Diane, Author at Cherokee Women's Health

“Tightening my vagina changed my life. Sex after three children was never the same, but after vaginal rejuvenation and labiaplasty with Dr. Michael Litrel, I felt like a new woman. Sex was better than ever!” – Real patient, Brandy In her late thirties and with three children, Brandy was struggling to find sex enjoyable. Like many women, sex changed after giving birth to each of her children. By the third child, her vagina was loose, but she also felt a fullness in her vagina during intercourse, which left her feeling uncomfortable and unsatisfied. Her labia also became enlarged and asymmetrical, which made her feel self-conscious. “Sex is AMAZING now, like nothing I’ve ever experienced in my life. I feel like a completely new woman. Not only is sex to a whole new level, but now my vagina is a work of art!” – Brandy after vaginal rejuvenation Finding the Right Vaginal Rejuvenation Surgeon Brandy had been researching vaginal rejuvenation online for almost two years but was reluctant to commit to a doctor. Vaginal rejuvenation was what she desired but finding the right surgeon was challenging. She had several consultations with doctors near her home, but was not pleased with any of them. She felt she wasn’t being heard, and that they weren’t listening to her needs. Learn more! Download our FREE Vaginal Rejuvenation eBook. Brandy found Dr. Michael Litrel, a double board-certified OB/GYN and urogynecologist, after extensive research and reading online reviews. She had done due diligence and knew that a physician with his qualifications and experience was what she needed. FPMRS surgeons are both OB/GYNs and urogynecologists, therefore experts in advanced female pelvic surgery. Even though she lived on the West Coast, she was willing to make the investment in a superior surgeon by traveling across the country to Georgia. She felt that since this was a once-in-a-lifetime surgery, she wanted the very best. Brandy contacted Erica, Dr. Litrel’s Patient Coordinator, and after a long conversation and getting all of her questions answered, she booked a telemedicine appointment with Dr. Litrel later that week. Brandy shares her thoughts on her consultation and on speaking with him. “I instantly knew Dr. Litrel was the right doctor for me. He actually listened and was very open-minded and honest about my expectations. He took a holistic approach and took my needs seriously. I had a few very personal requests concerning my labiaplasty, and he gave me the assurance and confidence that I was not getting from any of the other doctors I had consulted with before. This guy knew his stuff. Booking the surgery, the flights, that was a no-brainer. I was excited and ready to roll.” – Brandy on choosing Dr. Litrel Vaginal Rejuvenation with Dr. Michael Litrel Within a few weeks, Brandy was on a flight to Georgia for her vaginal rejuvenation surgery. She said she wasn’t nervous at all, and in fact was very confident, and just ready to get it done. Dr. Litrel performed a vaginoplasty, labiaplasty, rectocele repair and clitoral hood reduction in his office so there were no additional hospital costs for Brandy. After the procedure, Dr. Litrel shared that he was satisfied with the results and he was quite confident that she would be pleased. Brandy shares her thoughts right after the surgery. “My vagina is gorgeous! Even with the slight swelling, I can tell that Dr. Litrel created a masterpiece. His stitching technique is fabulous. I couldn’t be happier with the results.” – Brandy right after VR surgery Six Months After Vaginal Rejuvenation Brandy shared six months after surgery, “Sex is insane, like I never imagined. The friction is unbelievable. I went from feeling barely any satisfaction during sex, to having by body tingle from head to toe with every move. And that’s only the half of it, my confidence is amazing. I’m loving my ‘new look’ – it’s stunning!” Was Travelling to Georgia for VR the Right Decision? “Dr. Litrel changed my life. He was so willing to make sure my every need was met, every concern, right down to the last detail. He doesn’t just do the surgery and forget you, he continued to text me for weeks after, making sure all was going well and meeting my expectations. It was worth every penny.” – Brandy, when asked if she’d made the right decision traveling to Georgia for vaginal rejuvenation If you’re interested in vaginal rejuvenation, call us today at 770.721.6060 or schedule an appointment online.

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Mommy Rejuvenation, Shallow Vagina Education, Vaginal Lengthening Education, Vaginal Rejuvenation, Vaginal Rejuvenation Education

