Author name: Diane

GYN Problems

How Lifestyle Changes Can Help Pelvic Pain

Pelvic pain can feel overwhelming, affecting everything from work and exercise to intimacy and sleep. Whether your pain is occasional or chronic, the good news is that lifestyle changes, combined with medical care, can play a significant role in reducing symptoms and improving your overall quality of life. At Cherokee Women’s Health Specialists, we believe in treating the whole person, not just the pain. Here’s how small, manageable changes in daily habits can help ease pelvic discomfort and support your overall pelvic health. Small Changes to Help Ease Pelvic Pain Manage Stress to Calm Pelvic Muscles: Stress doesn’t just affect your mind, it can tighten muscles throughout your body, including your pelvic floor. Tension here may trigger or worsen pelvic pain. Even a few minutes daily can lower stress hormones and relax pelvic muscles. Try This: Deep breathing exercises Meditation or mindfulness apps Gentle yoga or stretching Stay Active with Gentle Exercise: Exercise helps improve blood flow, reduce inflammation, and release endorphins—your body’s natural pain relievers. Avoid high-impact workouts or heavy lifting if they worsen symptoms. Listen to your body and start slowly. Best Choices for pelvic pain: Walking Swimming Gentle yoga or Pilates Low-impact aerobics Stretching Prioritize a Balanced Diet: Certain foods may trigger inflammation, bloating, or bladder irritation, all of which can worsen pelvic pain. Aim for: Plenty of fruits and vegetables Lean proteins Whole grains Healthy fats (like olive oil, nuts, avocado) Staying well-hydrated Consider limiting: Caffeine and alcohol (can irritate the bladder) Highly processed foods Excessive sugar Spicy foods if they trigger symptoms Maintain a Healthy Weight: Excess weight puts extra pressure on the pelvic organs and muscles, which may contribute to pain. Gentle weight loss, if needed, can ease symptoms and improve mobility. Every little bit helps reduce pelvic strain. Start with small changes: Smaller portion sizes Walking daily Cutting sugary drinks Focus on Pelvic Floor Health: Some women develop pelvic pain from muscles that are too tight or too weak. Working with a pelvic floor physical therapist can be life changing. Never start pelvic floor exercises without guidance if you have pain, as some exercises could worsen symptoms. At-home tips: Practice diaphragmatic breathing Learn pelvic floor relaxation techniques (reverse Kegels) Avoid pushing or straining during bowel movements Optimize Bladder and Bowel Habits: Bladder or bowel issues often go together with pelvic pain. Constipation can worsen pelvic pain by straining pelvic muscles. Healthy habits: Don’t hold it too long Fully empty your bladder Stay hydrated Eat enough fiber to prevent constipation Sleep Well: Fatigue can heighten pain perception and reduce your body’s ability to heal. Even improving sleep by 30 minutes can make a difference in how you feel. Better sleep tips: Stick to a regular bedtime Limit screens before bed Avoid large meals or caffeine late in the day Create a calming bedtime routine When Lifestyle Changes Aren’t Enough Lifestyle changes can significantly help pelvic pain but they’re not always enough on their own. If pain persists or worsens, it’s crucial to seek medical evaluation. Pelvic pain may signal conditions like: Endometriosis Pelvic floor dysfunction Fibroids Chronic infections Nerve conditions At Cherokee Women’s Health Specialists, we work with you to uncover the root cause of your pain and create a personalized treatment plan—including medical therapies, physical therapy, or minimally invasive surgery if needed. Take the Next Step Toward Relief You deserve a life free from pelvic pain. Small changes today can help you feel better tomorrow. If pelvic pain is affecting your life, our caring team at Cherokee Women’s Health Specialists is here to help you find lasting solutions. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems

