While research is still emerging on the relationships between GLP-1 medications and birth control, fertility, and pregnancy, manufacturers of these popular weight-loss drugs have provided recommendations for women who are currently taking oral contraceptives to avoid pregnancy.

WHAT EXACTLY ARE GLP-1 MEDICATIONS?

Glucagon-like peptide-1 (GLP-1) receptor agonists are medications that have been used to treat type 2 diabetes for years. More recently, they gained approval for the treatment of obesity. GLP-1 medications work by mimicking the body’s natural GLP-1 hormones that regulate blood sugar, insulin release, digestion, and appetite. GLP-1 medications are commonly prescribed under the brand names of Ozempic, Wegovy, Mounjaro, Trulicity, and Zepbound. Within the past few years, GLP-1 prescriptions for non-diabetes patients have risen by more than 700%.

INTERACTION BETWEEN GLP-1 AND BIRTH CONTROL PILLS

Can GLP-1 medications make birth control less effective? There’s some evidence to suggest that popular weight-loss medications can affect how oral birth control works. For example, one study found evidence that a GLP-1 medicine called tirzepatide, that is sold under the brand name of Mounjaro had a greater impact on absorption of oral hormonal contraceptives than other GLP-1 medications. The study found that patients taking Mounjaro and oral contraceptives together resulted in a 20% decrease in overall exposure to oral contraceptives. Currently, there is no evidence suggesting that GLP-1 medications reduce effectives of non-oral contraception.

In response to findings on GLP-1 medications and birth control, manufacturers have put out usage recommendations for women taking oral contraceptives. Due to risks for decreased bioavailability of birth control pills, the manufacturer of Mounjaro (tirzepatide) recommends that patients either use barrier contraception for four weeks after initiation or dosage increase or switch to a non-oral contraceptive. Due to risks for diminished therapeutic effects of oral birth control pills, the manufacturer of Bydureon (exenatide) recommends taking birth control at least one hour prior to exenatide. The manufacturer of Adlyxin (lixisenatide) recommends taking oral birth control at least one hour prior or 11 hours after lixisenatide for the same reason. Currently, all other manufacturers of GLP-1 agonists assert that their products have no effect on the bioavailability of oral contraceptive pills.

Related: Ozempic Vagina: What Are The Side Effects Of Semaglutide?

ALTERNATIVES TO BIRTH CONTROL PILLS

Patients concerned about interactions between GLP-1 medications and birth control should talk to their care providers to make sense of manufacturer recommendations and learn about alternatives to oral contraceptives. Non-oral forms of contraception that bypass the digestive system are not believed to be affected by GLP-1 medications. This includes options like intrauterine devices (IUDs), injections, implants, rings, and patches. Patients should also be aware of the potential for increased fertility that stems from the weight loss and general health changes that many people experience after beginning GLP-1 medications. For women who have had difficulty conceiving due to obesity, it may be important to speak with your doctor about the potential for an unexpected pregnancy if birth control has not been a part of the equation due to perceived or assumed low risk for pregnancy.

GLP-1 WHILE PREGNANT

The simple answer is that women should not take GLP-1 while pregnant or attempting to conceive. Currently, there is a lack of long-term data on the safety of GLP-1 medications while pregnant. Recent studies show that exposure to GLP1-RA in the first trimester is not associated with a risk of major birth defects when compared with diabetes or obesity. While these findings offer reassurance in cases of inadvertent exposure to GLP-1 medications during the first trimester of pregnancy, larger trials are needed for more conclusive results. Additionally, animal studies have found that exposure to glucagon-like peptide-1 receptor agonists in pregnancy resulted in adverse outcomes for offspring that included decreased fetal growth, skeletal and visceral anomalies, and embryonic death.

