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The reproductive healthcare professionals here at Gynecology Associates of Gwinnett know that certain conditions we treat can be complicated and difficult to understand. That’s why communication is such a crucial aspect to every patient we see in our practice. We pride ourselves on not only treating common reproductive health concerns for women, but also making sure our patients feel informed and confident through every step of the treatment process. In the spirit of education, board-certified gynecologist, Dr. Kristine Gould, was happy to answer a few questions pertaining to the women’s health and wellness services we perform.

Question #1: Will anesthesia be administered before a labiaplasty procedure?

Yes, labiaplasty is a surgical procedure that requires the use of an anesthetic. Depending on the patient’s needs and preferences, as well as the opinion of the gynecologist performing the procedure, labiaplasty can be performed using either a local anesthetic or general anesthesia. This is a subject that will be discussed during the pre-surgery consultation appointment.

Question #2: What are the most common causes of pelvic organ prolapse?

 In many cases, a pelvic organ prolapse occurs as a result of pregnancy and vaginal childbirth. During this time, the muscles that support the pelvic floor may begin to weaken, leading to an eventual prolapse. However, there are other potential causes of pelvic support issues. This includes transitioning into menopause, natural aging, being overweight, and physical strain related to heavy lifting.

Question #3: When determining if a vaginal discharge is abnormal, what should I look out for?

Experiencing a vaginal discharge is not always a sign that anything is wrong. However, there are certain warning signs to keep an eye on. For instance, vaginal discharge that is bloody or has a brownish color could potentially be a sign of certain gynecological cancers. Additionally, a vaginal discharge that is cloudy and yellow, pink, frothy, or has a usual odor may be a sign of a bacterial or yeast infection or a more pressing concern.

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

At Gynecology Associates of Gwinnett, we feel it is important and often helpful for us to be able to offer our patients multiple options for addressing their reproductive health concerns. Like many other wellness treatments that we offer, endometrial ablation can be performed using different techniques and methods. This procedure is often used to assist women who experience irregular or especially heavy menstrual bleeding. Today, we wanted to focus on endometrial ablation with Minerva and the unique benefits this treatment method can provide our patients.

The Minerva system is a non-invasive procedure. Instead of utilizing incisions and surgical techniques, Minerva endometrial ablation applies focused heat energy to the endometrial tissue. Once the treatment has begun, Minerva allows our board-certified gynecologist, Dr. Kristine Gould, to deliver this energy to the endometrium using three different methods that include ionized argon gas, radiofrequency energy, and heated fluid to better treat the specific needs of each unique procedure. This customizability and flexibility is part of what has made the Minerva system such a success with women in recent years.

Check out the video below for more in-depth details on Abnormal Uterine Bleeding, which can be treated with Minerva endometrial ablation:

It’s important to remember that endometrial ablation is only an option for women who are not interested in becoming pregnant in the future. If you experience irregular menstruation and think that you might be a good candidate for endometrial ablation, we highly recommend reaching out to your board-certified gynecologist to set up a consultation appointment. Please don’t hesitate to contact Gynecology Associates of Gwinnett to set up an appointment with Dr. Kristine Gould today. You can also follow along with us on Facebook for additional health tips and news, as well as our medical spa, MadEmEL Medical Aesthetics, on Facebook and Instagram too.

Experiencing irregular menstrual bleeding is quite common. Periods that are especially heavy, or last longer than normal, happen and are not necessarily a cause for concern. However, if this abnormal menstruation persists over time, it could be a sign of a reproductive health issue, and even lead to other health concerns like anemia if not properly treated. At our practice, board-certified gynecologist, Dr. Kristine Gould performs endometrial ablation procedures to help women who experience excessive menstrual blood loss. In order to assist women who might benefit from undergoing this procedure, we wanted to discuss what makes someone a good candidate for endometrial ablation.

During an endometrial ablation, a thin layer of tissue that lines the uterus (known as the endometrium) is removed. The procedure can be performed using heat, cold, or different types of energy depending on each woman’s specific needs and preferences. Endometrial ablation is a non-surgical (non-invasive) procedure and recovery afterward is typically fairly simple and straightforward.

Good candidates for endometrial ablation include women who experience persistent abnormally heavy menstrual bleeding. This means bleeding that is heavy enough to soak a pad or tampon in two hours or less, bleeding that lasts longer than eight days, and bleeding so heavy that blood loss is considered excessive and creates the risk of developing anemia. It’s also important to note that endometrial ablation is not an option for women who plan to have children in the future.

