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For many women, sudden unexpected symptoms like vaginal itching can be an indicator of a vaginal infection. While it’s understandable to think you may be dealing with a yeast infection, it is even more likely that you are experiencing bacterial vaginosis. Bacterial vaginosis (BV) is an infection of the vagina that results from an imbalance of bacteria in the vagina. According to the Centers for Disease Control and Prevention (CDC), it affects nearly 30% of women between the ages of 15 to 44. But what exactly causes BV and what warning signs should women look out for? Our board-certified gynecologists are here to answer those questions.

What are the Warning Signs of Bacterial VaginosisBacterial vaginosis occurs when there is an overgrowth of the bacteria that causes an imbalance of the yeast and bacteria present in the vagina. The infection can cause the lining of the vagina to become inflamed. Factors that can affect this balance and cause BV include the use of certain antibiotics or hygiene products like douches or fragranced soaps. These soaps can strip away some of the natural vaginal bacteria and impact the balance of your vagina. In some cases, BV can result from hormone changes associated with pregnancy, breastfeeding, or menopause. The infection can also be passed between sexual partners, especially when both partners are women.

Although in many cases, bacterial vaginosis can exist without any noticeable symptoms, there are some warning signs we recommend looking out for. BV often comes with a thin vaginal discharge that is white or gray in color. It may have a fishy or sour odor, especially after sex. Other common symptoms include a burning sensation during urination, vaginal itching, and vaginal irritation.

Treatment for bacterial vaginosis will depend on the cause of your infection. After discussing your symptoms and running a few diagnostic tests to confirm the diagnosis, our board-certified gynecologists may prescribe either a pill that is taken orally or a topical cream which can be inserted into the vagina (or both). A course of treatment for BV typically lasts between one and seven days. In some cases, we may recommend treatment for your sexual partner as well.

The symptoms of BV can be similar to yeast infections, so it’s important to visit your board-certified gynecologist in order to receive a proper diagnosis. Although bacterial vaginosis may not present a serious concern to your overall health, it’s important to treat it quickly and relieve any troublesome symptoms that may be causing you distress. For more information or to schedule your appointment with board-certified gynecologist Dr. Kristine Gould, please contact Gynecology Associates of Gwinnett today. Follow us on Facebook, Twitter, and Google+ for additional tips, news, and more.

It’s important for women to be engaged and ask questions while visiting with their board-certified gynecologist. We know sometimes these questions can seem personal or embarrassing, but being proactive can make a world of difference in the way you think about and manage your reproductive health. This is especially true for questions pertaining to menopause. After all, menopause is a complex topic and there is a lot to know. Because menopause can be a source of confusion and uncertainty for many women, our board-certified gynecologists are happy to answer some commonly-asked questions on the subject.

Tips to Help Manage Early MenopauseQuestion #1: How can I tell when I’ve entered menopause if I have already undergone a hysterectomy?

There is a common misconception that women who have had hysterectomies don’t need to be as aware of changes related to menopause. This simply is not true. In addition to affecting the menstrual cycle, there is a strong like between menopause and osteoporosis, diabetes, and other health conditions. This is why it’s important for women who have had hysterectomies to undergo regular hormone tests to monitor their estrogen levels and be cognizant of their reproductive health status. We recommend of making a note of any changes you experience and communicating this to your gynecologist during your next appointment.

Question #2: Will my voice change as a result of menopause?

Menopause affects every woman differently. However, it is possible for your voice to change after menopause. When women enter menopause, they naturally lose estrogen, while still producing the same amount of testosterone. This can lead to a hormone imbalance that can make a woman’s voice slightly deeper and more masculine. If you experience this, these vocal changes can be treated with estrogen supplements or hormone replacement therapy.

Question #3: What can I do if sex has become painful or uncomfortable after menopause?

It’s natural for some women to experience pain or discomfort during sex after they have gone through menopause. In many cases, this can result from vaginal dryness associated with lowered estrogen levels during menopause. Certain medications and topical creams can help women relieve these symptoms. I commonly recommend FemTouch™ Non-Surgical Laser Vaginal Rejuvenation for women who experience pain or discomfort during sex after menopause. FemTouch™ treatments can safely and effectively treat common vaginal health symptoms without the need for surgery.

If you have any additional questions of your own about menopause or other reproductive health concerns, you can always contact Dr. Kristine Gould at Gynecology Associates of Gwinnett to schedule an appointment. We also recommend following us on Facebook, Twitter, and Google+ for even more tips, news, updates, and details on our upcoming health and wellness events. 

Early detection and diagnosis is a critical step towards successfully treating any gynecological or reproductive issue that a woman may experience. By catching a gynecological health concern early, you will likely provide yourself with more effective treatment options. This is why it’s so important to keep up with your regular gynecological appointments including your annual well woman exam and Pap smears.

What to do After Receiving an Abnormal Pap ResultA Pap smear, sometimes referred to as a Pap test, is a crucial part of maintaining the best-possible reproductive health and wellness over time. Pap testing is used as a tool for diagnosing cervical cancer in women, as well as checking for any abnormal cells that could potentially be cancer-causing if not addressed. During a Pap smear, a small sample of cells is collected from the cervix. This sample is then carefully analyzed to detect the presence of cervical cancer as well as monitor the size and shape of the cells to look out for potential warning signs of cancer.

