Notes on Women's Health

Notes on Women's Health

Uterine Fibroids: Your Questions Answered

This is the second in a series of five blogs about common conditions that can cause abnormal uterine bleeding.

uterine-fibroids-woman-painUterine Fibroids: A common condition

Of every 10 women who come into our practice, seven of them will have uterine fibroids at some point in their lives. Uterine fibroids are that common. But despite their frequency, many women have questions about fibroids, especially when the condition affects quality of life or causes health issues. Here are answers to some of the fibroid questions we’re asked most often at our practice. Read More

Coping with Endometriosis

what is endometriosis - woman in pain

This is the first in a series of five blogs about common conditions that can cause abnormal uterine bleeding.

Many of our patients experience mild pain and cramping during their menstruation. But what about the patients who are forced to endure severe pain and discomfort, causing them to miss school and work on a monthly basis?

For many of these women, endometriosis is the cause.

The good news is that we are able to offer medical treatments and fertility-sparing surgical options that can alleviate endometriosis pain for most patients.

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Abnormal Bleeding After Menopause: When to be Concerned

Woman on bed complaining of menopause bleeding & cramping You’ve made it through menopause. You’re done with the mood swings and the hot flushes, the fatigue and the cramping. And now, after decades of dealing with regular and irregular uterine bleeding, you’re settling into the latest phase of your body’s development, hopefully with a minimum of fuss. So what does it mean if you start bleeding again? Read More

Pregnancy Week by Week: What to Expect at Your Prenatal Appointments Weeks 10-16

Your Pregnancy Weeks 10-16

pregnancy weeks 10-16Throughout the course of your pregnancy, you will see your doctor about 14 times, assuming all tests are reassuring that your baby is developing just fine. After your first prenatal visit and until week 28 you should plan to see the doctor once a month. Understanding what to expect with your pregnancy week-by-week will help you calm any fears you may have and make the best possible preparations. Here’s what you can expect during your pregnancy weeks 10-16:

Prenatal Appointments: Weeks 10 – 12

Your 2nd prenatal appointment occurs between your 10th and 12th week of pregnancy. Starting now, you’ll realize that almost every prenatal appointment starts with a nurse taking your weight and blood pressure and with a urine sample. The urine test looks for bacteria and high levels of sugar and protein in your system, which could indicate diabetes, urinary tract infection, kidney disease, or preeclampsia (high blood pressure). Preeclampsia typically occurs later in pregnancy if it occurs at all.
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An Overview of Your First Prenatal Visit

What to expect at the first prenatal appointment and Why it May Seem like a Marathon

first prenatal visit

On your mark, get set, go! With your obstetrician’s support, you’re on your way to the finish line where you will meet your new baby.  But what checkpoints, and potential roadblocks, does the road ahead hold for you? Once you leave the starting block, you and your obstetrician will navigate the road to motherhood together, starting with your first prenatal visit, which will feel more like a marathon rather than a sprint. At this first appointment, it will take more time than others because of the background information your doctor needs to discuss with you and the time you need to ask your questions.

At our office, we ask our patients to access the Athena Electronic Medical Record Portal available through our website two or three days before the first appointment, other providers may request the same information in different formats. This is an opportunity to have you carefully answer a series of questions that will help your obstetrician determine your due date and identify any potential risk factors.

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Causes of Abnormal Bleeding Around Menopause: Navigating the Changes

Mature woman sitting on bed with manopause cramping and abnormal bleedingMenopause is the time in a woman’s life when the ovaries stop producing estrogen. If you’ve gone through 12 consecutive months without a menstrual period, it’s official: you’ve reached menopause. For about 40% of women, that’s all there is to it.

For the other 60% of women, the months or years leading up to menopause can bring a host of symptoms. Brought on by hormonal changes, the symptoms can include insomnia, fatigue, hot flashes, chest pain, cramping, moodiness, vaginal dryness, abdominal weight gain, a rapid or irregular heartbeat, a reduced sex drive, urinary incontinence, and abnormal uterine bleeding — that is, irregular or heavy bleeding. Or both. These changes can bring on confusion and anxiety, especially if you’re not expecting them at this point in your life. Read More

Body Changes During Pregnancy: 3 Common Changes You’ll See and When to Expect Them

Closeup photo of pregnant womanAnyone that has endured a pregnancy will tell you that there are an abundance of both emotional and physical changes that will evolve over the course of 9 months, some that are welcome and some that are not so welcome.

While many of these changes are inevitable, you can prepare now by understanding what the common changes include and when you can expect to experience them.

As you can imagine, we field a lot of questions from our pre-natal care patients, especially as they pertain to their bodies. The following topics are 3 of the most commonly discussed areas with our mothers-to-be regarding their outward appearance:

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Abnormal Vaginal Bleeding During Your Reproductive Years: What You Need to Know

Woman experiencing abnormal bleeding and crampsOne of the most common reasons that patients come to our medical office in Norwalk is because they have questions or concerns related to abnormal vaginal bleeding. This isn’t really a surprise: About a third of all outpatient visits to gynecologists in the United States are for heavy period bleeding, an unusually long period, or unusual bleeding between periods. But even though it’s common, irregular bleeding can be a major cause for concern, especially during pregnancy. And despite its possible effects on a woman’s lifestyle and health, irregular bleeding can be something that patients overlook, especially if the increase in bleeding has occurred gradually. Read More

Connecticut OBGYN Dr. John Garofalo is Awarded AlUM Ultrasound Practice Accreditation

AIUM ultrasound The Ultrasound Practice Accreditation Council of the American Institute of Ultrasound in Medicine (AIUM) is pleased to announce that Dr. John Garofalo has been awarded ultrasound practice accreditation in the areas of Adjunct Competence in 3D (GYN); Gynecologic; Obstetric (First Trimester); Obstetric (Second Trimester); and Obstetric (Third Trimester).

Dr. Garofalo achieved this recognition by meeting rigorous voluntary guidelines set by the diagnostic ultrasound profession. All facets of the practice were assessed, including the training and qualifications of physicians and sonographers; ultrasound equipment maintenance; documentation; storage, and record-keeping practices; policies and procedures to protect patients and staff; quality assurance methods; and the thoroughness, technical quality and interpretation of the sonograms the practice performs. Read More

Finding the Right OBGYN – Important Considerations and Questions to Ask Potential Obstetricians

Finding an OBGYN finding OBGYN(obstetrician) to care for you and your baby is a huge decision to make as you start your journey towards parenthood, so it’s important to find the one that is right for you. If your gynecologist also practices obstetrics and you like your relationship, then it may be as simple as asking him or her to care for you during your pregnancy. But if you find yourself needing an obstetrician, you can start by asking one of your healthcare providers to make a recommendation, talk to other moms in your area, or go to the American Congress of Obstetricians and Gynecologists’ website to find an CT obgyn in your area.

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