The Food and Drug Administration (FDA) currently advises women to stop taking GLP-1 medications like Ozempic at least two months prior to trying to conceive. While the amount of time it takes the body to metabolize medication can vary by person, it takes an average of six weeks for most GLP-1 medications to be gone from the body in healthy, non-pregnant women. Patients who discover that they are pregnant while still taking a prescription GLP-1 medication should contact their care providers right away.

If you’re looking for more information on interactions between GLP-1 medications and birth control or how taking weight-loss medications may impact your fertility, Dr. Michael Tahery is a leading Obstetrician-Gynecologist (OB-GYN) and Urogynecologist serving the Los Angeles and Glendale areas. Book a consultation today.

The post GLP-1 Medications and Birth Control Pills | How Do They Interact? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

TYPES OF LABIA

The vulva (external genitalia) is made up of two types of labia called the labia majora and labia minora. The labia help to protect the vagina and urethra.

Labia Majora

Also known as the outer lips, the labia majora are folds located on the outside of the vulva. They are often covered in pubic hair.

Labia Minora

Also known as the inner lips, the labia minora are folds closer to the vagina that extend from the clitoris to the vaginal opening.

Related: What Are The Vaginal Atrophy Treatment Options?

COMMON LABIA SHAPES

Labia come in a wide range of shapes, sizes, and types. In some cases, labia simply have characteristics that might make them stand out or look different from the average. In other cases, factors like pregnancy, childbirth, aging, hormonal changes, or injury can alter the appearance of different types of labia.

Asymmetrical Labia

It’s fairly common for one side of the labia minora to be longer than the other. When this occurs, a woman may notice that one side appears to hang beyond the boundary of the labia majora. While common, asymmetrical labia shapes can sometimes lead to physical discomfort or self-consciousness.

Dangling Outer Labia

When outer lips are prominent enough to spill over to hang outside the underwear, these types of labia are often described as dangling outer labia. With this situation, the inner lips become more exposed. Many women also find that wearing fitted clothing becomes more challenging.

Prominent Labia Minora

Prominent inner lips extend below the labia majora. In addition to leaving the inner lips more exposed and vulnerable to irritation and infection, these types of labia can make it difficult to wear fitted clothing or bathing suits without fear of the inner labia becoming visible.

Prominent Labia Majora

When outer lips are thick or puffy, this can create a visible mounded look under fitted clothing or bathing suits. When outer lips appear puffed or oversized, this can create the effect of shrinking or hiding the labia minora.

Curved Labia

Curved labia shapes are actually caused by a curved vulva with outer lips that are molded into something that resembles a horseshoe. When the outer lips are curved, the inner lips will be pushed to peek through the front. In some cases, the labia minora will extend past the labia majora to be visible and prominent. In others, they will remain tucked under the labia majora.

Thin or Wrinkled Labia

In general, thinning or shrinking of the labia will occur with aging and hormonal changes. As women approach perimenopause and menopause, decreased collagen production and reduced blood supply to the genitalia cause skin to lose collagen and elasticity. It’s not much different from the way women may also experience thinning skin on the face or neck due to hormonal changes with age. As tissue in the labia thins, it also becomes more vulnerable to damage and trauma that can exacerbate visible wrinkling.

LABIAPLASTY FOR LABIA CORRECTION

Whether you have concerns about the appearance of the labia or asymmetry and prominence are creating discomfort and irritation, labiaplasty is an option that can help to reshape the labia. Labiaplasty is a surgical procedure that alters the appearance or size of the inner and outer vaginal lips. During a procedure, a doctor reshapes or resizes the inner lips, outer lips, or both to create symmetry, restore or decrease volume, and correct other concerns.

The term labiaplasty actually encompasses many different procedures for different labia shapes. These procedures can involve removing tissue to reduce size or prominence of labia, reconstructing labia using tissue from other areas, or injecting filler material to plump up labia. While labiaplasty is often thought of as a cosmetic procedure, many women choose it for hygiene reasons. Excess labia tissue or profound asymmetry can make cleaning more difficult. By undergoing labiaplasty, you may be able to reduce your risks for urinary tract infections (UTIs) and other dangerous bacterial infections.

