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nancy overactive bladder
GYN Problems

Nancy’s Journey of Triumph Against Overactive Bladder Syndrome (OAB)

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Overactive bladder syndrome (OAB) began to disrupt Nancy’s daily life at age 50. As a dedicated teacher, a loving mother, and a true adventurer, she didn’t expect that her life would soon be overshadowed by this troublesome medical condition. Unraveling the Mystery of Overactive Bladder Overactive bladder (OAB) is a condition characterized by sudden, involuntary contractions of the bladder muscles. The symptoms include urgent and frequent urges to urinate, often accompanied by unfortunate leaks. This had become Nancy’s new reality. Her usual upbeat attitude was dimmed by the constant worry of unpredictable accidents and the constant and immediate need to find a restroom. These symptoms were disrupting her sense of normalcy.  Seeking Expert Help Determined to regain her control and joy, Nancy embarked on a journey to find out what was wrong and to hopefully find a solution. Nancy wasn’t sure if she needed to see a gynecologist or a urologist. She started doing some research and discovered the specialty known as urogynecology, a specialized field of gynecology and obstetrics that deals with female pelvic medicine and reconstructive surgery. Her research led her to Dr. Michael Litrel, a double board-certified urogynecologist at Cherokee Women’s Health. Renowned for his expertise in women’s health issues, Nancy finally had hope. She wasted no time making an appointment. Diagnosing Nancy With OAB Dr. Litrel listened as Nancy shared her symptoms and history. He explained that he suspected Nancy had OAB. To pinpoint the specifics of Nancy’s condition, he recommended a series of comprehensive tests, including a bladder diary, physical examination, and urodynamic testing. The tests confirmed that Nancy had OAB, so Dr. Litrel outlined treatment options that aligned with her unique needs and preferences. He discussed lifestyle adjustments, including limiting caffeine, alcohol intake, and practicing pelvic floor exercises. Additionally, medication was suggested to help manage the involuntary muscle contractions responsible for Nancy’s symptoms. Reclaiming Her Life With Dr. Litrel’s guidance, Nancy embraced the recommended lifestyle changes and diligently adhered to the prescribed medication regimen. Gradually, a transformation unfolded. The urges began to relent, and Nancy regained control over her life. Long walks, social gatherings, and even road trips no longer carried the burden of anxiety and urgency. Nancy emerged from her journey with an understanding that advocating for her health and seeking expert care were paramount. She hopes by sharing her story that she can inspire others facing similar challenges. We’re Here For You Nancy’s story is a reminder that challenges can be conquered with the right support and determination. If you or someone you know is struggling with similar symptoms, don’t hesitate to seek the right help. Call us at 770.720.7733 or schedule an appointment online at either our Canton or Woodstock location.

GYN Problems

Addressing Painful Intercourse

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Many women feel uncomfortable discussing painful intercourse, but it’s essential to talk openly with your doctor about this issue. Pain during intercourse, known as dyspareunia, is more common than people may think, and it can have a significant impact on a woman’s physical and emotional well-being. Women may not always know whether the pain originates from external or internal parts of their reproductive system, but they do know that it affects their comfort and pleasure during intimacy. Addressing this issue with a healthcare provider is the first step toward finding relief. Understanding the Anatomy Behind Painful Sex Several factors can contribute to painful intercourse. Women may experience this discomfort during different life stages, such as when trying to conceive, during menopause, or after childbirth. Understanding the anatomy and pinpointing the source of the pain is crucial to determining the right treatment. The external genitalia includes the mons pubis, labia majora, labia minora, urethra, vagina, and rectum. During a gynecological exam, your doctor will examine these areas for symmetry, lesions, or trauma that could be causing the pain. Nerve-related issues in these areas may also be a source of discomfort. A thorough examination of the external genitalia can help identify the cause of the pain and guide the treatment plan. Conditions That May Contribute to Painful Intercourse Painful intercourse isn’t always linked to just the external anatomy. It can also be caused by issues with internal organs, such as the ovaries, uterus, cervix, or fallopian tubes. Conditions like fibroids, polyps, infections, or endometriosis may contribute to discomfort during intercourse. In addition, the bladder and bowel may play a role in the pain, particularly if these organs are involved in conditions like interstitial cystitis or irritable bowel syndrome (IBS), which can also affect sexual health and fertility. When evaluating pain during intercourse, it’s important to look at both the location and type of pain—whether it is sharp, deep, or gnawing. Physical exams, ultrasound imaging, and sometimes additional tests help identify the underlying causes. Once the cause is determined, a customized treatment plan is developed to alleviate the pain and prevent it from recurring. Open Communication is Key It’s important to recognize that sexual health is a significant part of overall gynecological care. Feeling comfortable discussing painful intercourse with your healthcare provider is crucial, as it’s an issue that can be addressed and treated. Open communication helps doctors identify the cause and create a personalized treatment plan that fits your needs. If you’re experiencing pain during intercourse, don’t hesitate to reach out. It’s important to remember that this is a common issue, and there’s no shame in discussing it with a professional. Your doctor is here to listen and help you regain your comfort and confidence, both in your health and in your intimate relationships. Schedule an Appointment Today If you’re experiencing painful intercourse or have concerns about your sexual health, you can make an appointment with our experienced and compassionate OB/GYNs today. Call 770.720.7733 or schedule online at one of our locations in Canton or Woodstock. We’re here to help you achieve a healthy and fulfilling intimate life.

