Understanding Polycystic Ovary Syndrome: Symptoms, Diagnosis, and Management

Understanding Polycystic Ovary Syndrome: Symptoms, Diagnosis, and Management

Polycystic Ovary Syndrome (PCOS) is a prevalent health condition impacting one in ten globally. Characterized by an imbalance in reproductive hormones, this syndrome can lead to irregular menstrual periods, skin changes, and in some cases, difficulty with fertility. Recognizing the critical role of accurate information in guiding women affected by PCOS, Barbara A. Hessel, MD. FACOG, an esteemed obstetrician/gynecologist with over 25 years of practice in Forest Hills, NY, provides an in-depth look at this complex disorder.

Understanding PCOS and learning how to manage it effectively is a key part of reproductive health. In the sections that follow, we will delve into the various symptoms of PCOS, the vital role of early diagnosis, and the importance of comprehensive disease management. We will also explore how PCOS influences a woman’s overall health and well-being and identify some lifestyle modifications that can aid in handling the condition.

Signs and Symptoms of PCOS

Polycystic Ovary Syndrome (PCOS) exhibits a wide range of symptoms, which can vary greatly between individuals. Some of the most common signs include:

1. Irregular Periods: The most common symptom is infrequent or prolonged menstrual cycles, resulting from irregular ovulation.

2. Excess Androgen: High levels of male hormones (androgens) can cause physical changes such as acne, oily skin, male-pattern hair growth (hirsutism), and hair loss.

3. Polycystic Ovaries: Ovaries may become enlarged and contain numerous small, fluid-filled follicles that fail to develop fully and release eggs.

4. Weight Gain: Many women with PCOS experience weight gain and difficulty losing weight, leading to further complications.

The Importance of Early Diagnosis and Tests

A timely and accurate diagnosis of PCOS is essential for effective management. Appropriate tests and examinations can identify the syndrome early, helping to minimize the risk of associated complications. Diagnostic processes may include:

1. Medical History Review: A thorough evaluation of a patient’s medical history, past symptoms, and family history is crucial in understanding risk factors.

2. Physical Examination: This examination may involve checking the body for signs of excessive hair growth, acne, or other indications of increased androgen levels. A pelvic exam may also be performed to assess the presence of polycystic ovaries.

3. Blood Tests: Measurements of hormone levels, such as androgens and insulin, can provide valuable information for diagnosis.

4. Ultrasound: Identification of ovarian cysts or enlarged ovaries can confirm the PCOS diagnosis.

Comprehensive Disease Management Options

There is no cure for PCOS, but effective management strategies can help alleviate symptoms and reduce associated risks. Some treatment options may include:

1. Hormonal Therapy: Birth control pills or other hormonal medications can help regulate periods, reduce excess androgen, and manage issues such as acne or hair growth.

2. Lifestyle Modifications: Weight loss, changes in diet, and regular exercise can help improve insulin resistance and reduce PCOS symptoms. A balanced diet rich in fruits, vegetables, lean proteins, and whole grains is recommended.

3. Medications for Insulin Resistance: In some cases, medications like Metformin may be prescribed to address insulin resistance and improve hormone balance.

4. Fertility Treatments: For women struggling with infertility due to PCOS, fertility medications or assisted reproductive technologies may be viable options.

The Impact of PCOS on Overall Health and Well-being

Polycystic Ovary Syndrome not only affects reproductive health but can also have broader implications for general health and well-being:

1. Psychological Impact: The physical symptoms associated with PCOS can contribute to feelings of low self-esteem, anxiety, and depression.

2. Metabolic Syndrome: Women with PCOS have a higher risk of developing metabolic syndrome, characterized by high blood pressure, high blood sugar, and abnormal cholesterol levels.

3. Type 2 Diabetes: Insulin resistance in PCOS sufferers increases the risk of developing type 2 diabetes.

4. Sleep Disorders: Elevated androgen levels linked to PCOS may contribute to sleep disturbances like sleep apnea.

Conclusion

Polycystic Ovary Syndrome is a complex endocrine disorder requiring proper understanding, accurate diagnosis, and comprehensive management to mitigate its impact on patients’ lives. By familiarizing yourself with the wide-ranging symptoms of PCOS and embracing early diagnosis and treatment strategies, you can effectively confront the challenges associated with this condition. Moreover, adopting lifestyle modifications and prioritizing overall health and wellness can significantly improve the lives of women living with PCOS.

As a board-certified obstetrician/gynecologist with affiliations to Northwell Health/ Long Island Jewish Medical Center and an honored recipient of the Special Excellence in Endoscopic Procedures Award, Barbara A. Hessel, MD. FACOG is ideally positioned to offer professional insights into the struggles associated with PCOS. She can provide the necessary support, education, and care to navigate this condition, improve your quality of life, and ensure your overall wellness. Let Dr. Hessel empower you to face your diagnosis head-on and live a fuller, healthier life. Contact Barbara A. Hessel, MD. FACOG to schedule an appointment!

Menopause Nutrition: Optimizing Health and Wellness

Menopause Nutrition: Optimizing Health and Wellness

Menopause marks a significant transition in a woman’s life, often accompanied by a variety of physical and emotional changes. As the body adapts to shifting hormone levels, women may experience symptoms like hot flashes, night sweats, weight gain, mood fluctuations, and sleep disturbances. While menopause is a natural process, adhering to a balanced and nutrient-dense diet can help ease symptoms and promote overall health and wellness during this stage of life.

Barbara A. Hessel, MD. FACOG, a board-certified obstetrician/gynecologist in Forest Hills, NY, with over 25 years of experience, recognizes the vital role nutrition plays in women’s health, particularly during menopause. By providing educational, informative, and unique insights into menopause-related nutrition, Dr. Hessel offers women valuable guidance and support as they navigate this transformative period. Drawing upon her expertise, she presents practical tips and effective strategies for optimizing health and managing menopause symptoms through dietary choices.

