Author name: Diane

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OB Patient Stories

Rebecca’s 2nd Baby

Rebecca had been a patient of Cherokee Women’s for over six years when she became pregnant with her second baby. She and her husband Stephen were already parents to 2-½ year old Leif, so she had an idea of what to expect. As the first time, she kept her regular OB visits all throughout her pregnancy, and everything looked great. Going Into Labor Rebecca went into labor on April 12th. With her contractions starting at about seven minutes apart, she and Stephen headed to Northside Hospital Cherokee in Canton. She was only one centimeter dilated when she arrived and her water broke immediately. In just 30 minutes after arriving at the hospital, Rebecca delivered a beautiful, healthy baby girl, whom they named Torin. “I didn’t even have time for an epidural. It was hard. I didn’t think I could do it, and whenever I said so my doctor talked me through it. She was tough when I needed her to be, but also kind and encouraging,” Rebecca recalls. Balancing Home and Work After six weeks of maternity leave, Rebecca will be returning to work, which means her mom will now have two little ones to look after. But, Rebecca knows that at the end of each day, she has her precious family to look forward to and is very grateful. “It was a great experience delivering with Cherokee Women’s again. Everyone was amazing, kind, sweet and extremely helpful throughout my whole pregnancy journey. I highly recommend them.”  – Rebecca

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OB

Emotional Health During Pregnancy

Maintaining good emotional health during pregnancy is more important than ever. Our tips will help alleviate anxiety during this uncertain time. A soon-to-be-mom may feel overjoyed about her upcoming baby one moment and scared and unsure the next. To add to these unpredictable emotions, a woman still has to deal with her day-to-day stressors like her job, her family, and her changing body, just to name a few. And if that’s not enough, enter COVID-19. Pregnant During a Pandemic The thought of dealing with a pandemic is as foreign to us as being pregnant is to new moms. And it can be especially scary for a woman who is pregnant since she not only has to worry about her own safety, but also that of her unborn baby. With all the unknowns around COVID-19 and what our futures look like, our way of living has become riddled with uncertainty and confusion. We’re met with unanswered questions, constantly changing advice, and of course, we now have to social distance, which means we can’t simply meet our best friend for a cup of coffee or go visit mom when we need a shoulder to cry on. Emotional Health Tips for Pregnant Women During COVID-19 Just because we’re in a ‘new normal’ doesn’t mean we’re in this alone. There are many ways to protect your emotional health and get support during your pregnancy. Keep Your OB/GYN Appointments Many OBs and Nurse Midwives offer Telemedicine, a digital service that can be used when in-person appointments aren’t possible, or aren’t preferable. A standard appointment often requires just a telephone call. Other times, it may require a video chat, but either way, Telemedicine is a great option and it helps ensure patients still receive the ongoing care they need throughout their pregnancy. Seek Emotional Support With anxiety and depression on the rise due to the stress of dealing with a pandemic, more emotionalhealth professionals are also offering digital appointments to help address issues brought on by feelings of isolation, lack of control, economic concerns, feelings of uncertainty and feelings of isolation. Claim Your Own Space It’s important to have time to yourself so you can decompress and clear your mind. Turn the news off and simply be. Use this time to meditate, read a book or simply do nothing at all. Exercise Being isolated and indoors means many of us no longer have an outlet for our stress. But there are other things that you can do to positively affect your emotional health during pregnancy. Get outside for a long walk, turn to YouTube for exercise and yoga videos that you can safely do in your living room. Eat Well Eating a well-balanced diet full of natural, organic foods will not only help you maintain a healthy weight during your pregnancy, but it will help alleviate mood swings brought on by sugar spikes as a result of packaged foods and foods with little to no nutritional value.    Get Answers Ahead of Time Having a bunch of questions rolling around in your head is a surefire way to create anxiety. While not all questions about the pandemic can be answered, having answers to other questions ahead of time will help ease your mind and reduce anxiety. The uncertainty of the unknown amidst a pandemic can cause anxiety and worse, depression. You can help stave these off and improve your emotional health by being as informed as you possible. Questions you may want to ask your OB/GYN: How will you keep yourself and your baby safe during this time? What’s it going to be like when you arrive at the hospital to deliver? How’s your doctor going to be able to fully support your throughout your pregnancy? Questions you may want to ask family and friends: Who is going to drive you to the hospital? Where will they wait while you are in delivery? How are you going to be supported after you bring your baby home? Who is going to relieve you from time to time so you can get some alone time? Online Childbirth Education Classes and Support Groups Connecting with online classes and support groups can help pregnant moms feel more connected and not so alone. Learning how others are coping and dealing with the same anxieties can be reassuring and we can learn from one another, so it’s important to reach out during this time. Emotional Health Help is Available If you’re feeling anxious or depressed, you are not alone. Help is available. Lifeline at 1.800.273.8255 provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones. If you have questions for us or would like to schedule an in-person appointment, or a Telemedicine appointment with one of our physicians and advanced practice providers, please schedule an appointment or call us today at 770.720.7733. Together, we’ll get through this.

