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

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

Perimenopause and Periods

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Perimenopause is a period of time that occurs just before actual menopause when you cease menstruating. During this time, you’ll notice changes in your monthly cycle as estrogen and progesterone levels begin to fluctuate. Some months, your period may come sooner than normal. Others, you might be late. While every woman’s experience is different, knowing what to expect with perimenopause and periods can help you to navigate through this new stage in life.

Prepare for Heavier Periods

Many women struggle with heavy periods at various points in their life, but perimenopause can bring flooding. Technically, a heavy period is one that involves losing 80 mL of menstrual blood. You may suspect that this is happening to you if you consistently run through multiple tampons or pads within a short period of time. Heavy periods put you at risk for serious problems such as anemia, which means you’ll want to reach out to your doctor for help.

Get Ready for Spotting

You may have spotted in the past from various reasons such as changing birth control pills. However, spotting during perimenopause is caused by your body being confused by changing hormone levels. If spotting is new to you, then you’ll want to schedule an appointment to make sure that it isn’t from other causes. If you’ve noticed other changes in your period, then it is likely perimenopause.

Watch for Changes In the Color

Dark or brown blood may become more prevalent during this stage of your life. This is because your body’s hormone levels can disrupt how the blood leaves your uterus. Blood that sticks around in the uterus for too long oxidizes, which is why you see this color. Most likely, you’ll notice this more at the beginning and end of your periods. It can also occur with spotting.

 

Dealing with spotting, heavy periods and even the surprise missed start date can get frustrating. Make sure to talk to your doctor about any changes that you notice with your cycle. They’ll help to rule out other health problems and suggest ways to make this transition easier. Taking care of yourself can go a long way toward helping to minimize some of these symptoms. Perimenopause doesn’t last forever, but having the right types of support can make it more manageable until your periods eventually end.

How to Reduce Stretch Marks During Pregnancy

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Stretch marks, or striae gravidarum, are so common during pregnancy that many mothers wear them as badges of honor. However, even strong maternal pride doesn’t keep women from feeling self-conscious about how their abdomens look. Whether donning bikinis or wearing their birthday suits, most long for the days when their tummies were taught and absolutely blemish-free. The good news is that pregnancy doesn’t have to result in severely damaged belly skin. There are a number of things that you can do to prevent these scars and many strategies for making them fade.

Keep Your Skin Hydrated

Much like their name implies, stretch marks are the result of rapid and excessive stretching of the skin. They form when the skin is pushed beyond the limits of its natural elasticity. When stretching is severe, the elastic fibers beneath the skin’s surface break. The new collagen that the body produces to replace these broken fibers tends to be a lot less pliable and firm. This leads to collagen stores with a slightly different texture, and indentations or raised scars. To keep your skin supple and resilient, drink plenty of water and eat lots of fresh, water-dense foods. Fresh fruits and vegetables won’t just keep your skin optimally hydrated, they’ll also supply a generous array of antioxidants and other skin-supporting nutrients.

Stretch marks are most likely to form during periods of rapid growth or expansion. Given that stretch marks are essentially scars, it isn’t always possible to make them totally disappear once they’ve formed. Diligent prevention is far more effective than using corrective efforts to repair skin after significant scarring has occurred.

Does Everyone Get Stretch Marks During Pregnancy?

Whether or not stretch marks will develop during pregnancy is dependent upon a variety of factors. Among these are how durable and elastic the skin is at the start of gestation, how well expecting moms care for themselves in general, and how they carry their babies. Some women never form stretch marks during pregnancy. Others develop dark, noticeable marks early on. Women with lighter complexions tend to develop slightly pinkish marks, whereas women with deeper or darker skin tones often get stretch marks that are slightly lighter than skin tone. As these scars heal, they might shrink or gradually fade.

Moisturizing the Belly

During pregnancy, it’s important to keep the belly well-moisturized. Cocoa butter, aloe vera, and coconut oil are excellent moisturizers during this time. These applications are all-natural, unlikely to cause irritation, and rich in nutrients that support both skin renewal and overall skin health.

Cosmetic Procedures for Minimizing the Appearance of Stretch Marks

Once stretch marks have formed, most corrective cosmetic procedures focus on creating controlled skin damage. During these treatments, micro-wounds or tiny, painless abrasions are made at the surface layers of the skin. This incites the body’s natural healing processes to promote rapid skin cell renewal, and increased collagen production. As the body heals, the treated scars marks will increasingly become less conspicuous. Some of the top procedures for minimizing or eliminating stretch marks include:

  • Chemical peels
  • Laser therapy
  • Microdermabrasion
  • Micro-focused ultrasound

and more.

To limit their likelihood of developing stretch marks, women should start applying high-quality moisturizers as soon as they become pregnant. By making good hydration a priority, expecting mothers can keep their skin sufficiently supple for avoiding major skin damages. When moderate to severe stretch marks do form, various cosmetic procedures can assist the skin in healing itself.