Embracing a balanced and nutrient-rich diet tailored to the needs of women experiencing menopause is vital for addressing symptoms and promoting overall health. Trust in the guidance of Barbara A. Hessel, MD. FACOG, and her expertise in women’s gynecological and reproductive health, to provide the necessary support and resources for a satisfying and healthful menopause experience.

Key Principles of a Menopause-Friendly Diet

A menopause-friendly diet should emphasize nutrient-dense foods that support hormonal balance, weight management, and overall health. The key components of a balanced diet during menopause include:

1. Fruits and Vegetables: Rich in vitamins, minerals, and fiber, fruits, and vegetables provide essential nutrients and support a healthy immune system.

2. Whole Grains: Whole grains are rich in fiber and can help maintain stable blood sugar levels, which is crucial for managing weight and overall health during menopause.

3. Lean Proteins: High-quality proteins help support muscle mass and can assist in weight management due to their satiating effect.

4. Healthy Fats: Omega-3 fatty acids, found in sources like fish and avocados, support cognitive function, cardiovascular health, and hormonal balance.

5. Calcium-Rich Foods: Menopause increases the risk of osteoporosis, making it essential to prioritize calcium-rich foods, such as dairy products or fortified alternatives.

Essential Nutrients for Menopausal Women

Certain nutrients are especially significant during menopause, as they address the unique needs of women during this life stage.

1. Calcium: Adequate calcium intake is critical for maintaining strong bones and preventing osteoporosis. Good sources include dairy products, fortified plant-based milks, and leafy greens.

2. Vitamin D: Enhancing calcium absorption and promoting bone health, vitamin D is found in fatty fish, fortified dairy products, and sunlight exposure.

3. Iron: Iron requirements decrease after menopause, but maintaining a balanced intake is essential for overall energy and vitality. Iron-rich foods include red meat, poultry, beans, and iron-fortified cereals.

4. Phytoestrogens: Found in foods like soy, flaxseeds, and legumes, phytoestrogens can help to alleviate hot flashes and other estrogen-related symptoms during menopause.

5. B Vitamins: These vitamins support energy production and cognitive health, with B12 absorption decreasing as women age. Foods rich in B vitamins include lean meats, legumes, and fortified cereals.

Managing Menopause Symptoms with Nutrition

Dietary choices can play an influential role in managing common symptoms of menopause, such as:

1. Hot Flashes: Consuming phytoestrogen-rich foods, like soy products, and avoiding common triggers like spicy foods, alcohol, and caffeine can help reduce hot flash frequency and severity.

2. Weight Gain: By focusing on whole foods, lean proteins, and portion control, women can more effectively manage weight during menopause.

3. Mood Swings: Consuming foods high in omega-3 fatty acids, such as fish and walnuts, and maintaining stable blood sugar levels can help promote balanced moods and emotional well-being.

4. Sleep Disturbances: Eating a balanced diet and incorporating foods rich in magnesium, like leafy greens and nuts, can help promote restful sleep and reduce insomnia.

Staying Active and Making Lifestyle Changes

In addition to nutrition, incorporating regular physical activity into your daily routine is vital for managing menopause symptoms and maintaining overall health. Aim for at least 150 minutes of moderate exercise per week, including a combination of cardiovascular activities, strength training, and flexibility exercises. Additionally, adopting healthy lifestyle practices, such as stress management techniques and adequate sleep, can further support overall well-being during menopause.

Conclusion

Navigating menopause is a unique and personal journey, and embracing optimal nutrition during this time is essential for managing symptoms and supporting overall health and wellness. By incorporating a balanced menopause-friendly diet, prioritizing key nutrients, and making proactive lifestyle changes, women can feel empowered and confident as they transition through this phase of life.

Barbara A. Hessel, MD. FACOG, provides the guidance and expertise necessary for women to make informed decisions and optimize their well-being during menopause. Trust in the knowledge and compassionate care of Dr. Hessel, an experienced obstetrician/gynecologist, to support your journey toward a healthful and fulfilling menopause experience. Contact us today to experience the power of nutrition and self-care to navigate this transformative life stage with grace and resilience.

The Importance of Regular Gynecological Check-Ups for Women’s Health

The Importance of Regular Gynecological Check-Ups for Women’s Health

Gynecological check-ups play an essential role in maintaining women’s health, promoting early detection of potential health issues, and providing reproductive care and guidance. Despite their importance, many women may not fully understand the benefits of these check-ups or do not prioritize them in their busy lives.

I am  a board-certified obstetrician/gynecologist with over 25 years of experience, is dedicated to providing comprehensive and compassionate care to women in Forest Hills, NY, and surrounding areasI understand  the unique needs of women at various stages of their lives and am committed to helping them achieve optimal health through education, prevention, and personalized health care. As a member of the American Association of Gynecologic Laparoscopists, I am  well-equipped to guide women through a range of gynecological issues and concerns.

In this guide to regular gynecological check-ups, we will discuss the essential components of a typical visit, outline the recommended frequency and timing of check-ups, and explore the various age-specific requirements for gynecological care. We will also address common questions and concerns about the process, helping to explain this vital aspect of women’s health management.

With my  expertise and insight, I  hope to empower women to take responsibility for their gynecological health and to understand the importance of consistent, proactive care. Read on to learn more about the benefits of regular gynecological check-ups and how they can contribute to your overall health and well-being.

Key Components of a Gynecological Check-Up

Gynecological check-ups typically consist of several essential components, each addressing a different aspect of a woman’s reproductive health:

1. Medical history review: Your healthcare provider will review your personal and family medical history, discussing any relevant factors that may affect your reproductive health.

2. Physical examination: A general physical examination helps your doctor assess your overall health and identify any potential health concerns in need of further evaluation.

3. Pelvic examination: The pelvic exam allows your healthcare provider to visually and manually inspect your reproductive organs to detect any abnormalities.

