Ask any woman who has gone through menopause and they will likely tell you, the perimenopause (or pre-menopause) period can be very difficult. It is during this time that a woman’s body begins to produce less estrogen than it had previously. It’s natural for women to experience changes in their menstrual cycle as well as other symptoms like hot flashes, sleep issues, unstable moods, and more. Although every woman will eventually have to go through menopause, the transition can affect all women differently. To help provide some clarity on what you can expect during this transition, our board-certified gynecologists have answered a few commonly-asked questions about the symptoms of menopause and how they can be most effectively managed.

signs of menopauseQuestion #1: Is it true that exercise can help regulate my symptoms during the perimenopause period?

This is true. Working out has been proven to help women with their symptoms during perimenopause by reducing physical and emotional stress. Exercising regularly during menopause can reduce emotional side effects like depression and anxiety, while also keeping off weight gain that is common during this time. Additionally, working out can help women reduce their risk of physical conditions associated with menopause including osteoporosis, as well as common illnesses like heart disease, diabetes, and certain forms of cancer. We recommend for women to try to get at least 150 minutes of moderate aerobic exercise, or 75 minutes of more strenuous aerobic activity, every week.

Question #2: Are there behaviors or habits that can make hot flashes more severe?

Yes. Abusing tobacco or excessively consuming alcohol during menopause can often make hot flashes more severe. Excess stress can also increase the frequency and intensity of hot flashes, so try to manage your stress in a healthy way. Exercising regularly and performing breathing exercises can help as well.

Question #3: How can I determine which form of hormone therapy is the best fit for my needs?

Some women who need help managing their symptoms during perimenopause may turn to hormone therapy treatments. Hormone therapy replenishes the body’s supply of hormones like estrogen and/or progestogen to help reduce the effects of menopause. There are two types of hormone therapy treatments: systemic and local. Systemic therapy releases replacement hormones into the bloodstream using a pill, injections, skin patches, or topical gels or sprays. Once they reach the bloodstream, the hormones travel to the organs and tissues where they are most needed. Local therapy uses a vaginal ring, tablet, or cream to help women who are experiencing issues more specific to the vaginal area, including vaginal dryness or itching. Determining the appropriate type of hormone replacement therapy for your needs depends on your health, the degree of your symptoms, and your personal preference.

Menopause is a complex issue and it’s understandable if you still have some additional questions. If so, don’t hesitate to contact Gynecology Associates of Gwinnett to schedule an appointment today. Our board-certified gynecologists will work with you to help make your transition into menopause as smooth as possible. Don’t forget to follow us on Facebook and Twitter for additional tips, news, updates, and more. 

For many women, it can be difficult to discuss matters involving their reproductive health. This is quite natural. However, finding the right gynecologist for your needs can be a way to gain a trustworthy guide and partner in your journey towards female reproductive wellness. Gynecological health is a very personal, intimate topic and it can be hard to find someone you trust with this information. That’s why we wanted to provide a few simple tips on how women can find the right gynecologist for them.

finding the right gynecologistLook for the Proper Qualifications

First and foremost, it’s important to find a gynecologist that you know is qualified and experienced enough to provide the care you deserve. This begins by determining if your prospective candidates are certified by the American College of Obstetricians and Gynecologists (ACOG), the foremost authority on reproductive wellness for women.

Check out Online Reviews

Once you find a gynecologist you think might be a good fit, take some time to check out their reviews on websites like Google, Facebook, and medical directories like HealthGrades and Vitals. These reviews can provide an easy (and free) way to see what patients think about these doctors, their office environments, average wait times, the friendliness of their staff, ability to communicate, and more. Take a look at star ratings. A few negative reviews among many good ones is normal, but a surplus of complaints can be a sign that something isn’t right.

Does Your Gynecologist Have a Variety of Skills & Expertise?

Experience dealing with a variety of different female concerns is important and something to keep in mind. The more experience your prospective gynecologist has with a specific condition or procedure, the better your care will likely be. Keep in mind that some doctors focus exclusively on obstetrics and others exclusively on gynecology. If you have a specific condition that you’re concerned about, like endometriosis for example, ask how many patients with that condition they have treated. The same goes for specific procedures you may be in need of like a hysterectomy or endometrial ablation.

