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Raleigh Gynecology & Wellness

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Common Signs to Look Out for During Your Breast Care Routine

Conditions and Management

Raleigh Gynecology · May 24, 2021 ·

women doing her Breast Care RoutineA healthy breast care routine should start with regular self-examinations. Self-examinations are not a substitute for regular visits to your doctor or appropriately scheduled mammograms.

However, keeping up with self-examinations will make you better able to notice changes in your breasts between your doctor visits.

Many changes in your breasts are normal, while other changes warrant a visit to your doctor. How can you tell the difference?

Importance of Self-Examinations

With regular self-examinations, you are more likely to notice changes in your breasts when the changes first appear. The growth of cancer can cause some changes in your breasts.

As cancer progresses, it grows and pushes normal breast tissues out of its way, resulting which may result in changes in the shape of your breasts, your breast skin texture, or the appearance of your nipples.

Performing regular self-examinations can increase your chances of detecting cancer at an early stage in its development. Early detection is key to successful treatment before it has a chance to become a life-threatening condition.

If you notice any abnormalities in your breasts during your self-examination, you should make an appointment with your doctor as soon as you can. Your doctor will examine you and may schedule you for a mammogram to determine if the abnormality is something that warrants further testing.

How to Perform a Self-Examination of Your Breasts

The best time to perform a self-exam is the week after the end of your period. Your hormone levels are more stable right after your menstrual cycle, and the cyclical tenderness and swelling have disappeared.

Position yourself in front of a mirror with bare breasts. Conduct a visual examination of your breasts with your arms raised overhead and then with your hands pressed on your hips. Note any puckering, dimpling, changes in size, shape or symmetry, or nipples appearing to be pushing inward rather than pushing out in front.

After the visual inspection, lie down on a flat surface. Using the pads of your middle three fingers (not your fingertips), feel the tissue closest to the skin by applying light pressure.

Then use medium pressure to feel a little deeper and firmer pressure to feel the tissue closest to the chest and ribs. Move your fingers to another spot on your breast and repeat the process. Move around your breast methodically as you examine your entire breast and your nipples.

Common Signs of Cancer in the Breasts

asian doctor make routine health check for Breast Care Routine

Below are some of the most common signs of cancer, especially if they occur in only one breast:

Changes in Nipples or the Skin of Your Breasts — Dimpling, Pain or Nipple Discharge

Sudden changes in the shape, size and color of your nipples after you reach puberty are not normal.

Any changes in the appearance of your nipples such as inversion or retraction– meaning that one or both of your nipples has taken on a sucking-in or pushed-in appearance– and certainly a discharge from one of your nipples that is new or unexplainable, are all reasons to seek a medical examination.

A discharge is not always a symptom of cancer but any abnormal discharge, especially a bloody discharge, should be checked by your doctor nonetheless.

Likewise, you should see your doctor if you notice any changes in the skin of your breasts. Symptoms such as persistent redness, an itchy or scaly rash, dimpling, puckering, ridges, or other changes in the skin on or around the nipple warrant an examination by your doctor.

Hard Lump or Knot on the Breast or Underarm

Most women know that one of the telltale signs of possible cancer is a hard lump on either breast or in the area under either of your arms. A lump, even a tiny lump, is reason to schedule an appointment with your doctor as soon as possible.

Lumps may be a benign cyst, or it can be a cancerous mass, and knowing which is crucial. An abnormal lump will feel different from the natural lumpy feel of your breast tissues and glands. Dangerous lumps will often feel hard and they often have irregular edges.

Some cancerous lumps are painful to the touch but are rounded or have a softer feeling. Thus, it is imperative that your doctor examine any new lump.

Swelling, Warmth and Redness

A hard lump is not the only sign to watch out for. Another symptom of breast cancer is irregular swelling, warmth, and redness of your breast.

baby eating mother's milk on nature in Breast Care Routine

Swelling and redness can be a symptom of a rare form of inflammatory breast cancer. With inflammatory breast cancer, the skin of your breast can appear pink, purple or even bruised.

