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

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Building a Healthy Foundation – Key Screenings Every Woman Should Have

October 31, 2025 by Dr. Lori Gore-Green

When it comes to women’s health, prevention is the most powerful tool. Many of the most serious health conditions — from cervical cancer to heart disease — can be prevented, managed, or treated early with the right screenings. Regular check-ups and diagnostic tests give women the opportunity to catch potential issues before they become serious, ensuring a lifetime of wellness and peace of mind.

In this blog, we’ll explore the essential screenings every woman should have, why they matter, and how often they should be done. Whether you’re in your 20s or 50s, these preventive measures are the foundation of a healthy future.

1. The Importance of Preventive Screenings

Preventive care is the cornerstone of good health. Screenings allow healthcare providers — especially OB-GYNs — to detect early signs of disease, identify risk factors, and develop personalized care plans.

Women’s health needs evolve throughout life, influenced by factors such as age, family history, lifestyle, and reproductive changes. That’s why routine screenings are not one-size-fits-all — they should be tailored to each woman’s stage of life.

Think of preventive care as proactive self-care. The goal isn’t just to treat illness, but to maintain health and detect problems before symptoms appear.

2. Annual Well-Woman Exam – Your Health Checkpoint

Your annual well-woman exam is one of the most important appointments of the year. It’s a comprehensive visit that focuses on physical, reproductive, and emotional well-being.

During this visit, your OB-GYN may:

  • Review your medical and family history

  • Discuss menstrual cycle changes, contraception, or fertility goals

  • Perform a breast and pelvic exam

  • Update necessary vaccines

  • Recommend appropriate screenings based on your age and risk factors

Even if you feel perfectly healthy, this yearly visit is essential. Many conditions — including hypertension, thyroid disease, or cervical changes — may not cause symptoms until they are advanced.

Pro Tip: Don’t wait for symptoms to schedule a check-up. Regular visits help you build a strong relationship with your provider, making it easier to discuss concerns openly.

3. Pap Smear and HPV Testing – Protecting Against Cervical Cancer

What It Is:

A Pap smear (or Pap test) checks for precancerous or cancerous cells on the cervix. It’s one of the most effective screening tools in women’s health, significantly reducing cervical cancer deaths worldwide.

How Often:

  • Ages 21–29: Pap test every 3 years

  • Ages 30–65: Pap test every 3 years, or HPV test every 5 years (or both together)

  • After 65: Screening may stop if you’ve had consistent normal results and no history of cervical cancer or high-grade lesions

Why It Matters:

Human papillomavirus (HPV) is the leading cause of cervical cancer. Early detection of abnormal cells allows for treatment before they progress to cancer.

Extra Protection: The HPV vaccine is recommended for girls and women up to age 26 (and in some cases up to age 45). It protects against the most common high-risk HPV strains.

4. Breast Cancer Screening – Early Detection Saves Lives

What It Is:

Breast cancer screening includes mammograms, clinical breast exams, and self-awareness of changes in breast tissue.

How Often:

  • Ages 20–39: Clinical breast exam every 1–3 years

  • Ages 40 and older: Annual or biennial mammogram, depending on personal risk factors

Your provider may recommend earlier or more frequent screening if you have a family history of breast or ovarian cancer, or a BRCA gene mutation.

Why It Matters:

When breast cancer is detected early, the 5-year survival rate exceeds 90%. Early-stage detection often means less aggressive treatment and better outcomes.

Self-Check Tip: Get familiar with your own breasts. Report any new lumps, dimpling, or nipple discharge to your OB-GYN right away.

5. Pelvic Exam – Monitoring Reproductive Health

What It Is:

A pelvic exam allows your OB-GYN to assess the health of your reproductive organs — including the uterus, ovaries, and vagina.

It may include a visual and manual examination, and sometimes an ultrasound if needed.

How Often:

Typically once a year during your well-woman exam, or more often if you have symptoms such as pelvic pain, irregular bleeding, or unusual discharge.

Why It Matters:

Pelvic exams can help detect fibroids, ovarian cysts, infections, and early signs of gynecologic cancers.

6. Sexually Transmitted Infection (STI) Screenings

What It Is:

STI screenings test for infections like chlamydia, gonorrhea, HIV, syphilis, and hepatitis B and C. These infections often have no symptoms but can lead to serious reproductive complications, including infertility.