Everyday Essentials to Help Your Pregnancy

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Waiting for a baby to arrive is such an exciting time, but it’s also a time when an expectant mother could use some extra help to make pregnancy easier, safer, and more comfortable. Here are a few suggestions:

Use prenatal vitamins

These contain all the nutrients the body needs for both mom and baby. Especially important is folic acid, an essential nutrient in the B vitamin family that helps to prevent a type of birth defect. Be sure to get at least 600 micrograms of folic acid during pregnancy. Ideally, a woman would be getting at least 400 micrograms before becoming pregnant.

Use pregnancy-safe skin products

The skin is the body’s largest organ, and many substances can be absorbed through it. With this in mind, it’s best to use natural, organic products for skin care, hair care, and makeup. Specifically, avoid the following:

  • Retinoids
  • Hydroxy acids
  • Acne products
  • Chemical hair removers
  • OTC steroid creams like 1 percent hydrocortisone

All of these have the potential to penetrate the skin and cause a possible problem for a growing baby. The risk may be small, but it’s there, so just avoid the problem by avoiding the product. If acne breakout due to hormonal changes is an issue, ask the obstetrician for a safe solution. Sunscreens are typically safe for use during pregnancy. For a sunscreen that doesn’t penetrate the skin to work, check labels for the ingredient zinc oxide.

Bellaband

The Bellaband is a versatile device allowing the expectant mom to comfortably and easily transition the clothing gray area when regular pants still fit but not properly. The clever Bellaband allows the pregnant mom to wear regular pants unbuttoned or unzipped, while still keeping the area covered. The result just looks like the clothes have been layered. The Bellaband helps to save money on maternity clothes, too.

Belly butter

Few things are more annoying than a persistent itch. As the skin stretches more and more across the belly area, it will tend to itch. Look for itch lotions and creams intended for use during pregnancy. Especially helpful are jojoba oil and natural plant butter like shea butter and mango butter.

Heart Health for Women Over 40

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When it comes to heart health, the focus is often on men. The University of Bergen in Norway recently released studies that show women, especially those over 40, should be conscientious about their heart health by monitoring their blood pressure. Women’s blood pressure can be an indicator of future issues.

Even Women Who Feel Healthy Need To Monitor Their Blood Pressure

Women are strongly advised to have their primary care doctors monitor their blood pressure regularly, even if they don’t have symptoms of heart trouble currently. It’s been shown in studies that women with slightly elevated blood pressure levels in their early 40s can be double as likely to experience serious heart troubles by their 50s. This includes heart attacks.

When deciding how concerning a woman’s blood pressure levels are, multiple factors are taken into consideration. Diabetes, obesity, family history, and more will be assessed. Doctors will choose how often to monitor each woman based on these things.

Higher Blood Pressure In Women Could Be More Significant Than In Men

Middle-aged and younger women often have a lower blood pressure than men, but the high blood pressure level threshold for men and women is the same. By the time women meet the threshold, their blood pressure is much higher than it should be already. Studies have also indicated that high blood pressure in women is a bigger risk factor for heart disease than it is in men.

It has been shown that women with even mildly elevated blood pressure were twice as likely to have serious midlife heart issues.

What May Cause These Differences?

One theory is that women’s small arteries are more strongly impacted than men’s by higher blood pressure. Beginning in their 30s, women may experience a sharp increase in blood pressure. Due to the fact high blood pressure thresholds are not different for each sex, the elevation is far more for women by the time they reach the threshold. Women’s bodies are being negatively impacted by their elevated blood pressures well before they’re considered “too high” medically speaking. This is something some professionals are saying needs to be changed to help women keep healthy as long as possible. Take heart health seriously.

When it’s Safest to Announce Your Pregnancy

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Parents face many challenges and sacrifices to make sure their babies are safe, comfortable, and well cared for. Whether it’s a first, second, third, or fourth baby, the most crucial detail of the motherhood journey is determining when to announce the pregnancy. Unfortunately, factors such as discrimination at work in some professions may delay some parents making their pregnancy announcement until the pregnancy shows. Therefore, every parent will have a different opinion of when to announce the pregnancy. However, there are many factors to consider when deciding when to make the announcement, as discussed below carefully.

After A Positive Test Result

Some parents, especially first-time parents, get over-excited to share the news of them being pregnant. Announcing at this early stage helps parents get as much support and encouragement as they require from family and those around them.

At Six Weeks after Conception

Week six of the pregnancy is when the ultrasound gets done, and the parents can feel the heartbeat of their fetus. It’s the best time to announce, especially for parents working in a hazardous working environment. At this stage, Parents are likely to experience nausea and a few complications that may cause them to miss work and other social functions. Announcing at this stage helps them get support from workplaces, family, and friends.

