Doctor's Notes


Leave a comment

Birth Control Methods Myths and Facts

happy-engaged-couple-16-indian1

Written by Adella Brown

As an OB/GYN health educator at Charles B. Wang Community Health Center, much of what I do is help women understand the benefits of pregnancy planning and birth control options.  When it comes to choosing a birth control method, many women are afraid of using hormonal methods or methods that need to be inserted into the body. Here are the most common myths women have brought up during our encounters, and what the facts are.

Myth: Women need to have menstrual period regularly to remove toxins from the body. It is harmful to use birth control methods that may stop one’s period.

Fact: While having regular menstrual period is an indicator of reproductive health for women, using birth control methods to stop having periods is harmless. In fact, women who have more than the average menstrual cycles in their lifetime are more likely to suffer from ovarian cancer and uterine diseases. The use of hormonal birth control methods is shown to lower risks of these diseases and relieve the symptoms of uterine fibroids and endometriosis.


Myth: Birth control pills will lead to weight gain.

Fact: Many studies showed that birth control pills rarely cause weight gain. When weight gain does happen, it is usually due to fluid retention and goes away within 2 to 3 months, along with other side effects.


Myth: The hormones in birth control can increase risk of getting breast cancer.

Fact: Most studies have shown that hormonal birth control use is not associated with increased risk of breast cancer. Also, women who have used these methods over many years have lowered rates of ovarian and uterine cancer. Discuss your health history with a healthcare provider to decide if hormonal birth control methods are right for you.


Myth: Fertility awareness is effective in preventing pregnancy and has no side effects.

Fact: 12-24% of women will get pregnant in a year using fertility awareness method.  Many factors, such as stress and changes in diet or lifestyle, can change a woman’s menstrual cycle, making ovulation hard to predict. Although other birth control methods may have side effects, they are usually temporary and mild. An unplanned pregnancy will have more impact on your health and lifestyle.


Myth: Use of IUD increases the risk of getting uterine injuries or gynecological infections.

Fact: Some types of IUD were known to have caused uterine injuries and gynecological infections. However, IUDs currently available in the U.S., such as progestin IUDs (Mirena, Skyla, and Liletta) and non-hormonal IUD (ParaGard) have been extensively tested for safety and effectiveness. Large studies have proven that modern IUDs do not cause gynecological infections.  Keep in mind that women who are at high risk of getting sexually transmitted infections (STIs) should continue to use condoms after IUD insertion.


Myth: Getting an IUD is painful and it will feel weird inside the body.

Fact: IUD insertion is a quick procedure that usually does not require anesthesia. Some women may take pain medicine before the insertion. Some spotting and cramping are common in the first few days following the insertion. After that, most women don’t feel anything in their body. Their partners usually don’t feel the IUD either. If pain or spotting persists or worsens, see your provider for a check-up.


Myth: Using birth control methods may lead to infertility.

Fact: All reversible birth control methods will help prevent pregnancy while you’re using them, but none have long-lasting effects on your ability to get pregnant when you stop. If a woman has difficulty getting pregnant after stopping a birth control method, it may be due to 1) an undiagnosed condition prior to the birth control use; 2) natural decrease in fertility due to older age; or 3) sexually transmitted infections such as Chlamydia and Gonorrhea that can damage the reproductive system.

Trying a new birth control method can be intimidating. Remember, you can stop using these methods if you are not satisfied or change your plan. Come talk to our health educators and providers to learn more about your options. The Charles B. Wang Community Health Center offers comprehensive, high quality primary care services at convenient locations in Manhattan and Queens. The Health Center is open seven days a week and serves all patients regardless of their ability to pay. To learn more about the Health Center’s family planning services, please call (212) 966-0228 (Manhattan), (718) 886-1287 (37th Avenue, Queens) and (929) 362-3006 (45th Avenue, Queens), or by visiting our OB/GYN webpage.

Adella Brown is a Health Educator in the OB/GYN Department at Charles B. Wang Community Health Center. One of her current roles is providing one-on-one reproductive health education. She graduated from Brigham Young University with a Bachelor’s Degree in Neuroscience. She is also a Certified Lactation Counselor and passionately promotes breastfeeding in the Chinese American community.

Advertisements


Leave a comment

Talk to Your Doctor about Colorectal Cancer

shutterstock_369342464

Colorectal cancer affects men and women equally, regardless of race and ethnicity. It is most often found in people who are 50 years old or older. However, there is an increasing rate of colorectal cancer in those who are under 50, because of physical inactivity and an unhealthy diet. It is important for younger adults to start paying attention to their colorectal health.

According to Dr. Robert Andrew Heyding, a physician at the Charles B. Wang Community Health Center, “Colorectal cancer causes almost one out of every ten cancer deaths in the United States. Fortunately it can be prevented. You can lower your risk by choosing healthy habits and getting regular screening”.