4. Pap test: A Pap test (or Pap smear) is performed during a pelvic examination to screen for cervical cancer by collecting a sample of cells from your cervix.

5. Breast exam: A clinical breast examination helps detect any abnormalities or changes in breast tissue, which could indicate potential issues such as breast cancer.

Recommended Frequency and Timing of Check-Ups

The recommended frequency and timing of gynecological check-ups depend on your age, medical history, and overall health. Generally, it is advised to follow these guidelines:

1. Age 13 to 20: This is the ideal time for a young woman’s first gynecological visit, focusing on education, preventive care, and establishing a relationship with their healthcare provider.

2. Age 21 to 29: Women aged 21 to 29 should have a pelvic exam and Pap test 

3. Age 30 to 65: Women in this age group should continue to have a pelvic exam every year and may have a Pap test and HPV test depending on their healthcare provider’s recommendations.

4. Age 65 and older: Women aged 65 and olde should continue to have a pelvic exam. Those who have a history of normal Pap test results and are not at high risk for cervical cancer may discontinue regular screening, following their doctor’s guidance.

Age-Specific Gynecological Care

As women progress through various stages of life, their gynecological needs change. Regular check-ups should address these age-specific requirements:

Adolescent Gynecological Care

For young women, the focus of gynecological care tends to be on preventive measures, education, and addressing concerns related to menstruation and puberty. During this time, healthcare providers can:

1. Provide guidance on menstrual health and hygiene.

2. Discuss safe and responsible sexual practices.

3. Recommend appropriate vaccinations, such as the HPV vaccine.

Reproductive Health and Family Planning

As women enter their reproductive years, gynecological care may include counseling and guidance on family planning, conception, and maternity care. Your healthcare provider may:

1. Discuss contraceptive options and help you choose the best method according to your needs and lifestyle.

2. Provide preconception counseling for couples planning to become pregnant.

3. Offer routine prenatal care, including screening tests and regular check-ups during pregnancy.

Menopause and Beyond

For women entering menopause and their postmenopausal years, gynecological care focuses on addressing the unique concerns and challenges of this stage of life:

1. Provide guidance on managing menopausal symptoms and hormone therapy options.

2. Screen for age-related health issues, such as osteoporosis, heart disease, and urinary incontinence.

3. Advise on maintaining sexual health and well-being during and after menopause.

Addressing Common Questions and Concerns

Gynecological check-ups can elicit feelings of anxiety or embarrassment for some women. Addressing common questions and concerns can help put your mind at ease:

1. What to expect: Knowing what to expect during your check-up can help alleviate anxiety. Feel free to ask your healthcare provider to explain each step of the examination.

2. Privacy and modesty: Gynecological exams are performed with sensitivity to ensure you feel as comfortable and secure as possible. Your healthcare provider will discuss any concerns you may have about your privacy.

3. Open communication: Establishing open communication with your healthcare provider is crucial for receiving optimal care. Don’t hesitate to discuss any concerns, questions, or symptoms you may be experiencing.

Final Thoughts

Regular gynecological check-ups play an essential role in maintaining women’s health and well-being throughout their lives. By understanding the importance of these visits and taking a proactive approach to your reproductive health, you empower yourself to make informed decisions about your body and overall wellness.

Dr. Barbara Hessel, MD. FACOG offers compassionate and comprehensive gynecological care in Forest Hills, NY, that is designed to support women at every stage of their lives, providing the knowledge, guidance, and expertise they need for a lifetime of optimal health. Book an appointment for gynecological exams today!

The Importance of Sleep for Women’s Hormonal Balance 

The Importance of Sleep for Women’s Hormonal Balance 

Sleep is essential for overall health and well-being, affecting nearly every system in our bodies, from brain function to immune health. For women, sleep plays a particularly crucial role in maintaining hormonal balance and supporting optimal reproductive health. Unfortunately, many women experience sleep disturbances, which can exacerbate hormonal imbalances and contribute to various health concerns, such as menstrual irregularities, fertility issues, and increased risk for chronic conditions like obesity, diabetes, and cardiovascular diseases.

As a board-certified obstetrician/gynecologist with over 25 years of experience in women’s health, Barbara A. Hessel, MD. FACOG is dedicated to guiding women in Forest Hills, NY to understand the vital importance of sleep for their hormonal health. By recognizing the connection between sleep and hormonal balance, women can make well-informed lifestyle choices to prioritize their sleep and optimize their overall well-being.

In this informative blog post, we will delve into the complex relationship between sleep and women’s hormonal health, explaining how sleep disturbances can impact hormonal balance and contribute to various health issues. We will also discuss practical strategies for addressing common sleep problems and optimizing sleep quality, empowering you to take charge of your rest and restore hormonal harmony. So, join Dr. Hessel as she uncovers the often-underestimated role of sleep in women’s well-being and provides valuable tips to help you achieve restorative slumber and maintain a healthy hormonal balance.

The Connection Between Sleep and Hormones

Hormones play a vital role in regulating various bodily functions, including mood, appetite, stress response, and reproductive health. Sleep affects the production and release of various hormones, and disruptions to this process can lead to many health issues. Some key hormones that are significantly influenced by sleep include:

1. Melatonin: Often referred to as the “sleep hormone,” melatonin is responsible for regulating our natural sleep-wake cycle. It is produced and released in response to darkness, making us feel drowsy and signaling that it’s time for sleep. Inadequate melatonin production can lead to insomnia and other sleep disturbances.

2. Estrogen and Progesterone:These hormones play crucial roles in regulating women’s menstrual cycles, fertility, and menopause. Sleep disturbances have been shown to affect hormonal levels, potentially leading to menstrual irregularities, painful periods, or worsened premenstrual syndrome (PMS) symptoms.

