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News from Chouchani Sayegh and Bagnarello MD

Gabriel-Chouchani-OBGYN-WilliamsvilleDr. Gabriel Chouchani has made the difficult decision to retire from private practice as of May 15, 2015. He is an expert in the field of obstetrics and gynecology and will certainly be missed by both his staff and many dedicated patients. He plans to relax, travel and visit his children and grandchildren. We wish him the best of luck in all his future endeavors.


We would like to welcome our new Nurse Practitioner, Jenna Goldsmith, who will start seeing patients at all three of our locations beginning October 1, 2015. Jenna studied at State University of New York at Buffalo and Graduated in May of 2006 as a Nurse. She received her Board Certification as a Nurse Practitioner in Women’s Health in 2008 and has been actively practicing in gynecology, obstetrics and women’s health care. She comes with much experience and is a wonderful addition to our Practice!

Call 716-633-6363 today to schedule an appointment with her at one of our three locations.

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Breast Cancer Risk Factors

awareness_ribbon_bg_pinkCancer is a terrifying word. It seems beyond our control, but the truth is that there are ways to reduce your risk of developing the disease. This October, as we reflect on breast cancer awareness, prevention, and research, familiarize yourself with those factors that can increase your risk of breast cancer, and those that, for now, are simply myths.

Fact: Exercise can reduce your breast cancer risk, as well as improve your overall health and wellness.

Myth: Though there have been concerns that parabens found in some body care products and cosmetics may increase the likelihood of cancer, research conducted to date has not concluded that exposure to parabens is a breast cancer risk factor. More research needs to be done on this topic, but for now, science has not been able to prove that parabens increase cancer risk.

Fact: Maintaining a healthy weight can reduce your breast cancer risk. It is especially important for breast cancer survivors to maintain a healthy weight as part of their continual recovery and prevention plan.

Myth: Though media reports have tried to link plastics to cancer over the past several years, there has been no scientific proof that exposure to plastics and Bisphenol A (BPA) can increase cancer risk. Despite reports that drinking water from a plastic bottle can increase the likelihood of breast cancer, it has not yet been scientifically proven.

Fact: In some studies, long-term or high levels of exposure to tobacco smoke have indicated increased risks of breast cancer, among other risk factors.

Myth: Secondhand smoke on the other hand, has not been definitively proven to increase the risk of breast cancer.

Fact: Limiting your consumption of alcohol can reduce your breast cancer risk.

Myth: There is also currently no data to support the theory that organic foods lower the risk of breast cancer.

Fact: Eating a healthy diet full of natural fruits and vegetables, healthy grains, good fats such as olive oil, chicken, fish, beans, and only limited amounts of red meat, can reduce the risk of breast cancer.

Other factors that are not known to increase the risk of breast cancer include:

  • Abortion and miscarriage
  • Exposure to certain types of pesticides and industrial chemicals
  • Frequent use of bras with underwire
  • Breast implants
  • High consumption levels of caffeine
  • Frequent use of cell phones
  • Hair dyes and relaxers
  • Frequent migraine headaches
  • Breast trauma

Other factors under study that have not yet been intrinsically linked to increased breast cancer risk, but have also not been cleared from suspicion, include:

  • Use of antibiotics
  • Use of aspirin
  • Birthweight
  • Breast size
  • Whether or not a woman was breastfed as an infant
  • Use of fertility drugs
  • Dairy products
  • Dietary fat
  • Soy
  • Folic acid
  • Multivitamins
  • Levels of Vitamin D
  • Meat consumption
  • Frequency of skin moles
  • High stress levels

With awareness of known risk factors and a commitment to leading a healthy lifestyle, you can put yourself in the best position to remain cancer free. Understand, however, that while these factors can increase or reduce your risk of cancer, there is no complete prevention strategy yet known. As women age, their risk of cancer inherently increases, but by living a healthy lifestyle, you can improve your chances of remaining cancer free as long as possible.

At Western New York OB-Gyn we are committed to helping our patients achieve optimal health and helping them discern between myths and facts.  If you haven’t seen your doctor in more than a year, call today. We are currently accepting new patients at all of our locations.

