Author name: Diane

OB Patient Stories

Coping with Postpartum Incontinence: Elle’s Story

Shortly after the birth of her first child, Elle began to experience incontinence, an issue she’d never faced before having a baby. What started as a small annoyance when she sneezed or coughed soon turned into a more frequent issue. She was leaking urine unexpectedly. Whether she was walking, laughing, or simply standing up too quickly, she couldn’t always control her bladder. For Elle, this unexpected postpartum symptom became a major source of stress and embarrassment. Incontinence, the involuntary leakage of urine, is common after childbirth. For Elle, this was an unexpected development. She hadn’t heard other moms talking about it much, and at first, she felt alone in her struggle. “No one told me this would happen,” she thought, wondering why her body didn’t seem to work the way it used to. But the truth is, Elle wasn’t alone, and her experience is one shared by many new mothers. Why Incontinence is Common After Childbirth Incontinence after childbirth occurs for several reasons. The process of pregnancy itself, as well as vaginal delivery, can weaken the pelvic floor muscles and nerves that help control bladder function. During pregnancy, the growing uterus puts pressure on the bladder, and this pressure continues to increase as the baby grows. Moreover, the hormonal changes during pregnancy also cause the pelvic tissues to become more relaxed and stretchy, preparing the body for childbirth but weakening its support structures in the process. Elle delivered her baby vaginally, which is one of the most significant factors contributing to postpartum incontinence. The act of pushing during labor can overstretch and even damage the muscles and nerves that support the bladder. Additionally, childbirth can strain or even injure the pelvic floor muscles. For some women, like Elle, this damage results in stress incontinence—the leakage of urine during moments of physical exertion, such as sneezing, coughing, or lifting heavy objects. Others might experience urge incontinence, a sudden and intense need to urinate, even if the bladder isn’t full. In Elle’s case, the postpartum period brought a mix of stress and self-consciousness. Every time she laughed or picked up her baby, she worried about an accident. In public, she was constantly on edge, fearing she might leak in front of others. The added strain of managing her incontinence while taking care of a newborn began to affect her mental health. She felt isolated and ashamed, even though incontinence after childbirth is incredibly common. Managing Postpartum Incontinence Fortunately, there are several ways to manage postpartum incontinence, and with time, many women see improvement. For Elle, the first step was acknowledging the problem and seeking help. At her postpartum check-up with her OB/GYN, Dr. Lisa McLeod of Cherokee Women’s Health Specialists, she mustered the courage to tell her about the incontinence. She was relieved to learn that it’s not only common but also treatable. Her doctor explained that many women regain full bladder control with the right interventions and support. Some of those interventions include: Kegels: One of the most effective ways to manage postpartum incontinence is through pelvic floor exercises, commonly known as Kegels. These exercises help strengthen the muscles that control urination. Dr. McLeod referred her to a pelvic floor physical therapist, who guided her through these exercises and other techniques to rebuild her pelvic strength. While it took time and consistent effort, Elle began to notice improvement within a few weeks. Bladder Training: Aside from pelvic floor exercises, there are other strategies for managing incontinence. Elle’s therapist recommended practicing bladder training, which involves setting a schedule for bathroom breaks and gradually extending the time between them to retrain the bladder. She also made lifestyle changes, such as reducing her intake of caffeine and drinking plenty of water in smaller amounts throughout the day, which helped reduce the sudden urgency to urinate. Medication or Surgery: In some cases, Dr. McLeod shared that women may need additional treatment, such as medication or surgery, if the incontinence doesn’t improve with these initial measures. But for Elle, non-surgical options worked well enough to help her regain confidence and control. She felt empowered after understanding that this condition was neither a failure of her body nor an irreversible change. It was simply one of the many challenges of the postpartum journey. Looking Forward As Elle’s daughter grew, so did her strength—both physically and mentally. Incontinence was no longer a source of shame for her, but a reminder of the resilience of her body. She began sharing her experience with other new mothers, determined to break the silence around postpartum incontinence and to let other women know they weren’t alone. By seeking help and taking steps to manage her symptoms, Elle regained her confidence and her life. While her body had changed after childbirth, she learned that those changes could be managed, and she could thrive as a new mother without being defined by postpartum incontinence. Elle’s challenge with postpartum incontinence underscores that, with the right medical support, women can overcome health challenges and return to their vibrant, fulfilling lives. If you’re experiencing incontinence, we’re here to help you. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems Patient Stories

