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

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

Tips For Pregnant Women To Beat The Summer Heat

by

Being pregnant isn’t easy. Being pregnant in the summertime? Even more difficult! It’s hot out there, and it’s important that expecting mothers know how to handle that heat in order to keep themselves and the baby safe. The easiest answer would be to stay indoors, hopefully with air conditioning, as much as possible. Unfortunately, that’s just not always possible, as we’ll always have things that bring us out into the sweltering summer heat. If you’re expecting this summer, here are a few ways you can stay safe when you go outside.

 

Hydrate, Hydrate, Hydrate!

One of the most important steps you can take to keep yourself safe during the hot weather is to drink enough water. Although hydration doesn’t mean stopping drinking any liquid, it’s important to remember that caffeinated drinks, such as coffee and soda, can make you more susceptible to heat. For every caffeinated beverage, you need to drink one glass of water. However, if you’re active or in the sun, you should drink even more. It’s also important to remember that sugary drinks such as Gatorade are okay, but should never be substituted for water.

 

Keep Cool

Finding ways to keep cool in the summer heat is very important, and there are luckily many ways to do so. One great way is to go for a swim. Swimming will not only cool you down, but it can take some of the weight off of your sciatic nerve. You’ll also want to wear breathable fabrics so you don’t sweat too much. Be wary of sunburn as well, since pregnant women tend to be more prone to getting burnt than those who aren’t. If you begin to feel weak or dizzy, your best bet is to get indoors to someplace cool, where you can sit down.

 

Stay Indoors

While it’s just not possible to stay indoors the entire summer, the safest thing you can do for yourself and the baby is to find indoor alternatives for as many things as possible. Let’s say you’re having your baby shower in the middle of the July or August heat. Instead of hosting an outdoor BBQ, opt for something indoors so you can be safe and comfortable during the entire party. If you have no choice but to be outside for some reason, it’s smart to try and bring some form of shade. Wear hats that provide shade, or bring an umbrella if you can. If it’s an all-day outdoor event, consider getting a pop-up tent that you can relax under.

What To Know About Having A Baby At 40

by

The number of women having babies after 40 has increased significantly since the 1970s, according to the CDC. The agency noted that the number of first-time mothers aged 40 to 44 more than doubled between 1990 and 2012.

 

While women are typically told to have children before the age of 35, many women aren’t ready at that point in their life for a myriad of reasons, such as focusing on their career or using fertility treatments. Having a baby at 40 is possible, but it’s good to understand the benefits and risks that come with it.

 

Benefits

Having a baby later in life can provide many advantages over having children when you’re in your 20s or 30s. For one, it can allow you to establish your career at a younger age so you’re ultimately able to spend more time with your family later down the line.

 

Another benefit is that not everyone meets their partner at a young age, or maybe you’re not ready for commitment. When having a baby, you want to make sure that you’re raising them with the right person and that doesn’t always happen until later in life. There has also been research that shows how having a baby later in your life can lead the child to have better educational outcomes, as well as health benefits for the mother such as reduced cognitive decline and longer life spans.

 

Risks

The common sentiment has often been that having a baby at 40 is considered high risk. While this is still the case, modern technology has made the entire process much safer than it was in the past. Your doctor will likely keep a close eye on you and the baby, looking at complications such as high blood pressure or birth defects such as down syndrome.

 

Another risk to be aware of is miscarriage. Miscarrying is always a risk when pregnant, but those chances tend to rise as you get older. Part of the reason this risk tends to rise when you’re over 40 is that you’re more likely to have chronic conditions than when you were younger. Conditions such as thyroid disease or diabetes can complicate pregnancy and potentially result in miscarriage among other issues.

 

Of course, it’s important that you talk to your doctor about any and all risks if you’re 40 and are thinking of having a baby. They can provide you with all of the important information and help you figure out the best approach for your situation.