Are you interested in learning more about labiaplasty procedures for different types of labia? Dr. Michael Tahery is a leading Obstetrician-Gynecologist (OB-GYN) and Urogynecologist who has spent the past two decades providing gynecology, urogynecology, and cosmetic care to patients throughout the Los Angeles and Glendale areas. Contact Dr. Tahery to book a consultation today.

The post Understanding The Different Types Of Labia and Shapes appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

THE LABIAPLASTY PROCEDURE

While there was a time when labiaplasty meant traditional surgery, patients today can choose between surgical and scalpel-free laser labiaplasty procedures to achieve their desired results.

Surgical Labiaplasty

Labiaplasty surgery can vary based on whether a patient’s goal is labia reduction or enlargement. When shortening the labia minora, a surgeon will trim excess tissue from the edge of the labia or remove a wedge-shaped piece of tissue. For enlargement procedures, small amounts of fat are taken from another part of the body during a liposuction procedure in order to be injected into the labia for shaping and plumping. Generally, the fat is taken from the thigh, abdomen, or other area with available reserves. For some procedures, a common filler material called hyaluronic acid (HA) is injected in place of fat. Depending on whether a patient is addressing overall volume loss or seeking to balance unevenly sized labia, injections may either be done on one or both sides of the vaginal lips.

Depending on the specifics of the procedure, either local anesthesia or general anesthesia will be used. Recovery time for labiaplasty surgery is typically six to eight weeks. It can take up to six months for swelling to reduce to the point that patients can see full results.

Laser Labiaplasty

Laser labiaplasty is a gentler procedure that utilizes laser technology to reduce or reshape the labial minora and/or labia majora. Today’s lasers are capable of trimming, realigning, and reshaping labia without the need for a scalpel. Like traditional labia surgery, laser labiaplasty requires either local or general anesthesia. Next, laser heat is used to precisely cut and remove labia tissue. Depending on the type of laser used and the specifics of the procedure, recovery generally takes two to four weeks.

Related: When Do You Need Vaginal Rejuvenation?

SIGNS YOU NEED LABIAPLASTY

Labiaplasty can dramatically improve confidence levels and quality of life for patients. While some seek labiaplasty for aesthetic reasons, these procedures can also offer benefits for hygiene, sexual health, and more.

Labia Appearance

When the inner labia extend lower than the outer labia, they are often visible under clothing. Labiaplasty is commonly used to address oversized or larger-than-normal inner vaginal lips that are visible through certain types of paints, skirts, and dresses. While it’s normal for labia to be visible to some degree when wearing sheer or tight-fitting clothing, oversized or protruding labia are often visible even when wearing thick jeans or adding multiple layers for concealment.

Discomfort Wearing Certain Clothes

Large or protruding labia can make wearing many different types of clothing a challenge. For example, fitted items like leggings and bicycle shorts may cause tugging and chaffing. In addition, most types of underwear can cause pain and discomfort.

Discomfort During Physical Activities (Sex or Exercise)

Excess labia tissue can get twisted, tugged, pulled, and pinched during any kind of physical activity. When labia are enlarged or protruding, this can make certain types of exercise feel awkward or painful. For example, participating in cycling classes or riding a bicycle can cause tension and irritation because the labia will come into contact with the seat. Running, jogging, and other forms of exercise can also cause rubbing and chaffing. It’s even possible to experience painful chafing and irritation simply when walking. Many women feel self-conscious when they need to make constant adjustments while working out.

Large or uneven labia can also make sexual activity painful or unpleasant. Excess tissue often causes soreness and chafing during intercourse. In addition, excess labia tissue can make maintaining good hygiene more difficult. This can lead to urinary tract infections (UTIs) and other bacterial infections that can make sex feel painful and impact sexual health.

