Do you like our site?
Technology statistics tell us that 80% of consumers search for health-related information online. With so much of our lives consumed by mobile technology, have you considered health-related information another area to search while on the go? Is your doctor’s office or area hospital on Facebook, Twitter, Instagram or Pinterest, sharing health-related tips for your information?
Our practice, Eastside Gynecology Obstetrics, is active in the use of social media for sharing information regarding Women’s Reproductive Health. Drop by any of our informational sites and let us know what topics you’d like to see us address. Keep in mind, these avenues are for ‘information and educational’ purposes only. For reasons of your personal privacy, we are not able to share medical advice on ‘personal health’ concerns. This can get a bit tricky when you have concerns about your ‘personal medical health’. But address the concerns as a ‘topic’, and we’ll be happy to share educational information to address it.
In the last few years, the guidelines on the required frequency of cervical cancer screening (Pap smear) have changed, and more recently, even the importance of your Yearly/Annual Pelvic exam has been up for debate amongst established medical societies. The American College of Obstetricians and Gynecologists, ACOG, recently released their rebuttal statement, reconfirming their support for the importance of the Annual Pelvic Exam. Their statement was made in response to the recently released article from the American College of Physicians supporting the contrary, recommending against the annual pelvic exam in asymptomatic women, thus bringing into question the utility of the exam.
To know me, is to know the 'worker-bee'. My plate is usually quite full with the responsibilities of my career, a full-time Ob/Gyn physician, the ‘part-time’ role I play in assisting in the administrative duties of our practice, a Women’s health blogger, and Mommy, wife, sister, daughter and friend.
I’ve always enjoyed my work, never complaining about the dedicated additional time and energy it takes to build a high quality business that serves its public well. Though finding a healthy balance between my work life and personal/home life has been one of my perpetual challenges. (My Mom says I got the ‘work-a-holic’ gene from my Dad…She says she’s had “no problem” with knowing how to relax!)
Insurance changes, high deductibles, and faulty marketplace applicability are just a few of the burdensome changes invoked as a result of the ACA. Despite the many changes we’re sure to see in our insurance plans, keep in mind that many of the currently available preventive health screenings not only will continue to be available, but importantly, will be covered at no cost to you (no deductible and no co-pay,) by the ACA mandates. Annual Pap smear screenings, mammograms, contraception, and vaccinations will be covered by most insurance plans as a “No-fee Preventative benefit”, even if you participate in a high deductible plan.
Whether you find yourself needing to purchase insurance on the marketplace, or not, it’s possible that you may find changes in your current insurance coverage, such as the institution of higher deductibles. Studies show that participants of high deductible plans are less likely to utilize health services, even those services that are covered at ‘no cost’.
Is this Depression or PMS? According to ACOG, "Depression and anxiety disorders are the most common conditions that overlap with PMS. About one half of women seeking treatment for PMS have one of these disorders. The symptoms of depression and anxiety are much like the emotional symptoms of PMS. Women with depression, however, often have symptoms that are present all month long. These symptoms may worsen before or during their periods. Your health care provider will want to find out whether you have one of these conditions if you are having PMS symptoms." (posted 7/9/13 by @drsuzyyhall)
Breast/Nipple Discharge? Though most cases of nipple discharge (especially occurring with stimulation or expression of the breast) are benign (non-cancerous), an evaluation/exam by your doctor is usually warranted. (posted 5/28/13 by @drsuzyyhall)
Low Libido? Studies have shown Testosterone supplementation to be effective in treating low libido in menopausal women. While Estrogen Therapy may not directly effect libido, it does promote increased vaginal lubrication, improving vaginal pain with sex. Testosterone supplements are not approved by the FDA for treatment in women. Speak with your healthcare provider regarding safety concerns. (posted 4/3/13 by @drsuzyyhall.)
Would you describe your sexual response as ‘fireworks’…‘a budding flame’…or ‘not much at all’? Despite our societal conditioning of the ‘typical’ female orgasmic response, not all women experience “fireworks” at climax (like in the movies,)…possibly leaving those women with a ‘less than typical’ response, left wondering…‘Is there something wrong with me?’
If you experience ‘fireworks’, that’s great! But not all women experience ‘fireworks’ with climax (orgasm.) In fact, less than a third of women even consistently experience orgasm with sex. Like other sensory responses in our body, the frequency and quality of our individual sexual response vary amongst women (and often vary amongst experiences). Just like the ‘savor’ of chocolate cake, the ‘scent’ of spicy perfume, the picturesque ‘vision’ of a floral garden bring different sensations to different women, so does our experience of sex. Women vary in type, intensity and duration of orgasm, as well as in our level of satisfaction with the experience.
There is no ‘right’ answer for your response to sexual stimulation. A ‘less than typical’ response, is only a problem if you see it as one, and desire more from your experience.
What is a Certified Nurse-Midwife?