Your Vagina – Our OB/GYNs Answer 12 Common Questions

Diane /

OB/GYNs hear many questions from women about their vaginas and most doctors would say there isn’t a question they haven’t heard before. But many women are often uncomfortable or embarrassed to ask some basic questions. However, OB/GYNs are experts in female anatomy and their job is to help women understand their bodies. Following are answers to twelve of the questions our OB/GYNs hear from patients, but that some women are too embarrassed to talk about. 12 Questions and Answers About Your Vagina 1. Does the Vagina get Bigger for Childbirth? Your vagina and the vaginal canal will stretch to allow for the baby to pass through during childbirth. After childbirth many women notice that their vaginal canal feels looser, wider, or drier. Usually after about 2-6 months after childbirth, the vaginal canal returns to somewhat of the pre-birth state. Read more about the changes that happen to your body as a result of childbirth. 2. Does my Vagina Stay Stretched out After Childbirth? Yes and no. The vagina is somewhat elastic and has the ability to stretch out and then snap back into its pre-birth state. The pressure of pregnancy and birth on the pelvic floor can cause changes in the vaginal muscles, and it is possible the vagina can mostly return to the way it was before. Depending on the difficulty of birth, the size of the baby, or if there was tearing during delivery, there could be some more significant vaginal stretching that remains after childbirth. The vagina may continue to feel looser or stretched out because it is actually wider and may have had some damage. Aging can also weaken the vaginal muscles, regardless of childbirth. Learn what can be done if your vagina feels too loose. 3. How Long is the Vaginal Canal? It’s not as big as women think – most women have a vaginal canal that is three to six inches long. For a reference, it is approximately as long as your hand. But the length of your vaginal canal can vary in certain situations, like during sex or childbirth. Although the normal range of vaginal depth is between three and six inches, if you notice your vagina seems too shallow or short, it may be a sign of a medical condition that needs treatment. 4. Does the Vagina get Longer When You are Aroused? Absolutely. During sex, the vaginal canal can get longer to accommodate penetration. Sexual arousal forces the cervix and uterus to lift up, which causes the upper portion of your vagina to lengthen. 5. Are Kegels Necessary? Kegels are helpful because they help strengthen the pelvic floor muscles, which support the bladder, uterus, rectum and small intestine. Over time, your pelvic floor muscles may weaken as a result of: Learn more about pelvic floor therapy and other exercises. 6. Does the Clitoris get Bigger When You are Aroused? Yes, it does. When you’re aroused, your clitoris can swell and retract, meaning that it hides under its hood. It isn’t a dramatic change, but it does happen. 7. Will my Labia Change After Childbirth? Yes, most likely it will be somewhat different. If you tore during childbirth or had an episiotomy, your labia could be larger, discolored, or asymmetrical. Over time, scar tissue can form around your vagina and your labia and for some may make intercourse uncomfortable. Treatment is Available If you notice your genitalia or labia is causing discomfort, seek treatment from a urogynecologist, a physician who is board-certified in both OB/GYN and FPMRS (Female Pelvic Medicine and Reconstructive Surgery). They are uniquely qualified in female pelvic reconstruction. 8. Do All Vaginas Look Alike? No, they don’t. Just like women, they are all unique, so the same goes for their vaginas. Your vagina, labia, and other parts of your genitalia are all unique. Some are bigger, smaller, asymmetrical, or varying colors. Although there may be average sizes and shapes, everyone’s genitalia is somewhat different. 9. Why is the Skin on My Genitals Than my Other Skin? It’s completely normal for the skin of your genitals to be a different color than the rest of your skin. Colors can range from brownish, to reddish, or pink or purple. Your genitals may also become darker when you’re aroused. The blood flow to the area can cause swelling and the color of your clitoris and inner lips (labia minora) to change. However, if you notice skin color changes that are unusual or atypical, you may have an infection or a medical condition. See your doctor to make sure you don’t have an underlying condition or an infection and to seek treatment. 10. Is it Okay to Shave, or Do I Need my Pubic Hair? Whether or not you shave your pubic hair comes down to personal preference. It’s not actually necessary to the health of your vagina. However, there are a few risks from removing pubic hair, depending on how it is removed. For example, you may experience symptoms like itching, irritation, razor burn, or cuts if the hair isn’t removed properly. 11. Should I Douche to Keep my Vagina Clean? No. OB/GYNs recommend that you do not douche. Your vagina cleans itself naturally, so there’s no need to douche. Douching can actually strip your vagina of the natural, healthy microbes, as well as temporarily change the natural acidity and cause buildup of harmful bacteria. That means your vagina is more likely to get an infection or a sexually transmitted infection. 12. Is it Normal for my Vagina to Smell Differently at Different Times of the Month? It’s totally understandable why you might be concerned if there’s an odor coming from your vagina. Actually, it’s normal for a vagina to have a smell. For example, you may notice a smell after changing your diet — certain foods or supplements can have that effect. It’s also natural for your vaginal odor to change in intensity and smell throughout menstruation. But if there’s a foul odor, or if you notice a greenish

Mommy Rejuvenation, Shallow Vagina Education, Vaginal Lengthening Education, Vaginal Rejuvenation, Vaginal Rejuvenation Education

Is Your Vagina Too Loose, Too Tight, or Just Right?

Diane /

Do you have pain with sex? Do you feel too loose after having a baby? Is your vagina considered “normal”? We have answers to these questions as well as treatment options to help restore vaginal health. Vaginal tightness changes over a woman’s lifetime and may sometimes feel too tight or too loose, depending on certain factors. The vagina is designed to have sex and birth a baby, but these events, along with aging, can change the tightness, elasticity, and shape of the vagina. It’s important to understand what is considered normal to recognize if you have a problem and if so, when you should see your doctor. Vaginal Changes Over the Years The vagina changes throughout a woman’s lifetime. Two main causes of vaginal changes include pregnancy and childbirth, which can loosen the vagina’s natural tightness. Certain factors can impact the nerves and muscles of the vaginal canal, such as the size of the baby, the difficulty of labor, if tearing occurred, or if it was a vaginal delivery or a C-section. While the vagina usually returns to its pre-birth state, it may feel somewhat different after giving birth. Am I Too Loose? If you’ve recently had a baby and are experiencing looseness, doing floor exercises and Kegels can help regain muscle strengths. While a more toned pelvic floor won’t change the shape of your vagina, it can help you gain more control over your vaginal muscles, which can result in more enjoyable sex. These exercises can also improve your bladder tone and bladder control if this is a problem after giving birth. Learn more about vaginal looseness. Kegels – How to do Them and How Often Kegel exercises are always recommended as they can improve muscle tightness. The easiest way to start doing Kegels is when you are urinating as this will help you know which muscles to tighten. If your urine flow changes, you are using the correct muscles. While urinating, clinch your pelvic floor muscles to try to stop the flow of urine. Hold the squeeze for four seconds, then release. Don’t do this every time you urinate, just until you learn which muscles to tighten, and then after that you can do it at other times throughout the day. Build up to doing ten of these exercises in a row, approximately five times per day. After a few months, you should notice an improvement in pelvic muscle strength. Kegels and pelvic floor therapy can improve vaginal tightness if it is a minor problem. However, if looseness is significant and bothersome, consult with your urogynecologist for other treatments. Does Menopause Cause Vaginal Looseness? As estrogen levels drop during perimenopause and menopause, women will experience vaginal changes. These changes include dryness, thinning vaginal tissues, loss of sensation, and sex isn’t as enjoyable as it once was. They may also notice that their natural lubricant may no longer be sufficient for easy penetration. Store-bought, water-based lubricants can help improve penetration. For many women, hormone replacement therapy can significantly improve sexual satisfaction. Talk to your doctor to see if hormone therapy is right for you and learn about some of the natural options available. Download our FREE Vaginal Rejuvenation eBook. Is My Vagina Too Tight? If you experience pain during intercourse, you may be concerned that your vagina is too small or too tight. Usually, that is not the case, but there are some exceptions. If you do feel pain during sex, make an appointment with your physician as pain during intercourse can be a sign of an underlying condition such as infection, injury, congenital abnormality, prior surgeries, or a shallow vagina. What Happens to My Vagina During Sex? In its unaroused state, the vagina is typically three to four inches. But when you’re aroused, the vagina is designed to expand and elongate during arousal, growing to approximately six inches. The upper portion of the vagina lengthens and pushes your cervix and uterus inside the body more. The vagina also releases a natural lubricant so that when penetration occurs, it’s less painful or difficult. If penetration begins too soon and you’re not lubricated, you may experience pain. Up to 30 percent of women experience pain during vaginal intercourse. If the pain or tightness is persistent, make an appointment to see your doctor. So, Are You Too Loose, Too Tight, or Just Right? The only person that can determine that answer is you. Every woman’s vagina is different but one thing for sure is that sex shouldn’t be painful or uncomfortable, and you shouldn’t endure feeling too tight. If you do experience pain, discomfort, or bleeding during sex, make an appointment with your doctor. Treatment options are available. Call us today at 770.721.6060.