Sue’s Journey Through Menopause and Incontinence

Sue didn’t realize there was a link between menopause and incontinence. Not until she entered menopause at 52. Known for her dynamic career and active lifestyle, Sue had always prided herself on her ability to juggle her professional responsibilities with a fulfilling personal life, including frequent hikes and regular social engagements. However, as she entered menopause, she began experiencing a distressing issue: urinary incontinence. This new challenge not only disrupted her daily routine but also impacted her confidence and quality of life. What’s Happening? Sue’s journey with incontinence began gradually. Initially, she noticed occasional leaks when she laughed or coughed, which she attributed to simple aging. However, as her menopause progressed, the frequency and severity of her symptoms increased. Sue found herself needing to visit the restroom more often, and she experienced a sudden, intense urge to urinate that sometimes led to involuntary leakage. The unpredictability of these symptoms made her anxious about leaving home and participating in activities she once enjoyed. The impact on Sue’s life was profound. She began avoiding social gatherings and outdoor activities, worried about potential accidents and the embarrassment that might follow. Her active lifestyle was curtailed, and she felt a growing sense of frustration and isolation. The issue began affecting her work as well, with frequent restroom breaks disrupting her focus and productivity. Seeking Professional Help Recognizing that her symptoms were not improving on their own, Sue decided to seek help from Dr. James Haley, a well-regarded OB/GYN with Cherokee Women’s Health Specialist, known for his expertise in managing menopause-related issues and incontinence. During her initial consultation, Sue was relieved to find a compassionate and empathetic approach. Dr. Haley conducted a thorough evaluation, including a detailed medical history and a physical examination. He explained that Sue’s incontinence was likely related to the hormonal changes associated with menopause, specifically the decline in estrogen levels that affect the pelvic tissues and bladder function. Treatment Options and Management Dr. Haley outlined a comprehensive treatment plan to address Sue’s incontinence. The plan was tailored to Sue’s specific symptoms and lifestyle needs: Hormone Replacement Therapy (HRT): Dr. Haley recommended Hormone Replacement Therapy to help restore estrogen levels and improve the health of the pelvic and urethral tissues. HRT can alleviate symptoms by addressing the hormonal imbalances that can contribute to incontinence. Various forms of HRT were discussed, including oral tablets, patches, and vaginal rings. Pelvic Floor Exercises: Recognizing the importance of strengthening the pelvic floor muscles, pelvic floor exercises, such as Kegels, were recommended. These exercises involve repeatedly contracting and relaxing the muscles that support the bladder and pelvic organs. Sue was given detailed instructions and was encouraged to work with a physical therapist specializing in pelvic health for optimal results. Bladder Training: To help manage urgency and frequency, a bladder training regimen was recommended. This involved gradually increasing the time between restroom visits to help Sue gain better control over her bladder and reduce the urgency that led to leakage. Lifestyle Modifications: Dr. Haley advised Sue to make certain lifestyle changes to manage her symptoms. Reducing caffeine and alcohol intake, maintaining a healthy weight, and staying hydrated were among the recommendations. Dr. Haley also emphasized the importance of wearing breathable cotton underwear and avoiding products that could irritate the vaginal area. Medications: For additional symptom management, medications were prescribed to address Sue’s specific type of incontinence. Anticholinergic drugs were used to manage urgency, while topical estrogen therapy was applied to improve tissue health and support bladder function. Follow-Up and Monitoring: Regular follow-up appointments were scheduled to monitor Sue’s progress and make any necessary adjustments to her treatment plan. This ongoing support helped ensure that her symptoms were managed effectively and that she received the best possible care. Results and Recovery Sue began to notice significant improvements in her symptoms. The combination of HRT, pelvic floor exercises, and lifestyle changes helped restore her confidence and quality of life. She gradually resumed her active lifestyle, participating in social events and outdoor activities without the constant worry of incontinence. Sue’s journey underscores that, with the right medical support, women can overcome health challenges and return to their vibrant, fulfilling lives. If you’re experiencing symptoms related to menopause and incontinence, we can help. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems Patient Stories

How Vaginal Infections Impacted Sarah’s Life

Vaginal infections would plague Sarah for years until she finally sought treatment at Cherokee Women’s Health Specialists. Sarah, a 34-year-old customer service rep and mother of one, was known for her energetic spirit and optimistic outlook. Balancing a demanding career and family life, she was always on the go. However, Sarah’s vibrant life was disrupted when she began experiencing troubling symptoms that led her to seek medical help. The Onset of Symptoms It all began with a persistent itch and discomfort in her vaginal area. Initially, Sarah dismissed these symptoms, attributing them to a possible reaction to a new laundry detergent or a minor irritation. But as weeks went by, the symptoms worsened. Sarah experienced increasing itching, a noticeable discharge, and a burning sensation, particularly during urination and intercourse. The discomfort became so severe that it started interfering with her daily activities and personal life. Sarah’s distress was compounded by the embarrassment and discomfort she felt in discussing such a personal issue. Despite her hesitation, she realized that her symptoms were not improving on their own and decided to seek professional help. A trusted friend recommended Dr. Ansley Stone, an OB/GYN known for her expertise in managing women’s health issues with compassion and thoroughness. Seeking Help and Diagnosis Sarah’s first visit to Cherokee Women’s Health was a mixture of relief and apprehension, but Dr. Stone’s welcoming demeanor immediately put Sarah at ease, allowing her to openly discuss her symptoms. After a detailed examination and review of Sarah’s medical history, Dr. Stone diagnosed her with a vaginal infection. The diagnosis was based on a combination of Sarah’s symptoms and laboratory tests that confirmed the presence of a bacterial or yeast infection. Dr. Stone explained that vaginal infections are common and can be caused by various factors, including hormonal changes, antibiotic use, and poor hygiene. She reassured Sarah that her condition was treatable and that they would work together to find the best course of action for relief. Treatment Options Dr. Stone outlined a comprehensive treatment plan tailored to Sarah’s specific condition. Here’s a breakdown of the options discussed: Antifungal Medications: Since Sarah’s infection was identified as a yeast infection, she was prescribed antifungal medications. These medications, typically available as oral tablets or topical creams, are effective in treating Candida infections. Dr. Stone emphasized the importance of completing the full course of treatment to ensure the infection was fully eradicated. Antibiotics: If Sarah’s infection had been bacterial, she would have been prescribed a course of antibiotics. In cases where bacterial vaginosis is diagnosed, antibiotics such as metronidazole or clindamycin are often used to restore the natural balance of bacteria in the vaginal flora. Topical Treatments: In addition to antifungal or antibiotic medications, topical treatments to soothe the affected area were recommended. Over-the-counter creams or ointments containing hydrocortisone could help alleviate itching and inflammation. Probiotics: To help restore and maintain a healthy vaginal environment, Dr. Stone suggested incorporating probiotics into Sarah’s diet. Probiotics can help balance the natural flora in the vagina and prevent future infections. Yogurt with live cultures or probiotic supplements can be beneficial. Lifestyle and Hygiene Recommendations: Maintaining proper vaginal hygiene and avoiding potential irritants are important to avoid vaginal infections. Sarah was advised to wear breathable cotton underwear, avoid douching, and refrain from using scented hygiene products that could exacerbate irritation. Recovery and Moving Forward Sarah diligently followed Dr. Stone’s treatment plan, using the prescribed medications and incorporating the recommended lifestyle changes. Over the course of a few weeks, she noticed significant improvement in her symptoms. The itching and discomfort gradually subsided, and her confidence in her body’s health was restored. The successful treatment not only relieved Sarah’s immediate discomfort but also empowered her with knowledge about maintaining vaginal health. She felt grateful for the compassionate care and clear communication she received, which helped her navigate a challenging and personal health issue with confidence. Finding Relief and Regaining Confidence Sarah’s journey underscores that, with the right medical support, women can overcome health challenges and return to their vibrant, fulfilling lives. If you’re experiencing symptoms related to vaginal infection, we can help. Call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems

