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One in three women lives with bladder leaks caused by stress urinary incontinence (SUI). SUI is when you leak a little urine when pressure is applied to the bladder—like when you cough, laugh, or sneeze. As you age, your chances of developing SUI increase. The main cause is a lack of muscle tone and a weakened structure. And there is a simple solution: the pessary. Let’s explore the pessary.
A pessary is a medical prosthetic that helps to provide structure to the pelvic organs in an attempt to restore the natural shape for proper functioning. As you know—with age, everything starts sagging, and internal organs are no exception. A pessary is essentially a bra for your bladder organs.
These devices have an ancient history, originally made of wax and string until rubber was available in the 1800s. Today, the prosthetic is made of flexible, hypoallergenic material, such as silicone. To use it, a woman inserts the pessary into her vagina. If you search for images of pessaries, you’ll see that these devices come in a wide variety of shapes and sizes.
Pessaries aren’t just for sealing up bladder leaks. Pelvic organ prolapse warrants another common use for the devices. Since both conditions are caused by a gradual change in anatomy, a prosthetic that restores the original anatomy works. Furthermore, pessaries can even be used to administer medication.
RELATED: Pelvic Organ Prolapse (POP) Explained by Your Las Vegas OBGYN Team
There’s a reason for all that variety you see when looking at pessaries. Each unique shape is designed to support different pelvic organs. Here’s a rundown on the different shapes you might find, but not all of them are used for urinary incontinence:
Resembling a ring you would wear on your finger, the hole in this shaped pessary allows urine to flow through while wearing the device—on your terms. This type is not used for urinary leaks but works to support the internal organs near the cervix. Sometimes the center hole is covered with a thin layer of material with smaller holes.
A less often prescribed shape is the lever pessary. This one is used for correcting the positioning of a tilted uterus and resembles a caribiner.
A tiny saddle-looking pessary is the Gehrung version. It’s used in supporting the rectal and bladder anatomy and is inserted near the cervix.
Used for pelvic organ prolapse, Shaatz pessaries are shaped like a washer that has additional pinholes around the perimeter.
Cube pessaries look like small dice (like playing dice) with concave sides and a string attached. These are used for mild pelvic prolapse.
Severe pelvic organ prolapse requires the Gelhorn pessary, which resembles a kitchen sink strainer plug. The flat side rests against the cervix, with the protrusion facing the vaginal opening.
Inflatable pessaries can be used for mild conditions. The shape conforms to your body as you inflate it with a hand pump.
Other uniquely-shaped pessaries have been developed over the years. One example is Uresta, a pessary that is shaped like a small cylinder with nubs on the sides. The shape keeps the device in place and puts minor pressure on the urethra to prevent bladder leaks.
With so many different types of pessaries available, it can be challenging to pick the right type for your body and may require some trial and error. Let our doctors assist with the process by giving you our expertise and the tools to try out a pessary to see if it helps you with your stress urinary incontinence.
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Once you and your doctor pick the right pessary to try, the first step is to get the right fit. With Uresta, our partner in managing urinary incontinence, there are five sizes available for you to try in a self-fitting at home. Other pessaries may require fitting inside a doctor’s office. Pessaries are inserted similarly to a tampon without an applicator or similar to a diaphragm.
With a proper fit, you will:
Patients can self-manage their use of the pessary. Read the instructions on how to insert and how long the pessary can remain in place, as well as cleaning steps. Some women choose to only use the pessary during workouts, while others wear it all day long and remove it before bed. Your pessary will need to be replaced every year or as directed.
If you’re living with annoying bladder leaks when you cough or put any pressure on your abdomen, you’re probably fed up with the nuisance. A pessary can allow you to return to a normal life, enjoying all of the activities that you once did. If you’re interested in trying Uresta or another pessary for stress urinary incontinence, reach out to our team today.
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Diaphragms used for birth control are unique because they offer an inexpensive, low-maintenance, and long-lasting solution that you can’t get from other types of contraceptives. If you’ve been using a diaphragm for a while now, you may be wondering how long it should last and when you should replace it. Let’s talk about the lifespan of a diaphragm.
The longevity of your diaphragm’s usability varies depending on which type of diaphragm you are using. Traditional-style diaphragms available today—such as the silicone Milex Omniflex or Arcing styles—have a useful life of up to two years. Other latex diaphragms have boasted up to a 10-year lifespan. The new one-size-fits-most Caya diaphragm has a lifecycle of up to two years. Always read the instructions that come with your diaphragm to confirm how long your device is designed to last.
Just because your diaphragm’s box says that it can last up to ten years, doesn’t guarantee that you won’t have to replace it before then. Here are some reasons that you should consider replacing your diaphragm before the expiration date:
With childbirth, everything changes. Your body, cervix, and vaginal canal will change from your birthing experience. Avoid using a diaphragm for six weeks after childbirth because it takes that long for your cervix to return to its normal size. And your new normal may be different from your size before you got pregnant. That’s why you should consult with your doctor about getting a new diaphragm after giving birth, particularly if it’s not the one-size-fits-all style (Caya).
Whether you’ve gained or lost weight since you were initially prescribed your diaphragm, a drastic change in weight might affect the fit. While it may be on the traditional package insert to get re-fitted when your weight fluctuates more than ten pounds, it may not be true for everyone. At least one study has shown that there is no correlation between weight and diaphragm size change. It never hurts to consult your doctor after a major change in body weight to verify that the diaphragm is still working properly.
Pelvic surgery is sometimes done to correct the following conditions and can affect the fit of your diaphragm:
Be sure to discuss your birth control options with your surgeon to set up a contraceptive plan that works for you and that will be compatible with your body.
Trust your gut. If you feel like your diaphragm is no longer fitting tightly and securely as it did when you first received it, then it’s probably time to replace it. Signs of this include being able to feel the diaphragm after insertion, pain during intercourse, and the diaphragm moving or coming out when you walk, sit, lay down, or have sex. Talk to your doctor if you want to replace your diaphragm or check its fit.
Related: 5 Tips to Supercharge Your Contraceptive Diaphragm’s Effectiveness
Changes to your body are not the only reasons that you may want to replace your diaphragm before its expiration date. Check your diaphragm every time you use it for signs of wear. This includes:
At the first sign of the above, discontinue using your diaphragm and consult with your doctor about getting a new one ordered. In the meantime, be sure to use another contraceptive method.
If you’ve just realized that it’s time to replace your diaphragm, you may be wondering if you should switch from a traditional diaphragm, which requires in-person fittings, to the Caya Diaphragm. Caya is a one-size-fits-most diaphragm that doesn’t require a fitting and works for most women.
Here are a few reasons that some women prefer Caya over traditional diaphragms:
If you’re ready to upgrade to the no-fitting-required diaphragm, we can facilitate that. My Virtual Physician has partnered with Caya to provide this hassle-free birth control option to our patients who desire it.
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You may have heard of doing Kegels to improve your sex life, but did you know that these intimate exercises can help improve bowel and bladder problems too? If you’ve got bladder leaks when you cough, laugh, or sneeze, then doctor-approved Kegels may help. Let’s explore the truth about Kegels.
The term “Kegels” was coined in 1948 by Dr. Arnold Henry Kegel. He was a specialist looking for a natural remedy for urinary incontinence. Kegels are a category of exercises that are designed to strengthen the pelvic floor muscles. These muscles can be identified easily by stopping the flow of urine while peeing.
A woman’s pelvic floor muscles and tissues are similar to a hammock, supporting these organs inside her pelvis from underneath:
Pelvic floor exercises were originally developed to target this group of muscles that weaken with aging, pregnancy, and prolapse in women and to prevent and treat certain types of incontinence, including stress urinary incontinence.
To help gauge the effectiveness of Kegel exercises for the treatment of urinary incontinence, Dr. Kegel invented the perineometer, a device that measures the strength of contractions of the pelvic muscles. This device also helps trained physical therapists validate that female patients are performing the exercises correctly.
Related: Why Do I Get Bladder Leaks When I Cough and What Can I Do About it?
Now that you know that Kegels are just a group of pelvic exercises, let’s talk about specific exercises and programs that are often used to treat stress urinary incontinence.
Anyone can add Kegels to their daily routine to strengthen pelvic floor muscles. As with any exercise program, start out small and work your way up to longer durations and if you experience any discomfort, stop and discuss it with your doctor. Before you begin, empty your bladder.
There are two main Kegel exercises to work on from home, they include:
Alternating between the long and short contraction exercises is recommended for best results.
Long-hold exercises require you to tense your pelvic floor muscles constantly for several seconds, release, and then repeat. Starting out, you can go with:
Continue this on a daily basis once per day. Once you get into a routine, you can increase to 10 seconds of contraction, 10 seconds of release, and 10 reps. After that, you can further increase your pelvic floor muscle tone by adding up to three sessions of 10 reps per day.
Short Kegels work out the same group of muscles, but the contraction period is much shorter, at one or two seconds. These are especially effective at improving bladder sphincter function. As with long-hold pelvic floor exercises, you can start small and work your way up to three sets of 10 seconds per day.
While you complete these exercises, be sure to continue breathing and avoid tensing other muscles in your body, such as your abdomen. You can add intensity to your routine by performing the exercises in different positions: sitting, standing, or lying down.
For consistency, associate these exercises with certain times of the day or write them down. For example, you may designate the first pee of the day as your time to complete your Kegels—after you’ve emptied your bladder and while you’re still on the toilet.
Related: Stop Bladder Leaks: Get Your Life Back with This Doctor-Approved Device
It usually takes about a month to notice an improvement once you consistently exercise your pelvic floor muscles. That means that you’ll want to commit to a solid month before deciding if it worked or not, but the recommended minimum training period is eight weeks.
If you don’t feel comfortable doing Kegel exercises on your own, struggle with consistency, or you’re still not sure you are doing it right, you’re not alone. Studies have shown that treatment is more effective when you complete these pelvic exercises in a supervised plan. Work with your doctor to find a physical therapist (called a pelvic floor therapist) who will personalize a plan to fit your unique anatomy.
