OB Reports

Obstetrics related news - Powered By EZDoctor

Vaginal Health Mistakes

  • Playing Down Heavy Periods

Girlfriends may have warned that your periods could become heavier as you get older — but that’s not always true. “As menopause approaches, your periods may come closer together or farther apart, but they shouldn’t necessarily be heavier,” says Suzanne Kavic, MD, associate professor of obstetrics and gynecology at Loyola University Chicago Stritch School of Medicine. If your periods do become heavier, or if they’re coming way more often (like every two weeks), or you’re bleeding in between periods or after sex, let your doctor know. Heavy bleeding can be a sign of fibroids (benign uterine tumors), anemia, a hormonal issue like polycystic ovarian syndrome, or more rarely, cervical, uterine, or ovarian cancer.


  • Treating the Wrong Infection

“As soon as they experience any itching and discharge, most women assume it’s a yeast infection and apply an over-the-counter anti-fungal cream, but that’s not always the cause,” says Mary Peterson, MD, director of the Midlife Health Center at the University of Pittsburgh Medical Center’s Magee-Women’s Hospital. Although yeast infections are common — nearly 75 percent of women have at least one in their lifetime — they are only one of three common vaginal infections. Bacterial vaginosis (BV), caused by an overgrowth of the bacteria in the vagina, and trichomoniasis (trich), a sexually transmitted infection, are the other two. Both vaginosis and trich can cause symptoms similar to those of yeast infections, which is why it’s so important to make sure it’s really a yeast infection. If left untreated, BV can cause pelvic inflammatory disease, and both BV and trich can make you more susceptible to sexually transmitted diseases. “If you’ve had lots of yeast infections and this seems to be exactly the same, you can probably get away with treating yourself,” Dr. Peterson says. However, if symptoms are slightly different or you’re just not sure, check with your doctor. Yeast infections, vaginosis, and trich are all easily treated. An over-the-counter or prescription anti-fungal cream or prescription pill will treat yeast; prescription antibiotics are needed for BV or trich.


  • Applying Talcum Powder

Patting on talcum powder (or any powders, including some baby powders, that list talc among their ingredients) to feel fresher isn’t just a harmless hygiene measure. The habit can raise your risk of invasive ovarian cancer by about 30 percent, according to new research presented at the 2011 annual meeting of the American Association for Cancer Research. Frequent, long-term use doubled or even tripled the risk. The study authors speculate that the powder could spread to the genital tract and create an inflammatory reaction. Peterson’s advice: Don’t use it. “There are other ways to keep dry,” she says. If you’re prone to sweating down there, Peterson recommends wearing cotton underwear and changing them often, avoiding tight-fitting pants, and going commando at night (to give the area a chance to breathe).


  • Forgetting About Kegel Exercises

Maybe you attempted Kegel exercises during or after pregnancy to tighten things up, but not doing them regularly can set you up for urinary incontinence later in life. If you had incontinence then, it’s more likely to strike again when you’re older, says Peterson. According to a University of Washington survey, urinary incontinence affects more than 40 percent of women in their forties and almost half of all women over age 50. The problem occurs when the muscles in the pelvic area become weaker (due to such issues as pregnancy, childbirth, menopause, or excessive weight), which can lead to urine leaks when you exercise, cough, or laugh. Kegels strengthen those weak muscles and prevent or improve symptoms. Need a refresher? Imagine you’re going to the bathroom, then squeeze as though you’re trying to stop the flow. Aim to do three sets of 12 to 15 a day.


  • Not Using Birth Control

If you’ve skipped a period or two and have what seem to be hot flashes, you may think you can no longer get pregnant because you’re starting to enter menopause. But you’re wrong. “As long as you’re having periods of any kind, no matter how irregular they are, there is always a chance of becoming pregnant,” Peterson says. In fact, an analysis by the Pew Research Center found that in 2008, 14 percent of births were to women age 35 and older (compared to 10 percent of births to teen moms). More than half of all pregnancies in women over age 40 are unintended, according to the Guttmacher Institute, a sexual and reproductive health research organization. So don’t toss out birth control unless you’re okay with getting pregnant. “You’re not safe until it’s been at least a year since your last menstrual period,” says Peterson.