Mommy Rejuvenation, Urinary Incontinence Education

Is Incontinence Caused by Pregnancy and Childbirth?

Diane /

Urinary incontinence is common during pregnancy. Here, we answer common questions about incontinence during and after pregnancy — and what you can do to help avoid it. Do Most Women Leak Urine When They’re Pregnant? For some pregnant women, the symptoms may be mild and infrequent, but for others it may be more significant. For women of childbearing age, this can often be quite challenging, especially when it wasn’t expected. Leaking urine during pregnancy is quite common, so most women will experience some incontinence. Stress incontinence occurs because the baby puts added pressure on the pelvic organs, including the bladder. So when a pregnant woman coughs, laughs, or does physical activity, she may notice some leakage. If she has already had children, the chance of experiencing incontinence increases with each pregnancy. Will Incontinence Improve Right After I Deliver? Most women will stop leaking urine after delivery. However, approximately 10% of women continue to experience stress incontinence even a year after delivery. Since the pelvic muscles can weaken and become stretched during pregnancy and childbirth, problems can develop later. Can Childbirth Weaken the Bladder? Yes, it’s possible that childbirth can weaken the bladder. During labor and delivery, the muscles and tissues supporting the uterus, bladder, and rectum have the chance of being stretched, strained, or even torn. Even the nerves can become stretched and injured, which lead to the muscles not working properly. Of course, every woman is different so some women may have no damage from labor and delivery, while other women have some damage to the muscles, tissues, and nerves. Pelvic prolapse may occur from injury during delivery and the weakened support of the bladder, rectum, or uterus. Pelvic relaxation occurs when the muscles and supporting tissues above the vagina, which hold the bladder, drop down into the vagina. Prolapse can also cause the urethra — the tube that is used to urinate — to drop. The drop from the normal position of the bladder and urethra, combined with the weakened nerve signals, may affect the bladder’s function. This can result in urine leakage. Learn more about pelvic prolapse and incontinence. Do Kegel Exercises During Pregnancy Prevent Incontinence? Kegel exercises can lessen the symptoms of incontinence because they help strengthen the pelvic muscles. Practicing Kegel exercises while pregnant has been shown to decrease incontinence, not only during pregnancy but right after delivery as well. Talk to your doctor about Kegel exercises or pelvic therapy during pregnancy. Can Childbirth Weaken the Rectum? Yes, it is possible that childbirth can weaken the rectum. Just as with the bladder, the tissues supporting the rectum under the vagina has the chance of being torn during labor and delivery, causing the rectum to bulge up into the vagina. It is normal for women to experience some degree of prolapse after delivery, but these changes typically heal and resolve themselves within a few months. However, if the issues are severe and not resolving themselves, then some repair may be required to restore pre-pregnancy function. Does Childbirth Lead to Incontinence or Weakened Pelvic Support Later in Life? During labor, as the baby’s head comes down into the pelvis, muscles and nerves can be affected since the baby’s head is pressed against the pelvic muscles for so long, which can result in a weakened support for the pelvic organs. About half of women who deliver vaginally show almost immediate muscle recovery. Approximately 60% will notice improvement within two months. However, the remaining women whose tissues do not recover completely have a higher likelihood of pelvic prolapse and incontinence later in life. As a woman ages, the normal supporting tissues of the bladder, uterus, and rectum weaken, causing loss of pelvic support, which can result in incontinence. What Can be Done to Prevent Incontinence as a Result of Childbirth? There are proactive decisions a woman can make that can help decrease the likelihood of pelvic injury during labor and delivery, including having a C-section. Choosing to deliver via cesarean section may be the right choice for the mother if the baby’s head is in the wrong position, she’s delivering a large baby, has small pelvic bones, or she experiences prolonged labor. Every woman is different so it’s important to have open communication with your doctor. To schedule an appointment with one of our physicians, call us at 770.720.7733 or schedule an appointment online.

