Category: News

The Culprit Behind Vaginal Dryness

Vaginal dryness is something many women go through at some point, and while it might feel uncomfortable to discuss, it’s completely normal. The most common reason it happens is a drop in estrogen—a hormone that helps keep things running smoothly for vaginal health. Estrogen keeps the vaginal tissue healthy by supporting natural moisture, flexibility, and the right pH balance. However, factors like certain medical conditions, medications, or even some hygiene habits can also play a role. 

Here are potential factors that may contribute to vaginal dryness:

Leading Causes

1. Menopause and Perimenopause– Vaginal dryness becomes more common as women get older, especially during and after menopause due to decreased estrogen production. As estrogen levels drop, the vaginal tissue can become thinner, blood flow decreases, and the natural balance of healthy bacteria can shift. While these changes are noticed during sexual activity. Dryness, itching, burning, or general discomfort may be experienced during regular daily activities.
   
2. Pregnancy and childbirth– During pregnancy estrogen levels rise. After childbirth, once the placenta is delivered, levels of estrogen and progesterone drop quickly. These hormonal changes are completely normal but can have noticeable effects on the body similar to those experiencing menopause.
   
3. Medications– Vaginal dryness may be a side effect for medications such as antidepressants and antihistamines. Anti-estrogen medications used to treat conditions such as fibroids can also have vaginal dryness as a side effect 
   
4. Diabetes– Vaginal dryness can also be linked to nerve damage—and this is more common in women with diabetes. In fact, women with diabetes are twice as likely to experience vaginal dryness compared to those without the condition. Diabetes can cause damage to the nerves and blood vessels that help supply the vaginal area. Reduced vaginal blood flow can make it harder for the body to stay naturally lubricated.

Vaginal dryness can be frustrating. The good news? It is manageable and you can get relief! At Trust Women’s Healthcare, our providers can counsel on practical self-care tips alongside prescription medications to support your vaginal health! Do not delay your relief, schedule an appointment with us!

More on Maternal Mortality: The Leading Causes

The United States holds the unfortunate distinction of having the highest maternal mortality rates among high-income countries.¹ As per the CDC’s criteria, maternal mortality is characterized by a fatality occurring during pregnancy or within one year after the conclusion of pregnancy due to the physiological effects of childbirth.² In fact, 80% of maternal deaths in recent years were deemed as preventable.³ Keep reading to learn more about the leading causes of maternal mortality.

Leading Causes

1. Hemorrhage — Hemorrhage can be defined as severe bleeding which can occur after birth. In some cases, excessive blood loss may call for a blood transfusion. Risk factors may include multiple pregnancies (twins/triplets/etc.) and delivery beyond the expected due date. However, this can happen among women without risk factors. Your provider may prescribe medications prior to delivery if they believe a patient is high risk. 
   
2. Hypertensive disorders — Hypertensive conditions or abnormal blood pressure levels can increase a patient’s risk of maternal mortality. Two common hypertensive conditions include  preeclampsia and eclampsia. Hallmarks of preeclampsia may include swelling of the face and hands, persistent headache, and changes in vision. More severe symptoms may develop which may include high blood pressure and changes in kidney or liver function. When preeclampsia progresses and leads to seizures, it is referred to as eclampsia. These conditions must be managed closely under a provider alongside lifestyle changes such as monitoring diet and incorporating exercise.
   
3. Infections — Infections are one of the leading causes of maternal death worldwide. Infection is a complication that may arise in different scenarios, from cesarean sections (C-section) to abortion procedures. Infections can lead to sepsis, which is an immune system response to the infection that can lead to organ failure and ultimately death. 
   
4. Mental Health Disorders — Mood disorders, specifically postpartum depression (PPD), accounts for at least 20% of maternal deaths.⁴ Like other common depressive disorders, symptoms of PPD may include sadness, anxiety, difficulty sleeping, and thoughts of self-harm.  Those with mood disorders prior to pregnancy may be at higher risk for PPD. Research suggests having a healthy sleep schedule may help to alleviate depressive symptoms.

