Tag Archive for: Women’s Health

Avoid Alcohol-based Hand Sanitizers During Pregnancy

Hand Washing with Soap and Water is BEST!

By Cathy T. Larrimore, MD, FACOG

Dr. Cathy Larrimore of Covington, Georgia

Cathy T. Larrimore, M.D. is Board Certified in Obstetrics and Gynecology by the American College of Obstetrics and Gynecology (ACOG).

Even before Coronavirus, pregnant women were worried about germs.  But now, with the coronavirus, the concern is at a fever’s pitch!  

Handwashing and the use of alcohol-based hand sanitizers are the currently recommended procedures for the control of infections such as the flu, colds, and even coronavirus.  But the American College of Obstetricians and Gynecology (ACOG) advises that “women should avoid alcohol entirely while pregnant or trying to conceive.” So, is the use of alcohol-based hand sanitizers by pregnant women a risk to their unborn fetuses?  Do we know if any of the alcohol is absorbed through the skin?  And what if the women breathe the sanitizer in while it is drying on their hands?  And how many applications a day are safe?

Few studies have been done to measure blood alcohol concentrations after the use of these alcohol-based hand sanitizers.  But the studies that have been done concerning the application of hand sanitizer to the skin and breathing it in showed that a small level of alcohol is absorbed and can be found in the user’s bloodstream.  

The amount of alcohol absorbed would increase with multiple uses of the hand sanitizer.  That is concerning because ACOG states that “adverse effects of prenatal alcohol exposure on child behavior at age 6 to 7 years are evident even at low levels of exposure.”  So, the safety of the repetitive use of hand sanitizer during pregnancy is uncertain.  

Handwashing with soap and water is the preferable way to clean your hands and fight germs during pregnancy.  Reserve hand sanitizer use for once in a blue moon when water and soap are not accessible to you.

What is Endometriosis?

Despite being a very common medical issue, many people have not heard of endometriosis. Yet, more than 200,000 women in the United States have it every year. This disorder occurs when the tissue that normally lines the inside of a uterus grows on the outside of the uterus, in other areas of the lower abdomen and on the ovaries, causing extreme pain for the women who experience it. 

“Endometriosis can cause many issues down the road,” Covington Women’s Health Specialist, Dr. Cathy Larrimore explained. “During a normal menstrual cycle, the lining of tissue in your uterus thickens, breaks down, and then leaves the body during the period. However, since the tissue in endometriosis has nowhere to go, it becomes trapped and causes cysts, scar tissue, adhesions, and even fertility problems.” 

Want to learn more about endometriosis? The experts at Covington Women’s Health Specialists explain the basics of this medical disorder below. 

What Causes Endometriosis?

Unfortunately, the exact cause of endometriosis is not known. However, here are some of the possible reasons many scientists and doctors are currently speculating. 

Retrograde Menstruation

This is one of the most commonly believed theories. In this process, menstrual blood with endometrial cells goes back through the fallopian tubes instead of out of the body. This could possibly be what triggers the tissue to grow outside of the uterus. 

Peritoneal Cells

The peritoneum covers the organs inside the body.  Possibly because of hormones or other immune factors, peritoneal cells may turn into endometrial-like cells throughout puberty. This means the cells that are lining the abdomen turn into cells that should be lining your uterus and will breakdown and bleed during your period.

Endometrial Cell Transport

Similar to the above, hormones could be causing our embryonic cells to transform into endometrial-like cells. Since embryonic cells are the cells in our bodies at the earliest stages of development, this can later trigger tissues to grow where it shouldn’t. 

Immune System Disorders

If an immune system is compromised and not working as it should be, the body could not be recognizing tissue that is growing outside of the uterus. Normally, the immune system would see it and destroy any unnecessary tissues. 

Surgical Scar Implantation 

Sometimes, after a major surgery like a hysterectomy or even a C-section, the incision that is left behind can trigger unwanted cells to attach. If the excess endometrial-like cells grow here, that could certainly cause endometriosis. 

Common Symptoms of Endometriosis

  • Painful periods 
  • Excessive bleeding, during and between periods
  • Pain with bowel movements and/or urinating 
  • Infertility struggles 
  • Pain during intercourse. 

Common Treatment Options

  • Pain medications such as ibuprofen
  • Hormonal releasing devices
  • Hormonal birth control medications
  • Hormone therapy 
  • Surgery, such as laparoscopy or even hysterectomy

If you have these symptoms, you should see a gynecologist.  If you are diagnosed with endometriosis or are suspected of having it, it’s important to understand that what may work for some women may not work for you, so speak with your physician to discuss what treatment options will be best for your symptoms and health conditions. 

If you have any further questions about endometriosis, reach out to the experts at Covington Women’s Health Specialists. Contact us by clicking here or by giving us a call at 770-385-8954. 

Most Common Birth Defects

Though you may not realize it, birth defects are extremely common. About one in every 33 babies born in the United States will have some type of birth defect, which translates to about one baby born every four and a half minutes.

“Birth defects can impact any part of the body on the baby,” Covington Women’s Health gynecologist Dr. Cathy T. Larrimore stated. “And they can range from mild to severe, depending on how they impact the child.”

But what are the most common birth defects, and how can they impact moms and the babies that are born with them? Learn more about this from the expert gynecologists at Covington Women’s Health below.

The Birth Defects that Appear Most Often

In total, there are about 45 types of birth defects. Here are the most common types:

Genetic Defects

This type of birth defects affects the genetic make-up of the baby, and it may be caused by the DNA inherited from the parents. However, it’s not 100% clear what causes all of the birth defects under this branch. Some examples include down syndrome, cystic fibrosis, and sickle cell anemia.

