My Blog
By Bay Area OB/GYN
January 28, 2021
Category: OB/GYN Care
Bleeding During Your PregnancyA Google search will show you thousands upon thousands of women who are wondering whether bleeding is okay during pregnancy. We understand that bleeding can be scary, especially if you aren’t sure what’s causing it. Here’s what you should know about bleeding, including when to turn to an OBGYN.

Bleeding During Your First Trimester

Your body is going through a ton of changes, especially during the first trimester. So it shouldn’t come as much of a surprise that as many as 30 percent of women experience some sort of spotting or light bleeding during early pregnancy. Some of the causes of light bleeding or spotting include,

Implantation bleeding: After about 6 to 12 days after conception, some women experience cramping and light spotting. This is known as implantation bleeding. While some women may assume that their period is coming (since implantation bleeding usually appears a few days before a woman’s period), implantation bleeding is very light and may cause pink or brown spotting that may only last a day or two.
Cervical polyps: These (often) benign polyps are common in women and can lead to inflammation and spots of bright red blood. You may not experience any other symptoms apart from light bleeding, but your OBGYN can diagnose polyps during a pelvic exam.
Pelvic exams, intercourse, or infection: Anything that may irritate the cervix may result in bleeding. This includes infections, intercourse, or a pelvic exam. If you notice some drops of bright red blood after intercourse or a pelvic exam, don’t worry. It will go away on its own.

Bleeding During Second and Third Trimester

While light bleeding is fairly normal during the first trimester, it’s less common and more likely to be a concern if there is bleeding in the second or third trimester. If you are bleeding during your second or third trimester it’s best to talk with your OBGYN as it could be a sign of,
  • Placental abruption
  • Problems with the cervix such as an infection
  • Placenta previa
  • Premature labor
Bleeding: When to be Concerned

Since bleeding could be a sign of a miscarriage, ectopic pregnancy, or other serious problems, you must talk with your OBGYN about any bleeding you experience. You should call your doctor right away if,
  • Your bleeding lasts more than 24 hours
  • Bleeding is heavy or you pass blood clots or tissue
  • Your bleeding is accompanied by abdominal pain, fevers, or chills
If you have any concerns about symptoms or issues during pregnancy, your OBGYN can provide you with the answers and care you need. Don’t ever hesitate to call your OBGYN if you are worried about bleeding or other problems. A simple phone call can determine whether you need to come in for an evaluation.
By Bay Area OB/GYN
January 13, 2021
Category: OB/GYN Care
Tags: Bladder Infection  
Bladder InfectionHaving trouble going? It could be due to a bladder infection.

You’ve been running back and forth to the bathroom all day and you’ve noticed an increased urgency to pee, even after you’ve just gone. What gives? Well, if you notice burning or pain with urination you could very well be dealing with a bladder infection. Most people will experience a bladder infection at least once during their lifetime. If you are experiencing symptoms of a bladder infection you may want to call your OBGYN for a checkup.

What are the signs of a bladder infection?

Bladder infections are one of the most common urinary tract infections (UTIs). If you have a bladder infection you may experience,
  • Strong-smelling urine
  • Cloudy urine
  • Increased urgency and frequency of urination
  • Abdominal cramping
  • Burning with urination
  • Pain that lingers after urinating
If you are experiencing symptoms of a bladder infection you must see your OBGYN right away for treatment. Bladder infections will require prescription medication to treat the infection. If left untreated, bacteria from the bladder can spread to the kidneys, leading to intense back pain, chills, fever, and vomiting.

How is a bladder infection treated?

Your OBGYN will prescribe an oral antibiotic to kill the bacteria in the bladder. You may also receive medication to ease burning and pain with urination. You must be drinking plenty of fluids to flush out bacteria in the bladder.

You should see an improvement in your symptoms after 2 days of taking the antibiotics, but you mustn’t stop taking your medication once you start to feel better, as the infection can return.

Is there a way to prevent bladder infections?

There are certain lifestyle adjustments that you can make to prevent the development of a bladder infection. Some of these habits include,
  • Drinking enough water every day
  • Taking showers over a bath
  • Not douching or using scented feminine products
  • Wearing loose-fitting clothes
  • Urinating immediately before and after intercourse
From bladder infections to birth control options, your OBGYN can be an invaluable source to turn to for treatment and care. If you are dealing with recurring bladder infections, you’ll definitely want to talk with your OBGYN to find out what could be causing your frequent infections.
By Bay Area OB/GYN
December 24, 2020
Category: OB/GYN Care
What Is Cervical EctropionCervical ectropion, also referred to as cervical erosion, is when the glandular cells found inside the cervical canal are also found outside the cervix. This harmless, benign condition is more common than you might realize. Some women are born with this while others develop it as a result of hormonal changes. Young women who are taking oral contraceptives, pregnant, or going through adolescence are also more likely to develop cervical ectropion. If you have cervical ectropion, an OBGYN can provide you with the answers you need to manage this condition.
 
Are there symptoms?

Most of the time, this condition doesn’t cause any symptoms. Most women don’t even know they have it until they visit their gynecologist for their annual checkup. If you do have cervical ectropion you may notice,
  • Spotting between periods
  • Light discharge
  • Discomfort during sex
You may also experience a little discomfort when undergoing a regular pelvic exam. We understand that pain with sex can be concerning. Spotting or breakthrough bleeding between periods or pain with intercourse could also be signs of an infection, fibroids, endometriosis, or other health problems, so it’s important to see your OBGYN for a proper diagnosis.
 