Signs that the Kegels are working include:
While it’s true that Kegels are effective at preventing and treating stress urinary incontinence, not every woman is able to contract the pelvic muscles correctly. Three out of ten women are unable to perform Kegel exercises properly. If this is you, other effective options are available for treating SUI. A few other natural solutions to leaky bladders include to:
Pessaries can be used alongside performing Kegels or as a standalone solution. These small devices are inserted into the vagina in order to support your anatomy and keep your pelvic organs and muscles aligned to reduce leaks.
If you’d like to try a pessary for your leaky bladder, My Virtual Physician has partnered with Uresta to provide a solution to stress urinary incontinence. Book an appointment today to get your bladder back under your control.
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When it comes to family planning and pregnancy prevention, you’ve got options. In fact, you’ve got twenty options. There are 20 different contraceptive methods to choose from today. From birth control pills to patches, rings, or condoms, there’s bound to be a method that works best for you.
One of these methods is making a comeback. It’s been around for centuries and got placed on the back burner for a while, but it’s starting to gain traction again. It’s the diaphragm.
Diaphragms offer benefits that other methods lack. Let’s see why women are starting to take a second look at using a diaphragm for their chosen method of birth control.
When choosing a birth control method, we may have taken for granted the simplicity of the diaphragm. As a barrier method, its job is to block sperm from entering the cervix. That’s it. The great thing about this simple method is that it comes with very few side effects, if any at all.
Hormonal birth control methods, like the pill, were introduced in the 1960s and offered a better effectiveness rating than barrier methods. But what we didn’t take into consideration when making the switch to hormone-altering contraceptives was the addition of harmful side effects.
Many women are now facing all sorts of negative side effects from hormonal contraceptives, which include:
Diaphragms offer an alternative to hormonal contraceptives without serious side effects. The short list of potential side effects from diaphragms includes the possibility of irritation, allergic reaction, increased risk of UTIs and vaginal infections, or toxic shock syndrome in rare cases.
Another factor at play for the increase in popularity of the diaphragm is when it comes to fertility. Diaphragms require no waiting period once you’re ready to try to conceive. This barrier method is immediately reversible, so once you stop using it, you are good to go. That’s because diaphragms do not alter your body’s natural reproductive cycle. Women who use a diaphragm continue to ovulate normally.
That is in direct opposition to other non-barrier contraceptive options, which in a sense, “break” the body’s normal cycles in order to prevent pregnancy. Hormonal contraceptives alter a woman’s reproductive hormones, and it takes a while for her body to return to normal after discontinuing birth control. Here’s how long you may have to wait for your fertility to return after discontinuing hormonal birth control:
Couples are switching to the diaphragm so that they can be in charge of their own fertility.
Related: Diaphragms as Birth Control: A Couple’s Perspective on Barrier Methods
Diaphragms are easy and painless. Similar to a condom, you just use it when you need it. Before you have sex, you put it in. If you’re not having sex, you don’t need to use it. That’s what makes the diaphragm a great solution for those of us who don’t want to have to have to:
All of these uncomfortable, annoying situations can be avoided completely for those of us who decide to use a diaphragm for our contraceptive method.
It seems that culture is trending back toward natural products, foods, and other choices. So it follows that natural birth control should also gain in popularity. Since diaphragms do not alter your body’s chemistry, they can be considered natural, along with the other non-hormonal methods. While you may hear people say that natural birth control methods are not as effective, keep in mind that when you combine diaphragms with other family planning strategies, like fertility awareness-based methods, it can significantly increase effectiveness.
Related: 5 Tips to Supercharge Your Contraceptive Diaphragm’s Effectiveness
While many couples are turning to the diaphragm to meet their contraceptive needs, there are some women who should avoid this method of birth control. If any of the situations listed here apply to you, then you might want to seek another alternative to the diaphragm:
If you’ve ever considered trying a diaphragm, now may be one of the best times in history to try it out. A new type of diaphragm was released on the market within the last decade. It comes in a one-size-fits-most model and patients are able to skip that awkward in-person fitting that is required with the older style diaphragms.
My Virtual Physician has partnered with Caya to streamline the process of getting your diaphragm prescription fulfilled so that this new method of contraception is readily available to you.
Take charge of your reproductive health today and schedule your appointment to discuss contraceptive options that work for you.
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Imagine you’re at work, having a good laugh with coworkers. Suddenly, you feel something down below. Did you just pee yourself? It happens once, and you think… maybe it’s just a one-time thing. But then it continues to get worse over the next year and happens while coughing and sneezing, too. What’s going on?
It’s called stress incontinence. And while it’s not a normal part of aging, it is common. In fact, 4 in 10 women over the age of 40 deal with some form of urinary incontinence. Stress incontinence is the most common type for women. Let’s learn more about what causes these bladder leaks when you cough, sneeze, or laugh.
Think of stress incontinence like a water balloon that is held closed with your finger and thumb but not closed. The balloon is your bladder, the water is your urine, and your fingers are holding your bladder sphincter muscles closed, keeping the liquid in. When you squeeze the balloon hard enough, the water squirts out. The bladder works in a similar manner.
Stress urinary incontinence, also abbreviated SUI, happens when too much pressure pushes urine out of your bladder. Pressure happens when you tense your abdominal muscles; which happens every time you laugh, cough, and sneeze. It can also happen when you bend, lift, or jump.
As we age, have babies, or undergo surgery, our muscles tend to lose muscle tone and bodyparts don’t always stay where they should. SUI is usually caused by weakened pelvic muscles. Those aren’t the only risk factors that can cause or worsen stress urinary incontinence. Here are a few more:
The great news about stress urinary incontinence is that there are plenty of natural ways to treat and prevent it. Let’s review some things that you try.
Since the problem is usually caused by weak muscles, the first solution to try is muscle strengthening exercises. But how in the world do you strengthen your bladder muscles? It’s not actually your bladder, but your pelvic floor muscles that you’ll want to pay attention to. You can find common pelvic floor exercises online or work with your doctor to come up with personalized exercises to improve your pelvic muscle tone.
Other natural ways to deal with the problem include using the restroom more often so that there is less urine in your bladder and it’s less likely to be pushed out with increased physical pressure from laughing or coughing. You could also try tensing your pelvic floor muscles before laughing, coughing, or sneezing.
Losing weight, drinking less caffeine, quitting smoking, and drinking less in general are also lifestyle changes that could reduce your incontinence.
If these methods don’t work for you, there is another option on the table for most women: a pessary. Pessaries are medical devices that are inserted into the vaginal canal to help support the structure of pelvic organs, tissues, and muscles. It provides extra support to the bladder and sphincters to keep them in the correct position and reduce the chance of stress incontinence.
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My Virtual Physician has partnered with Uresta to provide a fitting-free pessary option to our patients who want to manage their stress urinary incontinence. If you’ve got a leaky bladder and want to explore your options, set up an appointment with our doctors today so that we can get you back to feeling yourself again.
If all else fails and you can’t reduce or treat your stress urinary incontinence with the above methods, surgery is another solution on the table. The surgical solutions to SUI include injections, urethral slings, or colposuspension. Injections are the least invasive option and can be done in a doctor’s office. The other two surgical options can be done laparoscopically. Your doctor can help you decide which type of surgical treatment might be best for your situation.
Living with bladder leaks when you cough, laugh, or sneeze puts a real damper on life. Luckily, there are many solutions to treat stress urinary incontinence so that you can get back to enjoying life to its fullest. Get in touch with My Virtual Physician if you want personalized SUI treatment.
Prenatal vitamins are supplements specially formulated for pregnant women to supply the needed vitamins and minerals. These vitamins and minerals are necessary for the health of both mother and baby.
A healthy diet is the best way to get these vitamins and minerals. However, taking prenatal vitamins help cover any nutritional gaps in your diet. Moreso, you may require more than your diet may offer during pregnancy.
Before you take any prenatal vitamin, discuss it with your healthcare provider. You may also contact us at My Virtual Physician.
During pregnancy, there are certain vitamins and minerals you need more than ever. These vitamins and minerals are what to look out for when buying prenatal vitamins.
These vitamins and minerals include:
Folic acid is perhaps the most important ingredient in a prenatal vitamin. Folic acid is a vitamin B that helps prevent neural tube defects (NTDs). Neural tube defects are birth defects of the brain and spine.
Experts recommend that women of childbearing age get 400 micrograms of folic acid daily. This is because neural tube defects develop early in pregnancy, even before many women know they are pregnant.
You can get folic acid naturally from green leafy vegetables, nuts, citrus fruits, and beans.
Your body needs to make extra red blood cells when pregnant. These red blood cells help carry oxygen around your body and to your baby. Iron is an essential mineral that helps your body make more red blood cells.
Also, iron helps prevent anemia, a condition where your blood has a low number of healthy red blood cells. You should get 27 milligrams of iron every day.
Calcium is important for you and your baby. Calcium is vital to the growth and development of bones, teeth, muscles, nerves, and organs in your baby. If you do not have enough calcium, you may suffer bone density loss and increase your risk of osteoporosis later in life.
You should get at least 1,000 milligrams of calcium daily.
Vitamin D helps promote healthy bones, teeth, eyes, and skin. It also improves your and your baby's immunity. You need about 600IU of vitamin D every day.
Food sources of vitamin D include fortified dairy products, fatty fish (salmon and mackerel), fish liver oils, and egg yolks.
Iodine is important for developing your baby's brain, bones, and nervous system. Also, mothers need iodine for adequate thyroid function.
Iodine deficiency has been linked to miscarriage, preterm delivery, stillbirth, stunted physical growth, and congenital abnormalities.
During pregnancy, you need 220 micrograms of iodine daily. Iodine can be found in dairy products, seafood, and eggs.
B vitamins, including B1, B2, B6, B9 (folic acid), and B12, are key nutrients during pregnancy. These vitamins give you energy, help with nausea (morning sickness), improve your baby's nervous system, help build the placenta, and promote good vision.