Can You Donate Blood When You’re Pregnant?

by

When you discover you’re about to become a parent for the first time, your outlook on the world may change a little bit. Often times people will think about how they want to raise their children in a happy, safe world, and maybe you’re considering becoming a little more altruistic. While it’s great to want to do good, if you’re pregnant, you need to be careful about what you choose to do. For example, donating blood. Donating blood is a great thing to do, and when you’re pregnant your blood volume increases significantly. Think again, as donating blood when pregnant is not a good idea.

Being pregnant can be one of the most beautiful and exciting times of your life, but it can also be incredibly nerve-wracking. There are so many resources out there that can help you make informed decisions, and it can be hard to decide what is safe and what isn’t. There are always things you should avoid when pregnant such as alcohol and caffeine. Blood donation is one of those things.

The American Red Cross’ eligibility requirements state that pregnant women are not allowed to donate blood. Doing so can have detrimental effects on your health and the safety of your child.

Donating blood typically leads to a drop in iron. A drop in iron can lead to anemia, and it’s especially harmful to pregnant women since they’re at high risk for this condition. According to Dr. Janelle Mary Jackman, a board-certified obstetrician and gynecologist at Kindbody in Silicon Valley, iron is very important to both mother and baby’s health during pregnancy, as it transports oxygen to various parts of the body, including the placenta, which is where oxygen diffuses into the baby’s blood.

This can lead to low oxygen levels throughout the body, which can cause premature birth and low birth weight. Aside from this, iron is also important for the development of the fetus and the red blood cells that nourish the mother.

It’s important to note that iron deficiency anemia isn’t a rare condition during pregnancy. According to Jackman, it’s caused by the plasma component of blood rising faster than the red blood cells. This causes physiological anemia in the mother. To avoid this, she recommends increasing your iron intake by around 350 to 500 mL. If you’re worried about an iron deficiency or an issue with your baby’s health, talk to your doctor about it. He or she can monitor your baby’s health and provide you with the correct information.

How Long After Giving Birth Can You Donate Blood?

If you’re still interested in blood donation once you’ve given birth, talk to your doctor about it. The American Red Cross won’t allow you to give blood until six weeks after you’ve had your baby, but you may want to wait between 6 to 9 months after childbirth as breastmilk relies on iron, and childbirth typically involves a large amount of blood loss.

Understanding the Second Trimester

by

The time span of a normal pregnancy is divided into three segments which last between twelve and fourteen weeks each. The second trimester starts with week 13 and finishes at week 28 and is a time when the mother starts feeling better. The nausea, the fatigue, and the severe breast tenderness ease up. The baby is growing larger and the uterus expands and comes up out of the pelvis, eliminating the pressure on the bladder.

However, this trimester does have a few discomforts.

  • Braxton-Hicks contractions – The uterus starts tightening up in usually painless contractions, especially after strenuous physical activity.
  • Breast enlargement – The breasts are preparing to feed the baby. Mammary glands start to swell.
  • Nasal congestion – The nasal mucosa becomes engorged because of increased levels of estrogen and progesterone in the body. Besides the stuffiness, the nasal veins are enlarged and bleed easily.
  • Bleeding gums – The same engorgement occurs in the gums and bleeding may occur with flossing or brushing.
  • Melasma – Brown patches may develop on the face or a brown line may show up on the lower abdomen. These changes are also due to hormones.
  • Quickening – The movement of the fetus can be felt at about 20 weeks.
  • Varicose veins and hemorrhoids – These congested veins may appear and be painful, especially with excessive weight gain and constipation.
  • Dizziness – This can happen on standing up and can even cause fainting. Staying well-hydrated is important.
  • Leg cramps – The body is no longer configured as it used to be. The leg muscles have to adjust to the weight above them. Cramping of tired muscles at night is not unusual. Stretching exercises before bed help. Staying well-hydrated also helps.
  • Vaginal discharge – Usually clear or white, this is normal.

 

At each prenatal visit, the mother will be evaluated for blood pressure, weight gain, and edema. Doppler checking of the heartbeat allows the parents to listen. The increasing size of the uterus will be measured to determine fetal growth.