Are you interested in learning more about labiaplasty procedures? Dr. Michael Tahery is a leading Obstetrician-Gynecologist (OB-GYN) and Urogynecologist serving the Los Angeles and Glendale areas. With more than two decades of experience in gynecology, urogynecology, and cosmetic care, Dr. Tahery offers the latest in surgical and laser labiaplasty procedures. Contact Dr. Tahery to book a consultation today.

The post What Is Labiaplasty? And What Are The Signs You Need It? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Morning Light Exposure

• Why it matters: Exposure to natural sunlight in the morning helps regulate your circadian rhythm, which governs hormone production, including cortisol and melatonin.

• Action step: Spend 10–15 minutes outdoors shortly after waking, allowing sunlight to reach your eyes (without sunglasses) to signal your body that it’s time to start the day.

Nutrient-Dense Meals

• Why it matters: Consuming balanced meals rich in protein, healthy fats, and fiber stabilizes blood sugar levels and supports hormone production.

• Action step: Incorporate foods like eggs, leafy greens, avocados, and whole grains into your meals. For example, a breakfast of scrambled eggs with spinach and whole-grain toast provides a solid foundation.

Mindful Movement

• Why it matters: Engaging in moderate physical activity reduces stress hormones and enhances insulin sensitivity.

• Action step: Participate in activities like yoga, walking, or cycling for at least 30 minutes. These exercises promote hormonal balance without overtaxing your system.

 Prioritize Sleep

• Why it matters: Adequate sleep is crucial for hormone regulation, including those that control appetite and stress responses.

• Action step: Aim for 7–9 hours of quality sleep. Establish a calming bedtime routine, such as reading or taking a warm bath, and maintain a consistent sleep schedule.

Stay Hydrated

• Why it matters: Proper hydration supports metabolic processes and the elimination of toxins that can disrupt hormonal balance.

• Action step: Drink at least 8 glasses of water daily. Adding a slice of lemon can enhance flavor and provide additional benefits.

Stress Management

• Why it matters: Chronic stress elevates cortisol levels, which can interfere with other hormones.

• Action step: Incorporate stress-reducing practices such as deep breathing exercises, meditation, or journaling into your weekend routine.

 Consider Natural Supplements

• Why it matters: Certain supplements, like inositol and folic acid, have been shown to support hormonal health, particularly in conditions like PCOS and during perimenopause.

• Action step: Discuss with your healthcare provider the possibility of integrating supplements like OVARIAN BOOST, which combines these ingredients, into your regimen.

The post Weekend Reset: Natural Strategies to Balance Hormones and Boost Energy appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

The reality is, PCOS is one of the most prevalent yet frequently misunderstood hormonal disorders affecting women today. Its symptoms often mimic other conditions or are dismissed as normal variations, making diagnosis a complex and confusing journey.

In this blog, we’ll delve into the key features of PCOS, explore its various phenotypes, and discuss the importance of early recognition and management. Understanding these aspects can empower you to take proactive steps toward better health and well-being.

Key Diagnostic Features of PCOS

Diagnosing Polycystic Ovary Syndrome (PCOS) can be complex due to its varied presentation. The most widely accepted criteria for diagnosis are the Rotterdam Criteria, which require the presence of at least two of the following three features:

1. Hyperandrogenism (Elevated Androgen Levels)

• Clinical Signs: Excess hair growth (hirsutism), acne, and scalp hair thinning.

• Biochemical Evidence: Elevated levels of androgens, such as testosterone, in blood tests.

2. Ovulatory Dysfunction

• Irregular Menstrual Cycles: Infrequent (oligomenorrhea) or absent (amenorrhea) periods, indicating irregular ovulation.

• Anovulation: Lack of ovulation leading to fertility issues.

3. Polycystic Ovarian Morphology (PCOM)

• Ultrasound Findings: Ovaries containing 12 or more follicles measuring 2–9 mm in diameter or increased ovarian volume (>10 cm³).

• Appearance: “String of pearls” pattern observed in transvaginal ultrasound imaging.

