Author name: Diane

OB

Breastfeeding

Scroll down to see breastfeeding tips in a video from Dr. Hale. Breastfeeding can be a beautiful way to bond and spend time with your baby. It can also present its fair share of challenges from midnight feedings to getting your baby to latch on. As a mom and doctor, Dr. Hale understands the challenges of breastfeeding and she offers great advice in the video below. We also offer more tips that might help you along the way. You can also find helpful information at Northside Hospital Cherokee. Get in the Groove Nursing is about getting in sync with your baby’s schedule. Most babies nurse about every two to three hours for the first few weeks. If you think your baby might be hungry, some signs to look for include restlessness, sucking and lip motions. Your baby should nurse from your breast for about 20 minutes or until it is soft. From there, you can try burping your baby and switching breasts if they still appear to be hungry. It’s in the Latch Achieving the correct the latch early on is a critical part of breastfeeding to ensure that your baby is getting enough milk.  There are many people who can help you while you’re still in the hospital, whether it is your doctor, midwife or a lactation consultant. Of course, your loved ones are great people to ask for advice too.You may want to hold off on introducing a pacifier until your baby is well established in breastfeeding; a pacifier may interrupt the muscle memory your baby has learned. Get a Tool Kit There are many products on the market to help you with your breastfeeding needs: Nursing Pillows – Since you will be spending many hours a day nursing, it’s important to be comfortable. There are many pillows on the market to help give your baby assisted access to your breast while remaining comfortable. A very popular brand is Boppy, but there are many on the market. A Breast Pump – There are many models of breast pumps available. These pumps can help you create a supply of milk in case you are unable to nurse your baby. If your little one favors one breast, you can use a pump to relieve the other side and save the milk for later. Nursing Pads – While nursing, it’s very common for breasts to leak. Nursing pads are a lifesaver when it comes to preventing unwanted moisture on your bras and clothes. Breastfeeding your baby is a special time just for the two of you to bond. While it can present its challenges, our team at Cherokee Women’s Health Specialists is here to help and cheer you on. If you have questions regarding breastfeeding, contact our office to make an appointment.

happy mature woman photo
Ablation Education, Endometriosis Education, GYN Problems Patient Stories

Relief After Endometrial Ablation

Severe bleeding and horrible pain — that’s what Amber began experiencing when she was just 15 years old. Her periods were so heavy that she had to use both a pad and a tampon together, only to have to change them every 1-1 ½ hours. At age 16, she began seeing an OB/GYN to get relief and answers. Her search led her to many doctors but more often than not, she was simply prescribed 800 milligrams of Ibuprofen. And because none of the doctors performed any tests, Amber got no relief and no diagnosis. Amber became pregnant with her first baby in 2012. At this time, she was 26 years old, and was still experiencing the same symptoms she’d had for the past eleven years.  Time for a New Doctor Amber knew it was time to find a new doctor. Her research led her to Cherokee Women’s Health, impressed by the many outstanding reviews she read and heard about. “I went to my first visit at Cherokee Women’s Health and fell in love,” Amber says. A Diagnosis at Last   During Amber’s prenatal visits, she saw Dr. Haley, who discovered she had polycystic ovary syndrome (PCOS), and subsequently treated her for it. PCOS is a hormonal disorder among women of reproductive age that is characterized in infrequent or prolonged menstrual periods.  And Then, an Abnormal Pap Smear Between her first and second pregnancies, Amber had a Pap smear that detected pre-cancerous cells. As such, Dr. Haley performed a LEEP. A LEEP is a loop electrosurgical excision procedure that’s used as part of the diagnosis and treatment for abnormal or cancerous conditions, helping to prevent cervical cancer. It’s performed with a small electrical wire loop that removes abnormal cells from the cervix. Along with the abnormal Pap smear, Dr. Haley also discovered that Amber had endometriosis, a condition that occurs when the endometrium tissue that lines the uterus starts to grow outside of the uterus. Endometriosis can also cause painful bleeding, which Amber learned all too well.    Unbearable Pain and Bleeding After Amber had her second baby, her periods were just as bad — if not worse — than before. She would experience horrible pain and would bleed for 3-4 days, only to have it stop, but start up again and last another few days. This happened 3-4 times per month so every month she’d be down and out for at least 2-3 days. It became unbearable. Dr. Haley Provides Solutions When Amber returned to Dr. Haley and explained her symptoms, he explained that she had a couple of options. Dr. Haley started with the least invasive option, which was to insert an IUD to help lessen her bleeding. However, while this option works for many women, it did not work for Amber. The second option was an endometrial ablation, an in-office procedure that destroys the endometrium to reduce or even eliminate menstrual flow. Since Amber was done having children, Dr. Haley said she was a good candidate. The ablation was a success and Amber said the procedure, which is covered by most insurance plans, was easy and painless. Feeling Great It’s been 2 ½ years since Amber had the ablation and she’s happy to report that other than the occasional spotting, she’s had no pain or bleeding. She also says that she’s so happy she chose Dr. Haley. “Dr. Haley is amazing! He deserves 100 gold stars. He is a lifesaver and I recommend him to everyone!” Amber shares, Dr. Haley is a double board-certified FPMRS surgeon, which means he’s an expert in Female Pelvic Medicine and Reconstructive Surgery. He was also named ‘Mom-Approved’ OB by readers of Atlanta Parent Magazine for his excellent medical care and ‘Patient’s Pick Top Doctor’ for favorite gynecologist by Atlanta Magazine. If you’re experiencing problems like Amber, and would like to make an appointment with one of our expert doctors, please call 770-720-7733.