  • Skipping Barrier Contraceptives

Adults over age 40 are less likely to use condoms than younger people, according to the National Survey of Sexual Health and Behavior (NSSHB), which evaluated sexual health information collected from almost 6,000 people between the ages of 14 and 94 — and the unsafe habit is affecting their health. In 2009, people between age 50 and 64 accounted for 15 percent of all new HIV diagnoses. Diseases such as chlamydia and syphilis are also on the rise among people over 40, according to the latest U.S. government data. Even if you use hormonal birth control, or you’re past menopause and have no chance of getting pregnant, it’s still a good idea to use condoms every time you have sex “unless you’re in a mutually monogamous relationship and you and your partner have both been tested for sexually transmitted infections,” says Peterson.


  • Putting Sex on the Back Burner

According to data published last year in the Journal of Sexual Medicine, 30 percent of women in their forties and 50 percent of women in their fifties say they hadn't had vaginal sexual intercourse in the previous year. And — surprisingly — such a dry spell could affect their health down there. “When estrogen levels drop after menopause, the tissues of the vagina tend to flatten and become thinner, which can cause painful sex, as well as itching, dryness, burning, and discomfort,” says Machelle Seibel, MD, professor of obstetrics and gynecology at the University of Massachusetts Medical School in Worcester. But having sex regularly can help prevent symptoms by keeping the vagina moisturized and improving elasticity. If you experience vaginal dryness during intercourse, a good lubricant can make things more comfortable. For women who aren’t sexually active, consider self-stimulation with a vibrator and non-hormonal vaginal moisturizers, like Replens, or vaginal estrogen creams, rings, or pills.


  • Wearing a Panty Liner Too Often

If your periods are irregular or you’re dealing with incontinence, you may wear a panty liner frequently to avoid embarrassing situations. But this can set you up for infections and irritation. “The plastic backing on the panty liner prevents air from flowing through and retains heat and sweat, and wearing the same one for too long can lead to bacterial or fungal infections,” Peterson says. Plus, the constant rubbing may cause vulvar irritation. Having a change of underwear, keeping tampons or pads on hand for unexpected periods, and managing incontinence with Kegels, lifestyle changes, or medication may reduce your reliance on panty liners. When you do use them, change your panty liner at least every four hours.


  • Not Seeing Your Doctor Enough

According to the most recent guidelines from the American College of Obstetricians and Gynecologists, women 30 and older who have had three consecutive, negative (meaning normal) Pap tests need only get Paps every three years. But that doesn’t mean you can skip your annual checkup. Your gynecologist still needs to see you once a year — and the clinical breast exam and bimanual pelvic exam she’ll perform can help detect serious health issues like cancer, ovarian cysts, and fibroids. It’s also a great opportunity to get advice on anything from hot flashes to birth control to your sex drive.

Make sure you make an appointment to see your doctor through ezdoctor.com. You can search for doctors and filter by specialty, name and insurance plan. Before booking your appointment, make sure you get an EZDoctor Report. EZDoctor Reports contain important information about doctors such as; malpractice claims, criminal offenses, and board actions. Go to ezdoctor.com now to get started.

Original and full article: everyday health.com 

Yoga in Pregnancy | Benefits

Set aside your ego and honor where your body is at today. Practice loving compassion for yourself and baby. Prenatal yoga is one of the best things that you can do for yourself, as well as your growing baby.

It's important that you find the right yoga practice for you. Whether it be going to a yoga studio, finding a DVD, or developing your own practice at home. Listen to your body and do what feels right to you. Some of the benefits of practicing yoga during pregnancy include:

1. Develops stamina and strength As baby grows within our body, more energy and strength is needed to be able to carry the weight.  Yoga poses strengthen our hips, back, arms and shoulders. 

2. Balance Our balance is challenged physically as the fetus grows within our body. Emotionally we are drained due to the increases in progesterone and estrogen. As we try to focus on holding and breathing through each yoga pose, we are able to fine tune our balance, physically and emotionally.

3. Relieves tension of lower back, hips, chest, upper back, neck and shoulders As baby grows, more stress is put upon these specific muscle groups in our bodies.  We tend to have more of a lordotic/lower back curve due to the increased size of our bellies. Our hips get tighter due to the added pressure of baby’s weight in our bellies. As our breasts increase in size, our upper back and chest have more tension, along with our neck and shoulders.

4. Calms the nervous system Through deep breathing, the nervous system goes into parasympathetic mode, which is responsible for relaxation.  When our bodies are in that mode, our digestions operate properly, we tend to sleep better, and our immune system is at its optimal.