It’s essential to rule out other conditions that may mimic PCOS symptoms before confirming the diagnosis.

Understanding the Four Phenotypes of PCOS

PCOS can present in various phenotypes based on the combination of diagnostic criteria met:

1. Phenotype A (Classic PCOS)

• Hyperandrogenism, ovulatory dysfunction, and polycystic ovaries.

• Often associated with more severe symptoms and metabolic disturbances.

2. Phenotype B

• Hyperandrogenism and ovulatory dysfunction without polycystic ovaries.

• Symptoms include menstrual irregularities and signs of androgen excess.

3. Phenotype C

• Hyperandrogenism and polycystic ovaries with regular ovulation.

• May have milder symptoms but still at risk for metabolic issues.

4. Phenotype D

• Ovulatory dysfunction and polycystic ovaries without hyperandrogenism.

• Typically presents with menstrual irregularities and polycystic ovarian morphology.

Identifying your specific phenotype can aid in tailoring treatment and management strategies.

Importance of Early Recognition and Management

Early identification of PCOS is vital, especially for young women, as it can:

• Facilitate Weight Management: Early intervention can help in adopting lifestyle changes that promote healthy weight, which is often challenging due to insulin resistance associated with PCOS.

• Address Skin Concerns: Timely treatment can alleviate acne, a common symptom resulting from elevated androgen levels.

• Prevent Hair Loss: Managing hormone levels early can reduce the risk of androgenic alopecia, characterized by thinning hair on the scalp.

• Reduce Excess Hair Growth: Early treatment can mitigate hirsutism, which involves unwanted hair growth on the face and body.

Moreover, early diagnosis and treatment can lower the risk of long-term complications such as type 2 diabetes, heart disease, and infertility.

If you’re experiencing symptoms like irregular periods, acne, hair thinning, or unwanted hair growth, I encourage you to schedule a consultation. Together, we can work towards a comprehensive approach to manage PCOS and enhance your quality of life.

The post Do I Have PCOS? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

The Role Of Testosterone in Women

Testosterone, commonly associated with male physiology, is also produced in women’s ovaries and adrenal glands. It plays a significant role in:

• Sexual Health: Enhancing libido, sexual arousal, and satisfaction.
• Mood and Cognitive Function: Contributing to emotional well-being and mental clarity.
• Muscle and Bone Strength: Supporting muscle mass and bone density, reducing the risk of osteoporosis.
• Energy Levels: Influencing overall vitality, energy and stamina.

Testosterone levels naturally decline with age, and imbalances can lead to symptoms such as decreased libido, fatigue, and mood disturbances. In certain cases, testosterone therapy may be considered to alleviate these symptoms.

Estrogen: The Conerstone Of Female Health

Estrogen is pivotal in regulating the menstrual cycle and reproductive system. Its functions include:

• Reproductive Health: Controlling the menstrual cycle and supporting pregnancy.
• Bone Density: Maintaining strong bones and preventing osteoporosis.
• Cardiovascular Health: Promoting healthy blood vessels and heart function.
• Skin and Hair: Influencing skin elasticity and hair growth.

During perimenopause and menopause, declining estrogen levels can lead to symptoms like hot flashes, night sweats, and vaginal dryness. HRT can help mitigate these effects.

Progesterone: The Harmonizer

Progesterone works in tandem with estrogen to regulate the menstrual cycle and maintain pregnancy. Its roles encompass:

• Menstrual Regulation: Balancing estrogen’s effects and preparing the uterus for pregnancy.
• Mood Stabilization: Exerting calming effects and supporting sleep quality.
• Bone Health: Contributing to bone strength alongside estrogen.

In HRT, progesterone is often combined with estrogen to protect the uterus from potential risks associated with estrogen-only therapy.

Taking Hormonal Changes Across Life Stages

If you’re experiencing a persistent decrease in sexual desire that’s causing distress, it’s important to seek support. A healthcare professional can work with you to determine the underlying causes and develop a personalized treatment plan.

