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Posts for category: Women's Health

By Williams Ob/Gyn & Associates
February 05, 2019
Category: Women's Health

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.

By Williams Ob/Gyn & Associates
January 16, 2019
Category: Women's Health
Tags: Bladder Infection  

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
  • Frequent urination
  • Foul-smelling 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!

By Williams Ob/Gyn & Associates
November 16, 2018
Category: Women's Health
Tags: Endometriosis   Pain  

Managing endometriosis

Endometriosis is a gynecological condition affecting millions of American women of child-bearing years. An extreme overgrowth of the lining of the uterus (endometrium), this painful and persistent malady leaves some women infertile, in pain and even debilitated from the symptoms. Are you one of them? A visit with your OB/GYN doctor will uncover the reasons and treatments for your endometriosis.

Symptoms of endometriosis

The most frequent symptom is severe cramping before, during and after menstruation. Periods may be unusually long in duration or very short. Lower back pain and migraine headaches occur through out the monthly cycle, and many women report difficulty with bowel movements and a feeling of "heaviness"in the lower abdomen.

Some sufferers of endometriosis experience weight gain and unfortunately...infertility. Endometriosis can block the fallopian tubes and interior of the uterus so sperm cannot reach and fertilize eggs. Endometrial tissue often appears in odd areas such as on the ovaries or the bowel.

Who gets endometriosis?

The Office on Women's Health reports that a full 11 percent of women between the ages of 15 and 44 suffer with endometriosis. The condition appears to run in families, and it is common among women who have never had children. Autoimmune conditions such as allergies, MS and Lupus often co-exist with endometriosis.

Finding and treating endometriosis

Reporting your symptoms of endometriosis to your obstetrician/gynecologist is critical to diagnosis and treatment. He or she will perform a pelvic examination and may do ultrasound or magnetic resonance imaging.

Treatment options vary, but frankly, surgery usually is not a first choice. Medical management with hormones and pain medications is preferable. Your OB/GYN will want to monitor your symptoms and treatment plan closely to help you manage this often-frustrating condition.

In addition, many women experience significant symptom relief if they:

  • Exercise regularly.
  • Deep breathe through periods of abdominal or lower back pain.
  • Manage stress levels and the amount of cortisol, the stress hormone, in the bloodstream.
  • Eat more vegetables and fruits, and reduce gluten and refined sugars which produce inflammatory reactions in the abdomen.
It's possible
 
You can live well with endometriosis. Thoughtfully record your symptoms, and then, go see your OB/GYN physician. Together, you can work through this difficult condition and optimize your comfort, fertility and overall wellness.
By Williams Ob/Gyn & Associates
September 28, 2018
Category: Women's Health
Tags: Colposcopy  

Need a colposcopy? If your pap test results are abnormal, your doctor may ask you to have a colposcopy. Colposcopy is an effective and safe procedure. It's important to attend your colposcopy appointment even if you do not have any symptoms. Read to to learn more about colposcopy.

What is colposcopy?

A colposcopy is a simple procedure that lets your healthcare provider get a good look at your cervix. The procedure involves looking at the cervix through a lighted magnifying instrument. It shines a light into the vagina and cervix. This examination allows your doctor to find problems that cannot be seen by the eye alone. The exam takes 5 to 10 minutes. Sometimes the exam may need to be performed more than once.

Why is colposcopy done?

The procedure is done in a doctor's office. Colposcopy is performed when results of pap smear tests show abnormal changes in the cells of the cervix. The exam provides more information about the abnormal cells. Colposcopy is also used to further assess other problems, including pain, genital warts on the cervix, bleeding, cervicitis, and benign growths.

How is the procedure done?

During the procedure, you will lie on your back with your feet raised and placed on footrests. Your doctor will use a medical tool to hold apart the walls so the inside of the vagina and cervix can be viewed. The lighted magnifying instrument placed outside the opening of your vagina. A mild solution will be applied to your vagina and cervix. This solution makes abnormal areas on the cervix easy to see.

When is a biopsy done?

Sometimes, a biopsy is done during a colposcopy. During colposcopy, your healthcare provider may see abnormal areas. A biopsy of these areas may be done. During a biopsy, a small piece of tissue is removed from the patient's cervix. The sample is removed with a special device. Sometimes, the biopsy is also your treatment. That's because your healthcare provider may be able to remove all of the abnormal cervical cells during the biopsy. If so, you will not need further treatment.

What is recovery like?

If a biopsy is not done during the colposcopy, you should feel fine afterwards. You may have a little spotting for a few days. If you a biopsy is done, you may have pain for one or two days. You may have some bleeding. You may also have some discharge from your vagina. While your cervix heals, you will be told not to put anything into your vagina for a short time. Test results from the exam can take some time to be returned, but rest assured that your doctor will call as soon as the results are in.

By Williams Ob/Gyn & Associates
May 15, 2018
Category: Women's Health
Tags: Menopause   OBGYN  

Getting older means overcoming many different obstacles as your life and your body change. But you must deal with one that is uniquely female: menopause and the symptoms that come with it. You know the symptoms commonly associated with menopause—hot flashes, night sweats, mood swings, difficulty sleeping, vaginal dryness—but did you know that they are treatable and that menopause doesn’t have to be insurmountable?

Hormone Therapy

If you have moderate to severe symptoms, hormone replacement therapy (HRT) is an effective treatment for hot flashes and can also help elevate vaginal dryness and mood issues. It has traditionally been administered with pills like birth control, but also like birth control it can now be taken through patches, creams, gels, and vaginal rings. If you have not had a hysterectomy, you could be prescribed estrogen and progesterone, called combination HRT. If you have had a hysterectomy, estrogen alone would be prescribed.

Not all women are candidates for HRT. Those who have breast or uterine cancer, blood clots, heart or liver disease, or have had a stroke would be better candidates for the following options.

Non-hormonal Therapy

Vaginal estrogen is a lower dose of estrogen that comes as a cream, tablet, or ring and is placed in the vagina to treat vaginal dryness if you don’t have hot flashes. Vaginal lubricants and moisturizers are non-prescription options to treat dryness as well. Lubricants can help decrease friction and ease intercourse, but be sure to only use water-soluble products designed for the vagina to avoid irritating tender tissue. Moisturizers can improve or maintain vaginal moisture if you have mild vaginal atrophy and can also keep your pH level low, ensuring a healthy vaginal environment. They can also be used regularly with longer-lasting effects than lubricants.

Prescription antidepressant medications are often used to treat mood problems, like depression, with relatively few side effects. They have also been used to treat hot flashes. However, if you are having mood issues, be sure to talk with your doctor to identify the cause and decide on the best treatment.

Lifestyle Changes

You’d be surprised how far simple lifestyle changes, like eating a healthy diet and regularly exercising, can go in minimizing menopause symptoms. Wearing light-weight pajamas, using layered bedding that can easily be removed, and using a fan in your bedroom can help with night sweats while keeping a regular sleep schedule and nighttime routine can make falling asleep and staying asleep easier.

The onset of menopause is a big change, and dealing with its symptoms can be daunting. But you don’t have to take on this new phase in your life alone. No matter if you are suffering severe symptoms or you just have some questions of what to expect as you get older, our office is here to help. Call to schedule your appointment today.