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Raleigh Gynecology & Wellness

North Carolina GYN Care & Treatment

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What Is a Nurse Practitioner and What Services Can They Provide?

Procedures

Raleigh Gynecology · May 3, 2021 ·

A nurse practitioner is a highly trained nurse. Becoming a nurse practitioner takes many years and a demonstrated commitment to providing quality healthcare in nursing. The services they provide are invaluable to the medical profession and their patients alike. Nurse practitioners help provide access to quality health services, which is important in areas experiencing the departure of primary care physicians faster than they can be replaced.

What Does It Take to Become a Nurse Practitioner?

Nurse practitioner services working to preparing a vaccinationTo become a nurse practitioner, a person must first earn a bachelor’s degree from college and obtain a registered nurse’s license. After working as a registered nurse for several years and getting the necessary clinical experience, the nurse must then complete a master’s program to learn advanced clinical skills. Then, the aspiring nurse practitioner must pass a state-administered nurse practitioner licensing exam and achieve certification from a national organization such as the American Association of Nurse Practitioners, the American Nurses Credentialing Center or the Pediatric Nursing Certification Board.

After receiving a master’s degree, some nurse practitioners earn a doctor of nursing practice. A doctorate degree is becoming the preferred level of preparation for a nurse practitioner.

It can take anywhere from three to nine years to become a fully certified nurse practitioner. The role of a nurse practitioner generally is to help prevent disease and promote the health and well-being of the patient.

Nurse Practitioner Responsibilities in General

A nurse practitioner’s experience and education qualify the nurse to help with advanced aspects of patient care. The responsibilities of a nurse practitioner and those of a doctor may overlap in some areas. Depending on the practice and the patients’ needs, a nurse practitioner can help the doctors diagnose and treat patients. A nurse practitioner also may work independently in many states. In other states, they work alongside a doctor or as part of a fully-staffed team of healthcare providers. Nurse practitioners can practice in clinics, doctors’ offices, healthcare centers, hospitals and rehabilitative care facilities.

Nurse Practitioners Help Patients Heal

Nurse Practitioner Services taking care at officeA nurse practitioner can conduct physicals on their patients, order tests and in some cases, they can serve as a primary healthcare provider, and prescribe medications under the supervision of the attending doctor. Nurse practitioners are often called upon to provide continuing healthcare services to patients who have chronic illnesses.

Nurse Practitioners Can Conduct Diagnostic Tests

An important skill that nurse practitioners bring to any practice is their ability to order and perform diagnostic tests. The type of diagnostic test they may perform depends on their training, but it can include x-rays, electrocardiograms (EKGs), MRIs, or any kind of test to be done in a lab.

Nurse Practitioners Can Perform Minor Medical Procedures on a Patient

Doctors rely on nurse practitioners to perform various medical procedures that do not require a doctor. For example, nurse practitioners can clean wounds, place casts on broken bones, and perform certain types of biopsies.

Nurse Practitioners Educate Patients about Their Treatment

Nurse practitioners excel at educating patients about preventative care and helping their patients understand their prescribed treatments.

Nurse Practitioners Often Specialize in a Medical Field

While pursuing a master’s or doctorate degree, the nurse practitioner will select a specialized field where their skills and passion can help them excel. They usually pursue a career in that specialty area after they become certified. A nurse practitioner can specialize in almost any medical category, such as:

  • Pediatric Care
  • Women’s Health
  • Geriatrics
  • Family Practice
  • Oncology.

What a Women’s Health Nurse Practitioner Does

Among the many specialty areas available to nurse practitioners is the specialty of women’s health. A nurse practitioner who specializes in women’s health may provide a wide range of medical services. Their patients will be predominantly women.

Some patients may first seek treatment from the practice when they are young. Those patients may be needing reproductive health care, a contraceptive procedure, or obstetric care. Throughout the patient’s life, the nurse practitioner’s practice is likely to focus on gynecology.

Nurse attending a Senior Woman Sitting In ChairThe women’s health nurse practitioner can expect to perform wellness exams, prescribe contraception, diagnose and treat sexually transmitted diseases, and perform relatively minor medical procedures like pelvic exams, pap tests, endometrial biopsies and breast exams and biopsies, and procedures involving contraceptive devices. The practice may also require the nurse practitioner to provide prenatal care and educate the patient about good self-prenatal care.