Breast tenderness and swelling during menstruation is normal. What is not normal is persistent tenderness and swelling accompanied by discoloration or redness that lasts longer than one week. The abnormal swelling could be due to the cancer irritating or blocking normal breast function.

Contact Raleigh Gynecology and Wellness for More Info On Breast Care Routine

If you have any questions about the signs of breast cancer and what to do if you notice any of them, contact the specialists at Raleigh Gynecology. They can discuss your symptoms and schedule an appointment for a full examination.

Raleigh Gynecology · January 21, 2021 ·

A woman holding portable pregnancy test in hands. The side effects of Nexplanon are positive overallOne of the most popular forms of birth control among women is the Nexplanon implant. You have likely heard about the many benefits it offers, such as its convenience and reliability, but may still have questions about the side effects. For most women, the side effects of Nexplanon are positive overall.

How Effective Is Nexplanon?

The Nexplanon implant is over 99% effective. That means fewer than 1 out of 100 people who use Nexplanon will get pregnant each year.Nexplanon effectiveness is due to the way the implant works. It contains the progestin hormone, etonogestrel. Once implanted, the device releases just enough of the hormone each day into your body to prevent you from becoming pregnant. You will be protected from pregnancy immediately if you get Nexplanon during the first five days of your period. If you get it any other time during your cycle, you will be protected within one week.

The implant is so effective because its effectiveness is automatic. It does not depend on you having to do anything else. You never have to remember to take a pill, insert a ring, or worry about misusing it.
If you change your mind and decide you want to get pregnant before the implant’s expiration date, you can simply have your doctor remove it. You can become pregnant right away. It does not impair your fertility.

The Most Common Side Effects Of Nexplanon

Spermatozoa and Egg. The side effects of Nexplanon usually occur during the first 6 to 12 monthsThe hormone in Nexplanon works by causing the mucus on your cervix to thicken, which prevents sperm from swimming through it to fertilize an egg. The hormone also prevents ovulation, which means your ovaries will not release eggs, so if sperm can penetrate the thickened mucus, there is no egg for the sperm to fertilize. You cannot get pregnant if sperm cannot reach one of your eggs.

These changes in your body may cause side effects, though many women experience positive side effects. The side effects usually occur during the first six to twelve months of being on the implant. The most common side effects include:

Changes in Menstrual Cycle. Changes in menstrual bleeding, spotting between periods, and timing of their periods are normal side effects experienced by most women. However, the nature of the changes in their cycles can vary. That said, studies of Nexplanon show that only 1 in 10 women stopped using it because of an unfavorable change in their bleeding pattern.

Varied Amount Of Time Between Periods

Some women experience irregularity in the timing of their periods. Sometimes the period comes earlier than usual, and other times, it happens later.

Heavier Flow

During the first few months on Nexplanon, some women experienced heavier bleeding during their period than before Nexplanon. This heavier bleeding can subside over time.

Lighter To No Periods At All

One of the most common side effects is your period becomes lighter and lighter. Your cramping may also become less severe. Eventually, your periods may diminish until you have no period at all. Many women regard that as a positive side effect.

Other Side Effects

Other possible side effects are less common. They include headaches, weight fluctuation, breast pain, mood swings, and nausea. These are similar to the side effects some women experience using the hormonal IUD or birth control pills.

Also, minor side effects that can occur when you have the implant procedure include minor temporary pain, bruising, or an infection on your arm at the implant site.

Other Medications

Certain prescription medications, over the counter medications, and dietary supplements can impair the effectiveness of Nexplanon. Your doctor will ask you about any medications you are taking and discuss any concerns about their safety and efficacy.

Pre-Existing Health Conditions

Your doctor will want to know about any health conditions you may have before recommending Nexplanon. In particular, Nexplanon may not be appropriate for you if you have heart or circulatory issues, breast cancer, and certain other health issues that your doctor will want to know about.

