Diane, Author at Cherokee Women's Health - Page 2 of 59

Author name: Diane

OB Education

How Midwives Provide a Positive Experience for Mothers

Midwives offer a personalized, positive experience for mothers. When it comes to childbirth, expectant mothers have various options for their care. Two of the most common providers are midwives and OB/GYNs. While both professions offer safe and effective care during pregnancy and childbirth, midwives often create a more personalized and supportive experience for mothers. This article explores how midwives contribute to a positive birthing experience, focusing on factors such as personalized care, emotional support, holistic approaches, and the overall birthing environment. Personalized Care One of the primary benefits of choosing a midwife is the highly personalized care they offer. Midwives typically spend more time with their patients during prenatal visits, taking the time to listen to their concerns and preferences. With extended consultations, midwives can build a deeper relationship with the mother, helping her feel comfortable and empowered throughout her pregnancy. Midwives often take a “whole-person” approach to pregnancy, addressing not just the physical aspects but also the emotional, mental, and spiritual well-being of the mother. This individualized attention fosters a sense of trust and collaboration, allowing mothers to actively participate in decision-making about their birthing plan. Many women appreciate the autonomy and respect for their choices, which contributes to a more satisfying pregnancy and birth experience. Emotional Support and Connection Midwives are known for their emphasis on emotional and psychological support. During labor, midwives typically remain present with the mother throughout the entire process, offering continuous encouragement, guidance, and reassurance. This level of support is particularly valuable for women who want a more natural birth experience, as midwives help mothers stay calm, relaxed, and focused. In contrast, OB/GYNs, due to their medical responsibilities, may only be present for the critical stages of labor or delivery. While they are highly skilled in handling complications or emergencies, OB/GYNs might not provide the same continuous emotional support as midwives. Many women report feeling more comfortable and less anxious when they have a trusted midwife by their side during labor, as the midwife can create a nurturing and compassionate atmosphere. Holistic and Natural Approach to Childbirth Midwives tend to emphasize a more natural and holistic approach to childbirth, promoting practices that align with the mother’s preferences for minimal medical intervention. Midwives often encourage low-intervention births when it is safe and appropriate. This might include allowing labor to progress naturally without the routine use of interventions like epidurals, inductions, or C-sections, which are more common in hospital settings with OB/GYNs. For mothers who prefer a birth that emphasizes natural pain management techniques, such as breathing exercises, massage, or water births, midwives offer invaluable guidance and support. Many midwives are also knowledgeable about alternative therapies, such as acupuncture or aromatherapy, which can enhance the birthing experience without the need for medication. On the other hand, OB/GYNs, who are highly trained surgeons, often work in hospital settings where medical interventions are readily available. In certain situations, they are medically necessary but can be stressful to the mother. A Calmer, Less Clinical Environment Midwives frequently attend births in environments, such as birthing centers, that are designed to feel less clinical and more comforting. These settings often provide a more relaxed and intimate atmosphere compared to the sterile and sometimes intimidating environment of a hospital. The comfort of being in a familiar space, combined with the presence of a trusted midwife, can make a significant difference in the mother’s overall experience of childbirth. OB/GYNs generally practice in hospital settings, which are equipped to handle emergencies but can feel impersonal or stressful. Some mothers may feel anxious in a hospital environment due to its clinical nature, frequent interruptions, and the presence of numerous medical staff. The more controlled and private setting offered by midwives can create a calmer, more positive birthing experience. Weather You Choose a Midwife or an OB/GYN, We’re Here For You While both midwives and OB/GYNs are highly skilled professionals dedicated to ensuring a safe and healthy pregnancy, many mothers find that midwives offer a more personalized, emotionally supportive, and holistic approach to childbirth. With an emphasis on natural birthing methods, emotional connection, and continuity of care, midwives provide a nurturing environment that empowers mothers to take an active role in their birthing experience. For mothers seeking a more intimate, less medicalized approach to childbirth, midwifery care can offer a uniquely positive and fulfilling experience. Our midwives and OB/GYNs are here for you to ensure a safe and healthy pregnancy journey. Call us today at 770.720.7733 or schedule an appointment online at either our Canton or Woodstock location.

