Diane, Author at Cherokee Women's Health - Page 48 of 59

Author name: Diane

OB

How to Find the Right OB

If you’re new to the area, a first time mother, or you aren’t satisfied with your current OB/GYN, the first thing on your list after that positive pregnancy test is “find a qualified obstetrician.” If you’re anything like the rest of us, you’re also daunted by the task. You need a qualified medical professional you can trust with your health and the health of your baby. You also need someone who makes you feel comfortable and cared for. After all, you’ll see your OB regularly over the next nine months.  Choosing an obstetrician or midwife doesn’t have to be difficult. Cherokee Women’s Health has 5 easy questions to get you started. 4 Questions to Help Pregnant Women Find the Right Doctor Do I want an obstetrician or a midwife? For most expectant mothers, expertise is the most important consideration when choosing a prenatal physician. But what is the second? Credentials, hospital privileges, type of delivery, perspective on pain relief, and any special circumstances surrounding your pregnancy can help you choose whether an OB/GYN or a certified nurse midwife is the right choice to care for you and your growing family. What have I heard? If your friends have recently given birth, their experiences will speak to you more clearly than any board certification. Ask friends, family members, and your gynecologist or primary care physician who they recommend. Factor in any personal health considerations that may require a specialized OB-GYN. Then research your top physicians and schedule an appointment to make sure they’re right for you. Where will the delivery take place? Make sure your physician partners with a reputable hospital near you. Cherokee Women’s Health works with Northside Hospital-Cherokee to give moms the most advanced medical facilities and the most comfortable birthing experience. We are excited to expand this excellent care to their new hospital, which is expected to open in 2017. How do I feel about this physician? In the end, trust your gut. No matter how qualified your obstetrician or midwife may be, if you’re not comfortable with them, you’re going to have a stressful pregnancy. If you feel rushed, uncomfortable, or simply don’t click with your physician, find another qualified physician or and advanced practice provider. At Cherokee Women’s Health, we’re dedicated to helping expectant moms have the best pregnancy experience. To learn more about our physicians and advanced practice providers, schedule an appointment, or learn how to approach the early stages of your pregnancy, call our offices in Canton or Woodstock.

doctor listening to patient
Well Woman

What Patients Want: Doctors Who Listen

Your feedback is very important to us. The doctors and staff at Cherokee Women’s Health care about what you want from your doctor visits, which is why we regularly survey our patients. Your feedback tells us that you want doctors who listen, spend time with you and have a great bedside manner. And of course, you want an educated physician who can clearly explain your symptoms and treatment options. Dr. Litrel wants every patient of Cherokee Women’s Health to feel seen, heard and compassionately cared for so he has hand-picked an amazing team of caring, compassionate and highly educated doctors. All of our physicians and advanced practice providers pride themselves on engaging with their patients while making sure the patient feels accepted and heard while discussing symptoms or treatment. Following are a few testimonials from our patients: “The doctors at Cherokee Women’s Health actually listen to me and do what’s best for me. They care more than another other doctor I’ve been to.” Emilee Z. “Dr. Litrel is always very caring and considerate. He listens to your symptoms without making you feel like he’s in a hurry to move on to the next patient. He has offered alternative help with my Sjogren’s Syn. Disorder. He treats you with respect.” Sue H. “Dr. Haley serviced my prenatal appointments, and I thoroughly appreciated how he listened to me and my body. Nothing unnatural was forced, which I believe helped in a very smooth delivery. He was always very upbeat and his excitement bubbled over. By the end of each visit, I was always smiling. Susan delivered my baby, and she did a wonderful job. She was very comforting and soothing. Again, I appreciate how she let my body naturally deliver the baby it its own time. This was a wonderful pregnancy and birthing experience.” Rachel P. “In June of 2011, I was rushed to Northside Hospital in Canton in severe pain only to find I had a ruptured tubal pregnancy. My family and I were so devastated. Dr. Litrel came to my bedside and prayed with us, and then I was rushed to the operating room for surgery. He was so wonderful, kind and had the best bedside manner. It’s February of 2012, and we are expecting again. Everyone in the office is so kind and respectful. I wouldn’t have any other group of doctors take care of me in our situation, and couldn’t imagine any other doctor bringing our miracle baby into this world.” Kimberly L. These are just a few testimonials that we’ve received from our wonderful patients. You may also find testimonials here. Just click on the service you’re interested in to read hundreds of patient reviews. Or, read real stories from patients of Cherokee Women’s Health. Make an Appointment Today Cherokee Women’s Health wants to be your OB/GYN. With a diverse group of physicians and advanced practice providers, we believe you will find the care, compassion and excellent care that you are seeking. Please call 770.720.7733 or call us to schedule an appointment at our Canton or Woodstock locations.