It’s never too early to start living healthy. Here are some good health habits to lower the risk of developing colorectal cancer:

  • Do not smoke – quit smoking and try avoid second hand smoke. Talk to your doctor about smoking cessation resources. Charles B. Wang Community Health Center has bilingual quit smoking resources, you can view those here.
  • Reduce alcoholic drinks – limit to one drink a day or less.
  • Eat a healthy diet – limit high fat or sugary foods, preserved foods, and red meat. Add more fruits and vegetables to your plate.
  • Exercise regularly – walk, jog, swim, or dance. Strive to be active for at least 30 minutes a day, 5 days a week.
  • Keep a healthy weight – talk to your family doctor about what is a healthy weight for you.

Other than having healthy habits, getting screened is very important to prevent cancer. When detected early, there are more treatment options and fewer complications. The most commonly used screening methods include:

  • A Fecal Occult Blood Test (FBOT) checks for blood in stool. Blood in stool may indicate presence of diseases and a colonoscopy may be needed for a diagnosis.
  • A colonoscopy is a thin, flexible tube with a small camera and light on the end is used to examine the colon. It may also have a tool to remove abnormal tissue to be checked under a microscope for signs of disease.

In general, it is recommended that men and women of average risk levels begin screening at age 50. However, some individuals may need to begin screening earlier, such as those who have family or personal history of colorectal cancer or chronic colorectal diseases, and those who are experiencing symptoms of colorectal diseases, such as persistent abdominal pain or changes in bowel habits for at least two weeks.

Discuss with your primary care doctor about when to start screening, which screening method to use, and how often you should get screened. Also speak to your doctor regarding your risk factors or anything unusual in your body. You can make an appointment to see a primary care provider here at Charles B. Wang Community Health Center by calling (212) 379-6998 for Manhattan, and (718) 886-1200 (37th Ave) or (929) 362-3006 (45th Ave) for Queens.


2 Comments

Man Up – Talk to Your Doctor About Sexual Health

Portrait of Mid Adult Man in Nanluoguxiang, Beijing

Written by Dr. Gail Bauchman

Women are more likely to see a doctor for regular check-ups than men, and yet it is so important that men have regular checkups to discuss all aspects of their health. Sexual health is one area that is incredibly important for men to understand. As a doctor at the Charles B. Wang Community Health Center, here are a few aspects of sexual health that I discuss with male patients.

When you see your health care provider for a routine physical exam or to be screened for sexually transmitted infections (STIs), you will be asked some rather personal questions. These questions are important for your provider to better understand your health risks and provide the best possible treatment.  Some of the questions may involve your sexual practice. For instance, what are you doing to prevent pregnancy? What is your partner using to prevent pregnancy? How many partners have you had in the last year? Do you have sex with men, women or both? What do you do to protect yourself from sexually transmitted diseases and HIV?  Do you know how to use a condom appropriately?

Condom use offers protection against some sexually transmitted infections, including HIV infection. They also offer some protection against pregnancy, but condoms along with the withdrawal method are considered to be the least effective methods to prevent pregnancy.  About 18 women out of 100 will get pregnant within the first year with condom use.

That is why it is important to know what your partner is using to prevent pregnancy. Your health care provider can help answer your questions about contraceptive methods for both you and your partner and help you decide on the most suitable methods. Learn more about birth control and family planning by reading this factsheet.

Question: if the condom breaks and your partner is not using an additional contraceptive method, do you know what to do next to protect her from getting pregnant? The answer is having your partner use emergency contraception.  One of the easiest options is if you or your partner buys a pill that does not require a prescription, called Plan B. The pill should be taken within 5 days of having unprotected sex, but the sooner it is taken the better. Plan B is not 100% effective, but does help reduce the chances of pregnancy.

Your provider may also ask you questions about whether you ever had any STIs. STIs can be transmitted through vaginal, anal, and oral sex and many of them do not cause symptoms, at least in the beginning.  If you do have symptoms such as urinary frequency, discharge from the penis or ulcers on the penis, seek out medical care to get treated. A urine sample is all that is required to test for the most common STIs, such as chlamydia and gonorrhea. Without testing and treatment, you may unknowingly pass these infections on to your partner. Chlamydia and gonorrhea can cause a serious pelvic infection in women that may lead to infertility. Some STIs in pregnant women can also impair fetal development or be passed on to their babies during childbirth. Learn more about STI’s by reading this factsheet.

For the protection of yourself, your partner, and your child, we encourage all men to receive annual physical exams and be screened for STIs whenever they have a new partner.

Come visit us at the Charles B. Wang Community Health Center to get your annual check-up and discuss these as well as other important health issues. Our OBGYN department offers family planning services and counseling to both men and women to help you improve your sexual health and achieve your reproductive life plan, whether you are seeking to have children or preventing pregnancy. You can make an appointment at our OBGYN department by calling (212) 966-0228 for Manhattan or (718) 886-1287 for Queens. Find more information by visiting our OBGYN webpage. You can also make an appointment to meet with a primary care provider by calling (212) 379-6998 for Manhattan, and (718) 362-3006 (37th Ave) or (929) 362-3006 (45th Ave) for Queens. Visit the internal medicine webpage.

Written by Dr. Gail Bauchman. Dr. Bauchman is a physician at the Charles B. Wang Community Health Center. She attended Stony Brook Medical School, and specialized in family medicine. She is board certified from the American Board of Family Medicine.