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Posts for category: OBGYN

By Women's Health Care of Warren
April 18, 2019
Category: OBGYN
Tags: Pelvic Exam   Pap smear  

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 bepelvicexam 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.

By Women's Health Care of Warren
April 09, 2019
Category: OBGYN
Tags: OBGYN   IUD   Birth Control  

What is an IUD?

IUDs are a form of birth control

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.

By Women's Health Care of Warren
January 07, 2019
Category: OBGYN
Tags: Hysterectomy  

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.

By Women's Health Care of Warren
December 14, 2018
Category: OBGYN
Tags: Infertility  

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.

By Women's Health Care of Warren
November 01, 2018
Category: OBGYN
Tags: IUD   Birth Control   Diaphragm  

Choosing the right birth control to suit your needs and lifestyle is a very important and personal decision that you will have to consider if you are sexually active and do not want to get pregnant. During this time it’s important to have an OBGYN that you can turn to not just for proper checkups and health care, but also to present you with the different birth control options available to you so that you can make an informed decision about your sexual health.

Birth control falls into two categories: Hormonal and non-hormonal. While this may certainly be a factor in the decision-making process there are also other factors and benefits that some birth control may offer that may make it more ideal for you than others. For example, there are some forms of birth control that can improve cramping and other PMS symptoms, while other birth control options are easy to use and don’t require you to take them at the same time each day. These are all things to consider when it comes to choosing the proper birth control for you.

There are approximately 12 different kinds of birth control including:

  • Condoms
  • Spermicides
  • Contraceptive pills
  • Birth control implant
  • Vaginal ring
  • Patch
  • Diaphragm
  • Intrauterine device (IUD)
  • Injection
  • Tubal ligation
  • Abstinence

As you might imagine, contraceptive pills, the ring, patch, implant, injection, and plastic IUDs are hormonal, which means that these methods release hormones that prevent the ovaries from releasing an egg.

Non-hormonal methods include the diaphragm, copper IUD, spermicides, and condoms. When used correctly, condoms are also able to protect against STDS. It’s important to understand that while many of these methods are designed to prevent pregnancy they do not protect against STDS. This is why it’s still important to wear a condom even if you are taking birth control.

Of course, for women who are already finished with family planning or have chosen not to have children, they may opt for tubal ligation, which is a permanent way to prevent pregnancy.

 

It’s important that you fully understand the advantages and disadvantages of each birth control method beforehand. This is why it’s so vital to have a gynecologist you can trust to sit down with you and to help you determine the best option for your needs. Call your OBGYN today to schedule an appointment.