OB Education

TOLAC: Trial of Labor After Cesarean Delivery

TOLAC, known as a trial of labor after cesarean is when a woman has had a previous cesarean section (C-section) but wishes to try for a vaginal birth in a subsequent pregnancy. This option allows mothers to attempt a vaginal birth after cesarean (VBAC). However, deciding to go through TOLAC is a personal choice that requires careful consideration of risks, benefits, and guidance from healthcare providers. In this article, we will explore TOLAC in detail, breaking it down into key aspects that mothers and families need to consider. Understanding TOLAC and Its Purpose TOLAC refers to an attempt to deliver vaginally after a previous C-section. Many women who have had C-sections can be candidates for TOLAC, and successful TOLAC results in what’s known as a vaginal birth after cesarean (VBAC). The main motivation behind TOLAC is to avoid the surgical recovery of a repeat C-section and to experience vaginal birth, which may offer shorter recovery times, less pain, and fewer long-term risks like infection or blood clots. However, not all women are eligible for TOLAC. Healthcare providers evaluate a woman’s medical history, including the reason for the previous C-section and any complications that may have occurred. The type of incision made during the previous C-section is also critical; a low transverse incision is generally safer for TOLAC than a classical vertical incision. Benefits of TOLAC There are several advantages to TOLAC for those who are eligible: Avoidance of Major Surgery: Vaginal birth avoids the need for another abdominal surgery, reducing the risks associated with surgical procedures, such as infections, blood loss, and anesthesia complications. Shorter Recovery Time: Recovery from a vaginal birth is typically faster than from a C-section, allowing mothers to resume normal activities and care for their newborn more quickly. Lower Risk of Complications in Future Pregnancies: Women who have multiple C-sections are at a higher risk for complications like placenta previa and placenta accreta in future pregnancies. VBAC through TOLAC can help reduce these risks. Additionally, for women who wish to have larger families, avoiding repeated C-sections may be beneficial, as multiple surgeries increase the risk of uterine scarring, which can complicate future pregnancies. Risks and Considerations  While TOLAC can be beneficial, it does come with certain risks, which is why it’s not an option for every woman. The most significant risk is uterine rupture, where the scar from the previous C-section tears during labor. Though rare, uterine rupture can lead to serious complications for both mother and baby, including severe bleeding and the need for an emergency C-section. Other considerations include: Unsuccessful TOLAC: If the labor does not progress well, a repeat C-section may be required. This scenario can increase the risks of complications because an emergency C-section is often more complex than a planned one. Hospital and Provider Requirements: Not all hospitals or doctors are equipped to handle VBACs. Facilities must have the ability to perform an emergency C-section if needed, which may limit options depending on where a woman lives. It’s important for women to consult their healthcare providers, discuss their medical history, and consider whether TOLAC is the right choice for them. Who Is a Good Candidate for TOLAC? Several factors make a woman a good candidate for TOLAC. These include: A Previous Low Transverse Uterine Incision: As mentioned earlier, the type of incision matters. A horizontal cut on the lower part of the uterus is less likely to rupture during labor compared to a vertical incision. No History of Uterine Rupture or Other Complications: Women who have previously experienced uterine rupture or certain other complications during pregnancy may not be suitable candidates for TOLAC. Healthy Pregnancy and Baby: A woman’s current pregnancy health plays a role in determining whether TOLAC is a safe option. If there are any complications like placental issues or the baby is not positioned well, a repeat C-section may be a safer choice. In Summary TOLAC is an option that allows women to pursue a vaginal birth after a previous C-section. It comes with several benefits, including shorter recovery time and lower risks of surgical complications in future pregnancies. However, it’s essential to be aware of the risks, such as uterine rupture, and to carefully evaluate one’s individual health and medical history. Discussing the option with healthcare providers can help mothers make an informed decision that prioritizes both their safety and the health of their baby. We’re Here For You Our OB/GYNs are here for you to ensure a safe and healthy pregnancy journey. Call us today at 770.720.7733 or schedule an appointment online at either our Canton or Woodstock location.

OB Education

Inducing Labor and the Various Methods

Your OB/GYN may have talked to you about the possibility of inducing labor but why is it done and what are the various methods? Labor induction refers to medical or non-medical interventions to stimulate labor in pregnant women. These methods are used when there is a medical necessity or when pregnancy extends beyond the due date. Induction can be performed using a variety of techniques, and the choice of method depends on factors such as the mother’s health, the baby’s condition, and the cervix’s readiness for labor. 1. Membrane Sweeping (or Stripping) Method: Membrane sweeping is a common method of labor induction in which a healthcare provider manually separates the amniotic sac from the uterine wall by inserting a gloved finger into the cervix. This action releases prostaglandins, hormones that can soften the cervix and stimulate contractions. When it is used: Membrane sweeping is typically offered after 39 weeks of pregnancy, particularly if the cervix is slightly dilated. This procedure is considered one of the least invasive methods and is often used before other medical interventions. It is generally performed to help avoid more intensive medical inductions and is recommended for women at low risk for complications. Risks: Though it is minimally invasive, membrane sweeping may cause discomfort, cramping, or light bleeding. It is generally safe but should be avoided in women with certain conditions, such as placenta previa (where the placenta covers the cervix). 2. Medications: Prostaglandins and Oxytocin a. Prostaglandin Gels or Tablets Method: Prostaglandins, applied either as a gel or tablets placed in the vagina or taken orally, help ripen the cervix and prepare it for labor. These hormones are naturally produced in the body but can be administered medically to soften the cervix, making it easier to dilate. When it is used: Prostaglandins are used when the cervix is not ready for labor, particularly if the cervix is firm or only slightly dilated. It is a common approach for pregnancies beyond 41 weeks, preeclampsia (a pregnancy complication characterized by high blood pressure), or in cases where the mother’s or baby’s health may benefit from earlier delivery. Risks: While generally effective, prostaglandins can cause strong contractions, which may lead to fetal distress or uterine hyperstimulation (excessively strong or frequent contractions). b. Oxytocin (Pitocin) Method: Oxytocin is a hormone that induces labor by stimulating uterine contractions. It is administered through an intravenous (IV) line and can be adjusted based on the intensity of contractions. When it is used: Oxytocin is frequently used if labor does not progress naturally, if contractions slow down, or after the water breaks without subsequent contractions. This method is particularly helpful when the cervix is already dilated, and the goal is to strengthen and regularize contractions. Risks: While oxytocin is effective in most cases, it can sometimes cause overly strong contractions that increase the risk of fetal distress or uterine rupture, especially in women with prior uterine surgery or C-sections. Continuous fetal monitoring is often required during this method of induction. 3. Mechanical Methods: Balloon Catheters Method: A balloon catheter, also known as a Foley catheter, is inserted into the cervix. The balloon is then inflated to put pressure on the cervix, encouraging it to soften, thin out, and dilate. When it is used: Mechanical methods are often employed when medications are not suitable or in conjunction with prostaglandins or oxytocin. They are used when the cervix is not yet favorable for labor, typically for women overdue or with medical conditions that require a more controlled approach to induction. Balloon catheters are also a safe option for women with a higher risk of uterine hyperstimulation, such as those with a previous C-section. Risks: Balloon catheters are generally considered safe, with lower risks of uterine overstimulation. However, discomfort during insertion, cramping, and vaginal bleeding are common side effects. Infection is a potential, though rare, risk. 4. Amniotomy (Breaking the Water) Method: Amniotomy involves the intentional breaking of the amniotic sac (bag of waters) to induce or speed up labor. A healthcare provider uses a small hook-like instrument to rupture the membrane. When it is used: This method is often used when the cervix is dilated, but contractions are not strong or frequent enough to progress labor. It can be combined with other induction methods, such as oxytocin. Amniotomy is also employed in situations where labor needs to be closely managed, such as in cases of fetal distress or maternal hypertension. Risks: Once the amniotic sac is ruptured, labor must occur within a certain timeframe to avoid infection. Additionally, if the baby’s head is not properly engaged in the pelvis, there is a risk of umbilical cord prolapse, a dangerous situation where the cord slips through the cervix ahead of the baby. 5. Natural Methods Method: Some women attempt natural labor induction methods, including walking, nipple stimulation, consuming certain foods (such as spicy foods), or using herbal supplements. These methods aim to encourage contractions or stimulate the release of oxytocin naturally. When it is used: These are usually tried by women who are nearing or past their due date and wish to avoid medical induction. However, there is limited scientific evidence supporting the effectiveness of most natural methods. Risks: While generally safe, some herbal supplements or home remedies can cause complications, particularly if taken in excessive amounts. It’s always essential to consult a healthcare provider before trying any natural induction method. We’re Here For You The decision to induce labor depends on several factors, including the mother’s and baby’s health, the progress of the pregnancy, and the readiness of the cervix. While some methods like membrane sweeping or natural methods are less invasive, others, like medications or amniotomy, involve more medical intervention. The risks and benefits of each method must be carefully considered under the guidance of a healthcare provider. Our board-certified OB/GYNs are here for you. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems Patient Stories

