Posts for category: Women's HealthCare
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.
Treating Irregular Periods
Irregular periods are common when you first start menstruating. It’s common for them to be early or late, but as you get older, your menstrual cycle should become more regular, with the average length of the cycle lasting 28 days.
You have chronic irregular periods if:
- The length of your menstrual cycle keeps changing
- Your periods are coming early or late
- You experience severe abdominal pain and very heavy bleeding during your period
There are many causes of irregular periods, including:
- Puberty, pregnancy, or menopause
- Contraceptive measures including the pill or intrauterine device
- Extreme weight fluctuations, excessive exercise, or stress
- Medical conditions including thyroid issues, endometriosis, uterine fibroids, or polycystic ovary syndrome
You should see a doctor if:
- Your periods are suddenly irregular and you are under age 45
- Your periods are more frequent than 21 days
- Your periods are less frequent than 35 days
- Your periods last longer than 7 days
- You have severe abdominal pain and heavy bleeding with your periods
- You are trying to have a baby, but you have irregular periods
There are several ways to treat irregular menstruation. The first step is determining what is causing it. If it is due to a medical issue like thyroid problems, medication or treatment of the underlying condition is vital. Additional treatment measures include:
- Losing weight, if irregular menstruation is due to being overweight
- Hormonal therapies, including birth control to regulate menstruation
- Surgical therapy, if irregular menstruation is due to uterine fibroids or other structural issue.
There is also a 5-year intrauterine device known as Mirena, which can lessen bleeding. It also works as a contraceptive. Your doctor can help you decide which treatment option is best for you.
Irregular menstruation may be self-limiting, but it may go on for months or years. It can affect your life, especially if you are trying to get pregnant. It can also be a sign of a serious underlying condition. It’s important to seek out your doctor to find the cause, protect your health, and give you peace-of-mind.
Bladder infections have a way of making themselves known. You may be making multiple trips to the bathroom, feeling like you constantly have to go again. But once you’re in there, you may feel burning or stinging every time you pee. That’s the most distinct sign of a bladder infection.
What is a bladder infection?
A bladder infection is a type of urinary tract infection or UTI. This is an infection anywhere in the urinary tract, like the bladder, kidneys, or urethra. Usually, bladder infections are acute, which means that they occur suddenly. They can sometimes be chronic, which means that they recur over a long term.
Bladder infections are caused by bacteria that enter through the urethra and move into the bladder. Normally, the body can remove the bacteria by flushing them out during urination. However, bacteria can sometimes attach to the walls of the bladder and multiply quickly. Infections can occur when bacteria from the stool get onto the skin and enter the urethra. This is common with women since the urethra is short and the outer opening isn’t far from the anus.
Symptoms of Bladder Infections
The symptoms of a bladder infection may vary between people, depending on the severity of the infection. Some common symptoms include:
Pain or burning while urinating
Cloudy or bloody urine
Cramping in the lower abdomen or lower back
Treating and Preventing Bladder Infections
Bladder infections are treated with antibiotics to kill the bacteria causing the bladder infection. Your doctor may prescribe medication to help relieve the symptoms associated with the bladder infection.
There are many things that you can do in order to prevent bladder infections, such as:
Drink six to eight glasses of water daily
Drink cranberry juice daily
Urinate as soon as you feel the need, don’t hold it
Take showers instead of baths
Wear cotton underwear and loose-fitting clothes
Avoid using a diaphragm or spermicide
See Your Doctor Today
Don’t live with the pain of a bladder infection any longer. Call your doctor today to schedule an appointment or ask any questions about bladder infections!
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.