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By Serenity Gynecology & Functional Medicine
May 15, 2020
Tags: Colposcopy  
ColposcopyA colposcopy is an OBGYN procedure performed after abnormal test results for cervical cancer or unusual areas are detected on the vulva, vagina, or cervix. Pap smear results come back flagged if there’s a chance the cervix is infected with human papillomavirus (HPV). The entire exam takes between 5-15 minutes. The only difference between colposcopy and a Pap smear is that your OBGYN uses an instrument called a colposcope. Your OBGYN will walk you through the entire procedure. 
 
Why You Might Need a Colposcopy
 
Your OBGYN has reason to believe there is something wrong with your cervix. As mentioned, irregular pap smear results require a colposcopy. If you have already tested positive for HPV, it’s also necessary. Your OBGYN might also have noticed something unusual with your cervix during a pelvic exam. 
 
The results from your colposcopy can diagnose: 
  • Genital warts
  • Precancerous changes to the vagina, vulva, or cervix
  • Vulvar, cervical, or vaginal cancer
  • Cervicitis
What to Expect During the Procedure
 
This is a nonsurgical procedure your OBGYN will perform in their office. You’ll undress from the waist down and put on a medical gown. The doctor will have you lie down on the exam table and place your feet in the stirrups. Next, they use a speculum to open your vagina. This opens up the walls so the cervix is more visible. 
 
Because the procedure is somewhat uncomfortable, numbing medication or certain types of sedation are used. Once you are feeling comfortable, the next step is to clean the cervix. This gives your OBGYN a better view. The colposcope can now be used. This is a magnifying instrument placed right outside the vulva. A light shines through it and brightens the cervix. All the unusual areas on the cervix are made completely clear. A biopsy is then taken of these abnormal cells for further testing. 
 
After everything is done, expect some mild discomfort. It’s similar to having a slight period cramp. In the next few days, you’ll experience spotting, bleeding, or dark discharge. 
 
Before Your Appointment
 
You’re going to want to make sure that your appointment doesn’t take place during your period. This makes it much easier for your OBGYN to perform the colposcopy. For at least twenty-four hours before your appointment, avoid using creams like medicine, douches, tampons, and engaging in vaginal sex.
 
Make sure to let your doctor know beforehand if you’re pregnant or on any blood thinner medication. 
By Serenity Gynecology & Functional Medicine
May 11, 2020
Tags: Hormone Management  

Hormone replacement therapy or HRT entails managing your hormones by taking medications that contain female hormones to substitute the ones your body stops producing following menopause. In general, it’s used for treating common symptoms of menopause such as vaginal discomfort and hot flashes. HRT has likewise been proven to minimize fractures and prevent bone loss in postmenopausal females.

While immensely beneficial, HRT also comes with risks that will mainly depend on certain factors such as the dose, the exact kind of hormone therapy, and the duration of the therapy. With this in mind, the management of HRT should be a partnership with your gynecologist. Dr. Miriam Torres, your women’s healthcare specialist here at Serenity Gynecology & Functional Medicine in Grapevine, TX, can customize an HRT plan for you to ensure that you benefit from it with no to little risk.

Hormone Replacement Therapy Benefits

The benefits of HRT would depend on which type of therapy you’ll be undergoing, whether vaginal estrogen products or systemic hormone therapy.

Low-Dose Estrogen Vaginal Preparations

These estrogen preparations, which are available in ring, tablet, or cream forms could treat vaginal and urinary symptoms effectively while reducing absorption into your body. However, these don’t work to combat night sweat, hot flashes, and they also can’t protect against osteoporosis.

If your uterus is still intact, your gynecologist and women’s healthcare professional in Grapevine, TX, may prescribe estrogen with progestin or progesterone. The reason for this is that estrogen, if not balanced with adequate levels of progesterone, could trigger the uterus lining’s growth and raise your risk for cancer of the uterus. On the other hand, if you’ve already had a hysterectomy, you won’t need to take progesterone.

Systemic Hormone Therapy

This entails taking systemic estrogen products, which are available in pill, spray, cream, gel, or patch forms. These are very effective in treating annoying symptoms of menopause like night sweats and hot flashes. Likewise, estrogen could help relieve vaginal dryness, discomfort, itching, or burning during sexual intercourse. Additionally, combined progesterone and estrogen therapy may lower your risk of developing colon cancer.

Studies have also found that systemic estrogen could help reduce your risk for heart disease when you take it as early as possible in your postmenopausal years. It can also help safeguard against osteoporosis but doctors typically recommend bisphosphonates for treating this bone-thinning condition.

To figure out whether you can benefit from hormone replacement therapy, speak to your gynecologist about your specific symptoms and issues.

If You Have Concerns, Questions, or Need Information on Women’s Healthcare Issues and Hormone Management, Call Us

Dial (817) 280-9616 to schedule a consultation with Dr. Miriam Torres here at Serenity Gynecology & Functional Medicine in Grapevine, TX.

By Serenity Gynecology & Functional Medicine
May 01, 2020
Urinary IncontinenceUrinary incontinence happens when an individual can’t fully control their bladder, resulting in them experiencing leakage. Most women have experienced weakened bladder control at some point in their life. It’s especially common during pregnancy and for a while after. But when do a few accidents indicate a problem? An Obstetrician-Gynecologist (OBGYN) can help with all matters related to women’s sexual and reproductive health. Schedule an appointment with your OBGYN if urinary incontinence starts happening frequently or affects your quality of life. 
 
Before Your Appointment
 
First, don’t be embarrassed about discussing this with your OBGYN. They are a medical professional designed to help you. There are also a few ways to be prepared for your appointment. Try to keep track or write down every instance of urinary incontinence. Record the amount, time of day, frequency, and what you were doing at the time. 
 