The Connection Between Pelvic Pain and Hormones

Pelvic pain can feel mysterious and frustrating, especially when it seems to come and go without warning. For many women, the answer lies in hormones. These powerful chemical messengers play a crucial role in nearly every system of your body, including the complex network of tissues, nerves, and organs in the pelvis. At Cherokee Women’s Health Specialists, we help women connect the dots between hormones and pelvic pain. Understanding this link is the first step toward finding relief and reclaiming your quality of life. Hormones: More Than Just Reproductive Messengers When most people think of hormones, they think of periods, pregnancy, and menopause. But hormones like estrogen, progesterone, and testosterone influence: Muscle tone Nerve sensitivity Blood flow Tissue inflammation Pain perception in the brain So, when hormones fluctuate, pelvic pain can flare up or subside. How Hormonal Changes Trigger Pelvic Pain The Menstrual Cycle and Pelvic Pain Many women notice pelvic pain around their periods. Here’s why: Estrogen and progesterone drop before menstruation, sometimes triggering inflammation and cramping. Prostaglandins (hormone-like substances) rise to help shed the uterine lining, but high levels can cause intense uterine and pelvic muscle contractions. Women with conditions like endometriosis or fibroids may have worse pain because hormonal changes stimulate abnormal tissue growth or bleeding. Ovulation Pain Some women feel sharp pelvic pain during ovulation (mid-cycle), caused by: The release of an egg stretching the ovary’s surface Fluid or a small amount of blood irritating nearby pelvic tissues Though usually harmless, it can be mistaken for other causes of pelvic pain. Hormones and Pelvic Floor Muscles Estrogen helps keep pelvic tissues flexible and well-lubricated. When estrogen levels drop (e.g., postpartum, during breastfeeding, or in menopause): Pelvic floor muscles may become tight and irritated Tissues can feel dry, leading to discomfort or pain during sex Nerves may become more sensitive, amplifying pain signals Endometriosis: A Hormone-Driven Condition Endometriosis is fueled by estrogen. Even small hormonal shifts can: Cause tissue outside the uterus to swell, bleed, and create inflammation Lead to severe pelvic pain, painful periods, and pain with intercourse Managing hormones is often a key part of endometriosis treatment. Perimenopause and Menopause In the years leading up to menopause, fluctuating hormones can: Cause irregular periods and unpredictable pelvic pain Trigger muscle tension in the pelvis Lower estrogen levels, leading to vaginal dryness, pain with sex, or chronic pelvic discomfort Hormones and Chronic Pelvic Pain Some women develop chronic pelvic pain (CPP), lasting six months or longer. Hormonal factors can play a significant role by: Creating cycles of inflammation Causing changes in nerve sensitivity (making pain signals stronger) Affecting mood and stress levels, which can amplify pain perception Treatments If you suspect hormones are linked to your pelvic pain, you’re not imagining things. Treatment may include: Hormonal therapies (e.g., birth control pills, hormonal IUDs, or menopause management) Pelvic floor physical therapy Lifestyle changes to help stabilize hormones Pain management techniques Treatment of underlying conditions like endometriosis At Cherokee Women’s Health Specialists, we listen carefully to your symptoms and create a plan tailored to your body and your goals. When to Seek Help Consider making an appointment if: Your pelvic pain disrupts daily life Pain worsens around your menstrual cycle You have new pelvic pain after menopause Pain is accompanied by heavy bleeding, fever, or unusual discharge Take Charge of Your Pelvic Health Hormones may be invisible but their effects on pelvic pain are very real. If you’re struggling, know that help is available. Our team at Cherokee Women’s Health Specialists is dedicated to diagnosing the cause of your pain and helping you find lasting relief. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems

Post-Hysterectomy Pain: What’s Normal?

A hysterectomy can be life-changing for many women, often bringing relief from chronic pain, heavy bleeding, or other gynecological conditions. But while the surgery may solve certain problems, some women experience pelvic pain afterward, which can be both unexpected and concerning. At Cherokee Women’s Health Specialists, we believe in empowering women with knowledge about their bodies and the recovery process. Let’s look at what pelvic pain after a hysterectomy might mean and when it’s time to seek medical advice. What Kind of Pain is Normal After a Hysterectomy? Every woman’s recovery is unique, but some discomfort is a normal part of healing. You may experience: Mild to Moderate Incisional Pain: Especially if your hysterectomy was performed through an abdominal incision, tenderness and soreness are common for several weeks. Cramping or Pelvic Discomfort: The tissues and muscles that supported the uterus need time to heal and adjust. Some cramping or achy sensations can be normal. Vaginal Spotting or Light Bleeding: If you had a vaginal or laparoscopic hysterectomy, light bleeding may occur for several weeks post-surgery. Pelvic Floor Muscle Soreness: After surgery, your pelvic floor muscles may feel weak or strained. This can cause pelvic heaviness or a dull ache. Gas Pain or Bloating: Especially after laparoscopic surgery, gas trapped in the abdomen can cause pelvic and shoulder pain. Most of these symptoms gradually improve in the weeks following your procedure. When Pelvic Pain May Not Be Normal While some pain is expected, certain symptoms warrant prompt evaluation. Contact our office if you experience: Severe or Worsening Pain: Pain that intensifies instead of improving could signal complications such as infection, adhesions (internal scar tissue), or injury to nearby organs. Heavy Bleeding: Soaking through pads or passing large clots isn’t normal and requires immediate medical attention. Persistent Pain Beyond the Usual Healing Period: If pelvic pain lingers beyond 6-8 weeks post-surgery, it may indicate issues like pelvic floor dysfunction, nerve entrapment, or endometriosis that wasn’t fully treated. Fever or Chills: These could indicate infection in the surgical area or internally. Pain During Intercourse: Painful intercourse (dyspareunia) can sometimes develop after a hysterectomy and should be evaluated so it can be managed appropriately. Possible Causes of Persistent Pelvic Pain After Hysterectomy If pain persists, possible causes include: Pelvic Floor Dysfunction – Muscles may become overly tense or weakened. Nerve Injury – Rarely, nerves can be irritated during surgery. Adhesions (Scar Tissue) – Bands of scar tissue can cause organs to stick together. Residual Endometriosis – Endometriosis lesions may remain and cause pain. Bladder or Bowel Issues – Changes in pelvic anatomy can sometimes contribute to pain. When to Seek Help You deserve to feel well after your hysterectomy. Don’t wait to give us a call if pain is affecting your daily life. Our team of OB/GYNs at Cherokee Women’s Health Specialists offers expertise in managing pelvic pain and addressing any complications after surgery. Whether your pain is new or lingering, we’re here to help you find relief and restore your quality of life. If you’re experiencing pelvic pain after a hysterectomy, call us today at 770.720.7733 or schedule an appointment online today. Together, we can determine the cause and develop a plan tailored to your needs.