pregnant woman with morning sickness
OB Patient Stories

Morning Sickness Times Ten – Brianna’s Story

Many pregnant women have morning sickness but for some, symptoms will be much more intense and they’ll experience severe, persistent nausea and vomiting, weight loss and dehydration. This is a rare disorder known as hyperemesis gravidarum. Brianna was a healthy, young mom of a very active 2-½ year old boy when she began experiencing extreme nausea and vomiting while traveling. She attributed it to the nervousness she was feeling due to meeting her birth mother for the first time. Or, she thought she may have a bad stomach bug. She’s Pregnant! However, the vomiting continued even after she returned home. She did the math and decided to take a pregnancy test. The results were positive. She made a doctor’s appointment to confirm her findings and sure enough, she was pregnant. While she was there, she asked her doctor if there was any medication she could take for her symptoms so she was prescribed an anti-nausea medicine. Brianna also learned that she had a hemorrhage between her placenta and uterine wall. Thankfully, though, she was told this condition often resolves itself. While on vacation the following week with her husband, Brianna was still getting sick, even though the medicine did help some. When she returned, she went to her follow-up appointment she was told that the hemorrhage was gone. She also discussed her nausea again with her doctor. Since the medicine was helping, if not completely getting rid of it, she continued to take it. At this point, Brianna resolved herself to the fact that this was just normal morning sickness and would probably go away at around 12 weeks. She was wrong! “I Vomited 30 Times in One Day” Brianna spent the first half of her pregnancy so sick that she had to stay in bed most of the time. A normal day for her was to vomit 20 times. “Just the slightest movement of my head would sometimes cause me to get violently sick. It was miserable,” Brianna shared. Brianna’s husband is in the National Guard and would often be gone for a week at a time, so she had to rely on family to help take care of her son. During this time, Brianna would end up in the emergency room for dehydration about once a week because she often couldn’t even keep liquids down. At about 20 weeks into her pregnancy, Brianna vomited 30 times, leading her to become severely dehydrated. She was admitted to the hospital. Diagnosed with Hyperemesis Gravidarum The Cherokee Women’s doctor that was on call that night attended to Brianna. She disclosed to him just how sick she had been. He reviewed her medical history and determined that she did indeed have a condition called hyperemesis gravidarum. While morning sickness occurs in 70-80% of pregnant women, hyperemesis gravidarum only occurs in less than .5-2% of pregnant women. And while morning sickness often fades by the end of the first trimester, hyperemesis gravidarum usually lasts longer. It’s a temporary condition for which there’s no cure, but there are ways to manage it. Brianna recalls her visit to Cherokee Women’s Health. She says, “My doctor brought light to what I was going through. He was able to figure out a treatment plan and added some different medicine, which eventually helped. The pregnancy was still miserable, but I didn’t feel like I was dying anymore.” Because of the new medication, Brianna was able to somewhat enjoy the rest of her pregnancy, and finally take care of her son. Going Into Labor Seven days before she was due, Brianna went into labor. She and her husband live a bit far from Cherokee Women’s Health and Northside Hospital Cherokee but she wanted to deliver there because of all of the physicians and advanced practice providers who had seen and helped her. However, nature had another plan. Brianna’s labor came so fast that she had to deliver closer to home. Brianna gave birth to a beautiful healthy seven-pound baby girl, whom she and her husband named Brielle. Brielle is about to start kindergarten soon and Brianna still vividly remembers all that she went through with her pregnancy. “I can never thank Cherokee Women’s Health enough for putting a name to what I was experiencing and treating me through it. I felt so alone before during that time, I felt like I was drowning. But once I knew what I had I began reaching out to others with the same condition. I found a Facebook group and that was a big help.” – Brianna expressing her gratitude for Cherokee Women’s Health Help is Available Brianna continued, “I’m telling my story so that others know that they are not alone. There are great doctors who can help and wonderful support from other women is available.” If you are experiencing any issues during your pregnancy, Cherokee Women’s Health is here to help. Call us at 770-720-7733 or schedule an appointment online at either our Canton or Woodstock location.   