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Vaginal Rejuvenation Education, Vaginal Rejuvenation Patient Stories

Vaginal Rejuvenation Gives Julie Multiple Benefits

Vaginal rejuvenation helped restore Julie’s self-esteem. A wife and mom in her early forties, Julie had been self-conscious about her body for years. Like many women, her body changed after having children but she didn’t realize just how much until one day, she overheard her husband make a comment that left her devastated. She was newly married and although she felt it was an issue, she had no idea that her husband could tell.  It was then that Julie made the decision to see if there was a procedure that could help her. She assumed she’d need a plastic surgeon but her sister, who works in an OB/GYN office, told about gynecologists who are specialists that perform surgeries to repair and restore the vagina. Researching Options This led Julie to begin researching her options. She started with RealSelf.com, an online site where users can see aesthetic procedure ratings and read reviews by real patients who have undergone treatments. RealSelf also shows physicians who specialize in these treatments. Vaginal rejuvenation looked as though it might be an option for Julie. She was able to see actual before and after photos and read real patient testimonials. But most importantly, it’s where she found Dr. Michael Litrel of Cherokee Women’s Health Specialists. She read that Dr. Litrel has extensive experience with vaginal rejuvenation surgery and is also a double board-certified urogynecologist, a subspecialty in female pelvic medicine and reconstructive surgery (FPMRS). Dr. Litrel also had rave reviews. She knew she wanted to contact Cherokee Women’s for more information. Learn more! Download our FREE Vaginal Rejuvenation eBook. Nervously Making the Appointment Nervously, Julie called Dr. Litrel’s office and spoke with his surgery scheduler. They spoke several times and Julie had her many questions answered. She was finally ready to do a consult with Dr. Litrel to see if this was the right decision for her. “Though I was still nervous, Dr. Litrel immediately put me at ease,” Julie shared. “He gave me a full explanation of why my body was the way it was and assured me that what I was experiencing was completely normal. He explained that during childbirth, the vagina and vaginal opening stretches during a vaginal delivery, and while it typically returns to pre-pregnancy size, it never returns to 100% for some women. He made me feel like it would all be okay. I had hope! I knew this was what I wanted to do, and I knew I was in good hands.” One Week After Vaginal Rejuvenation “All went great!” Julie shared less than a week later. As Dr. Litrel had prepared me, the day after surgery was rough. I was quite uncomfortable and in pain. The next day was better, and by the fourth day I had no more pain or pressure. And because I work a desk job, I was able to go back to work on day six. Amazing! I am excited that I am on schedule to be all healed in time for an upcoming cruise my husband and I had already planned. I’m looking forward to seeing how this surgery has helped me.” Ten Weeks After Vaginal Rejuvenation “Sex with my husband was incredible,” Julie shared just ten weeks after her vaginal rejuvenation procedure. “My husband and I waited to have sex again until we went on our cruise. I was a little nervous the first time wondering how everything would feel but my husband said he could tell a big difference. I could too. I almost feel like I did pre-baby. An added benefit is that I had a hard time reaching orgasm before the surgery and now I have multiple ones in each session. It’s great! Recovery wasn’t all easy, but it was so worth it. My self-esteem is back, which is more important to me than anything. I also no longer have to cross my legs when I sneeze for fear of leaking urine. That’s another benefit I wasn’t expecting. I feel desirable again and I really feel that vaginal rejuvenation has renewed my marriage. It was one of the best decisions I have ever made, and I would do it again!” “An added benefit is that I had a hard time reaching orgasm before the surgery and now I have multiple ones in each session. It’s great!” Feeling Grateful Julie says she’s so grateful to Dr. Litrel and says she’s never had a doctor like him. “Dr. Litrel was so caring and concerned about my fears and worries. He checked in on me constantly post-surgery and made me feel so comfortable. He explained everything. I highly recommend him,” Julie shares. Vaginal Rejuvenation by Female Health Experts Julie decided to share her story, along with the intimate details, for one reason – she is hoping to help and encourage other women. If you can relate to Julie, please schedule an appointment online to learn more about vaginal rejuvenation. Or, call us at 770.721.6060.

