Posts for category: Women's Health Care
Endometriosis is a female condition in which tissue that's similar to uterine lining begins growing on the outside of the uterus, often affecting the ovaries, fallopian tubes, and pelvic tissue. During your cycle, the endometrial tissue then becomes thicker until it breaks down and bleeds, and due to how this tissue can’t be removed from the body, it gets trapped. Over time, this can lead to scar tissue (known as adhesions) on the reproductive organs.
This condition affects as many as 11 percent of US woman between the ages of 15 and 44, most often affecting women in their 30s and 40s. This condition can also make it more challenging for women to get pregnant.
What are the symptoms of endometriosis?
The classic symptom of endometriosis is abdominal pain that is usually worse during your menstrual cycle. While a lot of women complain of some abdominal discomfort during menstruation, women with endometriosis often complain of very painful periods, which may even radiate to the lower back.
Women with endometriosis may also experience very heavy periods or breakthrough bleeding (bleeding between cycles). You may also notice pelvic pain during sex or with bowel movements, as well as bloating, constipation, diarrhea, nausea, or fatigue.
All symptoms will vary from woman to woman. For instance, some women may have very severe symptoms but only have milder cases of endometriosis, while those with more severe cases may experience little-to-no-discomfort. Everyone is different; however, if you are experiencing new, persistent, or worsening pelvic pain, it’s important that you talk with your gynecologist.
If you are trying to conceive you may also find it more difficult to do so. Sometimes women don’t often find out that they have endometriosis until they visit their OBGYN to discuss problems getting pregnant.
How is endometriosis diagnosed?
During your evaluation, your OBGYN will ask you questions about the symptoms that you are experiencing. From there, a couple of tests will be performed in order to pinpoint specific signs and symptoms of endometriosis. These tests include a traditional pelvic exam or an ultrasound. In some instances, an MRI exam or a laparoscopy (a minor surgical procedure that allows a doctor to examine the inside of the abdomen and uterus) may be recommended to make a definitive diagnosis.
How is this condition treated?
Since there is no cure for endometriosis the goal of treatment is to manage your symptoms. As with most conditions, we will recommend more conservative treatment options at first to see if they are effective. Common treatment options include,
- Pain medications (either over-the-counter or prescription-strength)
- Hormone therapy (e.g. birth control pills; progestin therapy)
- Fertility treatment (for women who are having trouble conceiving)
- Laparoscopic surgery to remove excess endometrial tissue
If you are experiencing symptoms of endometriosis, it’s important that you talk to a gynecologist as soon as possible.
Affecting over 80 percent of women by the time they reach age 50, fibroids are abnormal uterine growths that can cause great discomfort, heavy periods, and abdominal pain. Luckily, there is a number of treatment options available to the millions of women who suffer from this condition. Read on to learn more about fibroids and how your local OBGYN can help ease your symptoms!
As mentioned above fibroids are typically non-cancerous tumors that develop within the uterine line. Although it is officially unclear on what exactly causes them to grow, experts generally agree that fibroid growth is influenced by a few factors, including hormone production, family history, a history of pregnancy, and being overweight.
While some people with fibroids report feeling no effect from their presence, other women report a range of different symptoms, such as:
Heavy and extended menstrual flow
Pelvis and lower back pain
If you suspect that you may have fibroids, schedule an appointment with your local OBGYN to undergo a pelvic exam.
Once your gynecologist has discovered the presence of fibroids, a specific treatment plan can be crafted specifically for you based on your age, your fibroid size, and the overall status of your health. Some possibilities for mild fibroids include:
Applying heat to the areas that are experiencing cramps
Losing weight, if you are overweight
Dietary changes, such as avoiding meat and high-calorie foods
For more serious cases, hormone regulating medications such as Lupron will cause your estrogen to drop, and thus cause menstrual cessation and fibroid shrinkage. If a patient’s fibroids are very large, a hysterectomy may even be in order.
Concerned? Give Us a Call!
If you suspect that you may have fibroids, don’t wait for the condition to get worse—contact your local gynecologist to seek relief and boost your health!
Why are Pap Smears Necessary?
If you are age 21 or older, you may be asked to get a pap smear. It’s also called a pap test, and it’s a common procedure used to test for cervical cancer in women. It is a routine procedure performed in the office during which cells are collected from your cervix.
Cervical cancer is a serious condition which often has no symptoms initially, until it’s in the later stages. A pap smear is a vital tool in detecting cervical cancer in the early stages, when treatment outcomes are much better. A pap smear can also find changes in your cervical cells which may indicate cancer developing at some point in the future.