Overcoming Vaginal Dryness: Maria’s Story

Vaginal dryness was the furthest thing from Maria’s mind. Yet, as she neared her late 40s, Maria began to encounter an unsettling health issue that gradually eroded her quality of life. The Onset of Symptoms Maria initially dismissed the symptoms of vaginal dryness as a minor irritation. The discomfort started subtly, perhaps triggered by a change in detergent or an unusually stressful period at work. However, the issue quickly intensified. Simple activities such as walking or sitting for long periods became increasingly uncomfortable, and she was experiencing painful sex with her partner. The once joyful moments of intimacy and connection became a source of distress, leading Maria to withdraw from both social and personal activities she once cherished. Seeking Professional Help After months of enduring discomfort and growing anxiety, Maria decided it was time to consult a gynecologist. She was referred to Dr. Lisa McLeod of Cherokee Women’s Health Specialists, an OB/GYN known for her compassionate and effective approach to women’s health issues. Maria’s appointment was a blend of relief and trepidation. Discussing such a personal issue was daunting, but Dr. McLeod’s empathetic and reassuring manner quickly eased her concerns. Diagnosis and Understanding Dr. McLeod diagnosed Maria with vaginal atrophy, a common condition associated with menopause characterized by the thinning and dryness of vaginal tissues. She explained that this condition results from decreased estrogen levels, leading to the symptoms Maria was experiencing. Dr. McLeod’s explained that Maria’s condition was both treatable and manageable. Treatment Options: A Path to Relief Dr. McLeod proposed a multifaceted treatment plan to address Maria’s symptoms: Local Estrogen Therapy: Applying directly to the vaginal area, estrogen cream is a localized treatment aimed to restore moisture and elasticity to the vaginal tissues without the systemic effects of oral estrogen. Lubricants: To further alleviate discomfort during intercourse, Dr. McLeod suggested using water-based lubricants. This simple addition could significantly enhance Maria’s comfort. Pelvic Floor Exercises: Kegel exercises were also recommended.  These exercises help strengthen the pelvic muscles, potentially improving muscle tone and reducing discomfort. Maria left her appointment with a renewed sense of hope and a clear treatment plan. She diligently followed the prescribed regimen, applying the estrogen cream as directed, using lubricants during intimacy, and performing pelvic floor exercises regularly. The commitment to her treatment began to yield positive results. Positive Outcomes and Renewed Confidence Over the following weeks, Maria experienced substantial relief from her symptoms, and Maria’s intimate relationship with her partner improved, as the renewed comfort allowed for a deeper connection and intimacy. Maria’s confidence and mood also saw significant improvement. The successful management of her symptoms empowered her, enabling her to reclaim her vitality and actively engage in her social and personal activities once more. Maria continued to attend follow-up appointments with Dr. McLeod, who monitored her progress and made necessary adjustments to her treatment plan. The supportive and collaborative approach between Maria and her OB/GYN played a crucial role in her successful journey to recovery. We Can Help You Through the expertise and compassionate care of her OB/GYN, Maria was able to navigate the challenges of vaginal dryness and emerge with renewed vitality and well-being. Her experience underscores the importance of seeking professional help and embracing a comprehensive treatment approach to overcome health challenges and restore one’s quality of life. If you’re experiencing vaginal dryness, we can help. Call us today at 770.720.7733 or simply schedule an appointment online.