GYN Problems

Polycystic Ovarian Syndrome (PCOS): Symptoms and Treatment

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Polycystic ovarian syndrome (PCOS) is a hormonal condition that affects many women. It is primarily characterized by an imbalance in hormone levels, particularly an increase in androgens, such as testosterone. This excess of male hormones can lead to a variety of symptoms and health challenges. Common Symptoms of PCOS Women with PCOS often experience a range of symptoms that can vary in severity. These symptoms may include: Irregular periods: Many women with PCOS have infrequent menstrual cycles, sometimes going months without having a period. Excessive hair growth: Increased facial and body hair, a condition known as hirsutism, is common due to higher levels of androgens. Weight gain: Many women with PCOS struggle with weight gain or difficulty losing weight. Pelvic pain: Some women experience discomfort or pain in the pelvic area. Ovarian cysts: Ultrasound imaging often reveals multiple small cysts on the ovaries, which is a hallmark of the condition. How is Polycystic Ovarian Syndrome Diagnosed? Diagnosing PCOS involves a thorough process. Doctors typically start with a physical exam and a detailed discussion of the patient’s symptoms. Additional diagnostic tools include: Lab testing: Blood tests are used to check hormone levels and assess for elevated androgens. Ultrasound imaging: This helps detect the presence of ovarian cysts and other related changes in the ovaries. Treatment Options for PCOS The management of polycystic ovarian syndrome often involves a combination of lifestyle changes and medical treatments. Some of the most common approaches include: Lifestyle modifications: A low glycemic diet and regular exercise can help manage insulin levels, which is important for controlling PCOS symptoms. Hormonal birth control: Birth control pills are often prescribed to regulate menstrual cycles and reduce androgen levels. Anti-androgen medications: These can help reduce excessive hair growth and other androgen-related symptoms. Fertility treatments: For women with PCOS struggling with infertility, a combination of medications and, in some cases, surgical interventions may be recommended to improve the chances of conception. Help is Available Polycystic ovarian syndrome is more prevalent than many people realize, affecting approximately one in ten women. Unfortunately, it often goes undiagnosed or improperly managed, particularly in adolescents who may be prescribed birth control without addressing the underlying condition. That’s why it’s important to seek a proper evaluation if you experience symptoms of PCOS. As healthcare providers, we are here to guide you through the diagnosis and treatment of PCOS. We specialize in managing this condition and are dedicated to helping you live a healthy life. If you are concerned about PCOS or are experiencing any of the symptoms, don’t hesitate to reach out for support. You can contact us at 770.720.7733 or schedule an appointment online at one of our locations in Woodstock or Canton. We’re here to support you every step of the way.

