Can Nutrition Help with Endometriosis?

Endometriosis causes a host of uncomfortable symptoms, from painful periods to excessive bleeding. While there are surgeries available to treat it, many women prefer to try lifestyle modifications for symptom control first, particularly if they are trying to become pregnant. As some of our patients have found relief through dietary changes, here’s an overview of what might help.

How Does Nutrition Play a Role in Endometriosis?

In endometriosis, cells similar to those found in the endometrium (uterine lining) develop elsewhere in the body. In most cases, they form on nearby organs like the ovaries. The cells attempt to shed during menstruation, but the blood has nowhere to escape. Trapped blood leads to inflammation of surrounding tissues, leading to issues such as pain and sometimes scar tissue. Since inflammation is believed to play a role in symptom severity, foods that fight inflammation may help to curb symptoms.

Besides anti-inflammatory foods, there are key nutrients that could also improve endometriosis symptoms. For instance, fiber may help the body remove the excess estrogen that intensifies cramping and pain. It can also help to prevent constipation, which may provide helpful relief, considering the other digestive issues that can arise with endometriosis.

Certain vitamins and minerals could also help to relax the muscles and alleviate symptoms. Magnesium, for example, is a natural muscle relaxer that could ease cramping, while zinc helps the body regulate cycles and balance hormones to further control symptoms.

What Are Some Good Foods for Endometriosis?

Many of the dietary approaches for reducing endometriosis symptoms align with basic principles for eating well. For instance, women who eat foods rich in omega-3 fatty acids tend to have less intense endometriosis symptoms. These healthy fats have natural anti-inflammatory properties that could also boost health in other ways, such as reducing the risk of heart disease. Examples include avocado, olives, nuts, olive oil, and salmon as well as other fatty fish.

To promote digestion and reduce the gastrointestinal distress that can come with endometriosis, adults should aim for 25 to 30 grams of fiber each day. One simple way to get more fiber is to add a whole grain to each meal. Whole wheat crackers, whole grain bread, brown rice, oat bran, and other high-grain cereals are good sources. Fruit and vegetables also contain fiber, as do beans and legumes.

The good news about eating to ease endometriosis is that there’s overlap of many nutrients that can help alleviate symptoms. For instance, while nuts are rich in omega-3s, they also contain magnesium. Legumes such as black beans and edamame also have magnesium, as well as fiber. Leafy greens such as arugula, spinach, kale, and dark lettuce are also both fiber-rich and packed with magnesium.

For hormone-regulating zinc, animal-based products are the best sources. Poultry and shellfish are good options to consider, but it’s best to limit red meat, as there’s some evidence to suggest it could aggravate symptoms. For vegetarians and vegans, zinc supplements may be worth considering.

Whether you’re experiencing uncomfortable endometriosis symptoms, you have another health concern to discuss, or you’re simply due for an annual exam, turn to the team at Covington Women’s Health Specialists for all of your women’s health needs. Our caring practitioners offer a wide range of services, including gynecology and obstetrics. Request an appointment online or by calling 770-385-8954.

What to Do If Your Baby is Diagnosed with Special Needs

Finding out that your baby will have special needs can be overwhelming. Some conditions, such as spina bifida and chromosomal disorders, may be diagnosed during pregnancy. Others may not become apparent until after the baby is born. No matter when you find out that you have a special needs baby, it can be helpful to have a starting point for further steps. Here are several things you can do as you process this news.

Acknowledge Your Feelings

“There will be an initial shock at the news that your child will have special needs,” Dr. Cathy Larrimore, who has had a child with special needs, acknowledges. “You and your partner may also experience emotions like disappointment, fear, and sadness.”

It’s normal to mourn the life you had envisioned for yourself and your child, and you may find comfort in processing these emotions through activities like journaling, talking to others, and joining support groups for parents of children with special needs.

Gather Information

Once you’re ready, learning as much as you can about your child’s condition will help you prepare and plan for the future. Keep in mind that while the internet is a valuable resource, there’s also a fair amount of misinformation online. You’ll therefore want to stick with credible resources when doing your research.