gestational diabetes baby
OB Patient Stories

Gestational Diabetes: Roseann’s Story

Roseann did not expect to develop gestational diabetes while she was pregnant with her 3rd child. After all, everything had been going well. While she had suffered with a lot of morning sickness and heartburn with the pregnancies of her two boys, this baby girl pregnancy had been smooth sailing—until the third trimester. During her 7-month visit to Cherokee Women’s Health Specialists, it was time for Roseann to take the glucose test, which is used to check the mom’s blood sugar level. Roseann failed the one-hour test, and then the three-hour test. She was diagnosed with gestational diabetes. What is Gestational Diabetes? Gestational diabetes occurs because of hormonal changes during pregnancy. Increased levels of certain hormones interfere with the body’s ability to manage blood sugar. This condition is known as insulin resistance. As the placenta grows larger during pregnancy, it produces more hormones, increasing the resistance to insulin.  If a pregnant woman’s pancreas is unable to produce more insulin to overcome the effects of additional hormones in the body, blood sugar levels will rise, resulting in gestational diabetes.  This is when everything changed for Roseann. She had to attend a diabetes nutrition class, begin a low carb diet, and add exercise to her routine. She also had to do a finger prick test four times a day to check her sugar levels. And to make matters worse, a few weeks after her diagnosis, Roseann was out shopping for the baby’s crib when she went to the bathroom and saw she was urinating blood. She called her doctor and was sent to the hospital where she was diagnosed with a urinary tract infection and put on antibiotics. Admitted to the Hospital One week later, Roseann was still urinating blood when she went for a checkup. Upon examining her, her OB/GYN at Cherokee Women’s Health had Roseann admitted to Labor and Delivery to watch her and to see why this was still happening. During her stay in the hospital, Roseann had to see a urologist and have three scans to check for kidney stones. She also had a Foley bulb catheter to flush her out. Finally, after six days in the hospital, the bleeding stopped. Roseann had to make a lot of changes at the beginning of her seventh month so it a very difficult time for her. She was busy with her 12-year-old and his full calendar of school commitments and extracurricular activities, plus she had a very active 2-year-old. But she still managed to follow the suggested diet and even wrote down everything she ate. However, her numbers were still going up and down. Roseann jokes, “On top of everything else going on, I couldn’t even indulge in my food cravings. Well, except for those two times for my birthday and my baby shower—doctor approved, of course.” Meeting Dr. James Haley In a practice such as Cherokee Women’s, it’s not uncommon for pregnant patients to see multiple doctors, so during one of her next visits, Roseann saw Dr. Haley. “Dr. Haley’s so nice and very knowledgeable. He patiently answered all of my questions, and believe me, I had lots of them. Dr. Haley is amazing!” Roseann shared.   Roseann already knew that when it was time, she would be delivering via C-section since that was how her last baby was delivered, and because of her current complications. She also considered having a tubal ligation after her baby was born, but wasn’t quite sure, so she asked Dr. Haley a lot of questions. Dr. Haley explained that adding a tubal ligation to a C-section is a common occurrence. He also told her that if she even had a 1% doubt about the tubal ligation, that she shouldn’t do it. Roseann shared, “I always appreciated the way Dr. Haley didn’t sugarcoat anything, but also always spoke so kindly.” Delivering a Baby–and a Pizza! At 39 weeks, it was time to deliver her baby. Dr. Haley performed the C-section and baby Ava was born. Although Ava did fail her first glucose heel prick test, she passed the second one and was given a clean bill of health. Roseann did decide to have the tubal ligation, and has no regrets. She says she’s very grateful for her beautiful, healthy family. And, because her diabetes went away after the birth of Ava, Roseann decided to splurge on Cherry Coke and pizza. She said nothing ever tasted so good! Sharing Her Story to Help Others The reason Roseann decided to share her story is to help other women who may experience issues like hers during pregnancy. “I felt so scared and lost during this ordeal. I would have loved to have been able to read a first-hand story from an actual patient of the same practice and doctors that I was seeing.” Roseann says, Seek Expert OB/GYNs      Having gestational diabetes—or other pregnancy related issues—doesn’t mean that all can’t turn out well. Being treated by doctors who are experts in their field can make the difference. Please contact us for an appointment and let us help guide and care for you during your pregnancy. Call today at 770.720.7733.