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Why Less Stress is Best for Your Overall Health

Happy moment of Indian CoupleStress can have a serious impact on your overall wellbeing. It can negate your ability to sleep, focus, fight off illness, and even maintain a healthy diet and exercise schedule. While you cannot always control the external factors that cause increased levels of stress, there are ways to reduce the impact that stress places on your mind and body. By reducing the amount of stress that you feel on a recurring basis, you can improve your overall health, wellness, and happiness.

The body’s response to stress

When you experience stress, your brain undergoes a change in the rate of certain naturally occurring chemicals, including the neurotransmitters dopamine, epinephrine, and norepinephrine. These chemicals in turn increase the production of such hormones as adrenaline. The release of these “fight-or-flight” hormones causes such physical changes in your body as a speeding heart rate, higher blood pressure, and a weakened immune system. If not managed, over time these increased rates of hormones and chemicals can lead to the development of such physical conditions as stomach ulcers, stroke, asthma, and heart disease. In addition, the tensing of muscles that results from continued stress can trigger tension headaches, migraines, and other musculoskeletal conditions. Many health care professionals even believe that chronic stress can increase rates of cancer, or heart attack.

Stress can also wreak havoc on your digestive system, as it interferes with the body’s ability to absorb necessary nutrients, and influences how quickly food moves through the body. As a result, the body experiences triggers to either eat more, or less than normal, which can result in such digestive issues as nausea, pain, vomiting, heartburn, constipation, acid reflux or diarrhea, in addition to unnecessary weight loss or gain.

The mind’s response to stress

Stress not only affects your body, it can hurt your mental and emotional wellbeing. Stress can cause such emotional disorders as depression, anxiety, phobias, and panic attacks. Chronic emotional stress can also decrease your ability to focus, make decisions, and remember tasks and facts. In addition, when stressed your emotions can fluctuate wildly, with periods of stress causing us to feel irritable, frustrated, angry, or insecure. Such extreme moods can impact relationships with friends and family, which may be the most emotionally destructive side effect of stress.

While the impact of chronic stress on your day-to-day life can be severe, you do not have to resign to suffer, especially if you feel that your stress triggers are out of your control. There are many ways to reduce the levels of stress chemicals that your body produces when times get tough. To properly manage your stress, practice these techniques:

  • Meditate. Meditation encourages the relaxation of the mind and can reduce stress and tension.
  • Exercise regularly. It may feel impossible to commit to a regular exercise routine if your stress is caused by a hectic schedule, but committing to even twenty minutes of mild to moderate exercise four times a week can help counteract the side effects of stress by releasing positive stress-reducing endorphins and improving sleep. If you are looking to ease into a new exercise routine, consider beginning with a walking schedule.
  • Practice yoga. Like meditation, yoga can relax both the mind and body, helping to mitigate the physical and emotional symptoms of stress.
  • Eat healthfully. Along with regular activity, eating a diet complete with healthy whole foods can reduce the side effects of stress. During difficult times, your body needs vitamin B, magnesium, and calcium. Talk to your doctor about supplementing your diet with vitamins if necessary.
  • Avoid caffeine and sugar. For those who crave chocolate during times of stress, this infamous comfort food can cause more harm than good. Caffeine and sugar are stimulants that can contribute to stress and depression.
  • Increase quality sleep hours. Getting enough sleep is essential to reducing stress. Since stress can physically drain the body, not getting sufficient hours of sleep can exacerbate stress symptoms.

By implementing proper stress-reducing techniques and committing to a well-balanced diet, regular exercise, and plenty of sleep, you can protect yourself from the side effects of stress and ensure that life’s pressures don’t drain your emotional or physical wellbeing.

 

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My Pap Smear Came Back Positive. What Does it Mean?

It is recommended by the United States Preventive Services Task Force (USPSTF) that women ages 21 to 65 receive an annual routine Pap smear test. The purpose of this routine screening is to check for precancers, or cervical cell changes that might become cervical cancer if they are not properly treated. Before your next annual Pap smear test, learn what a positive Pap test could mean. With proper education and routine testing, you can put yourself in the best position to protect yourself from the risk of cervical cancer.