How is cervical ectropion treated?

If you aren’t experiencing symptoms, then treatment really isn’t necessary. In some cases, cervical ectropion may just go away on its own. Of course, heavy discharge, bleeding, or pain can be managed through cauterization (performed through heat, cold or silver nitrate), which removes the glandular cells from outside the cervix.
 
In most cases, this procedure is enough to get rid of this condition; however, it is possible for symptoms to return. If they do, your OBGYN may decide to simply repeat the procedure.
 
Does cervical ectropion increase my risk for cervical cancer?

Finding out that there are cellular changes within the cervix can be a little unnerving, but this condition is completely harmless. If you are pregnant this will not harm your unborn child and this cervical ectropion will not increase your risk for cervical cancer.
 
Do you have questions or concerns about cervical ectropion? Want to talk about your treatment options? If so, your OBGYN can help.
By Bay Area OB/GYN
December 09, 2020
Tags: Fibroids  
FibroidsThe NIH reports that 20-25 percent of women of reproductive age have fibroids, benign tumors that develop within the lining of the uterus. Some women have fibroids but don’t even realize it until they find out from their OBGYN during a routine pelvic exam; however, other women may deal with heavy menstrual bleeding, pelvic pain, and sex with intercourse due to fibroids. Since fibroids can affect fertility, it is important that you talk with your OBGYN about the best ways to manage your fibroids.

Can fibroids become cancerous?

The majority of the time fibroids are completely benign. It is extremely rare that a fibroid will turn cancerous. Also, having fibroids will not increase your chances of developing uterine cancer or cancerous fibroids.

How are fibroids treated?

Since most women don’t experience symptoms, they won’t necessarily need treatment; however, women who do experience symptoms will want to discuss their options with a qualified OBGYN. Your OBGYN will be able to decide the best strategies for treating your fibroids based on your health, the symptoms you’re experiencing, whether you plan to become pregnant in the future, your age, and the size of the fibroids.

Mild symptoms may be managed with simple over-the-counter pain relievers such as ibuprofen. If you have heavy periods, your doctor may recommend iron supplements to prevent anemia. Some forms of birth control including an intrauterine device (IUD) can also help manage fibroid symptoms.

Another medication used to treat fibroids is a gonadotropin-releasing hormone agonist (GnRHa). This medication can be administered in many different ways (e.g. inhaled, ingested, or injected) and is used to shrink large fibroids.

If you experience more severe fibroid symptoms, then your OBGYN may recommend surgery to have the fibroids removed. This procedure is known as a myomectomy.

Can I get pregnant if I have fibroids?

It can be more difficult for women with uterine fibroids to get pregnant, but it is still a possibility. Of course, women who become pregnant while they have fibroids may be more at risk for complications so it’s important that you have an obstetrician that will know how to best handle fibroids during your pregnancy. While there may be concerns, having fibroids does not put you in the high-risk pregnancy category.

Are you experiencing symptoms of fibroids? If so, it’s important to talk with your OBGYN about your symptoms and how to get them under control.
By Bay Area OB/GYN
November 19, 2020
Category: OB/GYN Treatments
Tags: Painful Sex  
What To Do if You Experience Pain During SexWhile it might not be a topic that we often discuss, we understand just how important it is for women to have a healthy sex life. But what happens when you start experiencing pain during sex? Dealing with frequent pain with sex can be frustrating and upsetting. Fortunately, your OBGYN can determine what’s causing your pain and provide you with effective solutions to make sex enjoyable and fun again.

Why am I experiencing painful sex?

There are several reasons why you may experience pain with intercourse. One of the more common ones is a lack of lubrication; however, painful sex could also be a sign of:
  • An infection including yeast infections and infections of the cervix
  • Vaginismus: A condition that causes muscle spasms of the vaginal wall
  • Endometriosis: Where tissue similar to uterine tissue grows beyond the uterus
  • Ovarian cysts and other ovarian conditions
  • Pelvic Inflammatory Disease (PID): Causes severe inflammation of the deeper pelvic tissue
  • Vulvodynia: A condition that causes chronic pain in the vulva and other external organs including the clitoris
How is painful sex treated?
 
How this situation is addressed will depend on the root cause of your symptoms. In some instances, you won’t need to see an OBGYN for treatment. For example, if you’ve just had a baby you need to wait at least six weeks before having sex. If you have sex too early you could experience pain. In this situation, you simply need to wait.

However, when it seems like something more is at play then it’s time to consult an OBGYN. If vaginal dryness is the cause, we can recommend or provide special lubricants. Menopausal women who are experiencing vaginal dryness may need hormone replacement therapy or estrogen creams.

We will need to perform a physical exam to check for any tears, signs of STDs, inflamed tissue, or other signs of infection or certain vaginal conditions. Some conditions simply require medication (as is the case with yeast infections or PID); however, chronic conditions such as endometriosis will require special treatments, lifestyle changes, and long-term monitoring from an OBGYN.

Are you dealing with painful sex? If so, your OBGYN can provide you with the care you need to get this problem under control. It’s important to address this problem as soon as possible.




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