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Posts for category: OBGYN Care

By J. Gabriel Guajardo, M.D.
September 20, 2021
Category: OBGYN Care
Tags: Uterine Fibroids  
Uterine FibroidsUterine fibroids are common benign growths that develop within the lining of the uterus. While this problem is common among young women, particularly of child-bearing age, you may be concerned about whether or not this condition could impact your current or future pregnancy. An OBGYN will be your guidepost for providing all the information and care you could need throughout your pregnancy, and with regards to treating uterine fibroids.

What are the signs and symptoms of uterine fibroids?

If you have uterine fibroids you may experience:
  • Frequent urination
  • Pain with intercourse
  • Lower back pain or rectal pressure
  • Bloating or fullness in the abdomen
  • Breakthrough bleeding
  • Heavy, painful periods
  • Infertility
Not all women with uterine fibroids will experience symptoms, which is why it’s so important to stay up to date with your OBGYN checkups and routine screenings.

Can uterine fibroids impact my pregnancy?

For some women, having uterine fibroids during pregnancy may present a problem, which is why you should speak with your OBGYN and go to all your scheduled prenatal appointments and checkups. While you may never experience any issues during your pregnancy, uterine fibroids may be more likely to result in:
  • A breech birth
  • Needing a cesarean section
  • Labor that doesn’t progress
  • Preterm delivery
  • Placental abruption
How are uterine fibroids treated?

If a woman isn’t pregnant there are certain medications that she can take to help improve symptoms. Surgery may also be recommended to remove more severe fibroids; however, treatment for uterine fibroids in pregnant women is rather limited because many of these treatment options could pose a threat to the unborn child. In this case, bed rest and staying hydrated are two of the best ways for expectant mothers to manage fibroids. Also, talk with your gynecologist about the right pain medications to take to help control your discomfort.

Even though most fibroids won’t cause any problems for most women during pregnancy, an OBGYN also understands what to look for and signs that could put you and your unborn child at risk to ensure that you get the immediate care and attention you need.
By J. Gabriel Guajardo, M.D.
August 09, 2021
Category: OBGYN Care
Tags: PPH   Postpartum Hemorrhage  
Postpartum HemorrhagePostpartum hemorrhage occurs when there is severe and prolonged bleeding of 500ml or more that occurs within 24 hours after giving birth. This often occurs after the placenta has been delivered and it may be more common in women who’ve had a cesarean rather than vaginal birth. Of course, there are steps your OBGYN can take during the third stage of labor to reduce a woman’s risk for postpartum hemorrhage (PPH).

Signs of PPH

It’s important to recognize the signs of PPH so you can call your OBGYN or 911 to get immediate medical attention. Some signs of PPH include,
  • Heavy vaginal bleeding that won’t stop
  • A drop in blood pressure (a sign of shock)
  • Nausea or vomiting
  • Pale and/or clammy skin
  • Pain or swelling around the vagina
PPH is a life-threatening condition, so you mustn’t ignore these signs after giving birth.

Risk Factors for PPH

While PPH can happen without warning, there are risk factors that can predispose women to develop PPH. If you’ve had PPH in the past, you are more likely to have it in the future. PPH is also more common among Hispanic and Asian women.

You may also be more likely to develop PPH if you have any of these health problems,
  • Uterine atony: When the muscles of the uterus don’t contract or tighten there is nothing to stop the bleeding
  • Uterine inversion: When the uterus turns inside out during childbirth
  • Ruptured uterus: When the uterus tears during delivery (this is rare)
Other conditions and factors that can increase your risk include,
  • Conditions that impact the placenta such as placenta increta or placenta previa
  • Undergoing a C-section
  • Undergoing general anesthesia (often for a C-section)
  • Medicines that induce labor such as Pitocin
  • Vaginal tearing during childbirth
  • Fast labor (less than six hours if this isn’t your first child) or augmented labor (more than 14 hours if this is your first baby)
  • Placental infections
  • Preeclampsia
  • Gestational hypertension (high blood pressure)
  • Blood conditions
If you have questions or concerns about childbirth or delivery, know that your OBGYN is always here to answer any of your questions. Talk through the possibility of PPH with your obstetrician so you can discuss beforehand, the steps that are going to be taken to protect both you and your baby during labor and delivery.
By J. Gabriel Guajardo, M.D.
July 13, 2021
Category: OBGYN Care
Tags: Maternal Age  
Maternal AgeIn the US, more and more women are deciding to have children later in life. Of course, as women wait until their mid-to-late 30s or even 40s to have children some certain risks and complications are more likely to occur during pregnancy. Women who become pregnant at or over the age of 35 years old are considered advanced maternal age (or a geriatric pregnancy). In these pregnancies, your OBGYN may deem you high risk, as certain issues are more likely to occur in older pregnant women over the age of 35.

Okay, so you just turned 35 years old. Should you be concerned about getting pregnant?

Well, not necessarily. It isn’t like everything changes overnight. OBGYNs have been providing care to pregnant women of all ages so they know that when it comes to assessing risk everyone’s needs are different. Just because a woman is 35 years old doesn’t necessarily mean that she will face challenges during pregnancy.

A lot of it has to do with her genetics, medical history, and current health. Women in their 30s and 40s who are in great health may not ever face complications or problems, but it’s still important to recognize these risks ahead of time so that you and your OBGYN can find ways to prevent them from happening.

Your Health is Key to Conception (and a Healthy Pregnancy)

Your health is going to play one of the biggest factors in conceiving after age 35; however, it is important to note that the number of eggs your body produces does decrease with age. The decline occurs in the early 30s with a more serious decline after 37 years old. So, does this mean that you won’t be able to conceive naturally?