According to the American Cancer Society, approximately 12,900 new cases of invasive cervical cancer are diagnosed every year. A Pap smear test is a non-invasive way to identify the presence of cervical precancers. During the Pap test, your doctor will collect a few cell samples and some mucus from the cervix and surrounding area. The cells will then be tested to identify any abnormalities.

There are four terms typically used to describe Pap test results, and the first step in understanding what your Pap test results mean, is familiarizing yourself with the following terms:

  1. Normal – Your cervix is healthy.
  2. Unsatisfactory – The sample of cells taken was not a good sample and can’t be read. Your Pap test will likely need to be repeated.
  3. Benign changes – Your Pap test was basically normal, however you may have an infection that is causing inflammation of the cervical cells. Your doctor may need to do a pelvic exam to check for the cause of the infection and prescribe treatment if necessary.
  4. Atypical squamous cells of undetermined significance (ASCUS) – There is the appearance of abnormal cells in your sample. More tests may be needed to determine the cause.

If your test results are positive for abnormal cell growth, it could be due to the presence of precancers, however understand that there are many reasons why Pap test results might not be normal and it frequently does not mean you have cancer. One of the following factors could be at play instead:

  • Human Papillomavirus (HPV). HPV is a sexually transmitted infection that causes an abnormal rate of cervical cell growth. HPV can remain in your body for years and could go undetected, which means that your abnormal Pap test results may appear years after your exposure to the virus.
  • A bacteria or yeast infection. Such infections can be treated after proper diagnosis.
  • Menopause. Women who have been through menopause may see changes to their cervical cells, however the abnormal cells are not precancers.
  • Smoking. Tobacco use may increase your chances of seeing cell changes in your cervix. Abstaining from tobacco use will help your cells return to normal levels.
  • An impaired immune system. Your immune system could become damaged as the result of such factors as alcohol use, drug abuse or withdrawal, diabetes, HIV/AIDS, or chemotherapy.

The first step to reducing your risk of cervical cancer is ensuring that you receive a routine Pap smear test annually from your OBGYN. If your tests results show abnormal cell growth, your doctor will know how to interpret the results and proceed with any necessary treatment to help you maintain optimal health.

If it’s been some time since you’ve seen your gynecologist, make sure you schedule an appointment. A healthy woman should be seen at least once each year.

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Pain During Sex

unhappy woman lying in bed stressed. couple having problem while man sleeping

Sexual intercourse should be a comfortable and mutually desirable experience for both individuals involved. If you are experiencing pain during sex, also known as dyspareunia, the pain you feel could result in greater complications or emotional distress between you and your partner. There are several factors that cause women to experience pain during sex. Speak with your OBGYN to determine if one of the following conditions is present:

  • Insufficient lubrication – This is often related to a woman feeling anxious during sex. By relaxing, lengthening foreplay, or utilizing a sexual lubricant, this issue can be resolved and comfort can be increased.
  • Vaginismus – This is a condition caused by the involuntary squeezing of a woman’s vagina muscles during insertion. The sensation can range from mildly uncomfortable to painful. There are exercises that a woman can do to help reduce the occurrence of the muscle spasms within only a few weeks.
  • Vaginitis – This term encompasses various conditions that cause infection or inflammation of the vagina, including vulvovaginitis. Often resulting from a vaginal infection caused by such factors as bacteria, yeast, or viruses, vaginal infections can result in pain during sex.
  • Cervical infection – Sometimes during sex the penis can reach the cervix when at maximum penetration. If the cervix is infected, a woman can experience pain.
  • Uterine Fibroids – These benign lumps grow on the uterus, and can cause pain during sex among other symptoms.
  • Endometriosis – This condition is caused by the development of uterine-lining outside of the uterus and causes abdominal pain, including during sex, heavy periods, and infertility. Treatment options include pain relievers, hormones, and surgery.
  • Ovarian cysts – These cysts are closed, sac-like structures within the ovary that are filled with a liquid or semisolid substance. Ovarian cysts cause abdominal pain as well as pain during intercourse.
  • Pelvic inflammatory disease (PID) – This disease occurs when tissues deep inside a woman’s pelvis become severely inflamed. The pressure of intercourse irritates the issue and causes deep pain.
  • Ectopic pregnancy – An ectopic pregnancy occurs when a fertilized egg develops inside the fallopian tube, instead of the uterus. An ectopic pregnancy occurs in 1 of every 50 pregnancies. Symptoms include lower abdominal pain, sharp abdominal cramps, pain on one side of the body, and pain during sex.
  • MenopauseDuring menopause, a woman’s vaginal lining can lose its normal moisture and become dry, leading to pain during sex.
  • Sexually transmitted diseases (STD) – Pain during sex has been linked to such STDs as genital warts and herpes. If you are experiencing pain during sex, and think you may have an STD, speak with your OBGYN immediately.
  • Injury to the vulva or vagina – An injury that causes pain during sex may include a tear from childbirth or an episiotomy. In addition, having sex too soon after surgery or childbirth may result in pain during intercourse.

