Author name: Diane

Sex should be pleasurable, not painful. Yet for many women, discomfort during intimacy is an unwelcome reality. One potential cause that often goes undetected is pelvic inflammatory disease (PID), an infection that can seriously affect your reproductive health and sexual well-being. At Cherokee Women’s Health Specialists, we believe that understanding the signs of PID is the first step toward protecting your health and reclaiming comfort in your intimate life. What is PID? Pelvic inflammatory disease is an infection of the female reproductive organs, including the uterus, fallopian tubes, and ovaries. It often develops from untreated sexually transmitted infections (STIs) like chlamydia or gonorrhea. However, other bacteria can also cause PID. Left untreated, PID can cause scarring, chronic pelvic pain, infertility, and an increased risk of ectopic pregnancy. How PID Causes Painful Sex Painful sex, or dyspareunia, is a common symptom of PID. Here’s why: Inflammation: Infection causes swelling and tenderness in reproductive tissues, making penetration painful. Scarring: PID can lead to scar tissue formation around pelvic organs, which may tug or pull during sex. Pelvic pain: Even gentle pressure during intercourse can trigger discomfort if inflammation or infection is present. Emotional distress: The fear of pain can create anxiety around intimacy, compounding the problem. Other Signs of PID Painful sex isn’t the only warning sign. Other symptoms may include: Lower abdominal pain or cramping Unusual vaginal discharge with an unpleasant odor Fever and chills Painful urination Irregular menstrual bleeding Fatigue Sometimes, PID can be “silent,” showing few or no symptoms until significant damage has occurred. That’s why regular gynecologic care is crucial. When to See an OB/GYN Seek medical attention right away if you experience: Severe pelvic pain Persistent pain during sex Fever over 101°F Foul-smelling discharge Painful urination or bowel movements Early treatment can prevent long-term complications, including chronic pain and infertility. How We Can Help At Cherokee Women’s Health Specialists, our experienced OB/GYNs provide expert diagnosis and treatment for PID. We offer: Comprehensive pelvic exams and testing for infections Antibiotic treatment for PID Evaluation for long-term complications like scarring or infertility Compassionate counseling about sexual health and STI prevention We know conversations about sexual health can feel uncomfortable, but your health, comfort, and fertility are too important to ignore. Don’t Ignore Painful Sex If sex has become painful, it’s not something you should “just live with.” PID is one of many possible causes, and finding answers can help protect your reproductive health and restore comfort and confidence in your intimate life. Contact us today at 770720.7733 or simply schedule an appointment online. Let’s get you back to feeling your best.

Sexual health is an important part of a woman’s overall well-being, but it’s not uncommon for women to experience changes in sexual function as they age. One concern we often hear at Cherokee Women’s Health Specialists is pain during sex, especially after age 40. Many women wonder: Is this normal, or could it be a sign of something more serious? Why Sex May Become Painful After 40 Several factors can contribute to painful sex (called dyspareunia) as women approach midlife: Perimenopause and Menopause: As estrogen levels decline, vaginal tissues become thinner, less elastic, and drier. This can make intercourse uncomfortable or even painful. Hormonal Changes: Shifting hormone levels can affect libido, arousal, and natural lubrication. Pelvic Floor Disorders: Conditions such as pelvic organ prolapse or muscle tension can cause discomfort during intercourse. Medical Conditions: Endometriosis, fibroids, ovarian cysts, or infections can cause pain during sex. Emotional Health: Stress, anxiety, and past trauma can contribute to sexual pain. When Painful Sex Is Not “Normal” While occasional discomfort may simply be related to hormonal changes or temporary dryness, pain that is persistent, severe, or worsening is not normal and should be evaluated. Seek medical care if: Pain happens every time you have sex You experience bleeding, unusual discharge, or other symptoms Pain lingers after intercourse Your sex drive has decreased due to fear of pain You feel a mass, pressure, or bulging in the vagina Sex was previously comfortable but is now painful These could be signs of underlying conditions that need medical attention—and the good news is, many are treatable. Solutions Are Available At Cherokee Women’s Health Specialists, we understand how painful sex can affect your physical health, emotional well-being, and relationships. Our board-certified OB/GYNs and double board-certified urogynecologists offer comprehensive evaluation and treatment options, including: Hormone therapy or vaginal estrogen Medications for infections or inflammation Pelvic floor physical therapy Minimally invasive surgery for certain conditions Vaginal rejuvenation treatments for dryness and tissue health Counseling or sex therapy referrals for emotional support Don’t Suffer in Silence Painful sex after 40 doesn’t have to be your new normal. If you’re experiencing discomfort, talk with one of our caring providers. Together, we’ll determine the cause and find solutions so you can enjoy a healthy, comfortable, and fulfilling sex life at every age. Call us today at 770.720.7733 or schedule an appointment online today at either our Woodstock or Canton location.