How Often:

  • Annually for sexually active women under 25

  • As needed for women over 25 with new or multiple partners

  • During pregnancy, as part of routine prenatal care

Why It Matters:

Early detection and treatment prevent long-term complications and reduce the spread of infections to others.

Safe Practice Reminder: Condoms, regular testing, and open communication with partners remain the best protection against STIs.

7. Bone Density Test – Protecting Your Future Mobility

What It Is:

A DEXA scan measures bone mineral density to assess your risk for osteoporosis — a condition that weakens bones and increases fracture risk.

How Often:

  • Starting at age 65 for all women

  • Earlier for those with risk factors, such as:

    • Early menopause

    • Family history of osteoporosis

    • Long-term steroid use

    • Low body weight or smoking

Why It Matters:

Osteoporosis is often called a “silent disease” because it develops without symptoms until a bone breaks. Early detection allows women to take steps — through nutrition, lifestyle, or medication — to preserve bone strength.

8. Heart Health Screening – Women and Cardiovascular Risk

What It Is:

Heart disease is the leading cause of death among women, yet many underestimate their risk. Screening involves checking blood pressure, cholesterol, and glucose levels.

How Often:

  • Blood Pressure: At least once every 2 years (annually if elevated)

  • Cholesterol: Every 4–6 years, or more often if you have risk factors (family history, obesity, diabetes)

  • Blood Sugar: Every 3 years starting at age 45

Why It Matters:

Women’s heart disease symptoms often differ from men’s — fatigue, nausea, or shortness of breath may signal cardiovascular issues. Early lifestyle changes can dramatically reduce risk.

Pro Tip: Discuss family history openly with your OB-GYN — it can help determine if you need earlier screening.

9. Diabetes and Thyroid Testing – Hidden Hormonal Clues

What It Is:

Blood tests that measure blood sugar (for diabetes) and thyroid hormone levels (for thyroid disorders).

How Often:

  • Diabetes: Every 3 years starting at age 45, or earlier if overweight, pregnant, or at risk

  • Thyroid Function: Every 5 years starting at 35, or sooner if you experience fatigue, weight changes, or irregular periods

Why It Matters:

Both conditions are common in women and can affect energy, metabolism, and fertility. Left untreated, they can also lead to complications in pregnancy or long-term organ damage.

10. Colorectal Cancer Screening – Not Just a Man’s Disease

What It Is:

Tests like colonoscopy, FIT (Fecal Immunochemical Test), or stool DNA tests detect early signs of colon cancer.

How Often:

  • Begin at age 45 for most women

  • Earlier if there’s a family history of colorectal cancer

Why It Matters:

Colorectal cancer is one of the most preventable cancers. Removing precancerous polyps during screening can stop cancer before it starts.

11. Skin and Eye Exams – Overlooked but Essential

Skin Exam:

Regular self-checks and dermatologist visits help detect skin cancer early — especially for women with fair skin, frequent sun exposure, or tanning history.
Frequency: Every 1–2 years or as advised by your doctor.

Eye Exam:

Routine exams detect vision changes and eye diseases, including glaucoma and diabetic retinopathy.
Frequency: Every 2 years, or annually if you wear glasses, have diabetes, or are over 40.

12. Mental Health and Emotional Well-Being

Physical health isn’t complete without mental wellness. OB-GYNs often screen for depression, anxiety, and postpartum mood disorders, recognizing their impact on overall health.

Why It Matters:

Women are twice as likely as men to experience anxiety and depression, particularly during hormonal transitions like pregnancy, postpartum, and menopause.

Tip: Don’t hesitate to bring up emotional changes during your visit. Mental health screening is a sign of strength — and part of holistic care.

13. Immunizations – Preventing What You Can

Vaccines remain one of the most effective preventive measures. Key vaccines for women include:

  • HPV vaccine – Protects against cervical cancer

  • Flu shot – Annually

  • Tdap – Every 10 years (and during pregnancy)

  • COVID-19 boosters – As recommended

  • MMR, Hepatitis B, Varicella – If not immune

Keeping your vaccinations current helps protect not only you but also your family and community.

14. Creating a Personalized Screening Plan

Every woman’s health journey is unique. Factors like age, genetics, medical history, reproductive plans, and lifestyle all influence which screenings are most relevant.

Your OB-GYN is your partner in creating a customized preventive care plan that evolves with you — from your first Pap smear in your 20s to menopause management in your 50s and beyond.