The Fit Feels Right

Most importantly, your gynecologist must be someone who makes you feel comfortable, at ease, and informed. After all, this is someone who you will be discussing highly sensitive topics with and performing your gynecological exams. In order for the relationship to work, your gynecologist must be someone you trust completely and will have your best interests at heart. For some women, gender can be a factor when choosing a gynecologist. Some may prefer to only work with female gynecologists. It’s simply a matter of personal preference.

Finding the right gynecologist is an extremely important step towards achieving and maintaining the best-possible reproductive health. Hopefully these tips can help guide your search and bring you closer to finding the board-certified gynecologist capable of providing the care that you deserve. For more information or to schedule an appointment, please contact Gynecology Associates of Gwinnett today. You can also follow us on Facebook and Twitter for more tips, news, and details on our upcoming health and wellness events.

Urinary incontinence, a condition that causes unwanted urine leakage from your bladder, affects women of all ages. It is especially common for older women and women who have already gone through menopause. Although urinary incontinence does not pose any significant risk to a woman’s health, it can be a source of considerable frustration and embarrassment. Since we at Gynecology Associates of Gwinnett try to put an emphasis on patient education, we thought it would be helpful to present a few facts about urinary incontinence to help women better understand this condition, how it can affect them, and what treatment options are available.

What to Ask Your Gynecologist about Urinary IncontinenceFact #1: Urinary Incontinence Comes in Different Forms

There are several different types of urinary incontinence. Each form of incontinence has its own causes and triggers and can affect people differently. For example, stress urinary incontinence (the most common form of urinary incontinence) can be triggered by physical activities like laughing, sneezing, coughing, or working out. Whereas an overactive bladder (due to frequent bladder muscle contractions) or overflow incontinence prevents people from fully emptying their bladder, leading to overflow that can unexpectedly leak out. In order to find the most beneficial treatment for your incontinence issues, it’s important to visit with a board-certified gynecologist who specializes in incontinence to determine what is causing your symptoms.

Fact #2: Your Weight Can Lead to Urinary Incontinence

Being overweight increases a woman’s risk of urinary incontinence. Carrying excess weight puts additional pressure on the bladder, which can cause a weakening of the bladder muscles over time. According to the American College of Obstetricians and Gynecologists (ACOG), losing even a small amount of weight (less than 10% of your total body weight) can greatly decrease your chances of experiencing incontinence.

Fact #3: Women are More Susceptible to Urinary Incontinence

Although men can experience urinary incontinence, it is much more common in women. Bodily changes that are unique to women like pregnancy, childbirth, and menopause can affect the urinary tract and the surrounding muscles and increase the chances of urinary incontinence. A shorter urethra makes women more prone to urinary tract infections, which can lead to incontinence. Also, the urethral sphincter muscle is part of the pelvic floor. Weakening of the pelvic floor muscles can lead to leakage of urine. The male urethral sphincter is located near the bladder and away from the pelvic floor muscles.

The good news is that urinary incontinence is treatable. Depending on your situation, we may recommend medication, devices like pessaries or urethral inserts, FemTouch™ Laser Vaginal Rejuvenation treatments, or surgery. Since successfully treating urinary incontinence requires treating the underlying cause of your symptoms, it is essential to begin by seeing an experienced, board-certified gynecologist to get an accurate diagnosis of your condition. During your appointment, we will discuss your symptoms and perform a pelvic exam to determine the extent and the root cause of your incontinence. For more information or to schedule an appointment, please contact Dr. Kristine Gould at Gynecology Associates of Gwinnett today. And follow us on Facebook and Twitter for more tips, news, and details on our upcoming health and wellness events.

There is an undeniable link between stress and reproductive health. High stress levels can contribute to several gynecological health issues including fertility issues, problems with your period, and a decreased sex drive. We understand that it can be difficult to avoid getting stressed out, but there are healthy ways to help manage and cope with your stress. This includes what you eat. It’s a fact that certain foods can help women reduce their stress levels, and in turn, promote better reproductive and general health. Here are a few such foods you may want to try:

4 Foods That Can Help Women Reduce StressNuts

Nuts are loaded with nutrients like B vitamins and healthy fatty acids that can naturally help improve the quality of your diet and lower stress levels. Almonds, cashews, walnuts, and especially pistachios can also help women reduce their blood pressure. However, remember to limit your serving size to just a handful a day if you’re concerned about excess calories.

