Diane, Author at Cherokee Women's Health

Many people are afraid to ask important questions when it comes to their sexual health. But it’s better to be safe than sorry. Separate fact from fiction when it comes to STDs and STIs. Today, we’ll walk you through how STDs (sexually transmitted diseases) are spread so you can learn the best ways to treat and prevent them. Ask your doctor to clarify facts on any questions you might have regarding STDs and STIs (sexually transmitted infections). Who Can Get STDs? Anyone who is sexually active can get an STD or an STI. You are considered sexually active if you have vaginal, anal, or oral sex. More young people have an STD than older adults. Nearly half of everyone under the age of 25 has an STD or STI. This is especially alarming considering this age bracket only makes up for one-quarter of people having sex. Many STDs and STIs do not have any symptoms. Talk with your partner and get tested together before becoming sexually active. How to Prevent STD/STIs? The only way to 100% prevent STDs and STIs is to abstain from sexual activity. However, you can reduce the risk of contracting a sexual disease by using a condom. Even if you are on birth control, you should consider STD protection. While birth control can prevent you from becoming pregnant, it will not aid in the prevention of STDs. How Are STDs and STIs Diagnosed? If you think you might have been exposed to an STD, get tested right away. The only way to know for sure is to get tested. Remember, STD and HIV testing is not always a part of your regular doctor visit. If you’re sexually active, don’t assume you are STD-free without getting tested. Testing for STDs is confidential, quick, and easy. For example, you can get tested for HIV with a simple oral cotton swab and know your results in as little as 20-minutes. Other STDs can be tested by a urine test, vaginal swab, or a quick blood test. What if I Have an STD? Having an STD isn’t the end of the world. All STDs including HIV are treatable. Most are even curable. It’s important to be open with your sexual partner. Having an honest conversation before sex (whether it be vaginal, anal, or oral) can help stop the spread of STDs. While these conversations may seem hard, it’s better to have a responsible talk sooner than later. This way, you can both be vigilant in protecting against STD transfer to an uninfected partner. Concerns About Sexual Health When it comes to sexual health, it’s better to be safe than sorry. If you think you may have been exposed to an STD or STI, see your doctor right away. Untreated, STDs can lead to serious health problems down the road. Don’t be afraid to talk to your doctor about symptoms you may be having. Still have questions? Don’t hesitate to call us at 770.720.7733 or schedule an appointment online. STD/STI Education Articles

Well Woman

How to Make the Most of Your Annual Exam

Diane /

Annual wellness exams are a crucial part of taking care of your health. To maximize your annual check-up, following are a few tips: #1 Come Prepared From the moment you schedule your appointment (or even before), keep a list of questions and concerns you’d like to speak to your physician about. Going through your checklist at the start of your visit will ensure you get the most out of your exam and that all of your concerns are addressed. #2 Review Your Medical History and Your Family’s Filling out medical forms 5 minutes before your visit can potentially leave vital information missing. Doing your homework beforehand can give your doctor the information they need to properly treat you. Include: family members who have had cancer, heart disease, diabetes, or other conditions that run in your family. #3 Remember: Your Doctor’s Office is a Judgement-Free Zone Don’t be afraid to bring up uncomfortable topics such as weight, fertility, or sexual health – even if it’s something small. You may not realize it but your doctor could recognize your problem as a sign or symptom of something bigger. Small problems, like being slightly overweight can also increase your risk for illnesses such as heart disease and certain cancers. Being open and honest with your doctor could help you set a plan for a better overall well-being. #4 Talk About Vaccines Just because you’re not in grade-school anymore doesn’t mean you get to escape the dreaded needle. When you get your flu shot, ask your doctor what other vaccines you’re due for. Adults still require a tetanus shot every 10-years for example. Your doctor may also suggest a pertussis vaccine for whooping cough – especially if you come in close contact with infants or small children. #5 Bring Up Age-Related Issues Even if you don’t have a family history of breast cancer, you should get a mammogram annually starting at the age of 40. Starting between 35-40 you should also have annual blood tests done to check cholesterol and blood-sugar levels. After menopause, women should have thyroid tests done every 5 years as well. #6 It’s Not Just Physical Your emotional health is just as important as your physical well-being. Let your physician know if you’re not sleeping properly, you’re extra stressed, or are feeling down in the dumps. Your doctor might be able to suggest simple lifestyle changes that can benefit your emotional well-being. Final Thoughts Now is the time to start seriously thinking about last-minute preventative care. Use this opportunity to maximize your annual health insurance benefits. You’ll have your health care provider’s undivided attention–make the most of it. Call our offices to schedule your annual exam today. If you have any questions or concerns regarding your well-being, don’t hesitate to call. A trained member of our staff will be happy to help.

