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    Women’s Health Care: What to Know About Vaginal Yeast Infections

    Women’s Health Care: What to Know About Vaginal Yeast Infections

    An estimated 75% of women will experience at least one vaginal yeast infection during their lifetimes. Some women experience yeast infections more frequently during and after menopause, often due to hormone changes. In some cases, other conditions you might experience during menopause can also increase the risk for vaginal infections like yeast infections. If you’re experiencing yeast infection symptoms, schedule a gynecological services appointment with our team to discuss diagnosis and treatment. Let’s go over some information you should know about yeast infections to help protect your health. 

    Summary

    • An estimated 75% of women will experience at least one yeast infection in their lifetime. A vaginal yeast infection happens when the normal balance of bacteria and yeast in the vagina is disrupted, allowing yeast to overgrown. Some women notice them more often during and after menopause due to hormone changes, especially low estrogen.
    • Many factors can trigger a yeast infection, including antibiotics that disrupt healthy bacteria, stress, lack of sleep, uncontrolled blood sugar, and hormone imbalances like fluctuating estrogen levels. Typical signs include burning during urination or sex, soreness, and a thick white or watery discharge resembling cottage cheese.
    • Fluctuating estrogen levels during perimenopause can disrupt the vagina’s natural balance of yeast, allowing it to overgrow. Conditions linked to menopause, such as vaginal atrophy, can also increase the likelihood of developing a yeast infection.
    • Seeing a gynecological provider can help confirm a yeast infection and rule out other causes with similar symptoms, such as bacterial vaginosis or urinary tract infections. Providers can also identify less common types of yeast and prescribe the most effective antifungal treatment.

    What is a Vaginal Yeast Infection?

    woman smiling after getting gynecological services for chronic yeast infections during perimenopause.

    Vaginal yeast infections are an overgrowth of yeast. Gynecological services can help with diagnosis and treatment of yeast infections.

    First and foremost, you might be wondering what a vaginal yeast infection is. Many of us have heard of them or even experienced them without really knowing what they are. To understand what a yeast infection is, it’s important to understand that the vagina is like its own ecosystem. A healthy vagina typically has an acidic pH with a balance of bacteria and yeast. Those bacteria and yeast actually help keep your vagina healthy! However, if the balance between them gets thrown off for one reason or another, then the yeast cells can start to multiply and take over. When this happens, you experience a yeast infection. If you think you have a yeast infection, gynecological services can help diagnose the problem and one of our providers can prescribe treatment for the yeast infection.

    Symptoms of Yeast Infections

    There are many signs that can point to a yeast infection. Some common symptoms include:

    • Itching
    • Swelling
    • Redness
    • Pain during sex
    • Burning during urination
    • Soreness
    • Rash
    • White, clumpy discharge (like cottage cheese)
    • Watery discharge 

    However, it’s also important to keep in mind that other conditions can cause similar symptoms. This can make self-diagnosis tricky, which is why we recommend visiting one of our gynecological service providers if you’re experiencing yeast infection symptoms.

    Causes of Yeast Infections

    There are many potential causes of yeast infections. For instance, taking certain antibiotics can raise your risk for yeast infections because they can reduce the number of healthy bacteria in your vagina responsible for keeping yeast cells in check. Other common causes include stress, lack of sleep, and uncontrolled blood sugar if you have diabetes. 

    Hormone imbalances may also be a risk factor for yeast infections. Hormones can have a pretty big impact on your vagina’s delicate microbiome. Fluctuations in estrogen can lead to an overgrowth of yeast and eventually a yeast infection. Therefore, some women notice that they get yeast infections more often during perimenopause when hormone levels start to change. During this time period, vaginal atrophy is also pretty common, which can also increase your risk for vaginal infections. We’ll discuss these common menopause-related causes in more depth a little later. 

    In many cases it can be difficult to determine the exact cause of your yeast infection. Also, in some cases they may not be preventable. It’s important to talk to one of our gynecological treatment providers about your symptoms and what you can do to help avoid yeast infections. Some general tips involve following good hygiene practices, keeping your vulva clean and dry, and avoiding potentially irritating things like scented bath products. Our treatment providers can help determine other changes that may help your specific situation.

    Book your free consultation today with HerKare! We offer personalized care, customizable treatment plans, and support on your HRT journey.

    Why Get Gynecological Services for Yeast Infections?