While there are other treatments available for women who experience irregular menstrual bleeding, we have had incredible success with endometrial ablation at our practice over the years. Our providers are able to perform endometrial ablation using two different methods to better satisfy our patients. If you think you might be a good candidate for this procedure, we highly recommend contacting Gynecology Associates of Gwinnett to set up an appointment with Dr. Kristine Gould. You can also follow along with us on Facebook for additional health tips and news, as well as our medical spa, MadEmEL Medical Aesthetics, on Facebook and Instagram too.

woman-looking-at-IUDFor women who are interested in a long-term birth control solution, an IUD (Intrauterine Device) can be incredibly beneficial. IUDs are an extremely dependable (over 99% effective according to the Centers for Disease Control and Prevention) and safe way to help protect against unwanted pregnancy. IUDs can be an excellent long-acting birth control option, but it’s important for women to know that an IUD will only work if it is inserted into the uterus correctly. Although it is rare, it is possible for an IUD to become displaced or even fall out. To help determine if something may be amiss, we wanted to discuss potential warning signs that an IUD is not correctly positioned.

There is a Difference in the Strings

An IUD has two thin strings that hang down from the end, which are used to help a gynecologist remove the device from the woman’s body. When properly in place, the strings will normally extend to the very top of the vagina. We recommend checking on these strings on a monthly basis to make sure the length still feels normal. If the strings are longer or shorter than normal (or cannot be felt at all), the IUD may be out of position.

You Notice Irregular Bleeding

Changes to menstruation are fairly common for women with IUDs. For women who use a hormone-based IUD, it’s normal for a period to be lighter (or even nonexistent) once the body fully adjusts to the device. Conversely, non-hormonal IUDs may make bleeding heavier in some women. However, if intense irregular bleeding or heavy spotting between periods, it could be due to the IUD being displaced.

You Experience Pain During Sex

For some women, intercourse may change slightly after getting an IUD. However, if sex becomes painful or uncomfortable, this could be a sign that the IUD isn’t where it should be. This pain can sometimes be caused by an IUD irritating other reproductive organs, such as the cervix.

The chances of experiencing any of these issues is very small and we absolutely still recommend IUDs as an excellent and safe way to prevent unwanted pregnancy. Still, it never hurts to be informed in the case that something irregular does occur. If you think there is a chance your IUD may have become displaced, it’s important to visit with your reproductive healthcare provider as soon as possible. To schedule an appointment, please contact Gynecology Associates of Gwinnett today. Don’t forget to follow us on Facebook for additional health tips, news, and much more. You can also follow our full-service medical spa, MadEmEL Medical Aesthetics, on Facebook and Instagram.

GAoG 3While it may seem concerning, irregular menstrual bleeding is actually incredibly common. Bleeding may be considered irregular or abnormal if it is especially light, especially heavy, or happening at unpredictable times that do not coincide with a woman’s natural menstrual cycle. Despite how common this condition is, there are several potential causes of irregular bleeding and plenty for women to know about the subject. That’s why the reproductive healthcare providers here at Gynecology Associates wanted to answer some commonly asked questions about irregular menstrual bleeding.

Question #1: Can using birth control potentially cause irregular menstrual bleeding?

 Hormone-based birth control methods like birth control pills can affect menstruation in different ways. For instance, since most birth control pills contain hormones like estrogen and/or progestin, starting a new birth control regimen, stopping an existing birth control regimen, or altering a birth control routine can lead to irregular bleeding for some women due to resulting hormone fluctuation. Additionally, birth control pills that contain only progestin can sometimes cause bleeding between periods. In addition to birth control pills, long-term hormonal birth control methods like an IUD or birth control implant can decrease a woman’s monthly menstrual bleeding over time.

 Question #2: Are certain age ranges more susceptible to irregular bleeding?

 Yes. Although irregular bleeding can occur at any point in a woman’s life, especially in the months/years after a woman first experiences her period, or as she begins her transition into menopause. During the perimenopause period, it’s normal for the number of days between periods to begin to fluctuate or become irregular. Experiencing missed periods, or especially light or heavy ones, is also normal during this time. Some women who experience irregular bleeding before menopause may benefit from an endometrial ablation procedure.

 Question #3: What female health concerns are most associated with irregular bleeding?

The list of potential issues that can lead to irregular bleeding as a symptom is long, however, the two most notable among them are endometriosis and polycystic ovary syndrome (PCOS). Women with endometriosis experience an overgrowing of the uterine lining, or endometrium. This leads to a chronic inflammatory reaction in the female reproductive system that causes symptoms like irregular bleeding, pelvic pain, and more. PCOS can trigger irregular bleeding by creating higher-than-normal levels of androgens and lower-than-normal levels of progesterone, leading to a hormone imbalance.

Irregular bleeding is not necessarily a sign of any serious reproductive condition, but it’s still always better to be safe than sorry. If you experience irregular bleeding, it’s important to meet with your board-certified gynecologist in order to properly diagnose any potential issues. For more information on the services we provide or to schedule an appointment, please contact Gynecology Associates of Gwinnett today. And don’t forget to follow along with us on Facebook and our medical spa, MadEmEl Medical Aesthetics, on Instagram.

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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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