Of course, if you are experiencing any of these symptoms, it’s best to discuss with your gynecologist. He/she can discuss ways to alleviate pain during intercourse. If you are looking for a new gynecologist and live in the Western New York area, please call our practice. We are accepting new patients.

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Help! I’m on Fire and Don’t Know Why!

Caution - Hot Flashes AheadYou’re having an ordinary day when suddenly an overwhelming sensation of heat starts to creep up your neck and into your face. You start to feel a tingling sensation in your fingertips, and as your face starts to flush and beads of sweat form along your brow, you realize that your heart rate has escalated too. Unless you’re playing beach volleyball on a 90 degree day in Miami, you may be experiencing a hot flash. For many women, hot flashes are one of the most uncomfortable symptoms of menopause and perimenopause (the period of time directly preceding the onset of menopause). It is not clear exactly what causes hot flashes but it is believed that the sensations of overwhelming heat are due to hormonal changes that occur in a woman’s body or to changes in circulation. While you may not be able to avoid hot flashes completely during perimenopause and menopause, knowing what triggers them and how to manage your symptoms can help ease the discomfort.

Women may experience hot flashes for only a few months during perimenopause, or for several years. Common triggers for hot flashes vary for each woman, but commonly, momentary hot flashes can be brought on by:

  • Alcohol consumption
  • Caffeine consumption
  • Eating spicy foods
  • Being located in a warm room
  • Stress or anxiety
  • Wearing tight clothing
  • Tobacco products or exposure to second hand smoke

Take note of when your hot flashes occur and try to identify the specific triggers that you are most susceptible to so that you can try to avoid them in the future. If you can’t control when your hot flashes occur, know that you can still manage your discomfort when a hot flash begins. Some simple strategies to help manage your symptoms include:

  • Dressing in layers
  • Sipping ice water when you feel a hot flash coming on
  • Applying an ice pack to your neck and chest to help lower your body temperature
  • Keeping your bedroom cool at night
  • Using fans to circulate the air around you
  • Wearing cotton, a breathable fabric, at night, and using cotton bed linens
  • Regular exercise
  • Eating a well-balanced diet
  • Practicing deep, slow, abdominal breathing
  • Meditation
  • Routine acupuncture treatments

For women who feel a more aggressive treatment is needed to manage their symptoms, hormone replacement therapy (HRT) may be an option. HRT uses estrogen supplements to help normalize hormone levels and reduce the incidence of severe hot flashes and night sweats. Other prescription treatments for hot flashes include:

  • Low-doses of anti-depressants
  • Clonidine, a blood pressure medication
  • Gabapentin, an anti-seizure medication
  • Brisdelle or Duavee, medications created specifically to treat hot flashes

Nonprescription treatments for hot flashes include:

  • Vitamin B complex
  • Vitamin E
  • Ibuprofen

If you are struggling to manage your hot flashes speak with your gynecologist. He or she will help you decide what triggers to avoid and what treatments may best soothe your symptoms to ensure your years of menopause are not spent in discomfort. And if you are looking for a new Ob-Gyn and are in the Buffalo NY area, please give us a call.