    Some women choose to self-diagnose and self-treat yeast infections with over the counter medications. However, our team generally recommends scheduling an appointment with a gynecological services provider if you think you have a yeast infection. 

    There are several reasons to visit one of our treatment providers for a yeast infection. Self-diagnosing a yeast infection can be quite difficult. Several studies have found that women frequently misdiagnose themselves with yeast infections. One study showed evidence that only 34% of the study participants who purchased over-the-counter yeast infection treatments had accurately diagnosed themselves with a yeast infection.

    Many other conditions can have similar symptoms to yeast infections. For instance, bacterial vaginosis, urinary tract infections, or even allergies from soaps or skincare products. Seeing a doctor can help rule out other causes of your symptoms and help verify that you have a yeast infection. One way to diagnose a yeast infection is to perform a lab test of your discharge to look for an overgrowth of yeast cells. 

    In addition, most over-the-counter yeast infection treatments are geared toward the most common type of yeast that causes yeast infections. However, some women may have a yeast infection from another type of yeast. Therefore, OTC treatments may not work for you if your yeast infection is due to another strain of yeast. In these cases, one of our providers can help identify the specific type of yeast and prescribe treatments specifically for that type of yeast infection. This can help you get the right type of treatment rather than deal with ongoing symptoms from using the incorrect anti-fungal treatments.

    Can Menopause Cause Yeast Infections?

    Vaginal yeast infections can occur at any age. However, some women notice they get more yeast infections during and after menopause. Some common conditions you may experience during menopause can increase your risk for yeast infections. In addition, some of the symptoms of menopause can make you more vulnerable to yeast infections.

    Vaginal Atrophy

    We mentioned vaginal atrophy earlier as a potential risk factor for vaginal infections. Vaginal atrophy occurs when the tissues of your vagina become thin and dry. It’s pretty common with low estrogen levels during and after menopause. Vaginal atrophy may increase the risk for yeast infections, as it can change your vagina’s pH, bacterial levels, and yeast levels. These changes from vaginal atrophy can make your vagina more vulnerable to yeast overgrowth and yeast infections.

    Also, some women even mistake vaginal atrophy symptoms for yeast infections. Vaginal atrophy can cause itching, irritation, pain during sex, and several other similar symptoms to yeast infections. This can lead some women to believe they have a yeast infection when they don’t. Gynecological services such as a pelvic exam and lab testing of vaginal discharge can help determine if you have a yeast infection or if there may be other causes of your symptoms. 

    Other Common Conditions During Menopause that can Lead to Yeast Infections

    Also, there are other conditions you might experience during menopause that can increase your risk for yeast infections. For instance, many women experience frequent urinary tract infections during menopause due to low estrogen levels and vaginal atrophy. The most common treatment for UTIs involves taking antibiotics, which, as we mentioned earlier, can increase the risk for yeast infections. If you’re struggling with frequent UTIs after menopause, you may also experience more frequent yeast infections due to the antibiotics. 

    In addition, poor sleep can lower your immune system and increase your risk for yeast infections. Many women experience poor sleep during menopause due to hot flashes and night sweats. Frequent sleep issues during menopause may lead to vaginal yeast infections as well. Therefore, there may be many factors at play if you’re experiencing yeast infections during menopause, such as menopause symptoms that can affect your health. 

    Gynecological Services Can Help Address Underlying Causes of Yeast Infections

    Sometimes yeast infections just happen, but symptoms should go away with treatment. However, if you have four or more yeast infections per year, you might have chronic yeast infections. This is important to discuss with one of our women’s health care providers, as there may be underlying causes to chronic yeast infections.

    Treating underlying conditions may help reduce the number of yeast infections you get. For instance, if you’re struggling with vaginal atrophy after menopause, we may recommend estrogen or vaginal creams to help moisturize and thicken vaginal tissues, which may help reduce the number of yeast infections you experience. In other cases, our providers may recommend taking yeast infection medications for a longer period of time to help with chronic yeast infections.

    One of the first steps toward getting help for frequent yeast infections is scheduling an appointment for gynecological services from our team. Our providers can go over your medical history, symptoms, and perform examinations and tests to determine if there may be underlying causes to your yeast infections. 