3. Cortisol: Known as the “stress hormone,” cortisol levels naturally fluctuate throughout the day, with higher levels in the morning to help us feel alert and energized and lower levels at night for sleep. Disrupted sleep patterns can cause cortisol levels to remain elevated, leading to increased stress and difficulty falling asleep or staying asleep.

4. Leptin and Ghrelin: These hormones are involved in appetite regulation. Leptin signals our body that it is full, whereas ghrelin is responsible for hunger cues. Sleep deprivation can result in decreased leptin levels and increased ghrelin levels, making us more prone to overeating and weight gain.

Common Sleep Issues Affecting Women

Women may experience various sleep disturbances related to hormonal changes or other factors unique to their physiology. Common sleep issues include:

1. Insomnia: Difficulty falling or staying asleep, leading to reduced sleep quality and quantity.

2. Obstructive Sleep Apnea: Characterized by brief pauses in breathing during sleep, it can cause fragmented sleep and lead to daytime sleepiness.

3. Restless Legs Syndrome: A neurological condition causing uncomfortable sensations in the legs and an irresistible urge to move, often disrupting sleep.

4. Sleep Disturbances During Menstruation, Pregnancy, and Menopause: Hormonal fluctuations during these periods can affect women’s sleep, causing insomnia or general discomfort that makes it challenging to achieve consistent, restful sleep.

Strategies for Improving Sleep Quality

To optimize your hormonal health, it’s essential to prioritize your sleep. Here are some practical strategies to improve sleep quality:

1. Establish a Consistent Sleep Schedule: Aim to go to bed and wake up at the same time each day, even on weekends, to help regulate your natural sleep-wake cycle.

2. Create a Sleep-Friendly Environment: Ensure your bedroom is quiet, dark, and at a comfortable temperature. Invest in a supportive mattress and pillows, and consider using blackout curtains or a white noise machine if necessary.

3. Develop a Relaxing Bedtime Routine: Engage in calming activities before bedtime, such as reading a book, practicing meditation, or taking a warm bath, to signal your body that it’s time for sleep.

4. Limit Exposure to Electronics: The blue light emitted from electronic devices can interfere with melatonin production and disrupt your sleep-wake cycle. Limit your screen time before bed and consider using a blue light filter on your devices.

5. Manage Stress: Engage in regular stress-relieving activities such as exercise, yoga, and deep breathing exercises to help manage cortisol levels and promote relaxation.

Seeking Professional Help

If your sleep problems persist despite incorporating these strategies, it’s essential to consult with a healthcare professional like Barbara A. Hessel, MD. FACOG. She can provide personalized guidance and recommend appropriate treatments based on your unique needs and medical history.

Conclusion

Prioritizing sleep is vital for maintaining optimal hormonal balance and overall well-being. By understanding the connection between sleep and women’s hormonal health, women can make informed lifestyle choices to ensure a more restful and rejuvenating slumber. 

Barbara A. Hessel, MD. FACOG is committed to helping women in Forest Hills, NY understand the importance of sleep and offers expert guidance and support in addressing sleep-related concerns. By prioritizing your rest and addressing potential sleep issues, you can foster hormonal harmony and improve your overall health. Embrace the restorative power of sleep and take charge of your well-being today. Contact Dr. Hessel today for the OBGYN expertise you deserve. 

Exercises During Pregnancy: A Guide to a Healthy & Fit Lifestyle

Exercises During Pregnancy: A Guide to a Healthy & Fit Lifestyle

Pregnancy is a time of immense physical and emotional change for women. Maintaining a healthy lifestyle, including exercising regularly, can have significant benefits for both the mother and the baby.

Studies have shown that exercising during pregnancy can reduce the risk of gestational diabetes, support healthy weight, and improve overall physical and mental well-being. However, it’s essential to follow safe guidelines and choose the right exercises according to your pregnancy stage.

In this guide to exercises during pregnancy, we will discuss the advantages of working out while pregnant, provide suggestions for safe and practical exercises, and highlight potential risks and precautions that must be considered. We’ll also touch upon how to modify your workouts based on your fitness levels and stage of pregnancy, ensuring a safe and comfortable exercise experience.

The Benefits of Exercising During Pregnancy

Exercising during pregnancy offers numerous benefits for both the expecting mother and the baby. Staying active can help:

1. Alleviate pregnancy discomforts: Physical activities can help reduce discomforts such as back pain, swelling, and constipation.

2. Improve mood and energy levels: Regular exercise boosts endorphins, which can improve mood and increase energy levels.

3. Promote weight management: Staying active helps control weight gain throughout pregnancy, reducing the risk of complications.

4. Strengthen muscles: Exercise can increase muscle strength, endurance, and flexibility, which can be beneficial during labor.

5. Improve sleep: Physical activity can help pregnant women fall asleep faster and enjoy a better quality of sleep.

6. Reduce the risk of complications: Regular exercise may lower the risk of gestational diabetes, preeclampsia, and premature birth.

Safe Exercises to Perform During Pregnancy

Here are some safe and effective workouts that can be performed during pregnancy:

1. Walking: It’s one of the best cardiovascular exercises for pregnant women, providing an excellent workout without putting too much stress on the joints.

2. Swimming: This low-impact exercise helps pregnant women build strength and improve cardiovascular fitness while reducing the strain on the joints.

3. Prenatal yoga: Yoga promotes flexibility, strength, and balance, as well as improving mental relaxation and focus.

4. Pelvic floor exercises: Kegel exercises help strengthen the pelvic floor muscles, which are essential for a smooth delivery and postpartum recovery.

5. Gentle stretches: Stretching can help maintain flexibility and prevent muscle strain, promoting overall comfort during pregnancy.

Precautions and Safety Measures When Exercising During Pregnancy

While exercising during pregnancy is beneficial, it’s crucial to follow specific safety measures to avoid unnecessary risks:

1. Consult your doctor: Before starting any exercise regimen, consult with your healthcare provider to ensure it is safe for you and your baby.