OB Patient Stories

Coping with Postpartum Incontinence: Elle’s Story

Shortly after the birth of her first child, Elle began to experience incontinence, an issue she’d never faced before having a baby. What started as a small annoyance when she sneezed or coughed soon turned into a more frequent issue. She was leaking urine unexpectedly. Whether she was walking, laughing, or simply standing up too quickly, she couldn’t always control her bladder. For Elle, this unexpected postpartum symptom became a major source of stress and embarrassment. Incontinence, the involuntary leakage of urine, is common after childbirth. For Elle, this was an unexpected development. She hadn’t heard other moms talking about it much, and at first, she felt alone in her struggle. “No one told me this would happen,” she thought, wondering why her body didn’t seem to work the way it used to. But the truth is, Elle wasn’t alone, and her experience is one shared by many new mothers. Why Incontinence is Common After Childbirth Incontinence after childbirth occurs for several reasons. The process of pregnancy itself, as well as vaginal delivery, can weaken the pelvic floor muscles and nerves that help control bladder function. During pregnancy, the growing uterus puts pressure on the bladder, and this pressure continues to increase as the baby grows. Moreover, the hormonal changes during pregnancy also cause the pelvic tissues to become more relaxed and stretchy, preparing the body for childbirth but weakening its support structures in the process. Elle delivered her baby vaginally, which is one of the most significant factors contributing to postpartum incontinence. The act of pushing during labor can overstretch and even damage the muscles and nerves that support the bladder. Additionally, childbirth can strain or even injure the pelvic floor muscles. For some women, like Elle, this damage results in stress incontinence—the leakage of urine during moments of physical exertion, such as sneezing, coughing, or lifting heavy objects. Others might experience urge incontinence, a sudden and intense need to urinate, even if the bladder isn’t full. In Elle’s case, the postpartum period brought a mix of stress and self-consciousness. Every time she laughed or picked up her baby, she worried about an accident. In public, she was constantly on edge, fearing she might leak in front of others. The added strain of managing her incontinence while taking care of a newborn began to affect her mental health. She felt isolated and ashamed, even though incontinence after childbirth is incredibly common. Managing Postpartum Incontinence Fortunately, there are several ways to manage postpartum incontinence, and with time, many women see improvement. For Elle, the first step was acknowledging the problem and seeking help. At her postpartum check-up with her OB/GYN, Dr. Lisa McLeod of Cherokee Women’s Health Specialists, she mustered the courage to tell her about the incontinence. She was relieved to learn that it’s not only common but also treatable. Her doctor explained that many women regain full bladder control with the right interventions and support. Some of those interventions include: Kegels: One of the most effective ways to manage postpartum incontinence is through pelvic floor exercises, commonly known as Kegels. These exercises help strengthen the muscles that control urination. Dr. McLeod referred her to a pelvic floor physical therapist, who guided her through these exercises and other techniques to rebuild her pelvic strength. While it took time and consistent effort, Elle began to notice improvement within a few weeks. Bladder Training: Aside from pelvic floor exercises, there are other strategies for managing incontinence. Elle’s therapist recommended practicing bladder training, which involves setting a schedule for bathroom breaks and gradually extending the time between them to retrain the bladder. She also made lifestyle changes, such as reducing her intake of caffeine and drinking plenty of water in smaller amounts throughout the day, which helped reduce the sudden urgency to urinate. Medication or Surgery: In some cases, Dr. McLeod shared that women may need additional treatment, such as medication or surgery, if the incontinence doesn’t improve with these initial measures. But for Elle, non-surgical options worked well enough to help her regain confidence and control. She felt empowered after understanding that this condition was neither a failure of her body nor an irreversible change. It was simply one of the many challenges of the postpartum journey. Looking Forward As Elle’s daughter grew, so did her strength—both physically and mentally. Incontinence was no longer a source of shame for her, but a reminder of the resilience of her body. She began sharing her experience with other new mothers, determined to break the silence around postpartum incontinence and to let other women know they weren’t alone. By seeking help and taking steps to manage her symptoms, Elle regained her confidence and her life. While her body had changed after childbirth, she learned that those changes could be managed, and she could thrive as a new mother without being defined by postpartum incontinence. Elle’s challenge with postpartum incontinence underscores that, with the right medical support, women can overcome health challenges and return to their vibrant, fulfilling lives. If you’re experiencing incontinence, we’re here to help you. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems Patient Stories

Sue’s Journey Through Menopause and Incontinence

Sue didn’t realize there was a link between menopause and incontinence. Not until she entered menopause at 52. Known for her dynamic career and active lifestyle, Sue had always prided herself on her ability to juggle her professional responsibilities with a fulfilling personal life, including frequent hikes and regular social engagements. However, as she entered menopause, she began experiencing a distressing issue: urinary incontinence. This new challenge not only disrupted her daily routine but also impacted her confidence and quality of life. What’s Happening? Sue’s journey with incontinence began gradually. Initially, she noticed occasional leaks when she laughed or coughed, which she attributed to simple aging. However, as her menopause progressed, the frequency and severity of her symptoms increased. Sue found herself needing to visit the restroom more often, and she experienced a sudden, intense urge to urinate that sometimes led to involuntary leakage. The unpredictability of these symptoms made her anxious about leaving home and participating in activities she once enjoyed. The impact on Sue’s life was profound. She began avoiding social gatherings and outdoor activities, worried about potential accidents and the embarrassment that might follow. Her active lifestyle was curtailed, and she felt a growing sense of frustration and isolation. The issue began affecting her work as well, with frequent restroom breaks disrupting her focus and productivity. Seeking Professional Help Recognizing that her symptoms were not improving on their own, Sue decided to seek help from Dr. James Haley, a well-regarded OB/GYN with Cherokee Women’s Health Specialist, known for his expertise in managing menopause-related issues and incontinence. During her initial consultation, Sue was relieved to find a compassionate and empathetic approach. Dr. Haley conducted a thorough evaluation, including a detailed medical history and a physical examination. He explained that Sue’s incontinence was likely related to the hormonal changes associated with menopause, specifically the decline in estrogen levels that affect the pelvic tissues and bladder function. Treatment Options and Management Dr. Haley outlined a comprehensive treatment plan to address Sue’s incontinence. The plan was tailored to Sue’s specific symptoms and lifestyle needs: Hormone Replacement Therapy (HRT): Dr. Haley recommended Hormone Replacement Therapy to help restore estrogen levels and improve the health of the pelvic and urethral tissues. HRT can alleviate symptoms by addressing the hormonal imbalances that can contribute to incontinence. Various forms of HRT were discussed, including oral tablets, patches, and vaginal rings. Pelvic Floor Exercises: Recognizing the importance of strengthening the pelvic floor muscles, pelvic floor exercises, such as Kegels, were recommended. These exercises involve repeatedly contracting and relaxing the muscles that support the bladder and pelvic organs. Sue was given detailed instructions and was encouraged to work with a physical therapist specializing in pelvic health for optimal results. Bladder Training: To help manage urgency and frequency, a bladder training regimen was recommended. This involved gradually increasing the time between restroom visits to help Sue gain better control over her bladder and reduce the urgency that led to leakage. Lifestyle Modifications: Dr. Haley advised Sue to make certain lifestyle changes to manage her symptoms. Reducing caffeine and alcohol intake, maintaining a healthy weight, and staying hydrated were among the recommendations. Dr. Haley also emphasized the importance of wearing breathable cotton underwear and avoiding products that could irritate the vaginal area. Medications: For additional symptom management, medications were prescribed to address Sue’s specific type of incontinence. Anticholinergic drugs were used to manage urgency, while topical estrogen therapy was applied to improve tissue health and support bladder function. Follow-Up and Monitoring: Regular follow-up appointments were scheduled to monitor Sue’s progress and make any necessary adjustments to her treatment plan. This ongoing support helped ensure that her symptoms were managed effectively and that she received the best possible care. Results and Recovery Sue began to notice significant improvements in her symptoms. The combination of HRT, pelvic floor exercises, and lifestyle changes helped restore her confidence and quality of life. She gradually resumed her active lifestyle, participating in social events and outdoor activities without the constant worry of incontinence. Sue’s journey underscores that, with the right medical support, women can overcome health challenges and return to their vibrant, fulfilling lives. If you’re experiencing symptoms related to menopause and incontinence, we can help. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems Patient Stories