    Quality Women’s Health Care and Gynecological Services at HerKare

    Our professionals at HerKare are here to help you feel your best, whether you have chronic yeast infections or need preventative well woman care. We are a women’s health clinic owned and managed by women. We take time to listen and understand what you’re feeling to help provide quality care for a wide range of conditions, from gynecological concerns to menopause symptoms. Make an appointment today to discuss how we can help you address your health.

    Low Estrogen May Increase the Risk for Type 2 Diabetes

    Low Estrogen May Increase the Risk for Type 2 Diabetes

    Low estrogen levels during menopause may put you at risk for type 2 diabetes. Hormone changes during menopause can cause a lot of worrisome and frustrating changes, from disrupting symptoms to higher risks for certain health conditions. Diabetes is a common but serious condition that can impact your overall wellbeing, and estrogen may play a role in your risk factors for this health condition. In this article, we’ll explore the connection between estrogen and diabetes. 

    Low Estrogen During Menopause May Affect Your Health

    woman with low estrogen smiling because of treatment solutions from HerKare

    Low estrogen can cause many symptoms and health risks, but treatment solutions are available from our providers.

    Menopause is a natural stage of life for women, but that doesn’t mean it comes without any risks. Unfortunately, declining and fluctuating hormones during menopause can lead to many symptoms and health risks. 

    For instance, some of the symptoms you may experience because of low estrogen and progesterone during menopause include:

    • Mood changes
    • Hot flashes
    • Night sweats
    • Vaginal dryness
    • Sleep problems
    • Weight gain
    • Brain fog

    Each of these symptoms can affect your physical, emotional, and mental wellbeing. Many believe hormone levels are the cause of menopause symptoms. 

    Decreased estrogen can also affect your health in many different ways. After menopause, your risk increases for many health conditions. Some of these include heart disease, osteoporosis, and type 2 diabetes. Let’s look at how estrogen affects your risks for diabetes after menopause. 

    Low Estrogen May Increase Your Risk for Developing Type 2 Diabetes

    What many women don’t realize is that their risk for type 2 diabetes increases after menopause. Everyone’s risk for diabetes goes up with age, regardless of gender. However, women may be more at risk for diabetes after menopause. Researchers have theorized for years that hormone changes during menopause may play a role in that risk. Several studies suggest there may be a link between type 2 diabetes and low estrogen levels. There may be several factors at play in the connection between estrogen and diabetes. Research is still ongoing, but there are some potential explanations backed by scientific study.

    Estrogen May Affect How Your Body Uses Insulin

    Diabetes is a condition where your blood sugar is too high. With type 2 diabetes, this is typically because your body makes less insulin and because your cells become more resistant to insulin. Insulin is a hormone that helps your cells use sugar, but if your cells are more insulin resistant, glucose (sugar) may stay in the blood unused for energy instead. Recent research led by a team from Texas A&M University found that estrogen may affect how your body responds to insulin

    Several studies have found a potential link between low estrogen and type 2 diabetes. Yet, many couldn’t explain why. The researchers found this may be due to estrogen’s effects on liver-specific FOXO1. FOXO1 is a protein that basically binds to DNA and helps turn certain genes on or off. This particular protein helps your body regulate insulin to control blood sugar. Estrogen may help reduce how much sugar your body produces by acting on this protein. As your estrogen levels decline during menopause, FOXO1 proteins may not work as effectively to control insulin levels, which may explain the increased risk for type 2 diabetes after menopause. 

    Estrogen & Glucagon

    However, there may be other explanations behind why the risk for type 2 diabetes increases after menopause. For example, another study found that estrogen may actually target certain cells in your body that may help reduce diabetes risks. The researchers in this study found that estrogen may act on cells in the pancreas and gut that help improve your ability to use glucose. Some of the cells studied release a hormone called glucagon. Glucagon helps increase blood sugar to help prevent it from dropping too low, such as while you sleep, to help prevent hypoglycemia (low blood sugar). However, if your body releases too much glucagon, you may have chronically high blood sugar levels, which can lead to diabetes. 

    The study actually found that estrogen affects the cells responsible for making and releasing glucagon. They saw estrogen helped reduce glucagon production and increased GCP1 levels, which help increase insulin in your body, block glucagon secretion, and can also help you feel full. This is another way estrogen may help keep blood sugar levels in check and reduce the risks of type 2 diabetes. However, since estrogen levels decline during menopause, women may lose some of this protection against high glucagon levels. 

