How to Keep a Healthy Diet During Pregnancy

By Samuel Lederman, MD

Board Certified Obstetrician & Gynecologist

Pregnancy nutrition information from the OB GYN doctors at Palm Beach Obstetrics & Gynecology.

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Pregnancy goes hand-in-hand with strange cravings. Unfortunately, sometimes the treats and high carb selections we crave can mean taking a hit with getting the daily vitamins and minerals we need.

During pregnancy, how a woman eats affects not only herself but also her developing fetus.

It’s more important now more than any other time in her life to get all of the nutrients she needs.

Here are some tips to help pregnant women eat properly, even through the cravings, to keep both mom and baby healthy.

Big Picture Approach to Pregnancy Nutrition

We all know that little changes, good or bad, make a difference over time. The same principle applies to the food we eat.

What you want to do is focus on eating as healthy as you can most of the time with treat allowances here and there. The key is moderation!

Tips to stay on track:

  1. Get togethers: If you know you’ll be at a food-centric gathering, make sure your other meals that day contain plenty of nutrient rich foods such as fresh fruit, salad, or steamed veggies.
  2. Grocery shopping: Eat a bowl of a healthy soup (chicken vegetable, minestrone, etc.) before going to the grocery store. The high liquid content and fiber in the soup will help you avoid overdoing it with buying high calorie, low nutrition treats. Note: Avoid high sodium or cream-based soups!
  3. Relaxing at home or on the go: Stay well hydrated throughout the day. Our brains can confuse thirst with a craving for sweets. By staying well hydrated, you’ll avoid the desire to overeat or binge on sweet treats.

How Many Extra Calories Do You Need During Pregnancy?

Pregnant women should eat 300 extra calories during 2nd and 3rd trimester.

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During the second and third trimester, a woman needs about 300 extra calories to fuel the changes in her body and feed her growing fetus.

If a woman gains too much weight during pregnancy, her risk for developing diabetes increases and the added weight can contribute to added aches and pains in her back and legs.

In addition, she may have an increased risk for a C-section, infections and other complications of pregnancy.

If you have overdone it already, do not diet! Instead, speak to your doctor and stick to the extra 300 calories per day going forward.

You can lose weight after you deliver, but losing weight during pregnancy could endanger your baby’s health.

Looking for a Board Certified OB GYN Doctor in Palm Beach County?

Come in today for an appointment whether you are preparing for pregnancy, already pregnant, or for your yearly woman’s wellness exam. Our compassionate and experienced team will provide you with superior health care.

We have OB GYN offices in Lake Worth, Palm Beach Gardens, and West Palm Beach, Florida. Call us today at (561) 434-0111 to schedule your first appointment.

To a Healthy Pregnancy,

Samuel Lederman, MD

 

Reference:

http://americanpregnancy.org/pregnancy-health/pregnancy-nutrition/

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How Eating Sugar Can Cause Urinary Tract Infections (UTI)

By Samuel Lederman, MD

Board Certified Obstetrician & Gynecologist

When sugar causes a uti or bladder infection, Palm Beach Obstetrics & Gynecology is here to help.

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That dreaded burning sensation and urgency when you urinate could mean one of several things.

And it’s worse when the symptoms start on a Friday night and you may have to wait to see your doctor.

The most likely diagnosis is a urinary tract infection, or UTI. But how can such a delicious substance cause such painful symptoms in our bladder?

Did you know that eating too much sugar can actually cause a UTI?

If cutting down on sugary treats (to help you lose weight) is one of your New Year’s Resolutions, avoiding a UTI is yet another reason why this Resolution has multiple benefits.

Read on for answers about why UTIs occur and how to avoid them.

What Causes a UTI?

The most common bacteria to blame for a bladder infection is E. coli. These bacteria are inside of the intestinal tract and can easily invade the urinary tract after a bowel movement.

Since the anus and urethra are so close together in women, sometimes all it takes is the trigger of sexual activity to spark a urinary tract infection.

Once the bacteria have been introduced into the urethra, they migrate to the bladder (and can even make it to the kidneys), wreaking havoc in these areas.

How Does Sugar Help Promote UTIs?

