Oasis OBGYN http://oasis.oasisob.com Dr. Shelly Messer, Mesa Arizona OBGYN offers an extensive range of services from well woman exams to in-office ultrasound and surgical procedures. Mon, 06 Oct 2014 01:32:22 +0000 en-US hourly 1 https://wordpress.org/?v=4.5.2 The Skinny on Sugar http://oasis.oasisob.com/gynecology/womens-health/skinny-sugar/ http://oasis.oasisob.com/gynecology/womens-health/skinny-sugar/#respond Fri, 21 Feb 2014 21:01:03 +0000 http://oasis.oasisob.com/?p=1489 Sweet treats are a favorite gift to our sweethearts for Valentine’s Day. Unfortunately, it turns out that all that sugar is really the last thing we want to give to the people we love. Not to say that the occasional sweet treat isn’t perfectly fine in light of an otherwise healthy, low sugar diet. The experts tells us it is. The culprit, it turns out, is the vast amount of sugar found in processed foods. A new study is recently published in the JAMA…a highly regarded medical journal…about the damage done to our hearts from high sugar diets. This link Continue Reading

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Sweet treats are a favorite gift to our sweethearts for Valentine’s Day. Unfortunately, it turns out that all that sugar is really the last thing we want to give to the people we love. Not to say that the occasional sweet treat isn’t perfectly fine in light of an otherwise healthy, low sugar diet. The experts tells us it is. The culprit, it turns out, is the vast amount of sugar found in processed foods.

A new study is recently published in the JAMA…a highly regarded medical journal…about the damage done to our hearts from high sugar diets. This link takes you to a simple overview of this latest research. It is mind boggling how much added sugar is found in processed foods. The big zinger, of course, is soda. Many folks turn to artificially sweetened soda as an alternative. Bad news there. The research is still underway, but, emerging evidence suggests that artificial sweeteners…all of them…have a negative effect on our metabolism. Stay tuned for what scientists figure out on that one. In the meantime, it is in our best interest to drink water, tea, coffee, and maybe a little wine, instead of the many processed beverages on the market.

I like the simple way Michael Pollan, food and nutrition expert, puts it: “Eat real food, mostly plants, not too much.” His book, Food Rules: A Eater’s Manual lays out a really simple approach to healthy eating. It is very similar to the Mediterranean Diet which is so highly recommended by many experts. Naturally occurring sugars, found in fruit, are all good as it enters the body in combination with fiber. This changes, altogether, how the body processes sugar. It is the added sugar that does the damage. Again, I will refer you to Dr. Robert Lustig’s book: Fat Chance in which he explains, in depth, how natural sugar, added sugar, artificial sweeteners, and fiber interact in our bodies to produce good health or disease.

So let’s forego the candy for our sweethearts. I prefer flowers and jewelry anyway!!

– Dr. Shelly Messer

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Happy Valentine’s Day! http://oasis.oasisob.com/gynecology/womens-health/happy-valentines-day/ http://oasis.oasisob.com/gynecology/womens-health/happy-valentines-day/#respond Fri, 21 Feb 2014 20:54:16 +0000 http://oasis.oasisob.com/?p=1487 It is the season of hearts…sweethearts, and those we love, as well as our actual beating hearts. This February season fits right into our theme of Mind/Body/Spirit…love for others, love for ourselves, and love for our bodies. We certainly cannot the enjoy the pleasures of love for our sweethearts and other loved ones, if we do not love ourselves and take really good care of our bodies. This is the month to focus on our hearts. Cleveland Clinic, one of my favorite resources for up to date health information, recently posted this excellent infographic entitled: Love Your Heart. Please take Continue Reading

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It is the season of hearts…sweethearts, and those we love, as well as our actual beating hearts. This February season fits right into our theme of Mind/Body/Spirit…love for others, love for ourselves, and love for our bodies. We certainly cannot the enjoy the pleasures of love for our sweethearts and other loved ones, if we do not love ourselves and take really good care of our bodies. This is the month to focus on our hearts.

Cleveland Clinic, one of my favorite resources for up to date health information, recently posted this excellent infographic entitled: Love Your Heart. Please take time to view it. It neatly walks through myths, misperceptions, and realities of cardiac health that apply to both men and women. We need to take this information seriously as cardiovascular disease is the number one killer of both men and women in the US. It accounts for 25% of all deaths in the US each year which includes all forms of cancer!

