Q&A with Gynecology Associates of GwinnettHere at Gynecology Associates of Gwinnett, we take great joy in sharing our knowledge and expertise with our patients. When it comes to reproductive health, we understand that women naturally have no shortage of questions or concerns; after all, there is plenty to know. Communication is crucial when it comes to establishing long-standing, personal relationships with our patients and that’s why we’re always happy to take the time to answer some important questions to help improve your overall reproductive health and wellness.

Q.) Is it still possible to become pregnant after endometrial ablation?

A.) If a woman wants to become pregnant, she should not undergo an endometrial ablation. Becoming pregnant is unlikely after the procedure, but it is still possible. If a woman does become pregnant after an ablation, the risk of complications including a miscarriage increases significantly.

Q.) Who are good candidates for hormone therapy for menopause?

A.) Hormone therapy is still considered the most effective treatment for symptoms of menopause, though certain side effects make this treatment risky for certain women. Candidates for hormone therapy are women experiencing moderate to severe hot flashes or other menopausal symptoms, women who have lost bone mass due to osteoporosis, women who started menopause early (before age 40) and women who haven’t had success from previously attempted treatments.

Q.) How long will I need for recovery after a labiaplasty procedure?

A.) The majority of patients are up and moving the same day as their labiaplasty. During the first couple days following their procedure, patients use ice packs on their incisions to minimize swelling/bruising and everyday tasks are fine, as long as they do not irritate the incision sites. Patients generally report returning to work within 2-3 days as long as their job does not entail rigorous physical activity.

When it comes to your gynecological health, there is no such thing as an unimportant question. We hope that by sharing this information, we can educate our patients as well as encourage those who may otherwise be too shy to ask questions of their own. Feel free to contact Gynecology Associates of Gwinnett today if you have questions or would like to schedule an appointment. If you’re interested in learning more, you can always follow us on Facebook, Twitter and Google+.

Everyday Things That Can Affect Your PeriodA period is a regular occurrence in a woman’s life. On average, women typically experience between 11 and 13 menstrual cycles per year, though each woman’s body is different. While it’s natural to be alarmed by missing a period or noticeable differences in the length or intensity of your menstruation, irregular menstrual bleeding is not always a sign of something serious.

If you have experienced irregularities with your period, whether bleeding has become heavier, lighter, longer, more or less frequent, this could be a sign of something wrong. While some menstrual issues can signify a major change like pregnancy or the start of menopause, many of these problems can be temporary and resolve themselves over time. We’ve outlined a number of everyday causes of menstrual irregularities in hopes they will lead patients to cleaner, healthier living and limited menstrual concerns in the future.


Stress is one of the most common contributors to a change in menstrual cycles. This is due to stress affecting the body’s ability to shut down the hormones needed for ovulation.

Excessive Exercise

Exercise is great and highly recommended to improve overall health, but working out excessively (multiple hours per day) can affect your period. The body can treat excess exercise as an extreme stressor and alter a woman’s hormone levels, leading to menstrual irregularities.

Alcohol Consumption

Alcohol can have a similar effect on a woman’s hormones. Although there is no specific amount of alcohol that can be pinpointed to affect menstruation, even as little as 1 to 5 drinks per week can have an effect.

Weight Fluctuation

Excessive weight gain over a short period of time can drastically affect your period. Weight gain can cause the ovaries to start producing extra testosterone which in turn can prevent ovulation and lead to prolonged or missed periods.

Irregular Sleep

In addition to causing changes to your hormone levels. Staying up too late or not getting adequate sleep can impact a woman’s melatonin levels, which play a part in regulating your menstrual cycle.

Here at Gynecology Associates of Gwinnett, we believe it’s important to pay attention to your menstrual cycle. If you are able to recognize abnormalities and address any menstrual changes early on with your provider, there can be a greater benefit for quickly diagnosing the causes of your issues and preventing them from potentially worsening over time. For more information, please contact Dr. Kristine Gould at Gynecology Associates of Gwinnett today. You can also follow us on Facebook, Twitter and Google+ for more news and updates.

The Importance of HPV VaccinationsHuman papillomavirus (commonly known as HPV) is the not only the most common sexually transmitted infection in the United States, but also one of the leading causes of several different forms of cancer for women. HPV is spread from partner-to-partner during sexual contact (vaginal, anal, or oral sex). Though HPV is most commonly associated with cervical cancer, it can also lead to the development of cancer of the vagina, vulva, anus, and more. More than 14 million people become infected with HPV in the US annually.

There are more than 40 types of HPV and they pose numerous potential health threats. While some types of HPV may only lead to less minor conditions like genital warts, many others are among the leading causes of certain cancers for females. According to the National Cancer Institute, virtually all cases of cervical cancer are caused by HPV and roughly 70% all cases are caused by the same 2 types of HPV. Additionally, HPV is linked to roughly 69% of vulvar cancers, 75% of vaginal cancers, 91% of anal cancers and 72% of oropharyngeal cancers (cancer of the back of the throat).

Thankfully, there are solid prevention options. We encourage regular cervical cancer screening exams, or Pap smears. However, the safest bet for protecting yourself from HPV and the potential complications that come from this infection is receiving a HPV vaccination. The HPV vaccine is recommended for women and girls between the ages of 9 and 26. A full HPV vaccination requires three doses. We recommend waiting four weeks between the first and second dose and twelve weeks between the second and third dose for the precautionary reasons.