Dark Chocolate

Eating small amounts of dark chocolate can also be helpful in reducing stress. Dark chocolate can actively lower the levels of stress hormones in a woman’s body. Additionally, simply indulging in something as pleasurable as treating yourself to a piece of chocolate can be its own form of stress relief for many people.


In addition to providing a delicious way to jazz up any salad or sandwich, avocados can also help with stress. Avocados are loaded with omega-3 fatty acids that can reduce stress and anxiety levels, and even ease depression symptoms by improving communication between nerve cells. Thanks to their versatility, avocados can easily be integrated into many different kinds of snacks or meals.

Fatty Fish

Much like avocados, certain kinds of fatty fish can also be an excellent source of omega-3 fatty acids. Salmon is likely the most common thing many people will think of when hearing “fatty fish”, but tuna, halibut, herring, trout, and sardines can all contribute to lower stress levels and better cardiovascular health.

Stress is a natural and unavoidable part of life. Hopefully following these recommendations can help form a healthier diet that can cut back on your stress levels and improve your overall and reproductive health. For more information on reproductive health and nutrition, or if you would like to schedule an appointment with board-certified gynecologist Dr. Kristine Gould or physician assistant Nikki McCann, please contact Gynecology Associates of Gwinnett today. And follow us on Facebook and Twitter for more reproductive tips, updates, and info on our upcoming health and wellness events.

Here at Gynecology Associates of Gwinnett, we are proud to offer FemTouch™ Non-Surgical Laser Vaginal Rejuvenation. FemTouch™ treatments are designed to help women who experience several of the most common vaginal health symptoms including vaginal laxity (looseness), vaginal dryness, vaginal itching, and more. It can also help treat the symptoms of stress urinary incontinence. To help paint a clearer picture of what FemTouch™ is capable of and which women can benefit from it, our board-certified gynecologists have taken some time to answer a few common questions about the treatment.

Answering Common Questions About Laser Vaginal RejuvenationIs it safe for women to undergo multiple FemTouch™ Non-Surgical Laser Vaginal Rejuvenation treatments?

It is perfectly safe for a woman to undergo multiple FemTouch™ Non-Surgical Laser Vaginal Rejuvenation treatments. Some women may only require one FemTouch™ treatment session to achieve their personal goals. In other instances, additional treatments may be required in order to provide the best possible vaginal rejuvenation results. Even women who initially achieved the results they desired can benefit from annual follow-up treatments to help maintain their results over time.

Can FemTouch™ Non-Surgical Laser Vaginal Rejuvenation impact a woman’s sex drive?

FemTouch™ treatments can help some women increase their diminished sex drive. Certain vaginal health symptoms like vaginal laxity (looseness), vaginal dryness or vaginal irritation can make having sex unsatisfying, painful, or uncomfortable, resulting in a lower sex drive. FemTouch™ can help increase a woman’s desire for sex by treating these symptoms and making sex more enjoyable.

Q.) Can women with a history of abnormal Pap tests undergo FemTouch™ Non-Surgical Laser Vaginal Rejuvenation?

A history of abnormal Pap smears should not interfere with a woman’s desire to undergo laser vaginal rejuvenation treatments. Since Pap testing is performed on the cervix, it should not impact the areas treated during FemTouch™ treatments. However every woman’s gynecological health is different. It’s important to consult with your board-certified gynecologist and confirm that your Pap testing is up to date before undergoing FemTouch™ treatments.

I have seen firsthand the amazing, sometimes life-changing results FemTouch™ Non-Surgical Laser Vaginal Rejuvenation can provide for women of all ages. But to be sure that FemTouch™ is right for your specific gynecological needs, it’s important to first consult with a board-certified gynecologist. For more information on laser vaginal rejuvenation or to schedule an appointment, please contact Dr. Kristine Gould at Gynecology Associates of Gwinnett today. And follow us on Facebook and Twitter for additional questions, tips, news, and details on our upcoming health and wellness events.

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

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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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