15. The Takeaway – Prevention Is Empowerment

Women often prioritize caring for others — family, work, community — and forget to care for themselves. But regular screenings are acts of self-respect and empowerment.

By staying proactive, you can:

  • Detect health issues early

  • Reduce the risk of chronic disease

  • Improve quality of life

  • Enjoy peace of mind knowing you’re in control of your health

Healthy habits begin with awareness. Schedule your well-woman exam, keep up with recommended screenings, and make prevention part of your yearly routine. Your future self will thank you.

Final Thought

Building a healthy foundation isn’t about fear — it’s about confidence. Each screening is a step toward understanding and protecting your body. With regular check-ups, open communication with your OB-GYN, and a commitment to self-care, you’re not just reacting to illness — you’re actively building a lifetime of health and wellness.

Filed Under: Uncategorized

Balancing Act – How Nutrition, Stress, and Sleep Impact Women’s Reproductive Health

October 31, 2025 by Dr. Lori Gore-Green

A woman’s reproductive health is intricately connected to the delicate balance of her hormones. While genetics and medical conditions certainly play a role, everyday lifestyle factors — particularly nutrition, stress, and sleep — can have a profound impact on the menstrual cycle, fertility, and overall reproductive wellness. Understanding how these pillars of health interact helps women take proactive steps toward hormonal harmony and long-term well-being.

1. The Hormonal Symphony: Why Balance Matters

The female reproductive system operates under a complex hormonal feedback loop involving the brain, ovaries, and uterus — commonly known as the hypothalamic-pituitary-ovarian (HPO) axis. This axis regulates menstrual cycles, ovulation, and the production of key hormones such as estrogen, progesterone, follicle-stimulating hormone (FSH), and luteinizing hormone (LH).

When this system is in balance, cycles are regular, ovulation occurs predictably, and the body maintains an optimal environment for fertility and overall vitality. But modern life — with its stressors, erratic sleep, and processed diets — can disrupt this balance, leading to irregular cycles, PMS, polycystic ovary syndrome (PCOS), infertility, or even early menopause.

2. Nutrition and Reproductive Health: You Are What You Eat

A. The Foundation: Macronutrients That Matter

Proper nutrition supports hormone synthesis, ovulatory health, and menstrual regularity. Here’s how each macronutrient contributes:

  • Healthy Fats:
    Fats are the building blocks of reproductive hormones. Sources like avocados, nuts, olive oil, and fatty fish (rich in omega-3s) help regulate inflammation and support healthy estrogen and progesterone production.

  • Proteins:
    Adequate protein intake stabilizes blood sugar levels and provides amino acids necessary for hormone production. Lean meats, eggs, legumes, and tofu are excellent sources.

  • Complex Carbohydrates:
    Whole grains, fruits, and vegetables provide fiber that helps regulate estrogen metabolism through the gut. They also prevent the insulin spikes linked to hormonal imbalances, particularly in PCOS.

B. Micronutrients for Hormonal Harmony

Certain vitamins and minerals are particularly important for reproductive health:

  • Iron and Folate: Crucial for healthy ovulation and pregnancy. Found in spinach, lentils, and fortified grains.

  • Vitamin D: Supports ovarian follicle development and regulates menstrual cycles. Many women are deficient, making sunlight and supplementation vital.

  • Magnesium and B Vitamins: Help regulate stress hormones and support progesterone production.

  • Zinc and Selenium: Key for egg quality and thyroid function — both essential for fertility.

C. The Gut-Hormone Connection

The gut microbiome influences estrogen metabolism through the estrobolome, a group of bacteria responsible for processing and eliminating excess estrogen.
A diet rich in fiber, fermented foods, and probiotics supports a healthy gut, helping prevent estrogen dominance — a condition linked to PMS, fibroids, and endometriosis.

D. What to Limit

Modern diets often work against reproductive health. Women should minimize:

  • Refined sugars and processed foods – These can spike insulin and worsen hormonal imbalances.

  • Excess caffeine and alcohol – Both can interfere with ovulation and sleep quality.

  • Trans fats – Associated with increased risk of infertility and inflammation.

OB-GYN Insight: Research has shown that women following a Mediterranean-style diet — rich in vegetables, whole grains, olive oil, and lean protein — tend to have healthier menstrual cycles and improved fertility outcomes.