The Lifetime Of Nexplanon

A gynecologist and her patient discussing the side effects of NexplanonOnce implanted, Nexplanon works immediately and every day after that. It is not permanent, but it lasts from three to four years.

As previously noted, if you decide you want to get pregnant before it expires, or if you do not want to have the implant anymore, you can schedule an appointment with your doctor to have it removed.

Speak To One Of The Experts At Raleigh Gynecology And Wellness For More Info On What Are The Side Effects Of Nexplanon

The reliability and convenience of Nexplanon are the reasons it has become one of the most popular forms of birth control methods on the market. If you are interested in learning more about Nexplanon and whether it is suitable for you, contact the specialists at Raleigh Gynecology and Wellness. They can answer your questions about Nexplanon and any other form of birth control and schedule an appointment for you.

Raleigh Gynecology · December 28, 2020 ·

A female standing thoughtful. Nexplanon implant may be one of the effective option for youThe Nexplanon implant is one of the most effective forms of birth control on the market. Women also love it for its convenience—once it is implanted, they can forget about it until it expires in three years. If you are wondering whether the Nexplanon implant is a good option for you, below is some information about Nexplanon that may help you with decision-making.

The Nexplanon Arm Implant

The Nexplanon arm implant is a small, flexible plastic rod (about the size of a toothpick) implanted by your doctor inside of your non-dominant upper arm. It is impregnated with 68 mg of the progestin hormone called etonogestrel.

The implant procedure is easy and fast. Your doctor will use a numbing agent to numb the area on your arm. Using a special applicator designed to ensure proper placement of the device, your doctor will insert the device subdermally on the inside of your arm.

Once implanted in your arm, Nexplanon releases enough etonogestrel into your body each day to prevent pregnancy. Etonogestrel is a hormone that is similar to a natural hormone made in your body. It prevents pregnancy in three ways: 1) it stops your ovaries from releasing one of your eggs, 2) it thickens the mucus of your cervix to help prevent any sperm from reaching an egg, and 3) it changes the lining of your uterus to prevent attachment by a fertilized egg.

The Nexplanon implant also contains a small amount of barium sulfate. Barium sulfate makes the implant visible with an X-ray or other imaging tool. This feature allows doctors and other health care providers to ensure it was inserted correctly and pinpoint the implant location after insertion if needed.

The Effectiveness of Nexplanon

Silhouette of a pregnant female. Nexplanon implant include both immediate and long-term effectivenessNexplanon is over 99% effective. Fewer than 1 out of 100 women who use Nexplanon will get pregnant each year. The reason it is so effective is it leaves no chance of making a mistake. It is implanted in your arm, so you do not need to remember to take a pill or do anything else to make it work.

Can Any Factors Affect Nexplanon’s Effectiveness?

Certain medications can impair Nexplanon’s efficacy. Some of these medicines include bosentan, barbiturates, carbamazepine, rifampin, itraconazole, ketoconazole, and cyclosporine, hepatitis C medications, and certain HIV medications and seizure medications. For that reason, if you are taking any prescription medications for any health condition, your health care provider needs to know about it.
Non-prescription medications may also affect Nexplanon’s effectiveness. Inform your health care provider if you are taking any non-prescription remedies, herbal supplements, and vitamins, such as St. John’s wort.

Also, before giving you the Nexplanon implant, your doctor will want to know if you have any health issues such as diabetes, high blood pressure, high cholesterol or triglycerides, headaches, gallbladder or kidney issues, or if you have a history of cancer, depression or have any allergies to medications including anesthetics or antiseptics.

The Benefits of The Nexplanon Implant

Gynecologist demonstrating Nexplanon implant to a patientThe Nexplanon implant offers many benefits to women who choose to use it. They include:

Immediate and Long-Term Effectiveness

Nexplanon is immediately effective if you get it during the first five days of your period. If you get it during any other time of the month, it will be effective within one week. After that, you don’t have to worry about getting pregnant for three years.