Good sources of B vitamins include liver, whole-grain cereal, bananas, chicken, beans, and pork.
Vitamin C promotes iron absorption and fortifies your immune system. It also helps develop your baby's skin, bones, joints, and connective tissue. Vitamin C can be found in fresh fruits and vegetables. You should get at least 85 mg of vitamin C daily.
Vitamin A promotes eye development, good vision, and a healthy immune system in your baby.
Omega-3 fatty acids help promote your baby's brain development, reduce your risk of preterm delivery, and having a baby with low birth weight. Omega-3 fatty acids occur naturally in fatty fish, nuts, flaxseed, kidney beans, spinach, broccoli, and cauliflower.
Choline (about 450mg daily) is necessary for healthy brain growth in your baby. Although your body can make some choline, you get most of it from your diet. Foods rich in choline include eggs, fish, soy products, chicken, beef, peanut, and pork.
A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. Your virtual physician can help to electronically order prenatal care labs and/or send an order to the nearest radiology facility for you to get an ultrasound.
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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Having pain “down there” isn’t normal. But it’s also not totally unheard of either; in fact, up to 16% of women may suffer from a specific type of pain in their vaginal region called vulvodynia. Vulvodynia is a condition that causes pain in a woman’s vulva, the outside part of the female’s lady parts. Unfortunately, many women suffer silently with their vaginal pain. In this blog, our Las Vegas gynecology team has taken the time to shed some light on this sensitive subject.
The female anatomy is complex, and there’s a lot of moving parts to consider. Vaginal pain isn’t the same for all women, and it may not even be in the same region of the reproductive organs for every patient. Let’s cover where vaginal pain often occurs by categorizing the types.
Vulvodynia is a chronic, burning pain of the vulva that continues for more than a quarter of a year. Others have described it as stinging, rawness, or throbbing. It’s sometimes accompanied by swelling. The symptoms vary greatly from person to person, and there’s no clear cause. However, suspected culprits may include:
Painful sexual intercourse that interferes with sexual function is called dyspareunia. While it can affect both men and women, here, we’re only talking about vaginal pain during sex. This is usually described as a sharp, intense pain that is tied to sexual activity, whether it’s during, or soon before or after the act. Others describe it as dull or aching. This pain in women can be located either in the vagina or the urinary organs. It’s sometimes accompanied by other irritating symptoms like burning and itching. There is a long list of possible causes for this condition:
There’s a third type of vaginal pain that is called vaginismus. With vaginismus, the muscles inside the vagina spasm uncontrollably. It can interfere with sexual intercourse and cause severe pain, burning, and stinging, sometimes even making penetration impossible. The causes are often tracked back to physical trauma or emotional fears.
Sometimes, your pain won’t fit into any of the above categories. When that happens, it could mean that your vaginal discomfort is caused by something else. Current infections, genetics, hormonal changes, cancer, cysts, or polyps are all factors that increase your chances of experiencing vaginal pain. If you’re struggling to relieve your vaginal pain, our Las Vegas team of gynecologists at My Virtual Physician is here to help.
The first step to relieving your vaginal pain is to take detailed notes. Start a pain diary and write down your pain level throughout the day. You can use your pain diary to narrow down the pattern and cause of your vaginal pain. Take note of what helps versus what worsens your pain. Don’t forget to include the foods that you eat and the activities you participate in.
While you’re making your pain diary—you can try these tips to provide vaginal pain relief:
RELATED: Top 5 Tips to Maintain Vaginal Health: Things You Were Never Told
If documenting your vaginal pain and making small lifestyle changes listed above don’t work, don’t despair. There are still plenty of treatment options to cure, or at least manage, your vaginal pain.
Some women have found that biofeedback and physical therapy can help strengthen pelvic muscles, providing some vaginal pain relief caused by poor muscle tone.
If you need more immediate results, you might consider some medications that can bring vulvar pain relief, including topical anesthetics for numbing, hormonal creams, or even some antidepressants. Medications that treat vaginal dryness may also be helpful in treating dyspareunia. Some topical corticosteroid creams may also relieve vaginal pain. Talk with your doctor about what pain-relief method is right for you.
If physical therapy or medication is not for you, there is another option on the table. Believe it or not, sexual therapy is often an effective method to reduce vaginal pain, especially when it has a psychological component due to past trauma.
Nobody deserves to live in pain. If you’re suffering from any sort of vaginal pain, don’t keep it secret. Talk confidentially to our online board-certified OBGYNs to get help and relief. Schedule your appointment today.
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Diaphragms come in sixth place when it comes to contraceptive effectiveness with typical use. Check out the lineup of current pregnancy prevention methods recognized by the American College of Obstetricians and Gynecologists (ACOG) and see how they rank up below.
| Effectiveness Ranking | Contraceptive Method | Pregnancies per 100
Users in 1st Year |
Effectiveness |
| 1 | Implant | .05 | 99.95% |
| 2 | Sterilization (Permanent) | .2 to .5 | 99.5 to 99.8% |
| 3 | IUD | .2 to .8 | 99.2 to 99.8% |
| 4 | Injection (Hormonal) | 6 | 94% |
| 5 (tied with patch & ring) | Pill | 9 | 91% |
| 5 (tied with pill & ring) | Patch | 9 | 91% |
| 5 (tied with pill & patch) | Vaginal Ring | 9 | 91% |
| 6 | Diaphragm | 12 | 88% |
| 7 | Male Condom | 18 | 82% |
| 8 | Female Condom | 21 | 79% |
| 9 | Cervical Cap | 17 to 23 | 77-83% |
| 10 | Sponge | 12 to 24 | 76-88% |
| 11 | Natural Fertility Awareness | 24 | 76% |
| 12 | Spermicide (alone) | 28 | 72% |
You’ll see that the contraceptive diaphragm is around the middle of the pack when it comes to preventing pregnancy. But it doesn’t necessarily have to get stuck in the middle—there are several ways to supercharge your diaphragm’s efficacy to move it further up the list, creating a closer-to-perfect method of birth control. Let’s see how it’s done.
Even if you’re not any good at math, it’s easy to see how combining different contraceptive methods can make your chances of pregnancy plummet. So if a diaphragm has an effectiveness of 88% and male condoms have an effectiveness of 82%, using a diaphragm with a condom will drastically improve your protection against pregnancy, with the added bonus of shielding you from certain STDs.
You can get even better results from using the diaphragm together with a hormonal contraceptive. Talk to your doctor about your options and never combine multiple hormonal contraceptives (see chart: all of the methods above the diaphragm are hormonal, except sterilization).
Diaphragms are versatile and can be used with many other contraceptive methods, including natural family planning methods like the FAM or FAB methods. Even the withdrawal method (also known as “coitus interruptus” or “pulling out”) will significantly increase your diaphragm’s success rate. Combining other contraceptive methods with your diaphragm is a surefire way to amp up your pregnancy prevention effectiveness.
Related: Natural Birth Control: Fertility Awareness Pregnancy Prevention
Using spermicide with a diaphragm is a MUST. That’s because sperm can survive inside a woman’s body for up to two days. That means that simply barricading the cervix with a diaphragm alone for six hours after ejaculation may not block or remove all sperm. Spermicide kills sperm and it takes around six hours to get the job done. That brings us to tip #3.
Never remove your diaphragm less than six hours after sex. Doing so puts you at risk for pregnancy since the spermicide may not have killed all the sperm, meaning some live sperm may still be left inside your body. Carefully read your diaphragm’s instructions for timing when to insert and when to remove it.
For insertion, you need to know that spermicide is most effective if applied less than two hours before sex. If you insert the diaphragm earlier than this, you can add more spermicide.
As with all birth control methods, consistency is key. Since we’re all human, it’s possible that sometimes we aren’t perfect. That’s why many studies show two rates for effectiveness: typical vs. perfect use. Typical allows for human error, while perfect is reserved for those who have immense self-control. For example, the Caya Contoured Diaphragm has an effectiveness of 86% for those who use it perfectly every time and 82% for typical use. Using your diaphragm every time you have sex, and following the instructions perfectly, can increase the effectiveness by up to 4% for this particular type of diaphragm.
Our final tip for maximizing your diaphragm’s pregnancy-preventing powers is to make sure it’s in place properly. Inserting a diaphragm can definitely take some getting used to and practice makes perfect. There are some things you can do to verify that you’ve got it in right.
Once you’ve inserted your diaphragm based on the instructions provided, you can feel with a finger to verify that your cervix is covered by the diaphragm’s barrier material. Another way to check that your diaphragm is correctly placed is to move around—squat, jump, twist, and turn! You shouldn’t be able to feel the diaphragm and it shouldn’t get dislodged with movement. If you can check these boxes off, you’ve got it inserted correctly.
Related: Diaphragms as a Contraceptive: What’s It Like to Use One?
Pregnancy prevention is an important part of women’s health. Birth control should be effective and manageable without causing you any additional health problems. My Virtual physician is here to help you find the method that works best with your body. If you’re considering the diaphragm or any other methods, reach out to our team today to discuss your options and get your prescription.
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Smoking is bad for anyone, pregnant or not. However, if you smoke, you should quit once you become pregnant or find out you are pregnant.
There is no "safe" level of smoking during pregnancy. Cigarettes contain nicotine, carbon monoxide, and other toxins that affect your and your baby's health when inhaled. When you smoke during pregnancy, you:
Secondhand smoking happens when you inhale smoke from a burning cigarette and smoke exhaled by a smoker. Secondhand smoking, also known as passive smoking, is more harmful than smoking itself. The reason is that the smoke from the end of the cigarette or exhaled by the smoker contains more harmful poisons than the smoke inhaled by the smoker.
If you are exposed to secondhand smoke, you and your baby are at risk of health complications before, during, and after your baby is born. These include low birth weight, stillbirth, congenital disabilities, respiratory problems, allergies, ear infections, and many others.
