Author name: Diane

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STD/STI Screening, Teen GYN Education

The Different Types of STDs

It is foolish to think that STDs are not harmful. All sexually transmitted diseases come with a certain amount of health risk. It is a risk not only for the person with the disease, but for your partner, your future partners and possibly your children. If anyone has been sexually active, especially without protection, it is important to get tested before exposing anyone else. If anyone has signs or symptoms of an STD, it is even more critical to get tested and/or treated as soon as possible. Not all sexually transmitted diseases are the same. Some are much worse to get than others. Certain STDs are dangerous to carry for a long time without knowing the infection is in your body. Types of STDs There are many types of STDs. Following is a list of the worst STDs to get and what you can expect if you get them. HIV Most everyone is familiar with HIV and the dangers of contracting HIV and AIDs. Although we have come a long way with treatment over the last several decades, there is still no cure. HIV is a viral condition, which means that no cure currently exists. It is important for anyone who is sexually active to get tested for HIV often. If HIV is found, the sooner treatment begins, the better prognosis for optimal health. HIV can lead to multiple health issues including rashes, genital sores, flu-like symptoms, persistent diarrhea and organ failure and even death. Syphilis Syphilis can not only be a painful disease, but it can potentially be fatal. It is spread through vaginal, oral or anal sex. Usually symptoms appear about three weeks after someone has been exposed. However, this is not always the case. There are four stages of syphilis and each stage has different symptoms. The Four Stages of Syphilis are: Primary Stage Syphilis – In primary stage syphilis, the first noticeable sign is a single sore or multiple sores. The place on your body where you contracted syphilis is where you contracted the disease. In women, it is usually in or around the vagina. In men, it is on their penis. If a woman contracted it through giving oral sex, the sores will appear on her lips or mouth. The sores usually last a month to six weeks, whether you receive treatment or not. If treatment is not given, the infection moves to the secondary stage. Secondary Stage Syphilis – During the secondary stage, rashes and sores appear in the mouth, vagina or anus. There is usually a rash on more areas of the body, including the hands or bottom of the feet. The bumps are typically rough, red or reddish-brown. Other symptoms of the secondary stage are fever, swollen lymph glands, sore throat, hair loss, headaches, fatigue and body aches. Without the proper treatment, syphilis can stay in your body for years and move to the latent or tertiary stage. Latent Stage Syphilis – The latent stage is when there are no visible signs or symptoms. Left untreated, it can develop into the tertiary stage. This can affect the heart, blood vessels, brain and nervous system and can be life threatening. Tertiary Stage Syphilis – Tertiary syphilis is serious and usually occurs 10-30 years after infection. It damages your internal organs or causes death. Without a diagnosis of syphilis or treatment — during any stage of the disease — it can spread to the brain, nervous system, eyes or ears. It can cause headaches, muscle weakness, eye pain, hearing loss, ringing in the ears, dizziness, vertigo, changes to your mental state, personality changes and dementia. Congenital Syphilis — Passing Syphilis on to Your Baby If a woman has syphilis and becomes pregnant, she can pass the disease to her baby. Congenital syphilis can have a major impact on the baby’s health. It can cause miscarriage, stillbirth, premature birth, low birth weight or death shortly after birth. Babies born with syphilis can have deformed bones, anemia, enlarged liver, jaundice, brain and nerve problems, meningitis, skin rashes blindness or deafness. Congenital syphilis has tripled in recent years and the growth rate is alarming to public health officials. ACOG recommends that all pregnant women receive STD testing at their first initial OB visit and again at 36 weeks. Routine testing during pregnancy is not only for syphilis, but HIV, gonorrhea, chlamydia, herpes and hepatitis. As congenital syphilis is on the rise, it can be assumed that not enough pregnant women are getting proper prenatal care. Hepatitis Hepatitis A, B and C can spread through vaginal, oral or anal sexual activities. It is a viral disease but it may either be temporary or long-lasting. The worst case scenario is that it can lead to liver disease and death. It is a life-long disease. Hepatitis is harder to detect than other STDs, unless someone is tested. With HIV, syphilis, herpes, etc., usually painful sores or rashes make the STD obvious. Hepatitis symptoms don’t present in the same way. Some of the symptoms include fatigue, flu-like illness, dark urine, pale stool, loss of appetite, abdominal pain, jaundiced skin and yellow eyes. If anyone has any of these symptoms, it is imperative they seek diagnosis and treatment from a physician. Chlamydia Chlamydia can be a serious disease if not found and treated. It can cause major health issues for women like pelvic inflammatory disease, scarring of the urethra, infertility and complications during pregnancy. About 70% of women who get chlamydia do not have symptoms but it can spread it if they are sexually active. Sometimes the infection remains in your body for weeks, months or years without symptoms. If you are sexually active and without protection, undetected chlamydia is highly transmittable to other partners. Often symptoms occur about three weeks after chlamydia is contracted. The most common symptoms in women include: The treatment for chlamydia is antibiotics. Chlamydia Can Cause Infertility Often, a woman doesn’t know she is infertile until it is time to try to have a baby. If

