The Impact of Weight on Gynecological Health

Women’s bodies undergo a remarkable journey of change and resilience, yet the importance of gynecological health is often undervalued. We are concerned with rising obesity rates.  Studies have found that excess weight has a negative effect on female health. The experts at Covington Women’s Health Specialists are breaking down how obesity affects the well-being of a woman and offer support to meet healthy weight goals.

What is Obesity?

Obesity is a medical condition characterized by excessive accumulation of body fat, leading to an increased risk of various health problems. It is typically defined by a high body mass index (BMI), a screening tool that accesses if an individual’s weight is significantly higher than what is considered healthy for their height. There are many tools online to help you determine your Body Mass Index (BMI).

Causes of Obesity

Women’s bodies go through many changes during their lives. Excessive body fat is associated with a higher risk of chronic diseases like diabetes, heart disease, hypertension, and gynecological issues such as infertility and uterine cancer. We will discuss this more below.

Obesity can stem from various reasons, some of which are within our control, and others that are not. There may be several reasons that contribute to this, such as:

  • Diet choices
  • Lifestyle habits
  • Genetic factors
  • Underlying diseases or conditions
  • Medication use
  • Age-related changes
  • Lack of adequate sleep
  • Smoking cessation
  • Pregnancy
  • Socioeconomic factors

How Does Obesity Cause Gynecological Problems?

Being obese can cause various gynecological health problems. Some of these issues include abnormal uterine bleeding, infertility, spontaneous abortion, fibroids, urinary incontinence, pelvic organ prolapse, gestational diabetes, and pre-eclampsia. Obesity is also a known risk factor for certain cancers, specifically endometrial cancers. The excess fat on our bodies produces estrogen. Too much estrogen can cause disruptions in women’s menstrual cycles and later in life this can cause uterine cancer.

Obesity contributes to the following gynecological issues:

  • Early Puberty: Childhood obesity has been connected to early onset puberty. Studies found a link between this and ovarian hyper-androgynism, PCOS, and cardiovascular issues later in life.
  • Infertility: Obese women may take longer to conceive and have an increased risk of ovulatory disorders. PCOS symptoms can worsen because of obesity-induced insulin resistance.
  • Issues with Fertility Treatment & Assisted Reproduction Technology: Obese women with ovulatory problems may respond poorly to ovulation induction treatments.
  • Early Pregnancy Loss: Overweight and obese women have a higher risk of miscarriage in both natural and fertility treatment-induced pregnancies.
  • Contraception: Obese women face increased pregnancy risks, such as pre-eclampsia, gestational hypertension, macrosomia, induction of labor, and Cesarean section. Additionally, overweight or obese women are more likely to experience maternal deaths.
  • Benign Gynecological Problems: Obesity, which is often connected to PCOS, can lead to irregular menstrual cycles. Even without PCOS, it is associated with long and irregular cycles, as well as benign problems like endometrial polyps and fibroids.
  • Gynecological Cancers: Being obese increases the chances of endometrial cancer in women after menopause.

By making lifestyle changes and discussing a personalized health plan with your gynecologist, you can avoid or reduce the impact of these conditions.

Making long-term lifestyle changes and adopting healthy habits for your overall gynecological health can be challenging. Our team at Covington Women’s Health Specialists is passionate about helping you achieve your health goals. Our medical staff is dedicated to providing compassionate care that is tailored to your specific needs. Request an appointment online or by calling 770-385-8590.

Midwifery Musings: What to Expect at Your Pregnancy Confirmation Appointment

It has been awhile since we have shared with you a look behind the scenes here at Covington Women’s Health Specialists. Last time, Jennifer Walker, CNM explained what a catheter cervical ripening balloon is when she was a nurse-midwife graduate student in her clinical rotation at the practice. Since that blog, Jennifer has graduated and is a new Certified Nurse-Midwife (CNM) at Covington Women’s Health Specialists. Jennifer is back offering insights from the unique perspective of one of our midwives.

As a CNM, I focus on gynecologic and family planning services, as well as preconception, pregnancy, childbirth, postpartum and newborn care for our patients at the practice. My new role has been keeping me busy and I’m loving every single minute of it!

Over the next few blog posts, I will walk you through each appointment and what you can expect at each prenatal visit. Please keep in mind as you read this that each pregnancy is different — no two will ever be the same! This is a very broad overview of this appointment and is subject to change.

So, the day has come. There are two lines on the pregnancy test, you crave pickles and ice cream in the middle of the night, your favorite smells now have you running for the bathroom, and you would rather sleep the day away than anything else. This all means you are officially pregnant!

There are so many questions that you have and want answers now that you’re newly expecting. Where do you go? When do you go? What should you start/stop doing in your everyday life? This time in your life brings on many emotions: excitement, fear, uncertainty, etc.  However, know you are not alone and Covington Women’s Health is here to help you!

First things first – It’s time to get ready for your Pregnancy Confirmation appointment. We’ll guide you through this exciting phase with expert care. Here’s a sneak peek of what you can expect during this important visit that is typically made 6-8 weeks after your last menstrual period:

  • Urine sample to confirm pregnant
  • Assess overall health (medical, surgical, and family history)
  • Adjust any medications that need to be changed or added
  • Assess any risk factors that may affect your health or the health of the baby
  • Physical exam
  • Breast exam
  • Pelvic exam (Pap for women over age of 21 if due/STI swab under age 21)
  • Transvaginal ultrasound for women > 12 weeks pregnant; abdominal ultrasound for women < 12 weeks pregnant
  • Determine due date based on ultrasound and last menstrual period (LMP)
  • Answer and acknowledge any questions/concerns you may have
  • Introduce the patient to resources on our website, specifically “Your Guide To Pregnancy
  • Make follow up appointment for “Initial Prenatal Exam” in two weeks

Get ready to embark on this incredible journey with us, supported by expert guidance and compassionate care. Your Pregnancy Confirmation appointment is just the beginning of an exciting adventure ahead. Call for an appointment at (770) 385-8954, or request one online.

Looking forward to your next step? Learn more about what to expect at your Initial Prenatal Exam in our next blog post, “Midwifery Musings: Navigating the Initial Prenatal Exam.