Like any other living organism, E. coli needs nutrients and sugar is something that these bacteria love. With the introduction of sugar into body, the acid level of urine becomes more hospitable for E. coli, thus allowing the infection to progress more rapidly.

How You Can Lessen the Chance of Developing a UTI

Lear how cranberry juice can fight a UTI by the doctors at Palm Beach Obstetrics & Gynecology in Lake Worth, Palm Beach Gardens, and West Palm Beach.

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Have you heard people say, “drink cranberry juice” to combat a UTI? That strategy is sound advice. Cranberries contain a compound called D-Mannose that scientists have proven can prevent E. coli from adhering to the walls of the bladder.

With proper fluid intake (lots of plain water), one glass of cranberry juice per day can help prevent a UTI. The key is to drink 100% cranberry juice. But for many people, it’s just too sour to handle.

On her website “Dr. Deborah MD”, she suggests that taking D-Mannose supplements can be an effective way to help prevent UTIs because they are “10-15 times more potent than cranberry juice.”

Other Tips for Preventing UTIs

  1. Drink lots of water! At least 64 ounces a day is ideal, even more if you live in a dry climate or lose fluids through sweating (exercise).
  2. When going to the bathroom, wipe from front to back. When you wipe from back to front, you bring bacteria forward.
  3. Avoid eating sugar and drinking sugary products such as soda.
  4. Get tested for food allergies, as this alone can trigger bladder infections in some people.
Who Are You Going to Call When a UTI Strikes?
Getting the right medication with a urine culture can help you get better from a UTI fast.

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Your doctor is just a phone call away when that dreadful twinge of pain starts. You will need a quick visit to confirm the diagnosis, get a prescription, and verify that the antibiotic prescribed is effective against the particular bacteria found in your urine.

This step is important since not all antibiotics work for all bacteria and there are many organisms resistant to these products.

Remember, when symptoms start, call us as early as possible so we can get you in, send a culture and prescribe the proper treatment.

If you’re looking for a local Board Certified OB GYN doctor in Lake Worth, West Palm Beach, or Palm Beach Gardens, give us a call at (561) 434-0111.

Women’s health & wellness is our sole focus. We also have access to integrative health services for patients (such as food allergy testing) to help you become the healthiest you can be.

Give our offices a call today to make your first appointment.

 

To Your Health & Wellness,

Samuel Lederman, MD

 

 

References:

http://www.drdeborahmd.com/solutions-urinary-tract-infections

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Movember is Saving Men’s Lives, One Mustache at a Time

Celebrate men's health with a Movember mustache. Palm Beach Obstetrics & Gynecology values men's health, too!

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By Samuel Lederman, MD

If the men you see around town seem a bit hairier than usual right about now, don’t assume it’s protection against the impending colder weather.

It could be they are participating in Movember, a fundraising and awareness campaign to draw attention to men’s health.

Ladies, for the men in your life, read on to learn how you can help keep him healthy and well for many years to come.

What is Movember About?

The point of the initiative, as the Movember Foundation says, is to “change the face of men’s health” and help fund programs to improve the lives of men who have been impacted by prostate cancer, testicular cancer and mental health issues.

Interested parties sign up the beginning of November to either be a “mo sista” or a “mo bro”. The men raise awareness by growing their facial hair and the women support the men in their life by raising funds for the cause.

Why do we need a special month to raise awareness about men’s health? Consider the statistics:

  • One in seven men will be diagnosed with prostate cancer.
  • Testicular cancer is the most common cause of cancer in men aged 15-35 years old.
  • One in four Americans will experience a mental health disorder in their lifetime.
  • Men are four times as likely to commit suicide during a depressive episode as women.

Men Need to Pay Attention to Their Health

Participating in the Movember campaign isn’t the only way to support men’s health. Men are 24 percent less likely than women to have a visited a doctor within the past year; often it is the women in their lives that gets a man to the health care provider. You can be aware and share important men’s health information.

For example, it is recommended that men over 50 should undergo a yearly digital rectal exam to screen for prostate cancer and should begin blood testing for prostatic specific antigen at that same age.