Ablation with Dr. Litrel
Urogynecology

Endometrial Ablation: A Minimally Invasive Solution for Heavy Periods and Menstrual Relief

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Today, we’re going to perform an endometrial ablation procedure, also known as HTA, which stands for hydrothermal ablation. Essentially, this instrument will be inserted into our patient’s uterus to burn the lining and stop her periods. The good thing about this procedure is that the patient has been experiencing heavy bleeding for ten days a month and is unhappy with it. She doesn’t want any more children but also doesn’t want surgery or any invasive procedures. This device works inside the uterus without affecting the woman’s hormones and reduces bleeding by about 90%. Watch Dr. Litrel’s accompanying video. We’ve already inserted the device into the patient’s cervix and uterus, and we can see the interior of her uterine cavity. There’s a significant amount of tissue on both the top and bottom surfaces, but we have confirmed through a biopsy that there’s no evidence of hyperplasia, cancer, or precancerous lesions. Now that everything is ready, we will proceed with the ablation. No Pain or Discomfort We’re almost at the end of this ablation, with about two minutes remaining. The great thing is that the patient doesn’t feel any pain or discomfort during this process. As we proceed, the lining of the uterus is changing from a pink, blood-filled appearance to a nice whitish color, indicating the successful ablation of the vasculature. This means her periods will be significantly decreased. What to Expect After an Endometrial Ablation After the procedure, the patient will tolerate it well and will be able to leave our office within 20 minutes. The benefit of this ablation is that it’s a 10-minute procedure performed in the office, providing relief and decreased bleeding without impacting her hormones. She’ll be able to resume normal activities later today or tomorrow and should have an easy recovery without any significant disruptions. We hope that her menstrual cycles will also stop altogether. If you suffer from heavy periods and would like to schedule an appointment at either our Canton or Woodstock location, call us today at 770.720.7733, or simply schedule an appointment online.

Ansley Stone, MD
General

Meet Dr. Ansley Stone: A Dedicated OB/GYN Providing Compassionate Care

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Hello, I’m Dr. Ansley Stone. As a proud native, I am delighted to serve as one of the esteemed OB/GYN providers here at Cherokee Women’s Health Specialists. Having grown up in Canton, this place holds a special place in my heart, and after completing my medical education at Mercer University in Macon, Georgia, I realized my true calling was to return home. Watch her accompanying video. The Path to Becoming an OB/GYN The path that led me to become an OB/GYN was shaped by my upbringing in a family of all girls. Witnessing the experiences of my sisters, cousins, and aunts during their pregnancies, along with their unique struggles as women, deeply influenced my decision. I yearned to be a source of care and support for women, especially during their pregnancies. I noticed that some other medical specialties were hesitant to assist pregnant women due to concerns about the unborn child’s well-being. I aspired to be the person women could confide in during their journey and provide guidance and a helping hand through any challenging moments related to pregnancy or GYN concerns. The Joy of Delivering Babies Among the many aspects of my profession, the one that brings me the most joy is delivering babies. Being a part of such a momentous occasion, welcoming new life into the world, is a privilege I cherish. Each time I witness the bliss of a new mother holding her baby, I am reminded of the beauty and magic of life. These moments are timeless and continue to drive my passion for my work, compelling me to show up every day. Within my area of practice, I hold a profound passion for obstetrics. Assisting women through their pregnancies, especially when complications arise, and ensuring the well-being of both mother and baby are my ultimate goals. Providing GYN Care Additionally, I am also dedicated to preventive screening, aiming to keep patients up-to-date with their annual exams and promptly addressing any breast issues or cervical abnormalities that may lead to cervical cancer in the future. Preventative care is essential to safeguarding against potential hardships, and it is an area of great importance to me. Moreover, I take immense pride in being a trustworthy confidant for individuals seeking help with sensitive GYN concerns. I understand that discussing such matters may not always be comfortable, but I am devoted to providing a safe space where patients can find solace, support, and the assistance they need. Schedule an Appointment Today I hope this brief introduction sheds some light on who I am and what I am passionate about as an OB/GYN. I extend an open invitation to anyone who wishes to meet and get to know me better. If you would like to make an appointment, I would be more than happy to see you and provide my undivided attention to your well-being. Call 770.720.7733 to schedule an appointment or schedule an appointment online at either our Canton or Woodstock location.