Types of Incontinence
 
There are two main types of incontinence that a patient can experience: stress and urge. Stress incontinence happens when pressure is placed on the bladder, forcing leakage. This can happen from any sort of muscular contraction, like sneezing or laughing. Urge incontinence is an overactive bladder. A patient may constantly feel like they need to go to the bathroom. This makes it hard to determine when they do need to go or not, causing accidents to happen.
 
Other causes of urinary continence are also a possibility. Certain foods, drinks, and medications can temporarily affect bladder control. These are known as diuretics, and affect how much urine your body produces. 
 
Common diuretics:
  • Caffeine
  • Carbonated drinks
  • Alcohol
  • Artificial Sweeteners
  • Spicy, sugary, or acidic foods
  • Chili peppers
  • Chocolate
  • Blood pressure and heart medications
  • Muscle relaxants and sedatives
You should also talk to your OBGYN about the possibility of overflow or functional incontinence. Overflow is caused by blockage of the urethra or poor bladder contraction. Functional incontinence is the result of other medical conditions that make going to the bathroom difficult. 
 
Treating Urinary Incontinence
 
Talk to your OBGYN about a treatment that is right for you. There are many possibilities and combinations to try. Many women find success through retraining their bladders, using certain medications, or possibly surgical intervention. 
By Serenity Gynecology & Functional Medicine
April 15, 2020
Tags: Obstetrician  

Know when to schedule your first appointment with an OBGYN.

Whether you think you might be pregnant or you already received a positive at-home test result, not only do you want to confirm that you have a new bundle of joy on the way but also that you and the baby are getting the proper care from the very beginning.Doctor Appointment

When should I schedule my first prenatal visit?

As soon as you find out that you are pregnant it is important that you schedule an appointment with an OBGYN. In most cases, your first prenatal appointment will happen at around 8 weeks. If you have certain health conditions or are experiencing any symptoms such as vaginal bleeding or abdominal discomfort then you may come in sooner. Even if this isn’t your first pregnancy you should still come in for regular prenatal appointments.

The first prenatal appointment is one of the most important visits and so it can often take longer. This is a time for us to sit down with you and get to know you better. Think of the first appointment as establishing rapport with our OBGYN team. After all, we will be with you throughout your pregnancy so we want you to be comfortable and happy with the care you are receiving.

What will happen during my first appointment?

We will need to go through your detailed medical history, which can include everything from any gynecological issues you might have to drug allergies, chronic health problems, or medications you are currently taking. We will also need to discuss any habits that could affect your pregnancy such as smoking or drinking.

We will also talk to you about the different genetic tests available to you throughout the course of your pregnancy. These tests can be a great way to screen for certain birth defects or genetic disorders like Down syndrome. We will discuss in detail the screenings tests that you can choose to have.

A physical and pelvic exam will also be performed during your first visit. We will also need to take a sample of blood to test for any undiagnosed health conditions or STDS. A urinary sample will also be taken to check for urinary tract infections (UTIs) or other issues.

Of course, during this appointment and any subsequent visits you have, we want you to know that if you have any questions or concerns that you shouldn’t hesitate to ask us. We can provide you with tips, advice, and support throughout this exciting and whirlwind time in your life to make sure that your pregnancy goes as smoothly as possible.

Your obstetrician is here to provide you with the care, treatment and education you need to help navigate your pregnancy. We provide comprehensive maternal fetal medicine to ensure that you and your baby get the care you both deserve during this exciting time.

By Serenity Gynecology & Functional Medicine
April 01, 2020
Tags: Irregular Bleeding  

Your OBGYN treats a number of common gynecological conditions, including irregular vaginal bleeding. It’s a concern that can be related to anything from stress, chronic conditions, or reproductive problems. Learn the common causes of irregular bleeding in gynecology, and how you can get your menstrual cycle back to normal. 

Irregular Vaginal Bleeding

In their reproductive years, women menstruate about every 28 days as the uterine lining sheds itself. The bleeding is often moderate to heavy during the first couple of days, then tapers off during the next few days. A normal menstrual cycle lasts up to a week. If the process does not repeat every 28 days or so, or a cycle is missed, or the flow of blood is too heavy or too light, that is considered irregular bleeding. Additional symptoms may include poor mood, problems sleeping, and sharp abdominal pains.

Possible Causes

You should talk to your OBGYN if your menstrual cycle starts to change or becomes irregular. Irregular bleeding can be caused by one or more of the following factors:

  • Certain medications (including birth control pills).

  • Endometriosis (tissue that’s supposed to be inside of the uterus grows on the outside).

  • Stress and lifestyle.

  • Blood clotting disorders.

  • Polycystic ovary syndrome (a hormonal problem).

  • Pelvic inflammatory disease (an infection usually caused by an STD).

  • Uterine fibroids (benign growths in the uterus).

  • Cervical or uterine cancer.

  • Chronic medical conditions (not necessarily related to the reproductive system).

Treatments for Irregular Bleeding

In some cases, irregular bleeding resolves on its own. For instance, if the irregularity is related to stress, de-stressing activities may help, like light exercise, dietary changes, or bed rest. If the problem is your birth control, your gynecologist will discuss other birth control options. If it’s related to another gynecological condition, the treatment may require an ultrasound and further testing. In more serious cases, surgery may be necessary.

See Your OBGYN

Schedule a visit to your OBGYN if you’re experiencing irregular bleeding. It could an easily treatable issue that your gynecologist can resolve with medications or a minor procedure.





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