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By Capital Women's Care
November 25, 2020

Pregnancy includes three trimesters or three time periods. The majority of pregnant women feel differently, both emotionally and physically; depending on which trimester of pregnancy they’re in. Besides body shape and weight, other adjustments in body function and chemistry likewise take place.

In general, your body temperature is usually higher, your heart functions harder, your ligaments and joint might be more flexible, body secretions increase, and your hormones will be all over the place. Getting regular checkups with your ob-gyn here at Capital Women’s Care in Rockville, MD, all throughout your pregnancy will help you prepare for the big day. Meanwhile, here’s what you can generally expect during each pregnancy trimester.

The First Trimester of Pregnancy: Weeks 0 to 13

This is the most critical trimester for your little bean’s development because your baby’s organ systems and body structure develop during this time. Depending on your specific case, you may need to be extra careful because most birth defects and miscarriages also happen during this time. Expect your body to undergo some major changes as well.

These changes usually cause various symptoms like breast tenderness, nausea, frequent urination, and fatigue. Do note though that while these symptoms are common in lots of women, symptoms will still vary from one woman to another. For instance, whiles some women might feel overly emotional and tired, others may feel more energized and calm.

The Second Trimester: Weeks 14 to 26

This period known as the easiest trimester since plenty of the unpleasant symptoms of early pregnancy has passed. You’ll likely feel less nauseated, more energized, and can sleep much better. On the other hand, you may start experiencing new symptoms like heartburn, back pain, constipation, abdominal pain, and leg cramps. But here’s some exciting news. Somewhere around the 16th or 20th week, you might feel the first fluttering movements of your baby.

The Third Trimester: Weeks 27 to 40

This is the home stretch. You’re probably feeling equal parts anxious, excited, and ready to pop. You may also be dealing with sleeping issues, varicose veins, hemorrhoids, shortness of breath, urinary incontinence, and more pronounced back pain. Most of these symptoms occur due to your rapidly increasing uterus and growing baby.

Red Flags to Watch Out For

While there a plenty of symptoms considered normal throughout pregnancy, you must inform your ob-gyn in Rockville, MD, as soon as possible if any of these symptoms occur:

  • Fever or chills
  • Persistent vomiting
  • Blurred vision
  • Continuous pain
  • Continuous headache
  • A burning sensation when urinating
  • Decreased fetal movements
  • Swollen hands or face
  • Five or more contractions every hour
  • Leaking fluid from your vagina, which could be water or blood
  • Bleeding, regardless of which trimester you’re currently in


Reach Out to Us For Questions, Advice, or Concerns About Your Pregnancy

Get in touch with us here at Capital Women’s Care in Rockville, MD, by calling (301) 569-6301. You can also reach us at (240) 790-1725 for after-hours and emergency concerns.

By Capital Women's Care
September 22, 2020
Category: OBGYN
Tags: Hysterectomy  

What to Know About a Hysterectomy

A hysterectomy is a surgical procedure to remove the cervix and entire uterus. After the surgery, you will no longer menstruate and will be unable to become pregnant. Because of this, a hysterectomy is only an option if other treatments have been unsuccessful. In some cases, you will only need a partial hysterectomy. In this case, the entire uterus is removed, but the cervix is left intact. The team at Capital Women’s Care in Rockville, MD can provide you with everything you need to know about a hysterectomy.

When is a Hysterectomy Recommended?

Women may need a hysterectomy to resolve cases of:

  • Unusual or heavy vaginal bleeding
  • Endometriosis
  • Uterine fibroids
  • Uterine prolapse
  • Cervical or uterine cancer

Hysterectomy: The Procedure

Often a hysterectomy can be performed using a minimally invasive procedure such as robotic surgery or laparoscopy. In some cases, depending on the size of the uterus, open surgery may be needed.

Your recovery time will depend on the type of surgery. If you have a minimally invasive procedure, you can usually return home on the same day and resume your normal daily activities within two weeks. If you have open surgery, you will usually stay in the hospital for 2-3 days and your recovery can take between 4-6 weeks. In either case, you should refrain from sexual intercourse until you are cleared by your physician.

Will a Hysterectomy Affect my Menopause?

If you retain your ovaries, you will not experience menopause. However, if you are already in the stages of perimenopause when you have your hysterectomy, this could speed up the onset of your menopause by up to twelve months.

If you live in or around Rockville, MD and you would like to find out more about having a hysterectomy, contact Capital Women’s Care on (301) 569-6301 to schedule a consultation.

By Capital Women's Care
September 03, 2020
Category: Women Health Care

At Capital Women's Care in Rockville, MD, our physicians and their support staff provide counseling and treatment options for a very important part of life: menopause. From the management of symptoms to providing the psycho-social support you need to navigate this change, your four gynecologists stay with you every step of the way for a better quality of life.
 

Menopause and its changes
 

Often referred to as "the change," menopause typically occurs in a women's early fifties. She becomes infertile due to aging ovaries and very limited production of estrogen and testosterone. Ovulation and menstruation cease, and pregnancy is no longer possible.

Other signs and symptoms of menopause include:

  • Hot flashes and sweats, particularly at night
  • Vaginal thinning and dryness
  • Decreased libido
  • Increased body weight
  • Fatigue
  • Anxiety
  • Mood swings
  • Slower metabolic rate
  • Dry skin
  • Lost volume in breast tissue
  • Minor urinary incontinence
  • Spotty, irregular menstruation, followed by total lack of monthly periods

Some women sail through menopause with minimal to moderate discomfort. Others, however, experience significant struggle and benefit from close monitoring, treatment and counseling from the team at Capital Women's Care in Rockville. Our doctors fully customize care plans to reduce symptoms, manage emotional effects and increase sexual and overall wellness.
 