5.  Preparation for Labor You are working with conscious breathing during each yoga pose, which may sometimes be challenging. This transfers into the time of labor, allowing one to practice being “comfortable with the uncomfortable” through our breathwork.  As you inhale, you acknowledge the tension that is felt.  As you deeply exhale, you let go of it more and more with each breath.

6.  Connection with baby A prenatal yoga practice allows us to slow down and focus attention on what is going on within our bodies. Through working with our breath and doing each pose, you become more aware of what is going on within.

7. Increases circulation Circulation is enhanced within our joints and our muscles are elongated during practice.  Upon circulation of the blood within our bodies, swelling is decreased and our immunity is enhanced, creating a healthy environment for a thriving baby.

8. Breath-work practice This is a good tool for labor during contractions.  If we are consciously breathing, our blood pressure and heart rate is regulated keeping us in parasympathetic/relaxation mode.  Calm mama equals calm baby. 

9. Sense of community/sisterhood It can be very comforting to be with a group of women who understand what we are going through.

10. Nurturing time This time allows us to stop and slow down from our busy days.  Through the practice of yoga, you are setting intention in taking care of not only yourself, but of baby.

Article Source: fitpregnancy.com

12 Types of Birth Control

Combination pill

What it's called: Estrostep Fe, LoEstrin 1/20, Ortho-Novum 7/7/7, Ortho Tri-Cyclen Lo, Yasmin, Yaz.

What it does: This birth control mainstay is still 99% effective against pregnancy when taken around the same time every day. It's also known for easing hot flashes and restoring regular periods.

Who should avoid it: Smokers and those 35 or older. The estrogen may cause dangerous blood clots. If you suffer from migraines, you should also pass because it may trigger the painful headaches.

Progestin-only pill

What it's called: Micronor, Nora-BE, Nor-QD, Ovrette.

What it does: Known as the mini pill, progestin-only meds don't contain estrogen. They're safer for smokers, diabetics, and heart disease patients, as well as those at risk for blood clots. They also won't reduce the milk supply for women who are breast-feeding.

Who should avoid it: If you have trouble remembering to take your pill at the same time every day, progestin-only pills might not be your best bet. They need to be taken at exactly the same time every day; if you're more than three hours late, plan on using a backup method.

Extended-cycle pill

What it's called: Lybrel, Seasonale, Seasonique.

What it does: These pills prevent pregnancy and allow you to have a period only every three months. (Note: Lybrel stops your period for a year, but you must take a pill every day, year-round.)

Who should avoid it: There's no evidence proving it's dangerous not to have periods, but there is still no long-term research to show that it is safe.

Vaginal ring

What it's called: NuvaRing.

What it does: The ring is made of flexible plastic and delivers estrogen and progestin, just like the combination pill. You place the ring in your vagina for three weeks, and then remove it for one week so that you have a regular period.

Who should avoid it: Women who smoke, or have blood clots or certain cancers, should not use the NuvaRing.


What it's called: Milex Wide Seal, Ortho All-Flex, Semina, SILCS.

What it does: Made of rubber and shaped like a dome, a diaphragm prevents sperm from fertilizing an egg. It covers the cervix and must always be used with a spermicide. Women must be fitted for a diaphragm in their doctor's office.

Who should avoid it: If your weight tends to fluctuate by more than 10 pounds at a time, the diaphragm may not work. If you gain or lose weight, you'll need to be refitted. Prone to bladder infections? You might want to consider another option. If you've had toxic shock syndrome, you shouldn't use a diaphragm.


What it's called: Mirena, ParaGard.

What it does: ParaGard is a surgically implanted copper device that prevents sperm from reaching the egg. Mirena, also surgically implanted, works by releasing hormones. Intrauterine devices (IUDs) are more than 99% effective and good for 10 years.

Who should avoid it: Some doctors recommend the device only for women who have given birth. When the device is implanted, your uterus is expanded, and this might cause pain in women who have not had children. If you're planning on having children in a year or two, look at other options. The IUD can be removed, but the high cost—up to $500—might not be worth it for short-term use.

Female condom

What it's called: Femy, Protectiv, Reality.

What it does: The female condom is made of polyurethane, or soft plastic, and protects against STDs. It is inserted deep into the vagina, over the cervix, much like a diaphragm. Unlike the male condom, the female condom can be put into place up to eight hours before sex.

