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Raleigh Gynecology & Wellness

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Common Questions And Answers About Nexplanon® Birth Control Arm Implant

Routine Gynecologic Care

Raleigh Gynecology · November 21, 2022 ·

One of the most effective forms of birth control available today is Nexplanon®. This is a type of birth control implant that is inserted in the skin of your arm, where it releases hormones that prevent pregnancy.

Many women choose it because it provides protection for as long as three years, making it a good option for those who might be prone to forgetting to take daily birth control pills. Read on to learn more about whether Nexplanon® may be an effective birth control option for you.

How Does Nexplanon® Prevent Pregnancy?

Human sperm cells

Nexplanon® is an implant that is in the form of a small and thin rod that is roughly the size of a matchstick. Your doctor inserts it under the skin in your upper arm. Once in place, it releases the hormone progestin, which can prevent you from getting pregnant in two ways. First, it thickens your cervical mucus, preventing sperm from swimming through it to reach your egg. Second, it also stops eggs from leaving the ovaries, meaning there will not be an egg for any sperm that gets through to fertilize.

How Effective Is It?

Nexplanon® is more than 99 percent effective in preventing pregnancy. On average, less than one out of every 100 women who use it will become pregnant. The main reason for its strong efficacy is the fact that it is essentially foolproof. Because it is placed inside your arm, you cannot use it incorrectly or forget to use it.

How Long Does Nexplanon® Offer Protection?

Nexplanon® can last for as long as three years, which means it is a “set it and forget it” approach. However, if you decide to get pregnant in the meantime or wish to change your form of contraception, your doctor simply removes the implant, and you should be able to get pregnant.

If your implant is inserted within the first five days of your menstrual cycle, you will be protected from getting pregnant immediately. If you get it at any other time in your cycle, however, you will need to use a different type of birth control during the first week. After that time, your implant will begin to offer protection that can last for up to three years. Be sure to follow your doctor’s advice on when it should take effect.

Does Nexplanon® Protect Against Sexually Transmitted Diseases?

A couple consulting a doctor for sexually transmitted diseases

Although Nexplanon® is a very effective way to prevent pregnancy, it is important to understand that it does not provide any degree of protection against sexually transmitted diseases. You will still need to use condoms each time you have sex to avoid spreading or contracting sexually transmitted diseases.

How Is the Implant Inserted?

Once your doctor determines that Nexplanon® is a suitable method of birth control for you, you will be given a shot that numbs a small area of your arm. Then, an inserter tool is used to slide the birth control implant under your skin. This process takes only a few minutes. You may feel some stinging or a small pinch when you receive the numbing shot, but you should not be able to feel anything while the implant is being inserted.

Once the pain medication has worn off, you may notice some aching in your arm where the implant was inserted, but it tends to go away quickly. Although you may experience some swelling, bruising, or tenderness around the implant site, they should subside in a week or two.

Does It Have Any Side Effects?

Although some people experience side effects from the hormones in Nexplanon®, many women use it without any problems. The most common side effect is spotting in the form of brown discharge or light bleeding, particularly during the first six to twelve months. For some, it can also cause long-term spotting or irregular periods. However, for most, it will make their period significantly lighter or go away altogether. Once your body gets used to the implant, these side effects will usually go away.

Some of the less common side effects include weight gain, headaches, nausea, breast pain, infections at the implant site, and ovarian cysts.

Doctors recommend giving your body a few months to adjust to the hormones in Nexplanon®. However, if you are unhappy with it after a few months, discuss your concerns with your doctor, who can help you determine if a different method of birth control may be more appropriate for you.

What Happens After Nexplanon® Is Removed?

A woman with her gynecologist in the clinic

Having your birth control implant removed spurs a change in hormones, which always carries the possibility of creating temporary side effects. Your body should eventually return to the way it was before you had the implant. This means that if the implant caused your period to stop, it will eventually come back, although it may take a few months for it to return to your usual cycle.

Keep in mind that you can get pregnant immediately after the implant has been removed from your body, so if you do not wish to become pregnant, you need to use another method of birth control.

Reach Out to the Women’s Health-Care Team

If you are sexually active and wish to avoid pregnancy, contact the women’s health-care team at Raleigh Gynecology & Wellness. We can help you determine which method of contraception best meets your needs and suits your lifestyle.