The end of the second trimester is the beginning of the body’s preparations for birth as the mother enters the last trimester.

What to Expect from your Ultrasound Test

by

What is an Ultrasound?

An ultrasound is a test used to see images of a patient’s organs, tissues, or unborn baby in the case of pregnancy. The process involves a tool called an ultrasound probe, which emits high-frequency sound waves. These sound waves bounce off of tissues and are reflected back towards the probe. The reflected sound waves are then recorded and used to generate an image of the tissues. This procedure allows providers to visualize tissues and identify possible problems such as tumors. Ultrasounds are also used frequently to monitor the development of unborn babies.

Are Ultrasounds Safe?

When done properly, ultrasounds are safe. The procedure is non-invasive, so it does not require anything risky like an incision. Additionally, unlike other tests like X-rays, ultrasounds function without radiation, so patients do not need to worry about the potentially harmful side effects of radiation.

What Happens During an Ultrasound?

The exact process will vary depending on the body part being examined. In general, the procedure involves having a gel applied to the area. The provider then passes the ultrasound probe over that area. Some ultrasounds, like abdominal ultrasounds (which are commonly used during pregnancy), are performed on the outside of the body. Other ultrasounds involve inserting the probe into the body. For example, if digestive organs are being examined, the probe will be inserted into the patient’s throat. It is normal for an ultrasound to take 30 minutes, but it may take up to an hour. Any patient with concerns or questions should ask their provider for specific details about the procedure before it is performed.

What Happens After an Ultrasound?

After an ultrasound is performed, the images will be examined by a radiologist. The radiologist develops a report to give to the provider who can then discuss the results with the patient. It generally does not take very long to receive one’s results after an ultrasound. If a qualified provider is present while the procedure is being performed, they may be able to discuss the results with the patient immediately. Otherwise, it may take several days to hear back. In some cases, the results of ultrasound may identify issues such as heart problems, tumors, or blood clots. If a diagnosis is made, the provider should then explain the patient’s options for treatment.

Understanding the Stages of Breast Cancer

by

Mammograms are an essential part of cancer prevention. Regular screening provides the best chance of early detection when cancer is easiest to treat and cure.

When breast cancer is detected, its pathology report will place it in one of five stages. Categorizing cancer into stages helps the doctor and patient decide upon and implement the best treatment options.

Recent advances in cancer staging guidelines from the American Joint Committee on Cancer (AJCC) make the staging and treatment of breast cancer more complex but more accurate. Information on tumor grade, hormone-receptor status, and possible Oncotype DX test results are considered in all stages when developing a treatment plan.

One of the best ways a patient can alleviate fears of a cancer diagnosis is to understand the stages of breast cancer and the treatment options available.

Stage 0

Stage 0 defines non-invasive breast cancer such as DCIS (ductal carcinoma in situ). There is no evidence of cancerous or other abnormal cells invading tissue outside of the immediate area where cancer began.

Stage I

Stage I defines invasive breast cancer, meaning that cancer cells are present in normal tissue immediately outside of where cancer started but still confined to the breast. The chance of cure for Stage 0 or Stage I is high. Stage I is further divided into subcategories IA and IB.

Stage II

Stage II describes invasive and growing breast cancer that’s larger but still confined to the breast. It may have spread to some axillary lymph nodes. Stage II divides cancer into subcategories IIA and IIB.

Stage III

Stage III comprises three subcategories–IIIA, IIIB, IIIC. Stage III generally describes a more aggressive and invasive cancer. Its size is more than 5cm and, it may be spreading into nearby muscle and lymph nodes. But it has not spread to distant organs.

Stage IV

In Stage IV, breast cancer has become metastatic. This means that it has spread beyond the breast and nearby lymph nodes to distant organs in the body such as the lungs, liver, brain, or bones.

The cure rate of stage IV is reduced dramatically. But, with today’s treatments, a relatively normal life can be prolonged for several years.