O-Shot Education, Vaginal Rejuvenation Patient Stories

Addicted to the O-Shot – Nicky’s Story

Diane /

Nicky readily admits that she has an O-Shot addiction. Her sex life is better than ever, thanks to this holistic, all-natural treatment that increases sexual desire and response. Learn more! Download our FREE O-Shot eBook. The O-Shot, also known as the Orgasm Shot, is a non-surgical treatment designed by Dr. Charles Runnels, MD and has been around for over a decade. It is performed to increase sexual arousal by rejuvenating the vaginal wall, resulting in stronger, more frequent orgasms, and improved lubrication. With thousands of patients worldwide achieving enhanced sexual benefits, it makes sense why Nicky is addicted to the O-Shot. After her first treatment, sex was way beyond her expectations, and she noticed a dramatic improvement. “I don’t ever want to leave the bedroom. I’m hooked on these shots for life. All I can say is wow, just wow.” – Nicky after getting her first O-Shot Nicky suffered from sexual dysfunction for many years. In her thirties, she was married with three young children. After giving birth, sex wasn’t as satisfying as it once was, and she often had difficulties experiencing orgasm. She shared with her doctor that sometimes she would have so much anxiety before and during intercourse, that it was painful and not enjoyable. It became a touchy subject with her husband. Because Nicky was so busy with the kids and her job, sex was often put on the back burner, and she hated that. When she was younger, Nicky and her husband had enjoyed intimacy and it was often quite intense and memorable. She longed for those days again, but couldn’t quite get there on her own, even after trying many suggestions from her doctor and even after consulting with a sex counselor. Request more O-Shot information. Her Urogynecologist Recommended the O-Shot At this point, and after suffering for several years with less than satisfying sex, her urogynecologist at Cherokee Women’s Health recommended she try the O-Shot, which he had been administering to women and had seen great results. Her doctor thoroughly explained the procedure and answered any questions she had. She also researched the procedure on her own and read how other women had been helped with the O-Shot, so she decided to give it a try. How Does the O-Shot Work? A urogynecologist will inject a patient’s own PRP (platelet-rich-plasma) into the vaginal area near the clitoris and G-Spot to stimulate rejuvenation. When injected, PRP releases growth factors that activate and regenerate stem cells that are located in vaginal and clitoral tissues, resulting in improved function, sensitivity, and enhanced sexual response. What Benefits Can I Expect? With the O-Shot, you can expect to see improvements in: Sexual desire Sexual response Bladder control Vaginal moisture, sensitivity, and sensation Orgasmic function Is it Painful and What’s the Downtime? With the use of a topical numbing cream, getting the O-Shot is typically painless, is performed in the office, and takes less than 45 minutes. There is no downtime and women may resume normal activities — including sex — the same day. Nicky’s Experience of Getting the Shot Nicky shared that she was quite nervous the day of the procedure. The nurse drew blood from her, and she could see her blood being put in a centrifuge to separate out her plasma. The nurse then numbed her vaginal area with numbing cream. After about 20 minutes, her PRP was ready, she was quite numb, and her doctor came in for the injections. While she was still nervous, her doctor reassured her that everything would be fine. He then injected the first shot of plasma into her vaginal wall, which was over within seconds. Nicky shares that she could barely feel it and was surprised that it didn’t hurt. Then, the doctor gave her a second shot in her clitoral area. Nicky felt this a little more and compared it to a slight pinch. Though she winced a little, it was over very quickly and she was able to get dressed and be on her way. After the O-Shot: “Sex is Better Than Ever” That evening, Nicky noticed an unbelievable change in sensation, and she wondered if it was all in her head. She and her husband decided to try it out that night and she shares that she felt a sensation that she hadn’t felt in a decade. She was literally tingling down there. As soon as penetration started, she noticed that he went in smoothly and there was no pain at all. And her orgasm was intense, like it hadn’t been in years, if ever. She and her husband have rekindled the romance that they once shared, and Nicky says she’s never going back. “Sex was brought to a whole new level. It was a legitimate explosion of pleasure. It’s fun again and so important for our relationship and I’m never going to regress again. I’m addicted to the O-Shot and will be getting it every year!” – Nicky explaining why she’s addicted to the O-Shot See if the O-Shot is Right For You Most women find that the O-Shot benefits typically last up to a year — and many do indeed find the O-Shot addicting. See if the O-Shot can help you. Call us today and make an appointment with one of our double board-certified urogynecologists at 770.721.6060 or schedule an appointment online.

Sexual Health, Shallow Vagina Education, Vaginal Lengthening Education, Vaginal Rejuvenation Education

Is Painful Sex Caused by a Shallow Vagina?

Diane /

Why is Sex Painful? Is My Vagina Shallow? Am I Normal Down There? As OB/GYNs, we are often asked questions that many women are too embarrassed to talk about. But it’s important to understand your anatomy and no question should be avoided because knowledge is power when it comes to your vaginal health. Following are answers to some of the thousands of questions we’ve been asked from our patients regarding painful intercourse, oftentimes due to a “shallow” vagina. So, What is the “Average” Vagina? Having a shallow vagina can create noticeable problems, especially with intercourse or trying to insert anything into the vagina. Pain and discomfort are never normal, so it’s best to discuss any questions with your OB/GYN. The average vagina is between 3 and 6 inches deep, or for most people, that’s roughly the length of your hand. But an unusual fact is that the depth of a vagina can change in any 24-hour period. For example, if a woman gets nervous or uptight, the vagina can be more on the smaller side. However, if a woman is sexually aroused, the vaginal canal grows longer. This lengthening allows the uterus and cervix to lift up from the vaginal canal so that penetration will be easier and more comfortable. The vaginal canal undergoes several changes throughout the many stages of life, from puberty, childbirth, aging, to menopause, so it changes with you. All women are different and unique and this holds true for vaginas as well. It is completely normal for women to have different lengths, shapes and sizes of vaginas. Just like no two women are the same, no two vaginas are just alike. So, technically, there is no “average” or normal, just a range for what is most common. The only important fact to keep in mind is that if you experience pain or discomfort, see an experienced OB/GYN who can find help you find the source of the pain. If you’re suffering with a shallow vagina, it could be caused by an underlying condition that makes penetration uncomfortable. What if My Vagina Isn’t Deep Enough? If vaginal penetration is uncomfortable, you may have a condition called a shallow vagina. It can also be noticeable if you have discomfort or difficulty when inserting a tampon. Your Vagina may be Shallow or Not Deep Enough if: Some Causes of a Shallow Vagina include: If your vagina feels unusually short and is causing discomfort or pain, see an experienced OB/GYN to rule out an underlying medical condition and find the root of the problem. For many, treatment can lessen the degree of discomfort and minimize pain. Learn more about vaginal health! Download our FREE Vaginal Rejuvenation eBook. What are Some Medical Conditions that Cause a Shallow Vagina? Examinations by an OB/GYN are important to help rule out other medical problems. If it’s determined that you have a shallow vagina, your doctor may diagnose you with one of the following conditions: Vaginismus – Vaginismus is an automatic bodily response where vaginal muscles involuntarily constrict when trying to insert something. This condition is usually treated through a combination of pelvic floor exercises, medical vaginal dilators, and possibly counseling or coaching. Tilted uterus – The uterus is above the vagina and usually points forward toward the abdomen. But, in approximately 1/3 of all women, the uterus is tilted toward the spine. This is called a tilted or retroverted uterus. A tilted uterus doesn’t necessarily shorten the length of the vaginal canal, but it may make insertion difficult. Penetration from behind and deep thrusting may be especially uncomfortable. Discuss with your doctor different sexual positions that may work better and not cause discomfort. In some cases, your doctor can recommend exercises that may help to correct the position of the uterus. In severe cases, and if it is seriously altering your lifestyle, surgery may be discussed. Your doctor will advise treatment options based on your unique case. Vaginal stenosis – Vaginal stenosis is a condition that causes scar tissue in the vaginal canal. The result is a narrower and shorter opening to the vagina, which may make intercourse more difficult or impossible. Vaginal stenosis is often the result of surgeries, childbirth, sexual trauma, or other injuries which can cause scar tissue in the vaginal canal. Treatment focuses on keeping the muscles pliable and preventing stiffness. To do this, your doctor may recommend using a vaginal dilator, lubrication, and practicing pelvic floor exercises. Fibroids – Up to 80% of women have fibroids, and many don’t even realize it. They can be the size of a pea, or as large as a watermelon. Fibroids are non-cancerous tumors that grow in and around the uterus. If the fibroid is a significant size, it can possibly bulge into the wall of the vaginal canal and cause pain with intercourse. The fibroid can make the vagina seem shorter if it is blocking part of the vaginal canal. Pain with intercourse is never a normal symptom, so it should never be ignored. Your OB/GYN will be able to see if fibroids are present during an examination and come up with a treatment plan. Infection – Vaginal infections are one of the most common problems that affect the female reproductive organs. These infections are not only uncomfortable, but can cause further health problems if left untreated. There are a wide variety of infections that can affect the female genitalia. Vaginal infections may be caused by fungi, bacteria, viruses, or parasites found in the vagina or vulva. If left untreated, an infection can cause pain and swelling in the vaginal canal, which in turn can make penetration uncomfortable or impossible. Evaluation by an OB/GYN can help determine if an infection is present, and treatment options are available. Vaginal Dryness – Vaginal dryness can occur for many reasons and can cause painful intercourse. It is common as women age, especially as they are approaching the menopausal years. With menopause, there is a decrease in the production of estrogen, which is a hormone that

