Gynecology | Dr. Lori Gore-Green | Gynecology and Obstetrics

by Dr. Lori Gore-Green on November 30, 2020

Common Myths Surrounding In Vitro Fertilization

In vitro fertilization (IVF) is a fertilization process that occurs outside of the female’s body. The ovum or ova is removed from the body and artificially fertilized with sperm in a laboratory. The zygote is implanted into the uterus, which creates a pregnancy. There are many facts and myths to clarify about the IVF procedure.

IVF Involves Using the Same Method in All Facilities

In fact, over a dozen methods are used to fertilize eggs in vitro. Natural IVF includes several forms, such as the use of drugs or no drugs, a frozen embryo transfer or the use of a GnRH antagonist protocol. Other methods include ovarian hyperstimulation, final maturation induction and co-incubation.

Certain Foods Increase Your Chances of Pregnancy

Some women claim that eating pineapple or Brazil nuts can increase your chances of getting pregnant. Despite the healthy enzymes and chemicals in these foods, this theory is not proven to benefit the process of embryo implantation.

IVF Is Only Recommended for Infertility

A couple that can conceive but suffers from genetic disorders can pursue an IVF treatment. This is done to prevent the child from developing a serious disorder. IVF is available to any couple who cannot conceive naturally and need assistance.

IVF is the Only Solution to Get Pregnant

There are the additional methods of surrogacy, sperm injections and medication use. Surrogacy is the process of transferring the egg into another woman’s body or using the surrogate’s own egg. Intracytoplasmic sperm injection (ICSI) involves injecting sperm directly into the egg using a medical instrument. Fertility medications are taken to stimulate the development of follicles in the ovaries.

Multiple Births Are a Risk Factor

This side effect occurs only when multiple embryos are transferred out of the body. This practice is not recommended because it could lead to short-term and long-term pregnancy complications. Many countries have strict restrictions to the number of embryo transfers that can be made. However, there are widespread problems with a lack of compliance with the law.

IVF has numerous rules and regulations that vary by country. In addition, society has countless superstitions and myths about pregnancy. It’s important to distinguish fact from fiction for any couple that’s struggling to conceive and is considering in vitro fertilization.

Filed Under: Dr. Lori Gore-Green, Health, OBGYN, Pregnant, Safety, Women's Health Tagged With: Dr. Lori Gore-Green, Gynecology, In Vitro Fertilization, IVF, Obstetrics, pregnancy, women's reproductive health, Womens Health

by Dr. Lori Gore-Green on January 25, 2020

The Cause Behind Brown Discharge Before a Period

When you see brown discharge, you may feel distressed. But no worries, brown discharge is usually harmless and there are many reasons why it may happen in the first place. Sometimes brown discharge can be an indication of pregnancy or perimenopause. Very rarely is brown discharge an indication of an underlying health condition.

Below we will look at the various causes for brown discharge and when it is time to see a doctor.

What is Brown Discharge?

Women have vaginal discharge on a relatively normal basis. Usually, vaginal discharge is thin and clear or white in color. When the vaginal discharge is brown it indicates that there is a small amount of old blood. If there is blood still in the uterus and it takes a longer time to come out, it may be brown.

Non-Pregnant Women

If you have brown discharge while you are not pregnant you may be experiencing the start of your period just at a lighter flow or ovulation spotting. You may also be having a reaction to a Pap smear test or a reaction to having sex.

Pregnant Women

If you happen to be pregnant, pink or brown discharge is sometimes an early sign of pregnancy. Not every pregnant woman will experience this symptom, but it does occur in a few women. The discharge occurs due to implantation bleeding. The bleeding may occur one to two weeks after the egg has been fertilized. Brown discharge during your pregnancy isn’t anything to be concerned over, but if the discharge is a dark brown, be sure to speak with a doctor.

Approaching Menopause

For women who are approaching their 40s or 50s and experiencing brown discharge before their period, it may be a sign of perimenopause. Perimenopause is a transition period that happens before menopause begins. Along with brown discharge, women may be experiencing mood swings, hot flushes, night sweats, a hard time sleeping, and vaginal dryness.