Who should avoid it: Male condoms offer more protection—both against STDs and pregnancy—than female condoms, so if you and your male partner aren't in a long-term, monogamous relationship, female condoms are not a perfect substitute.

Male condom

What it's called: Durex, LifeStyles, Trojan.

What it does: Male condoms protect against pregnancy and STDs, including HIV. Worn properly, condoms prevent sperm from entering the uterus. Go with latex or polyurethane condoms; lambskins do not shield you against all STDs.

Who should avoid it: If your mate is allergic to latex or polyurethane, you'll have to find another option. And if you tend to use a lubricant that contains oil, such as hand lotion or baby oil, you'll need to switch to an oil-free option like K-Y Jelly, which, unlike oil-based lubricants, doesn't degrade latex.


What it's called: Ortho Evra.

What it does: You can place the hormone-releasing patch on your arm, buttock, or abdomen, and rest easy for one week.

Who should avoid it: If you're particularly at risk for blood clots, you might want to find a different method. The patch delivers 60% more estrogen than a low-dose pill, so you're at an increased risk for dangerous blood clots.


What it's called: Implanon, Norplant.

What it does: About the size of a matchstick, the implant is placed under the skin on your upper arm. Implants last for three years and can cost up to $800. They are nearly 100% effective.

Who should avoid it: Implanon may not work as well for women taking St. John's wort, or women who are overweight.


What it's called: Essure, tubal ligation, vasectomy.

What it does: Women can undergo either tubal ligation, a surgical procedure that blocks the fallopian tubes from carrying eggs to the uterus, or tubal implants (Essure), a nonsurgical technique in which a small coil is inserted into the fallopian tubes. The sterilization process is less risky for men: A vasectomy is a minor surgery in which the tubes that carry sperm from the testicles are cut.

Who should avoid it: If you plan to have children, sterilization is not an option—it's not designed to be reversible.

Emergency contraception

What it's called: Copper T IUD, Next Choice, Plan B, Plan B One-Step.

What it does: Emergency contraception is a backup for regular birth control. Plan B contains a higher dose of the same synthetic hormones found in the combination pill. It works best if taken within 72 hours of unprotected sex, but may work up to five days later. There's also the copper T IUD, which a doctor can insert into your uterus five to seven days after unprotected sex.

Who should avoid it: Plan B, known as the morning-after pill, is available over-the-counter at most pharmacies, but only to women 18 years and older. Minors need a prescription. Copper T IUDs can be very expensive—up to $500. Plus, they last for up to 10 years, so if you hope to get pregnant in the future, this isn't for you.

Source: health.com

EZDoctor and April Partner to Offer Virtual Doctor Visits to International Travelers

EZDoctor, the leader in healthcare transparency and April, a global travel insurance provider have recently partnered to offer telemedicine services to patients traveling abroad that are in need of medical assistance.

The alliance between EZDoctor and April, allows patients to remotely consult with a U.S. board certified physician while traveling abroad.

With EZDoctor's support, April will be connecting their travelers from around the world with doctors anytime, anywhere needing only a webcam enabled device and a reliable internet connection.

These virtual physician consultations are not intended to treat emergency medical conditions/situations. Patients will receive primary care services, treatment for common ailments like the flu, allergies, rashes etc. and educational and informative medical advice from a trained and thoroughly screened professional.

EZDoctor and April are working together to improve the doctor-patient experience by providing on demand consultations and with doctors readily available to treat patients 24 hours a day, 7 days a week. To serve the needs of April's global travelers patients are connected with U.S. physicians within 15 minutes and can currently request doctors that are fluent in English, Spanish, French, or Portuguese.

According to the American Telemedicine Association, approximately 10 million patients benefited from using telemedicine last year. The telemedicine industry is developing quickly and becoming more prominent in societies around the world. EZDoctor and April are two leaders expanding quality telemedicine services worldwide.

"We're very excited about this partnership, we believe patients should have access to a board certified physician anywhere and anytime. As telemedicine continues to be a rapidly growing component of healthcare in the United States, we want to provide patients an accessible way to treat their healthcare needs when they are away from home," said David Marsidi, EZDoctor's founder and CEO.

"April & EZDoctor are both convenient, progressive thought leaders in the way we prioritize the patient's needs and that is what we want to deliver through this new service by offering a fast, easy, reliable and secure doctor consultations," continued Marsidi. "Together we will deliver the world-class healthcare service that patients deserve."        

