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Posts for tag: OBGYN

By Dr. Stephanie Lee
September 05, 2019
Category: 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 Cycle monitoring can help chances of conceivinginsemination) 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.

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

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 Elite Women's Health
October 17, 2018
Category: OBGYN
Tags: OBGYN   Painful sex  

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.


Lifestyle Changes

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.


Medication

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.


Laser Therapy

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.


Counseling

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.


Pelvic Exercises

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.

 

Call Today!

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!

By Elite Women's Health
November 01, 2017
Category: Women's Health
Tags: OBGYN   Vaginal Odors  

This might be an embarrassing conversation to start but it’s one that every woman faces at some point during her lifetime. While this might not be a topic you’ll wantVaginal Odors, OBGYN to bring up with your girlfriends, if you are experiencing this issue it’s always a good idea to turn to your OBGYN for more information. After all, this change in vaginal odor could be trying to tell you that there is an issue. Here are some reasons why you might be experiencing this problem and what you should do about it.

An Infection

This is often the most obvious reason why a woman faces unpleasant vaginal odor. There are several different kinds of infections that could be to blame. One common infection is bacterial vaginosis, which may also cause burning during urination and a grayish-white discharge. In most cases, this condition is treated with antibiotics.

Of course, trichomoniasis (a parasitic STD) or a yeast infection could also be to blame. Some yeast infections can be treated with over-the-counter antifungal medications, but trichomoniasis will require a round of antibiotics. To play it safe, visit your gynecologist right away if you noticing any of these symptoms.

Your Hormones

It goes without saying that your hormones fluctuate throughout the month and you may find that you experience a change in vaginal odor in that small window after ovulation but before your period. During the start of menopause, women may also notice an unpleasant watery discharge, which is often the result of reduced levels of estrogen. In this case, a gynecologist may prescribe a vaginal cream that contains estrogen, which can help reduce or even eliminate this unpleasant symptom.

If you are a woman in her mid-40s or older and noticing changes in vaginal odor, you could be going through menopause. Turn to your OBGYN to get all of your questions addressed about the symptoms you may be having as you approach menopause.

Sweat

Just as sweating anywhere else can bring about an unpleasant change in body odor, sweating down below can also cause vaginal odor. Athletes, wearing tight clothing or being overweight can also increase your chances of developing a sweat-related vaginal odor. If this is something that happens to you, make sure to wear more breathable fabrics (e.g. cotton), change wet workout clothes immediately or lose the excess weight (if necessary).

If your vaginal odor is accompanied by symptoms such as itching, burning, redness, pain, discharge or sores, you need to visit a gynecologist right away for treatment.