Here at Gynecology Associates of Gwinnett, educating our patients about common reproductive healthcare concerns and the services we provide is an essential part of our work. While we understand that gynecological visits can be a source of anxiety for some women, communicating clearly and building a level of trust with our patients can go a long way towards easing these tensions. This is why our board-certified gynecologist, Dr. Kristine Gould has taken time to answer a few commonly asked questions on a variety of topics pertaining to women’s health including irregular bleeding, urinary incontinence, and yeast infections.

 Question #1: How is irregular bleeding diagnosed?

 The first step in diagnosing irregular menstrual bleeding is discussing your medical history (including any irregularities with your cycle) with a board-certified gynecologist or another reproductive healthcare provider. We strongly recommend keeping track of your menstrual cycle before your visit, noting the dates, length of period, and how heavy or light your bleeding is. Next is a physical exam. In some cases, we may perform tests to detect irregular hormone levels, as well as the possibility of any blood disorders or sexually transmitted infections (STI).

 Question #2: Is there a connection between body weight and urinary incontinence?

It’s a fact that being overweight can increase a woman’s risk of experiencing urinary incontinence. Carrying excess weight puts added pressure on the bladder, which over time can lead to a weakening of the bladder muscles. According to experts at the American College of Obstetricians and Gynecologists (ACOG), losing even a small amount of weight can significantly decrease a woman’s chances of developing incontinence issues.

Question #3: How long does it take to treat a yeast infection?

Once diagnosed, a yeast infection can typically be treated effectively with either a pill that is taken orally or a topical cream that is applied to the vaginal area (or both). Depending on the severity of the infection, as well as other factors specific to each patient, a yeast infection can be treated and cured in seven days or less. However, every patient is different and the exact timetable can vary.

We hope that everyone reading found these questions and answers helpful, informative, and reassuring. For more information on the services we provide or to schedule an appointment, please contact Gynecology Associates of Gwinnett today. Don’t forget to follow along with us on Facebook and our medical spa, MadEmEl Medical Aesthetics, on Instagram.

As a woman, you want to feel comfortable and confident with your body, and that doesn’t only include your face and your figure. If you have discomforts or insecurities about your vulva or vagina, it can truly weigh on your sense of confidence and ease. Our board-certified gynecologist Dr. Kristine Gould treats women every day who have these struggles.

Fortunately, there are ways to rejuvenate and enhance your genital area to make you feel more content in your womanhood and to address related issues like urinary incontinence and sexual discomfort. Depending on your top concerns, Gynecology Associates of Gwinnett offers two effective procedures: laser vaginal rejuvenation and labiaplasty.

Laser Vaginal Rejuvenation

Your vagina and other female reproductive areas change over time in several ways. You might develop vaginal laxity or vaginal dryness, for example. You might also begin to have urinary incontinence like leaking when you cough, or you may have pain or bleeding during sex. These changes often happen as your body’s estrogen levels decrease during menopause, but they can appear at other times of life as well.

Whatever the reason, laser vaginal rejuvenation with FemTouch™ is a non-invasive and gentle yet powerful way to treat all those issues at the same time. During this quick and simple treatment, our board-certified gynecologist uses a specialized laser wand to clear away damaged tissue and stimulate natural growth of revitalized tissue inside your vagina. Not only does this give you strong, rejuvenated vaginal tissue but it increases the blood flow that nourishes your vagina, all leading to more natural vaginal hydration and urinary control.

Laser vaginal rejuvenation is a highly convenient way to empower your vaginal health and comfort. The procedure is quick, and we perform it right in our office. There’s no downtime required other than avoiding sexual activity for about a week. Most patients will get optimal results within two to four treatment sessions, although your course of treatment will be customized to meet your specific needs.


While laser vaginal rejuvenation is designed to treat your internal genitals, labiaplasty is a procedure designed for a particular part of your external genitals: your labia minora, or the “ruffled edge” of tissue around the outside of your vagina.

Some women have naturally larger labia than others. The labia can also become enlarged due to childbirth or aging. Regardless of the reason, larger labia minora don’t align as well with the labia majora (the outer flap-like skin that lays on top of your vulva). This can make certain activities difficult, like some types of exercise and sexual activity. It can also make it uncomfortable for you to wear certain form-fitting clothes like yoga pants and swimsuits, and it can even increase your risk of urinary tract infections.