GYN Problems

Vulvodynia and Painful Sex

One lesser-known cause of persistent pain during intimacy is vulvodynia, a condition that impacts countless women but often goes undiagnosed. Painful sex isn’t just a physical problem; it affects your confidence, relationships, and overall quality of life. At Cherokee Women’s Health Specialists, we believe that pain during intimacy should never be dismissed or accepted as normal. If you’re struggling with discomfort, it’s time to explore possible causes, and vulvodynia may be one of them. What is Vulvodynia? Vulvodynia is chronic pain or discomfort in the vulva (the external part of the female genitals) that lasts at least three months and has no clear, identifiable cause. The pain can be: Burning or stinging Rawness or soreness Itching or irritation Sharp, stabbing, or aching pain For many women, the pain is triggered by touch, such as during sex, tampon use, or even wearing tight clothing. Others experience constant discomfort without touch. How Vulvodynia Affects Intimacy One of the most significant impacts of vulvodynia is painful intercourse (dyspareunia). You may feel: Pain at penetration: As soon as something touches the entrance of the vagina Deep pain during thrusting: Even if initial penetration is comfortable Lingering burning or soreness after intimacy This discomfort often leads to anxiety around sex, reduced libido, and strain in relationships. It’s an emotional burden as much as a physical one. What Causes Vulvodynia? The exact cause of vulvodynia isn’t fully understood, but possible factors include: Nerve irritation or injury Hormonal changes Chronic inflammation Muscle tension or pelvic floor dysfunction Genetics or sensitivity to certain irritants Previous infections (like yeast infections) It’s important to remember vulvodynia is not an infection, nor is it contagious. When to Seek Help Don’t wait to get help if: Pain is persistent and affects your daily life You feel burning, stinging, or rawness in the vulva Sex is painful or has become impossible You’ve seen multiple doctors without answers How Cherokee Women’s Health Specialists Can Help Our OB/GYNs approach vulvodynia with compassion and expertise. Treatment options include: Comprehensive pelvic exams to check for skin conditions, infections, or nerve pain Pelvic floor physical therapy to relax tight muscles contributing to pain Medications to reduce nerve pain or inflammation Lifestyle guidance on avoiding triggers and irritants Our goal is to relieve your pain and restore comfort and confidence in your intimate life. You Deserve Comfort and Connection Living with vulvodynia can feel isolating, but you’re not alone, and help is available. If painful sex is disrupting your life, call us today at 770.720.7733 or schedule an appointment online with one of our board-certified OB/GYNs.  