prolapsed bladder
GYN Problems Patient Stories, Pelvic Pain Education

Pelvic Pain – Your Mother Was Wrong

Adrian came to my office this morning for a GYN visit. She is one of hundreds of women who visit our office every year looking for relief from pelvic pain. Adrian’s story is also common. “Period pain is a normal part of being a woman,” Adrian’s mother told her when she reached adolescence and the pain first began. Adrian believed it. “I experienced intense monthly pain around her pelvic area throughout my teens. When I entered my twenties, I missed work for a day or two every month because the pain was so bad. I didn’t make a big deal about it because I truly believed my pain was “normal.” – Adrian Pelvic Pain is Not “Normal” Adrian recently visited Cherokee Women’s Health after moving to the area. Like most women, she had formed a bond with her former OB, and the switch was hard. But not every GYN focuses on treating pelvic pain, and Adrian’s OB had been no exception. Pelvic pain is a complicated condition which can arise not just from the reproductive organs, but from the urinary tract or bowel as well. A woman might have more than one condition, each with a different cause. Causes of Pelvic Pain Include: Describing Your Pain is Key To Successful Treatment Part of successful treatment is answering questions, which helps your GYN understand your health history: A history of sexual abuse can also lead to symptoms of pelvic pain, whether from actual physical damage or the emotional trauma. Tools For Diagnosing Pelvic Pain Potential Treatments for Pelvic Pain In Adrian’s case, I diagnosed a longtime history of endometriosis. She seemed genuinely surprised at the range of treatment options available for her, and chose to try birth control pills as a first step. This week Adrian returned for follow-up, happy to report that the “normal” pain she had lived with all her life was gone! Don’t Suffer with “Normal” Pelvic Pain If you’re experiencing pelvic pain, help is available. Call our office at 770.720.7733 or schedule an appointment online today.

pelvic pain photo
Ablation Education, GYN Problems Patient Stories

Hysterectomy – Talia’s Story

Twenty years is a long time to suffer. Talia can attest to that. It all started in her late 20s when she began experiencing very heavy clotting. The clotting continued for a few years, and then the pain started. Talia had never even had cramps with her period before, so this pain was new. Now, each month as her period approached, Talia would begin to suffer with backaches and pain that would travel down her legs. The pain was so uncomfortable that she would have to miss work each month for one to two days. Heavy Bleeding, Pain and Exhaustion Not only was the pain affecting Talia’s quality of life, but the bleeding was so bad it would cause her to soil her clothes, and even her car seat at times. To make matters worse, she was losing so much blood that there were times she would become extremely light headed and feel very tired. This sometimes happened while she was driving, and she would have to pull over for fear of passing out. Talia even had to plan events and vacations around her cycles. Talia had seen a doctor over the years and had several ultrasounds to look for cysts or fibroid tumors. Nothing had ever been found. She continued to suffer through her heavy periods and pain for ten more years, during which the exhaustion and lightheadness continued, due to the loss of blood. Her hemoglobin was so low at one point that Talia had to visit a hematologist to receive iron infusions. She did this once a week for five weeks. The infusions helped her tremendously. She began to think clearer and feel energized. It made a marked difference, but of course, didn’t do anything to improve the blood loss. Finding Solutions With Dr. Haley After seeing many doctors who offered very little help, Talia began to see Dr. Haley of Cherokee Women’s Health Specialists. He discovered that Talia had endometriosis, which led Dr. Haley to perform an endometrial ablation. Talia says, “Dr. Haley was so sweet and kind. He really knew his stuff and I knew I was with an expert.”    Ablation is a procedure that destroys the endometrium, or the lining of your uterus, to reduce menstrual flow. While ablation is a great success for many women, for some it doesn’t help, and unfortunately, it didn’t help Talia. At that point, Dr. Haley discussed the possibility of a hysterectomy with Talia. But being in her mid-thirties and with no children, Talia wasn’t ready to lose that option. One and a half years after the first iron infusions, Talia’s hemoglobin was down again, and she went through another round of iron infusions. At this point, now in her mid-forties, Talia knew it was the right time to have the hysterectomy. There was no doubt now and no fear. Talia was ready. Hysterectomy Offers Relief Dr. Haley performed a partial vaginal hysterectomy, removing the uterus in sections, as it was so large. A normal uterus weighs about 50-60 grams, and Talia’s was 384 grams. Dr. Haley also inserted a bladder sling to tack up her bladder to help prevent it from dropping. Talia only spent one day in the hospital and went home with minimal pain. It’s now been a little over two months since the surgery and she is feeling great. After her hysterectomy, Talia shares, “I know longer have to plan events like vacations around my periods and I am finding my new normal. I feel liberated!” Talia is looking forward to living life free of the pain, disruption, and the burden that she experienced for so long. She is more than happy she made the decision to have the hysterectomy when she did. She is especially glad she chose Dr. Haley as her doctor. Hysterectomy Offers Relief A hysterectomy can be an emotional decision for many women, but the benefits often outweigh the downsides. Finding the right doctor who is an expert in such surgeries is key to a successful outcome. Dr. Haley is an FPMRS surgeon and double board-certified in urogynecology, giving him the unique expertise to address complex female issues. You don’t need to suffer with pain any longer. Call us today for an appointment at either our Woodstock or Canton office at 770.720.7733.     

