Common Causes of Female Infertility

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The Top 5 Common Causes of Female Infertility

By administering medications to regulate hormone levels or performing minimally invasive surgery to remove or repair whatever is causing female infertility, the professionals at Advanced OB GYN Associates can help you get to the root cause of your infertility and dramatically increase your chances of enjoying a full-term pregnancy.
What May Be Causing Your Infertility?
The five main reasons women experience infertility or have trouble carrying a pregnancy to term (excluding age) are:

1. Ovulation Disorders is the highest cause of woman infertility

Women who ovulate infrequently or rarely at all comprise nearly 30 percent of infertile couples. Ovulation disorders are commonly caused by irregular production/release of reproductive hormones manufactured by the pituitary gland or hypothalamus, or issues with the ovaries independent of glandular problems. Polycystic ovary syndrome, premature ovarian insufficiency and excess prolactin in the bloodstream are a few ovulation disorders frequently diagnosed by doctors at Advanced OB GYN Associates. Read more »

Switching Birth Control

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How Does Switching Birth Control Affect Your Health?

Birth control methods using hormones to inhibit ovulation come in pill or patch form. For this kind of birth control to be effective, both the pill and patch must be used consistently. Removing the patch or forgetting to take the pill for one day significantly increases the risk of pregnancy.

If you are using the pill or the patch and switch to another form of birth control, your health will be affected in the following ways:

  • Progestin and estrogen levels return to normal so that ovaries can release an egg.
  • Initially, your periods may become heavier and last longer but should return to normal in two to three months. If you experienced lessening of premenstrual symptoms while taking the pill/patch, cramping, headache and bloating may worsen as well.
  • The risk of developing ovarian or endometrial cancer increases when you stop using hormonal birth control.
  • For women who experienced breast enlargement/tenderness, bleeding between periods or amenorrhea (cessation of menstruation), these symptoms should eventually disappear.
  • It is not uncommon for women to report loss of libido while using hormonal birth control. Once estrogen levels return to normal, interest in sex usually returns.
  • Of course, the greatest change in your health is being fertile again, at least until you begin using another form of birth control.

Read more »

Prenatal Yoga Richardson

Prenatal Yoga: The Best Exercise for Pregnancy

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My pregnant patients always ask me: “Can I exercise while I am pregnant?” The answer is, yes, yes, yes! There are certain medical conditions related to pregnancy which may not allow you to exercise, such as placenta previa, an incompetent cervix, history of preterm labor, severe hypertension, or a multiple pregnancy like triplets. If you don’t have any risk factors, than prenatal exercise is for you.

In my opinion, one of the better exercises is prenatal yoga. The reason is because yoga helps you with three basic things that can influence pregnancy: flexibility, mental stability and focused breathing.

Prenatal yoga has countless proven benefits. It helps you with sleep, which most of my patients complain about. It increases muscle strength, relieves nerve compression that causes back pain and it improves overall cardiovascular performance which helps the baby grow more effectively. In addition to physical benefits, prenatal yoga helps with stress and anxiety. The key is finding an instructor that is well versed in these types of exercises.

As you probably know, there are many different kinds of yoga poses, but there are a few that have been found to be especially beneficial for pregnant women: Read more »

Top Causes of Heavy Menstrual Bleeding

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Heavy menstrual bleeding or Menorrhagia as it is referred to in a medical term can be fatal if not treated urgently. If you notice that you have to change a full pad every one or two hours, then you should conclude that the bleeding is abnormally heavy and seek immediate medical attention from Advanced OB GYN Associates or a local OB GYN. These are the most common causes of heavy menstrual bleeding that a specialist is likely to diagnose as the root of your menorrhagia.

1. Fibroids

Fibroids are tumours or growth-like features that line the interior or exterior of the uterine. This is quite a common condition in women, affecting about 80% of the female population. Fibroids can cause excessive bleeding if they are too many, too big, or negatively affecting other organs nearby.

2. Adenomyosis

This condition occurs when the uterus enlarges as a result of the endometrial glands growing abnormally until they merge with the uterine muscles. This condition is hard to diagnose since the x-ray scanning technology does not pick it out quickly.

3. Endometrial hyperplasia

This condition is manifested in the thickening of the interior lining of the uterine wall. It usually deteriorates into endometrial cancer and can cause irregular bleeding and heavy menstrual bleeding.