3. The Stress Factor: How Cortisol Disrupts the Cycle

Stress is a natural part of life, but chronic stress has significant physiological effects on the reproductive system. When the brain perceives stress, it triggers the release of cortisol and adrenaline. Over time, these hormones can interfere with the HPO axis, suppressing reproductive hormone production.

A. The HPO-Axis Suppression

High cortisol levels inhibit the secretion of gonadotropin-releasing hormone (GnRH) from the hypothalamus, which can reduce LH and FSH levels. This may lead to:

  • Irregular or missed periods

  • Anovulatory cycles (cycles without ovulation)

  • Reduced fertility

In extreme cases — such as in athletes or women under chronic emotional strain — this can result in hypothalamic amenorrhea, where menstruation stops entirely.

B. Stress and Common Reproductive Conditions

  • PCOS (Polycystic Ovary Syndrome): Stress increases insulin resistance and inflammation, worsening PCOS symptoms.

  • Premenstrual Syndrome (PMS): Chronic stress heightens mood swings and fatigue associated with PMS.

  • Endometriosis: Stress-related inflammation can intensify pain perception and immune responses.

C. Strategies for Stress Management

The goal isn’t to eliminate stress but to manage it effectively.
Some evidence-based approaches include:

  1. Mindfulness and Meditation: Just 10–15 minutes daily can reduce cortisol levels and improve emotional well-being.

  2. Yoga and Moderate Exercise: Physical activity supports endorphin release, improves blood flow, and balances insulin.

  3. Breathwork and Relaxation Techniques: Slow, deep breathing activates the parasympathetic nervous system — the body’s “rest and digest” mode.

  4. Professional Counseling: For women facing chronic stress, therapy or support groups can help manage anxiety and depression that often accompany hormonal changes.

Clinical Note: Women who adopt stress-reduction practices often report more regular cycles and improved ovulatory function within a few months.

4. The Power of Sleep: The Forgotten Hormone Regulator

Sleep is often overlooked but plays a vital role in regulating reproductive hormones. Poor sleep disrupts the body’s circadian rhythm — the internal clock that governs hormonal release.

A. Sleep and Hormonal Rhythm

During deep sleep, the body releases growth hormone, melatonin, and leptin, all of which influence the reproductive system.
Sleep deprivation or irregular schedules can lead to:

  • Elevated cortisol levels

  • Decreased progesterone and estrogen production

  • Irregular menstrual cycles and lower fertility rates

B. Sleep and Fertility

Studies show that women who sleep less than 6 hours per night have higher rates of menstrual irregularities. Melatonin, produced at night, is also an antioxidant that protects ovarian follicles from damage and supports egg quality — a crucial factor for conception.

C. How to Improve Sleep Hygiene

  • Maintain a consistent sleep schedule: Go to bed and wake up at the same time daily.

  • Limit screen time before bed: Blue light suppresses melatonin.

  • Create a calming bedtime routine: Herbal teas, stretching, or reading can help signal the body to unwind.

  • Keep the bedroom cool, dark, and quiet.

OB-GYN Tip: Encourage patients to track not only their menstrual cycles but also their sleep quality and stress levels — patterns often emerge that reveal hormonal triggers.

5. Integrating Lifestyle for Hormonal Harmony

Nutrition, stress, and sleep are interconnected. A poor diet increases stress, stress disrupts sleep, and inadequate sleep affects dietary choices — creating a cycle that perpetuates hormonal imbalance. Breaking this cycle requires a holistic approach.

Practical Daily Habits:

  1. Start with a balanced breakfast rich in protein and fiber to stabilize blood sugar.

  2. Move daily, even if it’s a 20-minute walk — consistency matters more than intensity.

  3. Prioritize 7–9 hours of sleep, treating rest as non-negotiable self-care.

  4. Practice gratitude or mindfulness to anchor emotional balance.

  5. Stay hydrated — dehydration can worsen fatigue, headaches, and PMS.

  6. Schedule regular check-ups with your OB-GYN to track hormonal health through different life stages.

6. When Lifestyle Isn’t Enough

While lifestyle changes are foundational, sometimes hormonal imbalances have underlying medical causes — such as thyroid disorders, PCOS, or endometriosis — that require medical evaluation.
OB-GYNs play a crucial role in helping women identify when symptoms extend beyond lifestyle triggers and need medical intervention.