How Vaginal Infections Impacted Sarah’s Life

Vaginal infections would plague Sarah for years until she finally sought treatment at Cherokee Women’s Health Specialists. Sarah, a 34-year-old customer service rep and mother of one, was known for her energetic spirit and optimistic outlook. Balancing a demanding career and family life, she was always on the go. However, Sarah’s vibrant life was disrupted when she began experiencing troubling symptoms that led her to seek medical help. The Onset of Symptoms It all began with a persistent itch and discomfort in her vaginal area. Initially, Sarah dismissed these symptoms, attributing them to a possible reaction to a new laundry detergent or a minor irritation. But as weeks went by, the symptoms worsened. Sarah experienced increasing itching, a noticeable discharge, and a burning sensation, particularly during urination and intercourse. The discomfort became so severe that it started interfering with her daily activities and personal life. Sarah’s distress was compounded by the embarrassment and discomfort she felt in discussing such a personal issue. Despite her hesitation, she realized that her symptoms were not improving on their own and decided to seek professional help. A trusted friend recommended Dr. Ansley Stone, an OB/GYN known for her expertise in managing women’s health issues with compassion and thoroughness. Seeking Help and Diagnosis Sarah’s first visit to Cherokee Women’s Health was a mixture of relief and apprehension, but Dr. Stone’s welcoming demeanor immediately put Sarah at ease, allowing her to openly discuss her symptoms. After a detailed examination and review of Sarah’s medical history, Dr. Stone diagnosed her with a vaginal infection. The diagnosis was based on a combination of Sarah’s symptoms and laboratory tests that confirmed the presence of a bacterial or yeast infection. Dr. Stone explained that vaginal infections are common and can be caused by various factors, including hormonal changes, antibiotic use, and poor hygiene. She reassured Sarah that her condition was treatable and that they would work together to find the best course of action for relief. Treatment Options Dr. Stone outlined a comprehensive treatment plan tailored to Sarah’s specific condition. Here’s a breakdown of the options discussed: Antifungal Medications: Since Sarah’s infection was identified as a yeast infection, she was prescribed antifungal medications. These medications, typically available as oral tablets or topical creams, are effective in treating Candida infections. Dr. Stone emphasized the importance of completing the full course of treatment to ensure the infection was fully eradicated. Antibiotics: If Sarah’s infection had been bacterial, she would have been prescribed a course of antibiotics. In cases where bacterial vaginosis is diagnosed, antibiotics such as metronidazole or clindamycin are often used to restore the natural balance of bacteria in the vaginal flora. Topical Treatments: In addition to antifungal or antibiotic medications, topical treatments to soothe the affected area were recommended. Over-the-counter creams or ointments containing hydrocortisone could help alleviate itching and inflammation. Probiotics: To help restore and maintain a healthy vaginal environment, Dr. Stone suggested incorporating probiotics into Sarah’s diet. Probiotics can help balance the natural flora in the vagina and prevent future infections. Yogurt with live cultures or probiotic supplements can be beneficial. Lifestyle and Hygiene Recommendations: Maintaining proper vaginal hygiene and avoiding potential irritants are important to avoid vaginal infections. Sarah was advised to wear breathable cotton underwear, avoid douching, and refrain from using scented hygiene products that could exacerbate irritation. Recovery and Moving Forward Sarah diligently followed Dr. Stone’s treatment plan, using the prescribed medications and incorporating the recommended lifestyle changes. Over the course of a few weeks, she noticed significant improvement in her symptoms. The itching and discomfort gradually subsided, and her confidence in her body’s health was restored. The successful treatment not only relieved Sarah’s immediate discomfort but also empowered her with knowledge about maintaining vaginal health. She felt grateful for the compassionate care and clear communication she received, which helped her navigate a challenging and personal health issue with confidence. Finding Relief and Regaining Confidence Sarah’s journey underscores that, with the right medical support, women can overcome health challenges and return to their vibrant, fulfilling lives. If you’re experiencing symptoms related to vaginal infection, we can help. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems

Understanding PMS vs. PMDD

Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are two conditions that significantly impact many women during their reproductive years. While they share similarities, they differ in severity and impact. Dr. Robert Barrett, an OB/GYN with Cherokee Women’s Health Specialists, provides insightful perspectives on these conditions and offers comprehensive treatment options to help women manage their symptoms effectively. PMS: Common and Manageable Premenstrual Syndrome (PMS) affects a large portion of the female population. PMS encompasses a range of physical, emotional, and behavioral symptoms that occur in the luteal phase of the menstrual cycle, typically in the two weeks leading up to menstruation. Common symptoms of PMS include: Physical Symptoms: Bloating, breast tenderness, fatigue, headaches, and changes in appetite. Emotional Symptoms: Mood swings, irritability, anxiety, and mild depression. Behavioral Symptoms: Changes in sleep patterns, difficulty concentrating, and social withdrawal. While PMS can be bothersome, it is generally manageable with lifestyle adjustments and over-the-counter remedies. A balanced diet, regular exercise, and stress management are important in alleviating PMS symptoms. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) can also help relieve physical discomfort and over-the-counter pain relievers to manage headaches and cramps. PMDD: A More Severe Condition Premenstrual Dysphoric Disorder (PMDD) is a more severe and debilitating condition compared to PMS. PMDD affects approximately 3-8% of women of reproductive age and is characterized by intense and debilitating symptoms that can significantly impair daily functioning. Key symptoms of PMDD include: Severe Emotional Symptoms: Extreme mood swings, profound irritability, severe anxiety, and intense depression. Severe Physical Symptoms: Persistent fatigue, joint or muscle pain, and significant changes in appetite or sleep patterns. Functional Impairment: Difficulty performing daily activities, disrupted relationships, and challenges in maintaining professional responsibilities. PMDD is believed to be related to hormonal fluctuations, and its symptoms are typically more severe than those of PMS. PMDD often requires a more aggressive treatment approach due to its impact on a woman’s quality of life. Treatment Options Dr. Robert Barrett offers a multifaceted approach to managing PMS and PMDD. His treatment strategies are tailored to each patient’s needs and may include: Lifestyle Modifications: For both PMS and PMDD, lifestyle changes are important. These include adopting a well-balanced diet rich in complex carbohydrates, reducing caffeine and alcohol intake, engaging in regular physical exercise, and practicing stress reduction techniques such as yoga or meditation. Medications: For PMS: Over-the-counter NSAIDs, such as ibuprofen, can help alleviate physical symptoms like cramps and headaches. Diuretics can also reduce bloating and breast tenderness. For PMDD: Selective serotonin reuptake inhibitors (SSRIs) may be prescribed to address severe mood-related symptoms. SSRIs are effective in managing depression and anxiety associated with PMDD. Hormonal treatments, such as birth control pills or hormone therapy, may also be considered to regulate hormonal fluctuations. Additionally, antidepressants or anti-anxiety medications may be prescribed for more severe cases. Nutritional and Supplement Support: Dietary supplements may help manage symptoms. For instance, calcium and magnesium supplements can reduce bloating and mood swings. Vitamin B6 and evening primrose oil are also considered for their potential benefits in alleviating PMS and PMDD symptoms. Cognitive Behavioral Therapy (CBT): For women with PMDD, cognitive behavioral therapy may be recommended to help manage severe mood disturbances and improve coping strategies. Alternative Therapies: Alternative therapies such as acupuncture or herbal supplements may also help, though he emphasizes the importance of consulting with a healthcare professional before starting any new treatment. We Can Help Both PMS and PMDD can significantly impact a woman’s well-being, but understanding the distinctions between these conditions is crucial for effective management. A comprehensive approach to treatment encompasses lifestyle changes, medications, nutritional support, and therapy options to help women navigate and alleviate their symptoms. If you’re struggling with PMS or PMDD, call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems Patient Stories

Emma’s Emotional Journey Through a Hysterectomy

A hysterectomy would soon shake Emma’s world. At 38, Emma had always prided herself on her strength and resilience. She had built a successful career, maintained close relationships with family and friends, and enjoyed an active lifestyle. However, over the past few years, Emma had begun to notice subtle changes in her body—changes that she initially brushed off as part of getting older. It started with irregular periods. At first, they were just a bit heavier than usual, but over time, they became increasingly painful and unpredictable. Emma found herself canceling plans and missing work due to the intense cramping and fatigue that accompanied her menstrual cycles. She also started experiencing bloating and a constant pressure in her lower abdomen, which made it difficult to exercise or even sit comfortably. Despite these symptoms, Emma hesitated to seek medical help. She thought she could manage the discomfort with over-the-counter painkillers and by adjusting her lifestyle. But when she started experiencing prolonged bleeding that lasted for weeks, she knew something was seriously wrong. Seeking Help: The Road to Diagnosis Emma finally made an appointment with her OB/GYN, Dr. James Haley of Cherokee Women’s Health, who listened carefully as she described her symptoms. He performed a pelvic exam and ordered an ultrasound to get a clearer picture of what might be happening inside her body. The ultrasound revealed that Emma had multiple large fibroids—noncancerous growths in the uterus that were likely causing her symptoms. While fibroids are common and often manageable, the size and location of Emma’s fibroids were particularly concerning. Dr. Haley explained that the fibroids were pressing against her bladder and other organs, causing the bloating and pressure she had been feeling. More concerning, however, was the heavy bleeding, which was leading to anemia and leaving Emma constantly exhausted. After discussing treatment options, including medication and less invasive procedures, Dr. Haley gently suggested that a hysterectomy—a surgical removal of the uterus—might be the best option for Emma. The news hit her like a ton of bricks. The idea of losing her uterus was overwhelming, not just physically but emotionally. The Decision: Wrestling with the Emotional Impact Emma had always envisioned herself as a mother one day, and although she wasn’t actively planning to have children at the time, the thought of permanently losing that possibility was devastating. She spent days, even weeks, grappling with the decision. She talked to friends, family, and Dr. Haley, trying to weigh the pros and cons. The physical relief that a hysterectomy could bring was undeniable—it would put an end to the painful, life-disrupting symptoms she’d been living with. But the emotional toll of such a major surgery, particularly the impact on her identity and future plans, was profound. Emma cried herself to sleep many nights, feeling a sense of loss that she couldn’t fully articulate. The Surgery and Recovery: A New Reality Ultimately, after much soul-searching, Emma decided to go ahead with the hysterectomy. The surgery was scheduled, and as the date approached, she tried to focus on the potential positives: no more pain, no more heavy bleeding, and a chance to regain control of her life. The surgery went smoothly, but the recovery was challenging. Physically, Emma had to rest for several weeks, gradually regaining her strength. The pain from the surgery itself was manageable, but it was the emotional recovery that took the longest. She often found herself feeling empty and grieving the loss of her fertility, even though she knew the decision had been the right one. Emma sought counseling to help process her feelings, and slowly, she began to find peace with her new reality. She started to focus on what she could do now that she hadn’t been able to do before—like hiking without pain, working without worrying about bleeding through her clothes, and simply enjoying life without the constant shadow of discomfort. Finding Peace and Moving Forward As the months passed, Emma began to feel more like herself again, but with a new understanding of her own strength. The hysterectomy had changed her life in ways she hadn’t anticipated, forcing her to confront deep-seated fears and emotions. But it also gave her a renewed appreciation for her health and well-being. Emma still feels a pang of sadness when she thinks about the future she once imagined, but she’s also grateful for the life she has now—one where she’s free from the pain and uncertainty that once dominated her days. Her journey through the hysterectomy was not easy, but it ultimately led her to a place of acceptance and empowerment.

