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

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

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.

Pregnancy and COVID-19

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When the COVID-19 pandemic began, physicians could only speculate how the virus would affect at-risk patients. For many months, no one had definitive data on how pregnant women might be affected by COVID-19 or the coronavirus vaccines. According to the research journal Nature, a few facts have emerged about the relationship between pregnancy and COVID-19.

One American obstetrician, Yalda Afshar, has led the charge to gather data. She was pregnant herself when the COVID-19 pandemic first began, and that inspired her to create a registry for pregnant women to help scientists monitor the impact of the virus.

After a year of gathering data, Afshar and other scientists have determined that pregnant women are at greater risk of severe complications from COVID-19. Compared to other women their age, pregnant women are more likely to be hospitalized due to COVID-19 and more likely to face long-term issues from the virus. As the Centers for Disease Control have previously reported, women of color are more likely to die from pregnancy than white women, and this trend has continued, as pregnant women of color seem to be more affected by COVID-19.

The babies themselves rarely become sick from COVID-19. Lab work has shown that the virus is not often passed from mother to baby. Doctors still recommend breastfeeding, even for women who have tested positive for the virus. However, pregnant women with COVID-19 are more likely to deliver early, which could cause health issues for their babies.

Due to ethical concerns, no pregnant women were allowed to enroll in the clinical trials for COVID-19 vaccines. While there are no data on how the vaccines might impact pregnant women, most obstetricians, and fetal-maternal specialists recommend that women discuss the vaccine with their providers. Globally, no governments have prioritized vaccine delivery to pregnant or lactating women.

Given the lack of data available, some scientists are calling for reforms to traditional research study guidelines. To these researchers, the protections that keep pregnant women from research studies are paternalistic and harmful. A handful of recent vaccine trials have included pregnant women, but the data from these trials are not yet available, and there’s no indication that overall research guidelines will be changed in the near future.

Managing the Risks of Dementia

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Many older adults deal with at least some level of cognitive impairment. About 25% of people over 65 suffer from at least mild cognitive impairment. Alzheimer’s disease, however, is the most prevalent form of dementia seen in older people. This disease can cause changes to the way people act, damage their memories and their thinking. It can also affect the ability of patients to communicate by making it hard for them to speak clearly.

 

Alzheimer’s is a terrifying thing for many people. Family members feel they’ve lost their loved ones to the disease. Research shows that Alzheimer’s disease affects neurons in the brain. They become damaged and unable to connect properly with one another. Eventually, the brain actually begins to shrink and finally atrophy.

 

All of this sounds very scary, but the good news is that researchers have uncovered ways to prevent the onset of dementia. Many of these are simple tips that are already recommended for general health. It turns out that things like general health and heart health are closely related to brain health. For example, when blood pressure becomes too high, it increases the risk of vascular dementia. Similarly, high levels of cholesterol can also impact the development of dementia. Physical exercise helps prevent both dementia and heart disease.

 

Some key advice for long-term brain health includes not smoking. Smokers are at an increased risk of developing dementia. Thankfully, quitting reduces the risk to almost the same level as people who have never smoked. Moderating the amount of alcohol one drinks is also important. Some alcohol, especially red wine, can have health benefits. Drinking to excess can increase the risk, too.

 

Other recommendations are less intuitive and deal more with perceptions and relationships. For example, some researchers believe that hearing loss can contribute to the development of dementia. The loss of auditory input can separate people from much of the world. They advocate for hearing aids and even say they may help people maintain their memories.

 

Social interactions with friends and family are also important. Loneliness, an emotional state, has a surprising impact on health. Sleep problems seem to be linked to cognitive decline, too. Treating such issues in middle age may be important for long-term cognitive health.    

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.

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.

Pregnancy-Related Stress and How to Handle It

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Initially, a woman is excited when she finds out she’s pregnant. However, some women begin to feel anxious as months pass and they get closer to the delivery. This is especially true for women who naturally deal with anxiety.

There are many reasons for pregnancy-related anxiety, including hormonal changes, everyday stress, and general worry about the baby. For some women, severe cases of pregnancy stress leads to both insomnia and issues for mom and baby. Luckily, there are a number of ways to cope with these symptoms and have an enjoyable, healthy pregnancy.

Talk to someone.
A support system is very important during pregnancy. Whether it’s a spouse, best friend, or a family member, speaking to someone about what’s going on brings relief. If necessary, speaking to a professional therapist can help with stress and anxiety. If they’re lucky, they can find a therapist that specializes in pregnancy-related stress.

Start a journal.
Sometimes, talking to someone isn’t an option. To avoid an anxiety attack, it often helps to take a moment and write in a journal. That way, she has a way to let go of those emotions in a healthy way. During doctor visits, they can help the mother identify and remedy anxiety triggers.

Journaling can also be a keepsake worth reading after the pregnancy. Another creative idea is creating a memory email address. Once her child turns 18, she can give them the email address and password. Then, they can read what was going through their mother’s mind before they were born.

Take a birthing class.
For some women, the thought of giving birth gives them anxiety. One of the best ways to get rid of that fear is to take a birthing class. Learning proper birthing techniques helps the expecting mother understand what’s to come and helps get rid of some of the fear associated with going into labor.

Pregnancy is a time of emotions, happiness, and of course, anxiety. Although this is a healthy emotion, too much can negatively impact the baby. Therefore, pregnant women should take steps like journaling, talking to loved ones, and taking a birthing class for some much-needed stress relief.

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.