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Pregnancy Symptoms

Pregnancy Symptoms You Haven’t Heard Of

Pregnancy symptoms are not one-fits-all. In fact, pregnancy symptoms hardly will ever look the same from woman to woman. Some women begin to experience pregnancy symptoms as early as 2-3 weeks, while others may experience little to no symptoms throughout their pregnancy. Either way, there are a host of pregnancy symptoms that, although bizarre, are totally normal.

Unexpected Pregnancy Symptoms 

Although every pregnancy is a unique and memorable journey, some pregnancy symptoms are more frequent than others. Some of the most common early pregnancy symptoms, according to the American Pregnancy Association, include:

 

  • Nausea with or without vomiting
  • Missed period
  • Tender and swollen breasts
  • Increased urination
  • Fatigue

 

As conventional as these symptoms seem, as your pregnancy continues, the hormonal changes in your body may lead to unusual pregnancy symptoms beyond the first signs and symptoms. Here at Raleigh OB/GYN, we want to ensure you are prepared for anything pregnancy might throw your way.

Nosebleeds

Though alarming, nosebleeds are relatively common during pregnancy. When pregnant, your blood volume increases to support the growing baby, and the pressure from the extra blood may sometimes cause vessels to rupture. These ruptures often happen in the nasal cavity because the nose has tiny blood vessels that can irritate and dry out from normal breathing. 

Dysgeusia

Dysgeusia, or distortion in taste, is caused in pregnant women due to hormone changes. Many women describe having a metallic taste in their mouth or complete aversions to the foods they liked pre-pregnancy. Even though there isn’t a specific way to avoid dysgeusia, some tricks to try include:

 

  • Eat what you can, and don’t feel bad about avoiding certain foods  
  • Drink citrus juices like lemonade to combat the metallic taste
  • Stay consistent in brushing your teeth
  • Try rinsing your mouth with a mild salt or baking soda solution
  • Considering switching your prenatal vitamin 

 

It is important to remember that dysgeusia doesn’t last forever and usually subsides by the second trimester. You’ll be back to eating your favorite foods in no time!   

Increased Heart Rate

Around the 8-10 week mark of pregnancy, your heart may begin to pump faster and harder. This is usually no cause for concern, as having heart palpitations and arrhythmias are frequent side effects of pregnancy. When pregnant, your blood volume increases significantly, and your heart must work harder to pump the blood throughout your body. Healthline suggests your blood flow will increase between 30 and 50 percent during pregnancy. 

 

If you experience palpitations accompanied by chest pain, trouble breathing, dizziness, or confusion, seek medical help immediately. 

Carpal Tunnel Syndrome (CTS)

Carpal Tunnel Syndrome is a condition of the hand and fingers caused by the compression of a major nerve that often causes pain, tingling, numbness, or burning through the carpal bones, wrist, and flexor tendons of the hand. When pregnant, your hormones trigger fluid retention, which causes swelling. This swelling can push against the carpal tunnel’s median nerve, which increases pressure in the carpal tunnel and may lead to pain in the wrist and hand. Approximately 31% to 62% of pregnant patients experience carpal tunnel syndrome. Typically, CTS starts during the third trimester of pregnancy and will subside after your baby is born.

Sore And Bleeding Gums

As other symptoms, sore and bleeding gums, often referred to as pregnancy gingivitis, occur due to hormonal changes in the body and result from plaque build-up on the teeth. The best way to combat sore and bleeding gums is to practice good oral hygiene. Some other remedies include:

 

  • Use an anti-gingivitis toothpaste or mouthwash
  • Floss at least once a day
  • Fully remove plaque when brushing your teeth

 

If pregnancy gingivitis becomes painful and unmanageable, it is always recommended to consult your dentist or hygienist.

 

Becoming pregnant is followed by an array of different symptoms, some of which are more common than others. Raleigh OB/GYN is dedicated to helping you understand every step of your unique pregnancy journey. If you have been struggling with pregnancy symptoms, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

Understanding The Fertility Journey

Understanding The Fertility Journey

The body works in magical yet mysterious ways. The phases of the fertility journey can often be confusing, from understanding the timing and length of your menstrual cycle to what changes can happen during the different stages of your cycle. Learning the ins and outs of the fertility journey is an important first step in your adventure to motherhood.  