At the end of the three years, the implant loses its effectiveness. You must have it removed, but you can have a fresh device implanted and be protected for another three years.

Easily Reversible

If you decide to become pregnant during the three-year period, you can have Nexplanon removed. You will become fertile within one month.

Hassle Free Contraceptive

As noted earlier, a big benefit of Nexplanon is you do not have to do anything else once the device is implanted. You are protected against pregnancy without having to take pills.

Very Safe to Use

The hormones in the Nexplanon implant have been in use for many, many years, and millions of women have used them with no health problems.

Nexplanon is very safe—so safe it can be used while you are breastfeeding. It will not affect how much milk you produce, and it will not harm your baby.

It also has few negative side effects for most women. Some women do experience irregular bleeding with Nexplanon, but In fact, many women have lighter periods than normal, and some have no periods at all.

Contact The Experts At Raleigh Gynecology And Wellness For More Information

It is not unusual for a woman to try a few different types of contraception methods before finding the one that works best for her. If the Nexplanon implant sounds appealing to you, contact the experts at Raleigh Gynecology and Wellness. They can discuss the advantages of the Nexplanon implant option, along with other birth control options. They are available to answer your questions and schedule your appointment.

Raleigh Gynecology · December 14, 2020 ·

a diagram showing What Is EndometriosisEndometriosis is a common disorder in women . The inside of your uterus is lined with tissue called the endometrium. The endometrium thickens to provide a cushion for an egg released from your ovary during ovulation, if the egg is not fertilized, the endometrium breaks down and bleeds with your menstrual cycles. Your body expels the tissue along with any unfertilized egg through the vagina.

Endometrial-like tissue may grow outside of the uterus.. It usually affects your pelvic organs such as the ovaries, fallopian tubes, and the tissue lining your pelvis, but it can affect any other organ. This abnormal tissue growth is the condition known as “endometriosis”.

Endometriosis causes pain, especially during the menstrual cycle. How and why endometrial tissue is able to get to other organs in the body is unknown; however, medical researchers have determined that endometriosis tends to run in families. They have also found that it occurs more often in women who have fewer than 25 days between periods or who menstruate for more than seven days. Those women are twice as likely to develop endometriosis. Researchers also believe that exposure to certain industrial chemicals can be a cause.

Common Symptoms of Endometriosis

The abnormal tissue works much the same way normal endometrial tissue does by thickening, breaking down, and bleeding. However, when the endometrial-like tissue breaks down and bleeds with your menstrual cycles, your body has no way to expel it, therefore becoming trapped in your body.

Over time, the tissues can form cysts or endometriomas, on your ovaries. It can also irritate surrounding tissues and cause scar tissue and adhesions. Adhesions are abnormal bands of fibrous tissue, often causing pelvic tissues and organs to stick to each other.

How do you know if you have endometriosis? The symptoms are common symptoms of other conditions, and women may or may not experience any of them. The symptoms are vague and similar to the symptoms of other disorders. It is not unusual for women to have endometriosis and even experience symptoms for many years before it is diagnosed and treated. If you suspect that you have endometriosis, you should have your doctor perform a pelvic exam to diagnose.

Some common symptoms of endometriosis include:

Pelvic Pain; Painful Periods

women holding her stomach with pain from EndometriosisExcessive pelvic pain or cramping along with menstrual periods is a telling symptom. Cramping or pain is normal for most women during their cycle; however, women with endometriosis will experience pain and cramping that is more than the usual discomfort associated with a normal menstrual cycle.

In many cases, it far exceeds what is normal and often increases over time. Note that the severity of the pain is not an indication of the severity of the endometriosis. Some women have mild endometriosis but experience severe pain, while others may have advanced endometriosis with little or no pain. Researchers believe that the pain probably comes from the scarring and irritation caused by bleeding, or from endometrial tissue growing on a nerve.
If you have pain, it can begin before the onset of your menstrual period and continue for several days. In addition to the abdominal pain, some women experience lower back pain.
Pelvic pain or lower back pain is not necessarily caused by endometriosis. Other disorders can cause pelvic pain.