Men of any age should be aware of warning signs of prostate problems:

  • Difficulty urinating or pain with urination
  • Frequent urination
  • Pain on ejaculation

In addition, it is important to be aware of some signs and symptoms that may be related to testicular cancer or an infection in the testicles including unexplained masses or lumps, swelling or pain.

If your significant other or someone in your family has any of these warning signs, encourage him to see the doctor immediately. A simple exam could save their life!

To Keeping the Men in Your Life Healthy,

Samuel Lederman, MD

 

REFERENCES

The Movember Foundation: http://us.movember.com/

AHRQ: Men’s Health: http://www.ahrq.gov/patients-consumers/patient-involvement/healthy-men/index.html

WebMD: Factsheet About Prostate Cancer: http://www.webmd.com/prostate-cancer/guide/prostate-cancer-when-to-seek-care

American Cancer Society: Signs of Testicular Problems: http://www.cancer.org/cancer/testicularcancer/moreinformation/doihavetesticularcancer/do-i-have-testicular-cancer-signs-of-problems

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Why Our Beauty Club is the Perfect Gift

Our Beauty Club is the perfect gift! Call Palm Beach Obstetrics & Gynecology to learn more at (561) 434-0111.

 

 

 

 

 

 

 

 

 

Once you’ve put away the Halloween decorations and thrown out the carved pumpkins, your thoughts may be turning to holiday shopping.

You can save yourself the stress, lines at the mall, crowded parking lots, and long lines at the Post Office by giving the gift of beauty this holiday season.

What is the BEAUTY CLUB?

At Palm Beach Obstetrics and Gynecology, we have teamed up with our aesthetic partner, Laser Skin & Wellness, to bring you the most effective cosmetic & anti-aging treatments available.

We are thrilled to be able to offer the BEAUTY CLUB membership to our patients and their family & friends. For only $195 per month, you can give the gift of beauty to yourself or to someone special.

The recipient of this membership will receive their choice of one of the following services each month:

IPL (Intense Pulsed Light)

IPL (regularly $350) or Intense Pulsed Light, is a skin treatment modality commonly called photorejuvenation. Laser Skin & Wellness uses the only programmable IPL device on the market, which allows us to more accurately customize your IPL treatment to your skin type.

IPL selectively treats the red or brown pigmented areas of the skin and reduces the appearance of sun damage and pore size.

Rejuvenize Chemical Peel by SkinMedica

Rejuvenize Chemical Peel (regularly $249): Rejuvenize Peel was developed by SkinMedica to be a peeling agent formula. It has an anti-irritant as well as a penetration enhancer, which provides controlled exfoliation.

This gentle, yet extremely effective process leads to fresher and brighter looking skin. You will see noticeable improvement after just one peel!

Dermapen Micro-Needling Device

Dermapen (regularly $249) is a patented technology using micro-needling which is used to rejuvenate, tighten, and lift the skin as well as reduce surgical or acne scars. It can minimize the size of pores, and even resolves hyper-pigmentation and melasma.

Dermapen harnesses the skin’s own natural powers to rejuvenate and is more comfortable than less-advanced micro-needling procedures. It requires almost no down-time after treatment.

Vibraderm & Laser Genesis

Vibraderm/Genesis (regularly $250) are treatments that improve the appearance of the skin by removing the outer layers of dead cells.

According to the Cosmetic Surgery Times; use of the Vibraderm technology greatly improves exfoliation without the tugging and pulling usually associated with microdermabrasion. Most of our patients report it feels like a facial massage.

TruSculpt Body Contouring

TruSculpt Abdomen (regularly $350) is a new addition to our Beauty Club offerings you won’t want to miss! TruSculpt is an advanced, pain-free way to reduce cellulite as well as lose inches off your waist, thighs, abdomen, and buttocks; all without invasive or dangerous surgery.

Using radio frequency technology, TruSculpt heats the deep layers of fat cells under the skin, which triggers a natural response from the body to eliminate those fat cells. TruSculpt can safely be used on all skin types.

Added Benefits of a BEAUTY CLUB MEMBERSHIP

Finally, the BEAUTY CLUB also includes 10 percent off all aesthetic treatments, including BOTOX® Cosmetic and facial fillers!

