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

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

How Colder Weather Can Affect Your Vagina

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Dr. Lori Gore-GreenThe winter is coming. How will it affect your vagina?

Sunshine and warmth during summer months appear to be ideal for the skin and the body, and in many ways it is. Vitamin D is great for your skin, and beach days frequently go hand-in-hand with relaxation.

The glory of summer holds true even when the season can introduce discomfort during sleeping hours, your heart can beat more than normal, and sun exposure can be dangerous. No matter, winter comes every year, and it’s important to know how the cold and climate change can impact your body and vagina:  

  1. Your chance of developing a yeast infection dips because you’re less sweaty. Also, putting away swim suits and staying away from pools play a part because pools frequently introduce harmful chemicals to the vagina.
  2. While it’s important to stay warm during cold months, wearing an abundance of clothes, particularly tight clothing can put you at risk of a yeast infection, because your vagina won’t be able to breathe. Wear breathable layers.
  3. Even when it’s cold and dry outside, know that your vagina is self-lubricating. You don’t have to worry about the impact of chill and frigidity.
  4. Because it’s cold outside, sexually active individuals are more likely to have sex. The coziness of the bed encourages more to engage in intercourse. With that in mind, it’s important to utilize protection and urinate after sex to offset of the chance of developing a UTI.
  5. Lack of sun can be detrimental to your vagina. Your entire body, including your vagina, benefits from Vitamin D. The deprivation of Vitamin D can increase the risk of certain infections, including vaginosis. When able, get outside and enjoy some sun.
  6. Influenza and flu season can be harmful to your vagina. But also, cold medicines and antibiotics can be damaging, destroying the vagina’s natural flora. Be sure to consider your doctor’s opinions and eat foods that are healthy and improving your vaginal health.
  7. Be aware that a bubble bath, though lovely, can strip your vagina of its vaginal flora, which protects you from vaginal infections. If you’re going to take a bubble bath, you may want to steer clear of the scented products.

Boost Vaginal Health During the Summer With These 6 Tips

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Extraordinary-People-Doing-Extraordinary-Things-4-1024x768 (1)Women often feel uncomfortable talking about their gynecological health, even to their gynecologists. They may be too embarrassed to bring up any questions or concerns they have, even though most women only meet with a gynecologist once a year for their annual exam.

Summer is an especially important time of year to be conscious of your health in general, as it is easy to become overheated or unhygienic on humid days. Don’t overlook your vaginal health this summer when keeping your overall health in mind- in addition to staying hydrated, eating healthy, exercising, and getting a healthy amount of sun, be sure to follow these six tips to boost your vaginal health- and, most importantly, if you still have questions or concerns about your vaginal health, be sure to bring them up with your gynecologist. It’s their job to look out for you gynecological health, so there’s nothing to be embarrassed about!

Change pads and tampons frequently

It can be tempting, on a trip to the beach, to go most of the day without changing your tampon. It is especially important, however, to remember to change pads and tampons every few hours when you’re on your period. Not doing so could result in increased bacterial growth and infections and, in very rare and extreme cases, the life-threatening complication known as toxic shock syndrome (TSS).

Wear cotton underwear

You may not put a lot of thought into the fabric of the underwear you buy (color and design are probably more important considerations), but your vagina favors loose cotton underwear that absorbs moisture to allow for open air flow and minimize odors.

Keep it clean, but be careful!

It may sound like contradictory advice, but you want to keep your private area clean while also avoiding heavily scented soaps or body washes. Warm water is all it takes to keep your vagina feeling fresh, but if you feel more comfortable lathering up, go for a mild, unscented soap. Scented soaps and body washes are just fine for other parts of your body, but they are irritating and drying to the sensitive skin around the vulva and can throw off pH balance.

Practice safe sex

You’ve heard this before, and you probably know how important it is to practice safe sex, yet many women will forget everything they learned in sex ed when they’re at the moment. It is important always to use a condom, as they not only protect against pregnancy and STDs, but also keep the vagina’s pH level balanced so that good bacteria can thrive and protect against yeast infections, UTIs, and bacterial vaginosis. Also be sure to change the condom and clean off between different sex acts.