Serious Causes of Brown Discharge

There are a few other more serious causes of brown discharge and can occur at any age and will be accompanied by other symptoms. Pelvic inflammatory disease, a sexually transmitted disease, a retained foreign body (tampons, condoms, vaginal contraceptive sponges, diaphragms, etc.), polycystic ovary syndrome, and cervical cancer.

When to See a Doctor

As mentioned before, brown discharge isn’t something you usually have to worry about. Although it can be a symptom of something more serious, it won’t require you to go to the doctor. However, if you are experiencing brown discharge that continues for several weeks, happens after sex, smells bad, is accompanied by pain, cramping, or vaginal itching.

Filed Under: Dr. Lori Gore-Green, OBGYN Tagged With: Dr. Lori Gore-Green, Gynecology, OB/GYN, pregnant, vaginal health, women, women's reproductive health, Womens Health

by Dr. Lori Gore-Green on December 30, 2019

What Is Amenorrhea?

A woman’s menstrual cycle is stressful enough without complications. However, there are many factors that can interrupt or change a regular cycle. Here’s what you need to know about what amenorrhea is, how it’s caused, and its treatments. The more knowledge you have about its causes, symptoms, and treatments, the more prepared you’ll be if it happens to you.

Put simply, amenorrhea is the absence of menstrual bleeding in a woman who is of reproductive age. There are two different types of this condition, primary and secondary amenorrhea. Primary amenorrhea occurs when girls over age 15 have never had their period. Secondary amenorrhea occurs when a woman who previously had regular periods does not menstruate for over six months.

Causes and Risk Factors

There are a variety of factors than can contribute to the onset of this condition, including:

Obesity
Less than 17% body fat
Leptin deficiencies
Polycystic ovarian syndrome
Overactive thyroid glands
Extreme emotional distress
Excessive exercise
The use of some contraceptives
The use of some medications
Chemotherapy or radiation treatments
Scar tissue in the uterus
Genetic defects

Symptoms of Amenorrhea

While the main symptom is the lack of a period, there are other factors that can occur. If you think you may have this condition, consult with a doctor for diagnosis and treatment. The following symptoms may occur due to amenorrhea:

Weight gain or loss
Changes in breast size
Milky discharge from breasts
Acne
Hair loss
Increase in facial hair growth
Headaches and vision changes
Pelvic pain

Diagnosis and Treatment

Consulting a doctor should always be the first step whenever you feel you have a condition or illness. Be open and honest about your symptoms so they can properly determine the condition, cause, and then prescribe a treatment plan. Doctors and medical professionals will typically perform tests to check hormone levels or genetic markers and may perform pelvic ultrasounds, MRIs, or a CT scan.

Treatment will depend entirely upon the root cause of amenorrhea, but may include medication, surgery, lifestyle changes, or a combination of several. Taking steps to achieve and maintain a healthy weight may be a suggestion if obesity or low body fat is a cause. Medical treatments could include a change in birth control, estrogen replacement therapy, or removal of scar tissue.

Filed Under: Uncategorized Tagged With: amenorrhea, estrogen, Gynecology, health, medical knowledge, medicine, menstrual cycle, OB/GYN, vaginal health, women's reproductive health, Womens Health

by Dr. Lori Gore-Green on October 24, 2019

What is an Ectopic Pregnancy?

The female body is beautiful and extremely complex. Pregnancy can be very tricky and come with many complications. There are also rare and complicated pregnancies every woman should be aware of. Although many women have heard of an ectopic pregnancy, not many of them understand what it is exactly. It’s important for every woman to know and understand what it is, how common it is, and what it does to the body:

What Is It?

Common pregnancies carry the fetus in the uterus. When a woman has an ectopic pregnancy, the fertilized egg attaches itself to a place other than inside the uterus. Most of the time an ectopic pregnancy will involve a fertilized egg found in the fallopian tubes. Since the fallopian tubes are not designed to carry out a pregnancy, it can not develop properly and must be removed as soon as possible.

What Causes This?

