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4 Things That May be Causing Your Night SweatsIf you have experienced night sweats before, you know it’s not an especially pleasant experience.  Everyone wakes up every now and again feeling a bit overheated. Although uncomfortable, there is a difference between these episodes and true night sweats. Night sweats are characterized by "extreme perspiration" (as in, soaked bed sheets) and they are typically associated with an underlying medical condition or genetic predisposition. To help you get a better idea of what may be causing your issues, our board-certified gynecologist Dr. Kristine Gould has detailed four of the most common causes of night sweats for women:

Menopause
Menopause is by far the most common cause of night sweats in women. During the perimenopause period, many women experience hot flashes that result from fluctuating or decreased levels of estrogen produced by the body. If a hot flash occurs at night, this can lead to night sweating.

Increased Risk of Heart Disease
For middle-aged women, experiencing regular night sweats can be a sign of increased risk of cardiovascular disease, according to a study in the International Journal of Obstetrics and Gynecology. Several factors that can lead to increased night sweating like high blood pressure, diabetes, and being overweight are also risk factors for heart disease risk.

Reactions to Certain Medications
Night sweats may occur as a side-effect of many medications women take. This includes certain common antidepressants. Many hormone treatments, including birth control and those related to cancer treatments can also lead to night sweats. This also applies to certain diabetes drugs, which can cause night sweats if a person's blood sugar drops too low.

Certain Gynecological Cancers
Several types of cancer, including ovarian cancer, can cause night sweats. If, in addition to your night sweats, you experience symptoms like unexplained fever, bloating in the abdominal area, pelvic pain, or frequent urination, you should contact your gynecologist to find out if it’s a warning sign from your body.

It’s important to remember that night sweats can be hard to differentiate from normal flushing or redness. Also keep in mind that there are many other potential causes of night sweating and you may require a visit with your board-certified gynecologist to discover the cause of your symptoms. For more information on night sweats or if you 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 more tips, news, and updates.

Hear From Our Amazing PatientsHere at Gynecology Associates of Gwinnett we take great pride in providing personal, hands-on treatment to all of our patients. Regardless of whether someone comes into our office for a routine reproductive wellness exam, opinions on female issues like menopause, or a gynecological surgery procedure, it’s important that every patient be treated with the upmost attention and care they deserve. So it certainly warms our hearts whenever we hear back from any of the women we were able to help over the years. To help readers understand the special bond we develop with our patients, we have invited some of our them to share testimonials about their personal experiences with our board-certified gynecologists.

To help get us started, hear one of our patients discuss the difference our personal care can have during a gynecology visit:

Doctor Gould, I want to thank you for being a very special doctor. I was so impressed with you during my first visit. You made me feel important to you that you really cared for my wellbeing as a patient. Doctors like you are very rare. I have recommended you to my friends and from their first visit they feel the same. Thank you for being a wonderful doctor. - SL

Our second testimonial highlights the kind of long-term bond that can form between our doctors and patients going through menopause and other life changes that may occur:

I came to Dr. Kristine Gould in my pre-menopausal 40's and she has given me the great care that all women need for their Gynecological Health. Dr. Gould is always able to answer my questions in a knowledgeable, straight forward and positive manner. She guided me through 10+ years with outstanding advice. In addition, Dr. Gould and her office staff create an environment that is caring and nurturing to her patients. – KR

Lastly, one of our hysterectomy patients explains how our commitment to caring for our patients extends far beyond just the procedure itself:
Dr. Gould is an amazing gynecologist with the perfect bedside manner. She carefully walked me through what I could expect during my hysterectomy. Every aspect of her service from pre-consultation, surgery and post-surgery was met with concern for my overall health and wellbeing. She is the best and I highly recommend her. - TPM

We know that no woman looks forward to a visit to the gynecologist. Our goal is to assure our patients that they will receive only the best hands-on care, guidance, and advice from the moment they step foot into our office. For more information or to make an appointment, please contact Dr. Kristine Gould at Gynecology Associates of Gwinnett today. You can also follow us on Facebook, Twitter, and Google+ for more gynecology information, tips, and info in upcoming Health & Wellness events.

One of the more common questions we receive from patients is when they can safely stop worrying about birth control. The truth is, it’s common for women in their 40’s or even early 50s to stop thinking about contraception a bit too soon. While a woman’s chances of becoming pregnant decline as she ages, the vast majority of women in their early-to-mid 40’s can still become pregnant. Regardless of whether you are finished having children or still considering becoming pregnant for the first time, birth control is the last line of defense between you and the unexpected.

Birth Control Options for Women in their 40sAccording to research conducted by the Mayo Clinic, nearly 75% of pregnancies in women in their 40’s or older are unplanned. As women age, the potential risks of pregnancy complications and miscarriage can also rise. So, if you want to avoid an unwanted pregnancy, it’s very important to continue using effective birth control until you have reached menopause. This is typically defined by a full year without experiencing a menstrual cycle.