mom with preeclampsia and baby
OB Patient Stories

Preeclampsia and Postpartum Depression – Ashton’s Story

Just three weeks shy of her due date, Ashton was admitted to the hospital for preeclampsia. At just 25 years old, Ashton had been given a clean bill of health, which was very important since she and her husband Joey had recently suffered a miscarriage. But this pregnancy was going well and she experienced no morning sickness or other pregnancy-related issues. She remained very busy too, working 60 hours a week as a CPA while also doing makeup for brides on many weekends. Signs of Complications But then, Ashton began to have swelling and her blood pressure rose. Her blood pressure naturally registered low, so while her readings may not have been cause for alarm for those with average readings, for Ashton, it was high. As such, her blood pressure was monitored at each doctor visit to make sure it stayed in a safe range. But then, on August 26th, just three weeks shy of her date, things changed. During her doctor’s visit at Cherokee Women’s Health, her blood pressure reading was once again high, so she was sent to the hospital. It was determined that she had preeclampsia. Hospitalized for Preeclampsia Preeclampsia is pregnancy-related hypertension that affects mothers and infants during late pregnancy, with symptoms typically developing after week 20 and showing up as late as six weeks postpartum.  Preeclampsia can also be very dangerous for both mom and baby so Ashton was immediately admitted to the hospital. While in the hospital, Ashton’s blood pressure continued to climb so it was determined that the best course of action would be to deliver her baby. For a few days, the doctors tried several methods to help her go into labor naturally but there was no progress — and Ashton’s blood pressure remained elevated. Early Delivery For the safety for Ashton and her baby, her doctor decided a C-section would be best. During the surgery, Ashton recalls hearing his voice telling her that all would be fine. “It was very comforting and calming to be reassured by my doctor during surgery.” Meet Baby Emerson The C-section was a success, and I gave birth to a beautiful baby girl, whom Ashton and Joey named Emerson. The only complications Emerson experienced was a bit of jaundice, but after spending three days in the BiliBed, she was fine and cleared for release. But while baby Emerson was cleared to go home, Ashton had to remain at the hospital for another week because her blood pressure was still high. She was so grateful though that she was allowed to have Emerson by her side the whole time. She’s also grateful for the care she received from her doctor. “My doctor was so caring — before, during, and after the delivery. He checked on me often.” – Ashton shares about her experience Guilt and Postpartum Depression At her six-week checkup, Ashton felt better physically but confessed that she had been struggling with postpartum depression and anxiety. She said she felt guilty because she couldn’t take care of Emerson like she thought she should while she was recuperating. She shared that her husband Joey was doing a great job helping but felt she should be doing more. Her doctor listened as Ashton shared feelings that many mothers experience after giving birth. “My doctor was phenomenal. He really listened to me and calmed my nerves by telling me what I was feeling was very normal. This really put me at ease.” Mom and Baby and Thriving, Thanks to Expert Care Ashton is now feeling back to her normal self and baby Emerson is thriving. “I love how Cherokee Women’s Health walked alongside me throughout this whole ordeal, she says. Ashton’s story is a great example of how important it is to have expert care, especially when things don’t go as expected or medical complications arise. To contact Cherokee Women’s Health, please call 770.720.7733 or schedule an appointment at either their Woodstock or Canton location.