Signs to seek professional advice include:

  • Persistent irregular cycles

  • Unexplained infertility

  • Excessive hair growth or acne

  • Severe PMS or pelvic pain

  • Sudden weight changes or fatigue

Through a combination of medical management and lifestyle optimization, most women can restore hormonal balance and improve reproductive health outcomes.

7. The Takeaway: Balance Is the Key

Women’s reproductive health is a reflection of how well the body’s systems communicate and function together. By focusing on nutrition, managing stress, and prioritizing sleep, women can support the natural rhythm of their hormones and enhance fertility, mood, and energy.

The goal isn’t perfection but consistency — small daily habits that promote balance. Whether you’re trying to conceive, manage PMS, or simply maintain vitality in your 30s and beyond, nurturing your body holistically is one of the most powerful steps toward lifelong reproductive wellness.

Final Thought

In the words of many OB-GYNs: “Your hormones don’t exist in isolation — they respond to how you live.”
By listening to your body, nourishing it well, and giving it rest, you create the foundation for healthy hormones — and a healthier, happier life.

Filed Under: Uncategorized

Reproductive Health in Your 30s – What Every Woman Should Know

September 25, 2025 by Dr. Lori Gore-Green

The 30s are often called a woman’s “power decade.” Careers, families, and personal growth thrive—but this is also a crucial time for reproductive health. Fertility, hormonal shifts, and lifestyle habits all play bigger roles than many realize. Here’s what women in their 30s should keep on their radar.

1. Fertility Isn’t a Switch—It’s a Spectrum

While it’s true that fertility declines with age, it doesn’t happen overnight at 35. Egg quality and quantity decrease gradually, but many women conceive naturally into their late 30s.

  • Tip: If you’re not ready for kids yet, consider ovarian reserve testing (like AMH levels) for peace of mind.

2. Get Serious About Preventive Care

Your 30s are the perfect time to get consistent with OB/GYN visits. Pap smears, breast exams, and reproductive hormone testing help catch concerns early.

  • Tip: Don’t skip annual checkups—even if you feel healthy.

3. Hormonal Shifts Are Subtle but Real

Progesterone levels start dipping in your 30s, which can lead to heavier cycles, PMS changes, or sleep disturbances.

  • Tip: Track your cycle with an app or journal to notice trends. If symptoms worsen, check in with your doctor.

4. Nutrition and Movement Matter More Than Ever

Bone density and metabolic health peak in your 20s. By your 30s, it’s about maintenance.

  • Tip: Strength training supports bone and muscle health, while calcium- and vitamin D-rich foods protect your reproductive and skeletal system.

5. Family Planning Is More Than Pregnancy

Even if you’re not planning children, reproductive health is still central. Contraceptive needs, managing conditions like endometriosis or PCOS, and protecting fertility all matter.

  • Tip: Have open, ongoing conversations with your healthcare provider about your reproductive goals.

Final Thought:
Your 30s are a time to invest in long-term reproductive wellness. By tuning into your cycle, optimizing your health, and being proactive, you set yourself up for vitality now and in the decades ahead.

Filed Under: Dr. Lori Gore-Green, Women's Health

Balancing Hormones Naturally – Everyday Habits That Make a Difference

September 25, 2025 by Dr. Lori Gore-Green

When women think about hormones, they often think of PMS, mood swings, or hot flashes. But hormones are the silent messengers that influence everything—from energy levels and metabolism to skin health and fertility. When they’re in balance, we feel like ourselves. When they’re not, life feels off. The good news? Lifestyle choices play a huge role in keeping them in check.

1. Start with Blood Sugar Balance

One of the biggest disruptors of women’s hormones is unstable blood sugar. Spikes and crashes from processed carbs and sugar can lead to insulin resistance, which cascades into hormonal chaos.

  • Tip: Focus on protein-rich breakfasts, fiber-loaded veggies, and healthy fats. Think eggs with avocado instead of sugary cereal.

2. Prioritize Restorative Sleep

Poor sleep increases cortisol (the stress hormone) and lowers progesterone, which women need for calm, balanced cycles.

  • Tip: Aim for 7–9 hours of quality sleep. Turn off screens an hour before bed and keep your room cool and dark.

3. Eat for Hormone Health

Key nutrients like magnesium, zinc, B vitamins, and omega-3s directly support hormone production.

  • Tip: Add salmon, leafy greens, pumpkin seeds, and flaxseeds to your meals.

4. Sync Movement with Your Cycle

Overexercising during certain phases of your menstrual cycle can increase stress on the body.