The Fertility Journey

Falling pregnant is easy for some, but it can be a long and distressing process for many. It can be difficult to feel hopeful amid fertility challenges, but fortunately, there are many things that you can do on your side to improve your chances of getting pregnant. Here at Raleigh OB/GYN,  we can help aid you through your fertility journey. 

 

Infertility And Reproductive Health

According to the American Pregnancy Association, fertility is the natural capability to conceive. On the other hand, infertility prevents the conception of children due to a condition of the reproductive system. Infertility affects roughly 10-15% of couples throughout the United States. It is also essential to note that several factors contribute to conception and pregnancy success. Some of these factors include

 

  • The production of healthy sperm by the man and healthy eggs by the women
  • Ovulation: The ovary releases an egg
  • Fertilization: Sperm meets the egg
  • Implantation: The fertilized egg attaches to the lining of the uterus

 

When implantation occurs, pregnancy officially begins. If one of these factors is impaired or compromised, infertility can result. 

Timing Is Key

Each month, your body prepares for pregnancy. Women are born with about 1 million eggs, yet only release 300 to 400 during ovulation throughout the span of their lifetime. When trying to get pregnant, timing intercourse is crucial for improving the likelihood of millions of sperm meeting one single egg. According to PubMed research, a study of 625 women found conception only occurred when intercourse took place during a six-day period that ended on the estimated day of ovulation. In other words, knowing when you are ovulating can help you plan to have intercourse when you are most likely to conceive.

Infertility Treatments

With ever-advancing technology, infertility continues to be successfully treated in a multitude of women. Two of the most common fertility treatments are Intrauterine Inseminations (IUI) and In Vitro Fertilization (IVF). IUI is when healthy sperm is inserted directly into a woman’s uterus during ovulation, while IVF is when eggs are taken from a woman’s ovaries, fertilized by sperm, and then transferred into a woman’s uterus. The national average for women younger than 35 able to become pregnant by in-vitro fertilization (IVF) on the first try is 55%, yet drops as the women ages. The success rate of IUI is lower at around 10-20% each cycle, but your chances increase the more cycles you go through.   

Additional Options

Aside from IVF and IUI, there are other great options for women struggling with infertility. Common fertility medications include:

 

  • Clomifene – Encourages ovulation in women who do not ovulate regularly
  • Tamoxifen – An alternative to Clomifene if you have irregular ovulation
  • Metformin – For women who struggle with polycystic ovary syndrome (PCOS)
  • Gonadotropins – Can help stimulate ovulation in women and improve fertility in men

 

Additionally, there are several surgical procedures that women can undergo to help with infertility, such as fallopian tube surgery, laparoscopic surgery, and surgery to correct an epididymal blockage. 

Here at Raleigh OB/GYN, we’re all about helping you understand everything about your fertility journey and how having a healthy cycle impacts your overall well-being. If you have been struggling with your fertility journey, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225.

Pregnant this Summer? Here are 8 Ways to Beat the Heat

Pregnant this Summer? Here are 8 Ways to Beat the Heat

Summertime is officially here, and while this season brings tons of fun in the sun for many, it can create some discomfort for those who are pregnant this summer. Taking care of yourself while pregnant can be a challenge in and of itself, but powerful UV rays and hot temperatures can create an even higher risk of health issues, like dehydration, heatstroke, and more. To help keep you comfortable and safe while pregnant this summer, we’re sharing our top tips to help you beat the heat. 

Sip on something cold 

While alcoholic beverages are out of the question this summer, it doesn’t mean you have to miss out on all of the fun drinks of summer. Get crafty with some summer mocktails, enjoy some freshly squeezed lemonade, or cool down with a smoothie or slushie. Lowering your internal temperature is a great way to find relief on sweltering days. Even finding time to enjoy a popsicle can provide a quick moment of reprieve.

Relax in the pool

Spending time in the pool is a staple activity that you don’t have to miss out on just because you’re pregnant this summer. In fact, you may find that pool time is even more relaxing, as being weightless in the water helps take pressure off of your feet and lower back. 

Don’t forget the sunscreen

While time spent at the pool is a great way to beat the heat when you’re pregnant this summer, be sure not to skip the SPF! In many women, pregnancy increases sun sensitivity, making pregnant women more susceptible to sunburns and sunspots. While spending time and tanning outdoors is generally considered safe during pregnancy, it’s essential that you take the proper sun care precautions.

