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Why don’t I get a pap this year?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….It might feel a little shocking to hear you do not need a pap smear each year.  But, it might be true for you.In patients over 30 with no prior history of abnormal pap smears, we screen for abnormal cells on your cervix and the HPV virus.  The HPV virus is what causes the cells on the cervix to become abnormal.  If you do not have HPV and your cells are normal, you  Read more

Oh my God the condom broke!

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….Would of, could of, should of… in hind sight a condom would have been a great idea – but here we are… the morning after a whirlwind romance without any birth control…Or maybe you were more prepared, but the condom wasn’t as effective as you had hoped! Why don’t they make those dang things stronger!Don’t panic – there is hope.First off – let’s take care  Read more

Why do I keep getting this discharge?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….Some of our patients become understandably frustrated when they get recurrent bacterial vaginosis or recurrent yeast infections.  The most important thing is to come in to confirm the diagnosis.  We don’t want to be treating and retreating with the wrong medication.Once we determine the infection, let’s talk about prevention.Recurrent yeast – yeast loves warm,  Read more

Sex after Menopause

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….Your friends and co workers going through menopause will have no trouble telling you all about their hot flashes and weight gain.  But, they might not be so open talking about sex after menopause.  Unfortunately, as our periods vanish, so does the vaginal moisture.  When estrogen levels decline, the vaginal mucosa dries and the canal narrows.  Sex for some women c  Read more

The dreaded gas station bathroom…

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….You’ve been driving for hours, on your way to some great beach weekend, drinking your diet coke, singing to the radio, but darn it if you don’t need to pee!  Where to stop – the dreaded gas station bathroom!?!  Don’t panic… Sexually transmitted infections are transmitted through body fluids – semen and vaginal discharge.  Infections such as chlamydia and go  Read more

Am I too old to have kids?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….Let’s talk about it… When our patients ask this question, they are really asking 3 different questions: Can I still conceive at my age?  Am I at increased risk for having a baby with chromosome problems? And, am I at increased risk for miscarriage?At age 30, the chance each month of getting pregnant is about 20 percent.  It is hard to believe, but even with a perfec  Read more

Are we really done having kids?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….Some women just know when they are done having children.  These are the women who come in for their postpartum visits asking for urologist recommendations for hubby to go get the big V (vasectomy).  If you are really 100 percent sure you are done with children, then go for it!  We can definitely refer you to some great urologists.But, many of our patients are not q  Read more

What is that horrendous odor?!? Could it be a forgotten tampon?!?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….You are not the first and you certainly are not the last… every few months we have a patient that comes in complaining of a horrendous smell.  When I say horrendous – I mean you have started to wonder if your co workers can smell you walking around the office.  It is truly that bad!  But, don’t panic.  Usually this is a very easy fix.Think back to your l  Read more

I’ve tried everything to lose this weight…

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN………………………………….I hear the frustration in my patients’ voices and even see the tears.  Weight control is overwhelming for many women.  There are so many layers to this issue that I don’t even know where to begin… I wish I could simply direct this conversation to the health consequences of weight.  I could easily rattle off the effects on cholesterol, glucose control, blood press  Read more

I didn’t get my period, but I’m on the pill…

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN ……………………………..It’s the fourth day of sugar pills and no bleeding… you did everything right – didn’t miss a single pill, took it the same time every day but nothing – no period.  Don’t panic!  Many of the low dose birth control pills today keep your uterine lining so thin that it does not shed… so, you don’t get a period.Travel back in your mind to high school anatomy clas  Read more