GYN Problems Patient Stories

Struggling With PID at 23 Years Old

Jessica never expected to be diagnosed with PID at just 23 years old. She was living her life to the fullest, balancing her job, studies, and social life. Like many women her age, she was focused on building her future, and health concerns were the last thing on her mind. However, her world took an unexpected turn when she started experiencing persistent lower abdominal pain, irregular periods, and unusual vaginal discharge. At first, Jessica dismissed the symptoms, attributing them to stress or an approaching menstrual cycle. But as the pain worsened and began to interfere with her daily activities, she knew something wasn’t right. After a particularly difficult week where the pain became unbearable and she started running a low-grade fever, Jessica decided to visit her local clinic. Initial Visit and the Frustration of Uncertainty During her visit, Jessica described her symptoms and a physical examination was performed. The provider suspected that it might be a urinary tract infection (UTI) or possibly something related to her menstrual cycle. Jessica was given a urine test and prescribed antibiotics for a presumed UTI. However, the antibiotics didn’t alleviate her symptoms, and she felt even more concerned when the pain and discharge persisted. Frustrated and worried, Jessica made an appointment with Cherokee Women’s Health. This time, she saw Dr. Lisa McLeod, a board-certified OB/GYN, who took a more in-depth look at her symptoms. Dr. McLeod suggested that Jessica might be dealing with something more complex, such as Pelvic Inflammatory Disease (PID), a condition that Jessica had never heard of before. The Diagnosis: Understanding Pelvic Inflammatory Disease Dr. McLeod explained that Pelvic Inflammatory Disease is an infection of the female reproductive organs, often caused by sexually transmitted infections (STIs) like chlamydia or gonorrhea. If left untreated, PID can lead to serious complications, including infertility and chronic pelvic pain. Jessica was shocked and scared; the possibility of long-term consequences hadn’t crossed her mind. To confirm the diagnosis, Jessica underwent several tests, including a pelvic exam, cervical cultures, and an ultrasound. The pelvic exam was uncomfortable, but Dr. McLeod reassured her that it was necessary to understand the extent of the infection. The cervical cultures tested for the presence of STIs, while the ultrasound was used to check for signs of inflammation in her reproductive organs. A few days later, the results came back. Jessica tested positive for chlamydia, which had likely led to the development of PID. Dr. McLeod explained that although the diagnosis was serious, it was treatable, especially since it had been caught relatively early. Treatment and Recovery: A Path to Healing Jessica was prescribed a course of antibiotics, with Dr. McLeod emphasizing the importance of completing the entire course of antibiotics, even if she started feeling better before finishing the medication. Jessica also had to inform her sexual partner, who would need to be tested and treated as well to prevent reinfection. During the treatment, Jessica experienced side effects like nausea and fatigue, but she was determined to follow through with her physician’s instructions. She also took time off work to rest, as her body needed time to heal. The pain gradually subsided, and after completing the antibiotics, Jessica returned to the clinic for a follow-up visit. Dr. McLeod confirmed that the infection had cleared, but also advised Jessica to have regular check-ups and to practice safe sex to prevent future infections. Looking back, Jessica realized how important it was to listen to her body and seek medical help when something felt wrong. She learned that early diagnosis and treatment were crucial in preventing complications from PID. The experience also opened her eyes to the importance of sexual health education and the need to remove the stigma around discussing these issues openly. Jessica’s journey with Pelvic Inflammatory Disease was a challenging and eye-opening experience, but it also made her more aware and proactive about her health. Today, she continues to advocate for regular check-ups and sexual health awareness among her friends and peers, hoping to help others avoid the pain and uncertainty she once faced. We Can Help Our OB/GYNs are here for you. Schedule an appointment today online or call us to make an appointment at either our Woodstock or Canton office.