OB Patient Stories

Difficult Pregnancies – A Patient’s Story

Diane /

Alexandra and her husband were thrilled when they learned she was pregnant with a baby girl. Having two boys, Alexandra knew she wanted no one other than Cherokee Women’s Health to deliver her baby, since they had safely delivered baby Deacon. An Emergency Delivery with Baby #2 Alexandra faced a difficult and traumatic delivery with her second son, Deacon. Before she reached 40 weeks, she began feeling crampy and learned she was experiencing Braxton-Hicks contractions, also known as “practice contractions”, since they are considered the body’s warm-up or rehearsal for actual labor. Since Alexandra wasn’t yet full-term, she didn’t take her symptoms too seriously. However, later that night, her water broke, and her pain level went from 0 to 60 in no time. She was rushed to the hospital where it was discovered that her baby was breech. Just minutes later, her doctor delivered baby Deacon via C-section. Thankfully, she was prepared for that since she’d had a C-section with her first baby. “My doctor got him out in what seemed like only a minute! It was insane how fast she was able to safely deliver my son. I feel like she saved my life and Deacon’s life. After that experience, our connection grew. There’s absolutely no one else I’d want to deliver my baby.” – Alexandra expressing gratitude for her doctor A Painful Pregnancy Journey with Baby #3 Alexandra wasn’t surprised when she experienced extreme nausea and dehydration during her third pregnancy. She’d had that with both of her previous pregnancies. However, she did not expect the many hardships her family would have to endure. While still in her first trimester, both her father and grandmother passed away. Then, just a couple of weeks later, Alexandra was in a car accident that left her with sciatica pain that radiated down through her leg. “I couldn’t eat or drink much, even as late as going into the second trimester. I was so terrified I was going to lose my baby because of the grief and because I had suffered a miscarriage in between my first two babies. It was a lot.” – Alexandra recalling her 3rd pregnancy Rush to the ER Late into her third trimester, Alexandra couldn’t feel her baby moving as much as she normally did, so she called Cherokee Women’s and explained her symptoms. She was sent to the ER, where she stayed overnight and received medicine to stop pre-term labor. Her doctor knew Alexandra needed to be closer to at least 38 weeks before she delivered — especially since her past deliveries were so challenging — so she scheduled an induction for August 24th. However, on August 21st, Alexandra wasn’t quite feeling like herself. Remembering her symptoms with Deacon, she went to the hospital as soon as possible, and sure enough, she was already dilating and experiencing contractions. This surprised her because even though she felt a little strange, she hadn’t felt any pain! A C-section was performed and baby Kinzie was born that night. “I never thought I’d have to have a C-section with my third baby, so I was scared. The first two were emergency C-sections so I wasn’t sure what to expect, but my doctor assured me that I’d be okay and that she had my back. I trusted her, and I’m forever grateful for her. I didn’t have any complications, and I’ve been recovering just fine!” Alexandra on her third C-section Extended Stay at the Hospital Kinzie was born with slightly low blood sugar, and she’d lost too much of her birth weight, so she and Alexandra stayed at the hospital for a few extra days. With treatment, baby Kinzie’s sugar levels became normal and after five nights at Northside Hospital Cherokee, she was healthy and ready to go home! “My husband and sons were so excited to see Kinzie when they picked us up from the hospital! They adore her so much. It’s just so cute how much they love her. My two-year-old, Deacon, says she is his baby and the first thing he wants to do every morning is give her a kiss. I mean, it’s truly the sweetest thing.” – Alexandra, grateful mom of three Grateful for my Doctor “I immediately felt connected to my doctor at Cherokee Women’s and felt that I could trust her when I went in for my first appointment with Kinzie. I was so emotional because it had been two to three weeks since my dad had passed away, and I just started crying. She asked what was going on and just hugged me. She has this calming effect on me, it’s hard to explain. She’s the best doctor I’ve ever met, and I am just so grateful she was there for me and was so accommodating. She went above and beyond to deliver both my babies and make sure that they were safe,” Alexandra recalls. Alexandra’s Advice to Other Moms “In general, I tend to tell myself to just push through, it’ll be okay,” Alexandra shares. “But I would say to other mamas, don’t be afraid to ask for help. Don’t be afraid to admit that you can’t do it all. Also, hydration is key. Staying hydrated is something I struggled with. I had dehydration and had to get IV therapy with my first pregnancy.” – Alexandra’s advice for new moms