Raleigh Gynecology · November 14, 2022 ·

If you are experiencing issues or have questions related to women’s health, you may be wondering if you should see a gynecologist or an OB-GYN. Some people believe that the two titles are different ways of referring to the same type of doctor, but there is actually an important distinction to be aware of.

Here is a look at the difference between a gynecologist and an OB-GYN so you can determine the right professional for your needs.

What Is the Difference Between an OB-GYN and a Gynecologist?

A female gynecologist examining a young woman

In the US, physicians who train to be OB-GYNs typically train in the fields of both obstetrics and gynecology.While both are focused on providing care related to female health, they serve different roles. Obstetrics refers to care provided to women during pregnancy, childbirth, and immediately after delivery. Gynecology generally refers to care for women who are not pregnant.

What Is a Gynecologist?

A gynecologist is a doctor who can handle various aspects of overall female health. This may include issues related to menstruation, screening for female health conditions and sexually transmitted diseases, and other aspects of sexual health. They may help with conditions affecting the reproductive system, such as the ovaries, vagina, fallopian tubes, cervix, or uterus, and they can also perform screenings such as Pap smears, pelvic exams, and breast exams.

They can do procedures such as tubal ligations and hysterectomies, and they can administer shots that offer protection against the human papilloma virus. They can also provide patients with various forms of birth control.

What Is an OB-GYN?

A female OB-GYN and a pregnant woman in a clinic

As you might have guessed, the latter half of the term “OB-GYN” indicates that the doctor is a gynecologist. However, “OB” designates them as an obstetrician as well. Obstetricians are trained in providing prenatal care and can work with women who are pregnant, attempting to become pregnant, and postpartum. They can help women through every stage of childbirth, from prenatal care to delivery and throughout their recovery.

Although there are some medical professionals who are only obstetricians and can only provide services related to pregnancy and childbirth, many physicians choose to specialize in both obstetrics and gynecology in order to provide more comprehensive care to their patients. These are the doctors known as OB-GYNs.

After graduating from medical school, aspiring OB-GYNs must undergo residency training programs that address health at every stage of pregnancy, from prior to conception to recovery, and they learn about issues surrounding prenatal diagnosis, genetic counseling, and other genetics-related issues. They may undergo rotations related to reproductive endocrinology, gynecological surgery, infertility, and ultrasonography.

Which Doctor Should I See?

If you are pregnant or believe you may be, an obstetrician or OB-GYN is the right doctor to see as they have the training and equipment needed to address complications that may arise during pregnancy and can help you to ensure a healthy pregnancy. If you already have a gynecologist you trust, you can ask them to refer you to a suitable OB-GYN when you become pregnant.

An OB-GYN can handle pregnancy complications, such as signs of fetal distress, preeclampsia, placenta issues, and ectopic pregnancies. They are trained to make deliveries via Cesarean section as well as vaginal births.

For all other health-care concerns related to women’s health, a gynecologist is a good choice. They can perform routine visits, such as annual checkups and pelvic exams. They can also help you with problems related to menstruation, such as irregular periods or painful menstrual cycles.

A nurse checking the blood pressure of a woman

For sexually active women who would like STI screening or a birth control, a gynecologist can help. They can provide advice on matters related to sexual practices, protection against diseases, and contraceptives. If you are experiencing pain during sex or dryness, for example, they can diagnosis and treat it. They can also help with vaginal infections, pelvic organ prolapse, uterine fibroids, ovarian cysts, endometriosis, and related conditions.

If you are experiencing the symptoms of menopause, a gynecologist is also the right professional to visit. For women who are in their 40s or 50s who are dealing with symptoms such as hot flashes or mood swings, it may be the result of menopause. A gynecologist can help you to manage your symptoms.

Although many people believe that they should always choose an OB-GYN because they offer more comprehensive care than a gynecologist, a gynecologist is a great choice for women’s health care when you are not pregnant. In fact, some patients may find it easier to get an appointment with their gynecologist since busy OB-GYN practices tend to prioritize their pregnant patients.

Reach Out to Raleigh Gynecology & Wellness

Reach out to Raleigh Gynecology & Wellness today to make an appointment to discuss your female health-care needs. Our team of highly trained gynecologists are prepared to help women manage health conditions and conduct wellness screenings through all stages of their life.

