My Blog

Posts for: April, 2020

By J. Gabriel Guajardo, M.D.
April 27, 2020

Dealing with bladder control problems? We can help.

Urinary incontinence is more common than you might realize. In fact, up to 50 percent of women experience urinary leakage at some point during their lifetime, with up to 20 percent dealing with regular and uncomfortable leakage. While this is often a normal part of growing older, there are certain conditions and issues that could also be to blame. Our Brownsville, TX, gynecologist, Dr. Gabriel Guajardo, and his team can provide several strategies to improve urinary leakage.

Causes of Urinary Incontinence

There are many reasons you may be dealing with urinary incontinence. Some of these problems can easily be treated to help eliminate bladder leakage. Some of these causes include:

  • Certain medications
  • Urinary tract infections
  • Growths or polyps within the bladder
  • Abnormalities in the urinary tract
  • Muscle dysfunction caused by muscular disorders or childbirth

It’s important for our Brownsville, TX, OBGYN to be able to determine the root cause of your urinary incontinence in order to create an effective treatment plan.

Treating Urinary incontinence

There are certain measures you can take to improve your symptoms. These lifestyle adjustments include:

  • Performing pelvic floor exercises to strengthen weakened muscles of the pelvic floor after childbirth or due to aging
  • Managing how much water you drink throughout the day to reduce leakages
  • Avoiding alcohol, caffeine, and carbonated beverages
  • Avoid drinking water about 3-4 hours before bedtime
  • Losing weight if overweight or obese
  • Retraining your bladder

If you are unable to control your urinary incontinence through lifestyle changes and at-home care then our gynecologist can provide other treatment options including,

  • Medication: There are certain prescription medications such as tricyclic antidepressants that can help the bladder to relax, which improves how much urine the bladder can hold and prevents leakage.
  • Botox: These same injections that are used to relax the muscles of the face for cosmetic enhancements can also relax the bladder and improve urinary incontinence.
  • Catheters: Your doctor may recommend using a catheter to help empty your bladder. This may be used for women dealing with stress incontinence.
  • Electrical Nerve Stimulation: If medication, medical devices and other methods haven’t been effective then electrical nerve stimulation may be used to alter the reflexes of the bladder to improve bladder control.

Schedule an Online Appointment with Us!

Dr. Guajardo and his OBGYN staff know that it’s important for women to be able to have access to gynecological and obstetric care and treatment. During the pandemic, our goal is to keep our patients healthy and safe. We are offering teleconference appointments via your Healow app (which you probably already use to access your medical records).

Whether you have concerns about urinary incontinence, fertility treatments, menopause treatments, or questions about your pregnancy, schedule a telemedicine visits with us by calling (956) 350-4821.


By J. Gabriel Guajardo, M.D.
April 15, 2020
Tags: Obstetrician  

Know when to schedule your first appointment with an OBGYN.

Whether you think you might be pregnant or you already received a positive at-home test result, not only do you want to confirm that you have a new bundle of joy on the way but also that you and the baby are getting the proper care from the very beginning.Doctor Appointment

When should I schedule my first prenatal visit?

As soon as you find out that you are pregnant it is important that you schedule an appointment with an OBGYN. In most cases, your first prenatal appointment will happen at around 8 weeks. If you have certain health conditions or are experiencing any symptoms such as vaginal bleeding or abdominal discomfort then you may come in sooner. Even if this isn’t your first pregnancy you should still come in for regular prenatal appointments.

The first prenatal appointment is one of the most important visits and so it can often take longer. This is a time for us to sit down with you and get to know you better. Think of the first appointment as establishing rapport with our OBGYN team. After all, we will be with you throughout your pregnancy so we want you to be comfortable and happy with the care you are receiving.

What will happen during my first appointment?

We will need to go through your detailed medical history, which can include everything from any gynecological issues you might have to drug allergies, chronic health problems, or medications you are currently taking. We will also need to discuss any habits that could affect your pregnancy such as smoking or drinking.

We will also talk to you about the different genetic tests available to you throughout the course of your pregnancy. These tests can be a great way to screen for certain birth defects or genetic disorders like Down syndrome. We will discuss in detail the screenings tests that you can choose to have.

A physical and pelvic exam will also be performed during your first visit. We will also need to take a sample of blood to test for any undiagnosed health conditions or STDS. A urinary sample will also be taken to check for urinary tract infections (UTIs) or other issues.

Of course, during this appointment and any subsequent visits you have, we want you to know that if you have any questions or concerns that you shouldn’t hesitate to ask us. We can provide you with tips, advice, and support throughout this exciting and whirlwind time in your life to make sure that your pregnancy goes as smoothly as possible.