Contact Raleigh Gynecology and Wellness For More Info On Nurse Practitioner Services

At Raleigh Gynecology and Wellness, the nurse practitioners are exceptionally skilled in all aspects of women’s health. They are compassionate and personable while also being analytical and able to work well in uncertain situations. They enjoy spending time with their patients and the other professionals at Raleigh Gynecology and Wellness. You can contact them to discuss any of your health care questions and schedule an appointment.

Raleigh Gynecology · April 12, 2021 ·

Permanent contraception procedures prevent pregnancyPermanent contraception is often a responsible choice for people who have reached their personal goals regarding the number of children they want or can support, or if health considerations make pregnancy unsafe, or for adults who for any other reason know they never want to become a parent. Permanent contraception is a significant life decision that should be carefully considered.

Permanent Contraception Options

Permanent contraception procedures are highly effective in preventing pregnancy. However, these procedures are permanent and are difficult, if not impossible, to reverse. Some people experience regret over having permanent contraception. The people who suffer from regret most often are less than 30 years old at the time of the procedure. The younger a woman is, the more likely she is to regret the decision.

Accordingly, you should consult with a healthcare professional about this decision, especially if you are not yet 30 years old, or if you have recently had significant complications giving birth, or you are having relationship problems. You can postpone your decision for a while, and in the meantime, use a non-permanent but effective long-term method of contraception that is easily reversible.

Each permanent contraception option involves a procedure performed by a qualified healthcare provider. All procedures are available on an out-patient basis. You should consult with your healthcare provider to determine which option is best for you and your lifestyle.

Tubal Ligation

Tubal ligation a Permanent contraception and birth controlThe most common permanent birth control procedure for women is a tubal ligation, also known as “having your tubes tied”. Tubal ligation is a relatively simple procedure that can be done either in a hospital or at an outpatient center where most patients go home the same day.

In a tubal ligation procedure, the doctor will cut both of the fallopian tubes. The fallopian tubes funnel eggs from the ovaries to the uterus, where an egg can be fertilized by sperm. Once cut, your doctor will seal them closed using heat, rings, or clips. This procedure can be performed within 24 hours of giving birth or during another surgical procedure.

The procedure can also be done laparoscopically, which requires general anesthesia. Once the patient is anesthetized, the surgeon will make a small incision in he belly button and insert a small camera (called a laparoscope) to view the fallopian tubes. The surgeon will then close the tubes using heat, rings or clips.

Bilateral Salpingectomy

With this procedure, both of the fallopian tubes are removed.

Minilaparotomy

A minilaparotomy is performed on a woman one to two days after childbirth. Under general or local anesthesia, the patient will have a part of both of her fallopian tubes removed.

Vasectomy

Vasectomy is a male sterilization procedureA vasectomy is a male sterilization procedure. It is a fairly simple procedure that takes about 30 minutes to complete. The patient can go home immediately after the procedure.

In a conventional vasectomy, the doctor will make small incisions into the scrotum to access the vas deferens. The vas deferens is a narrow tube that connects the testicle to the urethra, and they are the passageways for sperm to mix with semen during ejaculation. Each testicle has a vas deferens.

The doctor may close off the vas deferens in a couple of different ways. The doctor may remove a small piece of each tube or use heat to sear each end. Closing off the vas deferens prevents sperm from being able to mix with semen. Although the man’s testicles will continue to produce sperm, his body simply reabsorbs it.

A vasectomy may also be done without a scalpel. In the non-scalpel procedure, the doctor will feel for each vas deferens under the scrotum. Using a clamp to hold it in place, the doctor will make a tiny hole in the skin, open it enough to lift out each vas deferens, then cut it and seal it with heat or stitches, or both.

A vasectomy is not immediately effective. It may be several months before the man’s semen contains no sperm. During that time, the man and his female sex partners should use another form of birth control.

Contact the Women’s Health Experts at Raleigh Gynecology and Wellness for More Information About Contraceptive Options

The specialists at Raleigh Gynecology and Wellness are available to consult with you about whether permanent contraception is a good choice for you, or whether another form of contraception might be the better choice for your stage of life. Contact them today to discuss your options and schedule an appointment.

Raleigh Gynecology · March 29, 2021 ·

Different types of contraceptive optionsYou have many options when it comes to choosing which type of contraceptive is best for you. Among the many considerations, you have to weigh are the side effects that a contraceptive option presents and the impact it could have on your health.