Wear loose, breathable clothing

In the summer, it is especially important to wear loose, breathable fabrics to wick away moisture and sweat. Wearing looser clothing is not only more comfortable on hot, sticky days, but it is essential for your vaginal health to allow for more ventilation and reduce odors.

Exercise

Exercise is important for both your physical and mental health, and it even benefits vaginal health. Don’t forget your pelvic muscles when you’re doing your full-body workout. Strengthening those muscles with Kegel exercises can help you to avoid problems like urinary incontinence and also make your body stronger for sex.

Following these tips are a great start to boosting your vaginal health this summer, but never forget to consult your gynecologist as your most valuable resource.

9 Tips For Pregnant Women Encountering Mental Health Difficulties

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9-Tips-For-Pregnant-For-Women-Encountering-Mental-Health-Difficulties-Dr.-Lori-Gore-GreenBehavioral symptoms, such as anxiety and depression, uniquely impact pregnant women, who experience the complication and the effects of postpartum depression before they even give birth.  For this reason, conversations about mental health and pregnancy should be held early and often.

Some women go through their entire pregnancy without experiencing morning sickness, swollen feet, and troubled sleeping. However, many don’t escape pregnancy without experiencing pre-baby anxiety. The stress and the “what ifs” can be overwhelming. Lancet Psychiatry published a report in 2015, which stated that two-thirds of mothers with severe depression experienced mood shifts during their pregnancy ahead of postpartum depression. Maternal depression isn’t the same for all women. Approximately 20 percent of mothers experience depression or anxiety after giving birth. Those findings also linked postpartum depression biological triggers and dramatic dips in hormone levels.

There are nine things every pregnant should know about maternal depression and the importance of focusing on mental health during pregnancy:

Document Your Emotional Responses

Pregnant women should take their feelings seriously, and track them. If you notice that you’re feeling sad more often than not, or you feel extremely worried, relay that information to your therapist, doctor, or midwife.

Depression is Blameless

Perinatal mood disorder can be a challenge, and often pregnant women want to blame themselves or their partners for these emotional obstacles, but it’s no one’s fault. There are a number of factors that contribute to pregnancy-related mood shifts.

You’re Not The Only One

Too many women believe they’re the only ones struggling with mental health symptoms, which are some the most common complications of childbirth. The stigma surrounding maternal depression often means that women are too embarrassed to seek out health. Convinced that they should be overjoyed with the prospect of motherhood, sometimes fail to tell others when that they’re struggling.

Seek Treatment Sooner

Therapy can help to ease stress and manage mood disorders. Choosing to deal with one’s mood disorders sooner will ultimately improve your piece of mind, and it will enhance the bonding between you and your child.

Treatment Will Benefit the Baby

Depression and anxiety never simply affect one person, and this is particularly true depressive episodes are affecting a pregnant person. It’s challenging to be a mother, so seeking treatment means that your child won’t have to deal with the emotion and sadness that might could put both you or your child at risk.

Treatments Work

Frank conversations with your primary care physician and your therapist can alleviate anxiety and perinatal depression. It can also help to create a sense of balance and offer an understanding of what balance may look like for a woman in her new life.

You’ll See Progress

If you’re as serious about your mental health as you are about your impending motherhood, you’ll find that you feel better after just a few session. Of course, everyone is different. Even if it takes a bit longer for your mood to improve, know that progress is on the horizon. Take medication appropriately and stay committed to your sessions.

Support Groups, Also

While some women choose isolation, others find strength in knowing that others are going through the same thing. Support groups are incredible because offer a supportive network of like-minded individuals who also need to know that everything in their lives will be okay.

Find Support Online

The internet is great for things outside of news, online shopping, and cyber stalking exes, it’s also a great resource for individuals seeking out others for support.

Online, you’ll find countless resources for mental health and pregnancy wellness. Some things you’ll want to do are to hydrate, do abdominal exercises, eat a well-balanced diet, educate yourself on mental health, take your vitamins and supplements, and rest appropriately.

 

Contraception Fails: Plan B One-Step Users Weighing 165+ May Require Plan ‘C’

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Dr. Lori Gore-GreenWhen your initial choice of contraception fails, Plan B is expected to be work…however, a ‘plan c’ may need to be devised for women weighing 165 pounds or more.