Understanding PMS vs. PMDD

Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD) are two conditions that significantly impact many women during their reproductive years. While they share similarities, they differ in severity and impact. Dr. Robert Barrett, an OB/GYN with Cherokee Women’s Health Specialists, provides insightful perspectives on these conditions and offers comprehensive treatment options to help women manage their symptoms effectively. PMS: Common and Manageable Premenstrual Syndrome (PMS) affects a large portion of the female population. PMS encompasses a range of physical, emotional, and behavioral symptoms that occur in the luteal phase of the menstrual cycle, typically in the two weeks leading up to menstruation. Common symptoms of PMS include: Physical Symptoms: Bloating, breast tenderness, fatigue, headaches, and changes in appetite. Emotional Symptoms: Mood swings, irritability, anxiety, and mild depression. Behavioral Symptoms: Changes in sleep patterns, difficulty concentrating, and social withdrawal. While PMS can be bothersome, it is generally manageable with lifestyle adjustments and over-the-counter remedies. A balanced diet, regular exercise, and stress management are important in alleviating PMS symptoms. Medications such as non-steroidal anti-inflammatory drugs (NSAIDs) can also help relieve physical discomfort and over-the-counter pain relievers to manage headaches and cramps. PMDD: A More Severe Condition Premenstrual Dysphoric Disorder (PMDD) is a more severe and debilitating condition compared to PMS. PMDD affects approximately 3-8% of women of reproductive age and is characterized by intense and debilitating symptoms that can significantly impair daily functioning. Key symptoms of PMDD include: Severe Emotional Symptoms: Extreme mood swings, profound irritability, severe anxiety, and intense depression. Severe Physical Symptoms: Persistent fatigue, joint or muscle pain, and significant changes in appetite or sleep patterns. Functional Impairment: Difficulty performing daily activities, disrupted relationships, and challenges in maintaining professional responsibilities. PMDD is believed to be related to hormonal fluctuations, and its symptoms are typically more severe than those of PMS. PMDD often requires a more aggressive treatment approach due to its impact on a woman’s quality of life. Treatment Options Dr. Robert Barrett offers a multifaceted approach to managing PMS and PMDD. His treatment strategies are tailored to each patient’s needs and may include: Lifestyle Modifications: For both PMS and PMDD, lifestyle changes are important. These include adopting a well-balanced diet rich in complex carbohydrates, reducing caffeine and alcohol intake, engaging in regular physical exercise, and practicing stress reduction techniques such as yoga or meditation. Medications: For PMS: Over-the-counter NSAIDs, such as ibuprofen, can help alleviate physical symptoms like cramps and headaches. Diuretics can also reduce bloating and breast tenderness. For PMDD: Selective serotonin reuptake inhibitors (SSRIs) may be prescribed to address severe mood-related symptoms. SSRIs are effective in managing depression and anxiety associated with PMDD. Hormonal treatments, such as birth control pills or hormone therapy, may also be considered to regulate hormonal fluctuations. Additionally, antidepressants or anti-anxiety medications may be prescribed for more severe cases. Nutritional and Supplement Support: Dietary supplements may help manage symptoms. For instance, calcium and magnesium supplements can reduce bloating and mood swings. Vitamin B6 and evening primrose oil are also considered for their potential benefits in alleviating PMS and PMDD symptoms. Cognitive Behavioral Therapy (CBT): For women with PMDD, cognitive behavioral therapy may be recommended to help manage severe mood disturbances and improve coping strategies. Alternative Therapies: Alternative therapies such as acupuncture or herbal supplements may also help, though he emphasizes the importance of consulting with a healthcare professional before starting any new treatment. We Can Help Both PMS and PMDD can significantly impact a woman’s well-being, but understanding the distinctions between these conditions is crucial for effective management. A comprehensive approach to treatment encompasses lifestyle changes, medications, nutritional support, and therapy options to help women navigate and alleviate their symptoms. If you’re struggling with PMS or PMDD, call us today at 770.720.7733 or simply schedule an appointment online.

