Dr. Lori Gore-Green | Women's Health Professional

Dr. Lori Gore-Green's Portfolio of Experience as a Women's Health Professional

 Living Well With Menopause 

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 During the years leading up to and shortly after menopause, women experience hormonal fluctuations that impact their physical and emotional health. While some women hardly notice the changes, others are plagued with mood swings, hot flashes, and disrupted sleep that makes life more challenging. Living well with menopause is as simple as finding the coping strategies that work for each woman’s individual needs.

 Find Ways to Manage Hot Flashes

 Feeling the heat creeping up their neck can make women wonder if everyone else notices their rising temperature. Hot flashes can occur multiple times a day, but they tend only to last a few minutes. Women can dress in layers to have more control over their body temperature. It is also essential to drink water to keep their bodies hydrated.

 Take Steps to Address Vaginal Dryness and Incontinence

 Changes in a woman’s sexual health can be especially challenging to deal with during menopause. Vaginal dryness doesn’t have to disrupt a woman’s relationships. Instead, women can use lubricants to overcome this common issue. Women may also take oral supplements of vitamin E or flaxseed oil to encourage their body to produce more moisture. There are many treatment options available today for women with incontinence, and doing Kegel exercises is an excellent place to start with strengthening weakened muscles.

 Make Stress-Reduction a Priority

 This tends to be an emotional time for women. Not only is dealing with the physical symptoms demanding on a woman’s time and patience, but some women might also be grappling with accepting their new stage in life. Some women might grieve no longer being able to conceive having children or losing their former physical appearance. Finding ways to manage stress helps them to maintain a more positive mindset. Women can prioritize relaxation by starting a meditation practice or journaling about their experiences. Practicing good sleep hygiene can help them to reduce the effects of insomnia on their mental alertness.

 While menopause may bring many changes to a woman’s health, there is a solution for every problem. Identifying ways to cope puts women in control over their health, making it easier for them to manage this significant transition. Being able to emerge on the other side of the menopausal process more substantial and more confident is a goal that every woman can achieve with proper self-care.

The Connection Between Gender and Medical Debt 

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 The current economic situation in the United States caused by the Coronavirus pandemic’s effects makes access to quality health care difficult for most women, leading to enormous debts. The medical issues can range from inability to pay for emergency medical charges to the gradual pileup of a debt that can lead to bankruptcy and debtors’ collections. If the government fails to intervene, this issue could escalate to an extent where female patients would feel overburdened.

 According to a survey done last year, half of the women in the U.S. shared concern that it could render them bankrupt in the event of a significant health situation compared to a similar survey done in 2019 where only 47% were concerned. By February of this year, the percentage shot to 73%. The reason behind this is that health insurance covers have significantly been reduced, and the insurance premiums, coinsurance, and deductibles that consumers pay directly from their pockets have risen in recent years. The result is that even with an excellent insurance cover, women can still get large bills in the sudden event of an accident or illness, regardless of whether they receive their health insurance through the government or from the employer. It is not a surprise that women who do not have insurance have immense medical debts. 

 The wage difference between women and men could also be a reason for this vast debt gap. A survey conducted recently shows that women earn 80-82 cents for every dollar earned by men. When the covid-19 pandemic started to hit America, many women lost their jobs and health insurance. A report done in December 2020 showed that women accounted for the 140000 jobs lost. A similar report by the National Women’s Law Center indicated that about 5.4 million of the 9.8 million jobs lost in 2020 were women.

 Black and Latina women working in the restaurants, retail, and other hospitality sectors were laid off when most businesses were locked down and closed due to the covid-19 pandemic. The pandemic has caused alarm to most Americans who fear getting medical treatment to avoid huge medical bills. Evidence shows that medical debt has increased sharply during the pandemic. A recent survey showed that most individuals would not visit a healthcare institution for even diagnosis.

Importance of Cervical Cancer Awareness

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Invasive cervical cancer holds the eighth position in most occurring cancer in the United States, with more than 13,800 women diagnosed with it, where 4000 die from the disease annually. January is cervical cancer awareness month. With the help of renowned gynecologists and obstetricians, American Cancer Society, focuses in increasing public awareness and sensitization, offer the best treatment options and resources with updated information regarding cervical cancer.