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OB

Pregnant? Tips to Push Through the COVID-19 Pandemic

By James Haley, MD, FACOG, FPMRS Being pregnant during COVID-19 and delivering your child in the midst of this pandemic is not what anyone could have ever imagined. This crisis has taken most everyone by surprise and there are many uncertainties that expectant mothers now face. While knowledge about the coronavirus disease is constantly evolving, I would like to offer some practical advice for pregnant women to protect their health and the health of their baby. As an OB/GYN physician, I have delivered thousands of babies and helped many mothers through some difficult pregnancies and births. Although the current situation may seem overwhelming and frightening, it is important for pregnant women to take all precautions and listen to medical advice to ensure a safe outcome. Below are some recommendations to guide you through this time. Recommendations to Guide You Through COVID-19 Like everyone, pregnant women should adhere to the guidelines stated by the Center for Disease Control (CDC). Pregnancy causes a variety of changes in the body and results in a slight immunocompromised state which can make one more susceptible to infections. Because of the weakened immune system, women need to follow the CDC rules as strictly as possible. Follow the Recommended CDC Guidelines. The CDC’s common rules to adhere to are: Frequent hand washing Wearing masks in public and avoid touching your face Staying in social isolation. It is also important your family follows the same rules for better protection. Protect Your Health with a Proper Diet The best way to fight off any disease is to build up your immune system. It may seem cliché, but you are what you eat. It is critical now more than ever to help build your immune system and keep it at its highest level. Eat as many organic, non-GMO, and whole foods as you can. This includes: Fruits Vegetables Healthy fats Plant-based protein Healthy carbs – decrease unhealthy carbs. When you eat this way, you’ll notice how much better you feel. Other tips to help build your immune system: Avoid sugar, processed or fried foods Avoid anything that may have harmful pesticides or antibiotics. Drink plenty of water, always. Take Care of Yourself Often women take care of others before themselves, and that is what makes them so incredible. However, I can’t stress enough how critical it is to take care of yourself first. It’s for you and your baby. Get regular exercise, take vitamins, walk outside for fresh air, pray, get plenty of sleep, talk to friends, and do what you can to stay calm and positive. And of course, make sure you go to your OB visits and listen to your doctor.   Together, We Will Get Through This God has blessed you with new life growing inside you. As a person of faith, I trust that God will work all things out for good. Together, we will get through this. Dr. James Haley is a double board-certified OB/GYN and urogynecologist at Cherokee Women’s Health Specialists. To make an appointment with Dr. Haley, call us at 770.720.7733 or schedule an Appointment online.