Well Woman

How to Do a Self-Breast Exam

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Self-breast exams are important for adult women. Approximately 1-in-8 US women will develop invasive breast cancer during her lifetime. Regular breast exams can help familiarize yourself with your body and provide early detection for breast cancer in many women. How Often to Do a Self-Breast Exam Feel free to do a self-breast exam as often as you like. The more familiar you are with your breasts, the easier it is to recognize noticeable changes. Typically, adult women should complete a self-exam at least once a month. Breast cancer cannot be prevented but it can be detected early and caught before it spreads. If you discover changes in your breasts, seek medical attention as soon as possible for a professional evaluation. What to Look for During a Self-Exam Breast cancer can look different for many women. However, some of the things you should be looking for when doing a self-exam are the following; A lump or hardened knot Thickening or discoloration of the skin Redness, soreness, or swelling Changes in the contour of the breast Changes in nipple color or inverted nipple Unusual discharge from nipple Keep in mind, not all symptoms of breast cancer are the same. If you suspect anything out of the norm when completing a breast exam, schedule a consult and mammogram with your physician immediately. Self-Breast Exam Techniques Some women prefer to do a circular motion using the pads of their fingers. Start at the center of your breast using a medium-firm pressure. Be sure to cover the entire area of the breast from armpit to cleavage. Another way to evaluate your breasts is using a top to bottom method. Again, use a medium-firm pressure to run your fingers up and down your entire breast region. Start at your collarbone and glide your fingers down to your abdomen. Where to Complete a Self-Breast Exam An accurate self-breast exam will require three simple steps in 2-3 positions. When done correctly a self-exam shouldn’t take more than 10 minutes of your time. In of the Mirror: Standing in front of a mirror allows you to visually inspect your breasts. Start with your arms at your sides and look at your breasts from the left, right, and frontal positions. After you’ve completed this portion of your exam, repeat the process with your arms high above your head. Lying Down: For the second portion of your breast exam, you’ll need to be in a lying position. Lying down is advantageous because your breast tissue is flat against your chest cavity making it easier to spot something unusual. Once you’re lying on your back, place a pillow under your right shoulder (or whichever side you’d like to examine first). Then, fold the same arm behind your head. Take the opposite hand and begin to use your preferred examination technique. After you’ve covered the entire breast area, repeat the process with your other side. In the Shower: During the final step of your exam, you’ll need to be standing upright. Many women find it easier to complete this stage of the self-examination in the shower where the skin is wet and slippery. Once again, use a medium-firm pressure to feel for anything out of the norm on both breasts. At this time, lightly squeeze your nipple feeling for lumps and looking for any time of discharge. Final Thoughts Don’t hesitate to give us a call for further guidance regarding your self-breast exam. If you’ve discovered something unusual that you want a professional to evaluate, call to schedule a consultation immediately.

Well Woman

Diet Adjustments that Improve Vaginal Health

Diane /

Your diet impacts every aspect of your body. And, yes, that includes your vagina as well. Making healthier choices can boost your sexual health, reproductive health and even help women navigate menopause with less severe symptoms. A healthy vagina has naturally healthy acidic pH levels. A vagina that’s in good health has a host of healthy bacteria known as probiotics. These good bacteria ward off infections and keep your reproductive system working smoothly. Today, we’ll take a look at several simple dietary adjustments you can make to maintain optimal vaginal and sexual health. Alleviate Painful Cramps Foods rich in omega-3 fatty acids can help ease your period pain. Omega-3 fatty acids have anti-inflammatory properties that reduce period symptoms such as cramps. Some omega-3 rich foods to add to your diet include: If you’re craving something on the sweet side, try fresh fruit like strawberries or raspberries. If you’re experiencing cramps related to your period, you may want to avoid these foods; fatty foods, alcohol, caffeine, and salt. Ward Off Yeast Infections Probiotic-rich foods have been shown to promote a good pH balance within the vagina. The good bacteria Lactobacillus improves overall vaginal health and can help prevent yeast infections. The best probiotic-rich foods to try for the prevention of yeast infections are: While you’ve probably heard about the benefits of cranberry juice in the treatment of yeast infections, it’s also packed with unhealthy amounts of sugar. Put an End to UTIs Urinary tract infections (UTIs) can cause annoyingly frequent bathroom breaks and a painful burning sensation. About half the women in the US have (or will have) a UTI at some point in their life. Keeping your body hydrated by drinking lots of water is a great way to flush bad bacteria from your kidneys, bladder, and uterus. Another great way to keep UTIs at bay is to consume plenty of antimicrobial-rich foods such as green tea and ginger. Avoid acidic foods such as tomatoes, oranges, limes, and lemons. Counteract Menopause Symptoms There are even foods that can help you navigate menopause with less severe symptoms. Vaginal dryness, for example, is caused by reduced estrogen levels. Phytoestrogens (a natural plant-based estrogen replacement) can help reduce irritating vaginal dryness. Some good phytoestrogen-rich foods include soy products such as: These soy-based products are also hydrophilic, or natural lubricants, that attract moisture to your tissue. Final Thoughts Healthy foods equal a happy, healthy vagina. But keep in mind, the foods you eat only affect your body for 2-3 days after consuming them. It’s important to maintain a healthy diet for optimal sexual and vaginal health. To learn more about your sexual health, call us at 770.720.7733 or schedule an appointment online.