A fertilized egg attaching to anywhere but a uterus sounds bizarre, which is why many women want to understand why this happens and what causes it. There are many causes that can lead to ectopic pregnancy. An infection or inflammation in the fallopian tube can cause it to become partially or entirely blocked, leading to an ectopic pregnancy. Other causes include scar tissue from a previous infection or a surgical procedure on the tubes or pelvic area and abnormal growths or a birth defect can result in an abnormality in the tube’s shape.

What are the Symptoms?

There are some symptoms an ectopic pregnancy shares with a normal uterine pregnancy, such as nausea and breast soreness. Symptoms that differ from a uterine pregnancy are sharp waves of pain in the abdomen, pelvis, shoulder, or neck and light to heavy vaginal spotting or bleeding. Other symptoms of an ectopic pregnancy include dizziness or fainting and rectal pressure. If a woman experiences any or all of these symptoms, they must seek medical attention immediately.

What are the Risks?

There are certain factors that can put a woman at risk of having an ectopic pregnancy. If a woman is between the ages of 35-44 while trying to conceive, her risk is much greater. If a woman has had an ectopic pregnancy before, several abortions, or is a smoker, she is also at great risk. Women with Endometriosis or Pelvic Inflammatory Disease (PID) have a greater potential of having an ectopic pregnancy as well.

Filed Under: Dr. Lori Gore-Green, Health Tagged With: Dr. Lori Gore-Green, Gynecology, OB/GYN, pregnancy, vaginal health, women, Womens Health

by Dr. Lori Gore-Green on August 19, 2019

What is Postpartum Depression

Childbirth can be an emotional experience for new parents. As you settle in with your bundle of joy, you might encounter something unexpected – depression. Postpartum depression is often left undiscussed but affects many parents. What separates this from postpartum “baby blues”? Sometimes a rare but more severe condition called postpartum psychosis can develop.

Defining Postpartum Depression

By definition by the National Institute of Mental Health, postpartum depression is a mood disorder that can affect women and birthing parents after childbirth. New parents often experience “baby blues” after childbirth, where they might experience mood swings, crying spells, anxiety, and difficulty sleeping. The symptoms of postpartum depression may be similar but tend to be more severe and last longer, sometimes interfering with your ability to care for your baby and complete other daily tasks.

Symptoms

Parents can experience depressed mood or severe mood swings, excessive crying, and difficulty bonding with their baby. Other common symptoms include changes in appetite, social withdrawal, and sleep disturbances. Symptoms will usually begin within the first few weeks after giving birth but may begin earlier (during pregnancy) or later, up to a year after birth. More severe symptoms may occur, such as thoughts of harming oneself or the baby, and these require serious and immediate attention.

Causes

Physical changes and emotional issues play a role in postpartum depression, but there is no single cause for the condition. Hormonal changes after childbirth, such as dramatic drops in levels of progesterone and estrogen, may contribute to postpartum depression. Your risk of developing postpartum depression may increase if you have a history of depression or other mood disorders.

Treatments

Fortunately, postpartum depression is treatable.Treatment and recovery time will vary depending on your individual needs and the severity of the depression. Your medical provider will work on treating the underlying causes and may refer you to a mental health professional. Generally, treatment for depression includes psychotherapy, medication, or both. It is important to continue treatment even after you begin to feel better, as stopping treatment too early may lead to relapse. Left untreated, postpartum depression can last for many months or longer.

Filed Under: Dr. Lori Gore-Green, Health, New Moms, OBGYN, Pregnant, Women's Health Tagged With: childbirth, Dr. Lori Gore-Green, Gynecology, health, hormones, OB/GYN, pregnancy, pregnant, therapy, women, women's reproductive health, Womens Health

by Dr. Lori Gore-Green on October 29, 2018

The RESPECT Model

Visiting a new doctor for the first time can be an anxiety-ridden experience for anyone. Not only are you likely meeting a new person, but you’re also confiding in that person with a very personal matter: your health.

A recent survey from this summer found that nearly 40% of women indicated they felt at least “somewhat concerned” prior to their first OB-GYN visit. Because of this number, physicians are working harder than ever to establish an open and trusting relationship with their patients. The RESPECT model is helping to do just that, in OB/GYN offices and beyond:

R—Rapport. Building rapport with the patient allows her to connect with you on a social level, not just as another appointment to check off. It strengthens your relationship as a rapport helps you see from her perspective and refrain from making assumptions.

