I missed my pill

Posted by on Jan 25, 2017 in Blog

Birth Control Questions answered… I missed my pill…. Which Birth Control should I use?   What should I do if I miss a pill?– If you miss one pill, double up the next day. If you miss two pills, double up for the next two days. If you miss three pills, throw the pack away and use condoms; start a new pack on your next cycle. I realized I missed a pill after having sex, do I need the morning after pill? – if you have been dutifully taking your pill around the same time every day and you do not miss pills often, you will not need to do anything aside from taking two pills the next day. When should I start the pill/ Nuvaring/IUD?– For the pill: start on the first day of your period. If you start the Sunday after the first day of your period, you will need to use condoms for the first month on the pill. For the Nuvaring: insert the ring on the Sunday after your first day of your cycle, bleeding or not! For the IUD: Go to your gynecologist near the end of your period for easier insertion. (this is because your cervix is slightly open during your period allowing more room) When should I go on birth control? – Do you have irregular periods? Do you have painful cramps or heavy bleeding during your period? Are you sexually active? Do you have uncontrolled acne? Do you have PCOS? If so, you are a great candidate for birth control! (attention!!: birth control does not protect you from STDs) I have heard it is dangerous to take birth control pills.– There are serious, but rare, side effects from taking the pill. These include: blood clots, heart attack, stroke and death. You are safe to take the pill as long as you are not a smoker, have a history of blood clotting disorders, or have been diagnosed with classic migraines by a neurologist. Breathe easy, you will be monitored every 6 months while on the pill to head off any of the serious consequences! I do not want hormones going into my body but I want to be protected from unplanned pregnancies. – There is a non-hormonal option for the IUD. It is a copper IUD that can be left in for up to 10 years. How your periods are without birth control is how they will be with the copper IUD. Otherwise, there is always the condom! I can’t remember to take a pill every day, what are my other options?– Nuvaring: insert into vagina for 3 weeks, remove for 1 week and then insert a new one for another 3 weeks. Keep going. Patch: Place a new patch each week for 3 weeks, no patch for 1 week. Depo Shot: visit gynecologist for a shot every 3 months. IUD: placed by your gynecologist and left in for 5-10 years...

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Struggling with weak bladder or pelvic muscles?? Help is here!

Posted by on Nov 6, 2016 in Blog

PELVIC FLOOR THERAPY FOR INCONTINENCE   What is biofeedback or pelvic floor therapy for urine incontinence?   Biofeedback takes information about something happening in the body and presents it in a way that you can see or hear and understand. Getting on a scale to check your weight or having your blood pressure taken are very simple examples of biofeedback, which can be used to measure any body response such as heart rate or muscle contraction and relaxation. In biofeedback, the measurement can be displayed on a computer screen or heard as a tone and used to learn about a subtle body function.   Who needs Bio-feedback therapy? Urine leakage while coughing, sneezing, running or any other physical exertion. Pelvic muscle weakness after child birth. Frequent urge to run to the bathroom leading to urgency and leakage. Menopause related muscle weakness and lack of bladder control. Early stage bladder or uterine prolapse ( also called Cystocele or Vaginal prolapse).   How is biofeedback used to treat incontinence and bladder problems?   Biofeedback has been proven effective in the treatment of urinary incontinence in numerous research studies. It can be used to help women learn to control and strengthen the pelvic floor muscles. The pelvic floor muscles (PFM) are a group of muscles that play an important role in bladder control. Weakness or dysfunction of the pelvic floor muscles can lead to problems with both bladder and rectal support and control. Because you cannot see the pelvic floor muscles, you may have found it difficult to locate them. Perhaps you are uncertain if you are doing the pelvic muscle exercise correctly. This is where biofeedback can help. Biofeedback therapy uses computer graphs and audible tones to show you the muscles you are exercising. It also allows the therapist to measure your muscle strength and individualize your exercise program. It does not do anything to your muscles. It is a teaching tool to help you learn to control and strengthen the pelvic floor area.   How is biofeedback done? Two small sensors are placed with a sticky pad on either side of your anus, where the pelvic floor muscles are close to the skin. These can be placed under your loose clothing. Another set of sensors is placed across the abdomen. The sensors around the anus are connected to a computer screen and display a graph of your muscles as they are being exercised. Since many women incorrectly use their stomach muscles when doing pelvic floor exercises, the sensors on the abdomen display a computerized graph to show you when you are using these muscles instead of those on the pelvic floor. The graphs also are helpful in measuring your growth in strength between biofeedback visits.   How long is each visit and how many will I need? Biofeedback sessions are generally 30 minutes. The average number of sessions is six, but a...