Wear lightweight clothing

Summertime is the perfect season to wear loose-fitting, breathable clothes like flowing dresses, skirts, and tops. Not only do these styles align with the summer trends, but they’re also readily available in the maternity section. 

Hydrate 

Increased water consumption is recommended for just about everyone during the hot summer months, and this includes pregnant women. Staying hydrated helps regulate your body temperature, keep your systems functioning properly and flush out any toxins. During pregnancy, drinking enough water helps ​​form amniotic fluid, produce extra blood, build new tissue, and carry nutrients to your growing baby. Stay cool and healthy by prioritizing your hydration.

Rest 

The sun can drain you of your energy, and if you’re pregnant this summer, you have probably already noticed a decrease in your normal energy levels. Take time to rest this summer, especially during the hottest parts of the day. Elevating your feet can help reduce swelling and restore some of your energy. 

Enjoy the fresh fruits and vegetables

Eating well is essential to a healthy pregnancy, and one of the best parts of the summer season is the abundance of fruits and vegetables. Create a refreshing salad with seasonal produce, enjoy a newly harvested watermelon, or create a juicy (and hydrating) fruit salad and indulge in all of the summer flavors.

Plan your physical activities 

Getting regular exercise throughout your pregnancy is recommended, but hot summertime temperatures can have an impact on your routine. Take advantage of the longer days by waking up early and getting some exercise in the morning while the temperatures are still mild. Staying physically active can have numerous benefits, including better sleep and improved mood.

Contact Raleigh OB/GYN Centre

At Raleigh OB/GYN Centre, we offer a full range of obstetrical care from preconception to delivery. We have offered state-of-the-art care for mothers, daughters, and now granddaughters since 1974 and have since grown to three locations to best serve our patients in Raleigh, North Carolina. For more information about how to stay cool while pregnant this summer or to schedule an appointment with our team of dedicated providers, call 919-875-8225.

Menopause Management: Hot Weather Edition

Menopause Management: Hot Weather Edition

June is the month where spring gives way to summer, and with the longer days come warmer temperatures and stronger UV rays. While many look forward to the summer season, for women experiencing menopause, the heat and humidity can trigger or worsen hot flashes and can complicate existing menopause management techniques. Over 80% of middle-aged women experience hot flashes, making it a common and disruptive symptom, especially in the summertime. To help keep you cool this summer, we’re sharing some hot heather menopause management tips.

 

Dress for the weather

Finding the proper summer clothing can be challenging, especially when you’re concerned with hot flashes. Between limiting exposure to harmful UV rays, staying cool, and avoiding hot flash triggers, figuring out what to wear can be more time-consuming than you’d think. We recommend avoiding all restrictive clothing and opting for loose, flowing styles instead. Selecting a breathable fabric like cotton and linen can also serve as menopause management and hot flash prevention.

 

Choose the right sunscreen

We all know that sunscreen is essential to maintaining healthy, youthful skin, but when it comes to menopause, selecting the right sunscreen is key to menopause management. Ensure your SPF is breathable and contains active ingredients like zinc oxide and titanium oxide. Heavy sunscreens can cause overheating, sweating, and hot flashes. Avoid any SPF products containing synthetic estrogens like oxybenzone and avobenzone that may disrupt your hormonal balance.

 

Avoid your hot flash triggers

There’s no doubt that hot temperatures through a wrench in your menopause management plan, but you can help keep hot flashes at bay by avoiding other factors that you have control over. This includes steering clear of other well-known hot flash triggers like smoking, alcohol, wearing tight clothing, caffeine, and spicy foods. For more personalized menopause management techniques, take note of your environment and surroundings when you feel a hot flash coming on so you can have a better understanding of your personal triggers. It’s also important to remember that when you feel a hot flash coming on, focusing on your breath and inhaling and exhaling slowly and evenly can help reduce the effects of the hot flash. Research has shown that practicing controlled breathing can help reduce the severity of hot flashes by up to 44%.

 

Schedule your plans with the weather in mind

Staying indoors during the hottest parts of the day can help make for a more comfortable summer. Enjoying the outdoors in the mornings and evenings allows you to keep cool and minimize your risk of hot flashes. On particularly hot days, schedule your social plans and activities at a cafe, movie theater, mall, or somewhere there’s sure to be air conditioning. Take time to cool down at the end of the day by taking a cool shower. Keeping your shades drawn and using dehumidifiers in your bedroom can also help keep your house cool which can help you avoid or minimize nighttime hot flashes.