The CDC, Center for Disease Control & Prevention, also has important information on their website. This site provides clear and simple information about controlling and preventing heart disease. Prevention is everything! Emerging scientific evidence informs us that cardiovascular disease begins early in life, in childhood, and builds slowly and silently until it does it serious damage later in life. This is great information to guide us in developing healthy lifestyle habits in our children as well as ourselves. Those habits, formed early, stay with us throughout life. It seems to me that good health and a sustained healthy lifestyle are among the greatest gifts we can provide our children.

Stress is a well known contributing factor to cardiovascular disease. Meditation is a way to lower our stress level, pull inside ourselves, and become calmer. Ancient traditions have known this for a long time. In recent times, science has revealed the evidence of this health benefit. See: Benefits of Meditation
Let’s celebrate this Valentine’s Day by taking care of our hearts!!!

– Dr. Shelly Messer

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3 Common Symptoms of Endometriosis http://oasis.oasisob.com/gynecology/3-common-symptoms-endometriosis/ http://oasis.oasisob.com/gynecology/3-common-symptoms-endometriosis/#respond Mon, 27 Jan 2014 15:20:31 +0000 http://oasis.oasisob.com/?p=1480 Endometriosis is one of the most common gynecological diseases in women. In fact, it is estimated that more than five and a half million women in the United States suffer from it. Due to the prevalence of the condition and the implications it has on a woman’s health, here are three of the most common signs and symptoms of endometriosis. Endometriosis is a condition when the endometrial lining of the uterus grows outside of the uterus, usually on the surface of other organs in the abdominal region. Though endometriosis can occur in teens, or any woman who has menstrual periods, Continue Reading

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Endometriosis is one of the most common gynecological diseases in women. In fact, it is estimated that more than five and a half million women in the United States suffer from it. Due to the prevalence of the condition and the implications it has on a woman’s health, here are three of the most common signs and symptoms of endometriosis.

Endometriosis is a condition when the endometrial lining of the uterus grows outside of the uterus, usually on the surface of other organs in the abdominal region. Though endometriosis can occur in teens, or any woman who has menstrual periods, is most commonly diagnosed in women while in their 30’s and 40’s. During a normal menstrual cycle, hormones cause the lining of the uterus to build up with tissue and blood vessels and when a woman doesn’t get pregnant, that lining sheds, exiting the body during a menstrual period. When this tissue is growing and building up in areas outside of the uterus, it can begin to build up as scar tissue on abdominal organs, causing pain and other problems for women.

 1.     Painful Menstrual Cramps

One common symptom of endometriosis is when a woman suffers painful cramps during her menstrual period. These cramps typically get worse over time and can become so intense, they become debilitative in many women. The pain and cramping may begin before and extend for several days into your menstrual period. Women with endometriosis may also experience excessive bleeding in between menstrual cycles and heavy bleeding during their periods.

 2.     Infertility

Another symptom of endometriosis can be when a woman is experiencing infertility. According to The American Congress of Obstetricians and Gynecologists, approximately 40% of women with infertility have endometriosis. Although we don’t know exactly why endometriosis may result in infertility, in some cases, inflammation can decrease the ability of the sperm and egg to move through the fallopian tubes and within the uterus. In more severe cases, endometrial tissue or scar tissue may completely block a woman’s fallopian tubes, thus preventing sperm from reaching the egg and fertilization from occurring.

3.     Chronic Pelvic Pain

Perhaps one of the most common symptoms of endometriosis is pain in the lower back, abdomen, and in the pelvic region. It is important to note, however, that the amount of pain a woman experiences does not directly correlate to the severity of her endometriosis. Many women experience little pain when their endometriosis is extensive, while others experience severe pain even though they only have small areas of endometriosis.

Endometriosis has been and is still widely studied, but it is indiscriminate in who it will affect. Since doctors know that estrogen plays a large role in the thickening of the uterine lining during a woman’s menstrual cycle, she can attempt to lower the levels of estrogen in her body by exercising regularly, trying to maintain low amounts of body fat, and avoiding consumption of large amounts of caffeine and alcohol in her diet.

Though endometriosis has no known cure, there are many treatment options available for women suffering from it. If you experience any of the signs or symptoms above, please contact our office to schedule an appointment today.