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STD/STI Screening, Teen GYN Education

What is the Difference Between an STI and an STD?

STIs and STDs are often used interchangeably but they are not the same thing. It’s important to understand the difference. The differences are actually quite simply. One is an infection and one is a disease. Read on to learn more. An STI is an Infection An STI is a sexually transmitted infection, which is when bacteria or a virus gets in the body. An STD is a sexually transmitted disease, which is when the infection progresses to the point that a person starts to show symptoms. An STI is an infection and what happens before it turns into a disease. It is often asymptomatic, meaning it shows no symptoms. An STD is a Disease An STD is a sexually transmitted disease, which is when the infection progresses to the point that a person starts to show symptoms. If a person has no signs of symptoms, getting tested for an STI will show if they have the bacterial or virus in their body. But if symptoms are already showing up, such as genital warts or a rash, the STI has become an STD. It’s helpful to know you have an STI before it becomes an STD so you can get treatment early. An STD is a disease that starts as an infection. While symptoms may appear, some STDs also show no symptoms. Testing is the Only Way to Know if You Have an STI or STD If you visit your OB/GYN for our annual exam, don’t assume they automatically test for STIs. Be open and honest with your physician and let them know if you have been sexually active or may have been exposed to an STI. Let them know if you have had multiple partners or anal sex since it puts you at higher risk for STIs. Take charge of your own health and have the confidence to request STI testing. OB/GYN offices test for STIs all day long — it is very routine and a completely normal request. Call us today to schedule a confidential appointment at 770.720.7733 or simply schedule an appointment online.

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STD/STI Screening, Teen GYN Education

Should I Get Tested for STIs?

Yes! Many STIs don’t cause any symptoms, so the only way to know for sure if you have an STI is to get tested. Who Should Get Tested for STIs? The short answer is anyone who is sexually active. But you should also get tested if: What STIs Should You Test For? There are so many different STIs, it is hard to know what you may have been exposed to. Discuss it with your OB/GYN and they will encourage you to be tested for some or all of the following STIs: Talk to Your OB/GYN When you visit your OB/GYN for your annual exam, don’t assume they automatically test for STIs. Be open and honest with your OB/GYN and let them know if you have been sexually active or may have been exposed to an STI. Let them know if you have had multiple partners or anal sex since both put you at higher risk for STIs. Take charge of your own health and have confidence to request STI testing. OB/GYN offices test for STIs all day long – it is very routine and a completely normal request. It is also important to get tested for STIs if you are pregnant to protect your baby. Your OB/GYN should test for STIs at your first OB visit, and again near the end of pregnancy. It is very important to get tested if you have been a victim of sexual violence or assault. If you are a survivor of sexual violence, seek the help of a counselor and see an OB/GYN for an exam and STI testing. 24/7 Support Hotline If you have experienced sexual assault, there are organizations that offer support such as the National Sexual Assault Hotline with a 24/7 support hotline: 1-800-656-4673. They will also help you find local support if needed. Several STIs are “notifiable” diseases. This means that healthcare providers are legally required to report the positive results to government officials at the Public Health Department. Public Health officials keep track of STI/STD statistics, so they are aware of the number of cases and to determine if the public is at risk. Because they have been tracking these statistics, we are aware of the current sharp rise in STDs in the country, and especially in Georgia. The notifiable STDs that get reported to the health department are chlamydia, gonorrhea, HIV, syphilis, hepatitis and chancroid. STIs are tested with blood and urine tests. It may also take a month or longer after being exposed to certain STIs for blood tests to be reliable. For example, if someone gets HIV, it may not be detected by tests for weeks or months. Other Means of Testing Besides blood and urine tests, your doctor may also perform the following: They can also take samples from any questionable areas to send off for testing. When to See an OB/GYN It’s important to see an OB/GYN and discuss any noticeable changes with your doctor. Let them know if you’ve noticed any changes on or around your genitals, anus or rectum. Although some STIs may not have symptoms, it’s still important to watch for any signs of infection, even if they are very mild.  See an OB/GYN immediately if you notice any of these symptoms: Can I Get a Home STI Test? Online tests are also available for some STIs, but they aren’t always reliable. Your safest bet is to see a doctor for testing and if you are positive, you can get treatment. What to Do If You Test Positive for an STI If you get a positive STI/STD test result, follow up with your OB/GYN for treatment. Make sure you let any recent sex partners know of your diagnosis since they will most likely need treatment also. Discuss with your OB/GYN any concerns and they will answer your questions. You will need to be aware of any future problems to watch for, such as pelvic inflammatory disease, infertility, or future outbreaks. You will need to learn of all the risk factors and potential problems. Also, depending on the STI, you will need to inform every future partner that you had a sexually transmitted disease so that they will know if they are also at risk. The Importance of STI Testing Remember, getting tested is not taboo. It’s an important part of not just taking care of your vaginal health, but your overall health too. Testing and subsequent treatment can help prevent spreading the infection and the more serious issues that could develop. Issues like infertility, endangering your unborn child, long term health problems or even death.  