Raleigh Gynecology · October 10, 2022 ·

Throughout your menstrual cycle, you are going to experience changes in your body. While many women are familiar with premenstrual symptoms such as bloating and cramps, there is another time of the month when you might notice pain and other symptoms of ovulation. Ovulation pain is also known as mittelschmerz, and it comes from the German terms for “middle” and “pain”. Here’s everything you need to know about this common occurrence.

When Does Ovulation Happen?

a woman showing her menstrual cycle calendar

Ovulation is the part of your menstrual cycle when an ovary releases an egg. It typically occurs about halfway between your periods, which for many women is roughly 14 days into their cycle. However, this can vary so you may ovulate earlier or later than the 14-day point.

Why Does Ovulation Cause Pain?

An egg develops in your ovary, and as it grows it is surrounded by follicular fluid. When ovulation occurs, your ovary will release the egg with fluid and some blood. Ovulation pain may result from the follicle enlarging within your ovary right before ovulation begins.

In some cases, the pain could be due to a ruptured follicle. The egg will burst out of the follicle when it is ready, and this can cause some bleeding or fluid to emerge that may irritate the lining of your abdomen and lead to pain. Although it might sound alarming, it is a very normal part of your menstrual cycle.

What Does Ovulation Pain Feel Like?

Ovulation pain is a very individual experience, but for many women, it manifests as cramps or a twinging. It can last anywhere from a few minutes to several hours. It may also be accompanied by other ovulation symptoms such as discharge or light vaginal bleeding. Ovulation pain can feel similar to the pain you experience before your period, but it happens around two weeks beforehand.

a woman showing ovulation symptoms

You may notice ovulation pain in your pelvis or lower abdomen region. Although you may feel it in the middle of your body, many women report sensations on the side of their body where the ovary is releasing an egg that month. For most women, the ovaries take turns ovulating, with each one releasing an egg every other month. Therefore, if the ovary on your right side is releasing the egg this month, you will feel the pain on your right side; it will likely switch to the left side during your next cycle.

How Common Is Ovulation Pain?

Although it does not get quite as much attention as premenstrual syndrome, ovulation pain is extremely common, affecting more than 40% of women who are ovulating during their reproductive years.

Among women who report ovulation pain, most of them experience it every month. Nevertheless, many women will never experience pain at ovulation. There is nothing unusual about ovulation pain and, in most cases, it is nothing to be alarmed about.

How Is Ovulation Pain Treated?

Most women will not need any treatment for ovulation pain, which tends to go away on its own within about a day. However, if your pain is interfering with your daily activities, you can take over-the-counter medications such as ibuprofen or acetaminophen, use a heating pad, or take a hot bath for relief.

However, if your ovulation pain is severe, you might consider talking to your gynecologist about taking birth control pills. Because hormonal birth control pills prevent ovulation from occurring, you will not experience ovulation pain each month. Of course, this is not a good solution for anyone who intends to get pregnant in the near future.

When Should I Be Concerned About Ovulation Pain?

If your ovulation pain is manageable and it occurs around the time of the month that you would expect to be ovulating based on when you get your period, there is usually nothing to worry about.

a worried couple over the ovulation pain

However, if you experience severe pain, make an appointment with your gynecologist to rule out a more serious condition, such as endometriosis, an ovarian cyst, a sexually transmitted disease, or some type of abdominal problem. Your doctor might perform a pelvic or abdominal exam to rule these conditions out. In some cases, an ultrasound may also be needed.

If possible, keep a record of the times during your menstrual cycle you experience the pain, where you feel it, and how long it lasts to help your doctor get a better picture of your symptoms.

Make an Appointment With the Women’s Healthcare Team at Raleigh Gynecology Wellness

It is important to talk to a doctor if you have any concerns about ovulation, fertility, or your menstrual cycle. At Raleigh Gynecology Wellness, highly trained physicians and nurses are devoted to helping women of all ages manage and treat a variety of gynecological issues. Contact us today to set up an appointment.

Raleigh Gynecology · April 25, 2022 ·

asian teen girl visiting gynecologist after knowing when should a girl start seeing a gynecologistIf you are the parent of a teenage girl, you might be wondering when she should start seeing a gynecologist. Here is a look at the factors that go into determining the right age to start seeing these medical professionals and what you and your daughter can expect from your first visit.