• Puberty and premenopause (ages 10-40): Hormone levels fluctuate during the menstrual cycle, affecting mood, energy, and reproductive health.
• Perimenopause (ages 40-50): Hormonal shifts can lead to irregular periods, mood swings, and sleep disturbances.
• Menopause (ages 50 and up): Significant declines in estrogen, progesterone, and testosterone can result in various symptoms, including hot flashes, decreased libido, and bone density loss.

Understanding these changes is crucial for managing symptoms and maintaining quality of life.

Conclusion

Testosterone, estrogen, and progesterone each play integral roles in women’s health. Recognizing the importance of testosterone alongside the other hormones is essential for a comprehensive approach to well-being. If you’re experiencing symptoms related to hormonal imbalances, consult with a healthcare provider specializing in HRT to explore personalized treatment options.

The post Breaking The Cycle: Transforming Fatigue into Energy with Hormonal Insight appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

As an OB/GYN specializing in hormone replacement therapy (HRT), I often hear from patients who are concerned about a decline in their sexual desire. It’s important to understand that fluctuations in libido are common and can result from a combination of physical, emotional, and hormonal factors.

Understanding the Causes

Several factors can contribute to a decrease in sexual desire:

• Hormonal Changes: Fluctuations in estrogen and testosterone levels, especially during perimenopause and menopause, can impact libido.

• Psychological Factors: Stress, anxiety, depression, and past traumas can affect sexual desire.

• Physical Health: Chronic illnesses, fatigue, and certain medications, including antidepressants and hormonal contraceptives, may lower libido.

• Relationship Dynamics: Emotional closeness, unresolved conflicts, and communication issues with a partner can influence sexual interest.

Exploring Solutions

Addressing low libido often involves a multifaceted approach:

• Medical Evaluation: Consulting a healthcare provider can help identify underlying medical or hormonal issues contributing to decreased sexual desire.

• Therapy and Counseling: Engaging in individual or couples therapy can address psychological factors and improve relationship dynamics.

• Lifestyle Modifications: Regular exercise, adequate sleep, stress management, and a balanced diet can positively affect libido.

• Medications: In some cases, medications like flibanserin (Addyi) or bremelanotide (Vyleesi) may be prescribed for premenopausal women experiencing hypoactive sexual desire disorder.

Hormone Replacement Therapy (HRT)

For women experiencing low libido due to hormonal changes, HRT can be an effective treatment option:

• Estrogen Therapy: Helps alleviate vaginal dryness and discomfort during intercourse, enhancing sexual satisfaction.

• Testosterone Therapy: Though not FDA-approved for women in the U.S., low-dose testosterone therapy has been shown to improve sexual desire in postmenopausal women.

It’s crucial to discuss the potential benefits and risks of HRT with your healthcare provider to determine the most appropriate treatment for your individual needs.

Taking the Next Step

If you’re experiencing a persistent decrease in sexual desire that’s causing distress, it’s important to seek support. A healthcare professional can work with you to determine the underlying causes and develop a personalized treatment plan.

The post What Happened To My Sex Drive? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Feeling persistently tired is a common complaint among women, and as an OB/GYN with 30 years of experience, I’ve found that hormonal imbalances often play a significant role. However, fatigue can also stem from various other factors. Let’s delve into the potential causes and explore ways to address them.

Hormonal Factors

Hormones regulate numerous bodily functions, and imbalances can lead to fatigue:

• Estrogen and Progesterone: Fluctuations during perimenopause and menopause can disrupt sleep patterns and energy levels.

• Thyroid Hormones: Hypothyroidism, characterized by low thyroid hormone levels, slows metabolism, leading to fatigue and weight gain.

• Cortisol: Chronic stress can elevate cortisol levels, disrupting sleep and causing persistent tiredness.

• Testosterone: Though often associated with men, women also produce testosterone. Low levels can contribute to decreased energy and motivation.