Nutrition and Weight Loss

Can Too Much Protein in Your Diet be Deadly?

Diane /

We all need it but can too much protein in your diet be deadly? Almost all of us grew up hearing that you can have too much of a good thing. As children, we probably learned that the hard way by drinking too much soda, or by stuffing ourselves with extra Halloween candy. The result was never pleasant. Though overdoing sensible portions may not always be dangerous, it can certainly have disagreeable repercussions. This applies to most over indulgences, including food the body may need such as fats, carbohydrates — even proteins. What are Proteins and Why Do We Need Them? To imagine what a protein looks like, picture an open charm bracelet lying on a table from a distance. Each charm is visible but indistinguishable from the one next to it. As you get closer, those charms begin to have distinct shapes and sizes, each with their own meaning. Under a microscope, proteins resemble that bracelet. They are long strands linking together their own ‘charms’ called amino acids, and each one has its own unique formation and ‘memory’ to perform its purpose. There are twenty different amino acids essential to the human body, and each protein can have all or only some of the ones you need to remain healthy. All twenty of those amino acids linked to proteins are vital to overall health and body function. Some proteins have the complete twenty, while others have only a few. This explains the different sizes of strands attached to each protein. Any or all amino acids can also appear on the same strand hundreds to thousands of times in varying sequences. These amino acids literally keep you alive, creating enzymes, hormones, and multiple body chemicals. They build and repair tissue, blood, muscles, cartilage, and bones. Protein provides energy and even reproduces more protein such as your hair, skin, and nails. Where Do We Get Protein? Mother Nature, in her wisdom, has provided this planet with everything we need to sustain human life, and that includes numerous sources of protein. Though the body produces many of the twenty vital amino acids, you still need roughly half from various foods. There are only a few complete food sources, and these are: Poultry Seafood Red meat Dairy Eggs Quinoa Soy Other foods rich in protein include beans, pulses, nuts, seeds, and legumes. The following are only a fraction of foods that fall into these categories: Hummus Lentils Kidney beans Alfalfa Clover Fresh peas Chickpeas Edible Beans Sunflower seeds Pistachios Almonds Peanuts Pumpkin seeds Cashews Flax seeds Walnuts Sesame seeds Yet another excellent source is protein powder. How Much Protein Do I Need? The recommended daily protein guideline is 1.6 grams per kilogram of weight. This means that a woman weighing 50 kg or 110 lbs. would require 80 grams or 2.8 ounces. This amount is not carved in stone. Many factors, such as lifestyle, activity level and individual health come into play. You may need more if you are very athletic, or possibly less if you lead a more sedentary life. What Happens if I Don’t Get Enough Protein? Not enough protein intake can cause the body to work less efficiently, especially if the composition of those proteins does not meet your basic physical needs with the necessary amount of amino acids. Though they may be high in protein, nibbling on handfuls of walnuts all day, may make you deficient in the other amino acids it lacks. By doing this, you may find yourself experiencing such negative effects as: Sluggishness Difficulty focusing or concentrating Trouble learning or absorbing new information Fatigue or listlessness Lack of energy Lowered metabolism Mood swings Difficulty healing Joint, muscle, and bone pain Immune deficiencies Changes in blood sugar with a danger of developing diabetes Difficulty losing weight or gaining muscle mass. Can Too Much Protein be Deadly? Though ingesting too much protein may have undesirable effects, there are no reported cases of excessive amounts of protein resulting in death. In rare instances, when massive protein consumption was reported to be fatal, it was later learned that there was an underlying disorder or disease that contributed to the event. The body is unable to store protein for later use. Any surplus you don’t need is first turned into energy and then to fat. That, in turn, is stored away, causing weight gain. Overloading on protein rather than eating a balanced diet can also run the risk of you not getting other nutrients you need in the form of fiber, carbohydrates, vitamins, and minerals vital to good health. Too much protein won’t kill you. You may, however, have some unpleasant reactions such as: Irritability Brain fog Constipation Thirst Bad breath (Halitosis) Dehydration Copious amounts of protein are only usually dangerous if you have a genetic, hereditary, or pre-existing problem. Excessive protein intake may accelerate further problems if you already suffer from weakened or compromised kidneys, liver, pancreas, or heart. Tainted or diseased food containing protein can be lethal in small or large amounts depending on the severity of the toxin. In short, too much protein can contribute to complications, but simply eating too much of it does not have deadly consequences. If you have nutritional questions, call us at 770.720.7733.