Most Appropriate Time to Get Tested For Cervical Cancer

January is not only the most appropriate time to book an appointment with a gynecologist or obstetrician for a cervical screening test, but any time of the year is suitable. However, different age groups have different testing options. At 21-29 years, it’s most recommendable to go for a Pap test and wait for three years to get another test. Between 30 to 60 years, a doctor can recommend three different screening options such as HPV test only, Pap test only, or a combination of Pap and HPV test. For women above 65 years, a gynecologist can recommend not to be screened anymore, if the previous year’s results were normal or the cervix was removed through a hysterectomy.

Fundamental Vital Aspects to Understand Before Booking Cervical Screening

1. Be optimistic about the screening and Speak Up if you feel Pain.
Many women believe cervical cancer screening is painful; thus, they feel uncomfortable about the process. Therefore, it’s recommendable to be at ease while the speculum is being inserted, and in case of some pain, inform the gynecologist immediately.

2. Go for Regular Screening Even if you have Been Vaccinated.
In most instances, 10 percent to 30 percent of cervical cancer cases are caused by Human Papilloma Virus subtypes, which cannot be prevented through vaccination. So, it’s good to go for an HPV test after every five years and a Pap test every three years.

3. If you are on your Period, Don’t go for screening.
It’s always recommendable to book an appointment with doctor 14 days before your period starts. If screening is carried out at this time accuracy of the results might be affected owing to blood cells shed during your periods.

How to Prevent Cervical Cancer

The most crucial ways to prevent cervical cancer is through regular screening and HPV vaccination if eligible. To reduce exposure to HPV, it’s recommendable to avoid sex with people who have multiple sex partners, use condom protection and reduce smoking since it lowers the risk of cervical pre-cancer.

Intermittent Fasting for Women: What to Know

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For women struggling with weight loss, they may consider utilizing an intermittent fasting regime. This eating schedule is one of the world’s most popular weight-loss trends. Intermittent fasting is an eating pattern that cycles between patterns of eating and fasting. This eating plan does not dictate what foods to eat, instead of when is best to eat. However, intermittent fasting poses some serious risks for women. It is essential to be educated on the topic before considering implementing this eating schedule.

 

There are a few benefits of intermittent fasting. For example, it can boost fat burns. When people eat, blood sugar rises, and insulin is released to take the glucose to cells. Any leftover glucose is stored as fat. If intermittent someone fasts for 10-16 hours, their body will begin to burn its stored fat for energy. Other studies have found that fasting can repair cells, leading to increased longevity, a lowered risk of cancer, less inflammation, and improved metabolism. However, these studies are primarily conducted with animals rather than adult women. Other research suggests that eating in line with circadian rhythm, meaning eating only when it is light out, protects the body from chronic diseases.

 

On the other hand, research has identified many negative aspects of intermittent fasting. Women of reproductive age need to be especially mindful of putting stress on their body, as their body is particularly receptive to stressors like prolonged fasting and caloric restriction. Intermittent fasting may do more harm than good, as it can potentially lead to low blood sugar regulation, increased insulin resistance, and lean muscle loss, among other things. Additionally, prolonged underrating can seriously harm a women’s reproductive system. Women can potentially lose their menstrual cycle and interfere with their fertility. Moreover, fasting can increase someone’s hunger and obsession with food, thus leading to overeating or a process of restricting and binging.

 

Intermittent fasting has many positive features and many potential negative impacts on a woman’s body. Before starting an intermittent fasting regime, be sure to read up on the eating pattern and learn how to do it best. Women need to be knowledgeable and aware of any risks associated with intermittent fasting. Be sure to consult a doctor with any questions or concerns. 

The Benefits of Walking in Older Women

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The human body is designed to walk, and this most basic human activity can significantly impact your health throughout life. Scientific research supports the benefits of walking in several ways, so it should be on the list as part of every older woman’s health regime to maintain suitable physical, emotional and mental health.

Walking Helps To Maintain Healthy Weight

A daily walk can help you maintain a healthy weight, so you can avoid many of the health problems related to carrying those extra pounds.

Walking Helps to Strengthen Bones

The action and pressure of walking help strengthen bones, reducing the risk for osteoporosis and osteoarthritis, which are common problems in the older population.

Walking Can Lower Blood Pressure

A good walk can also help to relax blood vessels, which will lower your blood pressure in some individuals.