Examples of other painful conditions include pelvic inflammatory disease (PID) or ovarian cysts that were not caused by endometriosis, or irritable bowel syndrome (IBS), which causes bouts of diarrhea, constipation, and abdominal cramping. Sometimes, these other conditions can exist along with endometriosis.

Pain During Intercourse

Another common symptom is pain during or after sexual intercourse. The depth and intensity of the pain can vary based on your sexual position and where you are in your menstrual cycle.

Excessive Bleeding

Heavy menstrual periods or bleeding between periods is a common indication of endometriosis.

Pain with Bowel Movements or Urination

With endometriosis, some women experience pain with their bowel movements or urination during a menstrual period.

Infertility

doctor feeling uterus of woman If you are having trouble getting pregnant, have your doctor examine you for the possibility of endometriosis. It is not unusual for the endometriosis to go undiagnosed until a woman seeks treatment for her infertility.

Other

Some women can experience general fatigue and digestive symptoms such as diarrhea, constipation, bloating or nausea, especially during your menstrual periods.

Contact Raleigh Gynecology for More Information

The symptoms of endometriosis can be difficult to pinpoint causing the condition to exist for a long time before it is finally diagnosed. During that time, it can impair the woman’s ability to become pregnant and can pose other serious risks to her health. It is important to contact and discuss your symptoms with the women’s health specialists at Raleigh Gynecology, and have it diagnosed and treated as early as possible.

Raleigh Gynecology · November 16, 2020 ·

Woman holding model of vagina and ovaries. Endometriosis is a condition that afflicts many womenEndometriosis is a condition that afflicts many women. It is a disorder involving endometrial tissue, which is the type of tissue that lines the inside of a woman’s uterus. So, how do you diagnose endometriosis?

When you ovulate, your ovaries release an egg into your uterus where the endometrium lining thickens to provide a cushion for the egg. If the egg is not fertilized, the endometrium breaks down and bleeds out during your menstrual cycle. Menstrual bleeding is your body’s way of expelling the endometrial tissue along with any unfertilized egg.

Endometriosis occurs when microscopic bits of endometrial tissue escape from your uterus, attach to other organs in your body and grow. Endometriosis usually affects organs in your pelvic area, ovaries, fallopian tubes and the tissue lining your pelvis, but it can affect other organs in your body.

Symptoms Of Endometriosis

How do you know if you have endometriosis? Some of the most common symptoms are:

Pain And Cramping

Woman clutching her stomach. Symptoms of endometriosis include pain and crampingThe endometrial tissue growing outside of your uterus acts like normal endometrial tissue through each menstrual cycle. It thickens, breaks down and bleeds along with the healthy cells making up your endometrial lining; however, your body has no way to expel the abnormal cells once they break down and they become trapped. With no way to escape the body, they can form cysts called endometriomas, irritate other organs and tissue, and develop scar tissue and adhesions that cause pelvic tissues and organs to stick to each other. This process causes pain and cramping, which is often severe. You may also have pain and cramping during sexual intercourse and with bowel movements or urination when you are menstruating.

Excessive Bleeding

Women with endometriosis often experience heavy menstrual periods or occasional bleeding between periods.

Infertility

Infertility is a common symptom of endometriosis. Treatment has to be tailored to the condition of each patient. In some cases, endometriosis may be affecting the function of the patients’ fallopian tubes, which requires a much different treatment from cases where endometriosis is interfering with the ovaries. Women experiencing infertility may need to be evaluated and treated for endometriosis to optimize their chances to conceive.

Other

During your menstrual periods, you may experience unusual fatigue, diarrhea, constipation, bloating or nausea.

These symptoms can be vague. Some women with extensive endometriosis will have few symptoms, while other women with a mild case can experience severe symptoms.