4. Polyps

Like fibroids, polyps are also growths on the wall of the uterus or the cervix. The growths are normally non-cancerous. They cause excessive bleeding during the menstrual cycle or even after sexual intercourse. The best treatment for the condition is the removal of the polyps. Read more »

How Exercise Can Help Prevent Breast Cancer

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There have been many studies conducted to ascertain the correlation between breast cancer and exercise. Approximately 30 studies for breast cancer prevention show that women who exercise for more than three hours per week at moderate levels reduce their risk of getting breast cancer by 30 to 40 percent. Therefore, it is not hard to see the benefit exercise has on risk levels. Nonetheless, other studies conducted still see women with obesity issues not putting this valuable risk management benefit into practice.

Most of the studies with conclusive evidence suggest that physical activity reduces breast cancer risk in both premenopausal and postmenopausal women. Exercise reduces levels of estrogen, testosterone, and insulin – higher levels of these hormones are associated with an increased risk for breast cancer. These hormones also cause cancer cells to grow at a faster pace. Physical activity may prevent tumor development by lowering hormone levels, particularly in premenopausal women. Also, lower levels of insulin and insulin-like growth factor I (IGF-I), aid the immune system’s response to cancer cells.

The American Cancer Society and the World Health Organization’s International Agency for Research on Cancer recently developed new guidelines for cancer prevention in women. Their main focus is on increased physical activity, weight control, and nutrition, as ways to prevent breast cancer. They both provide evidence that links exercise to reduced cancer risks. They recommend that women engage in at least 30 minutes of moderate to vigorous physical activity a day. Women that exercise for 60 minutes per day saw the most reduced risk for breast cancer. Read more »

Cervical Cancer is Preventable

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Cervical cancer develops when cells covering the surface of the cervix stop dividing and dying normally. Instead, unnecessary new cells develop rapidly and damaged or old cells remain, causing a buildup of abnormal cells that eventually produces symptoms of cervical cancer. Diagnosing cervical cancer involves detecting this buildup (a growth or tumor) of cells, examining Pap smears, or performing a colposcopy.

What Causes Cervical Cancer?

The human papillomavirus (HPV) is known to cause cervical cancer, as well as cancer of the vulva, penis, anus, vagina or throat (oropharynx). Specifically, it is the HPV16 and HPV18 virus that is responsible for over 50 percent of cervical cancer cases.

Although studies have shown that nearly half of all women have been exposed to the human papillomavirus by age 50, most of these infections simply clear up without treatment or causing symptoms. When an HPV infection doesn’t resolve itself independent of medical attention, the risk of the infection evolving into cervical cancer or other type of cancer is extremely high.

According to the American Cancer Society, additional risk factors for HPV cancer include:

  • Smoking
  • Chlamydia infection
  • Obesity
  • Long-term use of birth control pills
  • Having a child before age 17

Without question, the most significant risk factor of cervical cancer is failing to get vaccinated with the HPV vaccine.

What is the HPV Vaccine?

Approved in 2006 by the U.S. Food and Drug Administration, the HPV vaccine Gardasil provides nearly 100 percent protection against HPV infections, and the associated cancers and genital warts. The Center for Disease Control strongly recommends girls and boys around 11 or 12 years old receive the three-dose series of the HPV vaccine (applicable through age 26). It is necessary to give preteen children the vaccine simply because it needs administered before they have been exposed to HPV.

The only reason why the HPV vaccine is age-limited is because the majority of people over the age of 26 have probably been exposed to the HPV virus.

For more information about the HPV virus, cervical cancer or dosing details regarding the HPV vaccine Gardasile, call Advanced OB GYN Associates today to learn how you can start protecting your children or yourself against cervical cancer.

Do Older Mothers Live Longer?

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Do women who have their last child in their 30s live longer? This question was asked recently by researchers at Boston University School of Medicine. Conducted in June 2014, the study concluded women aged 33 or older able to give birth lived longer than younger mothers, echoing previous results indicating women who gave birth after age 40 were more likely to live past age 100. For women, the study’s outcome signals a need to regularly visit a Dallas OB GYN to ensure optimal reproductive health.

Do Older Mothers Live Longer? – About the Study

Using data from the Long Life Family Study, researchers analyzed information collected from more than 500 families. By comparing a mother’s age at last child birth and age of death, scientists determined women who had their last child before age 30 were less likely to live past age 95 than their more mature counterparts. According to Dr. Thomas Perls, the study’s conclusions may mean women able to have children later in life possess a gene that slows aging; thus, these women live longer. Because women with certain gene variants can give birth well into their 30’s, Dr. Perls believes this increases, “her chances of passing those genes to the next generation.” Women born of older mothers are predicted to continue the trend by having children later in age, and living longer accordingly.