The American Academy of Pediatrics is a reputable source for basic information, but you may also find more specific guidance through the national organization for your child’s condition, or societies that promote education and activism for disabilities. The National Down Syndrome Society and the Arc are excellent resources, for example, and your OB-GYN or family doctor can provide personalized references for you and your family.

In addition to web-based support, you might also begin to research specialists in your area who work with children who have the same difference as your child. If your child is diagnosed during your pregnancy, you also may be referred to prenatal specialists for further testing or monitoring.

Pursue Early Intervention

Through the Individuals with Disabilities Education Act (IDEA), children with developmental disabilities qualify for early intervention, which includes a free public education tailored to their needs.

While certain disabilities, including cerebral palsy and Down syndrome, automatically qualify, others may require an evaluation from a professional. Children who qualify for assistance will receive an Individualized Family Service Plan (IFSP), which is created through collaboration between parents, teachers, therapists, and psychologists. They’ll also receive an Individualized Education Program (IEP), which provides a roadmap for the child’s learning goals, including modifications and services. IEPs also includes quarterly progress reports and annual reviews.

In the state of Georgia, families can get involved with Babies Can’t Wait, an early intervention program that offers a variety of coordinated services for infants and toddlers with special needs, from birth to three years of age. If your pediatrician identifies a need, they can refer your child for enrollment.

Early intervention offers a wide range of medical and therapeutic services, as well as social services such as support groups and counseling. While these resources will be invaluable, you can also continue to consult with appropriate specialists of your choice as your child grows and develops.

Establish Legal Safeguards

All parents should consider life insurance to ensure their child is financially secure under any circumstances. Parents of special needs children may also consider developing a special needs trust, which prevents inherited money from disqualifying special needs individuals from benefits such as Medicaid and Supplemental Security Income. While most children won’t qualify for these benefits until the age of 18, it’s never too early to put legal safeguards in place.

All of the providers at Covington Women’s Health Specialists are mothers. Many of us have faced such challenges. We know that pregnancy can be both a joyous time, as well as an uncertain experience that comes with many questions. Our providers are here to support you through your entire prenatal journey. Request an appointment online or by calling 770-385-8954.

Should You Try Feminine Hygiene Products?

Though a stroll through the feminine product aisle at your favorite drugstore (or a quick internet search of “feminine hygiene”) will bombard you with flowery products claiming to be just the thing to keep your delicate areas clean, are they really necessary?

Our short answer is no, but there are several reasons why. The biggest one is that in most cases, a wide range of vaginal scents are normal and healthy. The vagina and the area around it (groin skin, vulva, etc.) contain important bacteria that are a part of our healthy microbiome, as well as special sweat glands. These all produce a natural odor that may become stronger at times, such as during heavy exercise, during your menstrual period, pregnancy, or after sex.

But if you rely on heavily scented feminine washes to freshen up, those chemicals and perfumes can make you prone to problems like urinary and yeast infections, or may otherwise exacerbate the problem you’re trying to solve.

Though you do want to keep your nether regions clean, there are great ways to do so without harmfully disrupting the ongoing cleansing process your vagina does marvelously all by itself.

Let It Breathe

Air flow and avoiding dampness are two ways to keep your vagina fresh without touching a bar of soap. Contrary to popular style trends, Lycra and spandex undergarments, yoga pants, or even leggings can trap organisms and produce more odor. More breathable cotton undergarments — or nothing at all, particularly at night while sleeping — will give everything down there a breath of fresh air.

Also be sure to remove wet or damp undergarments, workout wear, or a bathing suit as soon as possible. And avoid wearing panty liners or pads unless absolutely necessary, as these trap more moisture next to the skin and can increase odor.

Keep It On the Outside

Cleaning your vagina should be a gentle process for the outer area you can easily reach. Inserting douches, other feminine hygiene products, or soapy even soapy fingers, can cause an overproduction of harmful bacteria which could actually increase strong odor. If you already have an infection, douches can push these germs further up inside to your uterus, ovaries or fallopian tubes. Yeast infections, bacterial vaginosis, and pelvic inflammatory disease are all possible results of douching.