GYN Problems Patient Stories

Emma’s Emotional Journey Through a Hysterectomy

A hysterectomy would soon shake Emma’s world. At 38, Emma had always prided herself on her strength and resilience. She had built a successful career, maintained close relationships with family and friends, and enjoyed an active lifestyle. However, over the past few years, Emma had begun to notice subtle changes in her body—changes that she initially brushed off as part of getting older. It started with irregular periods. At first, they were just a bit heavier than usual, but over time, they became increasingly painful and unpredictable. Emma found herself canceling plans and missing work due to the intense cramping and fatigue that accompanied her menstrual cycles. She also started experiencing bloating and a constant pressure in her lower abdomen, which made it difficult to exercise or even sit comfortably. Despite these symptoms, Emma hesitated to seek medical help. She thought she could manage the discomfort with over-the-counter painkillers and by adjusting her lifestyle. But when she started experiencing prolonged bleeding that lasted for weeks, she knew something was seriously wrong. Seeking Help: The Road to Diagnosis Emma finally made an appointment with her OB/GYN, Dr. James Haley of Cherokee Women’s Health, who listened carefully as she described her symptoms. He performed a pelvic exam and ordered an ultrasound to get a clearer picture of what might be happening inside her body. The ultrasound revealed that Emma had multiple large fibroids—noncancerous growths in the uterus that were likely causing her symptoms. While fibroids are common and often manageable, the size and location of Emma’s fibroids were particularly concerning. Dr. Haley explained that the fibroids were pressing against her bladder and other organs, causing the bloating and pressure she had been feeling. More concerning, however, was the heavy bleeding, which was leading to anemia and leaving Emma constantly exhausted. After discussing treatment options, including medication and less invasive procedures, Dr. Haley gently suggested that a hysterectomy—a surgical removal of the uterus—might be the best option for Emma. The news hit her like a ton of bricks. The idea of losing her uterus was overwhelming, not just physically but emotionally. The Decision: Wrestling with the Emotional Impact Emma had always envisioned herself as a mother one day, and although she wasn’t actively planning to have children at the time, the thought of permanently losing that possibility was devastating. She spent days, even weeks, grappling with the decision. She talked to friends, family, and Dr. Haley, trying to weigh the pros and cons. The physical relief that a hysterectomy could bring was undeniable—it would put an end to the painful, life-disrupting symptoms she’d been living with. But the emotional toll of such a major surgery, particularly the impact on her identity and future plans, was profound. Emma cried herself to sleep many nights, feeling a sense of loss that she couldn’t fully articulate. The Surgery and Recovery: A New Reality Ultimately, after much soul-searching, Emma decided to go ahead with the hysterectomy. The surgery was scheduled, and as the date approached, she tried to focus on the potential positives: no more pain, no more heavy bleeding, and a chance to regain control of her life. The surgery went smoothly, but the recovery was challenging. Physically, Emma had to rest for several weeks, gradually regaining her strength. The pain from the surgery itself was manageable, but it was the emotional recovery that took the longest. She often found herself feeling empty and grieving the loss of her fertility, even though she knew the decision had been the right one. Emma sought counseling to help process her feelings, and slowly, she began to find peace with her new reality. She started to focus on what she could do now that she hadn’t been able to do before—like hiking without pain, working without worrying about bleeding through her clothes, and simply enjoying life without the constant shadow of discomfort. Finding Peace and Moving Forward As the months passed, Emma began to feel more like herself again, but with a new understanding of her own strength. The hysterectomy had changed her life in ways she hadn’t anticipated, forcing her to confront deep-seated fears and emotions. But it also gave her a renewed appreciation for her health and well-being. Emma still feels a pang of sadness when she thinks about the future she once imagined, but she’s also grateful for the life she has now—one where she’s free from the pain and uncertainty that once dominated her days. Her journey through the hysterectomy was not easy, but it ultimately led her to a place of acceptance and empowerment.