These are issues that affect a large number of women, which is why labiaplasty surgery has become increasingly popular. During a labiaplasty, board-certified gynecologist Dr. Kristine Gould safely and precisely reshapes your labia minora to be smaller and better aligned with your labia majora.

At our medical spa, MadEmEl Medial Aesthetics, we also offer a nonsurgical option for improving the appearance of your labia. Our nurse practitioner provides precise dermal filler injections to reduce labial wrinkles and give your labia a more youthful look.

Taking Control of Your Feminine Confidence

Feeling comfortable in your own skin goes a long way in life, from putting a smile on your face on a daily basis to allowing you to approach your career, relationships, and social situations with more ease. If self-consciousness or physical discomfort from your vagina or labia is affecting you, schedule a consultation with Dr. Kristine Gould. She’ll listen to your concerns and discuss the best way to give you the relief and the feminine rejuvenation you need. In the meantime, follow us on Facebook for more gynecological health tips.

Breast cancer is a serious health concern for women, however, it can often be treated successfully. Effectively treating breast cancer is often much easier when the cancer is detected while still in its smallest and earliest stages before it has been given the opportunity to spread. This is why keeping up with regular breast cancer screening appointments is so critical. In honor of Breast Cancer Awareness Month, we wanted to discuss how women should prepare for an annual breast exam.

We agree with the American College of Obstetricians and Gynecologists' (ACOG) recommendation that all women should undergo an annual mammogram starting at age 40. This includes women who have undergone cosmetic breast procedures like breast enhancement surgery. Some women, including those with a family history of breast cancer or other factors that could potentially increase their breast cancer risk, may benefit from starting around age 35.

To help women get the most out of their breast cancer screenings, we have provided the following tips for how to prepare for the appointment:

  • If possible, go to the same practice for screening each year so that the results of previous exams can be easily accessed for the sake of comparison.
  • Avoid scheduling a mammogram during a time when the breasts are tender or swollen (like just before a menstrual period) to help reduce potential discomfort during screening.
  • Wear a comfortable two-piece outfit (not a dress) to the appointment.
  • Don’t apply deodorant or antiperspirant on the day of the breast exam, as some of these products contain substances that can show up on an x-ray and affect the result of the screening.

Our hope is that these tips will be able to help women feel more prepared and knowledgeable heading into their next breast cancer screening appointment. For more information or to schedule a gynecology consultation appointment, please contact Gynecology Associates of Gwinnett. You can also follow us on Facebook for additional news, health tips, and much more. And check out our full-service med spa, MadEmEl Medical Aesthetics on Instagram.

Women know that periods are simply a part of life that we expect to manage until we reach menopause. For most women, these periods are minor inconveniences and discomforts that cause minimal disruption in our lives. For a surprisingly large number of women, though, periods go beyond a minor inconvenience. They come with an irregularity or an excessive amount of bleeding, making them more difficult to manage. In fact, according to the CDC, about one in five women in the US have heavy periods.

If you have been struggling with unwieldy periods, you aren’t just the victim of bad luck. There are simple treatments out there that can help. Let’s take a closer look at heavy periods and irregular periods and how endometrial ablation may help.

How to Know if Your Period is Too Heavy or Irregular

Some women don’t realize their periods are heavier or more irregular than expected because they don’t discuss these details with their healthcare providers or other women, so they don’t have any comparisons. A period is considered to be abnormally heavy if you’re soaking through a tampon or pad every two hours or more frequently. A period is also abnormal if your bleeding lasts longer than eight days, or if your bleeding is heavy enough to cause anemia.

What to Do if You Have Heavy or Irregular Menstrual Bleeding

If your menstrual bleeding is heavy or irregular, the most important step to take is to discuss this with your gynecological healthcare provider. Your heavy periods or irregular periods could just be your body’s variation of normal, or they could be a sign of an underlying health condition like fibroids, endometrial polyps, a thyroid condition, or other issues.