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General, STD/STI Screening

Alarming Rise of STDs in Georgia

STDs are on the rise in the U.S. at an alarming rate, particularly among women aged 15-24. According to the most recent data from the CDC, not only has the infection rate of STDs in the U.S. increased, but the state of Georgia has climbed to #3 in the country. STDs are being spread among younger people ages 15-24 at a faster rate than any other age group. Not only is the age group increasing at a faster rate, but the CDC reports that in Georgia, adolescents account for 58% of all STDs. Women Aged 15-24 Most Affected Recent data from the Centers for Disease Control and Prevention (CDC) shows the worst STD infection rates are Mississippi, Louisiana and Georgia. The South makes up most of the highest rates of sexually transmitted diseases of all the states. Seven of the top ten states with the highest STD rates are in the south. The CDC says that testing for STDs is one of the most important things you can do to protect your health. In the data collected by the CDC, the sexually transmitted diseases that were tracked were chlamydia, gonorrhea, syphilis and HIV. Georgia’s rates for these four STDs are 1,535 per 100,000. Of particular concern in Georgia was the increase in gonorrhea and syphilis, both of which can be dangerous if left untreated. Most cases of syphilis and gonorrhea are found when a patient undergoes routine testing and has no symptoms at all. This is concerning and could be the reason behind the surge of these types of STDs. They are being spread because people are unaware that they have these STDs and are having unprotected sex. Other STDs on the rise are HPV (human papillomavirus), herpes, genital warts, trichomoniasis and hepatitis A, B and C. Why the Sudden Increase of STDs in Georgia? The cases of STDs in Georgia seem to be climbing at a faster pace than other states. Georgia public officials and those in the healthcare field are fully aware of this crisis and are looking into the potential causes and how to improve the STD infection rate. In an article published in January 2023 by the Innerbody, the largest medical online testing company, the CDC data was analyzed to try to find the key trends and reasons behind the findings. One theory for the reason why the southern states, including Georgia, are highest in STDs is that many lack affordable healthcare. Healthcare is expensive for many, especially without insurance, so testing and treatment is out of reach for some as many rural areas do not have clinics where testing is available. Alexander Millman, the Georgia Department of Public Health medical director shares, “Folks who are disproportionately affected generally tend to be patients who have limited access to healthcare.” Officials and healthcare workers in Georgia say that another reason for the surge is that condoms are not being used as often during sex. “Other factors for the rise are less frequent testing and the stigmas involved with testing and treatment.” – Alexander Millman of the Georgia State Department of Health What is Causing the Increase of STDs Among Adolescents? Dr. Mike Litrel, an OB/GYN at Cherokee Women’s Health Specialists in Woodstock, GA, has been treating women with GYN problems for 30 years. When asked his opinion on the rise of STDs among women ages 15-24 in Georgia, he says, “Younger women are often embarrassed to talk about sex. Sometimes they may feel pressured to have sex before they are mature enough to be ready for it. Sometimes they just want to do it and don’t want to deal with the consequences. When signs of an infection begin, they may feel too embarrassed to seek treatment. In many STDs, symptoms don’t occur for a long period of time so if she is sexually active, it could have spread to multiple partners.” “This stigma needs to stop. Women of all ages need to be empowered to take control of their own health.” – Dr. Mike Litrel of Cherokee Women’s Health Specialists Protect Your Health, Get Tested Call us today at 770.720.7733 for an appointment, or simply request a confidential appointment online. We’re here to help you!

