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By Williams Ob/Gyn & Associates
June 24, 2021
Category: OBGYN Care
Tags: Vaginal Agenesis  
Vaginal AgenesisVaginal agenesis is a rare congenital condition that impacts the development of a baby’s reproductive system. As a result, a baby girl may be born without certain reproductive organs or a vagina. While this condition may be diagnosed after your child is born, often this condition isn’t recognized until puberty. While young women with this condition will still go through puberty, they will not have a period and the majority will not be able to get pregnant. An OBGYN may be the first person to diagnose this condition and they will become a valuable part of you or your daughter’s treatment plan.
 
What causes vaginal agenesis?

While the genetic cause is still unknown, research has found that 90 percent of children with Mayer-von Rokitansky-Kuster-Hauser’s Syndrome (MRKH) also have vaginal agenesis. This congenital disorder may vary from child to child. Some young girls may not have a vagina or uterus while other girls may have part of a uterus but no vagina.

We understand that this can be distressing for both the patient and their family. Despite this genetic abnormality, the patient is still considered female. Of course, this can be confusing and a lot to process, which is why an OBGYN can be a great doctor and specialist to turn to for help, support, and care during this time.

While most patients with vaginal agenesis will not be able to carry a child, if they do have a uterus then they can become pregnant when they choose to have a family. This is something that your OBGYN can discuss once the patient becomes an adult.
 
Are there treatment options for vaginal agenesis?

Additional testing may need to be performed by your gynecologist before deciding which type of treatments are best for the patient. In most cases, treatment won’t be necessary until the late teens or 20s.
Two of the most common treatment options for vaginal agenesis include,
 
Self-dilation: Instead of turning to surgery to create a vagina, this device can be placed inside the vagina for hours a day to help stretch the skin and create a vagina.

Surgery: If patients don’t see results with self-dilation then surgery is often the next step. There are a variety of techniques that can be used during a vaginoplasty, and your gynecologist will fully discuss them with you, so you decide together on the ideal surgical technique to provide the optimal results.
 
Your OBGYN will take an active role in providing you and your teen with any needed care, treatment, and support. Your gynecologist can address your concerns, answer your questions and be an advocate for your health.
By Williams Ob/Gyn & Associates
June 14, 2021
Tags: Amenorrhea  
AmenorrheaWhile everything from stress to overexercising could lead you to skip a period, if you begin missing multiple periods you may be wondering what’s going on. Could you be dealing with amenorrhea? Primary amenorrhea occurs if a teen girl hasn’t gotten her period by age 15. Secondary amenorrhea occurs in women who have missed three periods in a row despite having had their period regularly in the past. If you have missed several periods in a row, it’s important to talk with your OBGYN to find out what might be affecting your cycle.
 
What causes amenorrhea?

Pregnancy is one of the most common reasons a woman stops getting her period; however, it’s certainly not the only reason. Some of the reasons why a woman may suddenly stop having periods include,
  • Low body weight
  • Sudden weight loss
  • Stress
  • Thyroid dysfunction
  • Eating disorders
  • Polycystic ovarian syndrome (PCOS)
  • Certain chronic health problems such as inflammatory bowel disease (IBD)
  • Certain medications (e.g. birth control)
If a young woman has not had her period by the age of 15 it’s important to bring her to the OBGYN for an evaluation. The same applies if you don’t have a period for three months. By talking with your OBGYN and going through your medical history, they can determine whether an underlying health issue could be the cause. They will also ask you a variety of questions about your health, diet, and lifestyle. Imaging tests and blood work may be necessary to check hormone levels and to detect PCOS.

Your gynecologist can treat conditions such as PCOS and primary ovarian insufficiency through hormone therapy and lifestyle changes; however, if your condition is due to thyroid problems or other health issues, your gynecologist may recommend seeing a specialist or your primary doctor to treat these conditions.
 
Can you still get pregnant?

You may be surprised to discover that women can still get pregnant even if they aren’t having regular periods. This is why it’s important to talk with your OBGYN about birth control options if you are sexually active and are not planning to become pregnant.
 
Your OBGYN is going to be your go-to for all sexual health concerns. No matter whether you are dealing with missed periods, heavy periods, or you want to talk birth control, your OBGYN is going to be the doctor you’ll turn to for care, treatment, and answers.
By Williams Ob/Gyn & Associates
May 26, 2021
Category: OBGYN
Tags: Birth Control  
Birth ControlBirth control isn’t a one-size-fits-all approach to family planning. What is considered ideal birth control for one woman won’t be the ideal option for another. This is why it’s important to talk with your OBGYN to discuss your lifestyle and your healthcare needs to find out which option is best for you. An OBGYN can help you determine the birth control that is going to be most effective and convenient for your life. Ready to find out about birth control?

Here are some questions to ask yourself before considering birth control options,

What is most important to you when it comes to birth control?

This might seem like a rather broad question, so let’s get a little more specific. Some women are looking for a low or no hormone birth control that boasts fewer side effects while other women want a birth control option that can also help them get clearer skin. It’s important to talk with your OBGYN about what’s most important to you so that they can provide you with the best options for your specific needs.

Do you want to have a family and how soon?

If you are looking for a birth control option now but are thinking of having a baby in the next year, then this could help us determine which birth control option is best. Women who want to wait several years before starting a family, or who don’t want a family, may benefit from long-term birth control solutions such as intrauterine devices, which can remain in the uterus anywhere from three to ten years. Women who are looking to prevent pregnancy for only up to a year or two may benefit from more short-term options such as the pill or patch.

Will you remember your birth control?

Some women know that they won’t take the pill at the same time every day, so they want an easier option. If you think you’ll forget, or simply don’t want to deal with the daily reminders, then options such as the patch, ring, injection, or IUD can provide peace of mind knowing you are protected without having to take a pill every single day. For other women, taking a pill every day is no big deal. This is something to keep in mind.