Mouth and Facial Defects

This kind of birth defect is caused when the tissues don’t come together properly when the baby is being formed inside the womb. The good news is, however, that most of the time most of these defects can be repaired with surgery. Examples of this birth defect include cleft lip and cleft palate.

Musculoskeletal Defects

These birth defects are the ones that affect the baby’s bones and muscles when they are born, whether that be through the way the baby was formed or issues during the actual birthing process. A common example of this type includes hip dysplasia, which is when the hip joint becomes dislocated due to the fact of the hip socket not covering the bone correctly.

Stomach and Intestinal Defects

These birth defects happen anywhere in the baby’s digestive tract. This means from the esophagus all the way to the anus. Common examples of this type of birth defect are abdominal wall defects or gastroschisis, which is when a baby is born with its intestines outside of its body.

Eye Defects

Just as the same suggests, eye birth defects happen on the baby’s eyes. Common types of this include anophthalmia, when the baby is born without one or both of the eyes, or microphthalmia, when one or both of the eyes are not fully developed.

If you have any more questions about common birth defects or want to learn more about birth defects in general, please reach out to the expert team of gynecologists at Covington Women’s Health Specialists by clicking here or by giving us a call at 770-385-8954.

Menstruation 101

About half of the women population is currently in their reproductive age, which means about 26 percent of the world is currently experiencing their menstrual cycle. A pivotal part of that cycle is the period, which is also called menstruation.

While the topic menstruation covers a large amount of information, we’re covering the basic medical facts you might need to know below.

What is the Technical Definition of Menstruation?

Menstruation is defined as the process of when blood and other materials from the lining of the uterus are discharged out of the vagina due to changes in hormones. When this process starts in young ladies, typically around 12 years old, this means that their bodies are preparing themselves to become pregnant. In fact, if it weren’t for menstruation, we wouldn’t be able to reproduce.

Menstruation happens during the menstrual cycle. When this cycle begins, the lining of the uterus becomes thicker. During this time, eggs are released from the ovary, kickstarting the ovulation process. Two weeks after this, the lining of the uterus falls away, along with bleeding. Then, the process starts all over again.

However, every woman is different and it’s more common to see a variety in the above-described menstruation cycle, depending on which woman you ask.

What are the Symptoms of Menstruation?

Aside from having blood or discharge coming out of the vagina, here are other common symptoms of the menstruation cycle:

  • Cramping.
  • Bloating.
  • Abdomen swelling.
  • Pain in the lower abdomen.
  • Exhaustion.
  • Acne.
  • Constipation.
  • Diarrhea.
  • Mood swings.

Answers to Common Questions About Menstruation

Here are some of the most common menstruation questions answered for you:

  • When do women start their menstrual cycle? Anywhere between ages eight to 15.
  • When does menstruation stop? When menopause begins, which is the process of a woman’s body stopping ovulating and periods. This means that they can no longer get pregnant, stopping the cycle in its tracks.
  • Do men experience menstruation? Biologically, no.
  • How long does the menstrual cycle last? Day one begins when bleeding starts. Day 14 is about when the ovulation process kicks off, which usually stops around day 25 if the woman is not pregnant. Then, the cycle begins again with a new period, most typically around day 28.
  • Can a woman still experience her period even if she is pregnant? No. Vaginal bleeding during pregnancy should be monitored by an obstetrician.
  • If someone is experiencing extremely painful menstruation cycles, what can do they do? Visit their doctor. Their trusted medical professional will be able to kickstart a treatment plan for them, involving options such as birth control and over the counter pain medications.
  • Are there risks of having a menstruation cycle? Yes. Using tampons and pads incorrectly can lead to something called Toxic Shock Syndrome (TSS), a rare disease that happens when a pad or tampon is not changed frequently enough. This causes the spread of bacteria throughout the body, which can be deadly. That’s why it’s vital to change the pad or tampon once it becomes soaked with blood or around every four to eight hours.

If you have any further questions or would like to visit with any of our expert gynecologists regarding your cycle, click here to reach out or give us a call at 770-385-8954.

Dr. Larrimore Appears on “The Weekly Check-Up”

Dr. Cathy Larrimore of Covington Women’s Health Specialist’s appeared on “The Weekly Check-Up” on News/Talk WSB Radio on Sunday, September 1st.

During her segment, Dr. Larrimore discussed a variety of women’s health issues such as the Zika virus, cervical cancer, HPV vaccinations, and how age can affect pregnancies. 

Dr. Larrimore also explained how her practice, Covington’s Women’s Health Specialists, offers an intimate option that is between a large hospital and home births. She talked about the risks that can come with home deliveries and how it’s safer to deliver in a hospital or center. Dr. Larrimore commented, “That’s why–if you can offer some natural childbirth techniques in the hospital–it’s the best scenario.” 

Additionally, Dr. Larrimore provided details on a program that her practice offers called CenteringPregnancy. Visits at this clinic last two hours and occur with a consistent group of 8 to 12 women who all have similar due dates. 

Participants learn how to take their own vital signs and be active in their prenatal care. Topics discussed during these visits include what to expect during labor, childcare, breastfeeding, parenting, and healthy diet habits.

Dr. Larrimore explained, “I like to think of the CenteringPregnancy program as excellent medical care combined with group therapy and good old fashioned peer pressure. The program is the only method that’s been proven to eliminate the health discrepancies between white and black expectant mothers.” 

Listen to archive of this show.