    Low Estrogen May Increase Visceral Fat in Your Body

    You may know that obesity is a common risk factor for developing type 2 diabetes. However, many don’t realize that how fat is distributed in your body may also play a role in your risk for diabetes. For instance, some researchers believe that large amounts of visceral fat increases the risk for metabolic syndrome, which can cause insulin resistance and type 2 diabetes. Visceral fat is fat found in the abdominal cavity around your organs like the stomach, liver, and intestines. You might be wondering what this has to do with hormones and menopause. Well, lower estrogen levels after menopause can affect how fat is distributed in your body. You may have more visceral fat if you have decreased estrogen levels, increasing the risk for diabetes and many other health conditions. 

    Gaining more visceral fat doesn’t even necessarily mean that you gain weight. Hormone changes during menopause may simply affect how your body distributes fat. So, even if you don’t gain weight, you may find that you have more visceral fat after menopause, which can also increase your risk for diabetes.

    Other Symptoms that Affect Your Blood Sugar

    In addition, several of the symptoms of menopause can affect your blood sugar, which may increase your risk for type 2 diabetes. For instance, many women gain weight during menopause. Being overweight or obese can raise your risk for developing type 2 diabetes, as it can make you more resistant to insulin. 

    Poor sleep is another symptom many women experience during menopause that may affect your diabetes risks. Sleep deprivation from issues like insomnia or sleep disturbances from night sweats can negatively affect your blood sugar levels.

    Therefore, there may be several different factors that affect your diabetes risk during menopause. Some of the symptoms you  might experience during menopause may indirectly affect your risks. 

    Can Hormone Imbalance Treatment Help Reduce Diabetes Risk?

    Fortunately, evidence suggests that hormone replacement therapy (HRT) during menopause may help reduce risks for diabetes. Several studies have looked at the effects of hormone replacement on diabetes risk with positive results. 

    HRT is a type of treatment many women use for symptoms of menopause. This treatment helps supplement your hormone levels as they start to decline during menopause. Generally, menopausal hormone therapy includes estrogen and progesterone, though women who have had a hysterectomy may only need estrogen. The goal of hormone therapy is to keep your hormone levels in ranges that help reduce menopause symptoms. 

    Another potential benefit of using HRT after menopause is that it may help reduce your risk for developing type 2 diabetes. Several studies suggest that estrogen or combination therapy may actually help prevent diabetes and also help with glycemic control. While most medical professionals recommend using HRT only if you have troubling menopause symptoms, reduced risk of type 2 diabetes may be a secondary benefit for some women. Our treatment providers can help you weigh the benefits and risks and help you decide if hormone imbalance treatment is right for you. 

    Quality Care and HRT Solutions for Women at HerKare

    When you need holistic healthcare solutions, visit a HerKare clinic near you. We provide quality care for women at every stage of life. Whether you’re interested in discussing hormone therapy options for menopause or need preventative well woman care, our team is here to help. Our goal is to help you feel your best and help you prioritize your lifelong health. Make an appointment today to learn how our providers can help you address your health and wellness.

    Kick-Start Weight Loss with Lipotropic Injections

    Kick-Start Weight Loss with Lipotropic Injections

    The CDC estimates that over 73% of American adults are overweight. Most of us have heard of the many risks of being overweight, such as an increased risk for heart disease, diabetes, and even certain cancers. Carrying around extra pounds can also affect how many people feel about themselves, causing low self-esteem and other issues. If you’re ready to start your weight loss journey, you might wonder if there’s anything that can help you lose weight and shed fat. Lipotropic injections might be just the answer.

    What are Lipotropic Injections?

    woman running for weight loss with lipotropic injections treatmetn

    The vitamins and amino acids in lipotropic injections may help with your weight loss strategies.

    Lipotropic injections are a mix of vitamins and amino acids delivered by injection. This blend of vitamins and amino acids may help with weight loss. In most cases, lipotropic injections include a mix of B vitamins and amino acids that may help improve metabolism, energy, and the breakdown of fat in your body. The base for lipotropic injections is vitamin B12, which is an important vitamin for energy and metabolism. 

    While research is still ongoing for lipotropic injections and weight loss, many patients notice positive results after beginning a lipotropic injection treatment plan. Our providers generally recommend one injection each week for 12 weeks. It’s important to discuss the specifics of your situation with one of our treatment providers before beginning lipotropic injections.

    How do Lipotropic Injections Work?