E—Empathy. This may be harder said than done at times, but remembering that the patient needs help, and is here to be helped by you will keep you in a compassionate state of mind.

S—Support. As a physician, it’s your job to help patients and any obstacles they bring with them. You’re part of their team, and team members support one another.

P—Partnership. You’re working as a team to fix any given issue, and for that to work, the patient must have an equal say and solid understanding. This also means negotiating roles on occasion, and being flexible when it comes to a matter of control.

E—Explanations. Of course, as a physician, you must explain new concepts to patients in ways that make sense to them. What might make sense to the doctor after years of medical school, residency, and a long career likely will need to be broken down for someone not as knowledgeable in the field.

C—Cultural Competence. These days, many patients and physicians come from different backgrounds. They have different life experiences. To work well together, they must be able to respect their differences, and adjusting a style of care to allow for them.

T—Trust. This also happens when the physician and patient come from different backgrounds. There needs to be a trust in place for the doctor to effectively treat the patient, but that trust is not always just given. Often, it must be earned, and taking the time to actively work to establish that trust is the only way to achieve it.

Filed Under: Dr. Lori Gore-Green, Health, OBGYN Tagged With: Dr. Lori Gore-Green, gynecologist, Gynecology, health, OB/GYN, physician, vaginal health, women, Womens Health

by Dr. Lori Gore-Green on October 2, 2018

5 Other Reasons to Visit Your OB-GYN

A trusted OB-GYN is a critical part of any woman’s professional health team, whether or not you intend to have children. An OB-GYN makes sure your vagina is healthy and your reproductive system is in good working order. But, did you know that you can go to your OB-GYN for more than just those two things?

Screening for Breast Cancer

Think of your OB-GYN as the first line of defense in detecting breast and colon cancers. If your annual appointment includes a breast exam, your obstetrician should be the first to notice any strange growths or changes in your breasts. OB-GYNs can also do rectal exams.

Treating Depression

Though OB-GYNs are not psychiatrists, they’re still trained to screen for and evaluate mood disorders. Depending on the case, your doctor could start you on medication or refer you to psychiatrist. Because of your emotional connection with your OB-GYN, especially if they treated you through a pregnancy, they are a safe person to confide in and share your concerns with. If you’re pregnant, your doctor will also be knowledgeable on how the medication will impact both you and the baby, as well.

Skin Checks

Of course, while a dermatologist is trained to look for signs of skin cancer, your OB-GYN can still perform skin checks. And given how most people have between ten to forty moles, it’s not a bad idea to get a skin check during your annual visit. In the event they notice any suspicious growths, they can alert you early on and get you into the office of a dermatologist to take a closer look.

Family Planning

Unsurprisingly, as they have many pregnant patients, OB-GYNs are great resources in terms of family planning. Whether that means you discuss certain genetic conditions you could pass on or figuring out how to have “the talk” with your daughters, your OB-GYN can help address your fears and provide you with the most current information.

Bone and Joint Issues

Millions of women across the country develop osteoarthritis, which can be a devastating joint problem, and it can happen a good way away from the beginning of menopause. By measuring and recording your height yearly, your OB-GYN can catch signs like losing height. They can also perform bone scans to keep an eye on your mineral levels. If they can catch the development early on, you’ll be much better off.

Filed Under: Dr. Lori Gore-Green, Health, OBGYN Tagged With: Dr. Lori Gore-Green, gynecologist, Gynecology, health, OB/GYN, Obstetrics, physician, women, Womens Health

by Dr. Lori Gore-Green on August 6, 2018

Top 5 Fertility Tips

Lots of women become pregnant without needing to do much more than have sex that one time. For others, it can be a more difficult and even emotional process, especially if the woman has been trying for some time without success.

Although each woman’s life and situation is different, and each pregnancy, in turn, is different, here are a few tips that doctors recommend for women looking to become pregnant. Please consult your primary care physician before trying anything different your routine, however, to remain safe.

Consider counseling.