Walking Reduce Your Risk For Heart Disease, Diabetes, and Colon Cancer

Walking helps to keep blood vessels flexible to carry blood and nutrients throughout the body. This improved circulation can help you to avoid cardiovascular disease and other health problems.

Walking Keeps Joints Flexible

Your walking exercise helps to keep your joints supple and healthy. Walking strengthens the muscles that support joints to experience less pressure that can cause damage to the internal joint structures.

Walking Improves Balance and Coordination

Walking requires coordinated movement and balance as you shift your weight. These are essential skills that will help you to avoid dangerous falls that often occur in older individuals.

Walking Improves Your Energy Level

A body in motion tends to remain in action, and you will find a good, daily walk gives you more energy for other tasks throughout the day.

Walking Improves Your Mood

The action of walking gets you outdoors, moving around, seeing what’s going on in the neighborhood, and encountering neighbors and acquaintances along the way, which helps to stimulate the production of “feel-good” brain chemicals that keep you in a better mood.

Health experts recommend at least 30 minutes of walking per day to enjoy this natural exercise’s benefits. Whether you choose to break up your walking workout into smaller periods or extend it out, you will feel better, look better, and enjoy life more.

3 Myths about Polycystic Ovary Syndrome

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When you are diagnosed with a medical condition that will affect your life, one of the very first things you will do is research it. However, not everything you read online or hear from friends and family are true. Polycystic Ovary Syndrome (PCOS) has a few myths surrounding it. PCOS causes and hormonal imbalance and metabolism problems in women of reproductive age. Women diagnosed with PCOS can experince irregular menstrual cycle, acne, thinning hair, and weight gain. Today, we will be looking at the most popular myths associated with Polycystic ovary syndrome.

Myth #1: You are the reason PCOS happened.

The exact cause of PCOS is unknown, but one thing is for sure, you are not to blame. It is believed that genetics is some of the cause of why a woman may have PCOS. PCOS produces more androgens, make hormones, which can make it difficult for women to have regular periods or ovulate all together. Women with PCOS also produce an excess of estrogen, female hormones that can cause a build-up of the lining of the uterus which may cause uterine cancer. Other scientists believe that insulin can play a role in the body’s androgen production. It is also noted that women that have mothers and sisters who have PCOS are most likely to have PCOS too.

Myth #2: If you lose weight, you can lose PCOS.

As of right now, there is no cure for PCOS. Women who are overweight and obese can balance their hormone levels by losing weight, but it isn’t a cure. Many treatment options for PCOS focuses on managing symptoms rather than making the issue disappear altogether. Treatments for PCOS usually encourage lifestyle changes such as eating healthy and exercising regularly.

A great treatment option is taking birth control pills. The bills will help to regulate your menstrual cycle as well as reduce your androgen levels. There are also fertility medications that you can take that will help to stimulate ovulation when you want to get pregnant.

Myth #3: PCOS is a rare condition.

You will be surprised to know that about five to 10 percent of U.S. women have PCOS. Meaning that this condition affects about 5 million women, making it one of the most common hormonal endocrine disorders among women of reproductive age.

Unforealty, not a lot of women know that they have this condition. According to the PCOS Foundation, less than half of all women with PCOS are diagnosed correctly. There are millions of women out there who may be unaware that they have this condition.

 

What You Need to Know About Ovarian Cysts

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During the time that you are menstruating, there’s a possibility you may develop an ovarian cyst and not even realize it. But before you start to worry, realize that ovarian cysts are usually harmless. In some cases, however, ovarian cysts can cause pelvic pain and lead to more serious complications. To be more knowledgable on the matter here’s everything you need to know about this common cyst.

Ovarian cysts form relatively easily.

Under normal circumstances, one of your ovaries will wrap an egg in a follicle and release the egg into the fallopian tube every month. The follicle will typically dissipate and absorb into the body. In the case that the follicle does not release the egg, it can become bigger and develop further into a follicle cyst. Another type of cyst, a , can form after the follicle combusts and releases the egg. Theses cysts, however, can bleed and cause women pain in the pelvic area. These types of cysts are relatively small (1 to 2 millimeters) and will typically resolve itself in a few weeks.

A dermoid cyst can be more serious, but they are not common.

A starts to form when the cells in an ovary start to divide but haven’t been fertilized. This type of cyst isn’t as common a the cysts mentioned above, but they can grow relatively large, up to four inches. Due to how big these cysts can get, they often have to be surgically removed.