How to Diagnose Endometriosis

Gynecological chair. Diagnosis for endometriosis involves a multiple step processDiagnosing endometriosis can be difficult, especially when you have few if any symptoms. The symptoms also make the condition easy to mistake for other types of health disorders such as irritable bowel syndrome or ovarian cysts.

If left undiagnosed and untreated, endometriosis can present serious health risks. It can lead to infertility and interfere with the healthy functioning of other organs. If you are experiencing any of the symptoms described above, talk with your doctor about appropriate evaluation and treatment for your symptoms.

Diagnosis involves a multiple step process, beginning with the least invasive and progressing to more invasive surgical procedures:

Pelvic Exam

The first step in diagnosing endometriosis is a pelvic exam by your gynecologist. During a manual examination of your pelvic area, your gynecologist will feel the organs in your pelvic area for abnormalities. Sometimes, your gynecologist can feel cysts, scar tissue, or other abnormal growths; however, if no such abnormalities have yet formed, manual examination is inconclusive.

Ultrasound of Your Pelvic Region

If your endometriosis symptoms persist, your gynecologist may recommend an ultrasound test. It uses high-frequency sound waves to create images of the inside of your pelvic region. It may be performed by pressing a device called a transducer against your abdomen or inserting it into your vagina. For the best results, both types of ultrasound can be conducted to get the most comprehensive view of your organs. The ultrasound can identify and locate any endometrial cysts that have formed, which may not be detectable through manual examination.

Magnetic Resonance Imaging (MRI)

Using a magnetic field and radio waves to create detailed images of the organs and tissues within your body, an MRI can give your gynecologist a comprehensive view of cysts and scar tissue that can help in planning surgery.

Laparoscopy

The most definitive diagnostic exam for endometriosis is a laparoscopy. It is a procedure that allows a surgeon to view inside your abdomen. During a laparoscopy, you will be under general anesthesia. The surgeon makes a tiny incision near your navel and inserts a slender viewing instrument called a laparoscope, enabling the surgeon to look for signs of endometrial tissue outside the uterus.

A laparoscopy can provide detailed information about the location, extent and size of any endometrial cysts and tissue, along with any adhesions and scar tissue. Often, your surgeon will take tissue samples to test for endometriosis and to rule out malignancies or other abnormal conditions. A laparoscopy is also useful because your surgeon may be able to fully treat endometriosis during the laparoscopy, helping to improve the problems that endometriosis has created.

Visit Your Gynecologist

Stay on top of your reproductive health, have regular pelvic exams by a gynecologist and stay alert to the symptoms of endometriosis. If you have been trying to get pregnant for a while without success, endometriosis could be the problem. Your gynecologist can help you address those issues.

Contact Raleigh Gynecology

Endometriosis is a serious health condition that often escapes early diagnosis. Regular pelvic examinations can help identify it early and manage it before it becomes a bigger risk to your health. If you are having symptoms of endometriosis or have any questions about it, contact the women’s reproductive and health experts at Raleigh Gynecology.

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Conditions & Management

  • Abnormal PAP Smears
  • Endometriosis
  • Initial Evaluation of Infertility
  • Menopause & Peri-Menopause Care
  • Menstrual Disorders
  • PCOS
  • Pelvic Relaxation & Prolapse
  • Sexual Health & Sexual Dysfunction
  • Urinary Problems
  • Vaginal Dryness & Painful Sex
  • Vaginitis Care

Procedures

  • Colposcopy
  • Endometrial Biopsy
  • IUD Insertion
  • LEEP
  • MonaLisa Touch
  • Nexplanon
  • Pelvic Floor Therapy
  • Pessary Fitting
  • Sonohysterography & Ultrasound

Routine Care

  • Breast Care
  • Contraceptive Care
  • Emergency Contraception
  • Gardasil Vaccination
  • GYN Wellness Screening
  • HPV Counseling
  • Mammography
  • PAP Test
  • STD Testing

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