 

Stay active

While working up a sweat may seem counterintuitive, getting regular exercise can actually help counteract the effects of menopause. Staying physically active helps women maintain a healthy body weight, which is key to menopause management.

 

Don’t forget to hydrate

Drinking water is essential in the summertime, but it becomes even more vital when you’re experiencing menopause. Not only can staying hydrated help prevent the onset of a hot flash but drinking ice water during a hot flash can help cool down your internal temperature and cool yourself down. 

 

Visit Raleigh OB/GYN

Regular visits to our office can help you monitor your health and learn about how you can manage your symptoms and lead a happy, healthy life before, during, and after menopause. Contact us today to schedule an appointment and learn more about menopause management and care.

A woman surrounded by many different birth control methods to represent a guide to birth control

A Quick Guide to Birth Control for Women

At Raleigh OB/GYN Centre, we believe that patient education is an invaluable tool, and this education includes providing information about the various birth control options available. It can be overwhelming when selecting a contraceptive option, so we wanted to give you a quick guide to birth control that summarizes some of the most popular methods. Schedule an appointment with your provider for more detailed information about a specific form of birth control or to discuss if the contraceptive is right for you. Whether you’re just getting started, interested in a change, or just looking for some more information, here is our comprehensive guide to birth control.

Consider Your Lifestyle

When selecting a birth control method, you should choose a contraceptive that will align with your lifestyle, not the other way around. The main elements to consider when choosing a contraceptive are safety, effectiveness, and availability. In our guide to birth control, we will list out the different options available to you, as well as the administration methods, the general effectiveness, and other important factors that would help you decide which option could work for you. Depending on your individual circumstances, your doctor can provide more information about side effects, contraindications, and other considerations to help inform your decision.

The Pill

The birth control pill is arguably the most well-known form of birth control. Also referred to as an oral contraceptive, the birth control pill contains the hormones estrogen and progestin and is taken at the same time daily for three weeks. The birth control pack’s final week includes sugar pills that do not contain hormones, which allows the body to menstruate.

Patch

The birth control patch is another form of hormonal birth control prescribed by a doctor. This skin patch is worn on the lower abdomen, buttocks, or upper body but should not be placed on the breasts. The patch releases hormones progestin and estrogen into the bloodstream. The patch is changed weekly for three weeks, and then during the fourth week, it is removed to allow for menstruation.

Ring

The hormonal vaginal ring is placed inside of the vagina, is worn for three weeks, and then removed during the fourth week to have a period. The ring works by releasing estrogen and progestin into the body to prevent pregnancy. Birth control pills, patches, and the ring are all about 91% effective in preventing pregnancy.

Shot

The birth control shot is an injection administered in a doctor’s office every three months. The recipient can choose to have the progestin injection in either their arm or buttocks. The shot is about 96% effective in preventing pregnancy.

IUD 

An intrauterine device (IUD) is a small “t” shaped device placed inside the uterus by a doctor. The hormonal version releases a small amount of progestin each day to keep you from getting pregnant. A non-hormonal copper IUD is similar to a hormonal IUD, minus the progestin. IUDs have gained popularity over the year because of their effectiveness (99%) and convenience.  

Implant

With similar effectiveness as IUDs, the birth control implant is a small, thin rod inserted under the skin of a woman’s upper arm. It prevents pregnancy by slowly releasing progestin into the body over the course of three years.

Your Guide to Birth Control at Raleigh OB/GYN Centre

At Raleigh OB/GYN Centre, you have many options for preventing pregnancy, and we are here to support you with a full range of contraceptive options. In addition to prescriptions for birth control, we also offer long-acting contraceptives, including birth control implants and removal, IUD insertion and removal, birth control shots, and sterilization procedures. If you’re still unsure of where to start, consult with one of our providers. We can consider your individual needs and lifestyle and streamline your options into which contraceptive may be the best fit for you. We provide consultations for complex contraceptive care for patients with medical conditions that make contraception a challenge.