Other Medical Conditions

Several health issues can cause fatigue:

• Anemia: Iron deficiency reduces oxygen transport in the body, leading to exhaustion.

• Vitamin Deficiencies: Low levels of Vitamin D or B12 can result in decreased energy.

• Chronic Fatigue Syndrome: A complex disorder characterized by extreme fatigue that doesn’t improve with rest.

• Sleep Disorders: Conditions like sleep apnea interrupt sleep, leading to daytime drowsiness.

Lifestyle and Psychological Factors

Daily habits and mental health significantly impact energy levels:

• Poor Sleep Hygiene: Irregular sleep schedules and screen time before bed can impair sleep quality.

• Diet and Hydration: Inadequate nutrition and dehydration can cause sluggishness.

• Lack of Exercise: Physical inactivity can lead to decreased stamina.

• Mental Health: Depression and anxiety often manifest as fatigue.

Addressing Fatigue

If you’re experiencing persistent tiredness, consider the following steps:

• Medical Evaluation: Consult with a healthcare provider to assess for hormonal imbalances or other medical conditions.

• Lifestyle Modifications: Establish regular sleep patterns, maintain a balanced diet, stay hydrated, and incorporate physical activity into your routine.

• Stress Management: Practice relaxation techniques such as meditation, deep breathing, or yoga.

• Mental Health Support: Seek counseling or therapy if emotional factors contribute to your fatigue.

Understanding the root cause of your fatigue is essential for effective treatment. With proper evaluation and targeted interventions, it’s possible to restore energy levels and improve overall well-being.

The post Why Am I Always Tired? Exploring Hormonal and Other Causes appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Hormone Replacement Therapy (HRT) is a treatment used to relieve symptoms of menopause by replenishing estrogen and progesterone levels that decline during this phase. As an OB/GYN, I aim to provide you with comprehensive information to help you make informed decisions about HRT.

What is Hormone Replacement Therapy?

HRT involves supplementing the body with estrogen or a combination of estrogen and progesterone and testosterone to alleviate menopausal symptoms and prevent bone loss.

Benefits of HRT

HRT offers several benefits:

• Relief from menopausal symptoms such as hot flashes, night sweats, vaginal dryness, and mood swings.

• Prevention of bone loss, reducing the risk of osteoporosis and fractures.

• Potential reduction in the risk of heart disease and colon cancer when started within 10 years of menopause onset or before age 60.

Risks and Considerations

While HRT has benefits, it’s essential to consider potential risks:

• Slightly increased risk of breast cancer with combined estrogen-progestin therapy.

• Increased risk of blood clots and stroke, particularly with oral HRT.

• Estrogen-only therapy can increase the risk of endometrial cancer in women with an intact uterus; adding progesterone mitigates this risk.

Discussing your personal and family medical history with your healthcare provider is crucial to determine if HRT is suitable for you.

Types of HRT

HRT can be administered in various forms:

• Oral tablets

• Skin patches

• Topical gels and creams

The choice depends on your symptoms, preferences, and medical history.

Who Should Consider HRT?

HRT is beneficial for:

• Women experiencing menopausal symptoms.

• Those with a significant risk of osteoporosis and heart disease.

• Women who have experienced premature menopause (before age 40).

However, HRT may not be recommended for women with a history of certain cancers, blood clots, liver disease, or unexplained vaginal bleeding.

Final Thoughts

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WHAT IS A DESIGNER VAGINA?

A “designer vagina” can be achieved using a variety of surgical and noninvasive procedures. Designer vagina surgery broadly refers to any vaginal rejuvenation procedure performed on the vagina or vulva. Depending on the patient’s goals, a designer vagina surgery can either be performed as a single procedure or include several different treatments targeting different areas of concern.