Nutrition and Weight Loss

Know Your BMR and Boost Weight Loss Over the Holidays

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Statistics say that the average weight gain over the holidays is 15 pounds but understanding your BMR may help you boost weight loss over the holidays. You may have stumbled across the words, ’Basal Metabolic Rate’, more commonly referred to as BMR, in one of your many quests for a permanent weight loss program. The explanation regarding BMR probably seemed a little too scientific or complicated to completely understand, so you went on to look for something less confusing. If, instead, you researched and tried a few fad diets, lost weight and then gained it back with more, it might be time to take another look at that BMR information. With the holidays quickly approaching, your caloric intake is probably on your mind —along with the fear of caving once you get to that food-laden table. Grandma or Mom will start circling your favorite pie under your nose, using their other hand to wave that delectable scent to your nostrils; someone will insist you be the judge of the best of three stuffings – and, oh my goodness, did Aunt Carol say she was bringing her famous candied yams? What is BMR and Why is it Important Regarding Weight Loss? Very simply put, your body needs a certain amount of energy in order to function. Even while you’re sitting perfectly still or sleeping, calories are needed for all your organs to operate correctly – for your heart to beat, blood to circulate, kidneys to filter and flush waste. Even breathing requires energy. Your basal metabolic rate (BMR) is the minimal amount of calories necessary to perform these functions when your body is in a state of complete rest and inactivity. We’ve been taught that in order to maintain our ideal weight, women need to consume about 1,200 calories a day and that anything above and beyond that is excessive and leads to extra weight. This is not the case at all. The truth is that you may need more than that merely to keep your body running. Those factors include: Your Gender – Women typically have more fat and less muscle than men, so their BMR will be a lower number. Your Height Your Present Weight Your Age – As you age, activity levels typically drop, leading to more fat than muscle and a decline in metabolic rate. Your Body is a Well-Oiled Machine The human body doesn’t think. It’s a machine and its main function is to survive. It needs fuel (food and drink) to run properly. To do that, it needs a certain number of calories to do its job adequately. If you feed it more than it needs, it converts the excess into fat and stores it, much like a squirrel hiding nuts for the winter. If you begin dieting before knowing the minimal calories you need just to keep everything working, your body feels deprived and begins to deplete its stashed hoard until it runs out of fuel. Once that reserve is gone, it starts to work less effectively. It doesn’t know you are eating less because you want to lose weight. All it knows is that, suddenly, its accustomed level of mandatory nutrients has decreased and it doesn’t have enough ‘fuel’ to keep things running smoothly. By knowing your BMR, you have a starting point to begin a healthy lifestyle of diet and exercise with a greater potential for permanent results. Weight gain is usually a slow process. It stands to reason that weight loss will be equally slow. However, as you start to eat sensibly, cut back on calories safely, and work out a little, your BMR level will drop accordingly until you reach a desirable number and can maintain your weight. Are BMI and BMR the Same Thing? No, BMI stands for body mass index. The number calculated from the body mass index formula is used by physicians to measure the amount of muscle, fat and bone in an individual. It determines if a person is obese, overweight, underweight or right on target. BMI numbers alert doctors to identify if their patient is at risk for potential problems such as diabetes, heart disease, anorexia or other disorders. BMI, along with BMR, is also helpful for nutritionists and dieticians in helping you plan a healthy weight loss program. How is BMR Calculated? Many BMR calculators are available online, but if you prefer to figure it out manually, this is the formula based on a woman who weighs 140 pounds, is 5’4”’ tall (64”), and is 35 years old. Step 1) Multiply weight in pounds by 4.35. (4.35 x 140=609.) Step 2) Add 655 to the total. (609 + 655 =1264) write down this total Step 3) Multiply height in inches by 4.7. (4.7 x 64=300.8) Step 4) Add this total to the amount in step #2 (1264 + 300.8=1564.8) Write this total down. Step 5) Multiply age by 4.7. (4.7 x 35=164.5) Step 6) Subtract the total in step #5 from your total in step #4. (1564.8 – 164.5=1400.3). In short, based on this random woman’s gender, weight, height and age, this would be her formula to follow: 655+ (4.35 x 140) + (4.7 x 64) – (4.7 x 35) = 1400.3. The total of 1,400.3 is the basic number of calories she would need simply to maintain body function at complete rest. To determine your BMI number, you only need to substitute your own information. Your daily activity level is equally important in calculating this result, and once you have your BMR number, you need to multiply it by the following numbers based on your personal lifestyle: Very Inactive – If you work at a desk job with very little movement throughout the day, multiply BMR by 1.2. Mild – If you do minimal exercise or participate in light sports once or twice a week, multiply BMR by 1.375. Average Activity – If your exercise regimen or sports participation is moderate 3-5 days a week, multiply BMR by 1.55. Heavy – If

High-Risk Pregnancy Education, OB

What is Placenta Accreta?