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Midwife Education

Should You Use a Midwife?

Cherokee Women’s Health offers our patients the choice of working with a certified nurse midwife or an obstetrician. It’s a personal choice that should not be taken lightly, nor should you feel any pressure to choose one over the other. When considering your choices, keep in mind your expectations, personal beliefs and healthcare needs. Nurse Midwifery Training Nurse midwifery is commonly practiced across the United States. CNMs are registered nurses; many complete a Master’s degree in Midwifery which includes clinical training. In order to become licensed by the American College of Midwife Nurses, practitioners must first pass the American Midwifery Certification Exam. If you choose to work with a CNM, you can be confident that he or she has been trained to identify conditions that require the attention of an OB. Your Relationship with Your Midwife Your CNM will work with a physician throughout your pregnancy. In addition to being present at the delivery of your baby, CNMs can provide annual gynecological exams, prenatal and postpartum care. They advise on screenings, diagnostic testing,  vaccines and order blood work. Midwifery as a practice places a great deal of emphasis of your psychological well-being, education and guidance throughout the entire duration of your pregnancy. Many women who chose to work with a CNM do so because they would like to experience a natural birth. Your CNM will train and guide you throughout your pregnancy so you can go into delivery feeling empowered and prepared. Midwifery as a practice endorses natural methods of coping with the pain associated with childbirth. This includes breathing techniques, visualization, relaxation techniques and various body movements and positions. Pain Control Not every CNM is against the use of pain medication. It is best to discuss your preferences when you have your first preconception appointment to ensure that you and your CNM agree on your preferred pain management methods. If you are delivering your baby in a hospital, OB-GYNs and CNMs can administer pharmaceuticals as well as order an epidural for a patient; however, an epidural must be administered by an obstetric anesthesiologist.  We’re Here to Support You As a mom-to-be, it’s important that your beliefs and preferences are addressed so that you feel comfortable and confident throughout your pregnancy. At Cherokee Women’s Health Specialists, our entire team is here to support you through pregnancy, and beyond. For more information about choosing a certified nurse midwife, please call us today at 770.720.7733 or schedule an appointment online.

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Midwife Education, OB

What is the Difference Between an OB/GYN and a Midwife?

Many women who are pregnant or plan on becoming pregnant wonder if they should see an OB/GYN, a midwife, or both. To make the decision that is right for you, it’s important to know the difference. What Type of Education Does a Midwife and OB/GYN Have? Both OB/GYNs and certified nurse midwives have extensive training to support you throughout your birthing experience. No matter which option you choose, you’ll be in good hands. OB/GYN – An OB/GYN is a doctor who has studied 4 years of medical school, plus 4 years of residency and 3 more years of specialization. Certified Nurse Midwife – A certified nurse midwife is a Registered nurse with an advanced Master’s degree in nursing and a certification by the American Midwifery Certification Board. Typically they study for 2-4 years (Bachelor’s degree), plus another 2 years (Master’s degree). Types of Care in the Hospital OB/GYNs and midwives are separate but complementary professions. Both focus on quality prenatal and postpartum care. OB/GYN Usually assists with births within the hospital setting Trained to handle high-risk pregnancies and can perform surgeries like cesarean sections Trained in forceps or vacuum delivery to facilitate more difficult deliveries Can offer external cephalic versions to help turn babies that are breech Certified Nurse Midwife Usually attend births in hospital settings but can assist in birthing centers or home births Relies heavily on clinical experience to provide expert care in normal pregnancies Typically can spend more time with patient during labor More amenable to using natural approaches such as shower, massage, breathing techniques, acupressure, alternative delivery positions to assist with your labor experience Things to Consider Before Choosing an OB/GYN or Midwife Is vaginal birth your priority? Have you been told you have a high-risk pregnancy? How do you plan to manage your pain? Would you like an epidural or would you prefer managing your pain using natural techniques? Do you want your caregiver with you throughout your labor? Are you a new parent and need more educational support and advice about nutrition, breast-feeding, and exercise during pregnancy and after delivery? We’re Here For You By knowing what you want and understanding all your options, you can make the decision that is right for you and your pregnancy. The most important thing you can do is to clearly communicate your expectations, goals, needs, and desires with your provider. By choosing a practice that has both OB/GYNs and midwives, you can be assured that you have the best of both worlds to keep you and your baby safe and healthy. If you have any further questions, please do not hesitate to contact us or schedule an appointment online or call us at 770.720.7733.