1. Munira Z. Gunja, Evan D. Gumas, and Reginald D. Williams II, “The U.S. Maternal Mortality Crisis Continues to Worsen: An International Comparison,” To the Point (blog), Commonwealth Fund, Dec. 1, 2022. https://doi.org/10.26099/8vem-fc65
2. Centers for Disease Control and Prevention. Preventing Pregnancy-Related Deaths. Published September 26, 2023. https://www.cdc.gov/reproductivehealth/maternal-mortality/preventing-pregnancy-related-deaths.html
3. Pregnancy-Related Deaths: Data from Maternal Mortality Review Committees in 36 US States, 2017–2019 | CDC. Published September 26, 2022. https://www.cdc.gov/reproductivehealth/maternal-mortality/erase-mm/data-mmrc.html
4. Baby Blues and Postpartum Depression: Mood Disorders and Pregnancy. Published July 25, 2023. https://www.hopkinsmedicine.org/health/wellness-and-prevention/postpartum-mood-disorders-what-new-moms-need-to-know
   

Pregnancy is not a disease, but is one of life’s most unique and natural processes. At Trust Women’s Healthcare we specialize in counseling high risk pregnancies. Do not delay your support, schedule an appointment today.

Alopecia Awareness: Types and Treatment

ome say the hair is a woman’s crown. Others say “it’s just hair.” Alopecia is more than just a cosmetic concern – it’s a medical condition that affects millions of people worldwide. Regardless, of your perspective, alopecia can be a reflection of your physical health and have profound impacts on self perception and mental health.  This condition is characterized by hair loss anywhere on the body but most commonly the scalp. Keep reading to learn more about the different types of alopecia and solutions offered at our practice.

What is cholesterol?

Androgenic Alopecia
Androgenetic alopecia is the most common type of hair loss, affecting both men and women¹. It’s caused by genetics and can start as early in your teens, though noticeable hair loss typically happens later in middle-aged adults. In men, hair loss usually starts at the hairline or crown. In women, hair thins evenly across the scalp without the hairline receding. This type of hair loss is a natural part of aging for many.

Traction alopecia 
Traction alopecia happens from wearing tight hairstyles like braids, buns, or ponytails. It can also be caused by wearing tight hats or scarves that rub against your hair causing friction. The constant tension on the scalp can lead to follicle damage and hair loss.

Alopecia Areota
Alopecia areata is a condition where the body’s immune system attacks hair follicles, causing patchy hair loss. It can start as small, round patches of hair loss and sometimes progress to larger areas or even complete hair loss on the scalp. The hair follicles don’t scar, so it is possible that the hair may grow back over time.

At Trust Women’s Healthcare, we offer solutions for women experiencing hair loss. Platelet Rich Plasma is a non-surgical option designed to revitalize hair growth using the body’s natural promoting hair growth factors. There is minimal down time with this procedure. Schedule an appointment with us if you would like to learn more!

1. NYU Langone. Types of Hair Loss. Accessed March 2, 2025. https://nyulangone.org/conditions/hair-loss/types

Cholesterol Chronicles

illions of Americans are affected by high cholesterol, which is why it is important to understand the condition for effective prevention and treatment especially as it relates to heart disease. Here are the key things you need to know about cholesterol.

What is cholesterol?
Cholesterol is a molecule that is made in the liver and found in the blood. This molecule is made up of fats that play an important role in making cells and hormones in the body. However, imbalances in cholesterol levels can increase the risk of heart disease.

What are the different types of cholesterol?
There are three types of cholesterol that you can expect to see with your blood results:

1. Low-density lipoprotein (LDL) — this is universally referred to as the “bad cholesterol”. When LDL levels are too high, this can lead to plaque (build up of fat molecules) in your arteries. Arteries are similar to roads, these are the networks that blood travels through to reach organs. Too many LDL cholesterol plaques can cause a block in these roads, making it harder for blood to pass through and reach vital organs. This low blood supply to important organs can lead to conditions such as heart attack and stroke.
   
2. High-density lipoprotein (HDL) — this is often considered the “good cholesterol” because they can help remove the bad LDL that are causing the blockage in the arteries.
   
3. Triglycerides — when your body has more calories than needed, it will convert the excess into a triglyceride molecule which is found in fat cells. Having an excess of these molecules in your fat cells can also increase your risk for cardiovascular disease.