If you’re picturing a couch and a psychologist asking “And how does that make you feel?” you’re thinking of the wrong kind. Instead, women looking to become pregnant should receive pre-conception counseling about two to three months before trying, and this can be done with your OB-GYN. Pre-conception counseling is a conversation where your doctor will ask about your goals in getting pregnant, as well as take that time to screen you for potentially harmful conditions. By receiving counseling early, you’re able to find warning signs before they develop further.

Get checked out.

Both you and your partner should see a doctor, to make sure your vaccinations are all up to date, in particular. Getting sick while pregnant could lead to a higher risk of complications. By making sure both you and your partner are in the best possible health, you are creating the optimal condition to make a baby.

Quit the caffeine.

You could also stand to benefit from abstaining from alcohol and any kind of drugs. In general, though, if you shouldn’t have something while you’re pregnant, it might be a good idea to kick the habit beforehand. And, remember—energy drinks have caffeine, too! Not just coffee!

It’s also advisable to not be in the same vicinity as anyone who partakes in smoking. No matter how you ingest the smoke, second-hand or not, it could hurt your chances of becoming pregnant without complications.

Stay active.

This is just good life advice in general, but it’s especially true when gearing up to grow another human. The goal is to have thirty minutes of cardio five or six days each week. This is to keep your heart healthy and your weight at a manageable level. If you’re worried about the intensity affecting your fertility, talk with your doctor about the best exercises to do instead of your usual routine. Overall, though, if your period cycle is regular, you won’t need to change too much.

It’s okay to feel stressed.

The idea that you need to be completely serene and at peace to conceive a child has no basis in science. So if you’re feeling guilty because you’re always busy, but you still want to have a baby, don’t feel like you’re cheating yourself out of your chance. Anxiety is normal, and it won’t ruin your chances of having a healthy child.

Filed Under: Dr. Lori Gore-Green, Health, Pregnant Tagged With: Babies, Dr. Lori Gore-Green, gynecologist, Gynecology, health, OB/GYN, physician, pregnancy, pregnant

by Dr. Lori Gore-Green on May 14, 2018

Do You Fear Period Sex?

For some people, the beginning of a menstrual cycle means the end of sexual intercourse until the cycle has passed. This mindset should be reconsidered, however, when all the benefits of sex during your period are taken into consideration.

1. Reduced Risk Of Pregnancy

When you strip away the passion, pleasure, and excitement, sex is ultimately designed for procreation. Any form of vaginal penetration by a penis that results in ejaculation has the chance to cause pregnancy. Due to the nature of a woman’s menstrual cycle, there is a reduced risk of pregnancy from sex, although not an entirely eliminated risk. Sperm can live inside of a woman’s body for up to five days, so if you have sex near the end of your cycle, you can still conceive a child once your menstrual cycle ends. The safest time to enjoy a reduced risk of pregnancy is to have sex near the beginning of your period.

2. Natural Pain Relief

Sex brings an incredible amount of pleasure that, when done properly, results in an orgasm. Orgasms are fun and enjoyable, but they also play a pivotal biological function with regards to the brain. This is especially true in women. The female orgasm causes the brain to release a healthy dose of endorphins which are chemicals that spread through the body to promote a boost in overall mood and help to relieve pain. A 1985 study shows that a woman’s pain tolerance increases drastically after an orgasm. So, having sex can help relieve the pain of menstrual cramps and other pains commonly associated with that time of the month.

3. Sleep Aid

Endorphins aren’t the only biological substances released by the female brain during an orgasm. The hormone known as prolactin is also released during an orgasm. Prolactin is a hormone that helps to calm the body and prepare it for a long, restful sleep. This is why people tend to become lethargic and sleepy after sex that causes an orgasm.

4. Ease Of Penetration

Some women have issues with vaginal dryness that causes difficulties during sex. The benefit of engaging in sex during a period is that this issue is almost entirely alleviated. There is more than enough lubrication present during this time of the month to allow for easy penetration and increased pleasure because of the lubricated sensation.

Filed Under: Contraception, Dr. Lori Gore-Green, Health Tagged With: Dr. Lori Gore-Green, estrogen, Gynecology, health, mensuration, OB/GYN, period sex, pregnancy, sex