Interested in giving the gift that keeps on giving all year? You can read more on the Laser Skin & Wellness website or call them at (561) 641-9490 for more details. They have locations in the same building with our practices in Lake Worth & Palm Beach Gardens.

I have been a client for years and every experience and service has been a positive one. The staff is very professional and helpful. They make sure that I am comfortable and happy. -Melinda Rice 

…an incredibly knowledgeable staff and professional atmosphere. -Tracy Johnson

 

REFERENCES

1. TruSculpt by Cutera: Official Site

http://trusculpt.com/faq.php

2. Dermapen: The Research

http://dermapen.com/atrophic-acne-scarring-dermapen-vs-dermaroller/

3. Cosmetic Surgery Times November 2005: Vibraderm Improves Exfoliation

http://connection.ebscohost.com/c/articles/19008199/vibraderm-improves-exfoliation-penetration

 

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BRCA Genetic Testing and Breast Cancer: Weighing the Options

Learn more about BRCA testing from Palm Beach Obstetrics & Gynecology.

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By Samuel Lederman, MD, Board Certified Obstetrician & Gynecologist

This month is Breast Cancer Awareness Month, so we’re covering BRCA genetic testing and breast cancer for this week’s edition.

Although there is a known genetic link in only 5 percent of breast cancers, it’s important to understand what factors can put you at risk for having a genetic predisposition to breast cancer.

If you are at risk, it is imperative that you know the testing options available.

BRCA-1 and BRCA-2 Genetic Mutation

The most common genetic testing for breast cancer are for the BRCA-1 and the BRCA-2 mutations. These mutations can be passed through either the mother or the father and they greatly increase the risk of ovarian cancer and breast cancer.

BRCA genetic testing for mutations is not recommended for the general population. Instead, they are recommended for women in certain high-risk groups:

    • Breast cancer diagnosed before menopause.
    • Breast cancer affecting both breasts.
    • Close family member with breast or ovarian cancer under similar conditions.
    • Family history of pre-menopausal breast cancer in at least two close relatives (parents, siblings, children).
    • Close relative with a confirmed BRCA-1 or BRCA-2 genetic mutation.
    • Close relative with ovarian or breast cancer if you are of Eastern European Jewish ancestry.

What to Do With Results of the BRCA Genetic Test

In families at risk, the genetic test for the BRCA mutations is first offered to any individual with ovarian or breast cancer. If that person tests negative for the mutation, there is no need for the rest of the family to be checked.

In some families and individuals with gaps in knowledge of family history, certain individuals may choose to have the test. Always consult with your Gynecologist or Oncologist to make a well-informed and well thought out decision about whether or not to get tested.

If you test BRCA positive, you can benefit from more frequent and different types of screenings. In addition, some women choose to have preventative surgeries (such as mastectomy or hysterectomy) to decrease their risk of developing breast and/or ovarian cancer.

There is no real medical risk to the BRCA screening tests (it is a simple blood draw) but getting tested can be part of an emotionally difficult process. However, for women genuinely at risk, knowing your BRCA status can be an important part of your healthcare planning.

Find an OB GYN Doctor in Palm Beach County You Can Trust

If you are concerned about your BRCA-1 or BRCA-2 risk or are due for your clinical breast exam, please call Palm Beach Obstetrics & Gynecology today at (561) 434-0111 or request to schedule your appointment online.

Our practice offers three convenient OB GYN doctor’s offices in Lake Worth, West Palm Beach and Palm Beach Gardens, Florida. We accept most insurance carriers and are currently welcoming new patients.

 

REFERENCES

1. The Mayo Clinic Factsheet on BRCA Mutations

http://www.mayoclinic.org/tests-procedures/brca-gene-test/basics/definition/prc-20020361

2. Susan G. Komen Foundation Policy Statement on Genetic Mutations and Testing

http://ww5.komen.org/BreastCancer/GeneMutationsampGeneticTesting.html

3. US Preventive Services Task Force Fact Sheet On BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing

http://www.uspreventiveservicestaskforce.org/uspstf12/brcatest/brcatestsumm.htm

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Breast Cancer Awareness Month: The Clinical Breast Exam

By Samuel Lederman, MD, Board Certified Obstetrician & Gynecologist

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© aleutie – Fotolia.com

Since October is Breast Cancer Awareness Month the doctors at Palm Beach Obstetrics & Gynecology thought it might be helpful for our patients to learn about the importance of a clinical breast exam, one of the tools in our breast cancer detection arsenal.