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Medical Weight Loss Patient Stories

70 Pounds Down With Cherokee Women’s Medical Weight Loss Program

Losing weight had been a lifelong battle for Trena, and a battle that she could never win. In 2012, she had reached her breaking point and made the decision to have gastric bypass surgery. Nothing else had worked long-term and she felt this may be the permanent fix. It wasn’t. Though Trena did lose 100 pounds during the first year after surgery, over the next seven years she had gained over 60 pounds back. The main culprit, according to Trena, was that she never really learned what to eat, or how much to eat, to maintain her weight loss. Beating Old Habits The other issue was sugar! Trena admits to being addicted to it. She couldn’t control herself. One bite of something would turn into a few and then eventually into the whole thing. This would lead to her feeling guilty, and depressed. It was a vicious cycle. “I had gotten to the point where I just didn’t care anymore, and just gave up,” Trena said. After all, not even the surgery gave her the ultimate result she was looking for. Plus, now she was older and dealing with hormonal changes which often makes it even more difficult for women to lose weight and keep it off. In the meantime, Trena’s gynecologist of 40 years had retired and she needed to find a new doctor. She did some research online and started asking for recommendations from people she knew. Cherokee Women’s Health Specialists was highly recommended. Finding Hope Trena made an appointment with Cherokee Women’s Health. While in the waiting room, Trena saw information about their Medical Weight Loss Program. She was intrigued. Once in the exam room she discussed her long-endured weight loss issues with the OB/GYN, and how the Program could help her. Trena made an appointment for a free consultation before she left. And then within a few days, cancelled it. She convinced herself she was just too busy to start something new. Shortly thereafter, Trena received an e-mail from Cherokee Women’s Health reminding her about the Program. She knew it was time and rescheduled her free consultation. This time, she kept the appointment.  Starting the Medical Weight Loss Program Trena met with the nutritionist, had her medical history and vitals taken, and they discussed her goals and expectations. Trena’s goal was to lose the 60ish pounds she had regained since her surgery. She committed to a 4-month plan which included weekly visits, B12 shots, natural vitamins, and calorie counting. When she got home, Trena went to Cherokee Women’s website and read all the information on the program, as well as the testimonials and videos from previous patients. Trena then downloaded the My Fitness Pal app that the nutritionist had recommended so that she could log everything she ate to make sure she stayed within her calorie allowance. The next thing Trena did was give up sugar. This wasn’t a requirement of the Program but it was something Trena knew she needed to do for herself. That meant all sugar! She committed that the only sugar she would have would be that found in fruit. Trena shares, “The first few weeks were really hard! But it was the support and accountability of the weekly visits that helped me get through that time.” The results also kept her motivated. Trena had lost over 30 pounds in the first few months! Adding Exercise Trena then added walking to her program. She started gradually and then worked up to one hour a day. She would make sure to arrive at work early and walk 3 miles before starting her day. She also had a great area to walk at home and would sometimes get up and walk at 5:30 a.m. and walk by flashlight. She was committed, and it paid off. Hitting Goal Trena achieved her 60-pound goal at around 7 months of being on the program. She was feeling so great that she kept going with the program and the visits, changing them to every 2 weeks and then eventually monthly. Trena tracks her steps and aims for at least 10,000 steps a day, though on many days she hits 15 to 20,000 steps. She also went outside of her comfort zone and added a yoga class one to two times per week. 70.5 Pounds Down At her recent one year check up with Cherokee Women’s, Trena was down 70.5 pounds! She says she is smaller now than after her gastric bypass surgery and the smallest she has been in 35 years. Trena also says, “I feel so much better, physically and mentally. And because I’ve also changed the way I cook and what foods I bring into the house, my husband has lost fifty pounds. I have nothing but praise for the Medical Weight Loss Program. This program has given me my life back!” You Can Do It Too Trena wanted to share her story to encourage other women. If she can do it, she knows they can too. It doesn’t matter your age, or your past unsuccessful attempts, it is possible. If you can relate to Trena’s story and are ready for help, contact us for your own free Medical Weight Loss consultation. We would love to help you on your journey to a healthier, happier you. Call us 770.720.7733 or click here to schedule an appointment.