GYN Problems

Postpartum Pain During Intimacy

Postpartum pain during intimacy is a challenge few women talk about. While everyone talks about sleepless nights and diaper changes, painful sex isn’t often discussed. Bringing a baby into the world is life-changing, and so is what happens to your body afterward. At Cherokee Women’s Health Specialists, we want you to know that pain during sex after childbirth is common, but it’s not something you have to live with. Why Sex Can Be Painful After Having a Baby Several factors can contribute to pain during sex after childbirth: Vaginal Trauma or Tears: Vaginal delivery can result in tears or an episiotomy that needs time to heal. Scar tissue may feel tight or tender during intercourse. Hormonal Changes: Estrogen levels drop significantly after birth, especially if you’re breastfeeding. This can lead to vaginal dryness and thinner tissues that are more prone to irritation. Pelvic Floor Dysfunction: Pregnancy and delivery put stress on pelvic floor muscles, which may become tight, weak, or painful. Emotional Factors: Fear of pain, stress, body image concerns, and fatigue can affect desire and arousal. C-Section Recovery: Even women who have C-sections can experience painful sex due to scar sensitivity, hormonal shifts, or pelvic floor tension. Is Painful Sex Normal After Childbirth? Some discomfort the first few times you have sex postpartum is not unusual. However, persistent pain, especially if it prevents you from enjoying intimacy, is not normal. It’s important to seek help if: Sex remains painful several months after delivery You feel burning, tearing, or severe discomfort Lubricants don’t help ease the pain You notice bleeding, unusual discharge, or odor You feel pelvic pressure, bulging, or heaviness Finding Relief and Enjoying Intimacy Again You deserve a healthy, fulfilling sex life, even after having a baby. At Cherokee Women’s Health Specialists, we help new mothers find solutions for postpartum sexual pain, including: Pelvic exams to identify physical causes of pain Pelvic floor physical therapy to relax or strengthen muscles Hormonal treatments or vaginal estrogen if dryness is an issue Guidance on lubricants and techniques for comfort Minimally invasive procedures if scar tissue or prolapse is causing pain Be Kind to Yourself Your body has been through an incredible journey. Healing takes time, and intimacy shouldn’t feel rushed or pressured. Listen to your body and know that help is available. If you’re experiencing pain during sex after childbirth, call us today at 770.720.7733 or simply schedule an appointment online. We’re here to help you feel healthy, comfortable, and confident, in and out of the bedroom.

GYN Problems

Does PID Cause Painful Sex?

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.

GYN Problems

Is Painful Sex After 40 Normal?

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 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.

GYN Problems

Endometriosis: What is Your Risk?

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.

GYN Problems

Painful Sex and Endometriosis

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.

Gynecology Education

Understanding the Stages of Endometriosis

One of the most common questions women ask after receiving a diagnosis is: “What stage is my endometriosis, and what does that mean for me?” Endometriosis is a condition that affects millions of women, often causing significant pain and, in some cases, fertility issues. At Cherokee Women’s Health Specialists, we believe that understanding your diagnosis is the first step toward taking control of your health. Let’s break down the stages of endometriosis and what they mean for your symptoms and treatment options. Understanding Endometriosis Endometriosis occurs when tissue similar to the lining of the uterus (endometrium) grows outside the uterus. These growths can appear on the ovaries, fallopian tubes, outer surface of the uterus, and other pelvic organs. These implants can cause inflammation, pain, scar tissue, and adhesions, which can sometimes interfere with fertility. The 4 Stages of Endometriosis Doctors classify endometriosis into four stages, from minimal to severe. The staging system is based on factors such as: The number of endometrial implants The depth of implants in tissues The presence and severity of scar tissue (adhesions) The size of ovarian cysts called endometriomas Stage 1: Minimal Few small implants (lesions) outside the uterus Little or no scar tissue Symptoms: Many women with Stage 1 may still have significant pain despite the minimal visible disease. Others may have few or no symptoms. Stage 2: Mild More implants than Stage 1 Some implants may be deeper into surrounding tissues Mild scarring may be present Symptoms: Pain may become more noticeable, especially during menstruation or intercourse. Stage 3: Moderate Numerous deep implants Small cysts (endometriomas) may be present on one or both ovaries More significant scar tissue and adhesions Symptoms: Pain often becomes more chronic and intense. Fertility challenges are more common at this stage. Stage 4: Severe Many deep implants Large cysts on one or both ovaries Extensive scar tissue and adhesions that may bind organs together Symptoms: Severe, ongoing pelvic pain, heavy periods, and significant fertility issues are common. Important Note: Stage Doesn’t Always Equal Pain Level It’s important to understand that the stage of endometriosis does not necessarily predict how much pain you’ll feel. Some women with Stage 1 have severe pain, while others with Stage 4 may have minimal discomfort. The impact on fertility can also vary from person to person. How Are the Stages Diagnosed? The only definitive way to diagnose and stage endometriosis is through laparoscopy, a minimally invasive surgical procedure that allows your doctor to see and sometimes remove endometrial implants. Treatment Options for All Stages No matter what your stage, treatment is tailored to your symptoms, reproductive goals, and quality of life. Options include: Pain management with medications Hormonal therapies to reduce lesions Minimally invasive surgery to remove implants Lifestyle changes, including diet and stress management Fertility treatments if you’re trying to conceive At Cherokee Women’s Health Specialists, we offer advanced surgical expertise and compassionate care to help women manage endometriosis at every stage. When to Seek Help If you’re experiencing: Severe menstrual cramps Chronic pelvic pain Pain during intercourse Heavy periods Difficulty getting pregnant It’s important not to ignore your symptoms. Early diagnosis and treatment can improve your quality of life and protect your reproductive health. Contact Cherokee Women’s Health Specialists today at 770.720.7733 or schedule an appointment online. Together, we’ll help you understand your diagnosis and find relief from endometriosis.