OB

The Bulge After the Baby: You’re In Good Hands

You just had a baby, but something feels “off “down there. You’re not quite sure what to expect because you’re new to the whole postpartum process, but you’re certain that a bulge in your vagina is not normal. When the vaginal pressure does not ease up, you decide to check in with your doctor, only to find out that you have a type of Pelvic Organ Prolapse called Uterine Prolapse. As scary as this diagnosis may sound to you, there are options available to relieve symptoms, or repair the prolapse. Uterine Prolapse: Causes and Treatments You wonder how this prolapse happened. One day your uterus is snugly in place, and the next, you are suffering the unpleasant symptoms of pain, pressure and an aching lower back. A prolapsed uterus is a common occurrence after a vaginal birth, but even women who have never given birth can also develop a prolapse. When damage to the fascia, ligaments and muscles of the pelvic floor occurs, it can cause the uterus to sag into the vaginal canal – leading to incontinence, and a feeling that something is “stuck” or “falling out.” These problems may worsen with age, as decreased estrogen causes the pelvic floor to relax even more. Fortunately, you don’t have to deal with these meddling symptoms. There are options, depending on the severity of your symptoms. Relax – not every uterine prolapse will require surgical repair. You and your doctor can work together to decide the best course of action to fit your lifestyle and diagnosis. Many women with mild symptoms find that pelvic floor physical therapy is helpful in reducing symptoms. Those with more moderate symptoms might find reprieve by wearing a device known as a pessary, which is fitted to your vagina, and worn internally. A pessary can help to lift the uterus out of the vagina, and relieve many of the distressing symptoms. If your symptoms are more severe, Pelvic Reconstructive Surgery may be the best option to ensure that you are not living with the troublesome effects of uterine prolapse. You are not alone! Many other women are dealing with the inconvenience and pain of a prolapsed uterus, and you don’t have to suffer in silence. Make a list of questions and concerns and contact your doctor today. A prolapsed uterus doesn’t have to rule your life. We Are Specialists in Female Pelvic Anatomy Physicians who are board-certified in Female Pelvic Medicine and Reconstructive Surgery (FPMRS) understand complex female anatomy, and are able to offer a range of effective treatment options when problems occur. In fact, Cherokee Women’s is the only OB/GYN practice in the southeast with multiple OBs who are also board-certified in FPMRS. You’re in good hands–during your pregnancy and after. Talk to your FPMRS physician about your options to find relief for your symptoms and help that “bulge” disappear.

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Vaginal Rejuvenation, Vaginal Rejuvenation Education, Vaginoplasty Education

Is My Vaginoplasty Healing Process Normal?