Implications for the Future

Although more research is needed, the findings are leading experts to new theories about the relationship between reproductive health and long life. The recent study, found in Menopause: The Journal of the North American Menopause Society, provides additional motivation for women to be proactive about their reproductive health. The staff at Advanced OB GYN Associates urges patients to have regular pelvic exams and check ups, which can detect the following:

  • Presence of irregular cells
  • Signs of localized tumors
  • Risk factors for disease

In addition to pelvic exams, Dallas OB GYN physicians provide assistance with infertility, menopause symptoms, and pregnancy. Focused on helping women achieve and maintain optimal reproductive health, Advanced OB GYN Associates’ team recommends older mothers work with an OB GYN throughout pregnancy.

Vitamin D Deficiency May Raise the Risk of Schizophrenia

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Vitamin D Deficiency

According to a new study, a vitamin D deficiency may increase your risk for developing schizophrenia, a serious mental illness that, although incurable, can be treated with powerful antipsychotic medications. Published in the Journal of Clinical Endocrinology & Medicine, the study is the first meta-analysis to investigate the correlation between vitamin D deficiency and schizophrenia. Deriving data from multiple observational studies, this meta-analysis found that people lacking sufficient vitamin D levels were twice as likely to suffer from schizophrenia as those who had adequate amounts. One of the study’s authors remarked that a growing trend exists within the nutritional science field that views vitamin D as vital to the reducing the risk of heart disease, cancer, diabetes and psychiatric ailments.

The specific kind of vitamin D we get when skin cells chemically transform ultraviolet energy (sunlight) is necessary to promote absorption of calcium by the body to maintain muscle, bone and teeth health. In fact, the World Health Organization estimates that over one billion people suffer from varying degrees of vitamin D deficiency because they have limited exposure to sunlight.

Schizophrenia, a mental illness defined by delusions, hallucinations and the inability to distinguish reality from fantasy, appears to be more prevalent in those living in colder climates (Alaska and Scandinavian countries) and in high latitudes (Russia, Japan, Korea) – both examples of climates that may make it more difficult to receive adequate sunlight exposure. In addition, vitamin D deficiency is associated with SAD (seasonal affective disorder). SAD is a cyclic depression affecting people during fall and winter, when sunlight is less abundant and there is more darkness than daylight.


Additional Health Benefits of Vitamin D


Sunlight-driven vitamin D production may also be important for preventing preeclampsia, a serious medical issue that sometimes develops during pregnancy. Signs of preeclampsia include proteinuria (excess protein in urine), thrombocytopenia (insufficient blood platelet levels), decreased liver functioning and fluid buildup in the lungs. Unless treated, preeclampsia could cause rickets in the fetus, low birth weight and possibly even miscarriage if left untreated. French ob-gyns are so certain that lack of vitamin D is detrimental to pregnancy that they routinely prescribe vitamin D3 supplements to women when they reach their sixth month of pregnancy.


Several long-term studies have found that menopausal women may reduce their risk of osteoporosis by taking calcium and vitamin D supplements and eating calcium-rich foods. Vitamin D seems to also help some women with the anxiety, moodiness and irritability caused by estrogen loss and hormonal fluctuations during menopause.

Ovarian Cancer

Ovarian cancer is considered one of several cancers sensitive to a vitamin D deficiency. Studies consistently indicate that mortality rates in women suffering ovarian cancer are lower in places presenting normal to higher than normal amounts of sunlight.

Could You Need Vitamin D Supplements?

Call us at Advanced OB GYN Associates to ask about vitamin D deficiency or any other women’s health issue. Women living in Dallas, Texas depend on their Dallas OB GYN at our facility to provide them with compassionate and professional care necessary to keep them healthy throughout all the stages of a woman’s life. If you would like more information about vitamin D’s benefits and how you can find out if you suffer from a vitamin D deficiency, contact our office today to speak to one of our staff.

Are Pelvic Exams No Longer Recommended?

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Healthy women in the Dallas, Texas area can cross off having to get a pelvic exam when they go in for their yearly ‘well woman’ checkup at an OBGYN in Dallas. The American College of Physicians recently announced new guidelines for women who are not currently pregnant and do not experience any problems related to pelvic disease.