Endometriosis is a condition that can cause significant pain, heavy periods, and even infertility, yet many women don’t realize how common it truly is. At Cherokee Women’s Health Specialists, we believe that understanding your risk is a crucial step toward receiving the care and relief you deserve. So, just how common is endometriosis? Let’s take a closer look. How Many Women Have Endometriosis? It’s estimated that about 1 in 10 women of reproductive age, roughly 10%, are affected by endometriosis. That means millions of women in the U.S. alone live with this chronic condition. However, the true number may be even higher because: Many women are misdiagnosed or go undiagnosed for years. Symptoms can be mistaken for other conditions, like irritable bowel syndrome (IBS) or pelvic inflammatory disease (PID). Some women have few or no symptoms, making diagnosis less likely. Who is at Risk for Endometriosis? While any woman can develop endometriosis, certain factors may increase your risk: Family history – Having a mother, sister, or other close relative with endometriosis increases your chances of developing it yourself. Age – Endometriosis is most common in women in their 20s, 30s, and 40s, but it can begin as early as the teenage years. Starting your period at a young age Short menstrual cycles (less than 27 days) Heavy periods that last more than 7 days Never having given birth – Women who haven’t had children appear to be at higher risk, although endometriosis also affects many women who have had children. Health conditions – Certain conditions, such as autoimmune diseases, may be more common in women with endometriosis, though researchers are still studying these connections. Common Symptoms of Endometriosis Understanding your risk means knowing what to watch for. Common symptoms include: Painful periods (cramps that don’t improve with medication) Pain during sex Chronic pelvic pain Heavy menstrual bleeding Painful bowel movements or urination, especially during your period Difficulty getting pregnant Remember: Painful periods are not “just part of being a woman.”  If your pain interferes with daily life, it’s time to talk to a specialist. How is Endometriosis Diagnosed? Diagnosis often starts with a thorough discussion of your symptoms, followed by a pelvic exam and sometimes imaging tests. The only way to confirm endometriosis definitively is through laparoscopy, a minimally invasive surgical procedure that allows your doctor to see and sometimes remove endometrial tissue. Don’t Ignore Your Symptoms Many women live for years without a diagnosis, believing their pain is normal. But endometriosis is a real medical condition, and help is available. At Cherokee Women’s Health Specialists, our team of OB/GYNs has extensive experience diagnosing and treating endometriosis. We’re here to listen to your concerns and help you find relief so you can live life to the fullest. If you’re experiencing symptoms or want to better understand your risk for endometriosis, call us today at 770.720.7733 or schedule an appointment online. Early diagnosis and treatment can make a world of difference.