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When blood vessels and other parts of the placenta attach too deeply to the uterine wall during pregnancy, you have what’s known as placenta accreta. As many as 1 in 2,500 pregnancies experience this condition. Placenta accreta is a serious pregnancy condition that can cause serious blood loss after childbirth. This condition can also be called placenta increta, or placenta percreta depending on the severity of the and deepness of the placenta attachment. Symptoms Associated with Placenta Accreta Generally, there are no symptoms or signs of this condition early on. During the third-trimester, some women who have placenta accreta may experience vaginal bleeding. If you do experience bleeding, consult your doctor to discuss your risk level. If bleeding is severe, seek immediate medical care. Who is at Higher Risk? Placenta accreta is thought to be caused by abnormalities in the lining of the uterus. These abnormalities can be caused by a number of things such as scarring due to a past C-section or other uterine surgery. You may at a higher risk for placenta accreta if you have any of the following risk factors: If you suspect you may be at risk for this serious medical condition, ask your physician about your risk factor. How is Placenta Accreta Diagnosed? Fortunately, some indicators of this condition can be spotted early on during initial ultrasounds. If your doctor suspects you may be at higher-risk for placenta accreta, they will schedule a follow-up visit to discuss the condition and form a plan to manage it. A follow-up visit may also include: Your doctor may suggest a scheduled C-section as early as 34 weeks to avoid an emergency premature birth. How Can Placenta Accreta Affect Delivery? After normal childbirth, the placenta typically detaches from the uterine wall. However, with placenta accreta part of the placenta remains firmly attached. Women with this condition can experience severe blood loss after the birth of their child. Placenta accreta can also cause premature birth. If you’ve been diagnosed with placenta accreta, your physician may recommend an early C-section. You may also need a hysterectomy (the surgical removal of the uterus). Final Thoughts Placenta accreta can be a scary medical condition. Maintaining an open dialog with your doctor throughout your pregnancy can help alleviate some of your fears. Together you can develop a plan for a safe delivery. Don’t hesitate to contact us with any questions or concerns regarding placenta accreta or any other pregnancy-related condition. A trained staff member will be happy to answer any questions or schedule a consult.

Cosmetic Services, Liposuction Education

What is the Purpose of Liposuction?

Diane /

Liposuction may be right for you if you’ve been struggling with excess weight in certain areas that just won’t budge, even after trying every exercise and diet known to man. What is Liposuction? Liposuction is a procedure that removes fatty deposits from the body using a suction method. The process is quite simple to understand. A thin tube called a cannula is inserted under the skin into a small incision near that troublesome mass you want gone — and just like that vacuum you use at home to inhale the dust bunny from under your couch, that cannula sucks out the fat. What is the Purpose of Liposuction? Many women are under the false assumption that liposuction is a quick fix for weight loss and can eliminate cellulite or stretch marks. This is not the case at all, and the procedure is never recommended for these reasons. In fact, even the most intense liposuction procedures only result in a difference of under five pounds, which is hardly enough to warrant undergoing any surgery. Liposuction is recommended as a final effort to correct, reshape and sculpt those trouble spots that have been resistant to diet or exercise. Stubborn fat deposits tend to become squatters in the abdomen, buttocks, outer thighs, face, neck, hips, legs, upper arms, back, and waist. Liposuction eliminates these clusters, leaving your skin with a smoother, shapelier appearance. What are the Benefits? Your self-confidence and mental outlook are just as important as your physical health. Liposuction can offer you the opportunity to walk into a room poised and self-assured, instead of agonizing over whether anyone notices that unwanted bulge you’re trying to conceal with tight, torturous undergarments. Self-esteem rises with positive self-body image, and though beauty is, indeed, only skin deep, it’s your skin and only you can decide when you’re comfortable in it. Is Liposuction Painful? New techniques have made liposuction much safer, less painful, faster and easier. Depending on the particular process being used, and the amount of fat to be removed, you may only need local anesthesia and a sedative to keep you calm throughout the process. If larger amounts need to be extracted, or if you are undergoing additional surgery such as a tummy tuck (abdominoplasty), facelift, breast reduction or other cosmetic surgery, general anesthesia may be required. If necessary, your doctor will prescribe pain medication. What is the Recovery Time? Typically, depending on the amount of fat removed, any major discomfort eases within 2 to 4 days and normal activity can be resumed within a few days. Swelling and bruising at the entry site can be expected to last 7 to 10 days and you may be required to wear a compression garment for a specified amount of time. Some fluid drainage is to be expected and an antibiotic might be prescribed before and after to ward off infection. You may not see the complete effects for quite some time, especially if a significant amount of fat was drawn out. You will, of course, be advised about aftercare and what to watch out for, such as swelling, numbness etc., before being discharged, either from the clinic or hospital where your process takes place. In many cases, you will be allowed to leave within a few hours following your procedure. Make an Appointment Today As with any surgery, there are always risks, and liposuction is indeed surgery. Therefore, it should always be performed by an experienced, board-certified specialist who will brief you thoroughly and take the time to answer any and all questions you may have. For more information or for a confidential consultation, please call our private number at 770.720.7733 or schedule an appointment online. Liposuction Articles

GYN Problems, STD/STI Screening

Can Mouthwash Cure Gonorrhea?