Trust that your body is cleaning things exactly as needed all on its own, without the introduction of a foreign fluid.

A Simple Splash May Be Safest

The truth is, in many cases plain old water usually does the best job of keeping your vulva clean. Water is non-acidic, and doesn’t contain ingredients that could disrupt the pH balance inside your body or kill off the good bacteria that maintains vaginal harmony. Though using a gentle soap during your regular bathing is fine, if you’re self-conscious about your smell, try a splash of cool water and then gently dry things off.

When to See a Doctor

“In general, odors that indicate a problem should be easy to identify,” assures Covington Women’s Health Nurse Practitioner, Kerry Dewberry. “They’re the ones that make your face scrunch up or remind you of something dead. And if there’s a serious underlying cause, you’ll often be experiencing other symptoms, as well.”

Irritation, itching, burning, or pain could indicate bacterial vaginitis, a yeast infection, or possibly  trichomoniasis, a common sexually transmitted infection. There’s a small chance that abnormal vaginal order could also indicate vaginal or cervical cancer, but your regular annual OBGYN exams will be one of the ways you’re already monitoring for that.

Whatever the cause, if you’ve got an alarming odor or any other source of concern, don’t hesitate to reach out to us online. We also welcome your direct calls and questions at (770) 385-8954.

Covington Women’s Health Specialists Awarded Best of Newton 2023

We are proud to announce that Covington Women’s Health Specialists was voted the Best Obstetrics & Gynecology in 2023 Best of Newton Award for the seventh year in a row! 

Every year, Newton County residents get the opportunity to nominate and vote for their favorite local businesses to Covington News. From the best jewelry store, grocery store, and gynecology office, of course!

“We would like to thank our staff for providing tender, loving care to our patients,” Dr. Cathy T. Larrimore said. “Without them, we couldn’t give patients the quality gynecological and obstetrical care that they deserve.”

After three years of the pandemic and countless COVID and in-office visit policy changes, we are still going strong! Thank you for sticking with us during the ride. We couldn’t do it without you.

Thank you to everyone who voted for Covington Women’s Health Specialists for the Best Obstetrics & Gynecology. We are honored to serve you and our community!

What to Know About Long-Term Birth Control

Condoms are a great go-to to protect yourself from sexually transmitted infections and guard against pregnancy — if you use them perfectly every single time you have sex. But if starting a family isn’t one of your current goals, there are several different types of birth control that will last longer than a lovemaking session.

Tried and True: The IUD

As the name suggests, the Intrauterine Device (or IUD) is a small device implanted in your uterus. There, the T-shaped piece of plastic alters the way that sperm and eggs move through your body for as long as it remains in place, blocking a pregnancy from happening.

Originally conceived in 1909, the IUD was a controversial development, as birth control was considered a taboo topic. It gained public popularity during the 1960s and 70s, and today over a hundred million women rely on its effectiveness.

Now there are two types of IUDs: hormonal and non-hormonal. Kyleena, Skyla, Mirena, and Liletta are hormonal IUDs, all of which work by releasing the hormone levonorgestrel. Copper — or Paragard — IUDs are wrapped with a copper wire that creates an environment that is toxic to sperm, rendering them ineffective. Though both types work similarly, copper IUDs have a longer lifetime than their hormonal counterparts, lasting 10-12 years rather than three to seven.

The process of getting an IUD — and removing it when the time comes — can be more painful than other options, but is very similar to a Pap smear or cervical biopsy. There are few risks, and side effects after the procedure are usually limited to mild spotting and cramping.

Longer-term side effects from hormonal IUDs can include headaches, nausea, breast tenderness, mood changes, and potential formation of ovarian cysts. Copper IUDs may cause heavier bleeding and cramping pain during your period. However, many patients with IUDs find these symptoms improve over time.