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Midwife Education

Expert, Natural Birthing

The certified nurse midwives at Cherokee Women’s Health specialize in natural birthing methods. They are trained to recognize abnormal pregnancy symptoms and potential complications. By partnering with board certified obstetricians, they provide both mother and child with the best possible care, even in the event of pregnancy and labor complications. Top 4 Benefits of Choosing a Midwife 1. Certification in Nursing and Midwifery Midwives at Cherokee Women’s Health are certified in both nursing and midwifery, giving women a safe, natural birthing experience. 2. A Personal Connection Midwives place special emphasis on the relationship between an expecting mother and her women’s healthcare provider. During a pregnancy, a midwife monitors the physical, emotional, and interpersonal well being of the mother. Many women feel a personal connection to their midwives, who try to remain accessible to their patients whenever they’re needed. This interpersonal connection can decrease stress levels during pregnancy. 3. Highly Individualized Care Midwives offer highly individualized pre- and postpartum care. This includes individual education for expectant mothers, counseling during pregnancy, expert prenatal care, continuous assistance during labor and delivery, and postpartum support for new mothers. 4. Natural Birthing Options Because midwives strive for a natural birthing experience, they limit technological interventions. Women who choose midwives as their primary birthing specialists receive fewer epidurals, episiotomies, and assistance from birthing instruments like vacuums or forceps. Our Midwives are Here for You Call us today at 770.720.7733 to schedule an appointment, schedule an appointment online or learn more about our midwife services.

OB, STD/STI Screening

Can I Give Syphilis to My Unborn Baby?

Congenital syphilis can cause serious damage to your baby and these health problems can occur during pregnancy, birth and even later in life. Syphilis is a sexually transmitted infection (also called STD). Congenital syphilis happens when a woman passes it on to her baby. It is most often passed to baby during pregnancy, but it can also happen during vaginal birth if the baby comes into contact with a syphilis sore. Your Baby May Have Serious Problems if Syphilis is Left Untreated If a woman’s syphilis is left untreated, it can cause serious health issues for the baby, including death. Reports state that up to 40% (2 in 5 babies) born to women with untreated syphilis die from the infection. Your baby can have serious health complications later in life too, even if he or she seems healthy at birth. The severity of complications depends on how long the woman was infected during pregnancy and if and when she received treatment. Problems for Your Baby During Pregnancy These may include: Problems for Your Baby During Birth These may include: Problems for Your Baby Later in Life Problems for your baby later in life may include: Diagnosing Congenital Syphilis in Your Baby Your baby can be diagnosed with congenital syphilis, or any STDs, during your prenatal care visits. If you had been diagnosed with syphilis prior to becoming pregnant, tell your OB/GYN about any treatment you received. Several tests can be performed to check for congenital syphilis, including: How is Congenital Syphilis Treated?  If your baby has congenital syphilis, it’s important that he or she receives treatment right away to help prevent complications. Your baby can be treated with an antibiotic, either as a shot or through an intravenous line (IV). Your provider will determine the amount of treatment your baby gets, which is determined by the infection and condition of your baby. In some cases, congenital syphilis can be completely cured. For others, they may need treatment for health conditions caused by the infection. Can Congenital Syphilis be Prevented? Yes, if You Protect Yourself Congenital syphilis is completely preventable. However, the only way to prevent it is by protecting yourself from getting infected in the first place. Learn more about STDs and how to protect yourself. Schedule a Screening Today Request a confidential appointment online or call us at 770.720.7733 to make an appointment with one of our OB/GYNs to get tested today. Early diagnosis and treatment are the only ways to help protect you and your baby.

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Infertility Education, STD/STI Screening

Can Chlamydia Cause Infertility?

