Some important information was obtained from a long term study just published in the Journal of Hypertension (2013). Some patients who thought they had ”White coat hypertension” (elevated blood pressure only in the doctor’s office) when followed with two random checks at home discovered that they had intermittent elevated blood pressures at home as well […]
Contraception adherence is disappointing even when provided at no cost! The Contraceptive Choice Project in St Louis followed women between the ages of 14 and 45 after providing them with free contraceptives in the form of a birth control pill, patch, or ring. 39% of women refilled their prescriptions more than a week late on […]
When in menopause the estrogen levels diminish, resulting in lack of estrogen stimulation to the vagina. This can cause adverse changes in the vagina over time and this could have significant consequences. This lack of estrogen causes the vagina to thin and become brittle with less elasticity (less able to stretch). The lack of estrogen […]
There are numerous factors that contribute to emotional disturbances postpartum. They include but are not limited to significant hormonal changes, sleep deprivation, fear of harm to the baby, disturbance of normal routines, marital conflicts, single parenthood, lack of social and family support, a sick baby, and financial concerns. The goal of this article is to […]
Given the prevalence of herpes in a normal gynecologic population, I feel it most important to address this problem! One of the most concerning problems a patient presents with is a vaginal sore, never noticed before, that turns out to be herpes! The diagnosis of herpes can lead her, especially if she has been in […]
The majority of pregnant women will experience some form of musculoskeletal discomfort during their pregnancy. The numerous changes that occur during pregnancy, both physical and physiological, are the causes of musculoskeletal discomfort. The goal of my blog is to give our patients a succinct description of the etiology of the discomfort as well as ways […]
Once the patient has been properly educated on the insertion and ease of use of the Nuvaring (vaginal ring for birth control), she is more inclined to try the vaginal ring and find it to be an extremely satisfactory method of birth control. Comprehensive studies have shown it to be comparable to the Birth Control […]
One of the most concerning events for a young woman is that of miscarriage. Losing a pregnancy is not only emotionally devastating, but raises questions of ever successfully having a child. Studies indicate that the incidence of a recurrent miscarriage does not significantly increase until a patient has had more than 2 consecutive miscarriages. This […]
If you are having severe cramping with your periods, which is not relieved by anti-inflammatory medications (Advil, Aleve, etc.), or all other potential causes of infertility are ruled out, it is certainly possible that you have endometriosis. This can cause infertility. It is important to realize that there is no consensus as to whether mild […]
Our lives are often hectic and demanding; we are forever planning and preparing for important events to fit them into our busy schedules. What better event to plan ahead for than carrying your baby! I hope that the following tips will help our patients better prepare for pregnancy. 1. Conceiving: Stop contraception. Usually there is […]