OB Patient Stories

Giving Birth at 36 Weeks – Shelbie’s Story

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Traveling while pregnant can prove to be a difficult task but moving across the country is an even bigger challenge. Cherokee Women’s Health Specialists patient Shelbie, moved from Arizona back to her hometown in Georgia halfway through her pregnancy. Her husband Tyler, is in the National Guard, and he wanted Shelbie to be surrounded by family while he was away for training. As difficult as the move was, they were confident this was the right decision for their growing family. Shelbie’s friends and family recommended Cherokee Women’s Health, and fortunately, the transition from her past OB/GYN was an easy process. “With all the transitions happening in my life, it was a huge relief to find Cherokee Women’s Health Specialists. It was difficult not having my husband here, but I felt very well cared for throughout the rest of my pregnancy and delivery in Georgia.” – Shelbie Contractions at Just 36 Weeks Shelbie had an overall healthy and safe pregnancy, at least up until her 36-week appointment. It was then Shelbie learned that her blood pressure was elevated, and she was actually having contractions. Shelbie was shocked! She was connected to the monitor, and it was confirmed that her contractions were regular, even though Shelbie couldn’t feel them. While this wasn’t Shelbie’s plan, she was sent to the hospital where she would soon welcome her baby boy. She shares, “I was super worried, especially since I was only 36 weeks, and everything had been fine from the beginning. My son clearly already had a mind of his own!” Shelbie’s doctor monitored her at Northside Hospital Cherokee that night, and then she met with another doctor from Cherokee Women’s the next morning. With her mom by her side, they discussed her preferences and expectations of a vaginal delivery. Her doctor assured her she would do everything in her power to honor her labor preferences while keeping both her and her baby healthy. “I was very grateful for my doctor because she was a calming influence that I needed, especially after the day before and my husband not being there. She listened to my labor expectations and I could tell she truly cared. It was a relief to have her there as my doctor before delivery.” It’s a Baby Boy! Shelbie progressed enough to start pushing, but her baby’s head wasn’t positioned in the best way to come out. Therefore, a vacuum extraction was used to position his head the right way. With no success, her doctor still felt confident she could deliver vaginally. “Then, my doctor reached inside to turn his head with her hands and successfully delivered baby Luca!” My baby came out with his umbilical cord wrapped around him, but fortunately, he was healthy. Luca was welcomed into the world on August 3, weighing 6 lbs., 10 oz. Daddy Meets Baby Luca — Virtually Even though Shelbie’s husband couldn’t be there in person for the delivery of their baby boy, he was able to Facetime through the whole delivery and meet baby Luca a short time after. Now, sweet Luca, Shelbie and Tyler are at home adjusting to their growing family, soaking up all the newborn love! “I was really pleased with everyone at Cherokee Women’s Health Specialists. My doctor is caring, calm, truly listens to your needs and is very determined to meet them.” – Shelbie on her experience with Cherokee Women’s Health

OB Patient Stories

Velamentous Cord Insertion – A Scary Delivery

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Velamentous cord insertion was not something Shannen thought she’d have to deal with when she delivered her baby. A potentially life-threatening condition, she’s grateful Dr. Michael Litrel was by her side and knew what to do. Having a child was not an easy journey for Shannen and her husband, Doug. Shannen experienced infertility and sought help from fertility clinics and multiple OB/GYNs, with no success. Then miraculously, after suffering through two miscarriages, she became pregnant with her miracle baby girl, Sam. This is Shannen’s story about a match made in heaven — meeting Dr. Litrel — and a delivery complication due to velamentous cord insertion that could have cost baby Sam her life. Meeting Dr. Litrel – A Match Made in Heaven Because Shannen was considered high-risk due to her history, she wanted to find an OB/GYN with extensive experience delivering babies. Based on her friends’ recommendations, Shannen chose Dr. Michael Litrel of Cherokee Women’s Health, a practice that has collectively delivered over 15,000 babies. At ten weeks pregnant, Shannen had her first appointment with Dr. Litrel. She shared that she was extremely worried about her baby’s safety due to her high-risk condition and her previous miscarriages. Dr. Litrel responded with kindness and compassion and asked what he needed to do to make her feel at ease. Shannen recalls telling him, “I need to know my baby is alive”. “I need to know my baby is alive.” – SHANNEN Dr. Litrel understood and immediately took Shannen back for an ultrasound. A short while later, he gave her the good news — baby Sam was healthy! “Dr. Litrel is so patient and he’s never dismissive of my concerns or questions. He always shows me he cares and he can even tell when I’m being a little quiet or when I’m upset. He may have a million patients lined up behind me, but when I’m in his room, I feel like I’m the only one. That’s really hard to find in a doctor.” – Shannen Facing a High-Risk Pregnancy Shannen had to be closely monitored because of her previous miscarriages, her age of 33-years-old, and her previous surgeries. She also didn’t feel well overall during her pregnancy so she was frequently in the office for checkups. It was during one of those visits that she learned she needed progesterone, an important hormone for pregnancy, because her levels were low. Then, at 30 weeks, she developed high blood pressure. After these conditions were treated, she experienced no further complications, thanks to Dr. Litrel’s expert care. Going Off the Birth Plan Like most moms, Shannen had a birth plan, one that included giving birth naturally. However, baby Sam was a good size and the pregnancy was taking its toll on Shannen’s body. Dr. Litrel explained that giving birth early was the safest option for both mom and baby, so it was agreed that labor would be induced at 36 weeks. To everyone’s surprise though, Shannen went into labor — naturally — 24 hours before she was supposed to be induced. It seemed like baby Sam was in on the birth plan. Shannen was in labor for an agonizing 15 hours when she decided to receive an epidural. That was not part of the birth plan. “I think I told the epidural guy that I loved him. I think I tried to propose or something because I was just done.” – Shannen during her epidural Then, events quickly took another turn when baby Sam flipped, which meant a vaginal birth — also part of the birth plan — was out of the question. “I went into the delivery with my birth plan in hand. I was disillusioned. Nothing went according to plan. Thankfully, Dr. Litrel was very supportive of what I wanted to do.” – Shannen Saving Baby Sam’s Life from Velamentous Cord Insertion Shannen had been in labor for 24 hours, and it was time for the C-section. As Dr. Litrel began, he made a shocking discovery. Between the time the C-section was decided upon and the actual procedure, the umbilical cord had detached. Baby Sam had velamentous cord insertion (VCI), which meant the umbilical cord was not properly attached to the placenta. Baby Sam started to bleed out. Born going into hypovolemic shock, her body was shutting down due to the major blood loss. ”All I remember Dr. Litrel saying was that there was no blood in her cord. At first, I didn’t realize what it meant.” – Shannen upon learning there was a problem with the umbilical cord Understanding the urgency, Dr. Litrel immediately had Sam transferred to the main Northside Hospital, where she received three successful blood transfusions. After a week in the NICU and a lot of rest, Sam was cleared to go home, and Shannen was extremely grateful. “If Dr. Litrel had left for a moment — even to just grab a cup of coffee — or if he had given me more time to make a decision, I wouldn’t have my daughter.” – Shannen Why Velamentous Cord Insertion Wasn’t Detected Earlier VCI has a high death rate because it is rare and hard to detect. In fact, there had been no indicators of abnormalities in Shannen’s ultrasounds, so it wasn’t discovered until Dr. Litrel performed the C-section. VCI occurs in about 1.1% of single-baby pregnancies. Sadly, Shannen shared that a friend in her fertility support group had lost her son due to VCI. Baby Sam 10 Years Later Despite facing some physical delays in Sam’s first six months, there were no lasting effects. Today, Sam is a “wild, crazy, bouncing, hyper 10-year-old” who loves to dance. “God put Dr. Litrel in the spot he was in for a reason. My coming to the office was for a reason. He was meant to be a part of my child’s life. He’s family. In fact, Sam even calls him “Uncle Mike.” – Shannen

