Posts for tag: OBGYN
Cycle monitoring is a method used by OBGYNs and fertility specialists to map out a woman's monthly menstrual cycle, in order to determine when ovulation is most likely to occur. Every woman has what is known as a fertile window; the days leading up to and including ovulation. This is the phase of the menstrual cycle when a woman is most likely to get pregnant. Because every woman's cycle is different, with many women experiencing irregular periods which can make it harder to predict ovulation, cycle monitoring is useful for couples trying to conceive, either naturally or with the aid of IVI (Intravaginal insemination) or IVF (Invitro fertilization).
Ovulation and the Menstrual Cycle
A typical menstrual cycle is approximately 28 days, but varies from woman to woman. Ovulation is the monthly process where an egg is released for fertilization by the sperm, and it is the only point in the menstrual cycle when conception is possible. Healthy sperm generally remain viable for up to five days, which is factored into the fertile window when calculating a fertility chart and menstrual cycle for a woman actively trying to conceive.
Many women are unaware of their ovulation schedule, and many myths abound about the length and duration of the fertile window. Because menstrual cycles can vary greatly from one woman to the next, a consultation with an OBGYN can help women determine their ovulation schedule once they have decided they are ready to become pregnant.
Determining Ovulation and the Fertility Cycle
The first step in cycle monitoring is measuring the basal body temperature. Although the variations in temperature can be slight, and OBGYNs have found the effectiveness of basal body temperature measurements in predicting ovulation to be inconclusive, it is still considered a basic step in charting fertility. During ovulation, the body releases elevated levels of the hormone progesterone, which can cause slight fluctuations in temperature. During ovulation, the cervix produces elevated levels of mucus designed to help the sperm make its way to the egg for fertilization. Monitoring mucus levels can help to predict ovulation. The mucus becomes more elastic, clear (resembling the texture and consistency of egg whites) during the fertile window.
The range varies from woman to woman, but days 1-5 are the beginning of the cycle, when menstruation occurs. Days 6-9 are dry with no visible mucus. From days 10-12 the mucus is sticky and thicker than during the fertile window. At the end of the fertile window the mucus becomes thick and sticky again, followed by dryness until the cycle begins again the following month. Measuring the cycle for a few months can help to determine both the duration and ovulation dates for each woman.
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.
Dyspareunia is the technical term for pain during intercourse. It's not uncommon for women to experience painful sexual intercourse at some point in their lives. It may be a sign of a gynecologic problem, a problem with sexual response, or simply a lack of arousal. If you are experiencing pain during sex, work with your OB/GYN to determine the root cause and devise a treatment plan. Read on to learn about treatment options for painful sex.
Painful sex can be treated with lifestyle modifications. There are a few ways to try to alleviate pain during sexual intercourse such as trying a slower pace or using more lubricant. Using lubricants can help make the sex more comfortable; different brands can be tried until you find one that is well suited to your needs, and remember communication is important! Talk to each other about what feels good and what doesn't. If your partner is going too fast, then tell them so.
Treatment options vary depending on the cause of the dyspareunia. Changing medications known to cause lubrication problems might also relieve your pain. For some women, pain during sex is caused by a lack of lubrication resulting from low levels of estrogen. This can be treated with topical estrogen applied to the vagina. Another medication to relieve dyspareunia is prasterone, which is a capsule you place inside the vagina every day.
If you’re looking for a non-invasive way to address painful sex brought on by low estrogen levels, MonaLisa Touch laser therapy is a highly effective long-term solution. Laser therapy eliminates vaginal dryness and helps prevent further complications, including vaginal atrophy. In just three treatment sessions, MonaLisa Touch revitalizes the vaginal mucosa and activates the production of new collagen to help restore normal functional and pain-free sexual intimacy.
Painful sex can lead to relationship problems. It may be worthwhile to speak to a counselor if this is the case. If trauma, sexual abuse, or other emotional issues are the root cause of the dyspareunia, counseling could very well help. Counseling can also help you cope with the emotional consequences of painful intercourse. Couples may attend counseling together if painful sex is leading to communication or intimacy issues.
Painful sex can be treated with desensitization therapy. Pelvic floor exercises and vaginal relaxation exercises may be used in this treatment method as they will strengthen your pelvic muscles and ease your pain during intercourse. Strong pelvic floor muscles can go a long way toward warding off urinary incontinence.
You don’t have to live with sexual pain. Find an OB/GYN in your area and schedule a consultation today. Get your life back on track by receiving the best dyspareunia treatment available. You deserve to live your best life!
You noticed those two pink strips very distinctly this time. You are pregnant! This can be an exciting and emotional moment in a couple’s life. Finding out you are going to be parents is a thrilling experience and it’s important that the moment you find out you are pregnant that you have the proper medical care and support you and your growing baby need to stay healthy. This is why you should turn to an obstetrician.
An obstetrician, often referred to as an OBGYN (obstetrician and gynecologist), is a doctor who specializes in providing care for women during pregnancy and childbirth. Choosing an obstetrician is just as important as choosing any other medical professional. You want someone who is by your side not just providing you with comprehensive medical care but also really understands your personal needs and expectations. Choosing an obstetrician is a very personal choice and one to take seriously.
It’s important that you start visiting your obstetrician as early as possible in your pregnancy. The first appointment will confirm the pregnancy and determine your due date. Blood and urine tests, a pelvic exam, and a physical will be performed during your first visit to check your health and to detect any health problems.
The visit is also a great moment for the parents-to-be to ask any questions they might have regarding diet, exercise, supplements, traveling, etc. Bring your questions along with you so you don’t forget.
After your first visit, you’ll come back about once a month for the first 28 weeks of your pregnancy. Of course, if we determine that you are a high-risk pregnancy, we may need you to come in more regularly. These monthly appointments will allow us to monitor your health and baby’s progress, check for any genetic disorders early on and make sure everything is going smoothly. We will also perform ultrasounds throughout the pregnancy to check the baby’s health and development.
Once you reach the 28-week marker, you’ll come in about every two weeks for visits until you reach 36 weeks. At 36 weeks, you’ll come in weekly until your baby is born.
An obstetrician is here for your growing family every step of the way and can provide comprehensive care, answer your questions, and also offer support whenever you need it. We can also talk with you about your labor and delivery options.
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?
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.
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.
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.