According to a recent study published by HealthDay, certain versions of the HPV vaccine can prevent up to 70% of cervical cancer cases. A HPV vaccine can also produce a more active immune response for preteens. In addition to being effective, HPV vaccinations are very safe as well. There are no severe side effects or adverse reactions currently linked to HPV vaccination. HPV vaccines are approved and monitored by the CDC and the FDA.

Nearly 30% of cervical cancers are caused by types of HPV that cannot be prevented with vaccines. Therefore it’s important to understand that an HPV vaccine should not be considered a substitute for regular cervical cancer screenings. If you have questions about HPV or cervical cancer and would like to schedule an appointment, please contact Dr. Kristine Gould at Gynecology Associates of Gwinnett today. You can also follow us on Facebook, Twitter and Google+ for additional news and updates about reproductive health.

Some Simple Tips for Preventing UTIsUrinary tract infections (UTIs) can be extremely painful and inconvenient for women. They affect the urethra, kidneys, and bladder and create a painful, burning sensation during urination. UTIs typically begin in the bladder or urethra, but they can spread to the upper urinary tract if they are not treated in a timely fashion. This can lead to serious complications including long-term kidney damage.

A urinary tract infection can be caused by a number of things, but they usually result from either outside bacteria getting pushed into the urethra or from bacteria already existing in the bladder growing to unhealthy levels. The bacteria can accumulate as a result of sexual activity or from the bladder not emptying completely due to a blockage or narrowing in the urinary tract.

With this in mind, there are certain precautions you can take to help stave off potential UTIs. Following these tips can help women avoid infection and promote general reproductive health and wellness.

Drink Lots of Fluids

Loading up on fluids (water specifically) is a great way to flush out your system of potentially damaging bacteria. Drinking more will lead to using the restroom more. In doing so, you’ll be helping move things through the urinary tract and diluting the urine so bacteria levels can't grow to potentially dangerous amounts.

Vitamin C Helps

Taking vitamin C, whether in juice or supplement form, can be a great way to prevent bacterial growth in the urinary tract. Vitamin C helps keep your urine acidic. This acid helps prevent excess bacteria from forming. As an added perk, Vitamin C is great for the immune system and may help prevent other health concerns for women. Vitamin C can be a helpful tool in UTI prevention, but it unfortunately won’t help in treating an infection once it has begun.

Empty Your Bladder Following Sex

One of the most common ways for external bacteria to enter the urethra is through sex. By urinating after sex, you can flush out any of the bacteria that may have made its way into the bladder during intercourse. Even if you don’t feel like you necessarily need to urinate, you should still make it a point to try.

Try Not to Hold it In

You should urinate often and not try to hold it in any longer than you have to. The longer urine stays in your bladder, the more time there is for bacteria to accumulate and an infection to develop. We recommend using the bathroom at least every 4 to 6 hours, and more often if you are prone to UTIs.

Now that you know what (and what not) to do to prevent urinary tract infections, it is your responsibility to take these suggestions to heart. UTIs may seem like a minor health concern, but it’s important to treat them as soon as possible. Scheduling an appointment with your board-certified gynecologist as soon as you notice UTI symptoms can help you avoid more serious complications. Patients who experience back pain, chills, fever, nausea, or vomiting may have a kidney infection and should seek urgent medical care immediately. For more info on UTIs, contact Dr. Kristine Gould at Gynecology Associates of Gwinnett today.

Urinary incontinence can be extremely frustrating to deal with. While it may not pose any significant medical risks, living with urinary incontinence everyday can significantly affect a woman’s quality of life. You may be dealing with urinary incontinence if you are experiencing unwanted urine leakage from your bladder. This can range anywhere from a few drops leaking while coughing to fully emptying your bladder uncontrollably when you least expect it.

Since proper treatment of urinary incontinence involves treating the underlying causes of your symptoms, it’s crucial to get an accurate diagnosis of your condition. That’s why it’s so important to be as thorough and specific as possible during your initial urinary incontinence appointment. With this in mind, we’ve prepared a list of some of the most important questions for a patient to ask their board-certified gynecologist to help ensure they receive the best treatment possible. 

Make a note to ask the following questions during your appointment:

  • Which type of urinary incontinence do I have?
  • How can my condition be treated? 
  • Will treating my urinary incontinence require surgery?
  • Will urinary incontinence prevent me from having a normal sex life?
  • Are there lifestyle changes I can make to help improve my condition?
  • Which foods should I avoid to help control my urinary incontinence?
  • Are there certain physical activities that may cause issues with urine control?
  • Is it possible to train my bladder to help reduce urinary incontinence symptoms?
  • Are there exercises I can perform to assist with my urinary incontinence?

Urinary incontinence may not be a serious health risk, but that doesn’t mean you should be forced to live with it. During your appointment at Gynecology Associates of Gwinnett, we will discuss your symptoms in detail and run tests including a pelvic exam to determine if you have urinary incontinence. Once you are diagnosed, our providers will work with you to create an effective treatment plan that works for you. For more information or to schedule an appointment, please contact Gynecology Associates of Gwinnett today.

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Contact Information

Gynecology Associates of Gwinnett
601 Professional Drive, Suite 330
Lawrenceville, Georgia 30046   
Phone: 678.380.1980   
Fax: 678.380.7348

Our Hours

Monday 8:30AM–4:30PM
Tuesday 8:30AM–4:30PM
Wednesday 8:30AM–4:30PM
Thursday 8:30AM–4:30PM
Friday 8:30AM–12PM
Saturday Closed
Sunday Closed

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We are happy to welcome all of our new incoming patients from Dr. Audrey Arona at Preferred Women's Healthcare. Please contact us today if you have any questions or to schedule your next appointment.