o-shot woman
Urogynecology

The O-Shot Offers Remarkable Results for Incontinence

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Hi, I’m Dr. Michael Litrel of Cherokee Women’s Health here to talk to you about how the O-Shot can help treat urinary incontinence. As an OB/GYN and urogynecologist, I encounter patients every day who suffer from urinary incontinence, where women experience leakage when they sneeze, jump, or engage in physical activity. Watch his corresponding video. Over the years, several solutions have been proposed to address this issue. For cases resulting from childbirth, the primary approach has been surgery, which is generally considered a minor procedure but still requires a visit to the operating room for intervention. The O-Shot However, there is a new technology that utilizes platelet-rich plasma (growth factors isolated from the patient’s own blood) for treatment called the O-Shot. This innovative procedure can be performed in the office and only takes about five minutes. Patients simply need a blood draw, and then the platelet-rich plasma is injected right into the bladder neck. Women have witnessed remarkable results in many patients who have undergone this treatment. We’re Here to Help If you are dealing with urinary incontinence, I encourage you to call us at 770.720.7733 or simply schedule an appointment online to explore how the O-Shot can offer help and relief.

bladder
Urogynecology

The Advancements in Urinary Incontinence Slings

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Hello, I’m Dr. Jim Haley and today I want to discuss the newer slings used to address urinary incontinence. As medical technology evolves, we continuously strive to find more effective solutions to common issues like urinary leakage. These modern slings have become a game-changer in treating this condition. Let’s take a closer look at how they work and why they are so effective. Watch his corresponding video. The Role of Slings in Managing Urinary Incontinence Urinary incontinence can be an uncomfortable and embarrassing problem for many women. Historically, bladder tacks were used to provide support and reduce leakage, but over time, advancements in medical devices led to the development of slings. Replacing Old Techniques The newer slings are incredibly small, yet highly effective. They are placed just beneath the urethra and act as a supportive hammock. This positioning offers a stable backdrop for the urethra, helping to reduce or even prevent urine leakage. As mentioned earlier, bladder tacks were previously used to address urinary incontinence. However, the newer slings have largely replaced these older methods due to their improved effectiveness and ease of use. The Benefits of Modern Slings The use of these advanced slings brings several benefits for women dealing with urinary incontinence. 1. High Effectiveness Despite their small size, these slings offer remarkable results. They have proven to be highly effective in reducing urinary leakage, providing women with much-needed relief. 2. Minimal Invasiveness The procedure to insert these slings is minimally invasive. This means shorter recovery times and reduced discomfort for patients. 3. Improved Quality of Life By addressing urinary incontinence, these slings can significantly enhance a woman’s quality of life. They provide confidence and freedom from the worries of accidental urine leakage. Consultation and Information As a double board-certified urogynecologist, I understand the impact of urinary incontinence on a woman’s life. The advancements in sling technology have revolutionized how we address this issue, providing women with effective and less invasive treatment options. If urinary incontinence is affecting your life, I encourage you to consider these newer slings and take the first step towards regaining control and confidence. I am here to assist and provide you with more details about the newer slings. If you have any questions or concerns, please call us at 770.720.7733 or schedule an appointment online. Together, we can find the most appropriate solution to improve your condition and overall well-being.

Dr. Michael Litrel
Urogynecology

Dr. Litrel Discusses Urinary Incontinence After Giving Birth

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Hi there! I’m Dr. Michael Litrel, a urogynecologist specializing in surgery and medicine to help women who have experienced childbirth-related damage. One of the most common issues women face after childbirth is urinary incontinence. It’s a condition where a woman involuntarily leaks urine when she coughs, sneezes, or exercises. Today, I want to shed some light on this problem, explain why it occurs, and introduce a simple, effective solution called the suburethral sling procedure. Prefer to see his video? Watch it here! Understanding Urinary Incontinence Before we delve into the solution, let’s understand why urinary incontinence happens. Imagine this cross-section of a woman’s body. The front represents the uterus or womb, and the back is the vagina. During childbirth, a baby’s head can damage the structures that support the vagina, leading to pelvic organ prolapse. This condition causes the urethra, the hole that leads out of the bladder, to drop, resulting in urine leakage when pressure increases in the bladder. The Suburethral Sling Procedure The suburethral sling is a remarkable solution to address urinary incontinence. This small, simple device made of polypropylene is placed underneath the bladder to support the urethra. Once in place, it prevents the urethra from coming out when a woman coughs or sneezes, effectively stopping urinary leakage. The Procedure The suburethral sling procedure is relatively quick and straightforward. It typically takes around 15 minutes to perform in the operating room, and patients can return home the same day. While there may be some discomfort for a few days, the recovery process is generally smooth. Patients are advised to refrain from sexual activity for about a month to allow proper healing. Regaining Control and Confidence Urinary incontinence can significantly disrupt a woman’s life and confidence. Many women suffer in silence, believing it’s a normal part of motherhood. However, there’s no need to endure this condition when a straightforward and highly effective solution is available. We’re Here to Help As a double board-certified urogynecologist, I’ve witnessed how urinary incontinence affects women physically and emotionally. However, I’m also confident in the effectiveness of the suburethral sling procedure. It’s a simple, minimally invasive solution that can bring significant relief to women facing this challenge. Remember, seeking help is the first step towards overcoming urinary incontinence and reclaiming your confidence. Call us today at 770.720.7733 or schedule an appointment online at either our Canton or Woodstock location.