New research suggests that the most popular emergency contraceptive, which is a morning-after pill that uses the hormone levonorgestrel that prevents ovulation, is less effective for women weighing more than 165 pounds. However, one should bear in mind that the average weight of the American woman is 162 pounds during her 20s. During her 30s, the American woman weighs about 169 pounds.

Likewise, European-made Norlevo, a morning-after pill, loses effectiveness for those weighing 165 pounds. Furthermore, it’s isn’t at all effective for women weigh more than 175 pounds. Despite the fact Norlevo is chemically identical to the U.S.-made Plan B, the Food and Drug Administration has insisted the data was inconclusive, warranting no warning here in the U.S.

Alison Edelman, a professor in the Department of Obstetrics and Gynecology at the Oregon Health and Science University, lead a new study that analyzed the effectiveness of levonorgestrel-based contraceptive among women with a BMI within the normal range, comparing that to the BMI of women considered obese. It was discovered that it would take twice the dosage of Plan B to increase an obese woman’s hormone level of women weighing less than 160 pounds. However, taking two pills for the purposes of emergency contraception isn’t recommended yet, according to Elizabeth Dawes Gay of Women’s Health Magazine. The ovulation-inhibiting hormone could be doubled, but more test would need to be done before learning what how those hormones may affect a woman’s ovaries.

Plan B is emergency contraception that’s generally effective and safe, and it’s a backup plan that helps to prevent pregnancy with 72 hours following birth control failure, preventing 7 out of 8 potential pregnancies. Side effects of the pill are tiredness; a headache; dizziness; breast tenderness; vomiting; lower abdominal pain/cramps; and lighter, heavier, later or early periods. The FDA-approved emergency contraception is accessible over the counter, and should not be considered if you’re already pregnantΩ and shouldn’t be used as birth control.

Medical Screenings & Tests Save the Lives of Women

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Dr. Lori Gore-GreenWomen benefit from routine medical screenings, which are necessary for maintaining a healthy lifestyle.

Women, as well as men, encounter gender-specific testing that acts as a tactical preventative step for ensuring they’re in tune with their personal health. There are a number of important tests and screenings women should submit themselves to, so that they stay abreast of diseases or conditions that threaten their long-term health, such as exams that screen for breast, lung, cervical, skin, colon, endometrial, and ovarian cancers.

Cervical Cancer: Health care professionals ask that women receive pelvic examinations as early as 21-year-old, or earlier if a woman is sexually active. Pap smear testing is instrumental for discovering if cancerous cells are present on and/or around the cervix, which could suggest cervical cancer. The general consensus is that women age 30 and older should receive pap smears every three years if they had no abnormal tests in the past. However, women who have abnormalities should chat with their gynecologist with regards to how frequently they should be tested for cervical testing.

Breast Cancer: Woman and men alike can develop breast cancer, but women face a greater risk of falling victim to cancer that develops from breast tissue. Approximately one-in-eight women in the U.S. will develop invasive breast cancer at some point in her lifetime, according to BreastCancer.org. The sooner a woman learns she has breast cancer, the more likely she is to survive. Breast cancer that’s discovered early on is more likely to be caught, and less likely to spread to the lymph nodes. Industry professionals recommend that women self-examine, but they should also receive mammograms. Women should develop an individualized plan with their doctors regarding a mammogram screening schedule.

Skin Cancer: There are three main types of skin cancer: basal cell cancer, squamous cell skin carcinoma, and melanoma, with the most serious being melanoma. These deadly forms of cancer have increased in incidence among young women. Screenings can help to identify melanoma and nonmelanoma cancer early on. Dermatologists and other healthcare professionals should be able to diagnose melanoma.

Osteoporosis: Bone density tests are administered to screen for the weakening of bones, which leads to fragility. This is also known as osteoporosis, a condition that’s frequently discovered after a fracture. Women face the additional risk of osteoporosis, particularly those going through menopause. Estrogen declines during menopause can lead to bone loss. Screening for changes through bone mineral density tests and embracing healthy living habits can help to identify issues early on. Women should begin receiving bone density tests ahead of their 65th birthday.

The U.S. Preventive Services Task Force recommends that women get screened for a number of conditions in the interest of disease prevention, including colorectal cancer, cholesterol, blood pressure, and diabetes.