– Dr. Shelly Messer

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Don’t MIss Our 25 Days of Christmas Ultrasound Package Specials! http://oasis.oasisob.com/pregnancy/dont-miss-25-days-christmas-ultrasound-package-specials/ http://oasis.oasisob.com/pregnancy/dont-miss-25-days-christmas-ultrasound-package-specials/#respond Thu, 12 Dec 2013 15:00:31 +0000 http://oasis.oasisob.com/?p=1471 25 Days of Christmas Ultrasound Special Don’t miss out on our 25 Days of Christmas Ultrasound Package specials we are running until the end of the year! Whether you are wanting to find out the gender of your baby or have amazing 3D and 4D ultrasound images and video to share with your family, these specials are too good to miss! Choose from one of our three available ultrasound packages and call our office to schedule your appointment today! Don’t wait! Appointments are limited and the offer expires December 31, 2013! 25 Days of Christmas Ultrasound Packages:  Gender Check ($25): Wanting Continue Reading

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25 Days of Christmas Ultrasound Special

Don’t miss out on our 25 Days of Christmas Ultrasound Package specials we are running until the end of the year! Whether you are wanting to find out the gender of your baby or have amazing 3D and 4D ultrasound images and video to share with your family, these specials are too good to miss! Choose from one of our three available ultrasound packages and call our office to schedule your appointment today! Don’t wait! Appointments are limited and the offer expires December 31, 2013!

25 Days of Christmas Ultrasound Packages: 

  1. Gender Check ($25): Wanting to know if  you’re having a boy or girl? Schedule your ultrasound appointment to find out!
  2. 2D & 3D Ultrasound Package ($50): To get an amazing view of your baby, this package offers a 3D Ultrasound complete with 2D images, 3D images, a CD of images, and 4 printed images.
  3. 2D, 3D, & 4D Ultrasound Package ($99): In this package, you get amazing 2D, 3D, and 4D ultrasound images of your baby complete with a DVD video of your ultrasound, a CD of images, and 4 printed photos.

 

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Exercise and Pregnancy: Does it Really Make Your Baby Smarter? http://oasis.oasisob.com/pregnancy/exercise-and-pregnancy-does-it-really-make-your-baby-smarter/ http://oasis.oasisob.com/pregnancy/exercise-and-pregnancy-does-it-really-make-your-baby-smarter/#respond Mon, 09 Dec 2013 12:30:33 +0000 http://oasis.oasisob.com/?p=1466 Calling all pregnant women! Did you know that exercise during pregnancy might actually make your baby smarter? If you are tuned in to scientific research and what studies continually reveal about exercise and our health, this news should not completely surprise you. Science is consistently proving that exercise improves our overall health, including enhanced brain function for all ages- from seniors to children. But, new research announced by a team of scientists in early November at the Society for Neuroscience in San Diego, California revealed how exercise during pregnancy can actually impact a baby’s intelligence in-utero. Three scientists from the University Continue Reading

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Calling all pregnant women! Did you know that exercise during pregnancy might actually make your baby smarter? If you are tuned in to scientific research and what studies continually reveal about exercise and our health, this news should not completely surprise you. Science is consistently proving that exercise improves our overall health, including enhanced brain function for all ages- from seniors to children. But, new research announced by a team of scientists in early November at the Society for Neuroscience in San Diego, California revealed how exercise during pregnancy can actually impact a baby’s intelligence in-utero.

Three scientists from the University of Montreal, Dave Ellemberg and Daniel Curnier, professors in the Department of Kinesiology, and graduate student Elise Labonte-LeMoyne, explained their study and announced the findings of their research at the conference.

The Study of Exercise During Pregnancy

They recruited women who were in their first trimester of pregnancy and then assigned them at random to one of two groups, an active group or a sedentary one.  They advised the women assigned to the active group to exercise moderately (at a rate of approximately 55% of aerobic capacity) for at least 20 minutes, at least three times a week, during both their second and third trimesters of pregnancy. They advised the women assigned to the sedentary group to essentially just take it easy and not exercise much at all throughout their pregnancy.

Once the babies were born to women in either group, researchers performed tests to see if they could determine any differences in brain function between those whose mothers had exercised moderately during pregnancy and those who did not. When the babies were eight to twelve days old, their brain activity was studied. The researchers fitted them with specialized caps made up of 124 electrodes that are designed to detect any electrical activity within the brain. Once the newborns fell asleep, the researchers played a series of sounds and measured any the responses from the babies’ brains. As they anticipated and is further explained in their study abstract, the babies whose mothers exercised up to 117 minutes per week had significantly more mature brain activity than those whose mothers averaged exercising only 12 minutes each week.

The scientists plan to continue studying these infants throughout their first year of life to determine if the benefits of a mother exercising while her baby is in-utero are long lasting. Along with the auditory memory tests they performed, they will assess the babies’ language, cognitive, and fine motor skills development as well.