By this point in your life, you're probably pretty well-versed in that variety of available birth control methods. The question now is, which method makes the most sense for you now? The answer depends on whether or not you are open to becoming pregnant in the future. We recommend anything from the following three categories for women in their 40’s or older who prefer to keep their options open in regards to future pregnancy:

Birth Control Pills: Women in their 40’s can still safely use oral contraception, as long as they don't smoke, have normal blood pressure and are in good overall health.

Other Hormonal Options: This may include patches, IUDs, implants and other estrogen-based options like the NuvaRing® device. The Depo-Provera shot is another long-lasting birth control option for women in their 40’s.

Barrier Options: Barrier birth control methods, including diaphragms and condoms, are available (but considerably less common) for women in their 40’s and beyond.

For women who are sure that they do not want to become pregnant, we offer long-term birth control options like a tubal ligation procedure. Even for women beyond age 40 who may be closer to menopause, choosing the right birth control method is a complicated decision that requires considerable thought and consideration. If you’re not sure which contraceptive approach is best for you, we invite you to contact Gynecology Associates of Gwinnett to schedule an appointment with board-certified gynecologist Dr. Kristine E. Gould. For more information on birth control, you can also follow us on Facebook, Twitter, and Google+ for more tips, updates, and news on our upcoming Health and Wellness events.

Stress is a natural part of life. Although a certain amount of stress can be good and even help us challenge ourselves, too much stress at any given time can negatively affect our mental and physical health. A woman’s hormones and brain chemistry offer some protection from stress, but women are still more deeply affected by the effects of being over-stressed than men. And these effects can manifest themselves in a number of ways, including leading to irregularities with menstrual periods.

How Stress May be Affecting Your Period

According to findings from the American Journal of Epidemiology, women who work in overly-stressful jobs have a 50% higher risk for shortened menstrual cycles (less than 24 days) than women who work in lower-stress positions. Chronic stress that builds up over a period of time can fundamentally alter the body’s hormone balance, throwing your normal menstruation cycle out of whack. This can lead to periods that are late, abnormally heavy or light, or missed entirely.
We can’t tell you to avoid getting stressed out entirely; that’s just not possible. We can however recommend a number of things that can help you promote better menstrual health by managing your stress in a healthy, productive way. Try out the following suggestions:

  • Improving your diet (eating well-balanced meals and cutting out junk food) can help reduce stress by improving your physical well-being and emotional health.
  • Don’t forget to exercise. Being physically active can be a terrific way to improve your physical health, lift your spirits, and promote the release of endorphins, a natural brain chemical associated with your mood.
  • Find fun ways to relax. Picking up a hobby can be a great way to help unwind at the end of a long day. Knitting and needlepoint are known to have stress-reducing effects.
  • Try breathing exercises, as well as non-strenuous activities like yoga, meditation, and tai chi that can help both the mind and body cool down.
  • Talk it out. Simply talking about what is causing your increased stress can be a great way to get it off your chest, as opposed to just letting it pile up without a release.

Remember not to go nuts trying to eliminate stress from your life entirely. The best you can do is accept that stress is unavoidable and work on your methods on how to reduce and manage it before any menstrual issues should occur. For more information on stress and gynecological health, please contact Gynecology Associates of Gwinnett today. You can also follow us on Facebook, Twitter, and Google+ for more tips on reproductive health and updates on our upcoming health & wellness events.

Tips for Choosing the Right Birth Control MethodThere is no right or wrong choice when you are determining how to pick a birth control method. When weighing your options, what matters most is finding the appropriate choice for you and your lifestyle. It’s crucial to find the birth control method that best fits your own personal needs. With so many choices, it’s fairly common for this decision to seem a bit overwhelming for certain women. That’s why we’ve come up with some of the most important factors to consider when choosing a birth control method.

Here at Gynecology Associates of Gwinnett, we currently offer eight different kinds of birth control and we will continue to add new ones as they become available. These birth control methods range from barriers like diaphragms to longer-term solutions like intrauterine devices or birth control pills. These methods are in addition to long-term birth control solutions including tubal litigation procedures. Each option has its own pros and cons. The important part is selecting which one makes sense for you, when factoring in your lifestyle, budget, medical history and plans to become pregnant sometime in the future.

Before making any decisions, you should consult with your board-certified gynecologist about which birth control method makes the most sense for you. During your consultation, we recommend asking the following questions to help narrow down your choices:

  • How readily available is each birth control method?
  • Which birth control methods should I avoid if I plan to become pregnant in the future?
  • How effective is each birth control method?
  • How should pre-existing health conditions like heart disease or diabetes factor into my choice?
  • How expensive is each birth control method?
  • Will this particular birth control method help protect me from potential sexually-transmitted diseases?
  • How convenient or easy to use is each birth control method?
  • What are the side effects associated with each birth control method?
  • What age do I have to be to begin taking birth control?

Keep in mind, once you have made your choice, it doesn’t necessarily have to be final. As a woman ages and her lifestyle changes, she may need or want to change her birth control method. So do your research, consult with your board-certified gynecologist and select the birth control method that makes sense for your current situation. If you need more information on birth control, 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.

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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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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.