More and more women in the US are choosing a certified nurse-midwife (CNM) for their pregnancy, birth, postpartum, and well-woman care. Certified Nurse Midwives are licensed health care providers educated in nursing and midwifery. They have master’s degrees in nursing, certified by the American Midwifery Certification Board, and are licensed to practice midwifery in the state of Michigan. National statistics show that in 2009 CNMs attended 11.9% of vaginal births, an all time-high. This trend has been discussed in newspapers such as the New York Times and in movies such as The Business of Being Born. As a leader and innovator in women’s health care, Eastside Gynecology and Obstetrics has committed to bring midwifery services to their clients, the only practice that does so in the area.
The midwives at Eastside Gyn/OB provide personalized, individualized care. We nurture each mother and her family with sensitive, holistic care. Our clients love that they get to know the person who will be taking care of them for their birth. We also have a commitment to promoting physiologic labor and birth, believing that labor works best when allowed to begin in its own time and progress at its own pace. At the same time, we are trained to recognize those situations where intervention is warranted and have the benefit of a close and supportive working relationship with the physicians in the practice when referral or consultation is needed. As midwives, we aspire for you to have the birth experience that you desire. We promote mother-infant bonding immediately after birth, delayed cord clamping, breastfeeding, and childbirth classes such as hypnobirthing. We also desire for each birth to be a family experience for all who wish to be involved.
Who really likes going to see the Gynecologist? For some women, it probably ranks right up there with getting a tooth drilled at the dentist, or like nails to a chalkboard. But let’s face it, the gynecologic exam/Pap smear is a necessary part of preventative Women’s Health screening. Whether it’s your first visit, or you’re seeing the Ob/Gyn you’ve known for years, here are a few tips that may help to make your visit go more smoothly…
Prepare your questions/concerns
Make a list of your concerns/questions, include your medical history, medications, allergies, ect…
In that the average patient-physician interaction is 10-20 minutes, it’s helpful when your list of problems/concerns is concise. Know your medical/surgical history, medication allergies, and list your current medications. Think about (or write down) your problem list/symptoms, when they began/worsened, what aggravates/or improve the symptoms, and from a gynecologic perspective, if they’re cycling with your menstrual period. Understand that if your list of questions/concerns is long, we may have to address some of them at a subsequent visit.
The use of estrogen/progesterone containing Birth Control Pills have long been known to slightly increase one’s risk for Venous Thromboembolic events (i.e., deep vein blood clots.) Recent reports have put into question additional increased risk by use of BCPs containing the progesterone, dropserinone (Yasmin, Yaz, Beyaz, and their generics.) Available studies on this issue are inconsistent, some studies showing a fractional increased risk, others showing no increased risk. In comparing risks of VTE, the increased risk from any Birth Control Pill (3-9/10,000) is still significantly less than the increased risk of VTE in pregnancy (5-20/10,000), and the immediate post-delivery time period (40-65/10,000)… According to the FDA’s advisory committee, the benefits of all contraceptive methods still outweigh the risks.
(See WXYZ's interview with Dr. Suzanne Hall on their recent story on Yaz
Understanding the Routes of Hysterectomy
When you and your gynecologist have decided on hysterectomy as the treatment of choice for your gynecologic diagnosis, there are several routes by which a hysterectomy may be accomplished. A total hysterectomy is the surgical removal of the uterus, and when indicated, the additional removal of the fallopian tubes and ovaries (termed salpingoophorectomy) may be recommended.
There are several routes by which a hysterectomy can be performed. You and your gynecologist will decide on the safest route for your hysterectomy based upon the reasons and clinical circumstances for the hysterectomy, your health history and the surgeon's clinical expertise.
The 4 main routes by which a hysterectomy is performed are abdominally, laparoscopically, Davinci assisted laparoscopically or vaginally. In an abdominal hysterectomy an abdominal skin incision (similar to a cesarean section incision) is made to accomplish the surgery. This route is especially advantageous when large uterine fibroids or significant abdominal adhesions are anticipated, allowing for more exposure to accomplish the surgery safely. Compared with the other minimally invasive routes, abdominal hysterectomy generally requires a longer hospital stay and longer recovery time.
Laparoscopic hysterectomy involves the use of a narrow camera (termed a laparoscope) and surgical instruments placed through small abdominal skin incisions to detach the uterus, which is then most commonly delivered through the vagina. This route may be selected when abdominal adhesions or a moderate-to-large sized uterus are suspected. The advantage with this minimally invasive approach is a shorter hospital stay and faster recovery time, when compared with abdominal hysterectomy. Your surgeon may offer Davinci hysterectomy, an advanced form of laparoscopic surgery, with proposed improved precision, visualization, and technical capabilities, for more complex procedures.
In the vaginal route (termed vaginal hysterectomy) the uterus is completely removed through the vagina, thereby avoiding any abdominal incisions. This route may be selected for a normal-to- moderately enlarged uterus, for pelvic organ prolapse, or when significant abdominal adhesions are not suspected. As with laparoscopic and Davinci hysterectomy, a shorter hospital stay and faster recovery are expected.
Though hysterectomies are the most common gynecologic surgery performed among women in the United States , any surgical procedure has inherent risks. Hysterectomy may be the best choice for your gynecologic condition. Be sure to consult with your physician in understanding the risks versus benefits…and your options.