Added Benefits to Exercise During Pregnancy

It was not long ago that women were advised to exercise cautiously during pregnancy or not much at all. And though it is still recommended for a pregnant woman to exercise and only elevate her heart rate to no higher than 140 beats per minute, the benefits of exercise far outweigh a sedentary lifestyle. When a woman exercises during pregnancy, it can lower the risk of complications during pregnancy, it can quicken her postpartum recovery process, and it can help her maintain her muscle mass which can make pregnancy less uncomfortable. Exercise can also assist in her losing the baby weight more quickly.

So, if you are pregnant and are considering the benefits of getting some exercise, you now know it is not just the mother who will benefit; the baby’s brain will benefit as well. If you have any questions about how much you should be exercising during pregnancy and what types of exercise are safe for you throughout your pregnancy, please talk to one of our practitioners during your prenatal visit.

– Dr. Shelly Messer

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What is Endometrial Ablation? http://oasis.oasisob.com/gynecology/what-is-endometrial-ablation/ http://oasis.oasisob.com/gynecology/what-is-endometrial-ablation/#respond Tue, 03 Dec 2013 13:00:19 +0000 http://oasis.oasisob.com/?p=1458 Most women experience what is considered to be fairly normal bleeding during their menstrual cycles. However, some women– a number as high as one in five — experience very heavy bleeding during their menstrual cycles. Oftentimes, those women simply endure the inconvenience and frustration of it, without being aware they have an option to get their menstrual bleeding under control, endometrial ablation. The condition, medically known as menorrhagia, is when a woman has prolonged, abnormally heavy menstrual bleeding.  Symptoms of menorrhagia can include: Periods that last longer than 7 days Soaking through more than one tampon or pad in an Continue Reading

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Most women experience what is considered to be fairly normal bleeding during their menstrual cycles. However, some women– a number as high as one in five — experience very heavy bleeding during their menstrual cycles. Oftentimes, those women simply endure the inconvenience and frustration of it, without being aware they have an option to get their menstrual bleeding under control, endometrial ablation.

The condition, medically known as menorrhagia, is when a woman has prolonged, abnormally heavy menstrual bleeding.  Symptoms of menorrhagia can include:

  • Periods that last longer than 7 days
  • Soaking through more than one tampon or pad in an hour
  • Having a menstrual flow heavy enough to interfere with normal daily activities like work, exercise, social engagements, or sexual activity.

If you have any of the above symptoms, you may be a candidate for endometrial ablation.

During the Endometrial Ablation Procedure

Endometrial ablation is a surgical procedure performed by your doctor in the office while you are placed under general anesthesia. At Oasis Obstetrics and Gynecology, we perform an endometrial ablation procedure called Genesys HTA. During an endometrial ablation, the thin endometrial tissue layer lining the uterus is permanently removed in order to stop or significantly reduce the excessive menstrual bleeding a woman is experiencing.

During the Genesys HTA procedure, your physician will dilate the cervix slightly and insert a device called a procedure sheath in the cervix. She will then fill your uterus with a saline solution that will circulate throughout the procedure.  Next, your physician will examine the inside of your uterus with a hysteroscope, inserted via the procedure sheath. She will then begin to heat the saline circulating inside your uterus, using the heated solution to ablate the endometrial lining of the uterus. This portion of the procedure typically lasts approximately ten minutes.  After the heated saline has circulated, your physician will flush your uterus with a cool saline solution. Finally, once your uterus has been flushed with the cool saline, your physician will drain the remaining solution, remove the procedure sheath, concluding the endometrial ablation procedure.

After the Endometrial Ablation Procedure

After the procedure, you may experience some light cramping. Some women experience nausea and vomiting after the procedure, possible side effects from the anesthesia. You will want to take it easy and rest for the remainder of the day following your endometrial ablation procedure. You won’t be out of commission for long; most women are able to return to their normal daily activities the following day. Your doctor will instruct you on when you will be able to resume intercourse and the use of tampons since waiting to resume these activities will help prevent infection following the procedure.

In the days and weeks following your endometrial ablation procedure, the endometrial lining of your uterus will be “sloughing off,” so you may experience vaginal discharge and light bleeding during that time.  If you have excessively heavy bleeding, abnormal pelvic pain, a fever, or experience any pain that increases in the 24 hours following the endometrial ablation procedure, you should call your doctor.  It is important to note that your menstrual flow may continue to be heavy for the first couple of weeks following the procedure as your uterus is healing. Overtime, your bleeding should begin to decrease to a level that is mild to moderate.

If you have any questions or would like more information about endometrial ablation and if the procedure is right for you, please call our office.