What are common sources of cholesterol?
While the body naturally makes cholesterol, this molecule is also taken in through our diets. Foods high in cholesterol include animal based products such as meat and dairy.

What are steps to reduce cholesterol levels?
Minimizing intake of processed foods and products high in saturated fats can help maintain appropriate cholesterol levels. Similarly, exercise can increase the number of HDL or “good cholesterol” in the blood.

It is important to know your cholesterol levels so that you can take actions to reduce the risk of poor health outcomes. At Trust Women’s Healthcare we provide comprehensive blood work testing for important health markers including cholesterol. Our providers can help you with lifestyle changes and prescribe medications to manage your cholesterol. Schedule an appointment with us!

Breaking the Stigma: A Closer Look at Herpes Viruses

Herpes viruses belong to a widespread family of viruses that are common in the United States. In fact according to the CDC, it is estimated that more than 50% of U.S. adults are affected by some form of herpes. The following provides an overview to help you better understand this group of viruses.

• Question: What are common forms of the Herpes Virus?
  Answer: The Herpes Virus has over 8 families that affect humans. The most common of the 8 are Herpes Simplex Virus-1 (HSV-1) and Herpes Simplex Virus-2 (HSV-2).
  
• Question: What is the difference between HSV-1 and HSV-2?
  Answer: HSV-1 is often associated with oral herpes which may cause cold sores or fever blisters around the mouth. HSV-2 is typically transmitted through vaginal, anal, oral sex. 
  
• Question: How do you contract genital herpes?
  Answer: HSV-1 or HSV-2 strains can cause genital herpes. These strains are spread  through skin-to-skin contact (e.g. sexual intimacy, kissing) with an infected person.
  
• Question: What are the signs of genital herpes?
  Answer: Common signs of herpes include ulcers, open sores, or blisters in the genital region. Painful urination and flu-like symptoms such as headache and fever may also be present. Some may be asymptomatic– they may not present with any symptoms despite having the virus.
  
• Question: How can I prevent contracting genital herpes?
  Answer: The best way of minimizing risk include using safe sex practices such as using condoms and getting tested with your sexual partners prior to intimacy.
  
• Question: Is there a cure for genital herpes?
  Answer: There is no cure for genital herpes. However, there are medications to relieve outbreak symptoms and minimize the risk of transmitting the virus to partners.

At Trust Women’s Healthcare, we prioritize creating a judgment-free space where our clients feel comfortable discussing all aspects of their sexual health. Whether you’re seeking STI screenings or have questions about managing symptoms and reducing the risk of transmitting the virus to your partners, we’re here to provide the care and support you need. Schedule an appointment today to take charge of your sexual well-being.

A Weight Loss Blueprint

A  healthy body weight is essential to maintaining wellbeing. Obesity, specifically excessive fat is linked to several health conditions— including breast cancer, polycystic ovarian syndrome, cardiovascular disease, and diabetes^1-4. Small habits can lead to significant reduction in weight. Below we incorporated a few tips to make your dreams of losing weight become your reality!¹

The Main Differences

• Tip 1: Hold off on beverages high in sugar A big source of added sugar in the American diet is sugary beverages. Limit the amount of sugar in your morning coffees, and consider water, unsweetened tea. If your body is craving some flavor, try adding slices of lemon, lime, or other fresh fruits.
  
• Tip 2. Limit alcohol consumption Alcohol is another beverage that can be high in calories. Drinking in moderation and avoiding daily consumption can help reduce the amount of excess calories. 
  
• Tip 3: Enjoy your favorite foods in moderation. Depriving yourself of your favorite foods can cause more harm than good. Eating correct portion sizes and incorporating whole foods like fruits and vegetables can help you achieve a more balanced diet. Try to use smaller plates to help with portion size. The foods you eat do not have to be “boring”- remember, the best diet is one that you can stick to!
  
• Tip 4. Increase your fiber intake. Foods high in fiber can promote feelings of fullness which decreases the likelihood of binge eating. Try to incorporate foods such as spinach and kale into your diet.
  
• Tip 5: Sleep. This is an overlooked factor in terms of weight regulation. Lack of sleep can cause dysregulation of your metabolism and hormones that regulate hunger. increasing the risk of weight gain. It is important to try and get at least 7 hours of sleep. Practicing good sleep hygiene (ex: limiting screen time before bed) is also important to ensure good quality of sleep.
  
