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By Serenity Gynecology & Functional Medicine
October 13, 2021
Tags: Induce Labor  
Natural Ways to Induce LaborAfter waiting months to meet your sweet new baby, the discomfort of the third trimester can be hard to handle. You will likely be swollen, exhausted, and sore––not to mention ready to snuggle your newborn! By the time a woman reaches full-term pregnancy (defined by The American College of Obstetricians and Gynecologists as 39 weeks pregnant), she may want to do some things on her own to naturally induce labor. The good news is that these methods are perfectly safe to do at home!
 
To encourage labor once you've hit full-term pregnancy, try the following:
  • Exercise: While no one is suggesting you run a marathon to get ready for birth, light to moderate exercise can help prepare your body. In some cases, it has been shown to encourage dilation and loosen a woman's hips. It is always best not to overdo it, though. It is important to save your energy for the actual labor!
  • Sex: Some women report that their sex drive is heightened during pregnancy, while others insist it is the furthest thing from their minds. Whichever side you fall on, sex does have some undeniable benefits, like bonding with your significant other, relaxation, and sometimes even softening the cervix. Nipple stimulation has also been shown to bring on contractions, but proceed with caution due to the rare chance that contractions can become severe and prolonged. 
  • Membrane Stripping: Some providers offer a simple in-office procedure known as membrane stripping. This occurs when the doctor inserts a finger and separates the thin membrane lining from the uterine wall. Research shows that spontaneous labor often follows in the days after the procedure, but not always.
Be sure to consult with your doctor before trying any of the above methods. Your provider will discuss options with you and help you decide on the best course of action to induce labor. Every pregnancy is unique, and ultimately, your baby will come when they are ready. We promise that whenever that happens, it will be worth the wait!
By Serenity Gynecology & Functional Medicine
September 29, 2021
Tags: Cervical Dysplasia  
Cervical DysplasiaDealing with an abnormal Pap test? This can certainly happen for several reasons and fortunately, most of them aren’t cancerous; however, if your OBGYN does suspect cervical cancer, further testing will be performed to test the lining of the cervix. If precancerous cells are discovered this is known as cervical dysplasia. It can be scary hearing this diagnosis if you don’t have all the answers. Here’s what you should know.

How is cervical dysplasia treated?

The best course of action for treating your cervical dysplasia will depend on the severity of your dysplasia. During a biopsy, your gynecologist will be able to analyze the cervical tissue to determine the level of cervical dysplasia. There are three cervical intraepithelial neoplasia (CIN) levels, with CIN I being mild, CIN II being moderate and CIN III being severe.

If you’ve been diagnosed with CIN I, it may clear up on its own without even needing treatment; however, you will still need to see your gynecologist about every six months for a Pap smear to detect further changes or to determine if the cells have gone away.

If you’ve been diagnosed with moderate to severe cervical dysplasia, treatment options include cryosurgery to freeze the abnormal cells, a loop electrosurgical excision procedure (LEEP) to burn away the cells, or a more traditional surgical approach that will remove the cervical cells with surgical tools or a laser. Since cervical dysplasia can return, you must be visiting your gynecologist regularly for screenings and checkups.

Is there a way to prevent cervical dysplasia?

One of the best ways for women to protect themselves against cervical dysplasia is to get the HPV vaccine. This vaccine has been approved to protect against several strains of HPV that can lead to cervical cancer. The vaccine is often administered around the age of 11 or 12, but anyone up to age 26 years should consider getting vaccinated. If you are over the age of 26, you should speak with your gynecologist to find out if getting the vaccine is right for you.

Since any woman can develop cervical cancer at any age you must be visiting your OBGYN regularly for routine checkups and screenings. Don’t put off these important annual women’s health checkups.
By Serenity Gynecology & Functional Medicine
September 20, 2021
Tags: Uterine Fibroids  
Uterine FibroidsUterine fibroids are common benign growths that develop within the lining of the uterus. While this problem is common among young women, particularly of child-bearing age, you may be concerned about whether or not this condition could impact your current or future pregnancy. An OBGYN will be your guidepost for providing all the information and care you could need throughout your pregnancy, and with regards to treating uterine fibroids.

What are the signs and symptoms of uterine fibroids?

If you have uterine fibroids you may experience:
  • Frequent urination
  • Pain with intercourse
  • Lower back pain or rectal pressure
  • Bloating or fullness in the abdomen
  • Breakthrough bleeding
  • Heavy, painful periods
  • Infertility
Not all women with uterine fibroids will experience symptoms, which is why it’s so important to stay up to date with your OBGYN checkups and routine screenings.

Can uterine fibroids impact my pregnancy?

For some women, having uterine fibroids during pregnancy may present a problem, which is why you should speak with your OBGYN and go to all your scheduled prenatal appointments and checkups. While you may never experience any issues during your pregnancy, uterine fibroids may be more likely to result in:
  • A breech birth
  • Needing a cesarean section
  • Labor that doesn’t progress
  • Preterm delivery
  • Placental abruption
How are uterine fibroids treated?