Counseling and treatment options
 

The American Counseling Association states that for many women, menopausal symptoms may begin as early as age 40. Along with the physical changes, women experience a sense that they are not themselves.

As such, your gynecologist may recommend counseling with a mental health professional. Additional recommended treatments may include:

  • Daily exercise
  • Adequate hydration
  • HRT (hormone replacement therapy) for severe symptoms only for a limited time
  • Wearing cool clothing at night and keeping the bedroom cool and well-ventilated
  • Exploring the use of natural supplements for night sweats and hot flashes (ask your doctor what's best)
  • Eating plenty of fruits and vegetables
  • Moisturizing the skin, hair and vagina (use of a lubricant for sex)
  • Keeping watch on your weight, blood sugar and cholesterol
  • Getting your cancer check-ups at the proper intervals--colonoscopy, pap smear and mammogram


Feel more like you

Menopause really is a big change. However, it's a natural and sometimes, much-anticipated one. For medical and emotional help through this season of your life, contact Capital Women's Care in Rockville for a consultation with one of our four experienced and caring gynecologists. Call our office at (301) 569-6301.

By Capital Women's Care
May 11, 2020
Category: Women Health Care

A high-risk pregnancy involves health conditions and pregnancy outcomes of the mother, the baby, or both. At Capital Women's Care in Rockville, MD, our four board-certified OB/GYN physicians consider each pregnancy vitally important. They take special care of moms and babies who present with concerning medical factors and conditions. Learn more about high-risk pregnancy from the experts.

You and your pregnancy

Each patient, along with her baby and pregnancy, is unique. At Capital Women's Care in Rockville, our professional team encourages counseling and medical care even before you conceive so you're well-informed on any pre-existing conditions or risks a pregnancy could pose.

Once you are pregnant, you'll be followed through the 40 gestational weeks with in-office check-ups, blood work, ultrasound testing, and more. The doctors meticulously track fetal development and health, present you with delivery options and educate you on the labor process, postpartum care, and breastfeeding.

What makes a pregnancy high risk?

There are many factors that lead your doctor to consider your pregnancy high-risk. They include:

  • Pre-existing maternal health conditions such as diabetes, hypertension, obesity, lupus, HIV-infection or other STDs, anxiety, and depression, chronic kidney disease, history of pre-term labor or miscarriage
  • Maternal age (17 and younger or 35 and older)
  • Genetic factors or developmental defects in the baby
  • Carrying twins or multiples
  • Alcohol, drug or tobacco usage

What you should do

Every mom--high-risk or not--should keep all schedule appointments at Capital Women's Care. Be sure to exercise and eat nutritiously. Ask for help with substance abuse issues. Contact your health care provider with any concerns or questions which may arise during your pregnancy.

If you are high-risk, you will deliver in a hospital, not at a birth center or at home. Your physician will prepare you for any possible delivery complications, such as pre-term labor, or the need for induction or C-section. Also, the doctor will inform you of how your baby will be cared for in case of complications.

Help is here

At Capital Women's Care in Rockville, expect exceptional care throughout your pregnancy. If you're high-risk, we provide accurate medical care and emotional support for excellent patient outcomes for moms and babies. Contact us for more information: (301) 569-6301.

By Capital Women's Care
March 25, 2020
Category: Women Health Care
Tags: Women's Care  

Have you scheduled a well-woman care visit with your gynecologist this year? These visits, offered by the gynecologists here at Capital Women's Care in Rockville, MD, can help you protect and improve your reproductive and general health.

How You Can Benefit From a Well-Woman Care Visit

Visiting your gynecologist once a year is a must no matter what your age. Your appointment may include:

  • A Pelvic and Breast Examination: Your gynecologist will look for possible signs of cancer when examining your breasts. Pelvic exams are helpful in detecting abnormalities of the female reproductive system, such as cysts, lumps, fibroids, genital warts, sores, rashes, or abnormal discharge.
  • A Pap Test: This simple screening test detects the presence of abnormal cells or cancer of the cervix. Although Pap tests used to be performed every year, The American College of Obstetricians and Gynecologists (ACOG) has changed its recommendations. If you're 21 to 29, you will need a Pap test every three years. Women 30 to 65 need a Pap smear and human papillomavirus (HPV) test every five years or a Pap smear alone every three years.
  • Other Screenings and Tests: Your visit to the Rockville office will also include a blood pressure screening. High blood pressure can increase your risk of kidney/heart disease, vision loss, and stroke, yet it may not cause any symptoms initially. Your doctor may also recommend other tests if needed, such as blood tests to check your thyroid function or screening tests for sexually transmitted diseases.
  • Perimenopause and Menopause Information and Recommendations: The perimenopause and menopause years can bring about a variety of changes, from hot flashes to mood changes to vaginal dryness. Your gynecologist can prescribe medications that can help you handle these changes and make helpful suggestions that will improve your comfort.
  • Discussions About Your Reproductive Health: Your gynecologist will also want to know about any questions or concerns you have about your reproductive health. Your annual well-woman care visit is the perfect time to discuss birth control options, pelvic pain, fertility planning, or your risk of sexually transmitted diseases.

Contact Us

Protect your health with a well-woman's care visit. Call your Rockville, MD, gynecologists at Capital Women's Care at (301) 569-6301 to schedule your appointment.





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