A Modern Advance: Arm Implants

Approved by the FDA in 1990, the progestin implant is over 99% effective at preventing pregnancy for three years. A thin plastic rod is inserted into your arm with a needle, and once in place it then steadily releases the hormone progestin into your body. This keeps eggs from leaving your ovaries, and also inhibits sperm from reaching the egg in the first place.

Though many patients are unaware of this method, the progestin implant allows for a good deal of freedom and is highly effective. The few drawbacks to take into account are that the procedure can be more costly, and the implants can increase irregular bleeding.

More Surgical Solutions

If the idea of implanting anything in your body makes you uncomfortable, but you want long-term protection, there are surgical options available. Tubal ligation (“getting your tubes tied”) permanently closes fallopian tubes and prevents eggs from entering the uterus. A vasectomy is the male version: a surgical procedure that incises the small tubes within the scrotum, so that sperm can’t leave the body.

Your choice of birth control can help prevent ovarian cancer later in life!  Tubal ligation can be done by removing the entire tube, and this reduces ovarian cancer later in life for all women including high-risk women who have a family history of ovarian and breast cancers or who have a gene which puts them at risk for these cancers.  For some high-risk women, removal of both the ovaries and tubes is recommended, so it you have a high-risk gene, your care must be individualized.

Before considering surgical options be certain you truly don’t want to become a parent. Reversing either of these procedures is costly and, in many cases, doesn’t actually work.

In addition to the above methods, the birth control pill, patch, and vaginal ring remain alternate options. There are pros and cons for each individual, so talk to a reproductive specialist at Covington Women’s Health Specialists to find the right fit for your lifestyle.

Oral contraceptives reduce the risk ovarian cancer all women including women who have a gene which puts them at risk for these cancers.  The pill can also reduce a woman’s risk of uterine cancer as well as having other non-contraceptive benefits.  If you are considering using oral contraceptives, please have an examination by a physician.  The popularity of on-line birth control availability omits an important step in safeguarding your health.  The providers at Covington Women’s Health Specialists provide comprehensive Gynecologic care and will be able to answer all your questions.

We provide care for each stage of your gynecological health, from puberty to menopause and everything in between. Call for an appointment at (770) 385-8954, or request one online.

How to Ring in the New Year With Better Sex (And How Your Gynecologist Can Help)

Losing weight, quitting bad habits, spending more time with loved ones, and finally cleaning out the garage may be among your new year’s resolutions for 2023. But where’s your sex life included on that list?

Having healthy sex benefits both your body and your brain. It boosts your immune system, reduces the risk of some diseases, and increases your mental vigor, besides just feeling awesome. If you’re looking to improve things with your sexual partner(s) in the new year, we have some advice.

Talk About It (And Not Just Dirtily)

Conversing together about sex increases sexual health in many ways. If you articulate what you like and don’t like, along with your personal history, your sex can improve both physically and mentally — even if doing so feels awkward at first.

Been with your partner for a long time? Keep in mind that new interests may have arisen, and old favorites may have grown stale. And if a new partner has entered your life, talking about sex together beforehand will establish trust and help ensure you’re both satisfied.

Since your gynecologist already knows both you and your body well, they can make some conversation-starter suggestions that feel right to you — wherever you are on your sexual journey.

Experiment and Play

Most of us know that play is important for children, but it also has benefits for adults. Playing elevates our mood and creativity, sharpens our minds, and creates a stronger sense of connection with others.

Which is probably why they call them sex toys for a reason. Vibrators, dildos, beads, rings, and other impact or sensation devices can all provide a sense of play, as well as physical and mental stimulation when used safely and correctly.

Not sure how to incorporate a sex toy or game into your bedroom? Start by doing some research into what’s out there and might be of interest. Close friends can also be a good source of advice. And though your gynecologist may not be the first person you think of to ask, the conversation with them may be much more comfortable and informative than one held in a busy retail shop or with an online chatbot.