sheila vaginal birth
OB Patient Stories

Vaginal Birth: Sheila’s Transformative Journey

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For Sheila, the experience of giving birth vaginally was nothing short of extraordinary. Giving birth is a momentous occasion, filled with an array of emotions ranging from excitement to nervousness. As she shares, Sheila discovered the true essence of strength, love, and empowerment. Preparing for Motherhood Throughout her pregnancy, Sheila meticulously prepared for the arrival of her little one. She attended childbirth classes, read numerous books, and sought advice from experienced mothers. Armed with knowledge and support, she felt more confident about the impending delivery. Despite the preparations, nothing could entirely alleviate the butterflies in her stomach as the big day approached. Riding the Waves of Emotion Sheila’s labor began gradually, and she found solace in the loving presence of her partner, who offered unwavering support. As contractions intensified, Sheila’s determination surged forth, and she surrendered to the natural rhythm of her body. In the hands of her compassionate obstetrician, she felt secure and nurtured. As the hours passed, Sheila experienced the ebb and flow of emotions that often accompany labor. Yet, with each surge of pain, she recognized it as a reminder of the beautiful life she was about to bring into the world. Through deep breaths and unwavering focus, Sheila harnessed her inner strength, drawing upon the love she held for her unborn child. Vaginal birth is an intricate dance of body and mind. Sheila had to relinquish control and trust her body’s innate ability to deliver her baby safely. Welcoming New Life And then, after what felt like both an eternity and an instant, Sheila heard her baby’s first cry. The room filled with joy, relief, and an overwhelming sense of awe. Sheila’s heart swelled with love as she held her precious bundle for the first time, also known as the ‘Golden Hour’. In the aftermath of childbirth, Sheila experienced an overwhelming mix of emotions. Amidst the exhaustion, she marveled at the newfound strength she discovered within herself. Giving birth vaginally had unlocked an immense well of power that she never knew she possessed. The experience had transformed her, leaving her feeling like a warrior, ready to conquer any challenge that came her way. Embracing Motherhood The postpartum period brought its own set of trials, but the bond between Sheila and her baby strengthened each day, and she reveled in the joy of motherhood. In the toughest moments, she reminded herself of the incredible journey she had undertaken to bring her child into the world. In conclusion, Sheila’s experience of giving birth vaginally was a transformative and empowering journey. From the initial trepidation to the overwhelming joy, the memory of that day will forever be etched in her heart, reminding her of the extraordinary strength and beauty that lie within the act of bringing new life into the world. Here For You Our OB/GYNs and certified nurse midwives are here for you. Call us today at 770.720.7733 to schedule an appointment or schedule an appointment online at either our Canton or Woodstock location.