Normal ovarian cysts often do not display any symptoms.

Ovarian cysts usually don’t trigger any symptoms and will often go away on their own. A corpus luteum cyst may result in some minor bleeding, but follicle cysts won’t change your menstrual cycle.

However, there are severe symptoms of ovarian cysts, such as fever, nausea, and vomiting, which are usually the result of infection. If this is the case, see a doctor immediately.

Ovarian cysts can be found during a routine gyno visit.

Women typically find out if they have an ovarian cyst during a routine gyno visit, during a pelvic exam, or during an ultrasound. Women who are experiencing pelvic pain will usually make an appointment with their doctor anyway, and they will most likely find the root of the problem.

Surgery is only necessary in some cases.

If your ovarian cyst has not gone after three menstrual cycles, is bigger than 4 inches, or there is suspicion of a tumor, you may need to get surgery. If you are at risk for “twisting”, which is when the blood supply to the ovary gets cut off, you will also need to undergo surgery.

Common Causes of Menstrual Irregularities

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No two menstrual cycles are alike. Every woman’s body is different, therefore every woman will experience their own different cycle. Although women often share similar period symptoms, each cycle is unique. However, sometimes a cycle can be so different that it can be irregular. There are many causes for menstrual irregularities every woman should be made aware of:

 

Pregnancy

The most common cause of menstrual irregularities is pregnancy. Pregnancy puts a woman’s period to a halt for nine months after conception. There may be a bit of light spotting, but this is a common sign a woman may be pregnant. Other symptoms are nausea, breast soreness, and fatigue.

 

Birth Control

Another way to cause menstrual irregularities is by taking birth control. Hormonal birth control pills and hormone-containing intrauterine devices (IUDs) can cause irregular bleeding during a woman’s cycle. An IUD can also cause very heavy bleeding.

 

Perimenopause

As a woman get older, her body begins to go through major changes. When her period stops due to her age, this is called menopause. The time between their period coming to a stop and entering menopause is called perimenopause. This can cause them to have a very irregular period, sometimes going months without bleeding. Women can also experience hot flashes, mood changes, difficulty sleeping, and vaginal dryness.

 

Being Overweight

It’s important for men and women to stay healthy. Being overweight can cause many health issues. For women, it can lead to menstrual irregularities. When a woman is overweight, their obesity impacts hormone and insulin levels and interferes with your menstrual cycle.

 

Eating Disorders and Extreme Weightloss

It’s important for your body to find a healthy balance. Obesity isn’t the only weight issue that can lead to an unhealthy menstrual cycle. If a woman has an eating disorder or is experiencing extreme and rapid weight loss, it can interfere with their body producing the hormones needed for ovulation. 

 

Stress

Mental health can have a major impact on the body. For women, stress can be a major factor when dealing with menstrual irregularities. Research has found that stress can interfere with a woman’s menstrual cycle by temporarily obstructing the part of the brain in charge of controlling the hormones responsible for regulating your cycle.

5 Health Screenings for Women

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Maintaining your health as a woman can be difficult. Because of the health risks associated with the sex, you should be proactive in your doctor visits and ensure you are scheduled to receive all necessary examinations. While this may take a chunk out of your wallet and prove disruptive to your free time, taking these preemptive measures can save you from hefty medical bills and painful conditions. Below are a few of the necessary health screenings adult women should regularly get.

 

Bone Density

By age 65, women should start getting screened for osteoporosis and bone cancer. Determining the state of your bones, from their density to their ability to fracture, can help you take measures to strengthen your bones with supplements and avoid further injury. Regular screenings can help track the strength of your bones over time, and these will vary in frequency due to the severity of your bones’ conditions.

 

Skin Examination

As skin cancer has become more common, especially the deadliest form of melanoma, frequently assessing your own skin for abnormalities has become a popular preventative practice. Typically, individuals can check their skin themselves, but it does not hurt to seek a professional opinion. The increasing fascination with tanning had led to significant spikes in the cancerous skin condition, so taking note of your own skin and alerting a doctor upon noticing something strange is a wise procedure.

 

Thyroid Test

To determine whether or not you have a hyperthyroidism or hypothyroidism, you should strongly consider getting tested roughly once a year, especially after the age of 60. Detecting a thyroid that is working improperly can help diagnose a serious condition like the ones listed above, and with the right diagnosis, treatment will be possible. If left untreated or undiagnosed, however, thyroid conditions can lead to life-threatening challenges like goiters, infections, and mental decline.