Bright, Fun Ideas for Maintaining a Healthy Weight in the New Year

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Dr. Lori Gore-GreenThe deliciously creamy desserts and savory dishes consumed during the holiday season stay with us well after the moment it touched our lips. Unfortunately, this influx of sugary, fatty, and/or salty items translate to weight gained. The good news? There are a number of fun and simple ways to shed those new pounds, which should encourage you to maintain a healthy weight in the new year and years to come!

Brighten Up Your Diet

Perhaps you’re feeling sluggish and underfed after devouring a salty or sweet snack? It’s not a secret that processed and packaged foods are filled with empty calories and other things you don’t necessarily want in your body. Instead, try leafy greens and other fresh foods. Access to organic food may or may not available depending on your location or your economic situation, but most individuals should live in fair proximity to a market, facilitating the purchase of brussels sprouts, collard greens, kale, grapefruit, pears, sweet potatoes, passion fruit, papaya, grapefruit and dates. There are plenty of delicious choices!

Zumba and Hula Hoops

Zumba is a fun, Latin-inspired aerobic workout that’s gained popularity over the last decade. It incorporates elements of hip hop, soca, reggaeton, flamenco, mambo and so much more. Many swear by it, but others enjoy other activities, such as yoga, hula hoop sessions, skating, frisbee, kickboxing, badminton, swimming and trekking. These exciting activities can be adjusted to different limitations or skill levels, and they burn hundreds of calories.

 Buddy Up!

For every individual experiencing difficulty losing weight, there are countless others struggling with the same issue. Why not work together to lose weight. Finding a partner who wants to weight loss as much as you do isn’t just fun, it brings accountability into the equation. Collaborative 2-hour treks through the park and partnered trips to the gym sound much more exciting than going it alone. It’s particularly rewarding when you push one another to go a little farther each time.

Become Julia Child

The American-born French chef didn’t just cook, she loved food. The 6-foot tall aficionado loved the smell of food, the taste of food and preparing quality food. 

If you truly fall in love with food and the preparation of food, you’ll come to create food that truly speaks to your palate, not just your unhealthy cravings. Also, preparing food at home will help you avoid the numerous additives added to restaurant food. When preparing food at home, you’ll know the name of each ingredient going into your dish. Also, you know how much salt and seasoning is added to it.

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Know that weight loss isn’t instantaneous, it’s a journey. It’s a gradual process. Improving your diet, exercising and eating healthy items regularly will nourish your body, and it will provide you the energy needed to take on the day.

Dr. Lori Gore-Green Selected for Prestigious Doctor of the Day Program

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Dr. Lori Gore-GreenThe Oklahoma Osteopathic Association or OOA sponsored the Doctor of the Day Program throughout the month of March at the Oklahoma State Capitol. This year, marks 41 years of commending outstanding osteopathic physicians at the State Capitol’s First Aid Station during the legislative session. The Doctor of the Day Program gives Osteopathic Physicians an opportunity to bring Osteopathic Medicine to the policy makers, as well as see their House and Senate members at work. During the Doctor of the Day program, physicians provide the crucial service of providing healthcare to various members of the legislature, as well as to legislative employees. The nominated physician will be available at the State Capitol Building from 9a.m. to 4p.m., but will also make time to advocate for important issues to physicians. Physicians are supported by a nurse, as well as a medical student from the OSU Center for Health Sciences College of Osteopathic Medicine. The Oklahoma D.O.s have made this program a success!

On March 18, 2015, Dr. Lori Gore-Green, DO had the pleasure of serving as a 2015 Doctor of the Day and meeting with various House and Senate members, including Senator Mike Mazzei and Representative Pam Peterson.

The mission of the Oklahoma Osteopathic Association or OOA is to advocate for the osteopathic profession and to promote the health and well-being of all Oklahomans. This medical association was founded in 1900 and acted as an affiliate of the American Osteopathic Association.

Since its initially founding at the turn of the century, the OOA continues to popularize the stated causes, and objectives of the osteopathic profession as a whole throughout Oklahoma.This state organization is composed of physicians who practice osteopathic medicine. The OOA, as a collective, believes that the individual is best served with the focused support of an Association. Nearly all of Oklahoma’s medical professionals who specialize in Osteopathic medicine are also members of the Oklahoma Osteopathic Association.

 

Endometriosis : Is Your Pregnancy at Risk?