What is a Clinical Breast Exam?

A clinical breast exam (often abbreviated CBE) is a specialized exam performed by your healthcare provider or OB GYN. In addition to breast self-exam, it is one of the techniques used to detect cancer in women in their 20s and 30s. For women over 40, the clinical breast exam is used in conjunction with regular self-exams and mammograms.

How is a Clinical Breast Exam Performed?

You will need to be undressed from the waist up. Your doctor will first do an overall assessment of both breasts. They will look at the shape, skin texture and relative size of each breast and checking for any abnormalities as well as comparing the shape of your breasts with one another.

Sometimes abnormalities can present such as dimpling and puckering of the skin on the breast, so the provider will also be assessing for these signs.

The best way to detect abnormalities is for your doctor to feel your breasts with pads of their fingers. Some providers do this in a circular pattern, others in a strip pattern. Nonetheless, they are looking for masses or areas of the breast that feel different from the surrounding tissue.

Your gynecologist will also palpate your axilla (known as the armpit in lay person’s terms) to assess for any abnormalities such as lumps or nodules.

An assessment will also be done to detect any discharge from the nipples or for retraction (when the nipple has the appearance of being pulled into the breast). He or she will ask about any areas of pain you might have in your breasts.

Breast Self-Exam as Part of Your Monthly Routine

If you don’t know how to do a breast self-exam, this is a good time to ask for a tutorial or even just a refresher course. Breast health is a partnership between providers and patients, so it’s important to communicate any differences you have noticed in the look or feel of your own breasts.

Find an OB GYN in Palm Beach County

Are you due or overdue for a clinical breast exam? If you’re in the Palm Beach County area, please call Palm Beach Obstetrics & Gynecology at (561) 434-0111 and schedule your appointment.

Our practice has three convenient locations including Lake Worth, West Palm Beach, and Palm Beach Gardens, Florida. Even if you’re busy, don’t let that stop you from reaching out; we have evening hours in both our Lake Worth and West Palm Beach offices.

 

REFERENCES

1. Susan G. Komen Factsheet on Breast Cancer Prevention

http://ww5.komen.org/BreastCancer/GeneralRecommendations.html#Figure3-1

2. Planned Parenthood’s Guide to Clinical Breast Exam

http://www.plannedparenthood.org/health-info/womens-health/breast-cancer-screenings/breast-exam

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OB GYN Doctor Alert: Important Vaccines for Women

By Samuel Lederman, MD

Board Certified OB/GYN at Palm Beach Obstetrics & Gynecology

Vaccines Before & During Pregnancy

Many patients may not think of a visit to their OB GYN office as a time to catch up on their vaccine shots, but evaluating your immunization status and then filling in the gaps can be an important part of your gynecological care and can protect both you and your loved ones.

Human Papillomavirus (HPV) Vaccine

Vaccines for women at OB GYN Doctor office in Palm Beach.

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If you are under 26 and have not yet received the vaccine for the Human Papillomavirus (HPV), your provider will most likely recommend this important immunization for you.

There are many different types of HPV and a few types cause over 80% of all cervical cancers.

Even if you have been exposed to HPV in the past, the vaccine can still protect you from the subtypes of the virus you have never been exposed to.

However, after age 26, many sexually active women will have already been exposed to most of the different subtypes so immunization is generally not helpful.

If you are over age 26 and have not been sexually active or have been sexually active only a short time, your insurance might not fully cover the vaccine, but it can still provide important protection. Talk with your OB/GYN about whether the vaccine might still be right for you.

Hepatitis A&B Vaccine

Viral Hepatitis is a condition caused by exposure to an infected persons blood or body fluids that causes inflammation and damage to the liver. The Hepatitis vaccine is recommended for sexually active persons who are not in a long-term, mutually monogamous relationship, anyone seeking evaluation or treatment for a sexually transmitted disease (STD), or any person working in a medical facility or laboratory where they may be in contact with infected patients or body fluids.