GYN Problems

Does Diet Affect 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.

Urogynecology

Does Heavy Lifting Cause Pelvic Organ Prolapse?

Pelvic health is often a topic that causes confusion and concern, especially when it comes to pelvic organ prolapse (POP). One question we hear from our patients is: “Will lifting heavy objects cause pelvic organ prolapse?” It’s an understandable worry, but like many health topics, the answer isn’t as simple as yes or no. In fact, more studies are showing the importance of weightlifting for women’s health, especially as they get older. Strength training helps maintain bone density, muscle mass, metabolism, and overall quality of life. But understandably, many women worry about the impact of lifting weights, or even lifting everyday items, on their pelvic floor. Let’s separate the myths from the facts so you can protect your pelvic health and enjoy the benefits of staying strong and active. Myth #1: Any Heavy Lifting Will Cause Pelvic Organ Prolapse Fact: Occasional lifting of moderately heavy objects isn’t guaranteed to cause prolapse in someone with a healthy pelvic floor. Your pelvic organs are supported by muscles, ligaments, and connective tissue that can usually handle normal daily activities. However, frequent or repetitive heavy lifting can increase intra-abdominal pressure, which places strain on the pelvic floor over time. If your pelvic floor is already weakened, due to childbirth, menopause, genetics, chronic constipation, or other risk factors, this strain may contribute to or worsen prolapse. Myth #2: Only Weightlifters Get Prolapse Fact: Pelvic organ prolapse can affect anyone—from competitive athletes to people lifting children, groceries, or boxes during a move. It’s not just the weight lifted, but how you lift, how often, and the underlying strength of your pelvic floor that matter. Even people who don’t lift heavy objects can develop prolapse due to other causes, such as: Vaginal childbirth Hormonal changes (especially during menopause) Chronic coughing or straining Obesity Genetics Myth #3: You Should Avoid All Exercise to Protect Your Pelvic Floor Fact: Exercise is essential for overall health — including pelvic health. In fact, certain exercises strengthen the pelvic floor and help prevent prolapse. High-impact or high-strain activities (like heavy weightlifting without proper technique) may pose risks for those with existing prolapse or significant pelvic floor weakness. However, gentle strength training, pelvic floor physical therapy, and core exercises can be safe and beneficial. Myth #4: Prolapse is Always Caused by Something You Did Fact: Many women blame themselves if they develop prolapse, thinking they “lifted wrong” or “overdid it.” The reality is that pelvic organ prolapse is often due to a combination of factors outside your control, like genetics, connective tissue strength, hormonal shifts, or childbirth history. While lifestyle choices, including safe lifting practices, can influence your risk, prolapse is not simply the result of one action or decision. How to Lift Safely and Protect Your Pelvic Floor While lifting may not always cause prolapse, it’s wise to protect your pelvic floor by practicing safe techniques: Engage your pelvic floor before lifting (think gentle squeeze, like stopping the flow of urine).* Breathe out as you lift instead of holding your breath. Lift with your legs, not your back. Keep objects close to your body rather than reaching forward. Avoid sudden jerking movements. Know your limits — don’t lift something that feels too heavy. When to Seek Help Symptoms of pelvic organ prolapse may include: A feeling of pressure or “heaviness” in your pelvis A bulge you can see or feel in your vaginal area Difficulty emptying your bladder or bowels Discomfort during sex If you notice any of these symptoms, schedule an appointment with our expert and compassionate team at Cherokee Women’s Health Specialists. We’re experienced in diagnosing and treating pelvic organ prolapse, and we’ll help you explore solutions, from lifestyle adjustments and pelvic floor therapy to surgical options if necessary. Occasional lifting alone doesn’t automatically cause prolapse, but repeated heavy lifting can be a contributing factor, especially if other risk factors are present. The key is lifting safely and knowing your body’s limits. Your pelvic health matters, and we’re here to help you protect it. We’re Here to Help If you have concerns about pelvic organ prolapse, call us today at 770.720.7733 or schedule an appointment online today.

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