    Of course, many of us have fallen for weight loss scams that promise amazing results with little delivery. So, what makes lipotropic injections different? For starters, unlike the products we just described, these treatments are overseen by treatment providers at our clinics. 

    Studies have found an association between certain vitamin deficiencies and being overweight. For instance, some research indicates that low B12 may increase the risk for obesity. Therefore, some researchers theorize that boosting these common deficiencies may help decrease risk factors for being overweight. 

    In addition, while research continues for lipotropic shots, evidence suggests that the ingredients in lipotropic injections may help increase metabolism and energy levels, both of which can be beneficial for weight loss. 

    Increasing Metabolism

    One of the ways lipotropic injections may help with your weight loss goals is increasing metabolism. Specifically, the ingredients in lipotropic shots may help improve fat metabolism in the liver. These vitamins and amino acids may help the liver remove fat from the body, turn fat into energy, and also reduce fat production. Essentially, in some cases if your body doesn’t have the vitamins and amino acids it needs, the liver may not be very effective at processing fat from your diet. This can lead to unnecessary fat storage, which can increase weight and body fat percentage. Lipotropic injections can help improve this fat metabolism in the liver, which may aid with weight loss. 

    Boosting Energy Levels

    Also, some people notice they have more energy after beginning lipotropic injection treatments. This is important, as when you’re dealing with low energy levels and fatigue, it can be hard to follow a lifestyle that promotes healthy weight. 

    Think about the last time you had less-than-stellar sleep at night. It likely felt like you were dragging yourself through the day. You might have reached for some sweets or comfort foods to help keep you going. Also, you likely didn’t work out that day (or not as much as you had planned) because you felt tired. 

    When we’re tired and have no energy, it can feel almost impossible to eat right and exercise. Many people unconsciously grab for foods that aren’t as healthy for one reason or another. For instance, you might be more likely to eat processed foods rather than cook a healthy meal from scratch because of the energy needed for cooking. In addition, sometimes our bodies crave sugar or carbohydrates for a quick energy source when we’re feeling drained. If this is a frequent occurrence, it might sabotage your weight loss goals. And let’s not even mention how hard it is to exercise regularly and to the proper intensity for weight loss if you feel exhausted all the time. 

    Fortunately, many of the vitamins and amino acids in lipotropic injections can actually help boost energy levels. For instance, one of the main ingredients in lipotropic injections is vitamin B12, which is also known by some as “the energy vitamin.” Boosting energy can make it easier to follow your weight loss plan.

    Using Lipotropic Shots for Weight Loss

    If you’re interested in beginning lipotropic injections for weight loss, the first step is scheduling an appointment to talk with one of our treatment providers. They can help you understand what you need to do for treatment, potential side effects, and discuss the treatments more in-depth based on your individual circumstances. 

    It’s also important to understand that lipotropic injections aren’t a substitute for weight loss strategies. These treatments may aid with your weight loss journey. They may help you burn fat easier and faster. However, it’s still important to follow a weight management program. You can talk to one of our doctors about your weight and recommended weight loss strategies based on your health and lifestyle.

    Pairing Lipotropic Injections with Weight Loss Strategies

    In most cases, if you’re taking lipotropic injections, you’ll need to follow weight loss programs for optimal results. Once again, this may vary depending on your personal situation. However, for most healthy adults, losing weight the healthy way includes exercising and eating a balanced diet. The CDC states that people who lose weight gradually are often more successful at maintaining a healthy weight after achieving their weight loss goals. For most people, this means aiming to lose one to two pounds a week. 

    Therefore, if you’re interested in beginning lipotropic injection treatments, it’s important to understand that these injections won’t do all the work for you. Instead, make sure you have a healthy weight goal in mind and a plan to achieve it. Lipotropic injections may help you burn fat when paired with weight management programs.

    Are there Other Benefits of Lipotropic Injections?

    Most people who start lipotropic injections primarily do so to help with weight loss and to help jump start fat burning. However, there are some other benefits you might notice after beginning this treatment. In addition to the benefits we’ve already mentioned (helping improve metabolism and energy), lipotropic injections may also:

    • Boost memory and focus
    • Improve mood
    • Reduce water retention
    • Improve liver detoxification
    • Promote healthy hair, skin, and nails

    Therefore, if you’re interested in lipotropic injection therapy, talk to one of our treatment providers to learn more and discuss your individual circumstances. 