2. Avoid high-impact exercises: High-impact workouts, like jogging and jumping, can be too strenuous during pregnancy. Stick to low-impact exercises that are gentler on the body.

3. Stay hydrated: Drink plenty of water before, during, and after exercising to stay hydrated and prevent overheating.

4. Monitor your heart rate: Keep your heart rate in check during physical activities, aiming for a moderate intensity level where you can still carry on a conversation.

5. Listen to your body: Pay attention to your body’s signals and stop exercising if you feel any pain, discomfort, or unusual symptoms such as dizziness, shortness of breath, or contractions.

Adapting Your Workout Routine for Each Trimester

As your pregnancy progresses, you may need to modify your exercise routine to accommodate the changes in your body. Here are some suggestions for adapting workouts during each trimester:

First Trimester

During the first trimester, you can generally continue with your pre-pregnancy exercise routine if approved by your doctor. However, you may need to make some modifications:

1. Opt for low-impact exercises if you feel discomfort or fatigue.

2. Focus on maintaining a consistent routine rather than increasing intensity.

3. Take breaks and rest when needed, prioritizing self-care during this period of significant change.

4. Avoid saunas, steam rooms, and hot tubs.

Second Trimester

As your belly grows during the second trimester, it’s essential to modify your workouts accordingly:

1. Avoid exercises that involve lying flat on your back, as it can cause decreased blood flow to the baby.

2. Focus on strengthening your core and pelvic floor muscles to support your growing baby.

3. Incorporate balance exercises as your center of gravity shifts,but avoid any exercises that might cause you to lose your balance and fall.

Third Trimester

In the final trimester, focus on staying active and maintaining your fitness levels while prioritizing comfort:

1. Reduce the intensity of your workouts, opting for shorter and more gentle sessions.

2. Choose exercises that help prepare your body for delivery, such as pelvic tilts and prenatal yoga.

3. Avoid exercises that may cause strain on your abdomen or increase the risk of injury.

Conclusion

Exercise during pregnancy is a vital aspect of maintaining a healthy lifestyle for both mother and baby. With appropriate guidance and understanding of the benefits and safety measures, pregnant women can enjoy an active, fit, and healthy pregnancy journey. Remember to consult with a trusted healthcare provider before starting or modifying any exercise routine, and always listen to your body to ensure a safe and comfortable experience.

If you need a maternity care consultation to learn about pregnancy nutrition and exercise, Barbara A. Hessel, MD. FACOG is ready to help you. She is a board-certified obstetrician/gynecologist working with patients in the Forest Hills, NY area for over 25 years. She is a member of the American Association of Gynecologic Laparoscopists and a recipient of the Special Excellence in Endoscopic Procedures Award. Contact us today to book a consultation!

Nutrition During Menopause: A Guide to Optimal Health

Nutrition During Menopause: A Guide to Optimal Health

Menopause is a natural phase in every woman’s life, marking the end of her reproductive years. As hormone levels change during this time, various physical and emotional symptoms may arise, making it essential to prioritize nutrition and overall well-being. A balanced diet can significantly impact how women experience menopause, from managing symptoms to promoting long-term health and vitality. However, understanding the unique nutritional needs during this life stage can be challenging, as misinformation and conflicting advice abound.

Dr. Barbara Hessel, MD, a board-certified obstetrician/gynecologist with over 25 years of experience in Forest Hills, NY, is committed to empowering women with the knowledge and tools they need to make informed decisions about their health during menopause. Through her compassionate care and expert guidance, Dr. Hessel demystifies the complexities of menopausal nutrition and offers practical advice for promoting optimal health during this transition.

This comprehensive blog post will discuss the nutrients and dietary habits essential for supporting women’s health during menopause. From the importance of calcium and vitamin D for bone health to the role of phytoestrogens in alleviating symptoms, Dr. Hessel’s insights will provide an invaluable resource for women navigating this significant life change. Furthermore, we will delve into practical strategies for adopting a healthier lifestyle through balanced meals, mindful eating, and regular physical activity – all crucial components of holistic menopausal health.

By understanding the unique nutritional needs of women during menopause, and under the care of an experienced healthcare professional like Dr. Hessel, you can feel confident in making choices that support your well-being throughout this transformative period. Join us as we explore the power of nutrition as a vital component of menopausal health and empower yourself to embrace a renewed sense of vitality and longevity.

Essential Nutrients for Women During Menopause

1. Calcium: During menopause, hormonal shifts increase the risk of bone loss and osteoporosis. Calcium is essential for preserving bone density and strength. Include calcium-rich foods in your diet, such as dairy products, leafy greens, and fortified plant-based milk alternatives.

2. Vitamin D: This crucial nutrient works in tandem with calcium to support bone health, as it helps your body absorb calcium more efficiently. Increase your vitamin D intake through safe sun exposure, fortified foods, and supplementation, as recommended by your healthcare professional.

3. B Vitamins: The B complex group of vitamins plays a vital role in supporting energy levels, brain function, and mood regulation. Incorporate B-rich foods into your diet, such as whole grains, lean protein sources, and a variety of fruits and vegetables.

4. Phytoestrogens: These plant-based compounds mimic the effects of estrogen in the body, helping alleviate common menopausal symptoms such as hot flashes. Foods rich in phytoestrogens include soy-based products, flaxseeds, and certain legumes.

Dietary Habits to Adopt During Menopause

1. Stay Hydrated: Drink plenty of water throughout the day to maintain healthy digestion, circulation, and metabolism. Adequate hydration also helps manage symptoms such as hot flashes and night sweats.

2. Limit Processed Foods: Excess salt, sugar, and unhealthy fats found in processed and fast foods can exacerbate menopausal symptoms and increase the risk of lifestyle-related diseases. Focus on whole, nutrient-dense foods for a balanced diet.