Chlamydia is a sexually transmitted disease that can cause serious health complications if left untreated. Highly transmittable, a chlamydia infection can become quite severe and can even cause infertility in women. Chlamydia is a sexually transmitted disease (STD) and is known as a ‘silent infection’ since the majority of people who contract it have little to no symptoms. It is diagnosed most often in people under the age of 15, but anyone can become infected. Reports vary but some studies report that around 1 in 20 sexually active young women are infected with it. How Serious is Chlamydia? If chlamydia goes untreated, it can result in infertility and pelvic inflammatory disease (PID), which is a common cause of ectopic pregnancy and chronic pelvic pain. If a woman contracts chlamydia, a build-up of scarring can block the fallopian tube and prevent fertilization. And since there are often no symptoms, it is highly transmittable. Most women are not aware that they have it, so it’s very important to get regularly tested.   Symptoms The symptoms associated with chlamydia are usually mild — if there are any symptoms at all — and can be mistaken for other health issues. For women who do experience symptoms, they often include painful sex, vaginal dryness and bleeding between periods. Can Chlamydia Cause Infertility? Yes! Women can become infertile if it is undiagnosed and goes untreated. Many women don’t know they’re infertile until they try to become pregnant. At that point, fertility treatments are often needed for a woman to become pregnant. Infertility is caused by the scarring and inflammation of the reproductive tract. Among women who have chlamydia, 1 in 10 will develop pelvic inflammatory disease (PID), which is the leading cause of infertility. While chlamydia alone does not always cause infertility, if can lead to fertility issues if not treated. How Long Does It Take to Become Infertile From a Chlamydia Infection? Every woman is different and it is not known how long the infection must remain in the system to cause infertility. It may take weeks to two years. Can I Reverse Infertility Caused by Chlamydia? Unfortunately, infertility caused by chlamydia is permanent. Get Regular Screenings If you are sexually active, you should get regular testing. This is particularly recommended before trying to start a family. Can it be Cured? Yes, But Only with Early Diagnosis and Treatment The good news is that chlamydia can be cured with early detection. It is easily treated with a short course of antibiotics, but you must be screened regularly. Make an appointment today for a sexual health screening. Call us at 770.720.7733 or schedule a confidential appointment online.

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GYN Problems, STD/STI Screening, Teen GYN Education

The Silent Symptoms of STIs and Their Unknown Risks

STIs are on the rise among young women so it’s important to make appointments for annual screenings if you are sexually active. With ‘silent’ symptoms, annual testing for sexually transmitted diseases is key. Unless diagnosed through testing, you may not know you have an STD. Who is Most at Risk Women with a new or multiple sexual partners, or a sex partner with a sexually transmitted infection, are more at risk for developing an STD or STI.   STIs Have No Symptoms Women diagnosed with chlamydia or other STIs are at higher risk of infertility and pelvic inflammatory disease (PID). What’s more is that chlamydia and PID are known as “silent” infections. Many women may not know that a sexually transmitted disease can result in infertility. Chlamydia historically accounts for the largest proportion of reported STIs in the United States. The damage caused by chlamydia can result in infertility. With most women experiencing no symptoms, getting tested is the only way to know for sure if you have an STI. STIs Can Result in Infertility and Infant Death As infections continue to rise, more women will develop PID. Left untreated, about 10-15% of women will develop chlamydia with PID, which can also cause fallopian tube infection. This infection in the upper genital tract may cause permanent damage to the uterus, fallopian tubes and surrounding tissue, which can lead to infertility. STIs don’t just affect women. Congenital syphilis — when an infected mom passes the disease on to their babies — put their babies at risk of death or severe health problems such as deafness or blindness. In fact, annual congenital syphilis have surged, resulting in increased stillbirths and infant deaths. Take Control: Protect Yourself and Your Sexual Partners Following are the best methods to prevent contracting or spreading an STI: Abstaining from Sex – The most reliable way to avoid an STD or STI is to not have sex. This include anal, vaginal or oral sex. Reduce Number of Sex Partners – You can reduce your risk for STIs by reducing your number of sex partners, getting yourself tested, having your partner tested, and sharing the test results with one another. Mutual Monogamy – Being sexually active with just one partner, and one who has agreed to be sexually active with only you can reduce the risk of STDs. Have an open and honest conversation with your partner about to be sure you are not infected with an STD. Use Condoms – Using the right type of condoms correctly and consistently is very effective in reducing the spread of STIs. Use a condom every time you have vaginal, anal or oral sex. Protect Your Vaginal Health – Get Tested It’s important to know your STD status, not just for yourself but for your partner, future sex partners and your baby if you are pregnant or decide to become pregnant. Many STIs can be easily diagnosed and treated. Ask your OB/GYN to test you for STDs. This is the only way to know whether you are receiving the right tests. It’s as simple as having a blood test and pelvic exam. Have Your Partner Get Tested – and Share Your Results Your partner may have an STD and not even know. Asking your partner to be tested – and following up with the necessary steps to prevent further spreading of the STD if they do have an infection – is one of the ways you can help prevent the spread. Share your results with one another and have open and honest conversations to help prevent transmission. If either you or your partner is infected, both of you need to receive treatment at the same time to avoid getting re-infected. Make an Appointment Today Getting tested for STDs and STIs is common and very routine. Our compassionate and understanding OB/GYNs are here to help you. Call us today at 770.720.7733 to make a confidential appointment or simply Schedule an appointment online. STD/STI Education Articles