    Weight Loss Strategies from HerKare Women’s Health Clinic

    Our team at HerKare is here to help women improve their health. We believe in empowering women through quality healthcare. Whether you’re looking for lipotropic shots to help aid weight loss or need preventative well woman care, we’re here to help. Our team is here to help provide you with friendly, comfortable care so you can be proactive about your health. Book an appointment today at our women’s health clinic owned and operated by women for women. 

    Gynecological Exams After a Hysterectomy

    Gynecological Exams After a Hysterectomy

    Even if you have had a hysterectomy, gynecological exams are still important! Many women don’t realize that they still need regular gynecological care even after a hysterectomy. Skipping your exams may mean skipping important health screenings and preventative care. Talk to one of our treatment providers about your situation. They recommend regular gynecological exams based on your circumstances and risks. 

    Summary

    • After a hysterectomy, gynecological exams are still important. Many women mistakenly think they no longer need regular gynecological care after hysterectomy, but skipping exams may mean missing key health screenings and preventative care.
    • Even if pap tests aren’t always needed after a complete hysterectomy, regular exams can still include cancer screenings for the vagina, vulva, and ovaries, plus other health checks such as breast exams, bone density scans, and hormone assessments. These exams are tailored to individual risks and help check for signs of infection, cysts, and other concerns.
    • Gynecological exams after hysterectomy also support sexual health and pelvic organ health by monitoring symptoms like dryness or pelvic pain, helping women address any changes or discomfort with personalized care.

    What’s Included in a Gynecological Exam?

    gynecological exams help you stay healthy even after hysterectomy

    Gynecological exams help you address your health, even if you have had a hysterectomy.

    Before we discuss why you may still need gynecological exams after a hysterectomy, let’s talk about what a gynecological exam is. These exams address the female anatomy and reproductive system. They are an important part of regular well woman care.  

    Gynecological exams may be different for everyone and tailored to your individual risks. They may include a pelvic exam, a pap test, and other well woman care like general health questions and screenings. One of our treatment providers can discuss your medical history, family history, and other factors with you to determine appropriate screenings and exams during a gynecological exam. 

    Pelvic Exam

    A pelvic exam involves a few different steps to assess the health of your pelvic organs. The exam may start with an external exam of the vulva, vagina, and surrounding area. This can help detect visual signs of things like cysts, abnormal discharge, irritation, and other potential gynecological issues. The doctor may also look for signs of warts or potentially cancerous skin growths.

    The pelvic exam may also include a manual exam where your provider will put one or two gloved and lubricated fingers into your vagina and press on your abdomen with their other hand. This can help assess a few things, such as the size of your ovaries and fallopian tubes. The manual exam may help detect signs of ovarian cysts or tumors. Also, it may help assess for any pain or tenderness, which might be the result of an infection or another condition.

    In addition, your pelvic exam might also include a speculum exam. The speculum is a tool made of metal or plastic that helps open the vagina. This can help allow our treatment provider to see the walls of your vagina and the cervix (if you still have a cervix after a partial hysterectomy). During the speculum portion of the pelvic exam, your provider may also take samples of discharge from your cervix. This can help with testing for things like sexually transmitted infections. In addition, they may also take samples of cervical cells for a pap test or HPV test.

    Pap Test

    A pap test is a screening used to look for signs of cervical cancer. The test involves collecting cells from your cervix and analyzing them in the lab for abnormalities. Abnormal cervical cells can be one of the first signs of cancer or precancerous cells. In some cases the doctor may also use the same sample from the pap test to perform an HPV test to look for the HPV virus, which can increase the risk for cervical cancer. 

    In some cases, you may not need pap tests after a hysterectomy. For instance, if you have had a complete hysterectomy (where the surgeon removed both the uterus and the cervix) for reasons not related to cancer and you have a history of normal pap tests, then you may not need to continue getting pap tests. This is a conversation you can have with one of our providers based on your health, history, and risk factors. 

    Other Healthcare Screenings

    Depending on your unique circumstances, your gynecological exam may also include other screenings. For instance, our providers may recommend a breast exam, bone density screening, and other tests to address your health. 

    Breast exams can help screen for breast cancer. The doctor feels the breast and may do a visual exam to look for changes in the breast tissue and skin. For example, lumps or abnormal discharge that might point to breast cancer. For women over 45 years old, most doctors recommend regular mammograms to screen for signs of breast cancer as well. In some cases a mammogram may require a separate appointment from your annual gynecological exam.