EZDoctor and April patients will:

  • Have access to telemedicine services 24/7.
  • Resolve unexpected medical problems when traveling.
  • Receive virtual physicians consultations from any location worldwide.
  • Connect with a physician within 15 minutes of their request.
  • Have better outcomes because of timelier access to a physician.
  • Reduce unnecessary admissions, save time and money.
  • Receive primary care services on the go.

About EZDoctor
EZDoctor, healthcare technology business located in Florida, provides healthcare services nationwide. As an advocate for healthcare information transparency, EZDoctor developed a Carfax type of report but for doctors called EZDoctor Reports, to help patients make better decisions when it comes to choosing a doctor. With their rapid growth in the healthcare technology industry and over 1.5M+ doctor profiles, EZDoctor has radically transformed the industry by connecting healthcare consumers with the best doctors and equipping them with accurate information to make an informed healthcare decision.

About April
April has been a leading brand providing quality Travel and other Specialty Insurance programs providing services in Europe, Latin America and the U.S.
April offers comprehensive travel insurance & assistance plans covering multiple trips for frequent travelers. 

Quick Tips for Choosing a Doctor

When you choose a primary care doctor for yourself or a loved one, make sure to choose a doctor you can trust. A primary care doctor can help you make important decisions, like which screening tests and shots to get, treat many health problems, refer you to a specialist when you need more help with a specific health issue.

Here are some things you should know before selecting a physician

  • Listens to your opinions and concerns
  • Encourages you to ask questions
  • Explains things in ways you can understand

When you and your doctor work together as a team, you’ll get better health care. Try the following tips to find a doctor who’s right for you.

Research your doctor.

If you have health insurance, you may need to choose a doctor in their network. Some insurance plans may let you choose a doctor outside the network if you pay more of the cost.

What you should know about your doctor:

  • Contact information, Locations and Gender. 
  • License Information. It is important to know if your doctor is licensed to provide the care that you need.
  • Education. To learn more about your physician’s background EZDoctor Reports contain information regarding where they studied, graduation date, board certifications, as well as their internship, residency and fellowship. This will help you make an educated decision regarding your doctor’s training and ability.
  • Hospital Affiliations/Privileges.  Its common practice for a doctor to have their office in one location and perform treatment in a separate location. For example, you could go to a doctor’s office for a consultation regarding your knee and that doctor might provide treatment and/or surgery at a hospital that he is affiliated with or has privileges. By having this information before hand, it can help you in deciding whether this doctor would be the most convenient for you.
  • Procedure Pricing Information. When taking care of any health concern, one of the main things we consider is the cost associated with any procedures that might be necessary. An EZDoctor report will display an average charge for procedures performed by the physician you are reviewing.
  • Patient Referral Summary.  Primary care physicians, when needed, refer patients to a specialist. Especially when they face a diagnosis that is beyond their Scope of Practice. With an EZDoctor report you will see the  physicians referral pattern.
  • Pricing/Prescribing Habits. Is your  doctor more likely to prescribe a name brand versus a generic drug? Despite your preference, by seeing a breakdown of the most common prescriptions a physician orders you can get a clear view of his prescribing tendencies and average price per prescription.
  • Disciplinary Actions. Finding out if a physician has been sanctioned or not by a state medical board can be very useful when it comes to selecting a doctor to visit. Equally important is to know  what those infractions were related to.
  • Criminal Offenses. While federal criminal records are not available to the public, EZDoctor reports include state government records that indicate whether a physician has ever been charged or convicted of a crime. Allowing you to have this information prior to any consultation and/or treatment.
  • Malpractice Claims. You have the right to know if your physician has been involved in any incidents regarding his medical care. From surgical and medication errors to misdiagnoses, EZDoctor will provide the information you need.
  • Patient Reviews. It’s always good to know what other patients are saying about a physician. EZDoctor reports collect patient reviews from multiple sources.

Other important questions to ask about the doctor:

  • Is the doctor taking new patients?
  • Is the doctor part of a group practice? Who are the other doctors?
  • Who will see you if your doctor isn’t available?
  • Which hospital does the doctor use?
  • If you have a medical condition, does the doctor have experience treating it?
  • What languages does the doctor speak? 

You can find all the information you need on a physician by obtaining an EZDoctor Report. Go to ezdoctor.com now to get started! 

Source: healthfinder.gov