Many women spend weeks, months, or even years reaching the decision to have vaginal surgery. Each woman has her own reasons for the choice: discomfort, pain, embarrassment, or decreased sexual pleasure, to name a few. But once surgery day arrives, this transformative life experience becomes a waiting game. Even the most knowledgeable patient can succumb to fears while healing from a vaginoplasty. That’s why Cherokee Women’s Health gives you top care, expert follow-up, and direct access to your surgeon when you need it most. Is My Vaginoplasty Healing Process Normal? Following are answers to common questions regarding Vaginoplasty healing and results. Because every woman’s body is different, each patient recovers at a slightly different rate. Many patients can start to move around as soon as the anesthesia wears off. Ice the incision area in the 24-48 hours after surgery. Most patients can return to a normal behaviors (such as non-strenuous work) after 48-72 hours, but a full 6-8 week recovery period is necessary before engaging in sexual activity. Optimize your healing process by carefully following the post-op instructions of your physician.  Learn more! Download our FREE Vaginal Rejuvenation eBook. I still feel vaginal pain a week post-op. Is that normal? Many women experience pain as the skin and muscles of their most sensitive areas knit back together. Vaginal pain is still expected one week after surgery. If you’re experiencing post-op pain, take your prescribed painkillers or ice the area as recommended by your doctor. I’m not happy with my results. Can I schedule another surgery? A patient cannot appreciate the results of a vaginoplasty before she’s fully healed. Tenderness, swelling, and myriad other factors may influence a woman’s perspective of her post-op results. We recommend waiting 6 months to 1 year after surgery to allow the site to fully heal and the vaginal muscles to settle into their new permanent state. If you’re still not happy with the results of your vaginoplasty, ask your surgeon about a follow-up procedure or labiaplasty. Do you want to learn more about vaginal rejuvenation and recovery? Schedule a consultation with one of our GYN surgeons board-certified in FPMRS (Female Pelvic Medicine and Reconstructive Surgery) or call us at 770.721.6060.

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Labiaplasty Education, Vaginal Rejuvenation, Vaginal Rejuvenation Education

Labiaplasty Healing: What’s “Normal”?

When a woman chooses labiaplastic surgery, she spends weeks preparing. She discusses her concerns with her doctor, follows her physician’s pre-op instructions, and prepares for a normal recovery. But no matter how well a patient prepares, it’s easy to panic when the healing process doesn’t go as expected. Cherokee Women’s Health has gathered our most frequently asked post-labiaplasty questions to put your mind at ease. Most Common FAQs About Post-Op Labial Swelling Is this swelling normal? In most cases, yes. As the labia heals, all patients experience varying degrees of swelling and tenderness. If the swelling continues for more than a few weeks, schedule an appointment with your doctor to discuss your concerns. What Causes of Post-Labiaplasty Swelling? The most common cause of prolonged swelling after a labiaplasty is tender scar tissue. Once the incision site is fully healed, your physician may suggest treatment like massaging the scar daily to break down the thick tissue and relieve pain. Residual sutures may also cause tenderness and swelling. Ask your surgeon if the sutures will dissolve naturally on their own, or whether suture removal is necessary. Could I Have a Hematoma? A hematoma (collection of blood outside the blood vessel) is typically marked by swelling, discoloration, and a variety of flu-like symptoms. Superficial hematomas are easily treated. Use an ice pack to relieve temporary discomfort. Ask your doctor about your symptoms to determine whether you have a hematoma at the surgery site and, if so, what is the recommended treatment. For questions or concerns about labiaplasty or vaginal rejuvenation or to request an appointment, please call our female rep on her private and confidential line at 770.720.7733, extension 2232 or contact us here.

