Frequently Asked Questions

OBGYN Associates at the Veranda

1) From time to time, I leak urine when I cough or sneeze. Is this something that I must learn to live with, or can something be done?
Answer: Urinary incontinence can occur for several reasons, but is never normal. The different types require specialized treatments to meet your needs. Some treatments are behavioral and non-invasive. Others may involve medication or surgery. But rest assured that something can be done to help alleviate your problem. Just ask your physician for more information. He or she will be glad to help!

2) Do you offer Prenatal Education at the Veranda?
Answer: Yes, our Certified Nurse Midwives will see you during your prenatal visits providing an opportunity for an individual question and answer session. In addition, our midwifery services offer educational information and updates at your prenatal visits. You'll have access to lots of useful information and hand-outs, ranging from a check list of what to pack when you go to the hospital to a guide to breast feeding. And as always, our nurse midwives are more than happy to answer any of your individual questions.

3) I have been overweight for most of my life. Are there safe, effective ways that are monitored by a physician to help me lose weight?
Answer: We can help you reach your healthy weight goals. We'll teach you healthy ways to cook, shop and eat. Our program also promotes a more active lifestyle that includes an exercise program you can make part of your regular routine. Under our guidance, you'll be expected to lose one and two pounds a week. Should you fail to achieve this goal within a month, OB-GYN Associates will determine whether medications such as appetite suppressants are appropriate. If you have certain medical conditions, you may not use diet pills; and medication alone doesn't make anyone lose weight, it simply helps control the appetite and boost energy.

4) Does regular exercise really reduce the risk of osteoporosis?
Answer: Yes. The benefits of regular exercise include: reduction of high blood pressure, control of cholesterol and strengthening of the heart, helps to control diabetes, reduction in the risk of osteoporosis, helps reduce high lipid levels in the blood, keeps digestive system regular, makes movement easier for those with arthritis, and improvement in sleep patterns. So as you can see, there are many benefits, in addition to the ability to reduce the risk of osteoporosis, to getting off the couch and starting to exercise. And as always, discuss any exercise program with your physician prior to starting.

5) Are you able to provide x-ray services at the Veranda or do I have to make another appointment somewhere else?
Answer: OB-GYN Associates optimizes your appointment time by possessing a variety of x-ray capabilities. You can be spared the inconvenience of scheduling yet another appointment and waiting for your results. We are able to perform most general x-rays with an on-site Radiologist providing timely feedback.

6) My husband and I have been trying to get pregnant for a while now. What infertility options do you offer?
Answer: Please realize that you are not alone. About 14% - one in six couples – in the United States, experience problems with infertility. About 40% of the fertility problems are linked to the male partner, another 40% to the female partner, and the remaining 20% is shared equally by the couple. At our practice, we dedicate an array of resources, equipment and skilled experts to develop and maintain our Results-Oriented Infertility Program. Our program combines education, counseling, evaluation and high-tech equipment located in our office to assist in identifying and monitoring your unique situation.

7) What are some symptoms of PMS?
Answer: Premenstrual Syndrome strikes a majority of women. An estimated 5% to 90% of all women at some time in their reproductive years experience PMS. Some physical symptoms are as follows: Abdominal bloating, sore breast, acne, appetite changes and food cravings, swelling of hands and feet, headache, upset stomach, constipation, clumsiness, and fatigue. A few less common symptoms include hot flashes and dizziness. And there are also a vast number of emotional symptoms including, but not limited to crying spells, depression and forgetfulness. If you experience any of these symptoms, please contact your physician to find out if you are suffering from PMS.

8) Are there medications that treat endometriosis?
Answer: Yes. Depending upon your symptoms you may be treated with medication, surgery, or both. Hormones are used to relieve pain and slow the growth of endometrial tissue. Typically, oral contraceptives, gonadotropin releasing hormone agonists, progestin and danazol are prescribed. However, medications cannot reduce adhesions or scar tissue.

9) My mother thinks I might be entering the "Change of Life" and is warning me about all of the problems that come with it. It is really that bad?
Answer: Once, menopause was viewed as a negative life event, but today, medical professionals know much more about the process you body undergoes during that time. We have new therapies, new medicines and new techniques to help you cope with potential problems. As a result, many women experience a renewed sense of freedom and increase well-being as they reach the natural end of their child-bearing years. Most women go on to enjoy a healthy and productive lifestyle for many years afterward.

10) Can I use a birth plan with my upcoming delivery?
Answer: You may discuss with the midwife your ideas regarding a pre-determined birth plan. This plan includes your ideas regarding pain relief, family involvement, showering or water therapy, and episiotomy. Remember, we want your birth experience to be as pleasant as possible.

11) At what age should I have a baseline mammogram?
Answer: Unless your doctor orders otherwise, a mammogram should be a part of every woman's annual clinical exam starting at age 40.

12) Why do I have painful cramps during my period?
Answer: Menstruation is a normal event in a woman's life. Beginning between the ages of 12-13 years and continuing until the woman is about 50 years old; it is the monthly bleeding that occurs as a part of a woman's reproductive cycle. Normally, women experience some mild cramps for a day or two each month. Some women have severe, debilitating pain….this is called dysmenorrhea. There are two types of dysmenorrheal – primary and secondary. Primary dysmenorrhea is not a sign that something is wrong. It frequently begins during adolescence, but could begin later in life. Frequently, it disappears after a full-term pregnancy. Secondary dysmenorrheal can be an indication of an underlying cause of pain such as endometriosis or pelvic inflammatory disease. Severe menstrual cramps, in all but rare cases, can and should be treated. If you experience severe or unusual menstrual cramps, talk with your physician at OB-GYN Associates about treatments available for you.