About Raleigh OB/GYN Centre

Raleigh OB/GYN has over 45 years of experience serving the women in our communities. We commit to your care in each stage of life. No matter if you are looking for a general guide to birth control or would like to begin or change your contraceptive, we are here to help. Schedule an appointment through our website or give us a call at (919) 876-8225.

a woman sleeping soundly in bed to represent tips for better sleep

5 Tips for Better Sleep

There’s no doubt that sleep is one of the main foundations of health and wellness, which is why if you’ve been tossing and turning, it’s time to pay attention to some tips for better sleep. Our mood, energy levels, immunity, and overall health depends on regular, high-quality sleep. Not getting enough sleep puts us at risk for disorders and diseases like obesity, heart disease, strokes, and dementia. If you’ve been struggling with waking up in the night, insomnia, or other sleep-altering factors, consider some of our tips for better sleep.

The Importance of Sleep

As we previously mentioned, a poor or inconsistent sleep schedule can lead to various health, mental, and physical health implications. The recommended 7-9 hours of sleep allows your body to heal, repair, and rebalance itself. Our growth, development, and ability to fight off illnesses all depend on a regular, quality sleep schedule. Sleep is also fundamental in other stages of life, such as pregnancy. Getting adequate sleep while pregnant helps keep you and your baby healthy, leading to easier labor and delivery. A lack of sleep during pregnancy has been associated with several complications, including preeclampsia. Pregnant or not, here are some of our top tips for better sleep.

Tips for Better Sleep

Stick to a schedule

There’s a scientific reason behind the “sleep schedule” feature on your smartphone. Going to bed and waking up around the same time each day helps to reinforce your body’s sleep-wake cycle. As you’re getting used to a sleep schedule, allow your body time to readjust. If you don’t fall asleep within 20 minutes of going to bed, leave your room and do something that relaxes you, and only go back to bed when you’re tired. This will help soothe any anxiety or frustration that you feel lying in bed restlessly.

Create a relaxing environment

Bright lights, loud noises, and other distractions can take their toll on a restful night’s sleep. Optimum sleeping environments are typically quiet, dark, and cool in temperature. Earplugs, eye masks, and fans are all easy additions to help create a more relaxing environment.

Create a nighttime routine

Establishing a routine that helps relax you and prepare you for bed is a great way to improve your sleep. Drinking a cup of nighttime tea, reading a book, listening to calming music, and journaling are just some of the ways you can wind down from the day. Much of our day is spent focused on a screen, so it’s recommended you do your best to unplug as part of your nighttime routine. 

Engage in daily physical activity

In most cases, your sleep is impacted by what you do during the day. Physical activity, especially outdoor physical activity, can help increase circulation and tire the body, making for an easier time falling asleep. Try to ensure that you’re not working out too close to bedtime, as this may give you a boost of energy that will make it more difficult to fall asleep.

Know when to contact your doctor

If you’ve tried all of these tips for better sleep and are still having trouble, it might be time to seek advice from your doctor. A healthcare professional can help you identify any underlying cause and help you with more specific treatment methods, from medications to more individualized lifestyle changes.

About Raleigh OB/GYN Centre

Raleigh OB/GYN has over 45 years of experience serving the women in our communities. We are here for you in every stage of life. If you have been struggling with getting enough sleep, especially during pregnancy, set up an appointment to talk to your doctor. You can schedule an appointment through our website or give us a call at (919) 876-8225. 

cancer screenings

A Woman’s Guide to Cancer Screenings

Cancer is a health condition that impacts almost everyone in some way or another during their lifetime. For women, certain forms of cancer are more common. It can be challenging to understand each one. A general guide to cancer screenings is an excellent resource for staying on top of your health. 

A Guide To Cancer Screenings 

At Raleigh OB/GYN, we understand that it may seem overwhelming to consider each of these cancer screenings at once. However, the best way to stay healthy is to be aware of your health, especially when age can play a role in the possibility. 

A vital factor to consider when considering cancer screenings is family health history. If someone in your family has experience with cancer, this can lead to you considering screening earlier than someone who does not have that same genetic connection. This is essential information to share with your doctor. 

Breast Cancer

Breast cancer is the most common form of cancer women face. According to the Centers For Disease Control and Prevention, breast cancer screening means checking a woman’s breasts for cancer before there are any signs of the disease. While screening does not prevent breast cancer, it does provide earlier detection that can make treatment more accessible. 

The primary screening test for breast cancer is a mammogram. A mammogram is an X-ray of the breast. This test is the most effective way of finding breast cancer early. Women are typically advised to begin getting annual mammograms at 40 to 44 years old. However, if there is a history of breast cancer in the family, it will be advised to start earlier. 