vaginal childbirth
OB

Vaginal Birth: A Natural and Empowering Experience

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In the realm of childbirth, vaginal birth stands as a natural and empowering process that has been practiced for millennia. This article discusses its benefits, the stages involved, and addressing common concerns. The Miracle of Vaginal Birth Vaginal birth is a marvel of nature, enabling a mother to bring her child into the world through the birth canal. It is a testament to the strength and resilience of the female body, as it undergoes a series of miraculous transformations during the process. The Stages Stage One: Early Labor – During this initial stage, the body prepares for the main event. Contractions begin and gradually increase in intensity, signaling that labor has commenced. Stage Two: Active Labor – In this stage, the cervix dilates further, and contractions become more frequent and intense. The mother’s strength and determination play a pivotal role in progressing through active labor. Stage Three: Transition – Transition is a critical phase where the cervix completes its dilation. Emotions may run high during this period, but it heralds the approaching moment of birth. Stage Four: The Birth – The climax of the journey, the birth stage, involves the baby’s emergence into the world. With the support of medical professionals and loved ones, the mother actively participates in this miraculous moment. The Benefits Faster Recovery – Compared to cesarean deliveries, vaginal birth typically results in a quicker recovery period. The absence of major abdominal surgery allows mothers to resume their daily activities sooner. Bonding Experience – The intimate skin-to-skin contact that occurs fosters a profound bonding experience between mother and baby. Promotes Baby’s Health – With the transfer of beneficial bacteria from the mother to the baby, it supports the infant’s developing immune system. Addressing Concerns Pain Management – While vaginal birth involves pain, various pain management techniques, such as breathing exercises, hydrotherapy, and epidurals, can significantly alleviate discomfort. Episiotomy – Episiotomy, a surgical incision made to ease delivery, is sometimes required. However, medical advancements have reduced its necessity, and natural tearing can often be preferred. Fear of Tearing – Tearing is a common concern, but the body’s natural healing abilities help in postpartum recovery, minimizing discomfort. FAQs Q1: How long does a vaginal birth typically last? A: The duration can vary, but it often lasts between 6 to 12 hours, depending on various factors such as the mother’s health and the progress of labor. Q2: Can all women have a vaginal birth? A: While suitable for most women, certain medical conditions or complications may necessitate a cesarean delivery. Q3: How can I prepare? A: Prenatal classes, staying physically active, and discussing birth plans with healthcare providers can help you prepare. Q4: What are the potential risks? A: While generally safe, potential risks may include tearing, episiotomy, and infection. These risks are typically managed by medical professionals to ensure a healthy delivery. Our OB/GYNs Are Here For You Our OB/GYNs and certified nurse midwives have delivered thousands of beautiful, healthy babies. Call us today at 770.720.7733 to schedule an appointment or schedule an appointment online at either our Canton or Woodstock location.

birth plan
OB

Adjusting Birth Plans: When a C-Section Becomes Necessary for Safe Delivery

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You’ve carefully written out your birth plan, which clearly states that you’d like a vaginal birth. However, while you’re in the throes of labor, your doctor recommends a C-section. You’ll likely be confused, frustrated and disappointed. We get that, which is why we want to share with you the reasons why your birth plan may not go according to…plan. One thing that’s important to know is that your physician or certified nurse midwife absolutely respects your wishes and will do everything in their power to make them a reality. However, their number one priority is always the safety and well-being of both mother and baby. Read on to understand who is most at risk for needing a C-section and the unseen complications that may deem them necessary. What is a C-Section? A cesarean section, commonly known as a C-section, is a surgical procedure performed to deliver a baby by making an incision in the mother’s abdomen and uterus. It is typically conducted when vaginal delivery poses risks to the health of the mother or baby or in certain specific situations where it is the safest option for a successful birth. Although it involves surgery, C-sections are generally safe and performed under controlled conditions by skilled medical teams. Maternal Indications for C-Sections Fetal Indications for C-Sections Emergent Situations and Unforeseen Complications Collaborative Decision-Making It is essential for expectant parents to engage in open discussions with their physicians regarding birth plans and potential risks. By actively participating in the decision-making process, women can make informed choices about their birthing experience, including the possibility of a C-section. By fostering a collaborative and informed approach to childbirth, we aim to empower women to navigate their birthing journey with confidence, trust, and the reassurance that their health and the health of their baby are always the top priority. Request an Appointment Call us today at 770.720.7733 to schedule an appointment with one of our board-certified OB/GYNs or simply schedule an appointment online at either our Woodstock or Canton location. Note: The specific reasons for cesarean sections and the recommended approach may vary depending on the medical context and individual patient circumstances. It’s essential to consult with healthcare providers for personalized information and guidance.

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