The pelvic exam required in the past was a very intrusive and personal examination in which the woman was required to lie on an exam table with her feet in stirrups while a doctor from the Advanced OBGYN Associates conducted the internal assessment. It was done as a screening for various types of cancers and infections, and was used to detect cysts, tumors, or other masses or irregularities that might be
present in the patient’s uterus.

New data revealed that there were no conclusive studies that proved the utility of pelvic exams in diagnosing cancer. The OBGYN community in Dallas also recognized that a pelvic exam sometimes caused women to experience nervousness, worry, fear, and even embarrassment during the internal procedure.

This change to procedure will save both women and their health insurance billions of dollars each years that can be applied to other physical care areas each year such as the Pap smear or mammograms. While not effected directly by this latest announcement regarding the pelvic exam these latter two procedures should be done according to one’s doctor’s suggestions depending on her age and health condition.

The Advanced OBGYN Associates are now telling their patients that the decision to undergo a pelvic exam is a personal choice between a doctor and patient. Patients should also be informed that the American College of Obstetricians and Gynecologists released their own statement declaring that their group still list a pelvic exam in their guidelines for women older than 21 even if recent studies have shown that they are not needed for low risk patients.

A women’s annual well woman appointment however, is still a vital part of good preventative care, according to the Advanced OB GYN Associates. Which procedures to do at this appointment are based on the needs as discussed with an OB GYN in Dallas and the female patient. These new guidelines for a pelvic exam have nothing to do with the current guidelines for getting a Pap smear or a mammogram. Women should speak to their doctor if they are confused about these new guidelines for the pelvic exam.

The bottom line is that women need to discuss their annual exam requirements with their OB GYN in Dallas and determine if they are in a category that still requires a pelvic exam, or if they can refrain from undergoing this intrusive internal procedure. Women area also advised to still get the other two popular women’s procedures called the Pap smear and the mammogram, depending on their age and medical history.

Caffeine May Worsen Hot Flashes

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А new study suggests that coffee and оthеr sources of caffeine might make hot flashes аnd night sweats worse for menopausal women. However, thе study fоund thаt fоr perimenopausal (or premenopausal) women, caffeine  improved mood, memory аnd concentration, роssіblу bесаusе caffeine іs knоwn tо enhance mood аnd attention.

The study wаs based оn data frоm а survey оf mоrе thаn 1,800 women conducted bеtwееn 2005 аnd 2011. Symptoms wеrе compared bеtwееn caffeine users аnd nonusers.

Researchers fоund thаt caffeine increased thе severity оf hot flashes. Whіlе thеsе findings аrе preliminary, they suggest thаt limiting caffeine intake mау bе usеful fоr thоsе postmenopausal women whо hаvе bothersome hot flashes аnd night sweats.

Reports suggеst thаt аррrохіmаtеlу 85 percent оf thе U.Ѕ. population consumes sоmе form оf caffeine-containing beverage еvеrу day. Іt wаs observed frоm thе survey thаt Vasomotor symptoms (hot flashes аnd night sweats) аrе the mоst commonly reported menopausal symptoms, occurring іn 79 percent оf perimenopausal women аnd 65 percent оf postmenopausal women.

Findings аrе оnlу preliminary аnd thе amount оf caffeine thаt worsens thе symptoms hаs nоt уеt bееn determined. Іf you’re hаvіng bothersome menopausal symptoms аnd you’re drinking caffeine, іt mіght bе worth considering cutting dоwn а bit tо sее іf іt hаs аn еffесt оn уоur symptoms. Аnd thоugh уоu mау rely оn caffeine tо start уоur day оff аftеr а bad night’s sleep, sоmе experts sау іt оnlу mаkеs things worse bу hindering sleep lаtеr оn, whісh саn еffесt уоur mood.

Сеrtаіn factors other than caffeine аrе believed tо trigger hot flashes. Тhе reduction, avoidance, оr elimination оf thеsе triggers саn reduce hot flashes оr аt thе lеаst lessen thеіr severity. Caffeine, alcohol, аnd spicy foods аrе аll substances thаt саn trigger hot flashes. Avoiding оr drastically reducing thе consumption оf thеsе substances саn help reduce them. Оthеr ways tо reduce hot flashes include reducing stress, avoiding tight-fitting clothing,