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Early pregnancy loss

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN…………………………………. I wish a positive urine pregnancy test always meant the pregnancy would be fine.  I hate that early pregnancy has so much uncertainty associated with it. Some of the new over the counter pregnancy tests can show positive before you have even missed a period.  Many of our patients are elated when they see the results.   At the sight of the first positive test, they  Read more

Back in the saddle again…

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN…………………………………. The divorce is final and the dust has settled.  You grieved the loss of the marriage, did your soul-searching, and now you are ready to start the next stage of your life.  If you are like many recently divorced women, it has been a while since you have been on the dating scene.  It can be a little overwhelming, but I can reassure you that I see many divorced women happ  Read more

Do adults need vaccines?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN…………………………………. Yes! Our pediatricians help us keep our kids up to date on their vaccines, but when was the last time you got a vaccine?  If you can’t remember, then it is time to get vaccinated.  Women need to get the flu shot yearly, the tetanus, diphtheria, pertussis (TDap) vaccine every ten years, and hepatitis A and B one time in your adult life.  Many women have not been vacci  Read more

Should I get a Mirena IUD?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN…………………………………. The Mirena intrauterine device (IUD) is placed in the uterus to prevent pregnancy.  The progesterone effects are local to the uterus.  It is more than 99% effective in preventing pregnancy. The Mirena contains progesterone that is slowly released over a 5 year period.  The progesterone helps to thicken the cervical mucous and thin the uterine lining.  Some women c  Read more

Can you list the cleanest public bathrooms in Atlanta? When planning your errands, means knowing which stores have the best bathrooms…

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN…………………………………. Many of our patients are too embarrassed to talk about bladder issues.  Please know that you are not alone.  We can help you determine the cause of your bladder issues and help fix them!    I have patients who come in complaining about a variety of bladder concerns.  Some women have trouble fulling emptying their bladders.  They will tell me they empty t  Read more

Do I still need birth control in my 40s?

by Rachel Burt, Women’s Health Nurse Practitioner at Roswell OB/GYN…………………………………. Although you may think you are too old to have babies, your body may not agree.  As an Alpharetta gynecology specialist, I often have women in their 40s tell me they do not need birth control because they are too old to have babies.   Their children are finally out of daycare, their lives are getting back to some sense of normalcy, the moms are getting sleep at night ( and they migh  Read more

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

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