Sarah PID patient story
GYN Problems Patient Stories

Sarah’s Battle Against Pelvic Inflammatory Disease at Just 27

Sarah, a 27-year-old vibrant and ambitious woman, found her life disrupted by a debilitating condition—Pelvic Inflammatory Disease (PID). Known for her active lifestyle and career as a marketing executive, Sarah’s sudden health challenges came as a shock. Her story is one of resilience, timely medical intervention, and hope. Initial Symptoms and Diagnosis: Recognizing the Signs of PID Pelvic Inflammatory Disease is an infection of the female reproductive organs. It’s a complication often caused by sexually transmitted infections (STIs) like chlamydia and gonorrhea. Symptoms can include severe abdominal pain, fever, unusual discharge, and pain during intercourse or urination. For Sarah, the first signs were subtle—a mild discomfort and irregular menstrual cycles, which she initially attributed to stress and long working hours. However, as the pain intensified and became more frequent, she realized it was something more serious. Meet Dr. James Haley: Expertise in Treating Pelvic Inflammatory Disease Dr. James Haley, a double board-certified urogynecologist, came highly recommended to Sarah. With a distinguished career in both urogynecology and gynecology, Dr. Haley was known for his expertise in treating complex cases of PID and other reproductive health issues. Sarah felt a glimmer of hope upon meeting him, encouraged by his calm demeanor and thorough approach to diagnosis. A Comprehensive Treatment Plan for Pelvic Inflammatory Disease Dr. Haley conducted a comprehensive evaluation, including a detailed medical history, physical examination, and a series of diagnostic tests such as ultrasounds and lab work. The results confirmed Sarah’s condition—she had developed PID, likely due to a previously undiagnosed STI. The diagnosis, though distressing, provided a clear path forward for treatment. Dr. Haley devised a tailored treatment plan for Sarah, focusing on eradicating the infection and managing her symptoms. The initial phase involved a course of broad-spectrum antibiotics, administered both orally and intravenously, to tackle the bacterial infection aggressively. Sarah was also advised on the importance of completing the entire course of antibiotics, even if she started feeling better, to prevent recurrence and complications. Lifestyle Changes and Pain Management in PID Recovery In addition to antibiotics, Sarah’s treatment included pain management strategies and lifestyle modifications. Dr. Haley emphasized the importance of rest, a healthy diet, and avoiding sexual activity until the infection was fully cleared. He also recommended regular follow-ups to monitor her progress and adjust the treatment plan as needed. Sarah adhered diligently to Dr. Haley’s recommendations, driven by the desire to reclaim her health and vitality. The road to recovery was not without its challenges. There were days when the pain was overwhelming, and the uncertainty about her reproductive health weighed heavily on her mind. However, Dr. Haley’s unwavering support and the compassionate care of his medical team provided her with the strength to persevere. Recovery and Prognosis: A Hopeful Future After PID As weeks turned into months, Sarah began to notice significant improvements. The pain subsided, and her energy levels gradually returned to normal. Follow-up tests indicated that the infection was under control, and there were no signs of lasting damage to her reproductive organs. Dr. Haley reassured Sarah that with continued care and regular check-ups, her prognosis was excellent. Reflecting on her journey, Sarah is profoundly grateful for the timely intervention and expert care she received. Dr. Haley’s dedication and expertise played a crucial role in her recovery. Today, Sarah is back to her active lifestyle, although she remains vigilant about her reproductive health. She continues to advocate for awareness about PID and the importance of seeking medical attention for any unusual symptoms. Sarah’s story is a testament to the resilience of the human spirit and the transformative power of quality healthcare. It underscores the importance of early diagnosis and treatment in managing PID effectively. With the right medical care and a proactive approach to health, even the most challenging conditions can be overcome.

mini tummy tuck
Cosmetic Services, Tummy Tuck Education

Combining a Mini Tummy Tuck With GYN Surgery

Did you know that you can undergo a mini tummy tuck simultaneously with certain gynecological surgeries? This often makes practical sense, and the benefits can be substantial. A mini tummy tuck, medically known as a panniculectomy, is a surgical procedure designed to remove excess skin and fat from the lower abdomen. This procedure is especially beneficial for women who have experienced changes in their abdominal area due to pregnancy or those who have undergone significant weight loss. When combined with gynecological (GYN) surgeries, such as a hysterectomy, the benefits are even more pronounced. Let’s explore why opting for a mini tummy tuck alongside another GYN procedure can be advantageous, and why choosing a Female Reconstructive Surgeon, particularly at Cherokee Women’s Health Specialists, is a wise decision. The Benefits of Combining a Mini Tummy Tuck With GYN Procedures Undergoing a mini tummy tuck at the same time as another GYN surgery offers several benefits: The Expertise of Female Reconstructive Surgeons Opting for a Female Reconstructive Surgeon instead of a plastic surgeon for your mini tummy tuck has distinct advantages. Female Reconstructive Surgeons have extensive training in the female reproductive and abdominal anatomy. Their experience in performing complex abdominal surgeries—such as cesarean sections, hysterectomies, and pelvic reconstructions—equips them with a precise understanding of the female body. This expertise ensures that your mini tummy tuck will be performed with a high level of precision and care by a doctor with a profound understanding of your unique anatomical needs. Their dedication to women’s health and well-being makes them a trustworthy option for anyone considering a tummy tuck or mini tummy tuck. Why Choose Cherokee Women’s Health Specialists? Cherokee Women’s Health Specialists stands out as an exceptional choice for women considering a mini tummy tuck. Here’s why: Choosing to undergo a mini tummy tuck in conjunction with a GYN surgery is a strategic decision that can enhance both your physical appearance and overall well-being. By opting for a Female Reconstructive Surgeon at Cherokee Women’s Health Specialists, you are ensuring that your procedure is handled by experts with a profound understanding of female anatomy and a commitment to women’s health. With their extensive experience and patient-centered approach, Dr. Litrel, Dr. Haley, and Dr. Barrett provide the highest level of care, making them an excellent choice for your mini tummy tuck and any other gynecological needs.

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