 

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Happy Breastfeeding Awareness Month

Icono corazon simbolo lactanciaIf you’re about to be a first time mom, you have many decisions to make, from nursery color schemes, to who you want with you in the delivery room, to the all important baby name. As you prepare for your baby to arrive, take some time to educate yourself on the benefits of breastfeeding. August is breastfeeding awareness month, which means now is the perfect time to learn how this parenting choice can benefit both you and your infant.

Benefits for Baby

  • Optimal nutrition – Research shows that breast milk offers the highest quality nutritional benefits for your infant. Your breast milk will naturally contain all of the vitamins and nutrients your baby needs in the first six months of development.
  • Immune-boosting benefits – Breast milk naturally contains important disease-fighting substances that will help to build your baby’s immune system. Studies have shown that your baby will be at a reduced risk of stomach viruses, lower respiratory illnesses, ear infections, and meningitis if breastfed at least during the first six months. This protection comes from a substance called secretory immunoglobulin A (IgA), which is present in the first milk your body produces for your baby.
  • Reduced risk of allergies – Infants who are breastfed are at a reduced risk of developing allergies. In particular, babies who are fed a formula based on cow’s milk or soy tend to have more allergic reactions than those who are breastfed.
  • Long-term protection – Studies show that breastfeeding may reduce your child’s risk of developing certain diseases later in life, including type 1 and type 2 diabetes, high cholesterol, inflammatory bowel disease, Crohn’s disease, and ulcerative colitis.
  • Like mother, like child – A woman’s breast milk is specifically tailored to meet the needs of her child. Our bodies produce IgA in response to specific pathogens that we are exposed to throughout our lives, and those lgAs will be passed on to your baby during breastfeeding, offering optimal protection from those pathogens to which you have been exposed.
  • Better brain food – A study of more than 17,000 infants found that children who had been breastfed showed enhanced cognitive development, as determined by their IQ scores and other intelligence tests, over those who were fed formula.
  • Reduced risk of obesity – Breastfeeding may help your baby to develop healthy eating habits from infancy that will protect him/her from developing an unhealthy weight later in life. Breastfed babies learn to eat until their hunger is satisfied, and tend to carry this healthy habit into adolescence. In addition, compared to formula, breast milk contains less insulin, which stimulates the creation of fat.

Benefits for Mom

  • Mental health – Breastfeeding can reduce a new mother’s stress level and her risk of postpartum depression. The National Institutes of Health reviewed more than 9,000 study abstracts and concluded that women who did not breastfeed or who stopped breastfeeding early were at a higher risk of postpartum depression. Breastfeeding also releases the hormone oxytocin, which stimulates feelings of relaxation.
  • Emotional bonding – The emotional bonding between mom and baby that occurs during breastfeeding is an important part of both the baby’s emotional development, and your connection with one another.
  • Long-term protection – Numerous studies have found that the longer a woman breastfeeds, the lower her risk for developing breast and ovarian cancer.
  • Assists in weight loss – While you’re pregnant, your body automatically layers on extra fatty tissue so you’ll have enough fat stores to begin and support breastfeeding. It’s true that breastfeeding can help you lose your pregnancy weight naturally without compromising either your health or your baby’s (considering you are eating healthy). Your body will burn calories to make breast milk.

If you have questions about breastfeeding, or if you are still deciding if it is the right choice for you and your baby, contact your OBGYN today to discuss your options. The doctors at Chouchani, Sayegh and Bagnarello MD are dedicated to helping you and your baby achieve optimal health.

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Common Breastfeeding Dilemmas Solved

compact electric breast pump to increase milkWhether you are a first time mom, or are realizing that each child develops differently, a woman can experience difficulties breastfeeding at any time. Though breastfeeding is a natural process and is one that is best for both you and your baby, do not be frustrated or disappointed if it does not seem to come easily. What follows is a list of six of the most common breastfeeding issues and tips for overcoming each one.