Cervical Cancer

Cervical cancer is commonly caused by a mutation of HPV (human papillomavirus). HPV is a sexually transmitted infection. While there are vaccines against HPV to consider as a defense against cervical cancer, screenings are also a consideration. 

A pap smear is the most common way to screen for cervical cancer. According to the American College of Obstetricians and Gynecologists, once you reach the age of 21, you should begin to have a pap test every three years unless you experience an abnormality during a test. This is the best way to detect cervical cancer early. 

Ovarian Cancer

Ovarian cancer typically affects women later in life, although it is not impossible to have it at a younger age. There are no standard screening tests for ovarian cancer. However, if you began to have symptoms commonly associated with ovarian cancer, the medical professional would go to blood tests or even an ultrasound to determine if you have ovarian cancer. 

Colorectal Cancer

While colorectal cancer can be just as common as other cancers women can face, it has a very straightforward screening process – a colonoscopy. An individual’s health factors can determine the frequency of receiving a colonoscopy. Once a patient turns 50, it is advised to receive one every ten years. However, if past health concerns impact the matter, a patient may be advised to receive them more frequently.   

Uterine Cancer

Uterine cancer is another form of cancer that does not have direct screening techniques. A common misconception is that pap smears to test for uterine cancer, but they do not. This means that it is even more important to pay attention to possible symptoms and warning signs that you may encounter. If you notice these, your doctor may perform an endometrial biopsy or a transvaginal ultrasound. If the symptoms persist, the doctor may recommend a more specialized doctor or run more tests. 

About Raleigh OB/GYN Centre

Raleigh OB/GYN has over 45 years of experience serving the women in our communities. We commit to your care in each stage of life. If you are looking to schedule cancer screenings for your gynecological needs, we are here to help. Schedule an appointment through our website or give us a call at (919) 876-8225. 

permanent birth control

Is Permanent Birth Control Right for You?

From pills to implants and everything in between, there are a wide variety of birth control options available. However, most methods are temporary – meaning you can start or discontinue use at any time.

Permanent birth control may be the better solution for women who know they do not want to have children or are confident they are finished having children. It eliminates the need to remember to take a pill each day or the periodic maintenance of an implant or IUD.

Types of Permanent Birth Control

To help determine if permanent birth control is right for you, it is important to know what your options are. There are currently two methods of permanent birth control available.

1. Tubal Ligation
Commonly referred to as “having your tubes tied,” tubal ligation is a procedure for women that is performed at a hospital or outpatient surgical clinic. Using a small telescope (called a laparoscope) through one or two small incisions, the fallopian tubes are cut, sealed, banded, clamped, or tied shut. The tubes can also be removed in their entirety. This prevents eggs from traveling from the ovaries to the uterus so you can’t get pregnant. The procedure is performed under anesthesia, but you are able to go home a few hours later.

2. Vasectomy
A vasectomy is a term for the male sterilization procedure. Your male partner can have this procedure done at a physician’s office with the use of a local anesthetic. The procedure prevents the sperm from being able to leave the testes and ever enter a woman’s body.

Is permanent birth control 100% effective?

Each of these methods is nearly 100 percent effective when it comes to preventing pregnancy. However, there is a waiting period that follows when you will want to use a secondary method of birth control. The amount of time depends on the type of procedure.

It is important to understand that while all types of permanent birth control work to prevent pregnancy, they do not protect against the spread of sexually transmitted infections.

You shouldn’t pursue permanent birth control unless you are sure you and your partner do not want to get pregnant in the future. While in some instances the procedures may be successfully reversed, they should largely be considered irreversible.

How to choose which type is right for you

In the U.S., tubal ligations outnumber vasectomies three to one – with roughly 600,000 tubal ligations and 200,000 vasectomies performed each year. Determining if permanent birth control is right for you should be discussed with your partner, as well as a healthcare professional. Based on your circumstances, your physician can help you decide which method is most suitable.

Raleigh OB/GYN Centre has three convenient locations in Raleigh and Wakefield, North Carolina. With nearly 45 years of experience serving women in their community, the healthcare team at Raleigh OB/GYN is committed to providing quality care for every stage of a woman’s life. To discuss your birth control options with one of our six dedicated and experienced providers, call (919) 876-8225 to schedule an appointment today.