OB Patient Stories

A C-Section & Postpartum Preeclampsia

Diane /

A C-section, postpartum preeclampsia, and infertility were not what Katherine had in mind when she and her husband decided to have a baby. When Katherine and her husband Thomas began trying to conceive, she had no idea it would not come easy. After a year of trying, she still wasn’t pregnant, so she scheduled an appointment with Cherokee Women’s Health. She immediately knew she was in the very best hands. Her doctor recommended that Katherine take Clomid, an oral medication used to treat infertility. Soon after starting Clomid, Katherine learned she was pregnant! She and her husband were overjoyed and so excited for this next chapter of their lives. An Emergency C-Section Brings Baby Claire Into the World The next nine months flew by, with a healthy and smooth pregnancy. Before she knew it, she was 40 weeks pregnant, and it was time to bring her little girl into the world. After her check-up appointment they decided it was best to schedule an elective induction for later in the week since she was past her due date. When it was time to induce, Katherine received an epidural, and when she was fully dilated, she pushed for several hours, but unfortunately, her baby kept turning. “Since she was pushing 40 weeks in there, I started to feel miserable and uncomfortable. Scheduling an induction was the best move for me, and we’ve always been flexible. I just went to the hospital relaxed and calm. So relaxed, we actually sat around playing card games. We were so excited to meet our baby girl!” – Katherine, referring to her induction After several hours with no progress being made, my OB/GYN explained that a C-section was the safest option for both the baby and Katherine. A C-section was decided and soon after, baby Claire was born! She was healthy as can be, weighing 7 lbs., 1 oz. “While I went into the hospital expecting to deliver her vaginally, I was totally on board with a C-section. I trusted my doctor and it didn’t matter how my baby got here, as long as she was safe and healthy.” – Katherine recalling the delivery Postpartum Preeclampsia Leads to Weight Gain and Hormone Fluctuations After Katherine and Claire were home, Katherine started to notice her hormones and weight gain seemed out of control. When she went to Cherokee Women’s for her follow-up appointment, she discussed these issues with her doctor. It turned out she actually weighed more than she did when going into delivery with baby Claire. My doctor explained that her symptoms weren’t normal and that they were a sign of postpartum preeclampsia. She advised Katherine to keep monitoring her blood pressure at home and if she experienced any drastic changes, to go to the hospital. It was on that same night that Katherine’s blood pressure went over 180, and she immediately left for the hospital. “I’m so thankful for that follow-up appointment. I would not have known to check my blood pressure if it weren’t for my doctor’s expertise. I would tell myself it’s just hormones, but no, maybe something is going on. I really didn’t know. Claire is my first baby, so it’s kind of hard to know what’s normal and not,” – Katherine on the importance of monitoring blood pressure Katherine’s doctor agreed that her diagnosis was unusual, so she was referred her to an ENT specialist, where it was determined that her thyroid be removed. Thanks to the referral and the expertise of the doctors at Cherokee Women’s, Katherine’s levels returned to normal and she’s beyond grateful. Thankful for Cherokee Women’s Health “I don’t know what would have happened if it weren’t for the expertise of Cherokee Women’s Health Specialists. My doctor was very thorough, patient, and listened to all my questions, plus questions you didn’t know you even had. She’s very knowledgeable and explains everything in a way that is easy to understand for first-time moms. In fact, I will use Cherokee Women’s Health for all my future children as well, because she was just so wonderful.” – Katherine on her OB/GYN and Cherokee Women’s Health