If a woman isn’t pregnant there are certain medications that she can take to help improve symptoms. Surgery may also be recommended to remove more severe fibroids; however, treatment for uterine fibroids in pregnant women is rather limited because many of these treatment options could pose a threat to the unborn child. In this case, bed rest and staying hydrated are two of the best ways for expectant mothers to manage fibroids. Also, talk with your gynecologist about the right pain medications to take to help control your discomfort.

Even though most fibroids won’t cause any problems for most women during pregnancy, an OBGYN also understands what to look for and signs that could put you and your unborn child at risk to ensure that you get the immediate care and attention you need.
By Serenity Gynecology & Functional Medicine
August 27, 2021
Category: Pregnancy Care
Gestational DiabetesEven if you’ve never been diagnosed with diabetes, some women can develop diabetes during pregnancy. This is known as gestational diabetes and is often diagnosed by the 24th week of pregnancy. Gestational diabetes means that your blood sugar levels are too high. If left untreated this can lead to serious complications for both you and your baby, so you must discuss your gestational diabetes with your OBGYN so that you and your doctor can create an effective game plan.
 
Why does gestational diabetes occur?

The pancreas is responsible for producing insulin, which helps your body store sugar from food to use for energy; however, when you are pregnant the placenta also produces hormones that can impact insulin levels and lead to insulin resistance. If your body doesn’t produce enough insulin, this can result in gestational diabetes.
 
What are the signs of gestational diabetes?

It is possible for a pregnant woman to have gestational diabetes and not even know it, which is why you should keep up with prenatal visits with your OBGYN so that they can perform the necessary testing to keep both you and your baby healthy throughout your pregnancy and delivery.
 
However, it is possible to develop symptoms (particularly if you have undiagnosed diabetes before getting pregnant). These symptoms include,
  • Blurry vision
  • Fatigue
  • Increased hunger and thirst
  • Urinating more often
Since these symptoms can also just be indicative of a healthy, normal pregnancy (aka: being hungrier than usual) these symptoms don’t necessarily mean that you have gestational diabetes. You must speak with your OBGYN about certain risk factors and keep up with your checkups so that gestational diabetes can be detected right away.
 
How is gestational diabetes treated?

Many women can improve their blood sugar levels through simple measures such as healthy eating, exercising regularly, managing stress, and monitoring their blood sugar levels. By controlling this issue now you can prevent gestational diabetes in the future, as well as the development of type 2 diabetes. Sometimes your doctor may also prescribe insulin medication to help control your blood sugar.
 
Your OBGYN’s goal is to provide you with proper care and treatment throughout your life, from general wellness checkups to post-natal and menopausal care. If you have concerns about gestational diabetes, or if you’ve been diagnosed with gestational diabetes, talk with your OBGYN about the best way to keep it under control.
By Serenity Gynecology & Functional Medicine
August 16, 2021
Tags: Gynecologist  

Most adult females need to see a gynecologist regularly, but how often depends on many factors. Dr. Miriam Torres at Serenity Gynecology & Functional Medicine is a gynecologist in Grapevine, TX, who can help determine your best plan of care based on your needs.

How Often Should I See a Gynecologist?

There are some guidelines one should follow when determining how often she should see a gynecologist.

First Visit

You should first see a gynecologist:

  • By the age of 21
  • When you become sexually active
  • Within 2-3 years of becoming sexually active; or
  • When you have any issues or concerns

Return Visits

For many women, seeing their gynecologist once a year is good enough. However, if you experience any problems or want to have a baby, it is recommended to see them more frequently.

Other problems may warrant a repeat visit and include:

  • Abnormal pap smear
  • Menstrual cycle changes
  • Urinary tract or yeast infection
  • Pain or irritation in the vaginal area

Last Visit

Even if you are over the age of 50 and not interested in having children, it is still recommended to continue monitoring the health of your reproductive organs even after menopause.

Other Times I Should See a Gynecologist

When in doubt, it is always a good idea to call gynecologist Dr. Torres, Grapevine, TX, to see if your symptoms or concerns warrant a visit to her. Other situations may occur that require a visit with your doctor more than once a year, and they include:

  • Vagina or vaginal area pain or discomfort
  • Changes in the menstrual cycle: If your periods become more heavy or painful, or if you stop having your period.
  • Menopause: Your menstrual cycle is likely to change in menopause. You may experience lighter periods or a heavier flow. If your period stops and you suspect menopause, it is best to see your gynecologist to ensure you are not pregnant, and they can also offer support during this transition.
  • Irregular bleeding: Any bleeding that is not associated with your period is cause for concern. If you are bleeding with or after sexual intercourse or bleeding with pregnancy, you should see your doctor right away. Vaginal bleeding can be a sign of a severe condition such as cervical or uterine cancer.
  • Pain or discomfort: Vaginal itching, excessive discharge, and pain without a known source should prompt you to see your gynecologist. Usually, these conditions are signs of infection or a sexually transmitted disease that require treatment or medical management.

It is essential to your health and well-being to see a gynecologist you can trust regularly. You can trust gynecologist, Dr. Torres, at Serenity Gynecology & Functional Medicine, and she is available for consultation at her office in Grapevine, TX, by calling (817) 280-9616 to make an appointment.





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