older happy woman photo
Pelvic Organ Prolapse Education, Urogynecology Patient Stories

Pelvic Prolapse Surgery – Susan’s Story

Pelvic prolapse can cause a constant urge to go to the bathroom. Our patient Susan experienced this, and sometimes she couldn’t make it in time, and would also leak throughout the day. She was also dealing with urinary tract infections that were not responding to antibiotics. All of these symptoms were affecting her everyday quality of life. Susan couldn’t live like this any longer, so she made an appointment with her OB/GYN. Susan’s doctor told her that she had pelvic organ prolapse. Pelvic organ prolapse happens when the muscles and tissues supporting the pelvic organs (the uterus, bladder or rectum) become weak or loose. This allows one or more of the pelvic organs to drop — or press into or out of — the vagina. Learning that surgery was the best option to fix the problem, Susan began researching, and discovered that many doctors perform this surgery by cutting through the abdomen. This was not the route she wanted to pursue. Seeking a Pelvic Prolapse Expert Susan also learned that certain doctors have the expertise to perform this surgery vaginally, which would mean it would be less intrusive and would typically require less recovery time. Susan knew she needed an expert. “I found Dr. James Haley of Cherokee Women’s Health Specialists. I was thrilled to pieces, because I knew I had found a doctor with the knowledge and expertise I was looking for,” Susan says. Dr. Haley is double-board certified in urogynecology and has successfully performed this surgery numerous times. Pelvic Prolapse Surgery Dr. Haley determined that Susan needed a total vaginal hysterectomy, and an anterior, posterior and enterocele repair. At 65 years old, Susan knew the longer she waited, the harder the recovery could be. She scheduled the surgery right away.  The pelvic prolapse surgery was a success and after a 24-hour hospital stay, Susan went home to recuperate. She spent the following three weeks at home before returning to work on a limited activity basis, as she was still healing and dealing with some discomfort. Three months later and Susan is feeling back to normal. All of her pre-surgery symptoms are gone, and she is so happy that she took the time to do her research to find someone with such expertise. Finding an expert in pelvic prolapse surgery made all the difference to Susan’s quality of life, and she highly recommends Dr. Haley. Susan encourages other women: “If you are experiencing such life-altering symptoms as I was, seek help and make sure to find an expert.” If you can relate to Susan’s story, and need an expert yourself, please contact us to schedule an appointment at 770.720.7733.

Linda Pelvic Prolapse Patient Story
Anterior and Posterior Repair Education, Urogynecology Patient Stories

Prolapsed Bladder – Linda’s Story

Linda was in the shower one night when she unexpectedly felt a balloon-like protrusion between her legs. She was 65 years young and in good health, but now she was concerned something was seriously wrong.    She immediately called her daughter to share what she had discovered and to convey how worried she was. Her daughter helped calm her nerves and suggested that she call her doctor’s office. Prolapsed Bladder Even though it was Friday night and after hours, Linda called Cherokee Women’s Health and and left a message with their 24-hour on-call service. The on-call nurse promptly returned her call and told Linda that it sounded like bladder or uterine prolapse. She assured her that there was no need for alarm and that a trip to the emergency room wasn’t necessary. The nurse did, however, suggest that Linda come in for an appointment as soon as possible. Linda made an appointment for the following Monday. Prolapsed Bladder Explained Upon examination, the doctor reiterated what the nurse had told her — that she did indeed have a prolapsed bladder, also known as a cystocele. He explained that a prolapsed bladder is very common and occurs when the supportive tissue between a woman’s bladder and vaginal wall weakens and stretches, allowing the bladder to bulge into the vagina. Depending on the severity of the prolapse, many women experience incontinence and constant pressure and/or discomfort, which can interfere with daily activities, such as exercise or intercourse. Causes of Prolapsed Bladder Prolapsed bladder can be caused by a number of things, including: Straining during vaginal childbirth Chronic constipation Violent coughing Heavy lifting The doctor also reassured Linda that her prolapse wasn’t life threatening or a surgical emergency. However, she was told that she would eventually need to consider surgery, since symptoms typically increase over time. Linda was particularly at high risk for this since her job required that she lift heavy items. Meeting Dr. James Haley Linda continued living with the prolapse for another year but, as predicted, her symptoms became more pronounced. When she returned to Cherokee Women’s Health for her annual exam, she saw Dr. Haley for the first time, who came highly recommended and is double board-certified in urogynecology. Dr. Haley listened as Linda described the constant pressure she had been feeling and how it was interfering with her life. Upon evaluation, he determined that along with bladder prolapse, Linda’s uterus was now prolapsed as well — and she had also lost support for other areas within her vagina. Dr. Haley suggested it was time for Linda to consider surgery, along with a total hysterectomy and an anterior, posterior, and enterocele repair. Feeling Back to Normal Linda followed Dr. Haley’s recommendations and had the surgery. It went well and eight weeks later, she returned back to work, feeling normal. “I knew the minute I met with Dr. Haley that I was in good hands. I trusted his experience and expertise and appreciated his kind and patient demeanor.” – Linda on meeting Dr. Haley Four months later and Linda is still doing great. She no longer has constant pain, pressure or discomfort. She is so happy she had the surgery and says, “I am so thankful to Cherokee Women’s Health and to Dr. Haley. I recommend him to everyone I know.” If you are experiencing any of the symptoms Linda had, or any other gynecological issues, don’t wait. Call us at 770.720.7733 to schedule and appointment with one of our expert physicians.