Dr. Litrel's Blog

Dr. Litrel – Food, Books and Mastery

An Interview With Michael Litrel, MD, FACOG, FPMRS What was your first job? I was a waiter at Kennedy Airport, at the international arrivals building. I was seventeen years old, and had to wear a bow tie. It was great preparation for being a doctor. I met people from around the world, served people with their basic needs, and I had to utilize my time efficiently. I shuttled between tables just like I do between exam rooms – and I tried not to drop anything. What is your legacy? How do you want to be remembered?As the longest living person alive? (He laughs.) I want to have always done my best, and to have always been honest, and to accomplish what God had put me on the planet for. What book has influenced you most? In 1984 I read The Road Less Traveled by Scott Peck. That really influenced me a lot. I also really like Richard Bach’s book, Illusions. Other books include Mere Christianity, by C S. Lewis, and The Prophet, by Kahlil Gibran, which has influenced me a lot again this year. One of my all time favorites that I’ve reread for several years is The Holy Man, by Susan Trott. It’s short, funny and quite profound. A book that’s influenced me this year is The Life-Changing Magic of Tidying Up by Marie Kondo. I especially recommend it to young mothers. Handling stress by “Tidying Up” What words of wisdom would you pass on to your childhood self? I think believe in yourself and know that the dreams in your heart are gifts from God to pursue. And I would say that I think there’s so much bad stuff – and it’s so easy to believe the bad stuff – but what’s most important is to believe the good stuff, and to then pursue. Never give up. Keep endeavoring despite the pain and the sadness. If you could master one skill right now, what would it be? Surgery. That’s the skill I’m most endeavoring to master. You don’t cut into the human body willy-nilly. During each and every individual operation, I try to master the surgery. I think the pursuit of mastery is the purpose of life. You have to seek mastery. You can master the ability the walk at two years old, but that doesn’t mean you don’t trip sometimes. When performing surgery, I think that I serve, not that I’ve mastered. In every surgery, my goal is to serve each patient and God at the same time. Okay, a question just for fun – If you could only eat one meal for the rest of your life, what would it be? Chinese food. I really like Szechuan beef, but now I’m a vegetarian. I’m an aspiring vegan so I’ve given up a lot of my favorite foods. Cookies, a personal favorite, are sadly not on the list. FUN FACTS Unexpected Twin Dr. Litrel is an identical twin. Born before the technology of ultrasound, he was unexpected until the very day he and his brother Chris were delivered. His first birth certificate named him “Baby B” Chinese-Italian Culinary Mutt Dr. Litrel grew up eating custom ravioli from his Italian father’s pasta shop on Long Island, and authentic Chinese dishes homemade by his Chinese grandmother in the Bronx Healer With a Black Belt Dr. Litrel is a lifelong martial arts student. He has studied karate, chi gong, bando, tai chi, and has a black belt in tae kwon do. He has also studied the Japanese healing art of Reiki. POP QUIZ:  How well do you know Dr. Litrel? Which of these jobs has Dr. Litrel NOT had? A. EMT (Emergency Medical Technician) on ambulanceB. High School Chemistry TeacherC. Forensic Intern (assist with autopsies)D. Waiter ANSWER:Sorry – trick question! Dr. Litrel has worked in ALL these jobs.

michael litrel, md, facog, fpmrs
Dr. Litrel's Blog

A Ritz Cracker Kind of Guy

by Michael Litrel, MD, FACOG, FPMRS My doctor partners and I take turns being on call for the holidays.  Two years ago, my turn fell on Thanksgiving, and as I looked across the table at my loved ones and listened to their loud and animated conversation, I remember noticing they all seemed to be in various states of inebriation. I began to wish the hospital would call me. Nothing is more annoying than being the only sober one at the dinner table. Especially when you paid for all the wine. I realized there were three ways to handle my unhappiness. One, I could make sure I wasn’t on call the following year so I could join in the frivolity. Two, I could cultivate new friends and family who were less inclined to intoxicate themselves at holiday meals. Or three, I could view this moment of unhappiness as a spiritual lesson and walk more strongly the path of Love. The decision was easy. I decided not to be on call again. Holidays are stressful, but particularly so for women. Women are more aware of the subtleties of celebration. They put effort into aesthetic touches that would never dawn on a man. The intention, I believe, is to manifest beauty. But sometimes the result is marital conflict. Every Thanksgiving, Ann makes six dozen homemade crackers called “Cheddar Crisps” that come in three flavors: cracked blacked pepper, caraway seed, and something called nigella seed.  Ann carefully sequesters her crackers in a tin box to be doled out at the right moment. Every guest is given three crackers just after saying grace, one of each flavor – and a bowl of butternut squash soup.  It’s such a big deal to Ann that you handle each cracker like Grandma’s antique tea cup.  Unfortunately, I am more a Ritz cracker kind of guy, accustomed to shoveling large quantities into my mouth until I am full. So for me this homemade cracker stuff is holiday stress. How do I express genuine appreciation for the work my wife has put into this pre-Thanksgiving snack, without conveying my true thoughts? Stop wasting so much time already – they’re just crackers! Instead, I channel Effete Cracker Connoisseur, solemnly critiquing the subtleties of each flavor and commenting about how the steam from the soup opens up the palate so one can fully appreciate the differences. But truthfully, I just wanted Ann to stop making them. Last year I got my wish. I was not on call, and no homemade crackers were to be found! But I noticed a few things. Free to imbibe a glass of wine, I found I did not want any, but instead chose sparkling water. And the sodden idiots inclined to boorish conversation I remembered from the year before were actually beautiful people I am so very blessed to have in my life. But what surprised me most was that I actually missed Ann’s homemade crackers. It’s not always easy for a man to appreciate the attention to detail an effortful woman brings into her family’s life. Sometimes what she does seems frivolous – and God knows, sometimes it’s expensive. But there is a reason for a woman’s efforts, and this I understand – as a father, as a husband of twenty-eight years, and also as a physician who has listened to women carefully over the years. A woman gives life to her children, brings beauty to her home, and creates ties in her community.  A woman makes life more beautiful for us men – Whether we want her to or not.