    Our providers may also recommend other health exams or screenings when you come in for a gynecological exam. These may be based on your individual circumstances and risks. For example, they may recommend bone density scans to look for early signs or risk factors of osteoporosis. Other screenings might include cholesterol screenings, hormone level tests, or body composition assessments to help you address your health as a whole. 

    Why Do I Still Need a Gynecological Exam After a Hysterectomy?

    A hysterectomy is a surgical procedure that removes all or part of the uterus. There are a few different types of hysterectomy procedures. Depending on the type of hysterectomy, the surgeon may also remove the cervix, ovaries, fallopian tubes, the upper part of the vagina, and nearby lymph nodes. It’s a common misconception that women who have had a hysterectomy no longer need gynecological exams. However, regular pelvic exams are still an important part of preventative care for many women, even if they no longer have a uterus.

    Cancer Screenings

    One important reason to talk to your doctor about whether you need regular gynecological exams is because providers may perform several cancer screenings during the exam. Even if you no longer need a pap test after a hysterectomy to look for signs of cervical cancer, our providers may perform other cancer screenings during a gynecological exam. For instance, providers may look for signs of cancer on the vagina, vulva, ovaries, and other organs. While a hysterectomy can decrease your risk for some types of cancer, you may still need regular screenings. For instance, even if your ovaries were removed, there is a small chance that leftover ovarian cells could become cancerous after the hysterectomy.

    Sexual Health

    Another reason our treatment providers may recommend regular gynecological exams after a hysterectomy is to help monitor your sexual health. This may include treatment plans for vaginal dryness that makes intercourse uncomfortable, regular testing for sexually transmitted diseases, and other care to help you have a safe, healthy, and enjoyable sex life. 

    Screenings for Pelvic Organs 

    Gynecological exams also check many other pelvic organs, such as the bladder, rectum, and other organs in the pelvic area. Gynecological exams may be part of a multifaceted strategy for checking pelvic organ health. One common condition that your treatment provider may detect during a gynecological exam is pelvic organ prolapse, where the pelvic floor weakens and allows the pelvic organs to slip down and bulge into the vagina. 

    Some Symptoms that May Warrant a Gynecological Exam

    In addition to regular well woman appointments with gynecological screenings, you may also need to schedule an appointment for a gynecological exam due to symptoms you experience. Some of these symptoms may be signs of a health condition, so our providers may recommend a gynecological exam to help identify underlying causes of your symptoms and to help rule out other health issues. Some symptoms to talk to our medical providers about include:

    • Abnormal bleeding
    • Abnormal discharge
    • Pelvic pain
    • Vaginal odor
    • Vaginal soreness, itching, or irritation
    • Sores in the genital area
    • Urinary symptoms
      • Frequency
      • Urgency
      • Leaks

    Healthcare At Every Stage of Life from HerKare

    As a clinic operated by women for women, our team at HerKare is here to offer compassionate care at every stage of life. Whether you need regular well woman exams and birth control management or are wondering what types of exams you need after menopause, we are here to help. Our goal is to help empower you to prioritize your health by providing quality health care and a team that listens. Book an appointment now to discuss your health with our providers!

    Can Progesterone Replacement Therapy Help Hot Flashes?

    Can Progesterone Replacement Therapy Help Hot Flashes?

    Hot flashes and night sweats are a serious problem for many women during perimenopause and menopause. Fortunately, there are several treatment options that may help ease your symptoms. Some new research suggests that progesterone replacement therapy may be an option to reduce the severity and number of hot flashes and night sweats for some women. 

    Woman doing yoga after Progesterone Replacement Therapy reduced hot flash symptoms

    Progesterone replacement therapy can help ease hot flash symptoms so you can keep doing the things you love.

    Hot flashes can cause many issues for menopausal women. They can reduce quality of life and interrupt day-to-day activities. Hot flashes at night, also known as night sweats, often make it difficult for women to get good quality sleep. Hot flashes and night sweats are some of the most common symptoms of menopause. However, there are many treatment options available! Our providers can help find personalized treatment solutions based on your symptoms and lifestyle. In some cases, this may include hormone therapy with estrogen and/or progesterone as well as lifestyle changes and other treatments.

    What is Progesterone Replacement Therapy?