Endometriosis affects many aspects of a woman’s life, including intimacy. Painful sex, known as dyspareunia, is one of the most common and distressing symptoms women with endometriosis experience. At Cherokee Women’s Health Specialists, we understand how deeply this can impact both physical and emotional well-being. If sex has become painful for you, know that you’re not alone and that help is available. Why Does Endometriosis Cause Painful Sex? Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus, causing inflammation, scar tissue, and sometimes cysts. Several factors can contribute to pain during intercourse: Deep Implants and Inflammation – Endometriosis lesions often grow behind the uterus, on ligaments, or near pelvic organs. During intercourse, pressure or movement in these areas can cause sharp or deep pain. Scar Tissue and Adhesions – Scar tissue, known as adhesions, can form between organs. This may limit mobility of pelvic structures, making sexual activity uncomfortable or painful. Ovarian Endometriomas – Cysts filled with endometrial tissue can form on the ovaries. These cysts can cause tenderness and pain, especially with penetration. Pelvic Floor Muscle Tension – Chronic pain from endometriosis may cause pelvic floor muscles to tighten reflexively, leading to further discomfort during sex. Emotional and Psychological Impact – Painful sex can lead to fear, anxiety, and stress about intimacy. This emotional distress may, in turn, heighten physical pain. How Does Pain Feel During Sex? Pain from endometriosis can vary. Some women describe: Sharp or stabbing pain deep in the pelvis Aching or burning sensations Pain during penetration Pain lasting for hours or days after sex The pain might be constant or occur only in certain sexual positions. Finding Relief: Treatment Options The good news is that help is available. Treatment for painful sex due to endometriosis is personalized and may include: Medical Treatments Hormonal Therapies – Birth control pills, hormonal IUDs, or medications can reduce endometrial growths and inflammation. Pain Medications – NSAIDs may help manage pain before and after sexual activity. Surgical Treatment Laparoscopic Surgery – Removing endometrial implants, cysts, and adhesions may significantly reduce pain for many women. Pelvic Floor Physical Therapy A specialized physical therapist can help relax pelvic floor muscles, reduce pain, and improve comfort during sex. Lifestyle and Self-Care Using lubrication to reduce friction Exploring sexual positions that cause less pressure Engaging in relaxation techniques to manage anxiety Having open communication with your partner about comfort and boundaries Emotional Support Chronic pain and painful sex can take a toll on mental health. Counseling or sex therapy can be valuable in addressing emotional impacts and restoring intimacy. You Deserve Relief Painful sex is not something you have to “just live with.” If you’re experiencing discomfort during intercourse, we encourage you to talk openly with your doctor. Early diagnosis and treatment of endometriosis can help you reclaim comfort and intimacy. At Cherokee Women’s Health Specialists, we’re here to listen without judgment and offer compassionate, expert care to help you feel your best, both physically and emotionally. Contact us today at 770.720.7733 or schedule an appointment online to take the first step toward relief from painful sex and endometriosis.

Does diet affect endometriosis? Endometriosis affects millions of women worldwide, causing pain, heavy periods, and even fertility challenges. While medical treatments and surgery often play a crucial role in managing this chronic condition, many women wonder if diet can make a difference. At Cherokee Women’s Health Specialists, we’re committed to empowering women with knowledge and various options to improve their health. Let’s explore what the research says about how what you eat may impact endometriosis symptoms. Understanding Endometriosis Endometriosis occurs when tissue similar to the lining of the uterus grows outside of the uterus, often causing inflammation, pain, and scar tissue. Common symptoms include: Pelvic pain Painful periods Pain during sex Heavy bleeding Digestive issues Difficulty getting pregnant While there’s no cure for endometriosis, many women seek ways to reduce inflammation and manage symptoms, including changes to their diet. How Diet Might Impact Endometriosis Although diet won’t eliminate endometriosis, certain foods may help reduce inflammation and ease some symptoms, while others could potentially worsen them. Foods That May Help Fruits and Vegetables Rich in antioxidants, fiber, and essential vitamins, these can help fight inflammation. Dark leafy greens, berries, broccoli, and citrus fruits are great choices. Omega-3 Fatty Acids Found in fatty fish, like salmon. Omega 3s are also found in walnuts, chia seeds, and flaxseeds. Omega-3s have anti-inflammatory properties that may be beneficial. Whole Grains Whole grains like brown rice, quinoa, and oats provide fiber, which may help with digestion and hormone balance. Lean Proteins Skinless poultry, legumes, and plant-based proteins can support overall health without excess saturated fat. Foods to Consider Limiting Red and Processed Meats Some studies suggest that high consumption of red meat may be linked to increased endometriosis risk. Trans Fats Found in some fried and processed foods, trans fats may promote inflammation. Caffeine and Alcohol For some women, excessive caffeine and alcohol can worsen symptoms or trigger flares. High-Sugar and Highly Processed Foods These can contribute to inflammation and hormone imbalances. Managing Endometriosis: An Individual Approach It’s important to remember that endometriosis affects each woman differently. What works for one person may not work for another. A personalized approach, guided by your doctor or a registered dietitian, can help you discover which dietary changes might be beneficial for you. Keeping a food and symptom diary can also help identify any specific food triggers. When to See a Specialist If you’re experiencing symptoms of endometriosis or struggling to manage your condition, you’re not alone. Our experienced team at Cherokee Women’s Health Specialists is here to help you explore all treatment options, from medical therapies and minimally invasive surgery to lifestyle strategies like nutrition guidance. Together, we’ll help you find relief and improve your quality of life. Contact us today at 770.720.7733 or simply schedule an appointment online to learn how we can help you manage endometriosis and feel your best.