  • Tip: Try strength training and HIIT right after your period, but switch to yoga or walking in the luteal (PMS) phase.

5. Mind Your Stress

Chronic stress pulls resources from reproductive hormones to make more cortisol.

  • Tip: Incorporate daily mindfulness—breathing exercises, journaling, or even a 10-minute walk outside.

Final Thought:
You don’t need a drastic overhaul to bring hormones into balance. Small, consistent changes add up, creating harmony in your cycle, mood, and energy levels.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: hormonal balance, wellness, Women's Health

Pelvic Floor Health: The Silent Foundation of Women’s Wellbeing

August 28, 2025 by Dr. Lori Gore-Green

When we think of women’s health, conversations often center on reproductive health, hormones, or nutrition. But one area rarely discussed—despite its lifelong importance—is pelvic floor health.

The pelvic floor is a group of muscles that support the bladder, uterus, and bowel. These muscles are central to core stability, sexual function, and continence. Yet, they are often overlooked until problems arise—such as urinary leakage, pelvic organ prolapse, or painful intimacy.

For women, the pelvic floor is uniquely vulnerable. Pregnancy, childbirth, hormonal changes during menopause, and even high-impact exercise can all weaken or strain these muscles. Studies show that nearly one in three women will experience pelvic floor dysfunction at some point in their lives, but stigma and lack of awareness often keep them from seeking help.

The good news is that pelvic floor health can be protected and even improved at any age. Simple interventions such as pelvic floor physical therapy, targeted exercises (like Kegels, when done correctly), yoga, and breathwork can strengthen these muscles and restore function. Interestingly, research suggests that incorporating mind-body practices—like mindfulness or Pilates—not only helps with muscle strength but also improves the connection women feel with their bodies, reducing discomfort and anxiety.

Addressing pelvic floor health early has ripple effects: it improves sexual wellbeing, boosts confidence, reduces the risk of incontinence, and even enhances posture and core strength.

By breaking the silence around this topic, we empower women to see pelvic floor care not as an afterthought but as a foundation of lifelong health.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: pelvic floor, strength, Women's Health

The Role of Diet in Hormonal Balance for Women

August 28, 2025 by Dr. Lori Gore-Green

Hormonal balance is a key factor in overall health, yet many women experience fluctuations in hormone levels throughout their lives, particularly during puberty, menstruation, pregnancy, and menopause. While hormonal imbalances can be influenced by a variety of factors, including genetics and lifestyle, one area that often gets overlooked is diet. The foods we consume can play a crucial role in supporting or disrupting our hormonal health.

Our hormones are deeply interconnected with the food we eat, and certain nutrients can help support the body’s natural processes for regulating hormones. A diet rich in whole foods, healthy fats, fiber, and protein can help to stabilize hormone production, while a diet high in processed foods, sugars, and unhealthy fats can contribute to imbalance. For example, refined sugars and processed foods can cause insulin resistance, which in turn affects estrogen levels, potentially leading to conditions like polycystic ovary syndrome (PCOS).

One of the most important nutrients in maintaining hormonal health is healthy fats. Omega-3 fatty acids, found in foods like fatty fish (salmon, mackerel), flaxseeds, and walnuts, play a significant role in regulating hormones and reducing inflammation. These fats are essential for the production of hormones like estrogen, progesterone, and thyroid hormones, all of which have a direct impact on reproductive health.

Fiber is another crucial element. A fiber-rich diet helps the body eliminate excess hormones, such as estrogen, through the digestive system. Vegetables like broccoli, cauliflower, and kale are not only rich in fiber but also contain compounds called indoles, which support the metabolism of estrogen and may reduce the risk of hormone-related cancers.

Proteins—especially plant-based sources like beans, lentils, and tofu—are vital for stabilizing blood sugar levels. When blood sugar spikes and crashes, it can trigger the release of stress hormones like cortisol, which can interfere with the balance of other hormones in the body. Maintaining stable blood sugar levels through balanced meals can reduce the risk of hormonal imbalances and promote better overall health.

Finally, avoiding excessive caffeine, alcohol, and processed sugars is essential for hormonal balance. These substances can interfere with the production of certain hormones, increase cortisol levels, and negatively impact fertility.