Diane /

Sexually transmitted diseases and infections (STDs/STIs) have accelerated to alarming levels. Disturbing statistics show that, in the United States alone, 20 million cases are reported annually. Half of these are found in millennials, which are younger people between the ages of 15 to24. Syphilis, chlamydia and gonorrhea are the three top STDs affecting the younger population today. 820,000 cases of sexually transmitted infections are attributed to gonorrhea alone. What is the Difference Between an STD and an STI? Though used interchangeably, there is a difference, albeit a slight one. An STD is a catch-all term for all sexually transmitted diseases. An STI is an infection that has not yet become a disease. Since most STIs can be treated with the proper medications when caught in time, they do not always evolve into a disease. For example, if you are unaware you have the STI, chlamydia, or are staying quiet hoping it will go away, it can blossom into an STD called pelvic inflammatory disease. The term STI is used more often now to counteract the stigma that was once associated with STDs. It’s a gentler and more optimistic acronym, since people associate the word ‘infection’ with ‘cure’, thus implying the condition has a hopeful outcome. Other Than Intercourse, How Does One Get an STI or STD? Bacterial and viral STIs are typically transmitted sexually via oral, vaginal or anal sex. Exposure to infected blood, skin, mucous membranes, seminal or vaginal fluids, bodily secretions, and open sores place you at high risk for STIs. Unclean shared needles used for tattooing, piercing and drug injection render you highly susceptible as well. Other STIs, such as pubic lice and scabies can be spread via physical personal proximity or infested fabrics. Who Gets STDs? From birth to death, no one is immune. There is no racial, economic, age or gender barrier. Sexually transmitted infections are impartial, in that they don’t discriminate. What are the Symptoms? Each STD/STI has its own list of multiple symptoms. You may have some or all of them. In many cases, there are no symptoms at all. If you are sexually active, especially with plural partners, or if you indulge in oral sex, pay attention to your body’s signals. Sudden pelvic, abdominal, back, tongue, mouth or throat abnormalities, should always be reported to your physician. Even your dentist can detect oral STI issues. It is important to insist your partners use protection or provide proof of ‘cleanliness’. Use condoms and/or a dental dam regularly. Have yourself tested on a regular basis. Just as you can get an STI, you can also unknowingly transmit one. What are the Risks of Untreated STIs? Repercussions can be severe, even fatal. Untreated STIs can lead to STDs, affecting you physically and mentally, destroying your nervous system, organs, bones, joints, tissues—every part of you. Some may lie dormant for years. If you have an STI and are pregnant, your baby can be born with that same condition, or be stillborn. Even if you firmly believe you are in a completely monogamous relationship and are suddenly afflicted with some of the tell-tale symptom associated with STIs, see a physician. It’s always better to be safe than sorry. What are the Treatments? Treatments vary based on the individual infection you have. Only your physician can prescribe the correct regimen after proper diagnosis. Antibiotics are usually effective for bacterial, parasitic or yeast STIs. There are however, some resistant strains of gonorrhea emerging that have become immune to antibiotics. Early intervention is important. Viral STDs cannot usually be cured, but they can be managed with antiviral medications. Vaccinations can help prevent hepatitis and some HPV types. Remember, STIs can recur. Even if previous treatment cured your gonorrhea, you can still contract it again from another partner. Why are so Many Young People Suddenly Getting STDs/STIs? There are a number of reasons for the astronomical rise: I Heard That Mouthwash Can Cure Oral Gonorrhea. Is This True? In a word, NO! Though research has shown that mouthwash does indeed kill some gonorrheal bacteria in the mouth and a little past the tonsils into the throat, there is no evidence to support that it has any healing qualities beyond that. Believing a quick gargle will make you spit out all traces of gonorrhea is a dangerous assumption to make. This home remedy is as effective on oral STIs as covering an atomic bomb in bubble wrap to muffle the explosive sound. In fact, using mouthwash as a cure or preventative may actually mask some important symptoms that your physician needs to know about in order to identify and treat you effectively. Statistic show that one in four Americans will contract an STD in their lifetime. Many won’t even know it. If you think you may have an STI or STD and wish to schedule an appointment for screening, call 770.720.7733.