• Tip 6. Keep moving. The benefits of exercise are too important to go unrecognized. Staying active can boost your metabolism and help you shed calories among other benefits such as mood regulation. You do not need a gym membership to stay active. Take walks in your neighborhood, take the stairs at your job, or put on a youtube video for guided beginner friendly workouts, or just simply put on your favorite song and dance. Find an activity that makes you feel good!

If you have not been convinced as yet, the good news is that losing weight is not impossible! At Trust Women’s Healthcare, we offer medically-managed weight loss services that can include medication, nutritional and physical activity counseling, and behavioral support to help you achieve the tips mentioned above. If you are ready to transform your health, schedule an appointment with us!

1.  Obesity and African Americans | Office of Minority Health. Accessed November 3, 2023. https://minorityhealth.hhs.gov/obesity-and-african-americans
2. Barnes AS. The epidemic of obesity and diabetes: trends and treatments. Tex Heart Inst J. 2011;38(2):142-144.
3. Obesity and Cancer | CDC. Published August 14, 2023. Accessed November 13, 2023. https://www.cdc.gov/cancer/obesity/index.htm
4. Sarwer DB, Polonsky HM. The Psychosocial Burden of Obesity. Endocrinol Metab Clin North Am. 2016;45(3):677-688. doi:10.1016/j.ecl.2016.04.016

D’lightful Living: Things You Should Know About Vitamin D

As we transition to fall, the days get shorter and many of us miss the delicacy of the summer sun. Less sun exposure during the winter months can impact various aspects of health, including your vitamin D levels. It is important to get your annual women’s wellness visit to assess your vitamin D levels, that way you can consider adding Vitamin D rich foods to your diet, spending more time in the sun (with sunscreen of course), or discuss with your provider about vitamin D supplementation. Below are a few reasons to care about your Vitamin D levels.¹

The Main Differences

1. Vitamin D can help with osteoporosis, or weak bones. Vitamin D and calcium are needed for protecting bone health. This is especially true for menopausal women where osteoporosis is common.
   
2. Vitamin D can impact your brain health. Low vitamin D levels are associated with increased risk of depression. Low vitamin D levels have also been associated with the development of multiple sclerosis, a neurological disorder that impacts the central nervous system. 
   
3. Vitamin D is important for regulating blood sugar levels. Vitamin D can help ensure your blood sugar is present at appropriate levels.  When unable to maintain the correct amount, this can lead to high blood sugar known as diabetes.

Vitamin D is used in various bodily processes and is essential for maintaining good health. Certain individuals, including those with darker complexion and older adults, are at higher risk of vitamin D deficiency. Symptoms of low vitamin D levels include muscle pain, bone pain, sensation of “pins and needles” throughout the body, among many other symptoms. However, increasing your diet with vitamin D rich foods (milk, orange juice, cereal, fatty fishes, etc.) and prescribed Vitamin D supplements under the direction of a provider can raise your vitamin level. Consider getting your Vitamin D levels checked with us at Trust Women’s Healthcare – schedule here!

1. National Institutes of Health, Office of Dietary Supplements (2024). “Vitamin D Fact Sheet for Health Professionals”. https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/

5 Things You May Not Know About Breast Cancer

Breast cancer is the second most common cancer in the United States following skin cancer.¹ This Breast Cancer Awareness Month, we would like to provide you with interesting facts about breast cancer from risk to survivorship.

The Main Differences

1. Genetics. Some people have genes, portions of their DNA that increase their risk of breast cancer. For example, people with BRCA 1 and 2 genes are at ~50% higher risk of developing breast cancer.¹ Some individuals may be recommended for genetic testing based on their history for breast cancer. Getting the results can be anxiety-inducing– but know there are actions (for example hormone therapy) that you can take if you test positive for one of the gene variants for breast cancer. Talk to a trusted provider to see if genetic testing is right for you.
   
2. Risk. Overall, the probability that a woman will develop breast cancer is 1 in 8 or 13% in the United States. However, this risk can be reduced by a variety of factors, from maintaining a healthy body weight, to reducing alcohol consumption, to opting to breastfeed for mothers.
   