Not necessarily. Some women can still easily become pregnant in their early 40s; however, if you’ve been trying to conceive for several months and you’re having trouble, it may be time to talk with your OBGYN.

Possible Complications in Advanced Maternal Age

Women who get pregnant after 35 years old are more at risk for developing certain complications such as high blood pressure or gestational diabetes. Pregnant women over 35 years old are also more likely to face ectopic pregnancies, Down syndrome and other genetic disorders, stillbirth, and preeclampsia.

It’s important to speak with your OBGYN if you are trying to conceive, as certain tests can be performed to check for chromosomal and genetic abnormalities. You may also need to come in more regularly for checkups throughout your pregnancy.

If you are thinking about becoming pregnant and you are over the age of 35, it’s a good idea to speak with your OBGYN to find out if there are certain things you can do before becoming pregnant to keep you healthy and less likely to face complications. Your OBGYN is going to be an integral part of the care you receive both before, during, and after your pregnancy.
By J. Gabriel Guajardo, M.D.
June 24, 2021
Category: OBGYN Care
Tags: Vaginal Agenesis  
Vaginal AgenesisVaginal agenesis is a rare congenital condition that impacts the development of a baby’s reproductive system. As a result, a baby girl may be born without certain reproductive organs or a vagina. While this condition may be diagnosed after your child is born, often this condition isn’t recognized until puberty. While young women with this condition will still go through puberty, they will not have a period and the majority will not be able to get pregnant. An OBGYN may be the first person to diagnose this condition and they will become a valuable part of you or your daughter’s treatment plan.
 
What causes vaginal agenesis?

While the genetic cause is still unknown, research has found that 90 percent of children with Mayer-von Rokitansky-Kuster-Hauser’s Syndrome (MRKH) also have vaginal agenesis. This congenital disorder may vary from child to child. Some young girls may not have a vagina or uterus while other girls may have part of a uterus but no vagina.

We understand that this can be distressing for both the patient and their family. Despite this genetic abnormality, the patient is still considered female. Of course, this can be confusing and a lot to process, which is why an OBGYN can be a great doctor and specialist to turn to for help, support, and care during this time.

While most patients with vaginal agenesis will not be able to carry a child, if they do have a uterus then they can become pregnant when they choose to have a family. This is something that your OBGYN can discuss once the patient becomes an adult.
 
Are there treatment options for vaginal agenesis?

Additional testing may need to be performed by your gynecologist before deciding which type of treatments are best for the patient. In most cases, treatment won’t be necessary until the late teens or 20s.
Two of the most common treatment options for vaginal agenesis include,
 
Self-dilation: Instead of turning to surgery to create a vagina, this device can be placed inside the vagina for hours a day to help stretch the skin and create a vagina.

Surgery: If patients don’t see results with self-dilation then surgery is often the next step. There are a variety of techniques that can be used during a vaginoplasty, and your gynecologist will fully discuss them with you, so you decide together on the ideal surgical technique to provide the optimal results.
 
Your OBGYN will take an active role in providing you and your teen with any needed care, treatment, and support. Your gynecologist can address your concerns, answer your questions and be an advocate for your health.
By J. Gabriel Guajardo, M.D.
April 20, 2021
Category: OBGYN Care
PostpartumThe postpartum period is defined as the first six weeks after delivery. During this time, new moms are dealing with everything from breastfeeding and changes in sleep to the ups and downs that come with the hormonal changes. You must have an OBGYN that you trust to provide you with regular postpartum care and to be a caring, knowledgeable medical professional that you can turn to when you’re feeling depressed, anxious, or just not 100 percent.
 
Tips for Adjusting to Motherhood

Every journey through motherhood is going to be different for every woman, so you want an OBGYN that understands your specific needs. Here are some ways to make the first six weeks a little easier for both you and your baby,
  • They say to sleep when your baby sleeps, and if you have this opportunity it’s best to take it. While newborns sleep about 14-17 hours within a 24-hour period, they only sleep for about 2-3 hours at a time before needing to be fed.
  • During this time, it’s important to turn to friends and family for help cooking meals or running errands, so you’re not exhausted and running on fumes. Remember, that you don’t have to do it all. Your focus is on healing and caring for your baby. The rest can wait.
  • Eat a healthy diet that helps support and nurture your healing body. This includes eating proteins, whole grains, and vegetables. It’s also important that you are getting enough water and staying hydrated, which will help with breastfeeding.
  • Your OBGYN will be able to tell you when it’s safe to exercise again. While this doesn’t necessarily mean jumping right back into CrossFit (unless you want to), find low-impact activities such as a brisk walk that can help you get out of the house and also provide energizing benefits.
What are the signs of postpartum depression?

Most women experience “baby blues” during the postpartum period. Between the massive changes in hormones to the lack of sleep, it’s very normal for new moms to experience mood swings, anxiety, irritability, and sadness; however, the baby blues are not the same as postpartum depression. These symptoms last longer than two weeks. Know the signs of postpartum depression,
  • You’re experiencing crying spells, or you’re consumed by sadness or guilt
  • You don’t have any interest in activities or things that once made you happy
  • Changes in sleep patterns such as sleeping too little or sleeping too much
  • You have thoughts of harming yourself or others
  • You have trouble bonding with your baby
  • You don’t want to eat
  • You’re having panic attacks
If these symptoms last longer than two weeks or continue to get worse, you must talk with your OBGYN right away about postpartum depression.
 
We understand that the postpartum experience is different for every woman. That’s why an OBGYN can provide you with the nuanced care you need to help guide you through everything, from bodily changes to “baby blues." An OBGYN can be an asset to new mothers.