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Posts for tag: OBGYN

By James A. Scales, MD
October 17, 2018
Category: OBGYN Care
Tags: OBGYN   Painful sex  

Dyspareunia is the technical term for pain during intercourse. It's not uncommon for women to experience painful sexual intercourse at some point in their lives. It may be a sign of a gynecologic problem, a problem with sexual response, or simply a lack of arousal. If you are experiencing pain during sex, work with your OB/GYN to determine the root cause and devise a treatment plan. Read on to learn about treatment options for painful sex.


Lifestyle Changes

Painful sex can be treated with lifestyle modifications. There are a few ways to try to alleviate pain during sexual intercourse such as trying a slower pace or using more lubricant. Using lubricants can help make the sex more comfortable; different brands can be tried until you find one that is well suited to your needs, and remember communication is important! Talk to each other about what feels good and what doesn't. If your partner is going too fast, then tell them so.


Medication

Treatment options vary depending on the cause of the dyspareunia. Changing medications known to cause lubrication problems might also relieve your pain. For some women, pain during sex is caused by a lack of lubrication resulting from low levels of estrogen. This can be treated with topical estrogen applied to the vagina. Another medication to relieve dyspareunia is prasterone, which is a capsule you place inside the vagina every day.


Laser Therapy

If you’re looking for a non-invasive way to address painful sex brought on by low estrogen levels, MonaLisa Touch laser therapy is a highly effective long-term solution. Laser therapy eliminates vaginal dryness and helps prevent further complications, including vaginal atrophy. In just three treatment sessions, MonaLisa Touch revitalizes the vaginal mucosa and activates the production of new collagen to help restore normal functional and pain-free sexual intimacy.


Counseling

Painful sex can lead to relationship problems. It may be worthwhile to speak to a counselor if this is the case. If trauma, sexual abuse, or other emotional issues are the root cause of the dyspareunia, counseling could very well help. Counseling can also help you cope with the emotional consequences of painful intercourse. Couples may attend counseling together if painful sex is leading to communication or intimacy issues.


Pelvic Exercises

Painful sex can be treated with desensitization therapy. Pelvic floor exercises and vaginal relaxation exercises may be used in this treatment method as they will strengthen your pelvic muscles and ease your pain during intercourse. Strong pelvic floor muscles can go a long way toward warding off urinary incontinence.

 

Call Today!

You don’t have to live with sexual pain. Find an OB/GYN in your area and schedule a consultation today. Get your life back on track by receiving the best dyspareunia treatment available. You deserve to live your best life!

By James A. Scales, MD
September 14, 2018
Category: OBGYN Care
Tags: OBGYN   obstetrician  

You noticed those two pink strips very distinctly this time. You are pregnant! This can be an exciting and emotional moment in a couple’s life. Finding out you are going to be parents is a thrilling experience and it’s important that the moment you find out you are pregnant that you have the proper medical care and support you and your growing baby need to stay healthy. This is why you should turn to an obstetrician.

An obstetrician, often referred to as an OBGYN (obstetrician and gynecologist), is a doctor who specializes in providing care for women during pregnancy and childbirth. Choosing an obstetrician is just as important as choosing any other medical professional. You want someone who is by your side not just providing you with comprehensive medical care but also really understands your personal needs and expectations. Choosing an obstetrician is a very personal choice and one to take seriously.

It’s important that you start visiting your obstetrician as early as possible in your pregnancy. The first appointment will confirm the pregnancy and determine your due date. Blood and urine tests, a pelvic exam, and a physical will be performed during your first visit to check your health and to detect any health problems.

The visit is also a great moment for the parents-to-be to ask any questions they might have regarding diet, exercise, supplements, traveling, etc. Bring your questions along with you so you don’t forget.

After your first visit, you’ll come back about once a month for the first 28 weeks of your pregnancy. Of course, if we determine that you are a high-risk pregnancy, we may need you to come in more regularly. These monthly appointments will allow us to monitor your health and baby’s progress, check for any genetic disorders early on and make sure everything is going smoothly. We will also perform ultrasounds throughout the pregnancy to check the baby’s health and development.

Once you reach the 28-week marker, you’ll come in about every two weeks for visits until you reach 36 weeks. At 36 weeks, you’ll come in weekly until your baby is born.

An obstetrician is here for your growing family every step of the way and can provide comprehensive care, answer your questions, and also offer support whenever you need it. We can also talk with you about your labor and delivery options.

By James A. Scales, MD
July 16, 2018
Category: Pregnancy Care
Tags: OBGYN   Pregnancy  

Congratulations! You just found out you are going to have a baby. Now what? First and foremost, it is important that you and your unborn child get the proper care you both need over the next 9 months.

Your OBGYN will be an invaluable part of your medical team, as they will be able to not only provide you with a host of good advice for a healthy pregnancy, but also they can check for health issues in both you and your unborn child that could potentially cause further and more serious complications. Turning to an OBGYN regularly is vitally important for a healthy, complication-free pregnancy.

Of course, there are also some wonderful milestones to enjoy throughout the course of your pregnancy. Here are some things to look forward to before getting to meet the new addition to your family,

Baby’s First Ultrasound

Once you find out you’re pregnant, it’s important that you visit your OBGYN to confirm the pregnancy, determine your due date and to schedule your very first ultrasound. This first ultrasound can occur as early as between 6 weeks and 9 weeks and it allows your obstetrician to check your baby’s size and heart rate, while also checking the health of the placenta and umbilical cord. This is an exciting moment for parents, as they often get to hear their baby’s heartbeat for the first time.