Labiaplasty

A labiaplasty is a procedure that can minimize the size and shape of the labia minora (inner lips). It is commonly used to correct enlarged or asymmetrical labia that are causing discomfort. Labiaplasty is typically an outpatient procedure performed with general or local anesthesia. When the goal is to enlarge the labia majora (outer lips) instead, filler is injected to “plump” the labia.

Vaginoplasty

Vaginoplasty is a reconstructive surgical procedure that is often performed to correct injury from childbirth or complications related to pelvic-floor dysfunction. The procedure can restore sexual function and correct vaginal laxity. Vaginoplasty is an inpatient procedure requiring a hospital recovery.

Patients seeking a nonsurgical alternative to traditional vaginoplasty can select a minimally invasive option that utilizes radio frequency (RF) to generate thermal energy. Designed to improve issues with vaginal laxity, a nonsurgical vaginoplasty does not require anesthesia or downtime.

Vaginal Rejuvenation

Vaginal rejuvenation can refer to a suite of surgical and nonsurgical procedures for addressing vaginal appearance, decreased sexual sensation, vaginal laxity, and more. Along with labiaplasty, the following procedures are often included with vaginal rejuvenation:

•  Perineoplasty: This is a surgical procedure that tightens and repairs the perineum to correct muscle weakness, sexual dysfunction, discomfort after childbirth, or trauma.

• Laser therapy: Noninvasive laser therapy is commonly used to treat vaginal dryness and atrophy. Lasers stimulate the self-healing mechanisms of vaginal tissue, promote collagen production, and improve elasticity.

• Platelet-rich plasma (PRP) treatment: PRP promotes tissue healing, blood flow, and cellular regeneration using plasma taken from a patient’s own blood. It is commonly used to address vaginal atrophy, urinary incontinence, and sexual dysfunction.

Clitoral Hood Reduction

This cosmetic surgery removes excess tissue from the folds covering the clitoris to extend clitoral exposure. In addition to improving appearance, clitoral hood surgery can also enhance sensitivity and pleasure.

BENEFITS

Designer vagina surgery can offer benefits for many different circumstances. While most commonly used to address dysfunction, trauma, or aesthetic change caused by childbirth or aging, designer vagina surgery can be used at any age to treat vaginal asymmetry, discomfort, or reduced sexual sensitivity.

Youthful Appearance

As time goes on, hormonal changes can “thin out” the appearance of the vagina. Surgery and laser treatments can help to revive the appearance of the vagina by restoring volume or making certain aspects more pronounced. Additionally, designer vagina surgery is commonly used by women who want to bounce back confidently after volume loss or other changes following pregnancy and childbirth.

Improved Function

In many cases, designer vagina surgery is the only way to truly address sexual dysfunction caused by scarring or issues with the pelvic floor. By tightening vaginal muscles and support structures, surgery can help to address urinary incontinence and boost bladder control.

Enhanced Sexual Satisfaction

Changes that occur with the vagina because of age or childbirth can diminish sexual satisfaction because of everything from feelings of being self-conscious to discomfort during sex. Many procedures involved with designer vagina surgery actually enhance tissue sensitivity to create more satisfying experiences.

Related: Innie Vagina Vs Outie Vagina | Which One Is Normal?

RECOVERY AND RESULTS

Both recovery and results can vary widely based on the procedures chosen to reach your goals for aesthetics and function. In general, laser and injectable treatments are all performed in the office as outpatient procedures. Topical pain relief is provided at the treatment site. Downtime is practically nonexistent.

Most surgical procedures are outpatient, and recovery may last several weeks. While surgical results are immediate, options that include lasers and PRP can sometimes take several weeks to produce full results because they rely on rebuilding your body’s own collagen production to change the appearance and function of vaginal tissue.

If you’d like to learn more about all of the options for designer vagina surgery, contact the offices of Dr. Michael Tahery in the Los Angeles area. Dr. Tahery is a leading gynecologist and urogynecologist specializing in surgical and nonsurgical vaginal restoration procedures. Reach out today to schedule your consultation.

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