Barrier Contraceptives And Their Side Effects

If you plan to use an effective contraceptive, you should anticipate experiencing some side effects. Part of the decision-making about your contraceptive choice involves understanding the different contraceptives’ side effects.

Nearly every type of contraceptive has side effects. Barrier contraceptives have the most minor side effects. Barrier contraceptives work by blocking the sperm’s access to an egg. The condom is an example of a barrier contraceptive. Condoms may cause minor itching, burning, and irritation, especially when used regularly with a spermicide. These side effects are not serious and they are easily remedied.

Other types of barrier contraceptives are the diaphragm and the vaginal cap. Using these devices can increase your risk of developing urinary tract infections. If you leave them in place for longer than 24 hours, you run an increased risk of having toxic shock syndrome.

Even though barrier contraceptives are easy to get without a prescription, safe, and have minimal side effects, they are less effective than hormonal contraceptives in preventing pregnancy. One of the reasons barrier contraceptives are less effective is that their effectiveness depends on proper use. The risks of human error include incorrect use, damage to the device, or simple failure to take the time to put the device on properly, or at all.

Types Of Hormonal Contraceptives

A woman shows birth control pill. Hormonal contraceptives can cause more pronounced side effectsTo obtain a hormonal contraceptive, you will need an appointment with your healthcare provider and get a prescription.

As compared to barrier contraceptives, hormonal contraceptives can cause more pronounced side effects. However, not all women experience the same side effects or experience them to the same degree of intensity.

The types of hormonal contraceptives include:

  • Birth Control Pills (the leading contraceptive choice for women under thirty years old)
  • Hormonal IUD
  • Patch
  • Implant
  • Depo Provera
  • Vaginal Ring

Depending on which device you use, your hormonal exposure will be either continuous or intermittent.

Side Effects Of Hormonal Contraceptives

Whether you use birth control pills or other forms of hormonal contraceptives, the side effects are very similar. All hormonal contraceptives consist of various formulations of progestin or a combination of progestin (a form of progesterone) and estrogen. They prevent pregnancy in one or more of the following ways:

  • Preventing ovulation, meaning your body does not release an egg.
  • Thickening of the cervical mucus so that the sperm cannot reach an egg.
  • Thinning of the uterine lining (endometrium) so that a fertilized egg cannot implant itself.

Since the time that hormonal contraceptives in the form of the birth control pill entered the market in 1962, medical advances have led to improvements that resulted in safer products and reduced the dosage of hormones.

Notwithstanding the improvements in safety in hormonal contraceptives, they can still cause negative side effects for some women. Those can include:

  • Changes in menstrual cycle
  • Break-through bleeding
  • Breast tenderness or swelling
  • Nausea
  • Weight gain
  • Depression
  • Anxiety
  • Headaches
  • Acne
  • Changes in facial skin pigmentation (melasma)

Many of these side effects subside after the first few months of use.

On the positive side, not all of the side effects are negative. Hormonal contraceptives can help you regulate your period. They may be prescribed to treat an irregular menstrual cycle. They can also be used to alleviate painful cramping or PMS symptoms or to control heavy menstrual bleeding. Many women who use a contraceptive containing the progestin hormone experience no periods at all.

Health Risks

A woman holding a tablet with the text Risk Factor. Not all of the side effects are negativeWomen with certain health conditions should avoid certain types of hormonal contraceptives. Your healthcare provider will evaluate your health profile before prescribing any hormonal contraceptives to ensure that they are safe and appropriate for you to use. The health conditions that could put you at risk include:

  • Blood-clotting tendencies
  • Coronary heart disease
  • Breast cancer
  • Stroke

Hormonal contraceptives that contain a combination of hormones should not be used by women who are breastfeeding. They can reduce the amount of breast milk along with the concentration of proteins and fat in it. Also, breast milk will contain traces of the hormones from the contraceptive.

Women who smoke cigarettes may need to quit before using hormonal contraceptives. Smoking increases your risk of heart attacks, blood clots, and strokes while on hormonal contraceptives. This risk is more significant in women over 35 or those who smoke more than 15 cigarettes each day.

Contact The Women’s Health Experts At Raleigh Gynecology And Wellness

It is important that you understand what side effects you can expect when using any form of contraception. Learn about which options are best for you by consulting with the women’s health specialists at Raleigh Gynecology and Wellness. They are available to answer your questions and schedule an appointment.