A Potential Breakthrough in the Treatment of Endometriosis

by

The discomfort in women with endometriosis is painful. It causes inflammation and tissue growth on the outside of the uterus. It’s not just painful. It can also lead to complications with getting pregnant.

Endometriosis is typically treated with hormones and invasive surgery. However, it is a treatment of the symptoms. For patients who suffer continued growth from endometriosis, having multiple hysterectomies or laparoscopy surgeries can be stressful and costly. New studies show that there may be a way to achieve the same results without invasive methods.

What is Endometriosis

Endometriosis is a common condition in women ages 18-35. It is a tissue disorder in the uterus that causes tissue similar to the inner lining of the uterus to grow on the outside. It can become painful and cause irregular menstrual cycles.

Neuropeptide S Receptor 1 (NPSR1)

A genetic study by scientists from Baylor College of Medicine, the University of Oxford, the University of Wisconsin-Madison, and Bayer AG has uncovered the specific gene associated with the disorder. They found neuropeptide S receptor 1 (NPSR1). The researchers inhibited NPRS1 in their mouse models with the use of SHA 68R, a small molecular inhibitor. It reduced the abnormal growth of endometrial tissue outside of the uterus which led to reducing inflammation, pain, and endometriosis.

SHA 68R

The team of researchers sequenced the DNA of 32 families in which more than three women have endometriosis. Cross-referencing the data led the researchers to discover that women with more severe cases of the disease had variants of the NPSR1 gene. SHA 68R is a small molecular structure known to inhibit NSPR1’s expressions

The animal studies done to inhibit NPSR1 from activating were completed by injecting a small solution with SHA 68R. It has promising results as a gene inhibitor. Researchers have stated an excitement to continue their study in genome sequencing. Jeffrey Rogers, Ph.D. and associate professor at the Human Genome Sequencing Center at Baylor, states “This is one of the first examples of DNA sequencing in nonhuman primates to validate results in human studies.”

With future studies, SHA 68R and other NPSR1 inhibitors may make their way to the medical field as nonhormonal and noninvasive treatment options for endometriosis.

Intrauterine Insemination: Important Facts to Know

by

Intrauterine insemination is a simple fertility treatment that helps a woman to conceive. It can be done with or without the use of fertility drugs. The procedure will transfer washed semen into the uterus with a thin catheter. This is done around the time of ovulation.

The Cost Of IUI

An IUI can range in price and depends on several different factors. This includes the cost of fertility drugs. Some insurance plans may cover IUI, so any woman who wishes to have it should check with her insurance plan. Typically, an IUI will cost anywhere from $300 to $3,000.

The Procedure

This procedure is painless and simple. Women undergoing this procedure will not require medications. The first thing that is done is that the semen is prepared. The partner will come in and give a semen sample unless you are using donor sperm. The sperm will be washed. During washing, impurities will be removed, and only viable sperm will remain. If the woman is using donor sperm, this sperm will be thawed before use.

A woman may be given ovulation drugs for their cycle, and their IUI appointment will be on or near the day they are scheduled to ovulate. If a woman is having ovulation difficulties, they may be given a drug like Clomid or Femara that will help to induce ovulation. When they go in for their appointment, they will lay down on the table, and a thin tube will be placed in the cervix where the washed semen will be injected. The doctor may suggest that they lay there for a few minutes or may let them get up immediately. The sperm will not come out of the uterus. They will then wait for two weeks and then do the pregnancy test.

After the IUI procedure, a woman may experience a few minutes of mild cramps but nothing serious. They should not have any discharge, bleeding, or anything else after the procedure.

Many women have had success with the IUI procedure. If it does fail the first time and the woman was not given fertility drugs, their doctor may suggest that they try again with the use of fertility drugs. This is especially true if the doctor believes that they are not ovulating.

How to Reduce Stretch Marks During Pregnancy

by

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.

Heart Health for Women Over 40

by

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.