The End of the First Trimester

We know that saying goodbye to the first trimester is high on most pregnant women’s lists. This is because most miscarriages occur during the first trimester. This is usually around the time that expectant mothers want to announce their pregnancy to family members and friends. Plus, if you were fighting terrible morning sickness during your first trimester you may be relieved to hear that a lot of these symptoms may lessen or go away completely once you reach the second trimester.

Feeling Your Baby Kick

Most expectant mothers can’t even describe how incredible it is to experience their baby kicking for the first time. Your baby’s kick may feel more like a flutter or tickle while other women may feel a nudging sensation. At some point, you may even see an indent of an arm or leg as your stomach expands and the baby grows.

Your Child’s Gender Reveal

While some parents don’t want to know whether they are having a boy or girl until that moment in the delivery room, some couples can’t wait to find out and share the news. In fact, gender reveal parties have become a popular trend today and once you find out whether you are having a little boy or girl you may just feel that exciting urge to start decorating the baby room.

Your Due Date

This is the moment you’ve been waiting for: your baby’s expected birth date. While most babies won’t show up right on schedule, you may be experiencing some warning signs that labor is soon on the way and you’ll soon get to welcome your baby into the world.

By James A. Scales, MD
May 21, 2018

Are you considering expanding your family in the near future? Our Texarkana, TX, OB/GYN, Dr. James Scales, can help you identify Pregnant Womenissues that may affect your fertility or pregnancy with preconception counseling.

What is preconception counseling?

Preconception counseling involves a physical exam, blood, or other laboratory tests, in some cases, and a discussion about risk factors that affect you or your partner or spouse. Counseling is usually conducted in our Texarkana office three to six months before you intend to become pregnant and covers these topics:

  • Medical and Reproductive History: During your counseling session, you'll be asked about your reproductive history, including previous pregnancies, surgeries, infections, gynecological conditions, and sexually transmitted diseases. Dr. Scales will also ask you and your partner about chronic diseases you may have or that may run in the family. Because some chronic diseases, such as diabetes or high blood pressure, can affect your pregnancy, it's important to identify these risk factors and create care plans before you even become pregnant.
  • Medications: Some medications can cause side effects that cause birth defects in fetuses. You'll be informed if any of the medications you take may cause birth defects and will be advised to discuss other medication options with the prescribing physician before you try to become pregnant.
  • Genetic Disorders: You'll also be given information about common inherited disorders, such as cystic fibrosis, Tay Sachs disease or sickle cell anemia.
  • Lifestyle Factors: Discussing lifestyle factors, including your job and drug and alcohol use, can help us identify risk factors that may lead to issues with your pregnancy. For example, if you work in a physically demanding job or are routinely exposed to toxins at work, modifications may be needed to increase the odds of a healthy, full-term pregnancy.
  • Weight and Exercise: It may be much easier to get pregnant if your weight falls in the ideal range for your height and frame. If you weigh too much or too little, you'll be given recommendations that can help you lose or gain weight. You'll also receive advice and information about exercise and nutritional requirements and vitamins that can help support a healthy pregnancy.

Thanks to prenatal counseling, you'll have time to address any issues that may affect your ability to become pregnant. If you're interested in scheduling a counseling session, call our Texarkana, TX, OB/GYN, Dr. Scales, at (903) 614-3003.

By James A. Scales, MD
May 15, 2018
Category: Women's Health
Tags: Menopause   OBGYN  

Getting older means overcoming many different obstacles as your life and your body change. But you must deal with one that is uniquely female: menopause and the symptoms that come with it. You know the symptoms commonly associated with menopause—hot flashes, night sweats, mood swings, difficulty sleeping, vaginal dryness—but did you know that they are treatable and that menopause doesn’t have to be insurmountable?

Hormone Therapy

If you have moderate to severe symptoms, hormone replacement therapy (HRT) is an effective treatment for hot flashes and can also help elevate vaginal dryness and mood issues. It has traditionally been administered with pills like birth control, but also like birth control it can now be taken through patches, creams, gels, and vaginal rings. If you have not had a hysterectomy, you could be prescribed estrogen and progesterone, called combination HRT. If you have had a hysterectomy, estrogen alone would be prescribed.

Not all women are candidates for HRT. Those who have breast or uterine cancer, blood clots, heart or liver disease, or have had a stroke would be better candidates for the following options.

Non-hormonal Therapy

Vaginal estrogen is a lower dose of estrogen that comes as a cream, tablet, or ring and is placed in the vagina to treat vaginal dryness if you don’t have hot flashes. Vaginal lubricants and moisturizers are non-prescription options to treat dryness as well. Lubricants can help decrease friction and ease intercourse, but be sure to only use water-soluble products designed for the vagina to avoid irritating tender tissue. Moisturizers can improve or maintain vaginal moisture if you have mild vaginal atrophy and can also keep your pH level low, ensuring a healthy vaginal environment. They can also be used regularly with longer-lasting effects than lubricants.

Prescription antidepressant medications are often used to treat mood problems, like depression, with relatively few side effects. They have also been used to treat hot flashes. However, if you are having mood issues, be sure to talk with your doctor to identify the cause and decide on the best treatment.

Lifestyle Changes

You’d be surprised how far simple lifestyle changes, like eating a healthy diet and regularly exercising, can go in minimizing menopause symptoms. Wearing light-weight pajamas, using layered bedding that can easily be removed, and using a fan in your bedroom can help with night sweats while keeping a regular sleep schedule and nighttime routine can make falling asleep and staying asleep easier.

The onset of menopause is a big change, and dealing with its symptoms can be daunting. But you don’t have to take on this new phase in your life alone. No matter if you are suffering severe symptoms or you just have some questions of what to expect as you get older, our office is here to help. Call to schedule your appointment today.