Raleigh Gynecology · March 22, 2021 ·

Sperm and egg cell. Barrier methods of contraception block the sperm from reaching an egg to prevent pregnancyBarrier methods of contraception block the sperm from reaching an egg to prevent pregnancy. Barrier methods consist of a range of devices and medically formulated substances. Some barrier methods have the advantage of also preventing the transmission of sexually transmitted diseases (STDs).

General Overview Of The Types Of Barrier Contraceptives

If you want to use a barrier contraceptive, there are a wide range of products available. Many of them are affordable and readily available without a prescription from your pharmacy, grocery store and convenience store. Those types are:

  • Male condom. Male condoms are the most common barrier method. Condoms are available made of latex, polyurethane, or lambskin. Most condoms are treated with a silicone, water-based gel, or spermicidal coating. Male condoms are used by wrapping them over the penis. When the male discharges semen, the condom contains it and blocks it from entering your vagina. Using a condom with each act of sexual intercourse is one of the best ways to prevent the spread of STDs.
  • Female condom. The female condom is a thin membrane that you must place inside of your vagina no more than eight hours before having sex. If you use a female condom, you should not use a male condom. Like male condoms, female condoms help prevent the spread of STDs.
  • Contraceptive sponge. A contraceptive sponge is a small, round sponge that you place in your vagina near your cervix before sex. It is infused with a spermicidal substance. The sponge helps block sperm from reaching your cervix and kills sperm that comes into contact with the sponge. You can have sex more than once with the sponge left in place. You can leave the sponge in place for up to 24 hours.
  • Damaged sperm cells. Barrier methods of contraception are not as effective in preventing pregnancyVaginal spermicide. Vaginal spermicides kill sperm or inhibit sperm from reaching an egg. You can find spermicides in the form of creams, jellies, foam, tablets, or vaginal suppositories. If you use a tablet or suppository, you must insert it into your vagina about 30 minutes before having sex. Other forms are inserted just before sex. Spermicides are most effective when used with other barrier methods. They start working up to 15 minutes after applying them and are effective for up to 60 minutes. You have to reapply spermicide before each act of sex. Also, you must leave it in place for at least 6 hours after you apply it.

Some barrier contraceptives require that you visit your healthcare provider to get it. They include:

  • Diaphragm. A diaphragm is a soft latex rubber dome that covers your cervix to block sperm from reaching it. To get a diaphragm, you will need an appointment with your healthcare provider for an examination and fitting. You must leave the diaphragm in place during sex and for at least six hours afterward. An advantage of the diaphragm over a condom is you can have sex more than one time with the diaphragm left in place. However, you must remove your diaphragm within 24 hours after you have sex. The diaphragm helps prevent the spread of STDs.
  • Cervical cap. The cervical cap is similar to a diaphragm. It is a small rubber cap that covers your cervix to block sperm from entering your uterus. You will need an appointment with your healthcare provider to get a cervical cap. You insert the cap before sex and leave it in place for up to eight hours afterward. Like the diaphragm, you can have sex more than one time with the cap left in place. However, you should remove it within 48 hours after having sex. It does not prevent STDs.

Drawbacks Of Barrier Contraceptives

Gynecologist examining a patient. Barrier contraceptives are most effective when used correctly each time you have sexBarrier methods of contraception are not as effective in preventing pregnancy as many hormonal methods of contraception. Barrier contraceptives are only about 70-75% effective. That means that of 100 women who use barrier contraceptives per year, around 20 or 25 of them will become pregnant. Barrier contraceptives are most effective when used correctly each time you have sex. The effectiveness of the device you use will be compromised if it tears, breaks or becomes dislodged during sex.

Even when used properly, however, they may not prevent pregnancy. Certain types of lubricants can damage the rubber material of the contraceptive device and render it less effective.

Another issue to be aware of with barrier contraceptives is you have a higher risk of getting a urinary tract infection. Also, some of the products can irritate your vagina and other areas of your pelvic region.

For any device that needs to be inserted into your vagina, you risk an incorrect fitting. Your fit can change with fluctuations in your weight or if you become pregnant, deliver a baby, or after pelvic surgery.

Contact the Specialists at Raleigh Gynecology and Wellness for More Information about Choosing the Best Contraceptive for Your Lifestyle

Barrier contraceptives are a popular form of birth control. They are convenient and affordable and many women use them as a form of back up birth control. To learn more about your options for contraceptive methods, contact the women’s health experts at Raleigh Gynecology and Wellness. They are available to answer your questions and schedule an appointment with one of their experienced professionals.