pcos patient
Endometriosis Education, GYN Problems Patient Stories, PCOS Education

PCOS and Endometriosis – A Patient’s Story

One in ten women suffer with a combination of PCOS and endometriosis, and often go undiagnosed. Such is the case with our patient, Tiffany. She was a healthy middle school girl who was very active in sports, but when she began to menstruate, things started to change. Her cycle was always irregular, and sometimes she wouldn’t have a period at all. She wasn’t overly concerned though, and attributed these changes to her active lifestyle. However, by the time she entered high school, her situation worsened. Painful Symptoms Tiffany began to experience a great deal of pain and would sometimes bleed three weeks of the month. Things progressively got worse and lasted for years. She had no idea what the problem was. Tiffany’s mom, and other close family members, had been diagnosed with PCOS, or polycystic ovary syndrome, a hormonal disorder common among women of reproductive age. The symptoms include pain and irregular periods, among other things. Weight gain is sometimes associated with PCOS due to an increase in male hormones. Since Tiffany never gained any weight, and her mom and relatives all gained quite a bit of weight, she never thought that she could have PCOS. One night, when Tiffany was 21, the pain and bleeding were so severe that she had to go to the emergency room. An ultrasound was performed, and it was discovered that she had a cyst the size of a tangerine on one of her ovaries. She was also told that a smaller cyst had likely ruptured and that was probably the cause of her severe pain. The emergency room doctor recommended that she follow up with a gynecologist. Diagnosed with PCOS and Endometriosis Tiffany made an appointment with Dr. Litrel of Cherokee Women’s Health Specialists. After gathering her history and performing his own ultrasound, he diagnosed her with PCOS and recommended laparoscopic surgery to remove the large cyst. During the surgery, Dr. Litrel discovered that Tiffany also had endometriosis, which he treated during the procedure. Endometriosis is an often painful disorder in which tissue that normally lines the inside of your uterus known as the endometrium, grows outside your uterus.  Dr. Litrel told Tiffany that she may have a hard time conceiving, although it wasn’t impossible. He advised her not to wait too long to try to conceive as her situation was severe. Tiffany shared that her mom had to have a total hysterectomy at the very young age of 24, and that her aunt had one at a young age as well. She also had a few first cousins with PCOS and endometriosis.  Feeling Relief After Treatment After the surgery, Tiffany had relief for the first time in years. She began to have regular cycles, her pain lessened, and she had energy again. Dr. Litrel performed ultrasounds on her every 3-6 months. After about a year or so, her symptoms would begin to return, and she eventually needed two more surgeries.  Her symptoms improved greatly. “Dr. Litrel helped me so much,” Tiffany says with gratitude. “He is not only an excellent doctor but a Godly man who prayed with me before my surgeries. I loved that!” Dr. Litrel continued to monitor her and perform follow-up ultrasounds. It was during one of those appointments that Dr. Litrel had the pleasure of telling Tiffany she was pregnant. She and her husband were ecstatic!  Tiffany’s son Kru was born a few years after her first surgery. Kru is now 11 months old and about to become a big brother. Her baby girl, Remington, whom they will call Remi, was due at the end of April, 2019. “Dr. Litrel helped me so much,” Tiffany says with gratitude. “He is not only an excellent doctor but a Godly man who prayed with me before my surgeries. I loved that! Feeling respected and not like a number, I know he really cares about me. He made me, and my problems feel unique, though I know he had a lot of other patients. He always listened to me. The whole practice is wonderful. Each provider I have seen has treated me well and has shown me they care. I recommend Cherokee Women’s Health to all my friends.”  Help is Available Tiffany’s struggle with PCOS and endometriosis may sound familiar. Many women just live with the symptoms and don’t seek a diagnosis or treatment. As Tiffany’s story proves, help is available and you don’t have to suffer in silence. If you experience any of the symptoms listed above, seek help. Call us today at 770.720.7733.