Know Your Body

Familiarity with your sexual parts and how they appear to your partner can increase your knowledge and your confidence. Use a hand-held mirror and take a good look at everything down there, gently exploring with clean hands to identify and appreciate everything as it is today. Take note of whatever questions you have, and bring them to your gynecologist, especially if you notice any unusual lumps, bumps, sores, or discharge, which could be an indication of an STI or other condition.

Knowing your body and what makes it feel spectacular will also help your partner do the same. Masturbation and exploratory self-touch (including your chest, stomach, arms and legs) will be your best guide in this department. Doing so regularly (even if you have a steady partner) can help increase your sex drive, while releasing tension, improving sleep, and relieving menstrual cramps.

Sexual health is an important part of both gynecological and overall wellness, and at Covington Women’s Health Specialists we’re here to support you in all of these departments. Bring your sex questions to our caring team by arranging an appointment online or calling for one at 770-385-8954.

What Your OB-GYN Wants You to Know About Changes to Your Body During Pregnancy

The body changes in tremendous ways throughout pregnancy. Some you may already know to expect, such as nausea during the first trimester and stretch marks as your body and skin expand to make room for your growing baby. Several other adjustments may come as a surprise however.

Here are a few developments that are completely normal for expecting mothers.

Bodily Changes to Expect During Pregnancy

Fatigue

Several factors contribute to exhaustion during pregnancy. For starters, you can blame hormone changes, since increased progesterone can cause tiredness. Your body is also busy making more nutrients for your baby, which can make you feel fatigued. Tiredness may taper off during the second trimester, only to return in the third, when many expecting mothers experience sleep challenges caused by discomfort.

Heartburn

Indigestion can develop during pregnancy, both due to hormonal changes and the fact that your baby may start pressing against your stomach. More frequent yet smaller meals can help, as can staying upright during and after eating.

Constipation

Another gastrointestinal (GI) symptom associated with pregnancy is constipation. Digestion slows down during pregnancy, so your body has more time to absorb nutrients, but it can cause uncomfortable symptoms like painful stools and hemorrhoids. Eat a fiber-rich diet, drink plenty of water, and continue to stay active to address this unpleasant issue.

Lightheadedness

A dizzy or lightheaded feeling can occur during pregnancy for several reasons. For one, your blood pressure is lower. For another, the expanding uterus can put more pressure on major veins. Some pregnant women also experience low blood sugar and low iron levels. As your pregnancy progresses, stand up slowly, eat frequent meals, and avoid getting overheated to reduce dizzy spells. If dizziness persists, be sure to contact our office promptly.

Frequent Urination

Increased hormone levels will send you to the restroom more often during pregnancy. Although frustrating, this is a normal symptom. Empty your bladder as needed to prevent complications like urinary tract infections (UTIs).

Varicose Veins

Since the expanding uterus and added weight can put more pressure on your veins, those in your legs, genital area, and rectum may become enlarged. Varicose veins are typically a harmless symptom. But if the vein feels warm to the touch, hard, or painful, seek immediate help, as these signs could indicate a more serious issue.

Vaginal Changes

Many women experience different vaginal symptoms throughout pregnancy, including increased discharge and changes in sensitivity. Spotting can also occur. If you’re concerned about any of these sometimes-surprising changes, don’t hesitate to call us.

Breast Changes

As the body prepares to produce milk, breasts may feel tender and swollen. Small bumps can also form around your nipples, and you may begin to leak colostrum — a yellowish, nutrient-dense, early form of breast milk — as you approach delivery.

If you’re uncertain about any pregnancy symptom you’re experiencing, we want to hear from you. Our caring providers are here to support you through every step of your pregnancy journey, from your very first visit to postpartum care. Find out more about our comprehensive maternity care online or schedule an appointment by calling 770-385-8954.

2023 Update to Our In-Office Guidelines

As we welcome the New Year, we are also welcoming and re-welcoming three in-office visit policies:

Mask Mandate

Starting Monday, December 19, we will reinforce the CDC‘s mask requirement, which is also enforced at Piedmont Newton Hospital. Please read our in-office visit guidelines for more information.