Christmas time spent at the beach in summer. Young woman wearing sunscreen that spells 2020; blog: 8 Healthy Habits for the New Year

8 Healthy Habits for the New Year

January will be here before you know it. Many women like to use this time to set goals for self-improvement in mental and physical health. To start down the path towards a healthier and happier you, follow these healthy habits for the new year.

1. Get Active 

According to the American Heart Association, only one in five adults and teens get sufficient exercise. They recommend 150 minutes of moderate-intensity exercise during the week. So, one of your healthy habits for the new year should be setting a regular exercise routine. Find an activity or class that you look forward to can help stick to your fitness goals.

2. Stay Hydrated

Dehydration can lead to headaches, skin problems, lack of energy, and mental fog. Make an effort to drink enough water. There are apps and special water bottles that can remind you to drink throughout the day, or you can set an alarm on your phone to remind you until it becomes a habit.

3. Step Up Your Oral Hygiene Routine

You make think that you are taking good enough care of your teeth by brushing twice a day. But many people don’t floss regularly, if at all. The American Dental Association recommends cleaning between your teeth daily using floss or another interdental cleaner. This can help prevent cavities and gum disease by removing plaque. And don’t forget to see your dentist for a cleaning and check-up every six months, or at least once a year.

4. Eat Right

One of the best healthy habits for the new year you can pick up is eating better. That doesn’t have to mean a highly restrictive diet, but some simple changes can make a difference. Get most of your nutrients from whole foods instead of processed ones. That means whole grains, lean proteins, fruits, and vegetables. Limit things like fast food or other guilty pleasures to no more than once a week.

You should also focus on eating at the right times during the day. Make sure to eat breakfast, even if it’s something small. Have some yogurt or egg whites for protein and whole grains or fruits for fiber. This will prevent you from getting too hungry before lunchtime. Stop eating a couple of hours before you go to bed. This can help prevent becoming too hungry and help with digestion.

5. Get More Sleep

When making your list of healthy habits for the new year, make sure you put getting enough sleep near the top of the list. Being well-rested is important for many aspects of mental and physical health, and most adults don’t get the 7-9 hours recommended the Centers for Disease Control and Prevention (CDC) recommends for adults between 18 and 60 years old. 

If you’re having trouble sleeping you can try improving sleep hygiene by:

  • Removing electronic devices like phones, and even the TV from the bedroom
  • Keeping the bedroom quiet, dark, and at a comfortable temperature
  • Going to bed and waking up at the same time each day, even on weekends
  • Being physically active during the day
  • Avoiding big meals, alcohol, and caffeine for a few hours before bedtime

6. Set Realistic Goals

When the new year approaches, many of us fall into the trap of making big resolutions. While trying to make big changes is admirable, it can set you up for failure. Instead set a series of smaller, more realistic goals. It’s more likely you make progress this way, and you can still achieve your greater goal if it’s broken up into smaller pieces. This can be a good strategy for things like healthy weight loss and fitness goals.

7. Practice Self-Care

Take time to care for yourself mentally as well as physically. We often focus on caring for others and our own needs get pushed to the side. Set aside to do things to improve your mental health and center yourself. Practicing all of the above habits are essential for self-care. Finding someone to talk about your feelings with is also important. Self-care might also mean saying no to things so you don’t get rundown. Overcommitment is a problem for many women.

8. Make an Appointment with Your OB/GYN

To start the new year off right, make sure you are seeing your OB/GYN regularly for preventive care. The physicians and staff at Raleigh OB/GYN Centre have decades of experience providing women with full-scope obstetric and gynecological care. Call our Raleigh, NC office at (919) 876-8225 to make an appointment

if that is part of your ideal birth plan.

PCOS: What You Need to Know

Women of all ages can experience a number of gynecological and hormonal issues. Luckily, OB/GYNs and other medical professionals can successfully treat and manage them. One condition that affects a number of women is polycystic ovarian syndrome, which is often referred to by the initials PCOS.

What is PCOS?