3. Eat Regular, Balanced Meals: Plan meals that include appropriate portions of protein, healthy fats, whole grains, and a variety of fruits and vegetables. Regular, balanced meals can help stabilize blood sugar levels and reduce mood swings associated with menopause.

4. Incorporate Omega-3 Fatty Acids: Omega-3 fatty acids offer numerous health benefits, including improved heart, brain, and joint health. Include fatty fish like salmon, mackerel, and sardines in your diet, as well as plant-based sources like chia seeds and walnuts.

Maintaining an Active Lifestyle

1. Cardiovascular Exercise: Regular aerobic exercise helps maintain heart health, boost mood, and support a healthy weight during menopause. Aim for at least 150 minutes per week of moderate-intensity exercise, such as brisk walking or swimming.

2. Strength Training: Resistance training helps preserve muscle mass and bone density while increasing metabolism. Incorporate strength training exercises with body weight, free weights, or resistance bands at least twice weekly.

3. Flexibility and Balance: Activities such as yoga, Pilates, and tai chi can improve flexibility, balance, and mindfulness, helping you manage stress and reduce the risk of falls as you age.

4. Seek Support: Joining exercise classes or working with a fitness professional can provide motivation, accountability, and social support, improving your likelihood of maintaining a consistent exercise routine.

Managing Menopausal Symptoms with Lifestyle Strategies

1. Practice Stress Management: Chronic stress can exacerbate menopause symptoms and impact overall well-being. Incorporate stress-relief techniques into your daily routine, such as deep breathing exercises, mindfulness meditation, or journaling.

2. Prioritize Sleep: Aim for 7-9 hours of quality sleep each night. Adopt healthy sleep habits, like maintaining a consistent bedtime routine, creating a comfortable and dark sleep environment, and avoiding caffeine and electronic devices before bedtime.

3. Stay Connected: Social support from friends, family, and healthcare professionals plays a critical role in maintaining mental and emotional well-being during menopause. Connect with others going through similar experiences by joining support groups, online forums, or participating in community activities.

Conclusion

Prioritizing nutrition and overall well-being during menopause is crucial for not only managing symptoms but also embracing a renewed sense of vitality and longevity. By understanding the unique nutritional needs of women during this life stage and incorporating healthy lifestyle habits, you can confidently navigate this transformative period to optimize your health.

Barbara A. Hessel, MD. FACOG is committed to providing compassionate care and expert guidance for women during menopause in Forest Hills, NY. Through her wealth of knowledge and personalized approach, Dr. Hessel helps women make informed decisions about their health and well-being at this critical time. If you are looking for nutrition coaching for menopause, do book an appointment today!

Get Ahead of Cervical Cancer: Screening and Preparation Tips

Get Ahead of Cervical Cancer: Screening and Preparation Tips

Cervical cancer is a critical health issue impacting hundreds of  thousands of women globally. Fortunately, with regular gynecological exams and cervical cancer screenings, the disease can often be detected in its early stages, increasing the likelihood of successful treatment. 

This article will discuss when you should start getting screened for cervical cancer, how often you should be screened, and how to prepare for these necessary examinations.

Why Cervical Cancer Screenings Matter

Cervical cancer begins in the cells of the cervix, which connects the uterus to the vagina. Human papillomavirus (HPV) is the primary cause of cervical cancer. 

Regular screenings can help detect precancerous cells or early stages of cervical cancer, allowing for timely treatment and an improved prognosis. Gynecological exams and cervical cancer screenings are essential for women’s health because they:

  • Detect abnormalities or changes in the cervix
  • Help diagnose infections or other issues that could affect fertility or overall health
  • Provide an opportunity for women to discuss concerns or questions about their reproductive health with an OBGYN

When to Start Getting Screened for Cervical Cancer

The American College of Obstetricians and Gynecologists (ACOG),The American Society for Colposcopy and Cervical Pathology (ASCCP), and The Society of Gynecological Oncologists (SGO) recommend starting pap smears at age 21.

It is essential to discuss your personal risk factors and family history with your OBGYN to determine the best time for you to begin cervical cancer screenings.

How Often to Get Screened for Cervical Cancer

The frequency of cervical cancer screenings depends on your age and the type of test being used. There are two main tests for cervical cancer screening: the Pap test (also known as a Pap smear) and the HPV test.

  • For women aged 25-65, it is advised to get a primary HPV test every five years.
  • If primary HPV testing is unavailable, a Pap test every three years or a combination of a Pap test and an HPV test (co-testing) every five years is recommended.
  • Women over 65 who have had consistent screenings with normal results may be able to stop getting screened for cervical cancer. However, this decision should be made in consultation with your OBGYN.

It is important to note that these recommendations may change if you have a history of cervical cancer, a weakened immune system, or other risk factors. Always consult your OBGYN for personalized guidance on the frequency of your cervical cancer screenings.

How to Prepare for Your Cervical Cancer Screening

In order to obtain the most precise outcomes from your cervical cancer screening, there are several measures you can follow to get ready for your consultation:

  • Schedule Your Appointment When You Are Not Menstruating: Heavy menstrual bleeding can make it challenging for your OBGYN to obtain a clear sample of cervical cells. So, scheduling your screening when you are not on your period is best.
  • Avoid Sexual Intercourse, Douching, and Using Tampons or Vaginal Medications for 24-48 Hours before Your Appointment: These activities can temporarily alter the cells of the cervix and potentially interfere with the accuracy of your test results.
  • Discuss Any Concerns or Symptoms with Your OBGYN: If you have been experiencing unusual symptoms, such as abnormal vaginal discharge, pain during intercourse, or persistent pelvic pain, discuss these concerns with your OBGYN during your appointment. These symptoms may require further investigation and could impact the type of screening you receive.

Conclusion

Regular cervical cancer screenings are an essential part of maintaining your reproductive health. By understanding when to get screened and how to prepare for the process, you can take control of your health and ensure that any potential issues are detected early and treated promptly.