Our providers will be able to discuss your periods and get to the bottom of their cause. Just as importantly, we’ll review treatment options so you don’t have to continue struggling with heavy or irregular menstrual bleeding.

How Endometrial Ablation Can Help

Endometrial ablation is a procedure that can have a tremendous impact on women who suffer from heavy or irregular periods and do not plan to have children in the future. This procedure is non-surgical, using any of several safe methods to break down your endometrium, or uterine lining. Your body responds to endometrial ablation by forming scar tissue, ultimately stopping or dramatically reducing the flow of your periods.

Keep in mind that there are several ways we can treat heavy or irregular bleeding depending on your health needs and your desires for having children in the future. Treatments can range from medications or an IUD to a hysterectomy. Many women find that endometrial ablation is a good “middle ground,” giving you longer-lasting results than medications or IUDs but avoiding the need for a surgical hysterectomy.

If You Struggle with Heavy Periods or Irregular Periods, We Can Help

Every woman expects to be managing a monthly period for several decades of her life, but if your period is more than a mild inconvenience because of heavy bleeding or irregular bleeding, you don’t need to suffer through it with supersized pads and tampons. We’re here to talk through your concerns and find the best way to help you have more balanced, milder periods, whether your best option is endometrial ablation or another type of treatment.

To take the first step toward an easier period, call Gynecology Associates of Gwinnett today to schedule your appointment. In the meantime, you can also follow along with us on Facebook and follow our medical spa, MadEmEl Medical Aesthetics, on Instagram for more health tips for women.

It’s perfectly natural for some women to be apprehensive about their upcoming gynecology appointment. And we do everything in our power to ensure every woman's visit is as simple, comfortable, and professional as possible. Regardless of the nature of the specific visit, providing a first-class patient experience at Gynecology Associates of Gwinnett is always our top priority. With this in mind, we wanted to share some firsthand gynecology testimonials from our patients to emphasize the positive impact that our reproductive healthcare services can have.

With every visit, I am always moved to tears (I wish I was kidding, I get teary-eyed over how caring they are!) by the bedside manner provided at Gynecology Associates of Gwinnett. They are very thorough with everything they do and walk me through the process of whatever is being done. If I have questions, they are answered with great confidence. The entire staff is smiling, friendly, and patient. The facility is clean like no other. The music is calming which helps when you experience a spike in blood pressure from the general anxiety of having to visit a doctor. It all goes away being there. I came from a gynecology center in the city, but after moving to Gwinnett and finding this place, I haven't looked back at my former facility. Thank you, to the whole team at Gynecology Associates of Gwinnett!

  • KR

Like most women, I’m used to long waiting room times and too short conversations with my doctor. For the first time in forever, I legitimately feel like a valued patient. With minimal wait times and the personal touch received by Dr. Gould and her medical team, I truly feel COMFORTABLE with the patient care. The efficiency of the front desk team, the warmth and consideration of the nurses, and the personal touch and genuine care from Dr. Gould. There are no awkward questions or tough conversations. Dr. Gould makes me wish that all doctors provided the same “bedside manner”.

  • KD

My first impression was that it was so nice to see a smiling face behind the front desk! This place was very clean and neat. Everyone that I had contact with was friendly, kind, and cheerful. The experience here is a far cry from large, multi-doctor practices with overfilled waiting rooms. It was not hectic, but rather a pleasant experience. Dr. Gould was very warm and easygoing. She presented options in a nonthreatening way and seemed committed to helping me get answers long-term.

  • JP

Dr. Gould was so nice and attentive. She made my visit a great experience. Her staff made me feel so comfortable. The ladies at the front desk were so nice and were all so very pleasant. The office is so clean and modern with nice soothing spa music to relax you. An overall excellent experience. Will tell my family and friends!

  • BM

We wanted to take a moment to thank everyone who took the time to leave us such thoughtful and kind words. It means so much to us to know that what we do is truly helping the women that we treat. For more information or to schedule a gynecology consultation appointment, please contact Gynecology Associates of Gwinnett. You can also follow us on Facebook for additional news, health tips, and much more. And check out our full-service med spa, MadEmEl Medical Aesthetics on Instagram.

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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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