When pregnant and after childbirth, don't let anyone smoke in your house, car, or anywhere around you. Also, avoid going to places where people smoke.
If you are finding it hard to quit smoking, you can talk to us at My Virtual Physician or your health care provider. We will provide information about smoking cessation programs that can help you.
You may also want to put the following measures in place:
Nicotine is the addictive substance in cigarettes that your body gets used to. When you quit smoking, you may manifest withdrawal symptoms. These include:
Withdrawal symptoms are often transient. They are strongest during the first week after quitting and go away within two weeks. It may, however, last for a month or a few more for some people.
Dealing with withdrawal symptoms requires discipline, and you can get all the support you need. You can try the following to help you:
You may experience frequent urges to smoke even after quitting, and the withdrawal symptoms disappear. Don't give in to the cravings. They are short-lived and will go away on their own.
If you relapse into smoking after quitting, don't lose hope. Quit again.
A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. Your virtual physician can help to electronically order prenatal care labs and/or send an order to the nearest radiology facility for you to get an ultrasound.
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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Childbirth and aging can both wreak havoc on a woman’s body. Several organs and tissues are all located in the abdomen, from the bladder and bowels to the reproductive organs—there’s a lot going on and a lot that needs to be held together. Although it’s natural that growing a child in the womb puts pressure on the female organs and tissues for a prolonged time during pregnancy, it can result in some long-term problems down the road.
It’s not uncommon for women to experience bladder incontinence after having children, especially as she approaches menopause. In fact, one in five women deals with a pelvic floor disorder. Pelvic floor disorders are a group of medical conditions that include both urinary and fecal incontinence, as well as pelvic organ prolapse. In this blog, our team of Las Vegas gynecologists at My Virtual Physician takes a look at pelvic organ prolapse, a condition that some of our patients face.
Pelvic organ prolapse is similar to a hernia, where internal organs move through weakened tissues and out of their normal position. This leaves the organs vulnerable and may require surgery to correct. Women with pelvic organ prolapse have weakened muscles, tissues, and ligaments that are no longer able to hold organs, including the bladder, cervix, uterus, urethra, and rectum, in place. The result can be organs protruding into the vagina, and sometimes even out the opening.
There are different types of pelvic organ prolapse (POP), depending on which organ is bulging into the vagina. The most common prolapsed pelvic organ is the bladder; this type of POP is called cystocele, or dropped bladder. Other common types are rectocele, which involves the rectum, and uterine prolapse, involving the uterus. Although pelvic organ prolapse sounds extremely alarming, it’s not life-threatening.
There are four stages of pelvic organ prolapse:
So now that we’ve defined pelvic organ prolapse, let’s talk about who is at a higher risk for the condition. By and far, it’s older women who have birthed children who commonly suffer this type of prolapse. Other than age and childbirth, a few other factors that increase your risk of POP include a family history, an existing connective tissue disorder, obesity, sustained heavy lifting, prior pelvic surgery, chronic cough, smoking, and frequent constipation.
Strangely, most women with pelvic organ prolapse don’t have symptoms. Often, the condition is identified by a gynecologist during a regularly scheduled pelvic exam. If it’s not caught during a regular exam, patients sometimes don’t notice anything until they are in stage three, when they notice tissue protruding outside the vagina.
Some women do have signs and symptoms of POP, such as:
If you notice any of the above signs of pelvic organ prolapse, get in touch with our Las Vegas Gynecology team at My Virtual Physician to discuss the severity and start a treatment action plan.
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When discovered early on, pelvic organ prolapse can be treated without surgery. Common treatment plans include pelvic floor strengthening exercises, also known as Kegels. These can be done at home to increase vaginal muscle tone and keep organs in their place, preventing your prolapse from progressing further.
The other non-surgical treatment for POP involves a pessary. Pessaries are supportive medical devices that can be placed into the vagina in order to provide more structure and keep your anatomy properly aligned. These devices can also help with urinary incontinence. Talk to your doctor if you are interested in seeing if a pessary works for you. My Virtual Physician has partnered with Uresta, a type of pessary that helps patients with stress incontinence. Your doctor can help you find the best pessary for your particular prolapse.
If your pelvic organ prolapse cannot be corrected with pelvic exercises or a pessary, it may require surgery to restore your anatomy. Reconstructive pelvic surgery is recommended for women whose quality of life is affected by their prolapsed organ.
Pelvic organ prolapse can be an embarrassing condition; often kept in secret. But if you’re suffering from the condition at any stage, the first step is to notice the signs and talk with your doctor about your symptoms. My Virtual Physician has board-certified gynecologists standing by to help you correct your prolapse and get you on your way to getting your life back.
Experts strongly recommend that pregnant women should avoid alcohol during pregnancy. There is no "safe" amount of alcohol during pregnancy, including beer, wine, wine coolers, and liquor.
Alcohol is harmful throughout pregnancy but most during the first three months of pregnancy. Drinking alcohol while pregnant puts your baby at risk for developmental problems, long-term medical problems and birth defects. Women planning to get pregnant are also urged to stay away from alcohol. The more alcohol you drink, the higher the risks.
When you drink alcohol, the alcohol travels through your blood, into the placenta and gets into the blood, tissues, and organs of your baby.
Your baby's liver does not mature until later in pregnancy. Hence, your baby cannot break down alcohol efficiently, and the alcohol level remains high for a prolonged period in your baby's blood. High and prolonged exposure to alcohol seriously affects your baby's development and causes low birth weight, cerebral palsy, and other problems later in life.
Drinking alcohol in pregnancy also increases the risk of miscarriage, premature delivery, and stillbirth.
One serious condition that drinking during pregnancy causes is fetal alcohol spectrum disorder (FASD).
Fetal alcohol syndrome disorder (FASD) is a group of defects seen in a baby exposed to alcohol before birth. Symptoms of FASD are lifelong and can range from mild to severe. They include:
How much you drink is as important as how often you drink. Do not take any amount of alcohol during pregnancy. One time is enough to harm your baby.
Avoiding alcohol throughout pregnancy may not be as difficult as you think. If you are planning to become pregnant or once you find out you are pregnant, do give up drinking.
If you already drank before you found out you were pregnant, avoid further drinking. Avoid being around people who drink; it could make it harder for you to stop.
If you find it difficult to stop or have concerns, you can talk to us at My Virtual Physician or your local doctor or healthcare provider. You could also join an alcohol abuse rehabilitation program.
A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. Your virtual physician can help to electronically order prenatal care labs and/or send an order to the nearest radiology facility for you to get an ultrasound.
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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It takes two to tango. While that popular idiom is usually reserved for placing the blame on both parties during an argument, it also holds true for many aspects of life, including fertility. If one partner, whether it be the guy or the gal, has a hiccup in their fertility, then the whole process of making a baby gets put on hold.
When it comes to infertility, both sexes can be equally affected. According to NIH, a couple’s infertility is caused by the man a third of the time, the woman a third of the time, and is uncertain the rest of the time.
It’s a sensitive subject, and while neither partner has likely done an intentional thing to cause it, nobody wants to discover that they’re infertile. So if you’ve been trying to conceive, or maybe you’re just curious about your fertility–you may be wondering what preemptive steps you can take toward testing your fertility–and preferably, at home.
In this blog, we’ll cover who should get at-home fertility testing, along with how to do it.
Both sexes are at risk for infertility. Male infertility often is sperm-related, while female infertility can be caused by hormonal imbalances that affect ovulation. You’ll never know whether you’re infertile until you try to start your family. But what if you want to know before then? The first thing to consider is how many risk factors for infertility apply to you or your partner. Below, we’ll talk about who is at a higher risk for infertility.
A woman’s most fertile years are between the ages of 15 and 44. So once you begin to get close to the higher end of that age range, your fertility begins to wane. That’s because you are approaching menopause, the stage of life when you stop ovulating and become infertile, typically beginning in your mid to late 40s. So if you’re hoping to conceive at an age that is approaching perimenopause, you may want to have your fertility tested so that you can be proactive with correcting any problems before full-blown menopause occurs.
Another factor that is related to a woman’s fertility is her menstrual cycles. If you experience irregular cycles, or are not menstruating at all, it’s a sign that ovulation is not occurring properly or that you may struggle with getting pregnant. If you’re experiencing irregular periods, it can bring peace of mind to have your fertility tested at home now so that you know whether or not there are any ovulation concerns.
A third risk factor for infertility is a personal or family history of surgery or disease of the reproductive system. For example, if your mother or aunts experienced early menopause, premature ovarian failure, advanced endometriosis, reproductive cancers, or infertility, then you may be at a higher risk when it comes to fertility problems. Testing your fertility even before you’re ready to start a family is a reasonable measure to take, especially if there is a history of reproductive disease. With at-home fertility test kits, the option is on the table for everyone.
Lastly, we’ll mention that women who have undergone radiation or chemotherapy may be at an increased risk of infertility. Many women want to confirm that their eggs are still in good shape after cancer treatments. Luckily, at-home fertility testing is an affordable option to verify your fertility at any time.
It’s not just women that are concerned about their ability to procreate; men care, too. Since men are half of the equation, it makes sense to consider testing a man’s fertility to get a full picture of a couple’s ability to reproduce. Let’s discuss some reasons that men may decide to get at-home fertility testing.
Smoking increases the risk of infertility for both sexes, but specifically, it has a detrimental effect on sperm. Studies have shown that smoke may decrease sperm density and movement. If you’re a man with a history of heavy smoking, you may be curious about whether your sperm has been damaged. An at-home fertility test for men can help answer that question.
A history of testicular trauma is another factor that gets men questioning whether they are sexually potent. Unlike women, a man’s reproductive organs are more prone to injury from outside forces due to their external nature. They are at a higher risk of injury from hits, kicks, and other traumas. If a man’s reproductive organs are damaged from past trauma, it can affect fertility. Many men are unsure whether past trauma has hindered their testes. An at-home sperm analysis is a great way for men to see if they are still fertile.