Are you looking for a certified obstetrician in Forest Hills, NY? Don’t settle for less when it comes to your reproductive health. Put your trust in Barbara Hessel, MD, FACOG, a seasoned OB/GYN expert with over 25 years of experience.

As a member of the prestigious American Association of Gynecologic Laparoscopists and recipient of the Special Excellence in Endoscopic Procedures Award, Dr. Hessel is a cut above the rest. Schedule your appointment today at her Forest Hills, NY office 

What an Obstetrician Does: Pregnancy and Childbirth Care

What an Obstetrician Does: Pregnancy and Childbirth Care

Pregnancy is an exciting time for expectant mothers, but it can also be a time of great uncertainty and anxiety. That’s where an obstetrician comes in. Obstetricians are medical professionals who specialize in the care of pregnant women and their unborn babies. In this article, we’ll take a closer look at what obstetricians do, why they’re essential, and what you can expect if you’re under their care during pregnancy and childbirth.

What Is an Obstetrician?

An obstetrician is a medical doctor who specializes in the care of pregnant women and their unborn babies. Obstetricians are also trained to manage any complications that may arise during pregnancy, such as high blood pressure, gestational diabetes, or preterm labor. They work closely with other medical professionals, such as perinatologists, neonatologists, and midwives, to provide comprehensive care for their patients.

What Does an Obstetrician Do?

An obstetrician’s primary role is to monitor the health and development of the fetus and the health of the mother throughout pregnancy. This involves regular check-ups and ultrasounds to ensure that the baby is growing and developing properly. Obstetricians also monitor the mother’s health during pregnancy, checking for any signs of complications such as preeclampsia, preterm labor, or gestational diabetes.

Obstetricians are responsible for managing the labor and delivery process. They work closely with labor and delivery nurses to ensure that the mother and baby are safe and comfortable during labor. Obstetricians also perform cesarean sections (C-sections) when necessary and are trained to handle emergency situations such as fetal distress or umbilical cord prolapse.

After delivery, obstetricians continue to monitor the mother’s health and recovery, checking for any signs of complications such as postpartum hemorrhage or infection. They also provide guidance on breastfeeding and infant care and may refer the mother to other medical professionals if necessary.

Why Are Obstetricians Important?

Obstetricians play a critical role in ensuring the health and safety of both mother and baby during pregnancy and childbirth. They are trained to identify and manage any complications that may arise and are equipped to handle emergencies if they occur.

In addition to their medical expertise, obstetricians provide emotional support and guidance to expectant mothers throughout the pregnancy and delivery process. They can help alleviate anxiety and provide reassurance during what can be a stressful and uncertain time.

What Should You Expect if You’re Under an Obstetrician’s Care?

If you’re under an obstetrician’s care during pregnancy, you can expect to have regular check-ups and ultrasounds to monitor the health and development of your baby. Your obstetrician will also monitor your health throughout pregnancy, checking for any signs of complications.

As your due date approaches, your obstetrician will work with you to develop a birth plan that outlines your preferences for labor and delivery. They will also provide guidance on pain management options and help you prepare for the delivery process.

During labor, your obstetrician will be present to monitor your progress and ensure that you and your baby are safe and comfortable. If complications arise, they will work quickly to address them and ensure safe delivery.

After delivery, your obstetrician will continue to monitor your health and recovery, checking for any signs of complications. They will provide guidance on breastfeeding and infant care and may refer you to other medical professionals if necessary.

Final Thoughts

Obstetricians play a critical role in ensuring the health and safety of both mother and baby during pregnancy and childbirth. They are trained to identify and manage any complications that may arise and are equipped to handle emergency situations if they occur. If you’re under an obstetrician’s care during pregnancy, you can expect to receive comprehensive care and support throughout the pregnancy and delivery process. With the help of an obstetrician, you can feel confident that you and your baby are well cared for.

Do you need pregnancy testing? Trust Barbara A. Hessel, MD. FACOG, a board-certified obstetrician/gynecologist who has been working with patients in the Forest Hills, NY area for over 25 years. She is a member of the American Association of Gynecologic Laparoscopists and a recipient of the Special Excellence in Endoscopic Procedures Award. Her hospital affiliations include Northwell Health/ Long Island Jewish Medical Center. Book now!

Understanding the Common Gynecological Problems Women Face

Understanding the Common Gynecological Problems Women Face

Gynecological problems are common among women, ranging from minor discomforts to severe medical conditions. It is essential to understand these problems to seek timely medical assistance. 

This article aims to inform women about their most common gynecological problems and ways to manage them.

1. Menstrual Disorders

Menstrual disorders are the most common gynecological problems among women. These disorders include heavy bleeding, irregular periods, painful periods, and absent periods.

Heavy bleeding or menorrhagia can cause anemia, fatigue, and weakness. Irregular periods or oligomenorrhea can cause infertility .

Painful periods or dysmenorrhea can cause severe abdominal cramps, headaches, and nausea. Absent periods or amenorrhea can also cause infertility.  

Many of these conditions can be caused by hormonal imbalance 

To manage menstrual disorders, women should seek medical assistance to diagnose and treat the underlying cause. Hormonal imbalances, uterine fibroids, endometriosis, and pelvic inflammatory disease can cause menstrual disorders.

Treatment options include hormonal therapy, pain medications, surgery, and lifestyle changes. Women can manage menstrual disorders by exercising regularly, eating a balanced diet, reducing stress, and avoiding smoking and alcohol.

2. Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome (PCOS) is a common hormonal disorder among women of reproductive age. PCOS can cause anovulation, irregular periods, infertility, and other signs of  hormonal imbalances.

Women with PCOS may experience weight gain, excessive hair growth, acne, and insulin resistance. PCOS can increase the risk of developing type 2 diabetes, heart disease, and endometrial cancer.

To manage PCOS, women should seek medical assistance to diagnose and treat the underlying cause. Treatment options include hormonal therapy, lifestyle changes, and weight loss.