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GYN Problems, Mesh Education

The Great Mesh Debate: Unraveling the Basics

Pelvic organ prolapse (POP) is a condition that affects nearly one-third of middle-aged women. It occurs when the muscles that support the pelvic organs weaken, leading to a bulge or protrusion in the vaginal area. Many patients often describe this condition as a “vaginal hernia.” Symptoms of POP can include pelvic pressure, urinary incontinence, and sometimes discomfort during sexual activity. The weakening of the pelvic muscles and tissues causes the organs to shift from their normal positions, and the severity of symptoms can vary from person to person. Why Is Mesh Used in POP Surgery? In some cases, a woman’s natural tissue may not be strong enough to support a successful repair of the pelvic organs. This is where synthetic mesh or biologic grafts come into play. The use of these materials is intended to provide additional support and durability for the pelvic organs after surgery. However, since the 2008 FDA Public Health Notification about the use of transvaginal mesh in POP repairs, the subject has been a source of significant controversy and concern. Many women have seen advertisements or heard from others that mesh can be dangerous, leading to hesitations about its use. Patients frequently ask, “Are you going to use mesh in my surgery? I’ve heard it’s risky.” It’s important to understand that while there are potential risks, the use of mesh, when done by a trained and experienced surgeon, is generally safe and has a low complication rate. The Importance of Specialized Surgeons in POP Treatment Pelvic organ prolapse requires specialized care from doctors who have received advanced training in female pelvic medicine and reconstructive surgery (FPMRS). Board-certified surgeons have undergone rigorous training in diagnosing and treating POP, including the use of mesh in surgical procedures. For patients to achieve the best possible outcomes, it is crucial that they receive treatment from surgeons who are skilled in these procedures and understand the specific risks and benefits. When mesh is properly placed by a board-certified pelvic reconstructive surgeon, the risk of complications is significantly minimized. Part of the job as FPMRS specialists is to clearly communicate the potential risks and benefits of each procedure to patients, ensuring they are well-informed and confident in their treatment decisions. Individualized Treatment Plans for Optimal Care A key aspect of treating pelvic organ prolapse is creating a personalized treatment plan that is tailored to each patient’s unique needs. This starts with a thorough consultation that includes: Discussion of Symptoms: It’s important to understand the specific symptoms that are most bothersome to the patient. Complete Physical Exam: A physical exam helps the surgeon determine the exact nature and severity of the prolapse. Comprehensive Treatment Plan: This plan may include both non-surgical and surgical options, depending on the patient’s condition and preferences. For some women, non-surgical options such as pelvic floor exercises or lifestyle changes may be sufficient. However, for those requiring surgery, we explore the most suitable approach, including whether mesh might be used. It’s also essential to discuss lifestyle changes—such as maintaining a healthy diet, quitting smoking, and engaging in regular exercise—that can help prevent a recurrence of the prolapse. Empowering Patients with Knowledge The decision to undergo surgery for pelvic organ prolapse can be daunting, especially with the concerns surrounding mesh use. However, when patients are provided with accurate, evidence-based information, they are better equipped to make informed decisions about their health. Surgeons aim to empower patients byc explaining all available options and offering reassurance that, when performed by a skilled surgeon, mesh procedures have a high success rate and low risk of complications. If you’re experiencing symptoms of pelvic organ prolapse and are unsure about the best course of treatment, a consultation with a pelvic floor specialist can help you understand your options. Remember, you have choices, and individualized care is key to achieving the best possible outcome. To schedule an appointment or surgical consultation, call 770.720.7733. Or, simply schedule an appointment online. We are here to support you in every step of your treatment journey.