Well Woman

Mammogram Myths

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Mammograms can help save lives, yet myths surrounding mammograms may prevent some from getting annual screenings, as recommended. Here, we debunk some of those myths. Mammogram Myth #1: No Family History of Breast Cancer Myth #1: I don’t need an annual mammogram, because I don’t have a family history of breast cancer. The truth: Even if you do not have a family history of breast cancer, women should start getting annual mammograms starting at the age of 40. Unfortunately, more than 75% of women diagnosed with breast cancer do not have a family history, so it is crucial to get an annual mammogram. Mammogram Myth #2: I Don’t Notice Any Lumps Myth #2: I don’t notice any lumps, so I don’t need a mammogram. The truth: Early detection of cancer is key, and mammograms are our best tools to detect breast cancer early. According to the Center for Disease Control and Prevention (CDC), mammograms can detect traces of breast cancer up to three years before it can be felt. By the time you notice any lumps, you could have already had breast cancer for a while. Mammogram Myth #3: The Radiation Can Cause Cancer Myth #3: The mammogram gives off unsafe levels of radiation and can cause cancer. The truth: Mammograms give off a very small amount of radiation and do not cause cancer. Getting a mammogram is similar to getting an x-ray – an extremely low level of radiation is used. In fact, our world contains radiation all around us, called background radiation. A mammogram gives off a tiny fraction of this everyday radiation, so there’s no need to worry. Also, mammography is highly regulated by the Food and Drug Administration, Mammography Quality and Standards Act and other governing organizations. Mammogram Myth #4: Mammograms are Painful Myth #4: Getting a mammogram is painful. The truth: Mammograms are uncomfortable, but they are not painful. The compression involved is usually described as temporary discomfort. These few moments of unpleasantness are worth knowing you are cancer-free or are catching it early. Mammogram Myth #5: Mammograms Aren’t Accurate Myth #5: Mammograms are inaccurate and don’t help. The truth: Like most things, mammograms are not 100% accurate, but they are the best tool to catch breast cancer early. Mammograms have 80% accuracy in detecting cancer when it is present. Getting regular screenings increase the accuracy even further. Even if you get a positive mammogram, further testing will be done to confirm the results of the mammogram. Mammogram Myth #6: I’m Too Young for a Mammogram Myth #6: I don’t need a mammogram until I’m much older. The truth: Your risk for breast cancer increases as you age, so it is recommended to start annual mammograms at 40. About 80% of women diagnosed with breast cancer each year are ages 45 or older. If you have a family history of breast cancer, your doctor may recommend starting annual mammograms earlier than 40. According to the American Cancer Society, early-stage breast cancer has a five-year survival rate of 99%. Later-stage cancer has a survival rate of 27%. Again, early detection is key! Mammogram Myth #7: Mammograms are Expensive Myth #6: Mammograms are expensive. The truth: Mammograms are covered with most insurers. They are classified as preventative care, so most of the time it’s completely covered or mostly covered with a copay. The Center for Disease Control and Prevention (CDC) also provides resources for low-income, uninsured, and underinsured women to receive screenings. Questions About Mammograms? Detecting breast cancer earlier can increase survival rates and lead to aggressive treatment. The doctors here at Cherokee Women’s Health are experts in women’s health. If you have more questions about mammograms or breast cancer, please call us at 770.720.7733 or schedule an appointment online.

OB Patient Stories

Umbilical Cord Prolapse Results in Emergency C-Section

Diane /

An umbilical cord prolapse was the last thing Mary expected when she delivered her baby. A first-time mom, she quickly learned it’s true that every pregnancy is unique and every woman’s journey is different. Hers was certainly unlike anything she envisioned. She learned that you can plan and prepare all you want, but sometimes things just go differently. Starting a Family Mary and her husband, Marc, were ecstatic to start growing their family. Mary learned she was pregnant with twins early in her pregnancy but unfortunately found out at her 12-week appointment that one of her babies did not make it. Thankfully, she says the staff at Cherokee Women’s Health Specialists made her feel safe and well taken care of throughout her pregnancy journey. “While it was a difficult time, I felt very cared for the whole time.” -Mary, referring to her OB appointments Time to Deliver Fortunately, Mary had a healthy pregnancy, and after nine long months, it was almost time to deliver her baby boy! Mary saw her doctor at her 39-week appointment and scheduled her planned induction for the following week. On May 6th, Mary and Marc arrived at the hospital and the journey to meet their little bundle of joy began. Mary was given Cytotec, an oral tab used to induce labor by softening the cervix to allow easier dilation and to help with the induction. After taking a few doses of Cytotec throughout the night with no success, her doctor inserted a type of catheter into the cervix to help try and open it more. After 21 hours of natural laboring, Mary reached seven centimeters dilation. Her doctor came in, removed the catheter, and then her water broke. Mary remembers this moment well because she could hear the water hit the floor. “It was a huge gush of water. In the movies, it seems like that, but I’ve heard multiple times from birthing classes and other people that usually when your water breaks in the hospital it’s like a trickle, but this was definitely a lot of water.” – Mary recalling her water breaking We Need to Do a C-Section Now! Everything started to happen very quickly after her water broke. Her doctor could feel the baby’s head drop, and she felt the umbilical cord coming down as well. She then told the nurse it was a “cord prolapse”, and seconds later, several nurses were in the room. “We’re going to have to go in for an emergency C-section because we have to get this baby out! It’s going to be okay, but we need to do a C-section right now!” – Mary’s doctor What is Umbilical Cord Prolapse? Umbilical cord prolapse occurs when the cord drops through the open cervix into the vagina before the baby moves into the birth canal. When this happens, the cord is squeezed between the baby’s body and the mother’s pelvic bones. This reduces the baby’s blood supply, leading to loss of oxygen to the baby. If this happens, the baby must be delivered immediately to avoid any risks related to reduced oxygen. Umbilical cord prolapse occurs in about 1 in 500 births. It is dangerous for the baby and can result in stillbirth. “I was so scared. I kept repeating, am I okay? Is the baby okay? I must have asked that 100 times. My amazing doctor was so nice and kept assuring me that I was going to be okay.” – Just before giving birth A nurse then came in Mary’s room, hopped on the bed with her, and had to keep her fingers inside to hold the baby’s head and keep the cord in place as she was wheeled to the procedure room. “Since everything was happening so fast, and it was emergency C-section, my husband Marc wasn’t allowed in the room. This was so hard on both of us. I looked at him and I knew he was upset. It’s just not how you see your first delivery going. I cry every time I think about every single person in that room, assuring me I would be okay.” – Mary remembers the stressful time Grateful for my Baby Boy and My Amazing Doctor Minutes later, baby Dane was born a healthy 8 lbs. and 9 ounces. Because Mary had to be put to sleep for the emergency delivery, Marc was the one to hold their son for the first time. Mary woke up shortly after and started to breastfeed. Even though she was still groggy from the surgery, she says it was the best moment ever. Advice for Soon-to-be-Moms New mom and baby Dane are now at home and doing great. Although Mary’s experience wasn’t what she had originally planned, she still feels extremely blessed to have a healthy baby and the experienced team from Cherokee Women’s Health Specialists by her side through it all. “You never know what’s going to happen, that’s why it’s important to find a practice you can trust. I’ve never been in a situation where I’ve had to be dependent on them but it’s incredible how much they know and what they can do to help you. Cesarean birth was not my number one choice — even if it had been an epidural and if Marc had been right by me the whole time — but this situation was something I never pictured. More than anything, no matter how Dane came into this world, we are so blessed to have him to love on every day.” – Mary’s advice to all soon-to-be moms

Author name: Diane

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Difficult Pregnancies – A Patient’s Story

Giving Birth at 36 Weeks – Shelbie’s Story

Velamentous Cord Insertion – A Scary Delivery

A C-Section & Postpartum Preeclampsia

Mammogram Myths

Umbilical Cord Prolapse Results in Emergency C-Section

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