3. Onset. There are a variety of signs associated with breast cancer beyond a lump. The initial signs may include changes in nipple appearance and discharge, breast warmth or itchiness, swelling around the breast and armpits. It is important to note any physical changes regarding your breast health to a provider.
   
4. Screening. According to the United States Preventive Services Task Force, it is recommended that all women start mammograms at age 40. However, if you are at high risk (ex: family history, genetic history, etc.), you may start screening as early as 30 years old. Currently, research is being done on other imaging exams, such as ultrasound, to see if cancer detection is more efficient for women that may have breasts.
5. Survivorship. Cancer deaths have declined over 40% in the last two decades.² This can be due to advances in medicine and breast cancer screening. However it is important note disparities in breast cancer mortality exist as Black women are more likely to die from this cancer.

Navigating the facts of breast cancer can be overwhelming. The Trust Women’s Healthcare team is ready to support you with all your breast health concerns– schedule here!

1. Petrucelli N, Daly MB, Pal T. BRCA1- and BRCA2-associated hereditary breast and ovarian cancer. 1998 Sep 4 [Updated 2023 Sep 21]. In: Adam MP, Feldman J, Mirzaa GM, et al., editors. GeneReviews [Internet]. Seattle (WA): University of Washington, Seattle; 1993–2024. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1247/
2. American Cancer Society. Breast Cancer Statistics | How Common Is Breast Cancer? Accessed October 1, 2024. https://www.cancer.org/cancer/types/breast-cancer/about/how-common-is-breast-cancer.html

PCOS and Fibroids: A Tale of Two Hormonal Conditions

Polycystic Ovarian Syndrome (PCOS) and fibroids are two conditions that impact millions of women across the U.S. Although these conditions are not deadly, they can significantly impact a woman’s health. Keep reading as we unravel the common threads and unique differences with these conditions. 

The Main Differences

1. Disease prevalence. PCOS is the most common hormonal disorder among younger women of reproductive age affecting up to 10% of women. ¹ Whereas fibroids are estimated to impact nearly up to 80% of in a lifetime. ²
   
2. The presentation of disease is not the same. Many women with PCOS have cysts on their ovaries. However, it is important to note that the presence of ovarian cysts alone does not determine PCOS diagnosis. Women with PCOS may experience irregular or absent menstrual periods, along with symptoms such as excessive body hair growth and changes in acne patterns. Fibroids are benign tumors that appear in the uterus. Many women with these tumors are asymptomatic. However pelvic pressure, heavy and painful periods, bloating, and pain after intercourse are some symptoms of fibroids.
   
3. The causes of symptoms vary. Black women were found to have more depressive episodes compared to White women, which may be influenced by the fact that black women are less likely to be treated for their mental health conditions. 
   
4. Differences in complications. Women with PCOS may be at increased risk of infertility as a result of irregular periods. Furthermore, women with PCOS are at increased risk of insulin resistance, a condition where your body cannot properly use the insulin hormone to regulate blood sugar. This increases risk for Type II diabetes. In terms of fibroids, severe complications are unlikely, however infertility and miscarriage may be a resulting consequence similar to PCOS.

There can be many causes of period abnormalities.  Trust Women’s Healthcare we can ensure the proper diagnosis and treatment plan tailored to your needs. Schedule an appointment with us to manage any of your reproductive health concerns.

1. Polycystic Ovary Syndrome. (2022, January 24). https://www.endocrine.org/patient-engagement/endocrine-library/pcos
2. Uterine fibroids | Office on Women’s Health. (2021, February 19). Retrieved September 2, 2024, from https://www.womenshealth.gov/a-z-topics/uterine-fibroids
3. Bromberger JT, Kravitz HM, Matthews K, Youk A, Brown C, Feng W. Predictors of first lifetime episodes of major depression in midlife women. Psychol Med. 2009;39(1):55–64.
4. Hall MH, Matthews KA, Kravitz HM, Gold EB, Buysse DJ, Bromberger JT, Owens JF, Sowers M. Race and financial strain are independent correlates of sleep in midlife women: the SWAN sleep study. Sleep. 2009;32(1):73–82.