Monthly Archives: February 2015

5 Most Frequently Asked Questions About That First OB/GYN Visit

Dr. Lori Gore-Green

There are a lot of myths and misconceptions surrounding OB/GYN appointments. Many people don’t know what to expect, don’t understand why the appointment is important, and don’t know the difference between a Pap smear and an STD test. Dr. Lori Gore-Green has put together this list of the top 5 most frequently asked questions about the first visit so you can make an informed decision and keep yourself in optimal health.

Here are Dr. Lori Gore-Green’s answers to the top 5 FAQs about OB/GYN visits:

When Should I Go? The American Congress of Obstetricians and Gynecologists recommends that 13-15 year old girls should start visiting an OB/GYN, even if it’s just to have an initial talk with the doctor. Girls that become sexually active before that age should visit the OB/GYN earlier.

How Do I Prepare? There’s not much you have to do to prepare for an OB/GYN appointment. You should try to avoid douching or having sex for a day or so before your appointment to ensure accuracy on your Pap test results.

What Will Happen At My Appointment? A nurse will begin by giving you a general health check including weight, blood pressure, and sometimes urine tests. Afterward, you’ll need to get undressed for the physical exam, but you’ll be provided with a gown to cover up. Your doctor will ask some questions about your health and then examine your vagina.

What Are They Checking For? The OB/GYN will check the outside of your vagina for any abnormalities and then use a speculum device to check the inside of your vagina and cervix. The idea is to examine your reproductive organs to make sure that everything looks safe and that you are not developing any tumors. You’ll also be given a Pap test (or Pap smear) with a small brush to check for cervical cancer.

Will I Be Tested For STDs? A pap smear is not the same as being tested for STDs. While a Pap smear will test for cervical cancer and abnormalities, an STD test will determine if you have any sexually transmitted diseases. If you are sexually active, your doctor will check you for common STDs by taking a swab of tissue during your exam. This test is fairly comprehensive, but you’ll need to get a blood test to check for HIV.

from Dr. Lori Gore-Green | Gynecology and Obstetrics

The 6 Preventative Screening Tests That Are Critical For Women’s Health


Dr. Lori Gore-Green
Getting preventative screening tests is one of the most important ways that you can take charge of your health and make sure that you’re continuing to make healthy choices. Certain personalized factors may increase your chances of getting a condition, so always check with your doctor to see if you should get tested more often.

Here are 6 of the most important preventative screening tests for women’s health:

Blood Pressure Test: Blood pressure is important to track because high rates of blood pressure can dramatically increase your risk of heart disease and stroke. At the same time, high blood pressure does not normally have obvious symptoms associated with it, so make sure to get checked at least once every two years to keep an eye on this important number.

Mammography: Mammography imaging of your breasts is critical to detecting abnormalities and tumors. There are different recommendations out there, but the American College of Obstetricians and Gynecologists (ACOG) now recommends that women get themselves checked out each year starting at the age of 40.

Blood Glucose Tests: Over 23 million Americans have type 2 diabetes with another 86 million estimated to have prediabetes. Untreated, this disease can cause serious medical issues, including heart disease and stroke. It’s recommended that you get a blood glucose test every three years, starting at the age of 45, and more frequently if you have an increased risk.

Lipid Panel: It’s a good idea to get a fasting lipoprotein profile (lipid panel) every four to six years once you’re 20 years old to keep an eye on your cholesterol and triglyceride levels. If your doctor determines that you have an increased risk for stroke or heart disease, then you’ll want to get yourself checked more regularly.

Pap and HPV Tests: The Pap test (also known as a Pap smear) and the HPV test are both used to screen women for cervical cancer. The USPSTF recommends starting these tests at the age of 21 and getting screened once every three years.

Colonoscopy: Most colorectal cancers can be prevented by getting regular colonoscopies every 10 years or so. They aren’t fun, but they’ll help your doctor detect any small polyps so they can be removed before they turn into a cancerous issue down the road. Start scheduling your regular colonoscopy appointment once you turn 50 years old.

from Dr. Lori Gore-Green | Women’s Health Professional

Busted Nutrition Myths

nutrition - Dr. Lori Gore-GreenWhen it comes to healthy living, there is a lot of misinformation out there. In a recent article, Chicago Now detailed their pet peeves when it comes to health misinformation. Read a sampling below.

Carbs Make You Fat

Healthy carbs are a must have. Whole grains, beans and legumes and fruits and vegetables are required eating for anyone looking to maintain a balanced diet. Carbohydrates derived from processed food like white bread, baked goods and white pasta can cause you to gain weight because they are empty calories. Making carbs the villain for the work of junk food is not sound nutritional logic.

Low Calorie Diet Translates to Weight Loss

Eating helps with weight loss by kick-starting your metabolism. Eating less than 1,200 calories per day is not a sustainable nutritional plan and will not help you achieve your long-term fitness goals. So eat up!

Detoxing Helps to Lose Weight

What is meant by “detox” can vary, but what is certain is that if you are starving yourself for days on end for a “cleanse” then you are probably hurting rather than helping yourself. The best thing to do to remain healthy and maintain a healthy weight is eat clean as a lifestyle. A detox usually acts as a quick fix and does little to benefit your overall health.

High Protein Is Best

Protein is the nutrient that we all need; however, eat too much of. Eating high quantities of meat at the expense of fruits and vegetables are contributing to the rise in heart disease and certain types of cancers. Try portioning out your protein consumption with plant-based foods. Protein intake is around 15% to 20% in a healthy diet.

Soy Is Bad For You

Abuse soy and you may have problems just like if you abuse anything else. Soy intake from whole beans, tofu, tempeh and other natural sources have been shown to lower risk of heart disease and certain cancers.

Read more tips at Chicago Now.

from Dr. Lori Gore-Green| Gynecology and Obstetrics

New Blood Test To Help Customize Treatment For Ovarian Cancer Patients

blood-test - Dr. Lori Gore-GreenResearchers have developed a new blood test that would allow doctors to anticipate how individual patients will respond to different types of treatment for ovarian cancer. Zeenews reports that the newly developed test can determine how combinations of certain proteins affect how the disease manifests in the body.

According to Gordon Jayson, a professor from the University of Manchester in Britain, the research has made strides in personalizing treatment for a type of cancer that is notoriously difficult to treat.

“We are keen to identify predictive bio-markers – measures that can indicate how well a patient will respond to treatment – so we can better target these drugs to patients most likely to benefit,” Jayson said.

In particular, the test can predict which patients may benefit from blood vessel targeting drugs like Bevacizumab. Two proteins are of particular interest — Ang1 and Tie2 —  in determining whether or not Bevacizumab would be effective when paired with traditional treatment. The two proteins are instrumental in controlling the creation of new blood vessels. Patients who had high levels of Ang1 but low levels of Tie2 were very likely to respond to the drug, while people with high levels of both proteins were unlikely to benefit.

The study, whose findings were published in the journal Clinical Cancer Research, took samples from ovarian cancer patients who were involved in an international trial for Bevacizumab. Candidates were either given the drug alongside their chemotherapy or were given chemotherapy alone.

The blood test still requires more development and testing, but this preliminary data is heartening. Researchers hope that the test will be available for you use by doctors and hospitals within the next few years.

Head over to Zeenews to read the original article.

from Dr. Lori Gore-Green| Women’s Health Professional