Pertussis Booster

Pertussis, also known as “whooping cough” is an airborne viral respiratory infection that can be very dangerous, especially for babies. There is a vaccine for pertussis, but it can’t be given until the baby is two months old.

For this reason, the CDC currently recommends that all pregnant patients get a pertussis booster in the third trimester of every pregnancy. This provides protection both directly (via antibodies passed from mom to baby in utero) and indirectly as it keeps the mom from acquiring pertussis and then passing it on to the baby.

Your doctor may also recommend that other adults in the household get pertussis boosters as well; this action protects your baby and provides valuable indirect protection during their first two months of life.

Influenza Vaccine

Another important vaccine to consider if you are pregnant during flu season (usually loosely defined as from early October through late March) is an influenza (also known as flu) vaccine.

The flu vaccine is safe during pregnancy and important for three reasons:

  1. Changes to a woman’s immune system during pregnancy can make her more susceptible to the flu.
  2. The flu can adversely affect the unborn baby and can cause problems during pregnancy.
  3. If you are immunized against the flu while pregnant, you pass some of your protection to the baby.
  4. A recent study found that babies who were born to vaccinated mothers were 40 percent less likely to get the flu than babies born to unvaccinated moms.

OB GYN Doctor in Palm Beach County

Do you want to talk to a Board Certified OB/GYN about your immunization options? Please call Palm Beach Obstetrics & Gynecology today at (561) 434-0111.

Our practice offers three convenient OB GYN doctors’ offices in Lake Worth, West Palm Beach and Palm Beach Gardens, Florida. We accept most insurance carriers and are currently welcoming new patients.

 

References:

1. The CDC Fact Sheet on Whooping Cough

http://www.cdc.gov/pertussis/about/prevention.html

2. The CDC Fact Sheet on Whooping Cough Vaccines in Pregnancy

http://www.cdc.gov/vaccines/adults/rec-vac/pregnant/whooping-cough/get-vaccinated.html

3. JAMA Pediatrics: Maternal Influenza Vaccination and Effect on Influenza Virus Infection in Young Infants

http://archpedi.jamanetwork.com/article.aspx?articleid=384298

4. Immunizations for Women: HPV Vaccinations

http://www.immunizationforwomen.org/site/assets/docs/HPV%20toolkit%20without%20infographic.pdf

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The Truth About Pregnancy After Age 35

By Samuel Lederman, MD

Board Certified OB/GYN at Palm Beach Obstetrics & Gynecology

More women than ever before are delaying getting pregnant; According to the CDC, in 1970 only 1 out of 100 births were to a woman over 35, now the figure is 1 in 12.

Pregnancy after age 35 has some risks. Visit an OB GYN in Palm Beach County for risk assessment.

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While increased maternal age does come with some increased risks, it’s important to separate out the media hype from valid information and to realize that there are many actions women over 35 can take to mitigate their risks.

The Board Certified OB GYN doctors at Palm Beach Obstetrics & Gynecology can help you assess these risks through preconception counseling, fetal testing, and consistent prenatal care to monitor you and your baby’s health.

Decrease in Fertility

One of the greatest risks of delaying pregnancy until after age 35 is that it becomes more difficult to actually get pregnant. Fertility starts declining gradually at age 32 and then more rapidly by age 37. By the age of 42, the patient only has a 15% chance of a spontaneous pregnancy.

Increase in Miscarriages

Unfortunately, women over 35 have a harder time keeping a pregnancy; women who get pregnant between 35 and 45 years of age have a 30-40 percent chance of miscarrying. In addition, women who get pregnant after age 35 are statistically more likely to have certain complications of pregnancy.

These can include:

  • Gestational Diabetes
  • Pre-Eclampsia (high blood pressure during pregnancy; if untreated it can cause seizures)
  • Placental Problems
  • Premature Birth

Women over 35 are also have an increased risk of certain chromosomal abnormalities such as Down Syndrome, also known as “trisomy 21”. However, just because these problems are more common in pregnancies later in life doesn’t mean you can’t have a healthy pregnancy and a healthy baby.