GYN Problems Patient Stories

Struggling With PID at 23 Years Old

Jessica never expected to be diagnosed with PID at just 23 years old. She was living her life to the fullest, balancing her job, studies, and social life. Like many women her age, she was focused on building her future, and health concerns were the last thing on her mind. However, her world took an unexpected turn when she started experiencing persistent lower abdominal pain, irregular periods, and unusual vaginal discharge. At first, Jessica dismissed the symptoms, attributing them to stress or an approaching menstrual cycle. But as the pain worsened and began to interfere with her daily activities, she knew something wasn’t right. After a particularly difficult week where the pain became unbearable and she started running a low-grade fever, Jessica decided to visit her local clinic. Initial Visit and the Frustration of Uncertainty During her visit, Jessica described her symptoms and a physical examination was performed. The provider suspected that it might be a urinary tract infection (UTI) or possibly something related to her menstrual cycle. Jessica was given a urine test and prescribed antibiotics for a presumed UTI. However, the antibiotics didn’t alleviate her symptoms, and she felt even more concerned when the pain and discharge persisted. Frustrated and worried, Jessica made an appointment with Cherokee Women’s Health. This time, she saw Dr. Lisa McLeod, a board-certified OB/GYN, who took a more in-depth look at her symptoms. Dr. McLeod suggested that Jessica might be dealing with something more complex, such as Pelvic Inflammatory Disease (PID), a condition that Jessica had never heard of before. The Diagnosis: Understanding Pelvic Inflammatory Disease Dr. McLeod explained that Pelvic Inflammatory Disease is an infection of the female reproductive organs, often caused by sexually transmitted infections (STIs) like chlamydia or gonorrhea. If left untreated, PID can lead to serious complications, including infertility and chronic pelvic pain. Jessica was shocked and scared; the possibility of long-term consequences hadn’t crossed her mind. To confirm the diagnosis, Jessica underwent several tests, including a pelvic exam, cervical cultures, and an ultrasound. The pelvic exam was uncomfortable, but Dr. McLeod reassured her that it was necessary to understand the extent of the infection. The cervical cultures tested for the presence of STIs, while the ultrasound was used to check for signs of inflammation in her reproductive organs. A few days later, the results came back. Jessica tested positive for chlamydia, which had likely led to the development of PID. Dr. McLeod explained that although the diagnosis was serious, it was treatable, especially since it had been caught relatively early. Treatment and Recovery: A Path to Healing Jessica was prescribed a course of antibiotics, with Dr. McLeod emphasizing the importance of completing the entire course of antibiotics, even if she started feeling better before finishing the medication. Jessica also had to inform her sexual partner, who would need to be tested and treated as well to prevent reinfection. During the treatment, Jessica experienced side effects like nausea and fatigue, but she was determined to follow through with her physician’s instructions. She also took time off work to rest, as her body needed time to heal. The pain gradually subsided, and after completing the antibiotics, Jessica returned to the clinic for a follow-up visit. Dr. McLeod confirmed that the infection had cleared, but also advised Jessica to have regular check-ups and to practice safe sex to prevent future infections. Looking back, Jessica realized how important it was to listen to her body and seek medical help when something felt wrong. She learned that early diagnosis and treatment were crucial in preventing complications from PID. The experience also opened her eyes to the importance of sexual health education and the need to remove the stigma around discussing these issues openly. Jessica’s journey with Pelvic Inflammatory Disease was a challenging and eye-opening experience, but it also made her more aware and proactive about her health. Today, she continues to advocate for regular check-ups and sexual health awareness among her friends and peers, hoping to help others avoid the pain and uncertainty she once faced. We Can Help Our OB/GYNs are here for you. Schedule an appointment today online or call us to make an appointment at either our Woodstock or Canton office.

Sarah PID patient story
GYN Problems Patient Stories

Sarah’s Battle Against Pelvic Inflammatory Disease at Just 27

Sarah, a 27-year-old vibrant and ambitious woman, found her life disrupted by a debilitating condition—Pelvic Inflammatory Disease (PID). Known for her active lifestyle and career as a marketing executive, Sarah’s sudden health challenges came as a shock. Her story is one of resilience, timely medical intervention, and hope. Initial Symptoms and Diagnosis: Recognizing the Signs of PID Pelvic Inflammatory Disease is an infection of the female reproductive organs. It’s a complication often caused by sexually transmitted infections (STIs) like chlamydia and gonorrhea. Symptoms can include severe abdominal pain, fever, unusual discharge, and pain during intercourse or urination. For Sarah, the first signs were subtle—a mild discomfort and irregular menstrual cycles, which she initially attributed to stress and long working hours. However, as the pain intensified and became more frequent, she realized it was something more serious. Meet Dr. James Haley: Expertise in Treating Pelvic Inflammatory Disease Dr. James Haley, a double board-certified urogynecologist, came highly recommended to Sarah. With a distinguished career in both urogynecology and gynecology, Dr. Haley was known for his expertise in treating complex cases of PID and other reproductive health issues. Sarah felt a glimmer of hope upon meeting him, encouraged by his calm demeanor and thorough approach to diagnosis. A Comprehensive Treatment Plan for Pelvic Inflammatory Disease Dr. Haley conducted a comprehensive evaluation, including a detailed medical history, physical examination, and a series of diagnostic tests such as ultrasounds and lab work. The results confirmed Sarah’s condition—she had developed PID, likely due to a previously undiagnosed STI. The diagnosis, though distressing, provided a clear path forward for treatment. Dr. Haley devised a tailored treatment plan for Sarah, focusing on eradicating the infection and managing her symptoms. The initial phase involved a course of broad-spectrum antibiotics, administered both orally and intravenously, to tackle the bacterial infection aggressively. Sarah was also advised on the importance of completing the entire course of antibiotics, even if she started feeling better, to prevent recurrence and complications. Lifestyle Changes and Pain Management in PID Recovery In addition to antibiotics, Sarah’s treatment included pain management strategies and lifestyle modifications. Dr. Haley emphasized the importance of rest, a healthy diet, and avoiding sexual activity until the infection was fully cleared. He also recommended regular follow-ups to monitor her progress and adjust the treatment plan as needed. Sarah adhered diligently to Dr. Haley’s recommendations, driven by the desire to reclaim her health and vitality. The road to recovery was not without its challenges. There were days when the pain was overwhelming, and the uncertainty about her reproductive health weighed heavily on her mind. However, Dr. Haley’s unwavering support and the compassionate care of his medical team provided her with the strength to persevere. Recovery and Prognosis: A Hopeful Future After PID As weeks turned into months, Sarah began to notice significant improvements. The pain subsided, and her energy levels gradually returned to normal. Follow-up tests indicated that the infection was under control, and there were no signs of lasting damage to her reproductive organs. Dr. Haley reassured Sarah that with continued care and regular check-ups, her prognosis was excellent. Reflecting on her journey, Sarah is profoundly grateful for the timely intervention and expert care she received. Dr. Haley’s dedication and expertise played a crucial role in her recovery. Today, Sarah is back to her active lifestyle, although she remains vigilant about her reproductive health. She continues to advocate for awareness about PID and the importance of seeking medical attention for any unusual symptoms. Sarah’s story is a testament to the resilience of the human spirit and the transformative power of quality healthcare. It underscores the importance of early diagnosis and treatment in managing PID effectively. With the right medical care and a proactive approach to health, even the most challenging conditions can be overcome.