Recommended Ages For When Should A Girl Start Seeing A Gynecologist

According to the North American Society for Pediatric and Adolescent Gynecology and the American Congress of Obstetrics and Gynecology, young women should start getting routine Pap smears to screen for cervical cancer at 21, regardless of their level of sexual activity.

However, many girls need to see a gynecologist well before then. In fact, with the average age of the onset of menstruation for girls in the U.S. being 12 years and 9 months, it may be appropriate for your daughter to see a gynecologist as young as 13. One of the top reasons that girls first visit gynecologists are issues related to her period or lack thereof.

If your daughterl does not start to show secondary sexual characteristics such as pubic hair and breasts by 13, it may be a good idea to see a physician to ensure her development is on track. If she does have signs of development such as pubic hair and breast development but has not had her first menstruation by 15, it is important to get further evaluation. Your daughter’s pediatrician can help determine whether seeing a gynecologist would be helpful.

An irregular period is not necessarily a reason to visit a gynecologist on its own as it is common for periods to be irregular when a girl first starts menstruating. However, for girls who continue to have irregular cycles several years after their first period, seeing a gynecologist may help to determine why. Women who have excessive menstrual pain that cannot be managed with over-the-counter pain medication or their period is so heavy that they need to change their tampons or pads every hour, should also see a gynecologist.

In addition, if a specific issue develops, such as a yeast infection or other female health care concern, a gynecologist is the right doctor to visit.

Regardless of their age, girls should always visit a gynecologist once they become sexually active. Ideally, they will see a gynecologist beforehand to discuss birth control.

The First Visit

Coming to see a gynecologist does not always mean that a pelvic exam is needed. The first visit may include a general physical exam, including taking your daughter’s weight, height, and blood pressure. There may also be a brief external genital exam. However, if your daughter is going to a gynecologist because of a specific issue, she may need a pelvic or internal exam

Girls need to understand early on that they have a doctor who can help them with reproductive health issues. Establishing a good rapport with a health-care professional before your daughterneeds to deal with more delicate matters such as sexually related issues can help her to become comfortable getting the help she needs in the future.

Privacy

Let your daughter know ahead of her appointment that she will have a chance to talk to the doctor by herself during part of the visit, which will be a good time for her to discuss private topics with her doctor. Remind her that anything she talks with the doctor about will be kept between them. As long as your daughter is not doing anything that could hurt herself or someone else, what she discusses with the doctor is strictly confidential.

Many times, gynecologists will address risky behavior, such as unprotected sex, smoking, and drug and alcohol abuse. They might also talk about puberty, hygiene, contraception, mental health, and sexually transmitted diseases depending on your daughter’s age and concerns.

women holding hpv written boardAnother topic that may come up is the human papillomavirus, or HPV vaccine. Many girls are given this series of injections around 11 or 12 to help prevent the sexually transmitted infection HPV, which is associated with most cervical cancers. Many people choose to get this vaccine before they become sexually active. Your doctor can discuss the specifics and let you know the recommended course of action in your daughter’s case.

Reach Out To Raleigh Gynecology & Wellness

Your daughter’s first visit to a gynecologist can be nerve-wracking for both of you. At Raleigh Gynecology & Wellness, we understand the emotions associated with this significant milestone and pride ourselves on offering a comfortable environment to patients of all ages. Get in touch today to find out how we can help your daughter establish a positive relationship with her health-care provider to help manage her health now and in the future.

Raleigh Gynecology · April 18, 2022 ·

gynecologist physician consulting and examining woman patient health in Obstetrics and Gynecology department talking about what is the difference between a gynecologist and an obgynYou might be aware that gynecologist and OB-GYNs are both types of doctors whose focus is women’s health. However, although the two titles might sound similar, they are not interchangeable. Here is a closer look at these two medical specialists and what is the difference between a gynecologist and an OBGYN.

Gynecologists

A gynecologist focuses on the aspects of a woman’s reproductive health that are not related to pregnancy. For example, a gynecologist is an appropriate doctor for women to visit when they become sexually active, and they will need their services through menopause and beyond.