In fact, most moms over 35 have uneventful pregnancies and healthy babies. Just keep in mind that it’s important to weigh the risks and benefits when waiting to have a baby.

How to Decrease These Risks

You can lower some of these risks by:

  1. Have a consultation before you get pregnant.
  2. Get early prenatal care.
  3. Take supplements your healthcare provider recommends, such as folic acid.
  4. Manage any chronic conditions.
  5. Maintain good general health with proper diet, exercise and stress management.

Cell-Free Fetal DNA Testing Available

Palm Beach Obstetrics and Gynecology is happy to offer pregnant moms a cutting edge technology called cell-free fetal DNA testing. With this simple blood test, we can detect if you are at increased risk of having a fetus with Down Syndrome and several other chromosomal abnormalities.

Although a positive result on the cell-free fetal DNA testing would need to be confirmed by additional tests, this exciting development allows moms to avoid more routine invasive testing such an amniocentesis or chorionic villus sampling.

Caring and Compassionate OB/GYN Doctors in Palm Beach County

Are you over 35 and thinking about getting pregnant? Building a relationship with a Board Certified OB/GYN you trust is an important first step. We are proud to offer state-of-the-art technology along with risk counseling and reassurance.

Please call Palm Beach Obstetrics & Gynecology today at (561) 434-0111 or request to schedule your appointment online. Our practice offers three convenient OB GYN doctor’s offices in Lake Worth, West Palm Beach and Palm Beach Gardens, Florida. We accept most insurance carriers and are currently welcoming new patients.

 

REFERENCES

1. American Pregnancy Association Fact Sheet on Getting Pregnant After 35

http://americanpregnancy.org/gettingpregnant/ttc35.html

2. American Society for Reproductive Medicine: Female Age Related Fertility Decline

http://www.asrm.org/uploadedFiles/ASRM_Content/News_and_Publications/Practice_Guidelines/Committee_Opinions/Age-related_fertility.pdf

3. CDC Report: Delayed Childbearing: More Women Are Having Their First Child Later in Life

http://www.cdc.gov/nchs/data/databriefs/db21.pdf

4. March of Dimes: Pregnancy After Age 35

http://www.marchofdimes.org/pregnancy/a-mommy-after-35.aspx

5. University of California San Francisco Medical Center Frequently Asked Questions About Cell-Free Fetal DNA Testings

http://www.ucsfhealth.org/education/cell-free_fetal_dna_testing/

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Things You Should Know About Your Gynecological Exam, Part 3

By Samuel Lederman, MD

Board Certified OB/GYN at Palm Beach Obstetrics & Gynecology

Preconception Counseling at Palm Beach Obstetrics & Gynecology in Lake Worth, Palm Beach Gardens, and West Palm Beach, FL.

Preconception Counseling. Image: © peacebuts – Fotolia.com

In this series of blog posts, I have been discussing the various screenings and topics that are covered during a woman’s yearly gynecological exam.

As you can see, your annual check-up is much more than just a pap smear.

In fact, based upon your risk category for cervical cancer (or lack thereof), you may not need a yearly pap smear.

Read on to learn even more about what is covered during your exam so you can stay healthy and well for years to come.

Preconception Counseling

Preconception counseling (before pregnancy) is an important part of ensuring a healthy baby. At least three to six months before trying to become pregnant, it’s essential to meet with your OB/GYN.

Your doctor will inform you of what steps you can take to prepare your body for pregnancy and to minimize health risks for yourself and your baby. This preconception counseling will usually be part of your annual exam.

Your OB/GYN doctor will also discuss health issues like smoking, nutrition and your medical, surgical and reproductive history as well as concerns you may have about becoming pregnant.

You will also discuss your family medical history and whether there is any reason to consider genetic counseling before attempting to conceive. If you have any potential risk for nutritional deficiencies in pregnancy, your doctor may suggest adding certain supplements, like a prenatal vitamin and additional folic acid to your routine.

Finally, if you are currently trying to get pregnant, your provider can discuss how to detect ovulation (usually by charting your menstrual cycles and body temperature) to better determine the timing of when you are most likely to get pregnant.