woman with pelvic pain
GYN Problems Patient Stories, Pelvic Organ Prolapse Education

“My Insides Are Falling Down!”

“My insides are falling down,” explained Mandy, a young mother of three, during her annual GYN exam. Initially, she hesitated to express her discomfort, saying she was “fine.” However, as the conversation progressed, her real concerns surfaced. Since giving birth to her third child, Mandy had been experiencing bladder leakage and an unsettling feeling that her pelvic organs were not properly supported. Like many women, Mandy had been quietly accepting the changes in her body and giving up activities she once loved, such as playing tennis, due to the stress these movements placed on her bladder. Pelvic Health Challenges: A Common Issue Among Women Mandy’s experience is not uncommon. In fact, one in four women faces pelvic health issues at some point in their lives. These challenges can significantly affect daily life, yet many women may choose to tolerate them, thinking they are just part of aging or the aftermath of childbirth. However, it is important to recognize that these issues can be addressed with proper care and treatment. Common Risk Factors for Poor Pelvic Health Several factors contribute to poor pelvic health: Pregnancy and childbirth: The strain on the pelvic area during pregnancy and delivery can weaken the muscles and cause long-term issues. Menopause: As women go through menopause, their pelvic floor muscles naturally weaken, increasing the risk of pelvic organ prolapse (POP). Heredity: Women with a family history of pelvic floor disorders (PFD), such as a mother or sister with similar issues, are more likely to develop these conditions. Obesity: Excess weight puts additional pressure on the bladder and pelvic floor muscles, increasing the risk of problems. Other contributing factors include chronic constipation, a poor diet, smoking, heavy lifting, chronic coughing from lung conditions, nerve injuries, and other health issues. What Does a Healthy Pelvic Floor Look Like? The pelvic floor is a group of muscles that works around the clock, supporting essential organs such as the uterus, bladder, and rectum. When the pelvic floor functions properly, it leads to several positive outcomes: Normal bladder and bowel function: No issues with urinary or fecal leakage. Properly supported reproductive organs: There is no feeling of pressure, sagging, or the sensation that the pelvic organs are “falling down.” No significant pain or discomfort: Whether from aging, childbirth, or previous injuries, a healthy pelvic floor should not cause pain. Good sexual function: Pelvic health plays a key role in ensuring a satisfying and comfortable sexual experience. Treatment Options for Pelvic Health Issues If you experience any of the symptoms of poor pelvic health, such as bladder leakage, pelvic pain, or the feeling of your organs sagging, there are a variety of treatment options available: Medications: Depending on the cause, medications may help relieve symptoms or address underlying conditions. Lifestyle changes: Diet, exercise, and weight management can have a positive impact on pelvic health. Physical therapy: Pelvic floor therapy can strengthen muscles and reduce symptoms of pelvic organ prolapse and urinary incontinence. Noninvasive procedures: Minimally invasive options, such as using pessary devices, can offer relief without surgery. Pelvic reconstructive surgery: In severe cases, surgery may be necessary to restore pelvic organ support. Regain Your Quality of Life Specialists called urogynecologists—OB/GYNs who are board-certified in Female Pelvic Medicine and Reconstructive Surgery (FPMRS)—are trained to address pelvic health issues. With the right diagnosis and treatment, women like Mandy can regain control over their pelvic health and enjoy life once again. With treatment, Mandy was able to enjoy life again. You can too. If you experience problems with bladder or fecal leakage, pelvic pain, the sensation of your insides “falling down” or impaired sexual function, call us at 770.720.7733 to schedule an appointment with one of our FPMRS physicians or simply schedule an appointment online.

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