Well Woman

Probiotics and Nutrition

Diane /

You may have heard friends, family, or co-workers talking about ‘probiotics’. If so, you likely thought that this was the next big trend in weight loss and nutrition. Well, you may be happily surprised to learn that probiotics are gaining traction in the medical world as well. Numerous studies have been done on the benefits of introducing probiotics into your lifestyle. It turns out, probiotics can help a number of conditions while aiding in weight loss management. In this article, we’ll dive into how you can use probiotics to achieve and maintain your health and nutrition goals. What are Probiotics? Probiotics are ‘good’ bacteria that can be found in within your body already. Adding these ‘good’ bacteria to your daily routine can improve your overall well-being in many ways. Probiotics support weight management and promote a healthy immune system. Typically you can get enough probiotics through foods like: Yogurt Cheese Saurkraut Kimchi Kombucha However, those with an aversion to foods that contain healthy probiotics, or if you are lactose intolerant, you can easily get your health on track with dairy-free probiotic supplementation. How do Probiotics Work? When there are too many ‘bad’ bacteria in your gut and not enough ‘good’ (usually due to a poor diet), the imbalance can have adverse effects on your body. Not having enough ‘good’ bacteria in your diet to counteract the bad can lead to weight gain, constipation, diarrhea, skin conditions, and other various health conditions. There are several ways probiotics can be used to improve your overall health. 1) Introduction of Good Bacteria When you introduce friendly bacteria into your digestive tract, they instantly begin to work to improve your overall immune system by making short-chain fatty acids (SCFA). The SCFA create a colonization microbiota that teaches the immune system to increase its tolerance to harmful bacteria. Secondly, microbiota that can help break down otherwise indigestible foods. 2) Enhance Existing Bacteria Many probiotics are not only designed to introduce new bacteria into your system but also enhance the bacteria that is already there. Intensifying the prebiotic fiber keeps your body trained to produce more on its own. 3) Encourage Nutrient Absorption Probiotics allow you to get more out of your food. Introducing new bacteria into your stomach can break down the food you eat more easily. Ensuring you have a healthy digestive tract is the best way to increase the performance from the other foods you eat. Taking probiotics alongside other supplements is also beneficial. Many dieticians recommend stacking these supplements to enhance the absorption of your vitamins. Probiotics improve digestion which raises the bio-availability of the nutrients in the foods and other supplements you take. Probiotics and Weight Loss Obesity has been shown to be closely linked to your gut flora. Probiotics are helpful in supporting proper weight management and can even combat the weight gain typically associated with aging adults. Maintaining a healthy balance of probiotics such as Lactobacillus helps the body reduce inflammation which helps keep metabolic diseases at bay. One study showed that Lactobacillus amylovorus decreases the ‘bad’ gut bacteria Clostridium leptum. As a result, subjects were able to achieve and maintain a total fat loss of 4%. Final Thoughts Probiotics can aid in your battle against obesity by supporting the maintenance of a healthy well-balanced diet. Feel free to call our office if you have questions regarding nutrition or probiotics. One of our trained staff members will be happy to help answer any questions you may have or schedule a consultation for our weight loss program. Our medical weight loss program can provide probiotics to help you achieve your health and nutrition goals.

Sterilization, Well Woman

Tubal Ligation: When Should I Get my Tubes Tied?

Diane /

Commonly referred to as “getting your tubes tied,” tubal ligation is a permanent surgical procedure that is performed to prevent pregnancy. More formally, it’s also known as female sterilization. In recent years, the term “tubal sterilization” is most accurate, since the technical definition of the word “ligation” refers to a specific surgical technique that is no longer used in most sterilization surgeries. Whatever the term you prefer, the procedure involves closing off a woman’s fallopian tubes to prevent eggs from traveling down to the uterus, and prevents pregnancy. When Can Tubal Ligation be Performed? Tubal ligation can be done in conjunction with childbirth, since the advantage is that it can be performed at the same time as a C-section or within 48 hours of a vaginal delivery. Many surgeons prefer to do the surgery after birth because you’re already in the hospital, and your abdominal muscles are still relaxed from having just given birth. If you decide later on that a tubal sterilization is the procedure for you, it can also be done as an outpatient procedure separate from childbirth via interval tubal ligation. This process uses a laparoscope, a thin tube with a camera lens and light on the end. The procedure involves general anesthesia to prevent any pain or discomfort. What to Expect During the Procedure If you have an interval tubal ligation as an outpatient procedure, either a needle is inserted or an incision is made through your navel so your abdomen can be inflated with gas (carbon dioxide or nitrous oxide). Then the laparoscope is inserted into your abdomen. In most cases, your doctor will make a second small incision to insert special instruments. Using these instruments passed through the abdominal wall, your doctor seals the fallopian tubes by destroying segments of the tubes or blocking them with plastic rings or clips. If you have a tubal ligation after vaginal childbirth, your doctor will likely make a small incision under your navel, providing easy access to your still-enlarged uterus and fallopian tubes. If you have a tubal ligation during a C-section, your healthcare provider will use the same incision that was made to deliver the baby. What to Expect After a Tubal Ligation Procedure If your abdomen was inflated with gas during the interval tubal procedure, the gas will be withdrawn. You may be allowed to go home several hours after the procedure. If you have the procedure in combination with childbirth, the tubal ligation isn’t likely to add to your hospital stay. You may have some discomfort at the incision site afterwards. Other symptoms you may experience include: Abdominal pain or cramping Fatigue Dizziness Gassiness or bloating Shoulder pain You may take acetaminophen (e.g. Tylenol) or ibuprofen (Advil, Motrin IB, others) for pain relief, but avoid using aspirin, since it may increase bleeding. Your doctor will most likely permit you showering or bathing 48 hours after the procedure, but will advise against straining or rubbing the incision for a week. You should also avoid strenuous lifting and sex for one to two weeks, but can resume your day-to-day activities gradually as you begin to feel better. Your stitches will dissolve and won’t require removal. If you have any concerns that you aren’t healing properly, it’s important to call your doctor to see if you need a follow-up appointment. Additionally, contact your health care provider immediately if you experience: A temperature of 100.4 F (38 C) or greater Fainting spells Severe abdominal pain that’s persistent or gets worse after 12 hours Bleeding from your incision that’s persistent or gets worse after 12 hours, despite use of pressure and bandages Discharge from your incision that’s persistent or gets worse. Who is the Ideal Candidate for Tubal Ligation? Tubal sterilization is considered a permanent surgery, so it’s a good option only if you’re completely sure you don’t want any more children. If you’re not entirely sure if you’re done having children, you might consider other less permanent forms of birth control. While you may have heard of women who successfully get their tubal sterilizations reversed, it isn’t guaranteed to be effective, and involves a second invasive surgery. Additionally, because tubal sterilization is a surgery, your doctor may advise against the surgery if you’re obese, have chronic health conditions such as heart disease, or if you’ve had complicated abdominal surgeries in the past. Complications If you think you may be pregnant after your tubal ligation procedure, you should contact your health care provider immediately. While tubal ligation is highly effective in preventing most pregnancies, it isn’t an absolute in preventing pregnancy. An estimated 1 out of every 200 women will become pregnant after tubal ligation. Complications related to tubal ligation include an increased risk of an ectopic pregnancy, which happens when a fertilized egg implants in the fallopian tubes instead of traveling to the uterus. An ectopic pregnancy can be dangerous, and can cause a rupture in the fallopian tube, resulting in internal bleeding. Contact Us In 95% of cases, tubal ligation is an effective permanent form of birth control. Before deciding if this procedure is the best fit for you, it’s important to consider all the possibilities and know your options. If you think tubal ligation might be the right permanent birth control option for you, we invite you to call us at 770.720.7733 or schedule an appointment online with one of our board-certified obstetricians.