Rebecca-perineoplasty-patient-story
Urogynecology Patient Stories, Vaginal Rejuvenation Patient Stories

A Perineoplasty With Dr. Haley Gave Me My Life Back

A perineoplasty? I had no idea what that was —or that a doctor would soon be recommending one—but I could no longer handle the discomfort. So, I did some research and came across Cherokee Women’s Health. In particular, I read about Dr. James Haley and his extensive experience with women’s health. Being both an OB/GYN and a urogynecologist, I knew I’d be in good hands, and I was right. As mentioned, my primary concern was a posterior prolapse, which had been causing me discomfort for some time, so I made an appointment with Dr. Haley. From the moment I stepped into his office, his calm demeanor and professional approach put me at ease. Meeting Dr. Haley During our initial consultation, Dr. Haley took the time to explain what rectoceles and cystoceles were, and how these conditions could be corrected surgically. His clear explanations helped me understand my condition better, which made the prospect of surgery less intimidating. Dr. Haley didn’t just stop at my immediate concern. He conducted a thorough examination and pointed out other issues that needed attention. I was grateful for his thoroughness because if I was going to undergo surgery, it made sense to address everything at once. Explaining Perineoplasty and the Recommended Procedures Given the stress four childbirths had put on my muscles, Dr. Haley recommended a series of procedures: an anterior repair, a posterior repair, a sling, and a perineoplasty. He explained each procedure in detail, ensuring I was fully informed and comfortable with the plan. Before the surgery, a bladder study was scheduled to determine if any repairs were needed in that area as well. This step was crucial in ensuring that all potential issues were addressed in one go, minimizing the need for future surgeries. Surgery Day! On the day of the surgery, I felt a mix of nerves and hope. Dr. Haley’s reassuring presence helped calm my nerves. He explained the procedure once more and answered all my last-minute questions, reinforcing my trust in his expertise. Post-Surgery Recovery and Ongoing Care The first few weeks after surgery were challenging, as expected, but the detailed recovery plan I was given made the process smoother. Clear instructions were provided and Dr. Haley was always available to answer any concerns I had. Even after the surgery, he remained a consistent source of support. He scheduled regular follow-up appointments to monitor my progress and was always willing to answer my questions. His dedication to his patients’ well-being is truly commendable. I’m So Glad I Did It! My life has improved significantly and I’m so glad I went through with it. It takes courage to have surgery and seek a better quality of life so I’m proud of myself for that. I no longer have any discomfort, and I feel more confident and healthy. To anyone who may have prolapse issues, I highly recommend seeking care. I thought it was just something I had to live with until I started doing more research and met with Dr. Haley. I would do it again in a heartbeat!