Even if the above risk factors don’t apply to you, you can still have your fertility tested for peace of mind. With at-home fertility testing available to both guys and gals, it allows for an affordable way to get the ball rolling in case there are any concerning results. If you’re ready to test your fertility, we’ve got great news for you. My Virtual Physician has partnered with Orchid in order to provide our patients with quality, at-home fertility testing.
Set up your appointment today to get your test ordered and answer that lingering question… “Am I fertile?”
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Headaches are inconvenient, but migraines? Those are debilitating. More than a headache, this special type of throbbing head pain often comes with a host of strange symptoms, including:
Experts still don’t know for sure what causes migraines, but they believe a number of triggers are involved. Some factors that may cause migraines include allergies, alcohol, dehydration, stress, certain foods, or changes in hormones. So what do migraines have to do with your gynecologist?
OBGYNs specialize in understanding the reproductive hormones in the body and how they function or malfunction. Our Las Vegas gynecologists can work with you to identify and minimize hormone-related migraines by correcting imbalances. In this article, we’ll talk about the role that hormones play in migraines.
Since the odds of experiencing a migraine increase for women three to one, the cause of migraines must be biologically related. Reproductive hormones are what make the two biological sexes unmistakeably distinct. Two well-known reproductive hormones are estrogen in women, and testosterone in men, although each one is not exclusive to one sex.
Estrogen instability seems to be a common denominator for women with migraines. Throughout a woman’s reproductive lifespan, her estrogen levels will drastically change, creating periods of time where she is prone to increased migraine attacks. Some women have migraines on a recurring basis in sync with their menstrual cycles, further supporting the idea that migraines are tied to reproductive hormones.
Researchers suspect that it’s the sudden drops in estrogen that may be to blame. Estrogen levels drop just before the menstrual cycle and during the post-partum period after childbirth. That’s why some women get a break from their migraines while pregnant; their estrogen levels are higher and stable. Here are times when women are more susceptible to migraine:
While hormone fluctuations are not the only recognized trigger for migraines, they do seem to play a major role for women. That’s where your Las Vegas gynecology team at My Virtual Physician comes in. We’re here to help you understand your body and the role that hormones could play in your migraines.
It’s fair to say that many women have a love-hate relationship with their chosen contraceptive method. Birth control does the job of preventing pregnancy, but it often comes with inconvenience and side effects.
Take the pill, for example; it is a contraceptive option that changes your body’s hormones. The pill usually contains estrogen and progesterone. Some women experience increased migraines while taking hormonal birth control, and others actually find migraine relief when using the pill. Sometimes skipping the placebo pills under a doctor’s order can help prevent hormone fluctuations that cause migraines.
Women who suspect that their hormonal birth control is the cause of their migraines should consider alternative nonhormonal contraceptive options. You can read about alternative methods below:
If taking hormonal birth control is off the table for you, there are other treatment options available for hormonal migraines. One of the first steps in identifying the problem is to take a look at what your hormones are doing.
Before you start taking hormonal birth control in an attempt to control your migraines, you can opt for hormone testing. There are at-home hormone test kits available that work with blood, urine, or saliva samples. If considering this type of testing, it’s important that you use a method that allows you to test your hormones throughout different days of your menstrual cycle. You will not be able to identify when the drop in estrogen occurs if testing only on a single occurrence.
Bringing your hormone test results to our online Las Vegas OBGYN team can help diagnose, treat, and even prevent future migraine disturbances if the culprit is hormonal imbalances.
There is currently no cure for migraines. However, understanding whether your migraines are hormonal–or triggered by some other influence–can shed light on which way to go for prevention and treatment of symptoms.
Your online OBGYN can help identify whether your migraines are hormone-related. If you’re experiencing menstrual-related migraines, your doctor can help design a prevention plan and also prescribe medications for prevention and symptom relief.
If you’re ready to talk to your doctor about your migraines, the first step is to keep a log. Track your migraines on a calendar along with your menstrual dates. Track these activities to get insight into your migraine triggers:
Bring these logs with you when visiting your doctor. It helps to identify patterns and triggers so that your gynecologist can set up an appropriate treatment plan. Sometimes simple lifestyle changes can affect your hormones and reduce your migraines.
For perimenopausal women, doctors may treat severe migraines with hormone replacement therapy (HRT) in order to stabilize estrogen. However, there are side effects, so this treatment is not for everyone.
Your gynecologist isn’t exactly the first person you would think to call to solve your migraine problem. However, if your migraines are cyclical, they could be hormone-related. Ask the hormone experts for help and get migraine relief. Our clinics operate virtually online, so schedule your appointment today to meet with our OBGYN team. Alternatively, we have walk-in hybrid locations in Las Vegas where we can collect labs and vitals for our local patients.
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Hygiene is an integral part of self-care at any given time or period. However, it is of greater importance during pregnancy as little changes can have massive ripple effects during this period. During pregnancy, the woman's body undergoes several hormonal changes, and its effects vary from one woman to the other. Hormonal imbalances result in increased perspiration (sweating), increased vaginal discharge, less lubrication and vaginal dryness, dry skin, and nipple leaks, amongst others.
Infections are best kept at bay during pregnancy. Infections can affect the health of the mother and her baby and may result in complications. Hence, good hygiene is an important part of self-care in pregnancy. Also, it boosts your self-esteem and keeps you refreshed and comfortable in your skin.
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The following are basic tips that can help you maintain good hygiene in pregnancy.
Hormonal changes can affect your dental health. Increased estrogen levels can cause inflammation of your gums, resulting in pain and frequent bleeding. Increased progesterone also puts you at risk of hosting plaque-causing bacteria and developing gingivitis.
Hence, poor oral hygiene can cause dental health issues and increase your risk of certain pregnancy complications. Bacteria that cause gingivitis can make a low-birth-weight baby if it enters your bloodstream and reaches the fetus. See a dentist in case of any mouth condition, especially gum disease.
Eat a healthy, balanced diet, avoid sugary and hard foods, brush and floss daily, and, as prescribed, take fluoride supplements.
To stay safe from infections;
Increased vaginal discharge may stimulate bacterial growth and cause ‘bacterial vaginitis. This can cause complications and get transmitted to the child if left untreated in the mother.
To maintain vaginal hygiene:
These tips help maintain air circulation and keep your vagina optimally dry, preventing infections:
Hormonal changes and weight gain during pregnancy can result in increased sweating and buildup of sweat, dirt, oil, and bacteria between skin folds. Hence, experts recommend that you bathe regularly with mild soaps and shampoos. Avoid harsh soaps, dyes, and other chemicals for your skin and hair to prevent an allergic reaction in you and your baby.
Avoid taking a bath or shower with boiling water. Use warm water instead. Also, apply lotions or creams immediately after a bath or shower to soothe and soften your skin.
Wear cotton and loose-fitting clothes to improve and maintain air circulation between your clothes and your skin.
A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. Your virtual physician can help to electronically order prenatal care labs and/or send an order to the nearest radiology facility for you to get an ultrasound.
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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How painful are your periods? Most women don’t think twice about it. The pain they have during their menstrual cycle is reflexively deemed normal and accepted as part of “being a woman.” Maybe you have thought, is this abnormal? And even went as far as to ask your doctor about it during your annual exam. Often, women who complain about menstrual pain are told that it’s nothing to be concerned about and are given the advice to take an over-the-counter pain reliever–as if the thought never crossed their mind.
If you’ve experienced excruciating period pain, our doctors at My Virtual Physician are here to offer support and healing. Our Las Vegas gynecology team has decades of experience working with women who suffer from painful periods. In this blog, we tackle the topic of painful periods head on. We’ll cover the questions you have about your menstrual pain, including:
Pain is a funny thing; it’s a sensation, and it can’t be objectively measured or observed like other symptoms, such as heavy bleeding or abnormal vaginal discharge. Instead, it’s up to you to notice if your pain is out of the ordinary.
This is usually done by using a pain scale. If you think your pain might be abnormal, start keeping track of where you’re at on the pain scale. If you find that you’re above a 5, or if your period interferes with day-to-day functioning and enjoyment, then it may be time to take a deeper look into the cause of your pain.
When it comes to menstrual pain, women usually experience some prolonged, dull muscle cramping along with sharp, quick spasms, both of which help shed the uterine lining each month. Here are some signs of abnormal period pain:
Related: Irregular Periods: What is Normal & When to See Your Online OBGYN
If you’re experiencing abnormal period pain, then you may wonder if it’s endometriosis. Since over 10% of menstruating women suffer from endometriosis, it’s important to consider the possibility. Maybe you’ve heard of the condition–but what is it, and what’s it have to do with period pain?
Endometriosis is an abnormality that can cause serious period pain. The pain from endometriosis is described as stabbing, chronic, and unrelenting. It can also spread to different parts of the body. Doctors don’t know what causes endometriosis, but they do have an explanation for the cause of the pain that accompanies it.
The pain from endometriosis is caused by endometrial tissue growing in parts of the body where they don’t belong. These cells are only supposed to grow inside the womb, but with endometriosis, this endometrial tissue grows elsewhere. It grows on the fallopian tubes, ovaries, and other organs. This wreaks havoc on a woman’s insides because the tissue swells and bleeds, just like the tissue inside the uterus, except it has no way to leave the body.
Women with endometriosis often have chronic pain that doesn’t go away when their period stops; instead, they continue to experience discomfort in the lower back and pelvis throughout the month. Sex can also be painful for women with the condition because it can affect the abnormal endometrial tissue. Intestinal and bowel pain are also not uncommon in women affected by endometriosis.
Here’s a list of all of the chronic symptoms of endometriosis:
Diagnosing endometriosis can be challenging since it is an internal growth of tissues that cannot be observed through a typical pelvic exam. If you are experiencing the symptoms above, schedule an appointment to discuss them with your doctor. Our team of gynecologists is available to meet virtually online or through our hybrid clinics located in Las Vegas.