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GYN Problems, Pelvic Pain Education

Sudden Abdominal Pain was Ovarian Torsion

Lucy was only 17 when she began experiencing pain and tenderness in her abdomen. Her primary doctor chalked it up to PMS. However, her abdominal pain soon became so severe that her mom took her to an OB/GYN for an exam. It was there that Lucy was diagnosed with ovarian torsion. What is Ovarian Torsion? Ovarian torsion is a condition that occurs when an ovary twists around the ligaments that hold it in place. This twisting can cut off blood flow to the ovary and fallopian tube, which can result in severe pain and organ damage. Ovarian torsion is difficult to recognize since the only physical indicators are abdominal pain, cramps and pelvic pain. Because the symptoms closely mimic PMS, you’ll only know that something is wrong by the pain and tenderness in your abdomen. It can be easy to dismiss these symptoms but you should never wait to seek help in cases of severe, sudden pain. Symptoms of Ovarian Torsion The most common symptom of ovarian torsion is sudden abdominal pain. You’ll feel an occasional but sharp pain and you may also feel nauseous. You may even vomit as a result of the pain. Other symptoms include:  Cramps may last a few days or even weeks. This occurs when your ovary is twisting and untwisting constantly. Pain may also go into your back or legs. The amount of pain you feel can depend on whether you are perimenopausal or post-menopausal. ‌Severe Ovarian Torsion If you have a fever, your ovary may be necrotic and will need to be removed. This is considered a severe case and you must seek treatment immediately. You may also experience abnormal bleeding from your vagina, as well as discharge. If your abdomen or pelvic area is rigid or in pain when you stop touching your abdomen, you may already have a necrotic ovary. Your doctor may do a pelvic exam to feel for other problems and tenderness. Who is Most Likely to Experience Ovarian Torsion? Ovarian torsion is most likely to happen to women during their reproductive years. However, it can also occur in children and women who are post-menopausal. Pregnancy can also put you at risk. Roughly 20% of ovarian torsion cases occur in pregnant women. Women who are on fertility or hormone treatments can also be at risk since hormonal medication can cause cysts to grow on your ovaries. These cysts and masses can put your ovaries at a higher risk for twisting around themselves. Treating Ovarian Torsion Surgery is the only treatment for ovarian torsion. Your doctor will recommend one of the following two surgeries. Laparoscopic Surgery – Laparoscopic surgery is considered minor. Your doctor will make an incision in your abdomen and insert a thin tube with a camera on the end called a laparoscope. He or she will then untwist the ovary and if necessecary, will untwist your fallopian tube, too. ‌ Laparotomy Surgery – Laparotomy surgery is an open surgery. This type of surgery is more invasive and requires anesthesia and an overnight stay. This surgery is performed by making an incision in your abdomen and assessing your reproductive organs. If possible, any present masses will be untwisted and removed.‌ If you experience severe ovarian torsion, meaning your blood supply was cut off from your fallopian tubes or ovaries, they will most likely need to be removed.  ‌Seek Immediate Medical Attention if You Suspect Ovarian Torsion If you experience sudden abdominal or pelvic pain, seek immediate medical attention, as you could be experiencing ovarian torsion. Seeking help immediately will not only help relieve your pain quicker, but it may also keep you from having to get your reproductive organs removed. Ovarian torsion can happen at any age. Thankfully, Lucy received help immediately and was successfully treated. Our board-certified OB/GYNs can help if you suspect any issues. Make an appointment today by calling 770.720.7733 or request an appointment online.

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