Mira pelvic prolapse patient story
Urogynecology, Urogynecology Patient Stories

Pelvic Prolapse at Just 43 Years Old

At 43, Mira faced something she never saw coming: pelvic prolapse. As a mom of two and a busy professional, her life was always active and full-on. But then the symptoms of prolapse started to creep in, causing discomfort and messing with her daily life. Here’s Mira’s story of why she needed pelvic prolapse surgery and how she felt before and after the procedure. The First Signs Mira first noticed something wasn’t right when she felt a constant pressure and fullness in her pelvic area. At first, she thought it was just because of her hectic lifestyle, but things got worse. She felt a bulge in her vaginal area, especially after standing for long periods or lifting heavy stuff. This came with urinary incontinence and trouble with bowel movements, which only added to her stress. These symptoms took a toll on her emotionally as well as physically. Mira felt embarrassed and anxious about her condition, which affected her self-esteem and social life. Talking about these personal issues was hard, even with close friends and family. As the discomfort increased, she decided it was time to see someone who could help her. Diagnosis and the Big Decision After seeing her urogynecologist at Cherokee Women’s Health, Mira was diagnosed with pelvic prolapse, where the pelvic organs drop into or outside of the vaginal canal due to weak support structures. Her physician explained that this is pretty common among women, especially those who’ve had multiple pregnancies, gone through menopause, or done heavy lifting. Mira found out that her prolapse was moderate to severe, and that conservative treatments like pelvic floor exercises and pessaries probably wouldn’t help much. The best solution, according to her physician, was pelvic prolapse surgery to fix and support the affected organs. Deciding to have surgery wasn’t easy. Mira worried about the procedure, the recovery, and how it would affect her personal and professional life. But the chance to get her quality of life back and get rid of the constant discomfort pushed her to go ahead with the surgery. The Surgery Experience Mira’s pelvic organ prolapse surgery was set for early summer, a time when work was less busy and her kids were out of school. She had a minimally invasive laparoscopic procedure, which involved small cuts and using a camera to guide the surgeon. The goal was to reposition and support the prolapsed organs with synthetic mesh. The day of the surgery was a mix of nerves and hope. Mira felt nervous but hopeful, trusting her medical team and her family’s support. The surgery went smoothly, and she woke up in the recovery room feeling relieved. The hospital staff were great, making sure she was comfortable and knew what to do post-surgery. Recovery and Feeling Like Herself Again The first few days after surgery were tough, with some pain and limited movement. But Mira was determined to follow her surgeon’s advice for a smooth recovery. She slowly increased her activity level, avoiding heavy lifting and strenuous tasks. Her family’s support was crucial, helping her with daily chores. As the weeks went by, she noticed big improvements. The pressure and bulging were gone, and her urinary and bowel functions were better. She felt more comfortable and confident in her body, which also boosted her mental and emotional well-being. Six weeks after surgery, Mira had a follow-up appointment. Her physician was happy with her progress and said she could slowly get back to her normal activities. She felt a renewed sense of freedom and empowerment. She could join in physical activities, social events, and work without constantly worrying about her prolapse symptoms. Grateful For Cherokee Women’s Health Looking back, Mira felt incredibly grateful for her urogynecologist. The decision to have pelvic prolapse surgery had been scary, but it changed her life for the better. She learned the importance of prioritising her health and seeking help when needed. Mira’s story shows the resilience and strength many women have when facing health challenges. By sharing her experience, she hopes to encourage others to get the care they need and to know they’re not alone. Today, she embraces her new chapter with confidence, ready to enjoy life to the fullest.

vegan pregnancy diet
OB Education

Plant-Based Pregnancy: Pros and Cons

A plant-based pregnancy is entirely possible. Vegetarians and vegans can maintain their plant-based diet during pregnancy with proper planning, including discussing it with their physician, ensuring adequate protein and nutrients like B12, and avoiding excessive carbs and fried foods. In this article, we explore the pros and cons of these dietary choices during pregnancy. Pros of Vegetarian of Vegan Diet While Pregnant High in Nutrient-Dense Foods: Vegetarian and vegan diets are typically rich in fruits, vegetables, nuts, seeds, whole grains, and legumes. These foods are packed with vitamins, minerals, fiber, and antioxidants which can benefit overall health during pregnancy. Lower in Saturated Fats: Plant-based diets are naturally lower in saturated fats compared to diets high in animal products. This can contribute to healthier cholesterol levels and cardiovascular health. Reduced Risk of Gestational Diabetes and Hypertension: Some studies suggest that vegetarian and vegan diets may be associated with a lower risk of gestational diabetes and hypertension due to their focus on whole, unprocessed foods. Lower Exposure to Environmental Contaminants: Plant-based diets can potentially reduce exposure to environmental contaminants often found in animal products, such as heavy metals and certain pesticides. Cons of Vegetarian of Vegan Diet While Pregnant Potential Nutrient Deficiencies: A major concern for pregnant women following vegetarian or vegan diets is ensuring adequate intake of key nutrients like vitamin B12, iron, calcium, omega-3 fatty acids, zinc, and vitamin D. Deficiencies in these nutrients can impact fetal development and maternal health. Risk of Protein Insufficiency: Protein needs increase during pregnancy for maternal tissue growth and fetal development. Vegetarian and vegan women must ensure they consume enough protein from plant-based sources like beans, lentils, tofu, and quinoa. Vitamin B12 Deficiency: Vitamin B12, crucial for neurological development, is primarily found in animal products. Vegans especially need to rely on fortified foods or supplements to meet their B12 requirements. Iron Absorption Issues: Plant-based sources of iron (non-heme iron) are less readily absorbed than iron from animal products (heme iron). Combining iron-rich foods with vitamin C sources can enhance absorption. Tips for a Healthy Vegetarian or Vegan Pregnancy Consult with your OB/GYN: Before and during pregnancy, discuss dietary plans with your obstetrician to assess nutrient needs and potential supplements. Diversify Food Choices: Incorporate a wide variety of plant-based foods to ensure a range of nutrients are consumed. Include sources of protein, iron, calcium, omega-3s, and vitamin B12. Consider Supplements: Have a discussion with your OB/GYN on the possibility of needing supplementation with nutrients like vitamin B12, iron, omega-3s, and vitamin D.  Based on your individual needs, this may be necessary to prevent deficiencies. Monitor Energy Levels: Pregnant women should pay attention to energy levels and overall health. If feeling fatigued or experiencing unusual symptoms, seek medical advice promptly. It’s All in the Planning While vegetarian and vegan diets can offer health benefits during pregnancy, careful planning is essential to prevent nutrient deficiencies that could adversely affect maternal and fetal health. With proper attention to dietary diversity, supplementation, and regular monitoring by your OB/GYN, many women can successfully maintain a vegetarian or vegan lifestyle throughout pregnancy. If you have any questions or concerns about following a plant-based diet during pregnancy, reach out to our OB/GYN practice for personalized guidance and support.