No-Show and Cancellation Policy

Effective Sunday, January 1, 2023, Covington Women’s Health Specialists, a Piedmont Healthcare-affiliated practice, will begin to implement their mandated no-show and cancellation policy.

We require that patients provide a 24-hour’ notice for cancellations or rescheduled appointments.

If you are late, we will try to accommodate you as much as possible. Please either call our office or contact your physician through MyChart.

Missing an appointment without notifying our office or canceling an appointment on the day of will result in a:

  • $25 late-cancellation fee for office visits
  • $50 late-cancellation fee for procedures

This will be charged directly to the patient, not their insurance company.

Missed appointments due to unforeseen circumstances, such as illness or a medical emergency, may be considered an exception. Exceptions will be considered on a case-by-case basis by a practice manager.

To cancel or reschedule an appointment, please contact our office directly during business hours. You can also cancel or reschedule appointments through MyChart.

Occasionally, our healthcare providers have to perform unplanned services or spend unexpected additional time with patients. We know that your time is valuable and try our best to be prompt with all appointments.

This cancellation policy ensures that our practice continues giving high-quality, patient-centered care. We thank you for your patience and understanding.

Visitor’s Policy

Pregnant Patients Can Bring a Support Person

Starting Monday, November 14, 2022, expecting patients can have a support person accompany them to any OB-GYN appointment, not just for ultrasounds.

The patient’s support person must be 18 years of age or older. Examples include a spouse, partner, family member, or friend.

Babies Can Join Their Mothers for Postpartum Appointments

Starting Monday, November 14, 2022, patients can bring their babies to postpartum appointments, as long as they are inside a carrier, such as a car seat.

Babies cannot be held or strapped onto the patients, as providers need to be able to comfortably access the patients.

We encourage patients to continue protecting themselves from COVID-19, in addition to the flu and respiratory syncytial virus.

If you have any questions about our Guidelines for Our In-Office Visits, feel free to give our office a call. Schedule a consultation today by calling (770) 385-8954, or filling out an appointment request form online.

Thank you for your patience and understanding during this time. We would like to wish our patients a happy and healthy New Year! See you soon.

Covington Women’s Health Specialists Closed for the Holidays

Season’s Greetings!

We will be closed on the following dates to celebrate the holidays:

  • Friday, December 23rd

  • Monday, December 26th

  • Tuesday, December 27th

  • Friday, December 30th

  • Monday, January 2nd

We will be open on Wednesday, December 28th, and Thursday, December 29th.

Appointments for the rest of the year will be determined by the level of urgency. For any non-emergencies, appointments can wait until after the holidays.

If you feel the need to speak to a nurse, please call our office phone number during business hours.

An on-call provider is available when our offices are closed through our answering service if you have a concern that is not life-threatening.

If you have a medical emergency, please call 911.

No-Show and Cancellation Policy

Effective Sunday, January 1, 2023, Covington Women’s Health Specialists, a Piedmont Healthcare-affiliated practice, will begin to implement their mandated no-show and cancellation policy.

We require that patients provide a 24-hours’ notice for cancellations or rescheduled appointments.

If you are late, we will try to accommodate you as much as possible. Please either call our office or contact your physician through MyChart.

Missing an appointment without notifying our office or canceling an appointment on the day of will result in a:

  • $25 late-cancellation fee for office visits
  • $50 late-cancellation fee for procedures

This will be charged directly to the patient, not their insurance company.

Missed appointments due to unforeseen circumstances, such as illness or a medical emergency, may be considered as an exception. Exceptions will be considered on a case-by-case basis by a practice manager.

To cancel or reschedule an appointment, please contact our office directly during business hours. You can also cancel or reschedule appointments through MyChart.

Occasionally, our healthcare providers have to perform unplanned services or spend unexpected additional time with patients. We know that your time is valuable and try our best to be prompt with all appointments.

This cancellation policy ensures that our practice continues giving high-quality, patient-centered care. We thank you for your patience and understanding.