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From a medical perspective, “the G-Spot is a plexus (or a collection) of nerves and blood vessels in the mid and upper or anterior wall of the vagina,” says Adeeti Gupta MD, FACOG, Gynecologist and Sex Therapy expert.

Posted by on Aug 2, 2016 in Blog, Tip of the week

As featured in the Andrea Blair’s blog on monthlygift.com, Dr. Gupta talks about the G-spot. ” From a medical perspective, “the G-Spot is a plexus (or a collection) of nerves and blood vessels in the mid and upper or anterior wall of the vagina,” says Adeeti Gupta MD, FACOG, Gynecologist and Sex Therapy expert. A ‘plexus’ might not sound very sexy or exciting but a collection of nerves and blood vessels means sensitivity and increased sensitivity leads to opportunity for heightened arousal because this collection “provides blood flow to the vaginal and clitoral area in times of need like during orgasm, labor and after delivery,” adds Dr. Gupta. According to Dr. Gupta, it’s a common misconception that you need to (or even can) reinforce or ‘enhance’ the G-Spot. “Even if you try to make it thicker with artificial injections, you cannot make it more sensitive to touch to help with arousal,” she adds, “ It’s a myth. The nerve plexus is situated too deep.” Dr. Gupta adds that elective surgery and/or injections like these can sometimes even cause more harm than good by scarring the tissue and resulting in less pleasurable and even painful sex....

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Shifting focus in Women’s health. No More Obstetrics

Posted by on May 29, 2016 in Blog

After having graduated from my first OBGYN residency in 1997, I dived into women’s health with passion. Ever since my foray into medicine, I have taken care of thousands of women, guided them through their pregnancies, coached them during their deliveries and helped them navigate the post partum undulations. Staying up on countless nights seemed like a small price to pay for the precious moments I witnessed as a new life came flying (or not) into this world. The joyous cries of new parents combined with the howling of the newborn were all worthwhile. I never turned away any woman who needed me. High risk or not! I took on every challenge and went overboard to ensure the safest and healthiest outcome. Since my graduation, I have worked in three countries. Having undergone various forms of training while traversing different institutions, I have thrived everywhere, flourishing with the affection emanating from a foundation of deep trust! Sadly, some 18 years later, I have decided to stop Obstetrics because of the changing direction of health care. With the rising malpractice insurance rates and low reimbursements I have been forced to be pragmatic. I had been choosing to be oblivious to the perils of practicing obstetrics despite of glaring factual evidence. Not delivering my patients was akin to abandonment in my mind. Now, however, I am left with little choice. I have reached this difficult decision. Either, I let myself be swallowed by a big health care system and become a cog in a corporate wheel or I close my doors to a very expensive service. The current average annual malpractice insurance premium for an OBGYN( Obstetrician and Gynecologist) starts at $180,000 in New York. To sustain that expense, a physician needs to be a baby-producing factory running a patient mill just to stay afloat. Do I have enough patients to do that? Of course! Am I physically able to take good care of everyone personally and sustain great quality and safety? No! The following statistics reveal the painful travails of a practicing OBGYN physician in a non-tort reform state. The current annual premiums for professional liability insurance range from $ 18,154 in Wisconsin to $ 201,808 in Florida. The highest average base rate premiums are in NY, Connecticut, District of Columbia and Florida. In these states, some premiums for Maternal Fetal medicine doctors (doctors taking care of high risk pregnancies) go up to 300K making it extremely prohibitive to practice. As per ACOG (American College of Obstetrician and Gynecologists), NY OBGYN work force survey 2014, New York has 2,624 ob-gyn physicians serving a population of 8,315,058 women. There are only 3.16 ob-gyns per 10,000 women. 9 of New York’s 62 counties do not have any ob-gyns. There has been essentially no increase in the number of ob-gyns trained since 1980, while the population of women in the United States has increased...

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