 

– Dr. Shelly Messer

 

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Is Sex Safe During Pregnancy? http://oasis.oasisob.com/pregnancy/safe-sex-during-pregnancy/ http://oasis.oasisob.com/pregnancy/safe-sex-during-pregnancy/#respond Tue, 26 Nov 2013 12:00:34 +0000 http://oasis.oasisob.com/?p=1450 It is a little ironic. Sex causes pregnancy, but many people become afraid to have sex once they find out they are pregnant. We have heard some fears over the years that have made us giggle. One man was afraid if he had sex while his wife was pregnant, he might hurt the baby, stabbing it with his penis. Another soon to be dad was terrified to have sex with his partner after they learned they were having a little girl. He began to worry that the sperm could impregnate his daughter before she was even born! As much as Continue Reading

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It is a little ironic. Sex causes pregnancy, but many people become afraid to have sex once they find out they are pregnant. We have heard some fears over the years that have made us giggle. One man was afraid if he had sex while his wife was pregnant, he might hurt the baby, stabbing it with his penis. Another soon to be dad was terrified to have sex with his partner after they learned they were having a little girl. He began to worry that the sperm could impregnate his daughter before she was even born! As much as those far-fetched fears can make us giggle and we want to send those guys back to sex education class in elementary school, many people do wonder if it is actually safe to have sex during pregnancy. So, we wanted to set straight some misconceptions and talk about the times when it could be dangerous to have sex while pregnant. 

Sex During Pregnancy

For most women, there is no reason to alter your sex life once you find out you are pregnant. Sex is a natural part of your relationship with your partner and is important for maintaining intimacy, even with all of your body’s changes. As your belly grows during pregnancy, certain sexual positions may be less comfortable than others, so it is important to have open and honest communication with your partner about what works for both of you as your body is changing. If you find sex to be uncomfortable because of vaginal dryness during pregnancy, hormones may be to blame.  It is safe to use water-based lubricants for more comfortable intercourse if needed.

Sex cannot harm your baby since it is well protected- in your uterus surrounded by amniotic fluid. Also, it is important to note that the contractions from orgasm are not the same as the contractions your uterus has during labor. However, if you have any pain during intercourse or if you experience strong contractions following sex that persist, you should go to the hospital. Also, if you experience any heavy vaginal bleeding or if your water breaks during sex, you should go to the hospital.

When Sex Can Be Dangerous

There are certain scenarios when your doctor may advise you not to have sex while you are pregnant. Doing so could jeopardize the viability of your pregnancy. If you have a history of miscarriages, your doctor may advise against having sex during your first trimester.  If you are at risk for pre-term labor, that is having active contractions before you reach 37 weeks in your pregnancy, your doctor may advise against having sex. Your doctor may also advise against you having sex if you are experiencing any vaginal bleeding, discharge, or cramping during your pregnancy without an obvious instigator.

There are some women whose cervix begins to dilate too early in their pregnancy. There are also cases where some women have a condition known as placenta previa, when the placenta is attached too low in the uterus, close to the cervix. In either of these situations during your pregnancy, your doctor will advise you to refrain from sex because it can lead to preterm or uncontrolled labor and heavy bleeding that could put the health- and survival- of your baby at risk.

If your doctor advises you to abstain from sex during your pregnancy, you should make sure you ask her for clarification on specifically what that means for you. Because the risks are different depending on your specific medical condition, you need to understand if your doctor means no penetration, no orgasm, or steering clear from anything that could cause you to become aroused. As mentioned above, since it is not only your health, but also the health of your baby that could be placed at risk, it is vital to understand- and follow- the instructions your doctor gives you.

Maintaining Intimacy

Sex is an important part to maintaining intimacy in a relationship. Pregnancy can certainly pose its challenges for maintaining sexual intimacy. Whether it is instructions from your doctor to abstain from sex or it’s the discomfort of pregnancy that get in the way of your wanting- or enjoying- sex with your partner, it is still important to remember to incorporate things to maintain intimacy in your relationship. Don’t forget that intimacy and affection might also be expressed in other ways than by having intercourse. You can remember the romance and snuggle together to watch a movie or go on a long walk around the neighborhood holding hands. Or, depending on your doctor’s orders, you may engage in intimacy within the safe boundaries established for you.