According to statistics collected by the National Cervical Cancer Coalition (NCCC), nearly 13,000 women are diagnosed with cervical cancer in the US each year. A Pap smear can effectively detect cervical cancer early enough to treat it before it has a chance to grow and spread. Pap testing is especially important for women with certain risk factors for cervical cancer including a family history with the disease or a past Pap smear that showed precancerous cells.

After Pap testing begins at age 21, many doctors recommend it be repeated at least every three years. However, here at Gynecology Associates of Gwinnett, we think there is tremendous value in undergoing Pap testing annually. This will help ensure that any potential abnormalities are caught as quickly as possible, so they can be most successfully treated. Here in our office, we perform Pap smears as part of an annual well woman examination.

Every woman is different so we strongly recommend speaking with your board-certified gynecologist to determine how often Pap testing should be performed. However, regardless of your specific situation, we cannot emphasize strongly enough how important it is to keep up with your gynecological examinations and to never miss a scheduled appointment. For more information or to schedule your Pap smear appointment today, please contact Dr. Kristine Gould at Gynecology Associates of Gwinnett. You can also follow us on Facebook, Twitter, and Google+ for additional news, tips, and details on our upcoming Health and Wellness events.

One of the great pleasures we experience from working as one of the Atlanta area’s leading providers of gynecological services is hearing back from those we have helped in the past. No matter the reason for your visit, we pride ourselves on offering amazing, hands-on care for every woman who steps into our office. Whether it’s for a routine screening exam, an opinion on a certain intimate concern like menopause, or a gynecological surgery procedure, we work hard to provide the highest level of attention, knowledge, and care that every woman deserves. So, it’s certainly wonderful to receive confirmation that we have been able to positively impact the lives of those that we work with in the form of testimonials from our past patients. Keep reading for firsthand accounts on the care our board-certified gynecologists have provided:

Dr Kristine GouldDr. Gould is amazing! I went to her as a new patient with two concerns that other doctors had brushed off as insignificant. Within a week, I had a procedure to fix one of the issues and blood work back regarding the other issue. I have never felt so listened to and validated by a doctor. She was focused on my total health as a woman and extremely thorough. I would recommend her to anyone.

- LB

I had suffered with painful vaginal dryness after menopause for quite some time. I had been taking an oral medication for several years, but it was costly and had to be taken daily. Dr. Gould recommended treatment with FemTouch™ Non-Surgical Laser Vaginal Rejuvenation and it has worked very well for me. I did not experience any discomfort or pain during the few minutes that it took to do the procedure. I did experience slight dryness 2 weeks after the first treatment but refrained from the oral medication to give the laser treatment a chance to work. The dryness went away and has not returned! I am definitely pleased with the results so far and have recommended this treatment to my sister.

- RA

I would have to say that my experiences with Dr. Gould and her staff have all been incredibly pleasant. Dr. Gould is so easy to talk to and is willing to answer any question that I have. She is the most wonderful person and genuinely cares about each of her patients like she has known them her whole life. She has made this 51-year old a very happy lady. I was recommended to her by my sister and I have personally recommended her to several friends.

– JB

We understand that a visit to the gynecologist can be a source of anxiety or trepidation for many women. That’s why we make it our goal to make each appointment as simple, comfortable, and helpful as possible. For more information or to schedule your appointment, please contact Dr. Kristine Gould at Gynecology Associates of Gwinnett today. You can also follow us on Facebook, Twitter, and Google+ for additional gynecology info, tips, and details on our upcoming Health & Wellness events.

Vaginismus is among the most common causes of painful or unsatisfying sex for women. The condition affects women by causing the vaginal muscles to involuntarily and persistently contract during any form of vaginal penetration. Depending on the specific case, a woman’s vaginismus symptoms can range from mildly uncomfortable to extremely painful. Vaginismus can be challenging for some women to identify and diagnose. Although vaginismus can affect every woman differently, we have highlighted its most common symptoms to help educate our readers on how it can be identified.

How to Treat the Symptoms of Vaginal Laxity or Vaginal LoosenessPain During Sex

The symptom most commonly associated with vaginismus is pain during sexual intercourse. Vaginismus does not prevent women from becoming sexually aroused, however vaginal constriction occurs at the time of vaginal penetration. Some women have described feeling a tearing sensation or a feeling like the man is "hitting a wall."

Discomfort with Vaginal Penetration

The pain or discomfort that women with vaginismus experience during sex can also affect them during other instances of vaginal penetration. For instance, vaginismus can make something as routine as inserting a tampon nearly impossible. Vaginismus pain can also occur during routine gynecological examinations like a pelvic exam. Additionally, some women may experience a burning or stinging pain when anything is inserted into the vagina.

Psychological Effects of Vaginismus

In addition to the physical effects of vaginismus, the condition can have a profoundly negative impact on a woman’s sex drive or ability to enjoy sexual intimacy. Due to their symptoms, it’s common for women who experience vaginismus to develop anxiety or fear about sexual intercourse.

Although it may seem embarrassing to talk about, suffering from vaginismus is nothing to be ashamed of. There are several treatments and therapies for vaginismus that can be very effective. The first step in successfully treating vaginismus is scheduling a visit with your board-certified gynecologist to discuss your symptoms. Here at Gynecology Associates of Gwinnett, we will conduct a physical evaluation (including a pelvic exam) and work with you to determine the underlying cause of your pain and create the most beneficial treatment plan based on your specific needs. For more information on vaginismus, contact board-certified gynecologist Dr. Kristine Gould to schedule your appointment today or follow us on Facebook, Twitter, and Google+ for additional news, tips, 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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