Screening for Benign Uterine and Ovarian Conditions

Uterine polyps, endometriosis, and uterine leiomyomas (most commonly known as fibroids) are all conditions that can exist in the reproductive system without causing problems. However, since all these conditions can cause abnormally heavy periods, can sometimes cause pain, and in rare cases, can lead to complications, it’s important to know if these conditions exist.

Simple screenings will be part of your annual gynecological exam and can help you and your doctor keep a watchful eye on any benign uterine conditions and ovarian growths. This is one more piece of the overall puzzle of maintaining your reproductive and overall health.

Choose an OB GYN in Palm Beach County You Can Trust

Your annual gynecological exam is an important part of a comprehensive approach to staying healthy. If you’re looking for a Board Certified OB/GYN, please call Palm Beach Obstetrics & Gynecology today at (561) 434-0111 or request to schedule your appointment online.

Our practice offers three convenient offices in Lake Worth, West Palm Beach and Palm Beach Gardens, Florida. We accept most insurance and are currently welcoming new patients.

 

References

1. The March of Dimes: Getting Healthy Before Pregnancy.

http://www.marchofdimes.com/pregnancy/getting-healthy-before-pregnancy.aspx

2. Cancer Epidemiology: Relationship of benign gynecologic diseases to subsequent risk of ovarian and uterine tumors.

http://www.ncbi.nlm.nih.gov/pubmed/16365012

3. Sexual Health of Adolescents and Young Adults in the United States.

http://kff.org/womens-health-policy/fact-sheet/sexual-health-of-adolescents-and-young-adults-in-the-united-states/

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Things You Should Know About Your Gynecological Exam, Part 2

By Samuel Lederman, MD

Board Certified OB/GYN at Palm Beach Obstetrics & Gynecology

In my last post, I discussed the importance of an annual gynecological check-up even if your provider has told you that don’t need a pap smear every year. If you missed that post, you can read it here.

© Monkey Business - Fotolia.com

© Monkey Business – Fotolia.com

This is because your annual exam includes important health promotion activities such as screening for osteoporosis, considerations of vaccinations for hepatitis and HPV as well as a discussion of reproductive and birth control options and goals.

But there are still more reasons to schedule your annual exam:

Sexual Health for Teenagers and Young Adults

The rates of unintended pregnancy and sexually transmitted infections are higher in young adults than in older adults. An annual visit can give you a chance to discuss both birth control and STD prevention options with your gynecologist.

In addition, your doctor can answer more general questions about sexual health. Access to reliable information from a healthcare provider you trust is an important part of making intelligent, healthy sexual choices.

Colon Cancer Screening

Colorectal cancer is the third most common type of non-skin cancer in women, after breast and lung cancer. Although most cases of cancer of the rectum/colon are found after age 50, younger women with the disease is on the rise.

Screening for colon cancer can include a discussion of your relative risks. To test this, a simple procedure called a high-sensitivity fecal occult blood test can be done, which tests for blood in the stool.

A referral for a sigmoidoscopy or colonoscopy may also be recommended, if appropriate. Your gynecologist can discuss the advantages and disadvantages of these and other available tests as well.

OB/GYN Doctors in Palm Beach County That You Can Trust

Remember, your yearly exam is an important part of a comprehensive wellness approach to your gynecological health. If you’re looking for caring and experienced OB/GYN doctors, please call Palm Beach Obstetrics & Gynecology today at (561) 434-0111 or schedule your appointment online.

Our Board Certified Obstetricians and Gynecologists have offices in Lake Worth, West Palm Beach and Palm Beach Gardens, Florida. We accept most insurance carriers and are happy to welcome new patients.

 

 

References

1. The March of Dimes: Getting Healthy Before Pregnancy

http://www.marchofdimes.com/pregnancy/getting-healthy-before-pregnancy.aspx

2. Cancer Epidemiology: Relationship of benign gynecologic diseases to subsequent risk of ovarian and uterine tumors

http://www.ncbi.nlm.nih.gov/pubmed/16365012

3. Sexual Health of Adolescents and Young Adults in the United States

http://kff.org/womens-health-policy/fact-sheet/sexual-health-of-adolescents-and-young-adults-in-the-united-states/

Share