Raleigh Gynecology · February 4, 2021 ·

women getting a implant for How does nexplanon prevent pregnancyOne of the most convenient and effective ways to prevent pregnancy is with a Nexplanon implant. Popular with women who want a long-term, safe and reliable method of birth control, Nexplanon effectively prevents pregnancy with little to no side effects.

What Type of Birth Control Is Nexplanon?

Nexplanon is a small plastic rod that is implanted by your specially trained healthcare provider just under the skin of your upper arm. It contains 68 mg of the estrogen-free, progestin hormone called etonogestrel. The implant releases a small amount of the progestin hormone into your body each day. The amount of hormone it releases is enough to prevent pregnancy for up to three years.

How Nexplanon Prevents Pregnancy

Nexplanon is over 99% effective in preventing pregnancy. It prevents pregnancy in three ways:

Stops the Release of an Egg

The progestin hormone stops your ovulation, meaning that your ovaries will not release an egg. Without an egg for sperm to fertilize, you cannot become pregnant.

Thickens the Mucus in Your Cervix

The hormone also works by thickening the mucus in your cervix. This impairs the sperm’s mobility and prevents the sperm from reaching any egg. If the sperm is unable to reach and fertilize an egg, you cannot become pregnant.

Changes the Lining of Your Uterus

women talking to her doctor about How does nexplanon prevent pregnancyA third way the hormone works is by changing the lining of your uterus in a way that is unfavorable to a fertilized egg. In the unlikely event that sperm was able to reach an egg and fertilize it, the changes to your uterine lining make it more difficult for the fertilized egg to attach itself to your uterus. If the fertilized egg is unable to attach to your uterus, you will not become pregnant.

What Is the Insertion Process?

The Nexplanon implant is a quick and straightforward procedure that is done in your doctor’s office by a trained health care provider. Before you have the implant procedure, you will have an appointment with your healthcare provider to discuss various birth control options and the Nexplanon implant. At that time, you will also provide a urine sample to make sure you are not pregnant. Your health care provider will review and evaluate your medical history to be sure you have no health conditions that would adversely affect the Nexplanon implant’s effectiveness of suitability for you.

Ideally, you will schedule an appointment to have the implant procedure done on a day between the first day of menstrual bleeding and the fifth day, even if you are still bleeding. If you have it implanted during that time
of your cycle, the implant will be effective immediately and you will not need back-up contraception for any time period. However, if you have it implanted at any other time, you will need to use a condom for seven days after insertion.

Your health care provider will treat your skin in the implant area with a local anesthetic called lidocaine. The lidocaine will numb your skin so you will not feel pain when the implant is inserted. Once the area is numbed, your healthcare provider will use a special applicator to guide the implant into location under the skin of your upper arm. The applicator ensures that the implant is placed in the optimum location under your skin. After the implant is placed, you will be asked to touch it to confirm that it is in place.

After the procedure, you will have to wear a pressure bandage for 24 hours. Then you will wear a band-aide for three to five days. After that, your implant will remain discreetly in place until you have it removed.
Your implant will be effective immediately or within seven days, depending on where you are in your menstrual cycle. You won’t have to do anything else – no pills and no worrying about an IUD slipping out of place. You don’t need to worry about contraception until the implant expires in three years.

women getting a shot for How does nexplanon prevent pregnancyThe only thing you need to be aware of is the implant is only a birth control method. It will not protect you against STDs. You will need to take appropriate steps to protect yourself from contracting any STDs.
Your Nexplanon implant will remain effective for up to 3 years. At the end of three years, it loses its ability to prevent pregnancy, and you need to have your health care provider remove it. If you want to continue using Nexplanon for pregnancy prevention, you can have another one implanted.

On the other hand, if you decide that you want to become pregnant at any time, you can have the implant removed. Nexplanon will not affect your fertility, and you will become fertile almost immediately.

Talk With Raleigh Gynecology and Wellness For More Info On How Does Nexplanon Prevent Pregnancy

If you are interested in finding out whether the Nexplanon implant is a good birth control option for you, contact the experts at Raleigh Gynecology and Wellness. They can answer your questions about Nexplanon and schedule an appointment for you.

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  • About
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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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