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Even normal period pain, called dysmenorrhea, can cause enough discomfort that you seek relief. The American College of Obstetricians and Gynecologists recommends treating the pain with medication such as NSAIDs, including ibuprofen or naproxen, since they affect the hormone involved in reproductive tissue formation.
A second approach for relieving serious period pain may be to begin using certain hormonal birth control medications to regulate your periods and encourage a reduction of pain. For endometriosis, a GnRH agonist medication may be used, but these medications come with side effects.
If you prefer not to use medications to manage your period pain, there are other treatments available. Some relief can come by incorporating exercise, heat, sleep, and relaxation into your routine during your period. Acupuncture, acupressure, physical therapy, nerve stimulation, and biofeedback techniques are other non-standard routes of treating chronic period pain.
If your period discomfort is still debilitating after you’ve tried the pain management methods above, a doctor’s visit is in order. When you call our online gynecology team based out of Las Vegas, you can rest assured that our doctors will take your concerns seriously by providing a comfortable and welcoming environment to discuss diagnostic testing and treatment options.
The saying “no pain, no gain” fails to hold true when it comes to a woman’s period. We hope that by reading the material above, you can now decipher the “normal” period pain from something more serious. Don’t live your life dreading that time of month anymore; call our board-certified gynecologists today to discuss your pain and relief options.
You may have wondered what labor looks like and how it feels. You are not alone. Many pregnant women also ask questions about how it will feel, what to expect, and how long it will last.
This article will discuss what labor is and how to know you are in labor.
Labor is the process of childbirth that starts with strong uterine contractions and cervical dilation and ends with the expulsion of the fetus.
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There are early signs that labor is soon or imminent. Some may occur 3-4 weeks before actual labor sets in. At other times, these signs happen just before labor starts or hours before active labor.
Some very early signs of labor include the following:
This is also known as lightening, where your baby (ideally, your baby's head) descends into your pelvis. If you are a first-time mum, this may occur a few weeks before labor. If you're not a first-timer, lightening may not happen till you're truly in labor.
Your healthcare provider may notice your cervix dilating (opening) and effacing (thinning out) during your antenatal visit. This may happen weeks to days before delivery. Note that some women do not dilate at all till labor starts.
As labor nears, you may feel cramping and pain in your lower and groin. Not to worry, your abdominal and pelvic muscles and joints are loosening up and stretching in preparation for labor and childbirth.
While your joints and ligaments may have loosened up during pregnancy, you may feel them loosen as labor nears. This is your body's way of preparing for the passage of your little one.
You may experience diarrhea as your expected date of delivery nears. Ensure you drink lots of water and stay hydrated.
During the last days of pregnancy, you may feel very tired and sleepy with your big belly and active bladder.
You may have bursts of energy and a compelling urge that sees you through cleaning, arranging baby clothes, putting up a baby's room, organizing your home, and many more.
The following are signs of true labor:
Unlike Braxton Hicks contractions, labor contractions increase in intensity, are regular, painful, frequent, and don't get better with changing positions. Also, real labor contractions last anywhere between 30 to 70 seconds, depending on far you've gone into labor.
During pregnancy, a mucus plug seals off your uterus at the cervix. However, as the cervix dilates or the body prepares for labor, it may come off as a large piece or in bits.
When the mucus plug comes off, it may be with blood. Hence, a thickened, pinkish vaginal discharge is called bloody show. When you notice a bloody show, it indicates you are close to or in labor.
If you're having strong abdominal cramps, abdominal pain or pressure, and/or pain in your lower back that radiates to your legs, you are most likely to be in labor.
This may occur just before labor or after you've experienced other labor symptoms. When your water breaks, your membranes rupture, and amniotic fluid escapes from the sac. It could be in big gush. At other times, it could be a trickle or leak.
Not all women's water break before labor. Usually, it happens later during childbirth and occurs in a small percentage of pregnancies. Hence, it is not a definitive sign of labor.
Call your doctor when your contractions are painful, intense, regularly spaced, and last for 30 to 70 seconds
Also, if you have doubts about whether or not you're in labor, call your healthcare provider. If you also experience or notice any of the following, immediately contact your healthcare provider:
A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. Your virtual physician can help to electronically order prenatal care labs and/or send an order to the nearest radiology facility for you to get an ultrasound.
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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Nonhormonal contraceptive options, such as the diaphragm, can put the reigns back in your hands when it comes to managing your fertility and family planning. If you’re considering switching to a diaphragm as your primary form of birth control, there are a few things you should know.
Used alone, barrier methods tend to be less effective than hormonal birth control or sterilization. However, according to the American College of Obstetricians and Gynecologists (ACOG), diaphragms are in the middle tier, above other barrier methods, including condoms, cervical caps, or sponges, and just below to top tier of the most effective methods, which include implants, IUDs, and sterilization. That puts diaphragms on the same tier of effectiveness as hormonal injections, pills, patches, and rings, with less than 12 pregnancies per 100 women in a year with perfect use.
Effectiveness of contraceptive methods is usually measured in two ways, typical use vs. perfect use. Typical use means that you follow the product instructions most of the time. Perfect use means that you follow the instructions exactly. For diaphgrams, this means:
For the CAYA diaphragm, typical use has an effective rate of 18 pregnancies per 100 women, and perfect use has an effective rate of 14 in 100. These are based on using the diaphragm as directed and without any additional contraceptive methods. However, you can increase the effectiveness of your diaphragm further by combining it with other methods, such as the fertility awareness method (FAM or FAB), and by also using condoms.
Related: Natural Birth Control: Fertility Awareness Pregnancy Prevention
If you’re using a diaphragm for your birth control, you can continue to use lubricants and condoms; however, you will need to verify that they are compatible with your particular diaphragm’s material. Many diaphragms are made of silicone or latex, which can be damaged by oil-based creams and oils.
Water-soluble lubricants and creams are the safest to use with most diaphragms. Avoid silicone-based or oil-based lubes because they can damage the chemical structure of your diaphragm.
Most condoms are compatible to use along with your diaphragm. Having your partner use a male condom together with your diaphragm can significantly increase the effectiveness in preventing pregnancy, not to mention STD prevention. Avoid condoms that have oil-based lubes and check your diaphragm’s package insert for any additional requirements in selecting compatible condoms.
It’s important to remember the above guidelines apply to medications as well. So if you’re being treated for a vaginal infection, keep in mind that oil-based medication creams can damage your diaphragm. For example, Clindamycin cream or ovules are often used for the treatment of bacterial vaginosis (BV). The CDC recommends avoiding using diaphragms within 72 hours following treatment to prevent damage to your diaphragm.
Related: Our Las Vegas OBGYNs Cure Your Bacterial Vaginosis Fast
It’s not recommended to use your diaphragm dry, or in other words, without the use of a spermicide substance. Diaphragm manufacturers instruct users to apply a gel spermicide inside and around the rim of the device before insertion with additional applications if too much time has passed. The spermicide destroys sperm cells, preventing them from fertilizing an egg and increasing the effectiveness of the diaphragm alone.
You’ll need to purchase spermicide gel at your local pharmacy or drugstore in order to use your diaphragm properly. It is available for purchase without a prescription and usually comes in a large tube or individual pre-filled applicators. VCF vaginal contraceptive gel is a common brand of spermicide that is often used with diaphragms. Its active ingredient is nonoxynol-9 or N-9.
The CAYA diaphragm calls for 4 mL, or about a teaspoon, of spermicide gel for each use. Diaphragm users may also need to add additional gel with an applicator if it has been more than two hours since insertion. You can use FSA or HSA accounts to pay for spermicide at a variety of retailers.
Traditionally, contraceptive diaphragms required a woman to visit her gynecologist in person for an awkward appointment that was designated for fitting the correctly-sized diaphragm. Many diaphragms had a range of sizes, sometimes up to 8 different sizes, in order to provide a good seal around the cervical opening. As you can imagine, the process can be quite embarrassing, strenuous, and awkward.
Luckily, today there are new options available that do not require awkward diaphragm-fitting sessions. My Virtual Physician has partnered with one of these manufacturers to provide our patients with a one-size-fits-most diaphragm option: the CAYA diaphragm. To obtain your prescription, schedule an appointment online today. The process is very simple and only requires a virtual consultation with our online OBGYN in order to get your diaphragm prescription.
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Contraceptive diaphragms put women back in control of their own bodies. This birth control method allows women to choose how effective their contraceptive method will be and to return to fertility immediately. In order to make your diaphragm the most effective for pregnancy prevention, it’s important to know and understand the considerations discussed above. If you’ve been using a diaphragm for a while, we’d love to hear your tips. Shoot us a message to let us know if you’ve got more to share about your diaphragm experience!
The vagina is a captivating organ. It must maintain a microbiome of various yeasts and bacteria species in order to keep your vagina clean and functional. By sustaining normal flora, the body keeps out pathogens while keeping the good microorganisms in balance. It’s a delicate act to maintain equilibrium. So, what happens when equilibrium is lost?
My Virtual Physician’s team of Las Vegas gynecologists has extensive experience and expertise in understanding a woman’s microbiome and how it works. They know that a disruption to your normal flora can wreak all sorts of havoc. So that’s why this blog post is dedicated to the topic of bacterial vaginosis (BV), the most common, and probably the most embarrassing, vaginal affliction in women from puberty up through mid-forties.
Related: How Your Body’s pH Levels Can Affect Your Health
Bacterial vaginosis, or BV for short, is caused by an overgrowth of harmful bacteria inside a woman’s reproductive system. BV is similar to a yeast infection in that both bacteria and yeast are naturally present in the vagina, and the condition is caused by an overgrowth of one or the other. Both BV and yeast infections can have similar symptoms, so it’s essential that the diagnosis is correct before treatment; otherwise, the condition could get worse.
A bacterial infection can happen with or without having sex, but certain behaviors or factors can increase your risk of BV, including:
Unlike a yeast infection, BV must be treated with prescription antibiotics. My Virtual Physician’s Las Vegas board-certified gynecologists are experienced and qualified in diagnosing and treating vaginal infections quickly online.