Latching pain – Nipple discomfort is common when a woman first begins to breastfeed, especially for new mothers. If pain lasts more than the first minute after your baby latches, however, check your positioning. The optimal position is for the baby’s mouth to cover more of the areola below your nipple than above. When correctly positioned, baby’s chin and nose should touch your breast with his lips splayed out so that you cannot see your nipple.

Clogged ducts – The ducts of your nipples may clog if your breast milk is not completely draining after nursing. If your ducts are clogged, you may feel a hard lump on your breast, or your breast may be sore to the touch. If you begin to feel feverish and achy, you could have an infection, and should see your doctor. To help your body to clear the blockage, be sure to get enough rest, apply warm compresses to your breasts, and massage them to stimulate milk movement.

Thrush – This is a yeast infection in your baby’s mouth, which can spread to your breasts. Symptoms include itchiness, soreness, and rash. You will need an antifungal medication for both your nipples and your baby’s mouth to treat the infection.

Cracked nipples – If you find that your nipples are producing a bloody discharge during breastfeeding or pumping, know that it will not harm your baby. Cracked nipples could be caused by latching problems, improper breast pumping, dry skin, or thrush. To lower your risk for developing cracked nipples, check your baby’s positioning. You may also want to try breastfeeding more frequently but for shorter periods of time. Until your skin heals, treat your skin with clean water or an over-the-counter lanolin cream made especially for nursing mothers.

High milk supply – Also known as engorgement, having a high supply of breast milk could make it difficult for baby to latch to the breast. To help your baby latch, first try hand-expressing some milk to begin the flow and soften the breast. Breastfeeding more frequently may also help keep milk levels in check.

Mastitis – This bacterial infection in your breasts can be caused by cracked skin, clogged ducts, or engorgement. Mastitis causes pain and flu-like symptoms, including fever. Antibiotics will be needed to treat the infection. Also try applying a hot compress to the breast and empty your milk supply frequently.

If you experience any of these conditions or issues while breastfeeding, speak to your OBGYN. Breastfeeding should offer an important emotional bonding opportunity for you and your baby and should not be a cause of stress, discomfort, or health risk. For more on this topic, please visit the breastfeeding section on the patient education part of our website or check out these breastfeeding resources in Western New York.

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Pain Management Suggestions for PMS

woman having stomachacheEighty-five percent of women experience the discomfort of premenstrual syndrome (PMS) every month. If you are among those who suffer with such symptoms as cramps, bloating, and mood swings prior to the onset of your period, take comfort in knowing that there are many natural, and healthy ways to manage the symptoms of PMS. Consider the list below of eight tips for managing PMS.

  1. Get moving. While you may be tempted to stay in bed until your PMS symptoms improve, being active may actually help you feel better. Many women find that 30 minutes or more of cardiovascular exercise helps to specifically ease feelings of sadness and anxiety that they experience during their periods.
  2. Eat healthfully. It is particularly important in the days directly proceeding your period to increase your consumption of fruits, vegetables, and whole grains while reducing the amount of sugar, artificial sweeteners, salt, and fat that you consume. The complex carbohydrates in whole grains, in particular, have been shown to enhance your mood. Researchers have also found that an increase in certain fatty acids, like the omega-3s, can lessen irritability and reduce pain and discomfort.
  3. Reduce alcohol. Reduce the amount of alcohol that you consume premenstrually. Alcohol is a depressant, which can enhance your mood swings, increase your anxiety, and feelings of depression or sadness.
  4. Limit caffeine. Reduce the amount of caffeine that you consume prior to the beginning of your period. Research has shown that the effects of caffeine are magnified premenstrually, leading to greater breast tenderness, more nervousness, and potentially more irritability. Aside from your morning cup of coffee, consider limiting the amount of caffeine that you consume from tea, cocoa, and chocolate as well. If you miss your warm morning beverage, switch to naturally caffeine-free chamomile tea, which contains properties that relieve muscle spasms, and may therefore help reduce the severity of menstrual cramps.
  5. Get enough sleep. If you are among the many women who lose sleep due to their monthly hormonal shifts, you may wake up on premenstrual days feeling irritable and moody. Try to get at least seven to nine hours of sleep on the days proceeding your period. If you are struggling to get solid hours of sleep at night, consider a short nap during the day.
  6. If you are a smoker – quit. Not that you needed another reason to crush this bad habit, but if you are a smoker that experiences painful and discomforting PMS symptoms, know that your smoking habit could be making your symptoms worse. A study of more than 3,000 women showed that those who smoked were more than twice as likely to develop moderate or severe PMS symptoms than those who never smoked.
  7. Manage your stress. If the most uncomfortable PMS symptom that you experience is an increase in feelings of stress and anxiety, consider finding healthy ways to combat these feelings through such practices as yoga, meditation, acupuncture, massage, or even simple deep breathing exercises.
  8. Increase your calcium. Supplement your diet during your period with extra calcium. Adding a daily dose of 1200 milligrams of calcium has been shown to ease PMS symptoms for many women.
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Candidiasis: Understanding The Causes and Symptoms of Vaginal Yeast Infections