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OB

OB Ultrasounds

Ultrasonographer Rachel shares what you can expect at an OB ultrasound appointment. Watch More OB Videos Below

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GYN Problems

What You Need to Know About Bacterial Vaginosis

Bacterial vaginosis (BV) is a common bacterial infection in the vagina when different kinds of healthy bacteria get out of balance and grow too much. Bacterial vaginosis is often caused by Gardnerella vaginalis, the most common type of bacteria in the vagina. As a result of the overgrowth of certain bacteria, vaginal discharge is common. Having multiple sex partners, vaginal douching, and being pregnant increases the chance of developing BV. While BV increases the risk of developing a sexually transmitted disease (STI), the infection itself is not considered an STI. BV is most common in women between the ages of 15 to 44 years and is rare for women to develop if she has never been sexually active. Symptoms  Most women experience hardly any to no symptoms at all. The most common symptom of BV is vaginal discharge and odor. The discharge may be gray in color, watery and thin, and has been described as smelling fishy. Less commonly, women may have a burning sensation during urination or itching around the vagina. The infection shows no symptoms at all for 50 to 75 percent of women, but BV can cause serious complications to arise if left untreated. If you are experiencing any of these symptoms make an appointment with your doctor. Complications of BV Having intercourse with someone who has BV, as well as having multiple sex partners or a new one, can put you at risk for the infection. Untreated vaginosis can lead to: The Centers for Disease Control and Prevention (CDC) estimates that 1 million pregnant women are diagnosed with BV each year. Pregnant women are at an increased risk of BV because of hormone changes that happen during pregnancy. If you have BV while pregnant, you are at an increased risk of: Causes Many bacteria reside in the vagina. BV is caused by an imbalance of the naturally occurring “good” bacteria (lactobacilli) and “bad” bacteria (anaerobes). Usually, lactobacilli bacteria outnumber anaerobes bacteria but if there are too many anaerobic bacteria, they upset the natural balance in your vagina and cause bacterial vaginosis. Risk Factors  Any woman is a risk for BV, even if they have never had sex. You may be more at risk for BV if you: BV cannot be caught from toilet seats, bedding, swimming pools, or by touching objects. Diagnosing BV The diagnosis of BV requires a vaginal exam by a doctor or from a description of the symptoms. An examination to diagnose BV is like a regular gynecological checkup, examining the vagina for signs of BV which include vaginal discharge that has a white or gray color. The doctor may order some diagnostic tests if the patient is sexually active, due to the chance an STI (sexually transmitted infection) is present. The pH balance of the vagina may also be measured to assess acidity levels. Prevention Tips While there is no certain way to prevent BV, some tips can help. These include: Recurring Symptoms It is common for BV symptoms to come back within 3 to 12 months of treatment. Around 30 percent of women will have a recurrence within 3 months, and 50 percent will have a recurrence within 6 months. If the original treatment was oral medication, vaginal treatment might work better the second time. On the other hand, if the first treatment was vaginal, the follow-up treatment should be by mouth. The doctor may prescribe a vaginal metronidazole gel to use twice a week for three to six months if more than three episodes occur within 12 months. Treatment BV can often clear up without treatment, but women experiencing symptoms should seek treatment to avoid future complications. It is important to see your doctor if there is an abnormal vaginal discharge because a doctor can rule out other infections, such as gonorrhea or trichomoniasis (or “trich”). Untreated BV can also lead to complications, especially during pregnancy. Male partners usually do not require treatment, but they can spread BV between female sex partners. Antibiotic Medication  If BV does not clear up on its own, antibiotics are effective in up to 90 percent of cases. Metronidazole and Tinidazole are two commonly prescribed oral medications prescribed to treat BV. Even though symptoms should clear up within two or three days, it is important to finish out the full five or seven days course of antibiotics. Your doctor might also prescribe Clindamycin, a suppository cream. While taking antibiotics, avoid having vaginal intercourse or inserting anything into the vagina that could introduce bacteria, including: Make an Appointment If you have any concerns, please call us at 770.720.7733 or schedule an appointment at either our Woodstock or Canton location.

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