Your obstetrician is here to provide you with the care, treatment and education you need to help navigate your pregnancy. We provide comprehensive maternal fetal medicine to ensure that you and your baby get the care you both deserve during this exciting time.


By J. Gabriel Guajardo, M.D.
April 09, 2020
Category: Health Care
Tags: Genetic Counseling  

Whether you are pregnant or thinking about having children soon, genetic counseling can be helpful. Genetic counseling can be used to assess the possibility of the baby being born with a specific genetic condition or birth defect. Being fully informed helps parents know what to expect so they can better prepare for any special needs the baby might have. Dr. J. Gabriel Guajardo provides genetic counseling and pregnancy screenings at our office in Brownsville.

How Genetic Counseling Can Help

Whether it is done prior to becoming pregnant or during pregnancy, genetic counseling can help in several ways. Part of the process is determining the chances of conceiving a child who might be born with a specific disease, birth defect, or genetic condition. With this information in hand, genetic counseling can help parents understand what options exist so they can make an informed decision about their next steps to be best prepared to meet the needs of the baby.

Genetic testing and screening typically plays a major role in the genetic counseling process. At our clinic in Brownsville, pregnancy screenings are performed during the first and second trimesters. Part of the genetic counseling process is helping you understand the results of any tests or screenings that are performed. We can connect you with a variety of support resources for helping you understand how to raise a child with a specific genetic condition. Resources can include referrals to counseling services, advocacy networks, and other sources of support.

Reasons for Genetic Counseling

There can be several reasons why someone might seek genetic counseling. One reason is that a particular condition runs in the family. Genetic counseling can assess the likelihood of that same condition affecting any future children that are conceived. In addition to heredity, other reasons for undergoing genetic counseling include:

  • A history of infertility, miscarriages, or stillbirths
  • Family members, including other children, with a genetic condition or birth defect
  • Receiving a diagnosis during pregnancy that the baby has a genetic condition or birth defect
  • Concerns about pregnancy risks associated with a parent’s lifestyle or a health condition
  • Concerns about pregnancy risks associated with a parent’s age
  • Abnormal results from a pregnancy screening or ultrasound
  • Exposure to certain chemicals or medications during pregnancy

Genetic counseling can help parents and parents-to-be understand the chances of having a child with special needs due to a genetic condition or birth defect and plan accordingly. If you are interested in undergoing genetic counseling before or during pregnancy, contact our office in Brownsville, TX, to schedule an appointment with Dr. Guajardo by calling (956) 350-4821.


By J. Gabriel Guajardo, M.D.
April 01, 2020
Tags: Irregular Bleeding  

Your OBGYN treats a number of common gynecological conditions, including irregular vaginal bleeding. It’s a concern that can be related to anything from stress, chronic conditions, or reproductive problems. Learn the common causes of irregular bleeding in gynecology, and how you can get your menstrual cycle back to normal. 

Irregular Vaginal Bleeding

In their reproductive years, women menstruate about every 28 days as the uterine lining sheds itself. The bleeding is often moderate to heavy during the first couple of days, then tapers off during the next few days. A normal menstrual cycle lasts up to a week. If the process does not repeat every 28 days or so, or a cycle is missed, or the flow of blood is too heavy or too light, that is considered irregular bleeding. Additional symptoms may include poor mood, problems sleeping, and sharp abdominal pains.

Possible Causes

You should talk to your OBGYN if your menstrual cycle starts to change or becomes irregular. Irregular bleeding can be caused by one or more of the following factors:

  • Certain medications (including birth control pills).
  • Endometriosis (tissue that’s supposed to be inside of the uterus grows on the outside).
  • Stress and lifestyle.
  • Blood clotting disorders.
  • Polycystic ovary syndrome (a hormonal problem).
  • Pelvic inflammatory disease (an infection usually caused by an STD).
  • Uterine fibroids (benign growths in the uterus).
  • Cervical or uterine cancer.
  • Chronic medical conditions (not necessarily related to the reproductive system).

Treatments for Irregular Bleeding

In some cases, irregular bleeding resolves on its own. For instance, if the irregularity is related to stress, de-stressing activities may help, like light exercise, dietary changes, or bed rest. If the problem is your birth control, your gynecologist will discuss other birth control options. If it’s related to another gynecological condition, the treatment may require an ultrasound and further testing. In more serious cases, surgery may be necessary.

See Your OBGYN

Schedule a visit to your OBGYN if you’re experiencing irregular bleeding. It could an easily treatable issue that your gynecologist can resolve with medications or a minor procedure.