– Dr. Shelly Messer

 

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Why Pregnant Women Should Get a Flu Shot http://oasis.oasisob.com/pregnancy/why-pregnant-women-should-get-a-flu-shot/ http://oasis.oasisob.com/pregnancy/why-pregnant-women-should-get-a-flu-shot/#respond Mon, 18 Nov 2013 12:00:15 +0000 http://oasis.oasisob.com/?p=1447 Nobody wants to get the flu. The feverish chills, the achy body, the congestion, lack of appetite, and all of the other undesirable symptoms are no fun for anyone to endure. But, one thing many people are not aware of is the real threat that the flu poses to a pregnant woman. Since many women are unaware of the health risks that the flu can pose to a mother and her unborn baby, we want to explain why it is important that a pregnant woman get a flu shot. Impact of the Flu on a Pregnant Woman According to the Continue Reading

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Nobody wants to get the flu. The feverish chills, the achy body, the congestion, lack of appetite, and all of the other undesirable symptoms are no fun for anyone to endure. But, one thing many people are not aware of is the real threat that the flu poses to a pregnant woman. Since many women are unaware of the health risks that the flu can pose to a mother and her unborn baby, we want to explain why it is important that a pregnant woman get a flu shot.

Impact of the Flu on a Pregnant Woman

According to the Centers for Disease Control and Prevention (CDC), a pregnant woman is at a much greater risk for having the flu turn into a severe illness than a woman who is not pregnant. Even if she is generally in good heath, the natural changes to a pregnant woman’s immune system, heart, and her lung function during pregnancy can cause the health risks from the flu to be exponentially more devastating.  Statistics reveal that pregnant women who get the flu have a greater chance of being hospitalized because of the flu and also have greater rates of death from the flu than non-pregnant women.  When a pregnant woman becomes seriously ill, her unborn fetus can be at risk for birth defects, developing serious health problems, and premature delivery.

Within the first two weeks after getting the flu shot, your body begins making antibodies to help protect your body against the flu. These antibodies not only help protect the mother’s health, but they are passed to the unborn baby and can help protect them against the flu for up to six months after they are born. Antibodies can also be transferred via breast milk, so breastfed babies may also be protected against the flu as well.

When a Pregnant Woman Can Safely Get a Flu Shot

A pregnant woman can get a flu shot at any point in her pregnancy, during any of the first, second, or third trimesters. It is recommended, however, that a pregnant woman receive the flu shot and not the nasal spray mist. The nasal spray is recommended for healthy people ages 2-49 who are not pregnant.

Many women wonder if getting the flu shot is safe for them while pregnant. The CDC reports that millions of pregnant women have received flu shots and the flu shots have not been shown to bring any harm to a pregnant woman or her unborn baby.  In fact, the CDC and the FDA worked together to study pregnant women who received the flu vaccine from 1990 to 2009. In the study, they researched any potential safety implications to the pregnant woman or her unborn baby when receiving a flu shot.  The results of the study were recently published in the American Journal of Obstetrics and Gynecology. They concluded that for all of the women who received a flu shot during that timeframe, there were no unusual health complication patterns detected to the pregnant women or any observable adverse implications to the unborn baby. Other studies have also been performed, analyzing women receiving the flu shot during the first trimester and any correlation to miscarriage. The study found that a flu vaccine given to a pregnant woman during her first trimester does not increase the changes of her having a miscarriage.

Getting a Flu Shot

If you are pregnant and have not had your flu shot, please call our office immediately to schedule an appointment. We want to ensure that you’re doing all you can to maintain your health and the health of your unborn baby.  The most common side effects from receiving a flu shot are soreness or mild swelling at the injection site. These side effects are minor compared to the health risks to a pregnant woman and her baby if she gets the flu.

If you are pregnant and have already received your flu shot, but you develop any of these flu-like symptoms, please contact your doctor immediately.

  • Fever
  • Cough
  • Sore Throat
  • Body aches
  • Runny or stuffy nose
  • Vomiting
  • Diarrhea

Your doctor can prescribe medicine to help treat the flu and attempt to lessen the risks of the flu bringing serious illness to you and your unborn child.

– Dr. Shelly Messer

 

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The Truth About Ovarian Cysts http://oasis.oasisob.com/gynecology/the-truth-about-ovarian-cysts/ http://oasis.oasisob.com/gynecology/the-truth-about-ovarian-cysts/#respond Mon, 11 Nov 2013 12:00:45 +0000 http://oasis.oasisob.com/?p=1442 Ovarian cysts are so common, you may have had one whether you knew you did or not.  You may even have one right now.  Now, before you get too alarmed, you should know most of them are normal, going away naturally, on their own.  Nearly all pre-menopausal women have had some type of ovarian cyst and about fifteen percent of postmenopausal women get them.  Since ovarian cysts are quite common, but many women do not know what they are, we wanted to explain what they are and when they may require the attention of your doctor. What are Ovarian Cysts Continue Reading

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Ovarian cysts are so common, you may have had one whether you knew you did or not.  You may even have one right now.  Now, before you get too alarmed, you should know most of them are normal, going away naturally, on their own.  Nearly all pre-menopausal women have had some type of ovarian cyst and about fifteen percent of postmenopausal women get them.  Since ovarian cysts are quite common, but many women do not know what they are, we wanted to explain what they are and when they may require the attention of your doctor.