    Progesterone replacement therapy is hormone therapy using the female hormone progesterone. There are several reasons why your hormone doctor may recommend using progesterone. Typically, progesterone and estrogen are both used for menopausal hormone therapy. This is because estrogen alone can make the lining of your uterus thicker, which can increase the risk for endometrial cancer. Of course, in some cases you might take progesterone on its own without estrogen. For instance, some women use progesterone therapy during menopause when they cannot use estrogen. Bioidentical progesterone comes from plants like soy and wild yams. It’s then made into a medication your body can metabolize.

    What Does Progesterone Do?

    Progesterone plays several important roles in your body. Progesterone is a steroid hormone produced in your ovaries, like estrogen. Estrogen and progesterone are kind of like partners, performing slightly different functions and balancing each other out.

    For example, during your premenopausal years, estrogen helps thicken the lining of your uterus after your period, while progesterone helps thin the endometrium lining in preparation for pregnancy. Progesterone levels generally start to rise around ovulation, usually near the middle of your menstrual cycle. By contrast, estrogen levels usually rise following your period and begin to decline leading up to your period. Therefore, you can almost think of estrogen and progesterone as the yin and yang of female hormones. 

    Of course, while most of us know these hormones as reproductive hormones, they also do other things in your body. For instance, progesterone is a natural diuretic, which can help reduce fluid retention. Also, it may help increase the effectiveness of other hormones, like estrogen, thyroid, and testosterone. Some research even suggests that progesterone may have a calming, sedative effect on the brain. Therefore, some researchers believe it’s important for helping with good quality sleep and also improving mood. 

    More interestingly for women in perimenopause and menopause is that progesterone replacement therapy by itself may also help improve symptoms like hot flashes and night sweats.

    Studies Suggest Progesterone Replacement Therapy May Help Alleviate Hot Flashes and Night Sweats

    While progesterone hasn’t been as extensively researched for menopause symptoms as estrogen has, many researchers are starting to consider how progesterone can play a role in menopause symptom relief. Several recent studies have looked at progesterone-only therapy for hot flashes and night flashes, also known as vasomotor symptoms. For instance, one study, published in the North American Menopause Society’s journal, Menopause, found that women saw approximately a 58% improvement in their hot flash symptoms with progesterone compared to just over 23% for the group who received placebo. 

    Another study from 2018 saw similar results. The study, published in the journal Climacteric, mentioned that several studies have found women’s hormone care with both estrogen and progesterone have been more effective than estrogen-only options. They also reviewed evidence from progesterone-only menopause treatment and participants who used progesterone replacement therapy saw a 55% drop in their vasomotor symptoms, as well as other evidence that progesterone alone may help with hot flashes.

    Therefore, several researchers have suggested that progesterone only treatments may help with hot flashes and sleep disturbances from night sweats. Some even explain that progesterone therapy may be an option for women who cannot take estrogen, though it’s important to discuss treatment options with one of our treatment providers to find treatments recommended for your individual circumstances. 

    Why Might Progesterone Replacement Therapy Help with Hot Flash Symptoms?

    How can we explain why progesterone may help with some women’s hot flashes and night sweats? As we mentioned, research is still ongoing, so there’s no definitive evidence. However, there are some potential explanations. 

    Menopause symptoms are frequently considered to be the result of declining hormone levels. While estrogen is most often blamed, it may be that low levels of both estrogen and progesterone may lead to uncomfortable hot flashes and night sweats. After all, both of these hormones start to decline during perimenopause, and both play some pretty vital roles in several functions, including the menstrual cycle. 

    Also, in some cases women with low progesterone levels during menopause may actually have elevated estrogen levels because progesterone cannot keep estrogen in check in the body. This may result in estrogen dominance, which may also lead to vasomotor symptoms. In these cases, taking progesterone may help bring your hormones back into balance to help reduce your symptoms. 

    In any case, it’s important to work with a healthcare provider to discuss your symptoms, medical history, and treatment options. Help is available for hot flashes and other menopause symptoms. 

    Get Quality Women’s Hormone Care from Our Team at HerKare

    When you need high quality healthcare, our team at HerKare is here to help. We are a health clinic owned and operated by women for women. Our goal is to empower you to take control of your health. Whether you’re dealing with troubling menopause symptoms or need preventative well woman care, our providers are here to help you find personalized solutions. Book an appointment today at one of our convenient locations.