Opioid Use During Pregnancy

Diane /

Imagine you’re pregnant and you wake up with a horrible backache, or have lingering pain from a previous injury. You think, “I may still have some hydrocodone that my doctor prescribed for me, that might do the trick.” But stop. Before you take any medicine, it’s imperative that you learn the dangers of opioid use during pregnancy or if you’re considering starting a family. Why? Opioid Use Disorder is on the rise in pregnant women, and many have no idea of the potential dangers. Opioid use during pregnancy has increased dramatically over the past ten years. In fact, according to a recent United Nations report, Americans use more than 99% of the world’s hydrocodone. These startling facts are the reason more and more OB/GYNs are alerting patients to the serious complications associated with opioid misuse and opioid disorder. While many people are familiar with hydrocodone, there are lot of different drugs that fall under the category of opioid. Many of them are prescription medications used for pain relief, often prescribed after surgery, dental work, or an injury. In addition to hydrocodone, other opioids include oxycodone, hydromorphone, codeine, methadone, propoxyphene, and buprenorphine. You may be surprised to learn that heroin is also an opioid. The Dangers of Opioid Use During Pregnancy Opioid Use Disorder is another name for opioid addiction. Symptoms of opioid addiction include using more than the amount of the drug that is prescribed for you; having work, school, or family problems caused by your opioid use; and feeling a strong urge or desire to use the drug. Taking opioids during pregnancy can cause serious complications for the baby, including a drug withdrawal known as neonatal abstinence syndrome after the delivery. NAS occurs when your newborn baby, who is no longer receiving the drug from your bloodstream, may have withdrawal symptoms for days to weeks after being born. Symptoms of the syndrome include: shaking/tremors, crying, fever, poor feeding, diarrhea, vomiting, and sleep problems. Other complications for babies related to opioid use during pregnancy may include: Spina bifida Hydrocephaly (excessive fluid in the baby’s brain) Glaucoma Gastroschisis (a hole in the abdominal wall from which the baby’s intestines stick out) Congenital heart defects Placental abruption, growth problems, preterm birth, and stillbirth Opioids: If You’re Pregnant It’s very common for women to experience pain during pregnancy, such as pelvic pain, low back pain, or migraines. At your first pregnancy well-check visit, your doctor will provide you with a list of approved medications that are safe to take during pregnancy. If you’re experiencing pain during pregnancy, it’s very important to have an honest and thorough discussion with your doctor, especially before deciding on a pain management option. This is because there are many unknowns surrounding safe opioid doses for pregnant women. Because of these unknowns, even if you use an opioid per the exact instructions from your healthcare provider, it still may cause NAS in your baby. Additionally, if you’re pregnant and are on opioids, it is not recommended to stop taking them without talking to your healthcare provider first. Attempting to quit “cold turkey” or without any warning can cause severe problems for your baby, including preterm labor or death. The most important step is to talk to your doctor about your opioid use, and together, come up with a plan to keep you and your baby as healthy as possible. Treatment for Opioid addiction during pregnancy involves medication-assisted therapy, or opioid-assisted therapy. Long-acting opioids are given to reduce the “cravings”, but they do not cause the pleasant feelings that other opioids cause. Examples of these medications are methadone and buprenorphine. Treatment for opioid addiction also includes drug counseling, which helps people avoid and cope with situations that might lead them to relapse. Opioids: Trying to Conceive If you’re trying to conceive or are considering getting pregnant and are currently using an opioid medication, use effective birth control until you’re no longer taking the medicine. Let your doctor know all of the medications you take to make sure you are as healthy as possible before getting pregnant. At Cherokee Women’s, it’s important to each of our physicians to have open, honest communication with our patients. If you’re concerned about opioid use during pregnancy, contact our office to schedule an appointment to discuss your concerns with one of our physicians.

Author name: Diane

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