When you reach age 21 or older, your doctor may recommend a pap test, usually performed along with a pelvic examination. In some cases, the pap test is combined with an HPV (human papillomavirus) which is a sexually transmitted condition known to cause cervical cancer.
The pap smear recommendations for healthy women are:
- The first pap smear at age 21
- A pap smear every 3 years if you are ages 21 to 65
- A pap smear every 5 years if combined with an HPV test and you are age 30 or older
Having more frequent pap smears may be indicated if you have risk factors, including:
- An HIV infection
- An abnormal pap smear showing precancerous cells
- A history of smoking
- A weakened immune system due to organ transplant, chemotherapy, or corticosteroid use
To get ready for a pap smear, there are certain guidelines you should follow. Remember to:
- Avoid having sexual intercourse, using a douche, or any vaginal medications or spermicidal products including foams, creams, or gels for at least 2 days before your test.
- Avoid scheduling a pap smear during your menstrual period
A pap smear is a necessary part of protecting women’s health. The test is important because it is the only definitive way to diagnose cervical cancer in the early stages. Early diagnosis is critical to early treatment, which can lead to a better outcome for you.
The Importance of a Pap Smear
A pap smear, also known as a Pap test or cervical smear, is a routine procedure done at your gynecologist’s office to detect any irregularities in and on the cervix. The name comes from an abbreviation of the inventor’s name, Greek doctor Georgios Papanikolaou, and this test has been performed since 1923. It is currently the most common form of cervical screening in the United States.
What Are Pap Smears?
Pap smears are procedures done in-office and are performed by a doctor on an exam table. The vaginal opening is expanded with a tool called a speculum, and cells are then collected from the outside of the cervix using a tool called a spatula, which is very different from the one you may have in your kitchen. This procedure only takes a few minutes, and is very important for female health. Some patients report mild cramping during or immediately after the test, but it is usually very brief.
The collected cells are transferred to a glass slide and are examined under a microscope. The reason for this test is to identify any pre-cancerous conditions, most of which are caused by the human papillomavirus (HPV). These results can usually be used to diagnose other cervical problems and can take a week or two to come back.
A Pap smear is recommended for women to get every three years starting at age 21 until 65, barring any pre-existing conditions or any atypical results; those cases may call for more frequent testing. Regular Pap smears can reduce fatalities caused by cervical cancer very significantly, granted that patients with abnormal results follow their doctors’ treatment recommendations.
Be sure to stay up to date with your Pap smears and call your gynecologist with any questions!
As you might imagine, women’s bones are smaller than men’s, which puts women at a risk for developing osteoporosis, a chronic condition that causes a loss of bone density and can leave women prone to fractures. According to the National Osteoporosis Foundation, 80 percent of Americans with osteoporosis are women and half of women over the age of 50 will break a bone due to osteoporosis.
Why does osteoporosis mostly affect women? During childbearing years, your body produces estrogen, a hormone that is not only implemental in your reproductive and sexual health but also serves to protect your bones; however, as women approach menopause their estrogen production decreases drastically, which makes women prone to fractured and broken bones.
Fortunately, your gynecologist and women’s health team are instrumental in the prevention, diagnosis, and treatment of osteoporosis. Bone density is influenced by many factors including hormone levels, lifestyle, nutrition, medications, health problems, and genetics. Common risk factors include:
- Family history
- History of broken bones/fractures
- Poor nutrition
- Heavy alcohol consumption
- Lack of calcium or other vitamins in your diet
- Sedentary lifestyle
- Low body mass index (BMI) and weight
The good news about osteoporosis is that it can be prevented through proper screenings and medications/therapies used to slow the progress of osteoporosis. Your initial screening will provide the information you need to help you and your gynecological team make an informed decision about the type of treatment options available to you. An X-ray is the most common diagnostic tool for checking the density level of your bones.
Getting an osteoporosis screening is highly recommended for all postmenopausal women (women 65 years old or older). If a woman is at an increased risk of developing osteoporosis, she may want to consider getting screened even earlier.
Osteoporosis treatment will include lifestyle changes along with medications/treatments. Simple everyday measures you can take to lessen your chances of bone fractures include:
- Making sure you get enough Vitamin D and calcium in your diet
- Reducing alcohol consumption
- Exercise regularly (include both cardio and strength training)
- Quit smoking
There are also a variety of different prescription medications on the market (also known as bisphosphonates) that can aid in preventing bone loss. Along with medications, your gynecologist may also recommend hormone replacement therapy (HRT), which will supply your body with the estrogen it needs to both prevent and treat osteoporosis.