At Week 12 of the Pregnancy

The end of week 12 is the end of the first trimester, and the risk of miscarriage is low. The ultrasound images will show a fetus that looks more like a baby. However, parents who want to undergo genetic screening might prefer to wait and announce it after it’s done.

After Week 12

Some mothers might have a high-risk pregnancy that causes complications throughout the pregnancy. Some complications that cause high-risk pregnancies include previous miscarriages, women older than 35 years, carrying multiples, certain health conditions, and fertility assistance. All the conditions mentioned above might cause risks in all three trimesters of the pregnancy. If they are experiencing the above conditions, it might affect the parent’s decision to make the pregnancy announcement.

Choosing the Right Birth Control for You

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Many people yearn to have children. However, for some people, having kids may not be in their plans right now. Thankfully, there are plenty of ways to prevent pregnancy and stay child-free. While choosing a method may seem challenging, there are birth control methods that work well for many individuals.

The birth control pill

Birth control pills are one of the most popular forms of contraception. They keep the hormones in the body consistent and prevent ovulation. The user takes three weeks of pills that consist of hormones, and one week of pills that are placebos. The individual takes one pill at the same time each day. The birth control pill can reduce acne, make periods lighter and reduce the risk of endometrial and ovarian cancers. However, the pill can slightly increase the risk of blood clots.

The birth control patch and the ring

The patch and the ring deliver the same hormones as the birth control pill. The individual places the patch on their skin and changes it each week. The ring is a flexible piece of plastic that a user inserts into their vagina and replaces each month. When an individual takes off the patch or takes out the vaginal ring for an entire week, one can expect their period to come. The patch or ring user may experience bloating, breast tenderness, or mood changes. The patch and the ring are not good methods for smokers or those who have cancer.

The shot

A birth control shot is like the birth control pill. Most go to their doctor’s office for an injection four times throughout the year for individuals who choose this option. For some users, the birth control shot may cause an individual’s period to become lighter. For others, their period may stop altogether. A birth control shot may cause bone thinning for users. However, once the individual discontinues the shot, the bone-thinning process reverses.

The intrauterine device (IUD)

An intrauterine device is a reversible, long-term method of birth control. One type of IUD is a hormone-filled plastic device. Another form of IUD is a copper version that doesn’t contain hormones. Both devices work by making it incredibly difficult for the sperm to reach the egg in one’s uterus. A physician must place this device in the uterus during an in-office appointment. This insertion can be a painful procedure for some women. An individual may also experience unpredictable bleeding for months after insertion.

The implant

A birth control implant is a tiny plastic rod that a physician places under the skin. It’s placed in the user’s upper arm and sends a consistent supply of hormones into the bloodstream to prevent a woman from becoming pregnant. The implant is similar to the hormones that are in the IUD. Some users may have lighter periods, but some individuals will notice their period becomes heavier.

If an individual is not dreaming of the sound of little feet running around the house, they can schedule a consultation with their doctor and discuss the best birth control method that might work best for their life.

Mental Health Support for Women of Color

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A stigma surrounds the idea of mental health in many black communities. People of color are often ashamed to consider their own mental health needs as important, and this stigma is both deep and enduring. Black women struggle even harder with it.

 

The stigma could be cultural in nature. Black people in America endured centuries of slavery. Even after they were technically freed as a people, they were still oppressed culturally and economically, the vestiges of which are still prevalent for many people of color even today.

 

When survival was all that mattered for so long, dismissing mental health is bound to happen. Yet, for all the struggles and discrimination blacks face these days, mental health is something that deserves attention, precisely because it’s so hard being a person of color in the modern United States.

 

Black women are expected to be resilient, displaying strength in all situations. While such a mindset can offer protective benefits for themselves and their families, it’s also a belief system that can eventually generate psychological distress. Many black women feel compelled to suppress their feelings. In fact, asking for help is viewed by many as a sign of weakness. Still, anyone, of any race, who suppresses their feelings long enough will have a breakdown of sorts.

 

Part of the stigma about mental health among black women is likely due to how mental health research in the country is ‘whitewashed.’ Professional studies tend to focus on white experiences. In fact, over 80 percent of all members of the psychology workforce are white, and only 3 percent black. Psychologists and therapists simply can’t connect to people based on shared cultural experiences, and the risk of misdiagnosis is real.

 

The recent pandemic has certainly brought this issue to the forefront. Black women were already enduring many forms of emotional trauma from childhood up before all this, but the events of the global crisis have impacted them just as hard as everyone else. The need for mental health resources is greater than ever.

 

Fortunately, the pandemic might have also created solutions. The need for sound mental health and its importance is an ongoing message in the world of social media. Also, a number of online resources using virtual visits now make remote mental health help possible for anyone online.

 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.

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.