 

Mammogram

There are ways you can conduct your own breast cancer assessment at home, but for a clear, accurate diagnosis, seeing your specialized doctor will help ensure the results are correct. In order to detect breast cancer screenings in a facilities entail x-rays that document the interior of the tissue. It is advised that most patients begin getting annual screenings after at 45, but beyond age 55, they may opt for a biannual visit.  If you have family history of the disease or other relevant concerns, you should talk to your doctor to begin screening earlier.

 

Pap Smear

Common regarded as one of the most uncomfortable screenings, a pap smear is incredibly necessary when assessing the health and composition of the sexual organs. Pap smears are used to observe the nature of cells found on the cervix in assessing the probability of developing cancer. It can also be used to allow a doctor to gain more insight into any potential abnormalities about the system and address them appropriately.

At age 21, you should begin getting a pap smear every three years, and by the time you are 30, you can instead choose to get the test every five years.

 

Monitoring and managing your health is important. While there may be some unavoidable hurdles to completing all the necessary screenings and tests, you should strive to participate in as many as you can. Maintaining your wellness and taking preventative measures will help improve your quality of life and help you prepare for the future.

3 Restorative Vaginal Health Resolutions for 2018

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3 Restorative Vaginal Health Resolutions for 2018 | Dr. Lori Gore-GreenNow that the new year is underway, have you made the commitment to stick to the vaginal health resolutions you created for yourself?

That may seem like a strange question to ask, but it’s important to keep in mind that demonstrating safe hygienic habits, as far as your vagina is concerned, can have a great impact on your overall health. In a quest to take better care of one’s vagina, many engage in somewhat unsafe or risky habits, which could produce some challenging outcomes. For instance, the practice of bleaching, “vaginal facials,” or even waxing has been called into question, as well as seemingly benign actions that might affect one’s pH levels.

With that in mind, there are a number of actions you might elect to do in order to improve your vaginal health. Of course, prior to proceeding with any practice that may affect your health, you’ll need to consult a healthcare professional. With that in mind, read on to learn some of the resolutions you may consider making in the upcoming year:

Vaginal Fitness: Exercising your pelvic floor is important. You bowl, uterus (womb) vagina, and bladder are secured in place by the pelvic floor. Essentially, the ‘wear and tear’ of aging often causes the pelvic floor to weaken. Many women opt to ‘tone’ their pelvic floor after noticing slackening of the pelvic strength due to childbirth, constipation, obesity, and/or pregnancy. The benefits of squeezing in a work out can be numerous, as it can improve bowel and bladder control, reduce incontinence post-childbirth, and increase sensitivity during sex.

How to do this, you may ask? It’s simple. Standing or sitting, position yourself with your knees slightly apart, and clench your pelvic from as if you’re attempting to stifle the passage of urine. Perform ten contractions slowly, and hold for about ten seconds. Also known as kegels, you can perform them each day or up to four times a day.

Don’t Douch: Many women swear by douching, as it rids the vagina of some unpleasant smells, however, it’s important to know that using perfumed soaps or hygiene products is unnecessary. The vagina is already equipped to self-clean, using natural secrets. Good bacteria resides there, and when it is disturbed, many find that this leads to inflammation, vaginosis, irritation, or thrush. Also, it can impact your pH levels. For this reason, choose unperfumed soaps when sudsing up your vaginal area.

Stay Untrimmed: For most, a full pubic mound is a matter of preference, with many opting to keep that area clear of hair. However, did you know that pubic hair can act as a natural barrier to bacteria and viruses,  protecting against pathogenic bacteria and dust, and it helps to manage the moisture in the area? Shaving can boost the risk of venereal disease, and it can inflame the residual hair follicles. It’s still absolutely possible to keep tidy, even without shaving.

A few other things you may want to do in the upcoming year is to be sure that you aren’t embarrassed about flatulence (it happens to everyone with a vagina); regularly check your tampon to avoid TSS; don’t ignore abnormal symptoms; seeking a physician’s assistance with extreme period pain; get screen for cervical cancer; use condoms for protection; and learn to love your vagina and treat it with care.

Each vagina and its parts are unique, coming in a variety of shapes and sizes. No matter what, it’s important to avoid risk and visit your doctor whenever you fear an abnormality.