Dr. Litrel in surgery
Vaginal Rejuvenation, Vaginal Rejuvenation Education

How to Choose a VR Surgeon

  Choosing a doctor is a highly personal decision. Patients must weigh credentials and experience alongside bedside manner and comfort levels. For a gynecological procedure, finding a surgeon who is skillful and amiable is paramount. Here are two helpful tips for how to choose the right vaginal rejuvenation surgeon. c Choose an Experience Surgeon Before considering anything else, find a board-certified surgeon with the right experience. Many plastic surgeons don’t specialize in gynecological surgery. Because of this, vaginal rejuvenation is often misconstrued as a purely cosmetic procedure. Not only are the surgeons at Cherokee Women’s Health board certified in OB/GYN procedures, they have decades of experience in specialized surgeries. Because of their extensive knowledge about the sensitivity of vaginal rejuvenation, they’re able to provide each patient with better results and faster recoveries. Be Comfortable with Your Doctor Finding a board-certified gynecologic surgeon should be the first step when choosing vaginal rejuvenation, but the doctor-patient relationship is just as crucial. Schedule a consultation with your surgeon. You should feel comfortable asking questions and discussing desired outcomes with your GYN. Write down a list of questions prior to your consultation. 4 Important Questions to Ask Your VR Surgeon: What training do you have in gynecology surgery? How many vaginaplasties or labiaplasties have you performed? What tools do you use? How long is the procedure, and what can I expect during recovery? Always weigh both practical and personal concerns when choosing a vaginal rejuvenation doctor. Find a surgeon with training and experience who puts you at ease. If a physician has training but no bedside manner (or vice versa), keep looking. You want to feel completely comfortable during the procedure and recovery. Our Vaginal Rejuvenation Experts are Here for You For more information on choosing a qualified surgeon, call us at 770.720.7733 or schedule an appointment online.

OB

Troubleshooting Common Breastfeeding Problems

Breastfeeding provides countless benefits to both mother and child. It creates a bond between a mother and her baby, giving the two newfound intimacy outside of the womb. Breast milk also provides infants with nutritional benefits they won’t receive anywhere else, ensuring the fast physical and mental development of newborns. Breastfeeding is the most natural thing in the world, but that doesn’t mean it’s without its difficulties. Common Breastfeeding Problems Milk production. Many mothers worry that they’re not producing enough breast milk to keep their babies fed. If you’re worried about milk supply, monitor your infant’s behaviors. If your child is not audibly swallowing, seems dissatisfied after breastfeeding, or produces fewer than 6-8 wet diapers and 3-4 soft, yellow stools per day, ask your OB about supplementing your baby’s diet. Mothers can also encourage breast milk production by drinking lots of water, ensuring easy latching, emptying both breasts at every feeding, using a pump between feedings, nursing at night, and eating OB recommended foods to encourage a healthy supply of milk. Latching pain. Latching pain is common in the weeks after birth, especially for first time mothers. Reposition your baby so his mouth covers more of the nipple below the areola than above. If you have dry or cracked nipples, wear loose clothing, apply lanolin cream between feedings, and let a little milk air dry on the nipple after each feeding (breast milk is a natural healer for you and your baby). Too much milk supply. Nurse more frequently to limit engorged breasts. Clogged ducts. If you aren’t draining your milk supply, you may notice clogged ducts or lumps on the breasts. Nurse more frequently and make sure your nursing bra isn’t too tight. If you experience redness, aching, or fever, you may have an infection. Ask your doctor to prescribe an antibiotic. At Cherokee Women’s Health, we dedicate ourselves to providing optimal care to moms and their babies. Call to schedule an appointment with one of our exceptional board-certified obstetricians or midwives.

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