OB Patient Stories

A Journey of Inspiration: Jessica’s OB Story

In the journey of pregnancy and childbirth, every woman’s story is unique, often filled with unexpected twists and turns. Jessica, a long-term patient at Cherokee Women’s Health Specialists, shared her remarkable experience of delivering her second child with us. Her journey is not just a tale of overcoming physical challenges but also a testament to faith, dedication, and the power of trusting one’s body. Jessica’s Health Challenge Jessica’s journey to get pregnant again was faced with uncertainty due to her health condition. She had been diagnosed with hyperthyroidism, specifically Graves’ disease. This condition led to numerous complications, making conceiving seem like an impossible challenge. Reflecting on her journey, Jessica shared, “I give all the credit to the Lord because I was told that this was going to be with me for the rest of my life… But then, what my primary doctor called a spontaneous healing, my body just decided that it wasn’t sick anymore.” A Miracle Conception Despite initial setbacks, Jessica and her husband welcomed the unexpected news of their second child with joy and apprehension. She recalled the moment of revelation, “I got the pregnancy test, and I taped it to the refrigerator to surprise my husband and it took him way too long to realize it was there. I was obviously thrilled and a little nervous too. God has let me conceive, and I’m just going to go into this faithfully and not fearfully.” This belief provided Jessica with a sense of peace and confidence as she embarked on the journey of pregnancy and childbirth. Navigating Pregnancy Throughout her pregnancy, Jessica encountered familiar discomforts like heartburn and pelvic pain, yet she remained steadfast in her determination for a natural birth experience. Drawing upon her trust in her body’s ability to heal and give birth to her son, she was determined to advocate for herself and her baby. At 39 weeks and 5 days, Jessica started to feel leakage. She didn’t believe it was her water breaking, but her husband encouraged her to go to the hospital and get checked. Turns out, it was amniotic fluid! They were checked in and the journey of welcoming their son into the world began. As labor commenced, Jessica found herself facing intense contractions, navigating the delicate balance between surrender and resilience. Recounting the pivotal moment when she felt the urge to push, Jessica shared, “My body is just doing its thing… And I am in so much pain at this point. Definitely hitting the max.” Midwife’s Support Susan Fischels, Jessica’s attending midwife, played a pivotal role in her birth experience. “Susan was just an angel… She did great with the stitching up and was full of joy. It was just awesome to have her there.” Susan’s supportive presence and skilled care provided Jessica with the confidence and reassurance she needed to navigate the challenges of childbirth. -Jessica says of Midwife Susan Fischels Jessica experimented with various labor positions, listening to her body’s cues with each change. After only dilating one more centimeter after an hour and a half of contractions, Jessica was starting to feel discouraged. She was six centimeters dilated and hitting the max on her pain level. The pain became unbearable, and Jessica asked for the epidural. Susan Fischels told her the anesthesia team would be there in 15 minutes and encouraged her to hang in there until they arrived. To Jessica’s surprise, just moments later, Susan Fischels tells her the baby is on his way! “Between those six centimeters and me asking for an epidural and then finding out that baby’s on his way, that was 10 to 15 minutes. I had no idea that I could dilate that fast. I thought it was going to be hours to reach that point, that’s why I was giving up.” – Jessica recalls her amazement at how quickly she dilated In a whirlwind of events, Jessica transitioned from moments of doubt to a profound sense of empowerment, realizing her body’s remarkable strength. With the guidance of her care team, including the supportive presence of her husband and the skilled assistance of Susan Fischels, Jessica embraced the intensity of childbirth with grace and determination. Empowerment in Childbirth In the final moments of labor, as baby Brayden made his entrance into the world, Jessica experienced a rush of emotions—a culmination of exhaustion, relief, and unbridled joy. Holding her newborn son close, Jessica reflected on the transformative journey she had undertaken. Brayden Henry was welcomed into the world healthy and weighing eight pounds and one ounce. Through Jessica’s story, we witness the transformative power of resilience, faith, and unwavering determination in the face of adversity. Her journey serves as a beacon of hope for expectant mothers navigating their own paths through pregnancy and childbirth. As Jessica puts it, “Just be dedicated… And stay dedicated to what you chose to do… because it is worth it.” Jessica’s Advice for Expectant Mothers Jessica offers invaluable advice based on her own empowering birth experience: A Journey of Inspiration Jessica’s journey highlights the importance of trust, support, and empowerment in the birthing process. Her story serves as an inspiration to all mothers, reminding them of their inherent strength and resilience as they embark on the miraculous journey of childbirth.

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