Polycystic ovarian syndrome, or PCOS, is a hormonal condition that affects females. It is the most common cause of infertility in women. The cause is unknown but it is thought to be related to environmental factors as well as genetic influences. Though “polycystic” implies that multiple cysts are involved, not all women have cysts on the ovaries. As the PCOS Awareness Association explains, three main hormones come into play in polycystic ovarian syndrome:

  1. Androgens: Though androgens are considered male hormones, all females make them as well. In PCOS, the levels of androgens are often elevated, leading to symptoms like acne, hair growth, and irregular periods.
  2. Insulin: This hormone helps regulate blood sugar and helps the body turn it into energy. Women with polycystic ovarian syndrome sometimes become insulin resistant, so the body produces more. High levels of insulin lead to high levels of androgens.
  3. Progesterone: This female sex hormone helps regulate the menstrual cycle and ovulation. People with PCOS have low levels of progesterone, which makes periods irregular.

Signs and Symptoms of Polycystic Ovarian Syndrome

Sometimes people experience the symptoms of PCOS soon after puberty, but some women will not see symptoms until early adulthood. The symptoms can be attributed to other conditions, so sometimes it takes a while for polycystic ovarian syndrome to be diagnosed. Common symptoms include:

  • Irregular or missed periods: ovulation is often interrupted so menstruation does not occur regularly.
  • Infertility: PCOS is one of the most commonly diagnosed causes of infertility. Not all women will have fertility issues. Some can conceive naturally and some can conceive with fertility treatments.
  • Weight gain: Difficulty losing and managing weight is common, as is obesity.
  • Unwanted hair growth on body/hirsutism: Excess hair growth on the face, back, chest, arms
  • Thinning hair on head: While unwanted hair appears on the body, hair on the head may fall out and thin, which can increase in middle age.
  • Mood changes: There is an increased likelihood of mood swings and/or developing anxiety and depression.
  • Fatigue: Feelings of tiredness and low energy may be related to sleep disturbances.
  • Sleep disturbance: People may experience insomnia or sleep disorders such as sleep apnea.
  • Skin changes: Hormonal changes can cause skin changes such as acne, skin tags, or hyperpigmentation.
  • Pelvic pain: Pelvic pain during periods is a common symptom, as is heavy bleeding. Pelvic pain may be present when not bleeding as well.
  • Headaches: Disturbances in hormonal balance can cause frequent headaches.

Diagnosis and Treatment of PCOS

If you have symptoms, there is not a specific test to diagnose polycystic ovarian syndrome. The doctor will ask you questions about your symptoms and perform a physical exam with a family history. Other tests may be ordered to rule out other conditions. These tests might include ultrasounds to evaluate the ovaries and look for cysts. Blood tests to check sugar and hormone levels are also used.

If you are diagnosed with PCOS, you may or may not be referred to an endocrinologist that can work with your regular doctor for treatment. An endocrinologist is a doctor that specializes in hormonal issues. There are several treatment options that can help manage symptoms and promote regular ovulation, but the condition cannot be cured.

Medications used to treat polycystic ovarian syndrome include:

  • Hormonal birth control: Birth control with both progestin and estrogen can help with regulating menstruation, reduce excess hair growth, and reduce acne. It can be taken orally or via a patch or vaginal ring.
  • Spironolactone: Treats acne by blocking androgen’s effect on the skin. Should not be used if you are pregnant or planning to become pregnant because it has been linked to birth defects.
  • Clomiphene: Anti-estrogen medication used to help stimulate ovulation and help with fertility.
  • Metformin: Originally used to treat type 2 diabetes, this medication can help control insulin levels. It is often given in conjunction with clomiphene and can help with weight loss.
  • Letrozole: A breast cancer treatment that can stimulate the ovaries for ovulation.
  • Progestin therapy: Can help regulate the menstrual cycle and guard against endometrial cancer.
  • Gonadotropins: Hormonal injections that stimulate ovulation.

You can also make lifestyle changes to improve and manage symptoms. The changes seem simple but can make a real impact. Eat a healthy diet low in simple carbohydrates to control insulin levels and get regular exercise. Both of these can also help you manage your weight, which can make a big difference in symptoms. Maintaining a healthy weight can help keep insulin lower as well as androgens. This might restore regular ovulation.

Make an Appointment

The team of physicians, nurses, and medical staff at Raleigh OB/GYN Centre have been providing the women of the Raleigh area with personalized and comprehensive care for 45 years. From the first well-woman appointment to menopause management and every stage in between, our team will be there. If you have concerns about any obstetric or gynecological issues, including PCOS, call us at (919) 876-8225 to make an appointment. You can also request an appointment online