A gynecologist’s primary specialty is maintaining a woman’s reproductive health. These practitioners perform regular checkups tailored to women depending on their overall health, sexual activity, and any genetic risk factors that could influence their reproductive well-being.

The Main Responsibilities Of Gynecologists

  • Conducting Pap smears pap tests and pelvic exams
  • Ensuring a woman’s reproductive and overall well-being
  • Performing clinical breast exams and ordering mammograms
  • Utilizing bone density assessments to check for osteoporosis
  • Performing genetic screenings to uncover risk factors for reproductive health matters
  • Educating patients on safe sex

Some of the issues that gynecologists can treat include:

  • Sexually transmitted diseases
  • Endometriosis
  • Yeast or bacterial infections
  • Prolapse
  • Painful intercourse
  • Irregular menstruation
  • Breast abnormalities
  • Fertility concerns
  • Polycystic ovarian syndrome
  • Urinary tract infections
  • Menopause-related concerns

Gynecologists can recognize signs of potentially serious health problems, such as cervical and breast cancer, and advise their patients to find the right specialty care for these diseases. They can also perform certain surgical procedures on reproductive organs, such as tubal ligation, labiaplasty, and hysterectomy.

OB-GYNs

ob gyn concept learning what is the difference between a gynecologist and an obgynAn OB-GYN is a doctor who practices both obstetrics and gynecology. In addition to what a gynecologist does, they are also trained to work with pregnant and postpartum women and can help with prenatal care, child delivery, and post-childbirth recovery.

Obstetricians specialize in caring for pregnant women and their unborn children and can handle the potential complications that may arise during pregnancy and birth. Although they can help women of all ages, they typically work with women who are of childbearing age and those who are currently pregnant or are trying to become pregnant.

However, because they also offer gynecological treatments, they can help women of all ages with matters that a gynecologist would address, such as breast exams, managing sexually transmitted diseases, and conducting Pap smears.

The Main Responsibilities Of Obstetricians

  • Providing women with prenatal care
  • Helping women with family planning
  • Conducting routine women’s health procedures, such as vaginal examinations and mammograms
  • Utilizing ultrasounds and genetic screenings
  • Doing routine checkups to ensure a pregnancy is progressing properly
  • Assisting with childbirth
  • Performing Cesarean sections
  • Addressing placental issues
  • Identifying signs of fetal distress before and during birth and responding appropriately
  • Treating ectopic pregnancies, which occur when a fetus develops outside of the uterus
  • Monitoring pregnant women for high blood pressure
  • Helping women address postpartum depression

Which Doctor Is Right For You?

Both gynecologists and OB-GYNs play valuable roles in women’s health care. Either type of practitioner can help women with their reproductive health concerns and ensure their overall sexual health. However, those looking for a doctor to monitor their pregnancy and assist with childbirth should choose an OB-GYN to provide their prenatal care.

How To Choose A Health-care Practitioner

Once you know what type of doctor you need, you can begin looking for a qualified professional. A good starting point is asking friends and family members for recommendations. Some may have particularly positive or negative experiences that can help guide your decision.

You will also need to consider which providers are covered by your insurance. Additionally, you may wish to make an appointment with prospective doctors to ask questions about issues that are important to you. Because women discuss intimate topics with gynecologists and OB-GYNs, it is important to choose someone you feel comfortable talking to and whose office is a pleasant environment.

midsection of male radiologist at desk holding patient x-rayIf you are happy with your gynecologist but have recently become pregnant and need a doctor who can help with your pregnancy, consider asking your gynecologist to recommend an OB-GYN. They will likely be familiar with local professionals who have a good reputation and are likely to have a good rapport with you.

Because OB-GYNs tend to have busier schedules thanks to the need for regular appointments throughout a woman’s pregnancy, women who are past childbearing age may find that they can get appointment quicker with a gynecologist. However, all of these professionals are highly trained and can provide expert care to women throughout their lifetime.

Get In Touch With Raleigh Gynecology & Wellness

For all of your health care needs, get in touch with Raleigh Gynecology & Wellness today. Our highly trained team of gynecologists can help women of all ages manage health conditions and conduct gynecological wellness screenings.

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Raleigh Gynecology

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  • About
  • Blog
  • Contact
  • Patient Forms

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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