What are Ovarian Cysts

Ovarian cysts are pockets of fluid that form inside or on the surface of an ovary. Often times, ovarian cysts occur in women simply as a product of her having healthy, working ovaries. As a girl enters puberty, her ovaries have somewhere around 400,000 follicles that will throughout her fertile period, attempt to produce a mature egg for ovulation. Each month of her menstrual cycle, several hundred of these follicles will work to develop into a mature egg for ovulation, but only one (occasionally more) will make it. The one follicle containing the mature egg will continue to produce estrogen and during ovulation, will eventually will open, and release the egg into the woman’s fallopian tube.

During the two weeks following the follicle’s release of the egg, it will serve as a corpus luteum. The follicle will produce progesterone and estrogen, the hormones that tell the lining of the uterus to prepare for a potential pregnancy. When the egg is not fertilized or implanted into the uterine wall, the corpus luteum will cease to function and naturally be absorbed back into the woman’s body. So, with that, every month a woman ovulates, a small ovarian cyst is forming on her ovary.

When an Ovarian Cyst Can Be Painful

Most often ovarian cysts heal themselves without requiring any treatment from your physician. These are “functional” cysts and are a result of the ovary doing its job each month.  First of all, multiple small follicular cysts may form during the beginning of a woman’s cycle with one becoming larger and more dominant.  This is the cyst that ovulates, releasing an egg into the fallopian tube.  After release of the egg, the cyst then becomes a corpus luteal cyst as it prepares for the egg to become fertilized.  If the egg is fertilized, the corpus luteal cyst remains for the first 8-10 weeks of pregnancy where its job is to produce enough progesterone to support the newly developing pregnancy.  If fertilization does not occur, the cyst will involute, or regress.  Therefore, these cysts will go away but can grow to several inches in size and may cause pain.

More serious ovarian cysts are not functional ovarian cysts. These types of cysts remain on the ovary and continue to grow, eventually causing enough pain that necessitates medical attention. One common type of ovarian cyst that impacts about 10 percent of women is called an endometrioma. These blood-filled cysts are a product of a condition called endometriosis. Endometrial cells that are normally contained within a woman’s uterine wall can travel and attach themselves to other surfaces in a woman’s pelvic region. These cysts are less common and require medical care.

Other types of ovarian cysts are serous and mucinous cystadenomas.  These are benign but do not resolve on their own.  They may get larger and cause pain.  Mucinous cystadenomas, in particular, can get quite large and if they rupture, can be problematic.

When Ovarian Cysts Require Treatment

According to the American College of Obstetricians and Gynecologists, most ovarian cysts are small and do not present any obvious symptoms. Some ovarian cysts may cause a dull or sharp ache in a woman’s abdomen, while larger cysts may actually cause the ovary to twist, causing much more intense pain. In some cases, ovarian cysts can bleed or rupture, resulting in pain.  If you have severe, excruciating pain, you should seek medical care.

During a routine pelvic exam, your gynecologist may suspect you have an ovarian cyst if your ovary is enlarged. She may order follow up tests to further rule out what is causing the swelling, starting with a vaginal ultrasound. During a vaginal ultrasound, she will get a better view of your ovaries to know the size, shape, and makeup of any present ovarian cyst. In more advanced cases, she may also need to perform a laparoscopy or order more diagnostic blood tests.

Ovarian cysts can be treated by various methods. One common treatment your doctor may preform is prescribing birth control pills. The hormones from birth control pills will not remove any existing ovarian cysts, but will prevent any new cysts from forming. In more serious cases, the larger, more painful ovarian cysts may require laparoscopic surgery. During surgery, your physician will detect if they are able to simply remove the ovarian cyst or if they need to remove the entire ovary.