According to the Mayo Clinic, seventy–five percent of women will experience a yeast infection at least once in their lives, and once you’ve had one, you are more susceptible to getting another. There is a natural occurring, small amount of yeast fungus that lives in the vagina. When the number of vaginal yeast cells, called candida, exceeds normal amounts, it can mean that a vaginal yeast infection, also known as candidiasis, has developed. While uncomfortable, yeast infections are not uncommon, and more importantly, are not usually serious.

Causes
Most yeast infections are caused by a type of yeast called Candida albicans. Normally, naturally occurring levels of the bacteria Lactobacillus acidophilus helps to keep yeast levels in check, however when naturally occurring bacteria and yeast fall out of balance, yeast can overgrow. An overgrowth of yeast can be caused by some antibiotics, douching, high estrogen levels that occur during pregnancy, or as a side effect of hormone therapy. Women who suffer from diabetes or HIV infection may also be at an increased risk of developing yeast infections. Other causes of yeast infections may include poor eating habits, including an over-consumption of sugary foods, stress, or lack of sleep. Vaginal yeast infections can also be spread through sexual contact, but in general are not considered a sexually transmitted infection.

Symptoms

The symptoms of yeast infections may include:

  • Itching, swelling, irritation, or soreness of the vagina
  • Vaginal rash
  • Burning during urination or sex
  • Development of a thick, clumpy, white or grayish discharge that has no odor, but is often described as looking like cottage cheese, though the discharge may also be watery at times

Diagnosis
To diagnose a yeast infection, a doctor will likely ask a series of medical history questions, including whether or not you have ever had a yeast infection before, or if you have ever had a sexually transmitted infection. Your doctor will likely next perform a pelvic exam and will examine your vagina, cervix, vaginal walls, and the surrounding area to determine if there are signs of an infection. If necessary, or if you have had frequent yeast infections in the past, your doctor may take a vaginal culture, which will be sent to lab to confirm the underlying issue.

Treatment
Consult your doctor if you think you may have a yeast infection, especially if you have not been diagnosed as having had one previously. If you have had more than four yeast infections in a year, talk to your doctor. The repeated infections may be caused by a more significant underlying health issue such as diabetes. Women who are pregnant and believe they may have a yeast infection should speak with their doctor, as over-the-counter treatment methods should not be considered for pregnant women.

Over-the-counter yeast infection treatments are available that can be effective for women who are not pregnant. Treatments include antifungal creams and suppositories that are inserted into the vagina. Antifungal oral tablets are also available.

With proper awareness of the symptoms and causes of yeast infections, many women can remain healthy and limit their risk of developing this discomforting condition.


If you are experiencing any of the above symptoms or something just doesn’t seem right, make an appointment to see your gynecologist. He or she can properly diagnose and treat your symptoms. If you are looking for a top OB-Gyn group in Buffalo, give Chouchani, Sayegh and Bagnarello a call today. We are accepting new patients.

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