Bacterial vaginosis causes some very unpleasant symptoms. That’s your body’s way of alerting you that your natural balance has been disrupted and needs attention. The most distinguishable symptom of BV is abnormal vaginal discharge. With BV, you will notice a change to your discharge. Your discharge may be milk-white, gray, foamy, or watery. A foul-smelling, fishy discharge is a signature indication of a BV infection. Other symptoms of a vaginal bacterial infection can include burning during urination, itching, and irritation.
The only way to treat BV is with physician-prescribed antibiotics. These work by killing and thereby reducing the overgrowth of bacteria in an attempt to restore balance in your vaginal microbiome. It is critical to consider that by killing the bacteria, you may cause another common vaginal imbalance: yeast infections. If you’re prone to yeast infections after taking antibiotics, you can talk to our online Las Vegas OBGYN team about solutions that can return your flora to normal.
Related: Understanding, Treating, & Preventing Vaginal Yeast Infections
Getting timely treatment for BV is important, not just for your own comfort, but for your long-term reproductive health. If you have untreated BV, it can increase your chance of contracting sexually transmitted infections, including:
Keeping your delicate vaginal flora in balance can be complicated. Trust the experts at My Virtual Physician to competently diagnose and treat your BV or other vaginal infection today. By utilizing virtual appointment technology, we can get you the quick treatments and healthcare solutions that you need right now. In a matter of minutes, you can be on your way to feeling better today.
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For most pregnant women, it is safe to exercise during pregnancy. To a large extent, it has health benefits for you and your baby. However, talk to your doctor about exercising during pregnancy before you do. Certain types of exercise may cause harm to you or your baby.
Healthy pregnant women need at least two and a half hours of moderate-intensity aerobic activity weekly. In other words, you do not need to have 2½ hours of exercise at a single time. Instead, spread it over the week. You may have 30 minutes of exercise on most or all days.
Aerobic activities make you breathe faster and deeper and make your heart beat faster. However, ensure it is moderate-intensity where you are active enough to sweat and have your heart beat faster.
Don't forget to take breaks if you need them. Listen to your body.
Regular physical activity in healthy pregnant women provides the following benefits:
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Not all exercise is good for pregnant women. Some may be too intense and cause more harm than good to both mother and baby.
Examples of exercises that pregnant women can do and benefit from include:
Brisk walking is a simple and great workout for any pregnant woman.
Water is easy on your joints and muscles and relieves pain and tension. As you swim or do water workouts, the water supports your weight and that of your baby.
A stationary bike is preferred to a regular bike because there is a reduced risk of falls and injury.
You can sign up in gyms or community centers that offer prenatal yoga and Pilates classes. If there are no specialized gyms, tell your yoga instructor that you are pregnant to avoid dangerous poses such as lying on your belly or flat on your back (after the first trimester).
Low-impact aerobics do not put a lot of strain on your joints and muscles. You will always have one foot on the ground or equipment. Examples are walking, riding a stationary bike, and using an elliptical machine. Tell your instructor you are pregnant so that you avoid high-impact exercises like running, skipping, and doing jumping jacks.
Working with weights is safe during pregnancy as long as they're not too heavy. Strength training helps you build stronger bones and muscles.
You do not have to belong to a gym to exercise during pregnancy. You can take advantage of your normal daily activities at home. Do an active hobby like gardening, taking the stairs, dancing to music, etc.
Avoid exercise or activities:
Other activities to avoid include diving, water skiing, skydiving or scuba diving, and surfing.
If you are pregnant and have the following conditions, please avoid exercise:
A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. Your virtual physician can help to electronically order prenatal care labs and/or send an order to the nearest radiology facility for you to get an ultrasound.
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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Are you on the bigger side? Does your BMI suggest you are overweight or obese? Are you also pregnant and wish to lose weight? Women with obesity have a higher risk of pregnancy complications such as gestational diabetes and preeclampsia. Their babies also have a greater risk of premature birth, neonatal problems, and birth defects.
As much as you may be encouraged to gain a little weight during pregnancy, it is dangerous for you to gain too much weight. More so, what if you are already overweight? Previously, doctors didn't want to advise weight loss during pregnancy to prevent harm to you and your baby. However, recent studies show that pregnant women with obesity can safely exercise and lose weight without risking their health and that of their babies.
As a rule of thumb, pregnancy is a time to do things in moderation. Hence, any form of exercise or dieting shouldn't be intense or extreme.
So, if you want to lose weight during pregnancy, the following are safety tips to follow:
Consult with your doctor before you embark on any exercise regimen while pregnant. Your doctor will ask some questions, check your health status and help you come up with an exercise regimen that will best suit you. Your doctor will also answer any questions you may have.
Also, your doctor may refer you to a dietician, nutritionist, or trainer that may help you with your weight loss journey.
Whether or not you're pregnant, do not rush into anything new. Instead, start slow. Don't cut down on your calories abruptly. Start an exercise routine slowly and build up over time from 5 to 10 minutes every day to more time over the next few weeks.
You may start with easier exercises such as walking and swimming. These can keep you active for roughly 30 to 45 minutes each day.
As stated earlier, do everything in moderation while pregnant. Intense workouts can be dangerous to you and your baby. Listen to your body and trust your instincts. You should be comfortable when exercising. If you are breathing too heavily, or feeling hurt, take a break.
Avoid activities like horseback riding, skiing, or mountain biking. These sports can throw you off balance and cause harm and injury.
Diet fads are often very calorie-restrictive. You lose out on nutrients that you and your baby need to stay healthy and grow optimally. You need healthy amounts of calories during your pregnancy for a safe pregnancy and childbirth. Your body and baby will thank you for it.
This could be manual or online. Keeping a journal helps you track how many calories, nutrients, and water you are getting every day. It helps you know what to cut down on and what to increase per time.
It is also a great way to create a routine and plan your schedule. This applies to both diet and exercise.
There are certain foods you should limit or avoid altogether, if possible. These include fast food, fried food, soda and energy drinks, sweets, pastries, and microwave dinners.
These foods contain empty calories and avoiding them can be more effective than exercise in helping you lose weight.
Prenatal supplements provide you and your baby with more of the necessary vitamins and minerals like folic acid and iron. They also help prevent health problems in you and your baby like anemia, obesity, and neural tube defects.
A visit to us helps you get your prenatal care started while you await your appointment with your local OB doctor. Your virtual physician can help to electronically order prenatal care labs and/or send an order to the nearest radiology facility for you to get an ultrasound.
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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Two out of three women aged 15 to 49 use some form of birth control. But not every type of birth control is compatible with every woman’s body. Luckily, there are a lot of contraceptive options out there to pick from. You’ve probably heard of the pill…the shot… the ring... those are all common hormonal contraceptives.
When it comes to non-hormonal birth control, what comes to mind? Most people think of condoms, or maybe even surgical sterilization. But if you’re looking for an alternative that provides you with more control over your own body and your fertility, you may be considering a lesser-known contraceptive option: the diaphragm.
But what is a diaphragm even? If you want to know more–we’re covering some basics here, along with what it's like to use a diaphragm.
A diaphragm is a rubbery-feeling, bendable device that women can insert into their vagina before sex. It acts as a physical barrier that prevents sperm from passing through the cervix.
A single prescription can last several years since you can wash and re-use the same diaphragm over and over again. The Caya diaphragm, for example, can be used for up to two years. This makes diaphragms an affordable and convenient contraceptive option.
A diaphragm gives a woman complete control over her contraceptive. It’s only used as needed and you choose when to use it. When you decide to have sex, you insert the diaphragm beforehand, up to 2 hours prior to sex. That means there are no awkward pauses or having to remember to take medication every day.
When you insert the diaphragm, you will follow these basic steps:
Depending on the user instructions, you can usually leave the diaphragm in place for up to 24 hours. If you have sex, wait at least 6 hours to remove it in order for the spermicide to deactivate all sperm.
The first few times that you use a diaphragm, the insertion and removal process may feel a bit uncomfortable. It may take several tries to get it into the correct position. As you become more familiar with the most comfortable techniques for your body during insertion, you will find that it becomes simple and easy–similar to how a woman “gets used to” inserting a tampon.
When a diaphragm is properly fitted and in place, you should not be able to feel it. Again, the experience is very similar to how a tampon seems to escape our minds once inserted. Having sex with a diaphragm feels the same as sex without a diaphragm.
The best thing about a diaphragm is that it doesn’t alter your body’s hormones and has very few side effects, if any at all. A diaphragm can put a woman back in control over her own body when it comes to contraceptives, fertility, and family planning.
Are you interested in trying a diaphragm? My Virtual Physician is here to support you and give you the tools you need. Schedule your online appointment now to discuss your contraceptive options with your gynecologist to get your prescription today.
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Your body is a miraculous thing. For the most part, it operates autonomously. Your heart beats effortlessly and your reproductive system knows just what to do each month with your menstrual cycle.
The body maintains many processes instinctively; no direct involvement from yourself or your gynecologist is required. But when these subconscious processes are interrupted by disease or ailment, our bodies do another incredible thing–they tell us something’s wrong so that we can temporarily intervene and return to health.
When it comes to a woman’s health, paying attention to the body’s red flags is crucial to maintaining optimal reproductive health. Here’s a list of eight signs that your body is calling out for help–and your Las Vegas gynecologist may be able to help.
All vaginas have a scent. It’s normal to have a slightly acidic smell. Get to know your personal vaginal aroma so that you are familiar with your healthy scent. When your vaginal fragrance changes drastically, pay attention. Your body is telling you that something is off.
For example, a forgotten tampon will create a stench, reminding you that you’ve got to do something about it. Bacterial Vaginosis and Trichomoniasis are infections often easily detected by your body’s radiation of unusually foul-smelling, fishy odors. These two culprits require your gynecologist’s intervention to prescribe medication that kills the odor-causing bacteria.
