic that a lot of people feel comfortable talking about, at some point, it’s important to acknowledge that you and your partner are having trouble conceiving. Given the significance of the topic, it’s important to know when to see a doctor for an evaluation.
When should I visit an OBGYN?
At some point you may be wondering whether or not you should seek a consultation with a fertility doctor. Here’s when you should,
- If you are under the age of 35, have been trying to conceive, and haven’t used birth control for over 12 months, then it’s time to schedule a consultation
- If you are over 35 and have been trying to actively conceive for six months, you should get evaluated right away
What will happen during my appointment?
Your OBGYN will first want to make sure you are ovulating, which every woman can easily figure out on her own by charting her basal body temperature for a few months. This may provide some answers as to why you are having trouble conceiving.
Fertility testing may also be recommended. During this appointment, we will go through your medical history and talk to you about different tests such as an ultrasound, blood work, and physical exams for both partners, which can provide the information we need to figure out why you are having trouble getting pregnant.
Once testing has been completed we will be able to make a definitive diagnosis as to why you and your partner are having difficulty conceiving. Even if we aren’t able to find anything wrong, you can still receive fertility treatment to improve your chances of getting pregnant.
What are my fertility treatment options?
The most common types of fertility treatments include,
- Medication (to help your body release one or more eggs each month)
- In-vitro fertilization (IVF)
- Surgery (to fix defects, remove fibroids, treat PCOS, etc.)
If you and your partner are having trouble conceiving, it’s best to have these concerns addressed as soon as possible. Many women go on to have healthy, happy babies with the help of their obstetrician. Call your doctor to learn more about the fertility treatment options available to you.