For women looking to optimize their hormonal health, making mindful food choices is an excellent place to start. A nutrient-dense, whole foods-based diet not only helps regulate hormones but also improves energy levels, reduces inflammation, and supports overall well-being.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: diet, health, nutrition, Women's Health

The Silent Struggle: Understanding Endometriosis and Its Impact on Women’s Lives

July 22, 2025 by Dr. Lori Gore-Green

Endometriosis affects an estimated 1 in 10 women of reproductive age, yet it often goes undiagnosed for years. It’s a chronic condition that not only causes physical pain but also impacts fertility, mental health, and quality of life.

What Is Endometriosis?

Endometriosis occurs when tissue similar to the lining of the uterus (endometrium) grows outside of the uterus—on the ovaries, fallopian tubes, bowel, or other pelvic organs. Unlike the normal uterine lining, this misplaced tissue has no way to exit the body, causing inflammation, scarring, and severe pain over time.

Recognizing the Symptoms

The symptoms of endometriosis can be subtle or mistaken for other conditions like irritable bowel syndrome (IBS) or painful periods. Common signs include:

  • Severe menstrual cramps that worsen over time

  • Pain during or after sex

  • Chronic pelvic pain

  • Fatigue

  • Painful bowel movements or urination, especially during menstruation

  • Difficulty getting pregnant

Many women are told that pain is “normal,” leading them to suffer in silence for years before receiving a proper diagnosis.

The Diagnostic Challenge

There’s no simple test for endometriosis. Diagnosis often requires laparoscopic surgery, a minimally invasive procedure that allows doctors to view and remove endometrial lesions. Unfortunately, the average time to diagnosis can be 7–10 years, due to the normalization of symptoms and lack of awareness among both patients and healthcare providers.

Treatment Options

While there’s currently no cure for endometriosis, several treatment options can help manage the symptoms:

  • Hormonal therapies: Birth control pills, IUDs, or GnRH agonists can reduce or stop menstruation, helping to control pain.

  • Pain management: Anti-inflammatory drugs and lifestyle modifications like diet and exercise may offer relief.

  • Surgical intervention: In more severe cases, surgery to remove lesions can significantly reduce symptoms and improve fertility outcomes.

Advocacy and Awareness Matter

Women with endometriosis often feel dismissed or misunderstood, but increased awareness is beginning to change that. Celebrities and public figures sharing their experiences have helped bring this invisible illness into the spotlight.

Early diagnosis and intervention can drastically improve outcomes. If you or someone you know experiences ongoing pelvic pain or painful periods that interfere with daily life, don’t ignore it—speak up, seek support, and advocate for proper care.

Endometriosis is real, and women deserve to be heard, believed, and treated with compassion.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: Endometriosis, Women's Health

The Fertility Window: Understanding Your Cycle for Better Reproductive Health

July 22, 2025 by Dr. Lori Gore-Green

When it comes to women’s reproductive health, one of the most empowering tools is knowledge of the menstrual cycle—specifically, understanding the “fertility window.” Despite being a core aspect of fertility and conception, this concept is often misunderstood, even among women actively trying to conceive.

The fertility window refers to the days in a woman’s cycle when she is most likely to become pregnant. This window typically spans about six days—five days leading up to ovulation and the day of ovulation itself. Ovulation, when an egg is released from the ovary, usually occurs around the midpoint of a 28-day cycle, but timing can vary based on individual health, stress levels, and hormonal balance.

Why is this knowledge so important? Because it helps women take more control of their reproductive planning—whether they’re trying to conceive or avoid pregnancy naturally. Tracking ovulation through methods such as basal body temperature monitoring, cervical mucus changes, or ovulation predictor kits can provide invaluable insights into one’s fertility health.

Moreover, understanding your cycle isn’t just about fertility. It can offer early warning signs for conditions like polycystic ovary syndrome (PCOS), endometriosis, or irregular thyroid function—all of which can affect reproductive and overall health. For example, consistently irregular cycles might signal hormonal imbalances or other underlying conditions that deserve medical attention.

In recent years, the rise of menstrual health apps has made it easier than ever for women to track their cycles and better understand their bodies. However, it’s crucial to pair technology with medical advice when something seems off.

What’s even more empowering is that reproductive health education is slowly shifting to become more inclusive and proactive. Women are no longer expected to figure these things out on their own. From fertility coaches to online resources and supportive healthcare providers, the help is there—but knowing what to look for is the first step.