Vaginal swelling is another red flag that you should never ignore. Noticeable swelling usually happens on the outer vulva and there are many possible explanations. Some common reasons that your lady parts are inflamed can include:
If you’ve recently switched laundry detergents or personal hygiene products, you can try going back to what you used before to see if the swelling subsides. But if you have a fever or pain that accompanies your vaginal swelling, or if swelling persists longer than a few days, contact your gynecologist promptly for proper assessment and quick treatment.
Pain is the body’s uncomfortable way of getting your attention; so never ignore it. Painful periods are not a normal part of life and neither is painful intercourse. If you’re experiencing debilitating pain in your reproductive organs, contact your gynecologist to identify the cause and provide relief. Some common causes of pain include infections, dryness, pelvic floor dysfunction, and endometriosis. All of these have treatment routes.
One in four women have experienced abnormal menstrual cycles in their lifetime. Period abnormalities can be especially alarming when they include excessive blood loss, large clots, or non-stop bleeding between cycles.
If your period becomes irregular, or you find yourself heading to the bathroom non-stop to change your super tampon and pad, your body is alerting you that it needs your attention. Stress, hormonal imbalances, infections, growths, and other diseases may be to blame. Our staff can help you online, or in-person at our Las Vegas hybrid clinics, to help uncover the root cause of your bleeding and get you back to normal quickly.
Related: Irregular Periods: What is Normal & When to See Your Online OBGYN
If your menstrual cycle is irregular or non-existent, it can be a sign that your body is not ovulating. It’s called amenorrhea, and it’s a problem if you are trying to conceive. Periods are a sign that your reproductive system is functioning properly; so a lack of a period means something is off.
Possible causes of missed periods, or absence of menstruation, include: pregnancy, hormonal imbalances, stress, low weight, certain medications, or menopause. If you’ve missed three or more periods, it’s time to contact your gynecologist.
If your lady parts develop new sores, bumps, or blisters, you may be wondering if you need to contact your OBGYN. There are many causes, including:
In most cases, if your sores, bumps, or blisters are accompanied by pain, pus, blood, odor, or itching that causes disruption to your normal lifestyle, then you may want to have your gynecologist take a look.
Vaginas use discharge to perform self-cleaning and flush out dead skin cells and other foreign materials. So a certain amount of discharge is expected in a healthy vaginal environment. If you’re not sure whether your discharge is normal or not, check out the related blog below:
Related: Here’s What’s Normal Vaginal Discharge… and What’s Not
Abnormal discharge can be yellow, green, or foul-smelling. An increase in discharge that is accompanied by other symptoms such as pain, bleeding, itching, soreness, or burning is also a cause for concern. Changes in your discharge are your body’s way of communicating changes in your body to you. The most common cause of abnormal discharge is an active infection, so it’s important to see your gynecologist as soon as possible.
Saving the best for last: there’s nothing more embarrassing or irritating than vaginal itching. It is not normal to experience itching down there, so if you have vaginal itching, your skin is talking to you. The most common culprits are irritants like soaps, detergents, and fragrances. Infections, from yeast or bacteria are another cause. If you’re unable to rule out irritants or the itching doesn’t stop, your online OBGYN can help.
Learn to read your body’s language and recognize red flags early on. My Virtual Physician has board-certified gynecologist available to meet virtually with you online, or with staff at our Las Vegas hybrid clinics, to help calm your body back to normal. Schedule your appointment now to get treatment today.
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Gaining a few pounds is expected and normal during pregnancy but how many calories do you need?
Eating for two doesn't necessarily mean eating twice as much. Instead, you need to eat a healthy, balanced diet in the right portion so that your baby gets the nutrients they need to grow and develop optimally.
The average pregnant woman needs an extra 300 calories a day than when she was not pregnant to gain the right amount of weight in pregnancy. However, the extra calories a woman needs during pregnancy vary from woman to woman. Ask your doctor how much weight you should gain.
The amount of weight you should gain depends on your pre-pregnant weight and BMI. If you were of average weight before getting pregnant, you should gain 25 to 35 pounds during pregnancy.
If you were underweight (that is BMI is less than 18), you should gain 28 to 40 pounds. Women who were overweight before pregnancy need only 15 to 25 pounds more weight during pregnancy.
As a rule of thumb, you should gain about 2 to 4 pounds during your first trimester. Afterward, you gain 1 pound per week for the rest of your pregnancy.
Multiple pregnancies require more weight gain. If you are having twins or more babies, your weight affects the babies' weight. Your babies' weights need to be healthy because they are born earlier than singleton babies. You need to gain about 35 to 45 pounds.
If you are pregnant with twins, you need to gain about 35 to 45 pounds. So that's about the normal 2 to 4 pounds during the first 3 months of pregnancy and 1½ pounds every other week of pregnancy.
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Let's have a little weight allocation budget, shall we?
If you are overweight, your doctor may recommend you lose weight under supervision. In most cases, you'll want to wait until after delivery to lose weight.
However, if your doctor asks you to gain weight in pregnancy, here are some ways to gain the right amount of weight:
Usually, you will have to wait till you have the baby before you can lose any extra weight gained.
However, you can slow down your weight gain. Here are some tips to help you:
Do you feel you're gaining weight rapidly? Or do you want to know how much weight you should gain during pregnancy? Are you suddenly losing weight in your second or third trimester? Do you have other food and weight-related questions to ask?
At My Virtual Physician, we are available to help guide you through your pregnancy and answer any questions that may arise. We are in network with many insurance health plans, including Medicaid, Medicare, United HealthCare, and Blue Cross.
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Do you have a doctor’s appointment coming up? What kinds of emotions conjure up when scheduling the appointment? Anxiety? Annoyance? Dread? For many, just the thought of setting up healthcare commitments can be overwhelmingly negative.
Not to mention the eventuality of going through with the actual appointment. There’s a lot that can and will go wrong if you tolerate bad behavior from your healthcare provider. If your healthcare experience has been a thorn in your side, then you might be considering leaving your doctor. And you may be wondering–what are my options?
We know what it’s like to begrudgingly drag yourself to the doctor only to have the same terrible experience over and over again–and we also know the temptation to skip checkups to avoid the discomfort altogether. But is it enough to warrant the drastic step of switching doctors? Well, the definition of insanity is repeating the same thing over and expecting different results. Why not give something new a try?
Whether it’s your primary care physician–or your gynecologist–that you’re looking to replace; our team of Las Vegas doctors are here to step in and provide the care you deserve. We want you to know that you do not have to accept sub-par healthcare services any longer. We created this reference to help you make the decision.
If you’re unhappy with your healthcare experience, it’s likely that one, or a combination, of the below experiences has happened to you. Let’s cover some common reasons that patients decide to call it quits and find a new doctor.
In relationships–whether personal or professional–communication is the keystone that holds everything together. In a doctor-patient relationship, both parties need to feel safe and comfortable to communicate openly. That way, the doctor can make a proper assessment and diagnosis because the patient shared all pertinent facts, symptoms, and concerns.
If you feel your doctor is doing any of the following during your visit, it’s a red flag:
A minor occurrence here and there may be excusable, but if you have an overall bad experience every time you see your physician that leaves you feeling deflated and drained, then it’s likely time for a change.
You’ve done your part and shared all the juicy details of your symptoms with your Las Vegas OBGYN, but you are still sick! If you’ve been prescribed medication that worsens or does nothing for your symptoms and your doctor isn’t willing to correct it or make suggestions for something better, that’s a problem. Make sure you’re working with a physician who is your advocate, who listens to your concerns, and who is competent enough to make an accurate diagnosis and treatment plan.
Something that might be even worse than the wrong treatment is when your doctor tells you nothing can be done. If you feel like your doctor ignores your concerns, gives ambiguous answers to your questions, or is uninformed about the latest medical advancements and treatment options, then it might be time for a second opinion.
Seeing your doctor should not require you to use vacation time; but unfortunately, the traditional in-person experience at a doctor’s office still requires it. How much time do you spend on your appointment?
Depending on your personal factors, the whole process of a simple doctor appointment will take a minimum of two hours, and in worst-case scenarios, up to four hours out of your day.
It’s often a frustrating experience with little or no apology for keeping you waiting. If your doctor often runs behind and has no consideration for your time, it can be a damaging combination. Pile on top of that a doctor whose assistant calls to cancel and reschedule your appointment (that has been booked a month in advance) for no reason, and you are officially feeling violated.
Customer service should not go out the window when it comes to healthcare. Don’t allow your doctor or the facility to walk all over you and take advantage of your time. A recent study showed that 8 in 10 patients factor in customer service when they choose healthcare providers. If your provider won’t administer consistently good customer service, find another who will.
And the last straw to cutting ties with your healthcare provider is when it affects your pocketbook. Healthcare costs can be vague, confusing, and mysterious, especially when health insurance factors in. If you’ve ever asked for the cost of your appointment beforehand, you’ve likely received a confused look and some jargon about not knowing which medical billing code will be used.
That explanation is becoming less and less accepted by patients as pricing transparency is in demand. If you need to know how much your healthcare will cost up-front, there are doctors who will provide it willingly. Your doctor should also be considerate of your financial situation when prescribing treatments and offer less expensive alternatives when appropriate.
If the above scenarios are recurring every time you see your doctor, you may be ready to move on. You’ve got three basic options to choose from:
Option #1, switching doctors within the same facility, is viable if you believe it is strictly a personal shortcoming of your doctor, but won’t do much for facility-wide dysfunction.
Option #2, switching facilities and doctors, is a good choice if you prefer in-person visits but have reason to believe there are facility-wide functioning problems with the original clinic.
Option #3, finding a doctor online, will usually solve all of the concerns and inherent problems of traditional brick-and-mortar facilities. Here’s why:
My Virtual Physician is proud to offer online gynecology, pediatrics, and primary care–along with hybrid healthcare options in Las Vegas. We strive to provide an excellent patient experience that meets you where you are. Check out our testimonials to see what our patients are saying about us and make the switch today!