– Dr. Shelly Messer

 

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5 Common Ways Pregnancy Impacts Sleep http://oasis.oasisob.com/pregnancy/5-common-ways-pregnancy-impacts-sleep/ http://oasis.oasisob.com/pregnancy/5-common-ways-pregnancy-impacts-sleep/#respond Mon, 04 Nov 2013 12:00:20 +0000 http://oasis.oasisob.com/?p=1430 Everyone knows life with a newborn means interrupted sleep. But, many pregnant women find themselves unprepared for the impact that pregnancy can have on sleep. In the 1998 Women and Sleep poll, the National Sleep Foundation found that 78% of women reported having more disturbed sleep during pregnancy than at other times in their lives. The ever-changing hormone levels in pregnant women function primarily for the development of the baby, but they can also lead to increased daytime fatigue and sleep problems at night. For example, rising progesterone levels may lead to the excessive daytime sleepiness pregnant women experience, especially Continue Reading

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Everyone knows life with a newborn means interrupted sleep. But, many pregnant women find themselves unprepared for the impact that pregnancy can have on sleep. In the 1998 Women and Sleep poll, the National Sleep Foundation found that 78% of women reported having more disturbed sleep during pregnancy than at other times in their lives.

The ever-changing hormone levels in pregnant women function primarily for the development of the baby, but they can also lead to increased daytime fatigue and sleep problems at night. For example, rising progesterone levels may lead to the excessive daytime sleepiness pregnant women experience, especially in the first trimester.  Fluctuating hormones may also act as an inhibitor to muscles, causing pregnant woman to begin snoring and for obese women, causing sleep apnea. Hormones may also be partly responsible for the frequent trips to the bathroom during the night, compounding the exhaustion from poor sleep quality, interrupted sleep, and being fatigued by day.

According to the National Sleep Foundation, pregnancy hormones can cause a woman to have a new sleep disorder or make an existing sleep disorder worse. Here are five of the most common problems pregnant women may have when it comes to getting quality sleep.

1.   Insomnia

Many pregnant women experience insomnia because of the emotions and anxiety they may have about the upcoming labor and delivery, balancing motherhood and work, or their changing relationship with their partner. This is especially true of first time mothers. Insomnia symptoms include difficulty falling asleep and staying asleep. It also entails waking up too early or not feeling refreshed after getting a night of sleep. There are also the physical discomforts of pregnancy that can disturb sleep and lead to insomnia such as nausea, having back pain, and fetal movements.

 2.   Frequent Nighttime Urination

As mentioned above, hormones may be to blame for the frequent need to wake up to go to the bathroom during the night. The frequent need to urinate at night is common in pregnancy and can result in loss of sleep.

 3.   Restless Legs Syndrome (RLS)

Restless Legs Syndrome is a sleep disorder that can be caused by pregnancy. In a study of over 600 pregnant women, 26% reported symptoms of restless legs syndrome. RLS symptoms can include having unpleasant feelings in the legs, sometimes described as tingly or achy. These feelings are worse at night or in the hours leading up to bedtime. The sensations of restless legs syndrome are temporarily relieved by movement or stretching.

4.   Nocturnal Gastroesophageal Reflux (Nighttime GERD)

Another common problem during pregnancy is heartburn, also known as gastroesophageal reflux disease (GERD). One recent study found that 30-50% of pregnant women experience GERD almost constantly during pregnancy. Although GERD is considered a normal part of pregnancy, having nighttime symptoms of GERD can disrupt sleep and should be addressed as it can lead esophageal damage.

 5.   Sleep Apnea

Sleep apnea is a sleep disorder in which a person’s breathing is repeatedly interrupted while they sleep.  Perhaps the most noticeable symptom of sleep apnea is heavy snoring accompanied by long pauses, and then gasping for air or choking during sleep.  Pregnant women are at risk for developing sleep apnea. This is particularly true of women who are overweight when they become pregnant. If a pregnant woman has symptoms of sleep apnea, she should talk with her doctor because of the risk of complications it brings during pregnancy such as gestational hypertension, preeclampsia, or low birth weight. Pregnant women who have sleep apnea may be sleepier in the daytime compared to women who do not have sleep apnea during pregnancy.

As much as we want to chalk up poor sleep as something we have to endure throughout pregnancy, poor sleep can have a negative impact on labor and delivery. Researchers from the University of California at San Francisco found that women who slept fewer than 6 hours per night had longer labors and were four and a half times more likely to have cesarean deliveries.  Based on these findings, the researchers stress the importance of both sleep quantity and sleep quality in prenatal care as pregnant women are in fact, “sleeping for 2.”

So, if you are pregnant and experiencing interrupted sleep, take comfort knowing you are not alone. You should talk to your physician about any problems you are experiencing trying to sleep since it can be dangerous to your health or the health of your baby.

– Dr. Shelly Messer

 

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