Understanding your fertility window is about more than just conception—it’s about getting in tune with your body, recognizing patterns, and advocating for your health. Whether you’re planning for a baby or simply curious about your cycle, taking time to learn about this crucial aspect of reproductive health can lead to long-term benefits for both physical and emotional well-being.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: Dr. Lori Gore-Green, Fertility, Women's Health

The Importance of Regular Pap Smears: Protecting Women’s Health

June 17, 2025 by Dr. Lori Gore-Green

When it comes to women’s health, preventive care is one of the most powerful tools available. Among the most important routine screenings is the Pap smear — a simple test that plays a crucial role in detecting cervical cancer early, when it’s most treatable.

What Is a Pap Smear?

A Pap smear, also called a Pap test, is a procedure in which a healthcare provider gently collects cells from a woman’s cervix — the lower part of the uterus that opens into the vagina. These cells are examined under a microscope for abnormalities that could indicate precancerous changes or cervical cancer.

Why Pap Smears Matter

Regular Pap smears have dramatically reduced the rates of cervical cancer and related deaths over the past decades. By detecting abnormal cells early, treatment can prevent the development of cancer altogether.

How Often Should You Get a Pap Smear?

General guidelines recommend women start Pap screening at age 21. From ages 21 to 29, a Pap test is advised every three years if results are normal. From age 30 onward, women can continue Pap smears every three years or opt for a combination Pap smear and HPV test every five years.

Women with certain risk factors — such as a history of abnormal results, a weakened immune system, or exposure to diethylstilbestrol (DES) — may need more frequent screening.

Don’t Skip It — Even If You Feel Fine

Cervical cancer often develops slowly and without early symptoms. That’s why it’s crucial not to skip routine screening, even if you feel healthy or are no longer sexually active.

Additional Steps for Cervical Health

Besides routine screening, there are other ways to reduce risk:

  • Get vaccinated for HPV. The HPV vaccine is highly effective and can be given to preteens and adults up to age 45.

  • Practice safe sex. Limiting exposure to HPV lowers the risk of cervical changes.

  • Avoid smoking. Smoking increases the risk of cervical and other cancers.

Stay Proactive About Your Health

Regular Pap smears are a quick, simple part of preventive care that can save lives. By staying informed and proactive, women can take control of their cervical health and overall well-being for years to come.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: pap smear, Women's Health

Understanding Perimenopause: What Every Woman Should Know

June 17, 2025 by Dr. Lori Gore-Green

Women’s health goes through remarkable transitions across a lifetime, but one phase that often catches many by surprise is perimenopause. Unlike menopause — which is defined as the point when a woman has gone 12 consecutive months without a menstrual period — perimenopause is the transitional period leading up to it. This stage can last anywhere from a few months to several years and often begins in a woman’s 40s, though for some it can start earlier.

Perimenopause is driven by fluctuating estrogen and progesterone levels as the ovaries gradually produce less of these hormones. This hormonal shift can lead to a range of symptoms that vary greatly between individuals. Common signs include irregular periods, hot flashes, night sweats, sleep disturbances, mood swings, and changes in libido. Some women may also notice weight gain, vaginal dryness, or difficulty concentrating.

Because the experience is so personal and unpredictable, it’s important for women to pay attention to changes in their bodies and seek guidance from a healthcare provider when symptoms interfere with daily life. Tracking menstrual cycles and symptoms can help both patient and provider understand what’s happening and rule out other conditions.

While perimenopause is a natural part of aging, its symptoms can significantly affect quality of life. Lifestyle adjustments — such as maintaining a healthy diet, exercising regularly, practicing stress-reduction techniques, and getting enough sleep — can help ease some discomforts. For more troublesome symptoms, doctors may recommend medical options such as hormone therapy, low-dose antidepressants, or other medications tailored to individual needs and medical history.

It’s also an ideal time to have broader health discussions with a provider. Bone density decreases as estrogen declines, so focusing on calcium, vitamin D, and weight-bearing exercise can help maintain strong bones. Heart health is another consideration, as cardiovascular risk rises after menopause.

Most importantly, women should know they don’t have to navigate this transition alone. Talking openly with healthcare professionals and with other women experiencing similar changes can provide valuable support and practical tips.

Perimenopause is not an illness but rather a phase that can be managed with awareness, healthy habits, and personalized care. By understanding what to expect, women can feel empowered to advocate for their well-being and continue living fully through every stage of life.

Filed Under: Dr. Lori Gore-Green, Women's Health Tagged With: Perimenopause, Women's Health

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