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Dr. Lori Gore-GreenFindings of a recently released study of 15,000 women suggest that women with endometriosis had a greater chance  of suffering from serious complications throughout the duration of their pregnancy as compared to women without the condition. These complications also increased the chance of ectopic pregnancy, miscarriage and premature birth.

Endometriosis is a medical condition wherein the uterine lining or the “endometrium” grows in other places like the fallopian tubes, ovaries, vagina or pelvis. Over time, this lining builds up and can cause cysts, heavy periods, severe cramping and possibly infertility. Approximately 5 million women in the US alone have this condition, though the true number is unknown, as it may go undetected.

However, there are certain symptoms that some patients with the condition tend to share.

Pain, both acute and chronic tend to be a marker of endometriosis, for some. Painful menstrual cramps that worsen over time are a commonly shared symptom of the affliction as is chronic pain of the lower back and pelvis.Pain during or after sexual intercourse that is often described as a “deep pain”  is often a common symptom of endometriosis. Intestinal pain can be a symptom, as can painful bowel movements. Stomach and digestive problems resulting in diarrhea, constipation, bloating and/or nausea – particularly during menstrual periods can be a symptom of the condition. Painful urination – particularly during menstrual periods is another symptom of endometriosis. In rare cases, blood found in stool or urine can indicate the condition. Bleeding and spotting in-between periods can also be a symptom, as can infertility. If you are someone you know suffers from any of these symptoms, see a doctor as it may be a symptom of another endometriosis or another condition.

The findings of the recently published longitudinal study on endometriosis, though important, are not wholly surprising  as endometriosis is associated with both structural and functional changes in the endometrium and the uterus. Researchers discovered that this condition increased the odds of a miscarriage by 76 percent, the risk of premature birth by 26 percent and the incidence of needing a caesarean section by 40 percent. The chances of sustaining an ectopic pregnancy (this is where the fetus develops outside of the womb) nearly tripled.
This study was based in Scotland and a longitudinal study conducted from 1981 to 2010 with a mix of women who had and did not have endometriosis. Although infertility is a known side effect of endometriosis, this newly collected data will hopefully return the focus to antenatal care particularly for pregnant patients with endometriosis.

The Most Alarming Health Trends for Women

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Dr. Lori Gore-GreenThe Institute for Women’s Policy Research culled data from the last twenty years showing certain trends (or health hazards) of which women should make themselves aware. Knowledge is power, and it is certainly the strongest arm in the battle against harmful risks to health.

As always, women should learn about the dangers, statistics, methods of protection against sexually transmitted infections. Women (and men, for that matter) are increasingly infected with diseases like Chlamydia with numbers rising 40% incidence over the last ten years. Today, it is estimated that more than one million people are infected. At least one half of women (and upward of three-fourths) infected show few to no symptoms, increasing the risk of transmission to sexual partners and children through childbirth. As is the case with many diseases, Chlamydia left untreated may result in greater problems of infertility and pelvic and cervical infections. Fortunately, Chlamydia and similar infections can be treated early with a course of antibiotics.

Women will also benefit from asking themselves how they feel, and if they are satisfied with their lives. Recently general feelings of well-being and happiness come back low, and suicide in on the rise. Women are slowly feeling more stressed and anxious leading to severe, untreated cases of depression. Many symptoms are ignored as insignificant, and may even go unnoticed as part and parcel of life’s experience. Whether stresses are attributed to personal hardships or universal complaints (such as a declining economy, and weaker job prospects) women should take their mental health and bodily cues more seriously. (Caucasian women, specifically, showed a greater-than-average tendency to commit suicide after prolonged periods of sadness and anxiety.)

As is a trend on the national scale, fewer and fewer women report daily exercise routines, as more face problems of physical health such as obesity and diabetes. Less than half of the country actively participates in some form of regular exercise—running, swimming, yoga. The Institute’s report showed six out of every ten women are overweight, with one in ten already suffering from diabetes. Being overweight puts women at a greater risk of a number of health problems including heart disease and stroke. (Black and Native American women showed the highest incidence for diabetes.)

Good health is crucial to a sense of well-being and fulfilment. Precautions against health risks must not wait until after negative effects begin to show. Just as a contagion can spread from one woman to another, good health and well-being are communicable too.