Posts for category: Women's Health Care
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.
Find out why visiting your OBGYN every year is crucial to your health.
We all lead busy lives. Between picking kids up from school, juggling work and the family schedule and putting food on the table, it’s no wonder that it might be challenging to schedule your next haircut let alone a doctor’s appointment. But if you aren’t keeping up with your annual gynecological visit find out why you should make this a top priority.
The long and short of it is that these annual gynecological exams can save lives. Sure, they aren’t the most comfortable exams, but they could protect you from breast, cervical and ovarian cancer. Most of these cancers don’t display outward symptoms right away, so the only way to actually detect them is through these annual exams.
By avoiding these yearly exams you run the risk of infections, undiagnosed health conditions and even unintentional pregnancies. By coming in to see your OBGYN every year you can reduce your risk.
When should women start getting annual evaluations?
By the time a woman reaches 21 years old they should start coming in yearly for these exams. Of course, if a woman becomes sexually active at an earlier age, she should start coming in sooner.
Why are some other reasons why I should visit my gynecologist?
Beside the obvious health benefits there are so many other things that your gynecologist can do for you and your health. We can discuss menstrual issues, determine the cause of your abdominal pain and discuss different birth control options.
What do annual exams involve?
When you come into the office, you can expect that we will discuss your medical history before we perform a routine physical exam. We want to find out as much about your family history, past hospitalizations and health problems, as well as any symptoms you may be experiencing.
Then we will perform a physical exam to check the health of your uterus and ovaries. A Pap smear may also be performed (about every three years), in which we collect a few cells from the cervix to check for the presence of cancerous cells. This test is the best way to detect cervical cancer early on when it’s much easier to treat.
As you can see, visiting your gynecologist once a year is vital to good health. Preventive care is the best way to detect issues early on when they are much easier to treat. These visits will provide you with the care and piece of mind you need to continue leading a healthy life.
If your OBGYN has recently recommended an endometrial biopsy chances are you have a lot of questions. We are here to answer some of them.
If you are getting an endometrial biopsy, you may be doing as much research as possible on the subject to prepare yourself for your upcoming procedure. During an endometrial biopsy your gynecologist will remove a small sample from the lining of the uterus to check for any abnormal cells that may be present, as well as study specific hormone levels. Find out more about this procedure, why it’s performed and what it could do for your health.
Why is an endometrial biopsy performed?
Your gynecologist may recommend that you get this diagnostic procedure done if you are experiencing abnormal uterine bleeding, if you are having trouble getting pregnant, or if symptoms you are experiencing may tell us that there is a potential overgrowth of the endometrial lining. This test can also be used to detect cancer.
How is an endometrial biopsy done?
The biopsy can be done right in your gynecologist’s office. Of course, the sample that we collect will be sent to a pathologist who will read the sample and provide results.
During the biopsy a speculum is placed into the vagina to open up the vaginal walls to be able to see both the cervix and vagina better. Sometimes the cervix is numbed with a local anesthetic prior to collecting the sample. We will need to collect a sample from both the cervix and the uterus. Some patients may experience some cramping (similar to menstrual cramping) during their procedure, but the biopsy will takes about 5 to 15 minutes to complete.
You may experience some bleeding or spotting after your biopsy. This is completely normal and will go away within a day or two. You may also notice some soreness for a couple days afterwards. We recommend that you avoid sex, strenuous exercise or wearing tampons until the bleeding goes away. If you notice heavy bleeding or experience pain then it’s time to call your OBGYN.
An endometrial biopsy can be a great diagnostic tool for determining the health of your uterus. Whether you are dealing with abnormal bleeding or you are experiencing other symptoms, know that you can always turn to your OBGYN specialist for care.
Menopause is the end of the menstrual and fertility cycle in women. It can either occur naturally or as a result of surgical intervention that requires the removal of the ovaries and fallopian tubes. This usually as a treatment for cancer or other health conditions like infections or cysts. The ovaries regulate the hormones that control the menstrual cycle and fertility. Once the menstrual cycle permanently ends, either naturally or through the surgical removal of the ovaries, a woman is in menopause. The process varies form woman to woman and begins on average from the mid to late 40s to early 50s. As the production of eggs and hormones begins to decline, many women experience physical changes and symptoms that range in severity and intensity.
In addition to physical symptoms and changes, many women experience emotional and psychological symptoms related to the transition away from the child bearing phase. An OBGYN can help navigate the process and recommend treatment when necessary.
Signs and Symptoms of Menopause
Like the menstrual cycle itself, menopause affects every woman differently. Some may experience only mild symptoms and require minimal to no treatment. Others may experience drastic fluctuations in everything from body temperature to moods, and require medication and specialized treatment plans from an OBGYN to help manage symptoms. The most common symptoms are:
- Vaginal dryness and pain during sex
- Hot flashes and night sweats
- Irregular/infrequent periods
- Skin problems and hair loss
- Anxiety and depression
- Mood swings and irritability
- Loss of sex drive
Treatment for Menopause
Depending on the range and severity of symptoms, as well as the woman's overall health, an OBGYN may recommend hormone replacement therapy and medication. Many women benefit from lifestyle modifications like dietary supplements and changes to a more balanced and clean diet. Managing anxiety, depression and stress with exercises like yoga and meditation can help regulate moods, as well as provide an opportunity to engage in social activities in a supportive environment. Although fertility declines and eventually ends with menopause, women can still enjoy an active, fulfilling sex life both during and long after menopause.