Are you concerned about side effects?

Hormonal birth control does come with possible side effects, as compared to non-hormonal birth control (e.g. condoms; diaphragms; certain types of IUDs). Women who’ve tried hormonal birth control in the past and have dealt with mood swings and other issues may want to consider non-hormonal or low-hormone options. This is definitely something to discuss with your gynecologist.

It’s important to have the facts when it comes to birth control. There is a lot of information out there that can be daunting (not to mention that there is also a lot of misinformation out there). If in doubt, schedule a consultation with your OBGYN to help make the decision-making process easier.
By Williams Ob/Gyn & Associates
May 26, 2021
Category: Health Care
Tags: Hormonal Imbalance  

Having excess or insufficient hormones can affect various aspects of your life. Treating your hormone imbalance in San Dimas, CA, is much easier under the expert care of your doctor, Dr. Richard Williams of Williams Ob/Gyn & Associates.

What Is Hormone Imbalance

Hormones are chemicals secreted by endocrine glands into your bloodstream to direct the activities of organs and tissues in your body. When these hormones become too much or too little, you have a hormone imbalance. The effects of hormone imbalance are typically evident on your tissues and organs. Significant periods in your life can cause a surge or depletion of your hormones. Such milestones include puberty, pregnancy, and menopause. A hormone imbalance could be due to defects such as tumors in the hormone-producing organ.

Long Term Effects of Hormone Imbalance


Infertility- Hormone imbalance can make conception difficult for women. Polycystic Ovarian Syndrome (PCOS), a leading cause of infertility among women is marked by hormone imbalance.

Osteoporosis- The female sex hormone, estrogen, is important for keeping your bones strong and healthy. That's why postmenopausal women with lower estrogen levels are more likely to develop osteoporosis and fracture their bones. Younger women with insufficient estrogen levels might not attain optimal bone development.

Birth defects- Some women can conceive and bear healthy children despite hormone imbalance. However, maternal hormone imbalances can affect fetal development. For instance, women with hypothyroidism, are more likely to have children with birth defects.

Pregnancy complications- Hormone imbalance associated with conditions such as PCOS might cause women to experience pregnancy complications such as pre-eclampsia, gestational diabetes, high birth weight, and miscarriage.

Cancer- Hormone imbalance might increase your risk of hormone-dependent cancers such as ovarian, breast, and endometrial uterine cancers.

Hormone Imbalance Symptoms

Often, the symptoms of hormone imbalance closely resemble other conditions so, many women sweep them under the carpet. You should see your doctor if you're having more than one of the following hormone imbalance signs in San Dimas, CA:

  • Mood changes
  • Unexplained weight gain or loss
  • Abnormal body hair growth
  • Hair loss
  • Headache
  • Fatigue
  • Insomnia
  • Changes in blood sugar level
  • Reduced sex drive
  • Irregular periods

After your diagnosis, your OBGYN will develop a personalized treatment plan to manage your condition.

If you think you might be experiencing hormone imbalance in San Dimas, CA, call (909) 599-8677 to schedule your consultation with Dr. Williams of Williams Ob/Gyn & Associates.

By Williams Ob/Gyn & Associates
May 11, 2021
Category: Pregnancy Care
Pregnancy MilestonesIt might feel like those nine months are a blur of excitement, rollercoaster emotions, and planning, but each new milestone and development can be exciting for soon-to-be parents. During your pregnancy, your OBGYN will become an integral part of your pregnancy, providing you with routine exams and checkups, and making sure you and your unborn child stay healthy throughout your pregnancy and delivery. Here are just some of the top pregnancy milestones,
 
Morning Sickness

Yeah, this isn’t going to be the highlight for most women during their pregnancy but it’s certainly a milestone that you won’t forget. These waves of nausea typically occur around the sixth week and, despite the name, can pop up any time of the day or night. The good news is that the queasy stomach and vomiting should go away by about 14 weeks. Talk with your OBGYN if you’re dealing with severe morning sickness or morning sickness that lasts past the first trimester.
 
First Ultrasound

Whether you suspect that you might be pregnant, or you have already gotten a positive pregnancy test, it’s important to schedule an appointment with your OBGYN as soon as possible. The first prenatal visit will usually occur around your sixth week. The first appointment will involve a variety of tests, including blood and urine testing and a Pap smear. You may also get to see your baby for the first time with an ultrasound, depending on how far along you are. This is an unforgettable moment for parents-to-be.
 
Telling Everyone

We know just how important it is to get beyond the three-month mark! Since most miscarriages happen during the first trimester, making it to the second trimester can be a triumph. Not to mention the fact that this is also the time many couples start to share the good news. From social media announcements to telling family and friends in person, this can be an exciting time for couples.
 
First Kick

Feeling your baby kick for the first time can send your heart into a flutter. It will probably be one of the weirdest and most wonderful sensations ever. You may even see an arm or leg sticking out as the baby continues to move around and grow.
 
Your Due Date

While your OBGYN probably gave you an expected due date during your first visit, don’t hold on to that due date too much. Most women don’t have their babies right on that date. While it’s fun to countdown, remember that you may have to wait a week or two more before your baby makes its appearance.
 
The Delivery

You are about to meet your child, so it’s natural to feel a flutter of excitement and nerves as you prepare for childbirth and delivery. At this point, you and your doctor will have made a birth plan to discuss how you ideally want your delivery to go and how to manage your pain. Congratulations, momma; you did it!
 
From answering questions regarding your pregnancy to providing you with checkups and genetic testing, an OBGYN is the doctor you should turn to with regards to your pregnancy health and care.




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