Women can manage PCOS by exercising regularly, eating a balanced diet, reducing stress, and avoiding smoking and alcohol. Women with PCOS should also monitor their blood sugar levels and undergo regular gynecological check ups to prevent complications.

3. Urinary Tract Infections (UTIs)

Urinary tract infections (UTIs) are common among women of all ages. UTIs can cause painful urination, frequent urination, and lower abdominal pain. 

UTIs can occur in the urethra, bladder, or kidneys. Bacteria, viruses, or fungi can cause UTIs. Women are more prone to UTIs than men because they have shorter urethra, which makes it easier for bacteria to enter the bladder.

To manage UTIs, women should seek medical assistance to diagnose and treat the underlying cause. Treatment options include antibiotics, pain medications, and lifestyle changes.

Women can manage UTIs by drinking plenty of water, urinating frequently, wiping from front to back, and avoiding irritants such as douches and feminine hygiene sprays. Women should also avoid holding urine for long periods and wear loose-fitting clothing to prevent UTIs.

4. Sexually Transmitted Infections (STIs)

STIs are infections that are transmitted through sexual contact. It can cause genital warts, herpes, gonorrhea, chlamydia, and syphilis.

STIs can cause various symptoms, such as painful urination, genital sores, and discharge. It can also increase the risk of developing cervical cancer, infertility, and pelvic inflammatory disease.

To manage STIs, women should seek medical assistance to diagnose and treat the underlying cause. Treatment options include antibiotics, antivirals, and lifestyle changes.

Women can manage STIs by using condoms during sexual intercourse, getting vaccinated against HPV, and undergoing regular gynecological checkups. 

Women should also avoid having multiple sexual partners and engage in safe sex practices.

Final Thoughts

Women face various common gynecological problems affecting their physical and emotional well-being. These problems range from menstrual disorders and PCOS to UTIs and STIs. Women need to seek medical assistance to diagnose and treat the underlying cause of these problems.

Women can also manage these problems by adopting healthy lifestyle habits such as exercise, a balanced diet, stress reduction, and avoiding smoking and alcohol. Regular gynecological check-ups can also help prevent and manage these problems. Women must prioritize their gynecological health and seek timely medical assistance to maintain their health and well-being.

If you’re seeking expert care for your gynecological health, schedule an appointment with Barbara A. Hessel, MD. FACOG, an experienced ob-gyn. Our practice is dedicated to providing personalized, compassionate care to women of all ages. We are here to help you achieve your best health and well-being.

Top Tips for Choosing a Gynecologist That Works for You

Top Tips for Choosing a Gynecologist That Works for You

Choosing a gynecologist can be a daunting task, especially for first-time patients. A gynecologist is a medical professional who specializes in the female reproductive system. For this reason, it is essential to find a gynecologist who can provide quality care and make you feel comfortable during your visits. This article outlines several factors to consider when choosing the best gynecologist for your needs.

Qualifications and Credentials

When choosing a gynecologist, it is crucial to consider their qualifications and credentials. You should choose a certified gynecologist, meaning that they have completed the necessary training and passed the required exams in their field. You can check the physician’s credentials by visiting the American Board of Obstetrics and Gynecology’s website. Additionally, it is vital to ensure that the professional is licensed to practice in your state. This information is available on your state’s medical board website.

Location and Accessibility

The location of the office is another factor to consider. It is essential to choose a gynecologist whose office is easily accessible from your home or workplace. This will make it easier for you to keep your appointments and ensure that you receive timely care. 

Insurance Coverage

Before making your final decision, you should check if they accept your insurance plan. If the gynecologist does not accept your insurance plan, you might choose to pay out-of-pocket. There are payment options including CareCredit, Health Savings Accounts (HSA), and payment plans that might be available. Keep in mind that you can check with your insurance provider to find a list of gynecologists who are in-network.

Patient Reviews

Reading patient reviews can provide valuable insights into the quality of care provided by the certified gynecologist. You can check online review sites to find reviews from previous patients. It is essential to read a variety of reviews to get a comprehensive understanding of the gynecologist’s practice.

Communication and Comfort

It is crucial to choose a certified gynecologist who makes you feel comfortable and at ease during your visits. They should be willing to listen to your concerns and answer any questions you may have. Additionally, they should be able to explain medical procedures and treatment options in a way that is easy to understand. Good communication is essential to building a strong patient-doctor relationship.

Gender Preference

Some patients may prefer a gynecologist of a specific gender. It is important to choose a professional who makes you feel comfortable, regardless of their gender. Patients should not feel pressured to choose a gynecologist of a particular gender if they are not comfortable with it.

Referrals

Referrals from friends, family members, or other healthcare providers are helpful in choosing a gynecologist. These individuals can provide firsthand accounts of their experiences and whether they would recommend them. However, it is important to keep in mind that everyone’s healthcare needs are different, and what works for one person may not work for another.

Availability and Accessibility

It is essential to choose a certified gynecologist who is available and accessible when you need them. You should consider the office hours, availability for emergency visits, and the ease of scheduling appointments. Additionally, you should consider their response time to phone calls and emails.

Conclusion

Choosing a gynecologist can be a challenging task, but it is an essential part of maintaining your reproductive health. When selecting a gynecologist, it is crucial to consider their qualifications and credentials, location and accessibility, insurance coverage, patient reviews, communication and comfort, gender preference, referrals, and availability and accessibility. By taking these factors into consideration, you can find a professional who provides quality care and makes you feel comfortable during your visits.

If you’re looking for an experienced, certified gynecologist in Forest Hills, NY, look no further than Barbara A. Hessel, MD. FACOG. With over 25 years of experience, Dr. Hessel provides comprehensive care for all your female reproductive health needs, including pregnancy testing, maternity care, and more.      Schedule an appointment with her and start taking control of your health today!