Ob-Gyns Play Key Role in Diagnosing and Treating a Common Condition in Female Athletes

Ob-Gyns Play Key Role in Diagnosing and Treating a Common Condition in Female Athletes

CELEBRATION OF WELLNESS NEWS

May 2022

Ob-Gyns Play Key Role in Diagnosing and Treating a Common Condition in Female Athletes

Washington, DC—Ob-gyns have an essential role to play in the health of female athletes, according to the latest guidance released from The American College of Obstetricians and Gynecologists (ACOG). Menstruation is a critical vital sign and an important factor in recognizing a medical condition observed in physically active girls and women known as the female athlete triad.
 
In a Committee Opinion released this month, ACOG states that ob-gyns should screen for the following three components of this condition at total visits for preventive care:
•low energy availability with or without disordered eating;
•menstrual dysfunction; and
•low bone density
 
 
 
“Amenorrhea, or abnormal absence of menstruation, is often considered “normal” among elite athletes who are often unaware this is the first indicator of a more serious problem, which is not uncommon in female athletes,” said Meredith Loveless, M.D., author of the Committee Opinion and chair of ACOG’s Committee on Adolescent Health Care.
 
“While dancers, gymnasts, and runners are at highest risk for the female athlete triad, all athletes are susceptible regardless of body build or sport. A patient doesn’t need to be experiencing all three components to be affected. Even healthcare providers often do not understand that an athlete does not need to have all three components to have female athlete triad and be adversely affected by this condition, so increased awareness is important.”
 
Female athlete triad stems from energy imbalance, which occurs when dietary energy intake minus exercise energy expenditure doesn’t leave adequate energy for remaining body functions. This can lead to dysfunction of the hypothalamus—the control center for the endocrine system, which secretes hormones to various organs. When it’s not functioning correctly, often due to under-nutrition, it can affect menstrual function and bone health. Many athletes will experience a decrease in estrogen levels, which plays a crucial role in bone formation and maintenance.
 

The pressure among female athletes to be lean is tremendous,” said Loveless. “Unfortunately, this can lead to unhealthy behaviors that can cause a host of problems that may not be reversible and counter their performance goals, including osteoporosis, fracture, and diminished athletic performance.”Among slender build female athletes, clinical disordered eating has been reported between 16 to 47 percent compared to five to 10 percent among the general population. However, many athletes are simply not taking in enough fuel to cover their energy expenditure without having an underlying eating disorder.

 
 
According to the Committee Opinion, ob-gyms should consider the menstrual cycle a vital sign since the absence or abnormality of menses is an important marker of overall health. They should conduct a thorough patient history, including questions regarding eating habits, sexual history, exercise regime, and symptoms of depression. The visit should also include a physical examination and a pelvic exam if indicated for gynecological reasons. The overall goal of treatment is the restoration of regular menses, which is the clinical marker for energy balance. The most important aspect of treating the female athlete triad is diet and activity modification, and a sports nutritionist may play a key role in treatment. There is a common misconception that birth control pills can treat female athletes triad. Still, studies show they have little effect on restoring bone mass density and make it more challenging to use menstruation as a marker of recovery. They are not a substitute for dietary or activity modifications.“While the patient may perceive some treatments compromising sports performance, it is important for an ob-gyn to work with a multidisciplinary team, including dieticians and mental health providers, the athlete, their family, and coaches, to set realistic goals,” said Loveless. Committee Opinion #702, “Female Athlete Triad,” will be published in the June issue of Obstetrics & Gynecology.

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World Ovarian Cancer Day – Raising Awareness and Honoring Christine

World Ovarian Cancer Day – Raising Awareness and Honoring Christine

CELEBRATION OF WELLNESS NEWS

May 2022

World Ovarian Cancer Day – Raising Awareness and Honoring Christine

What is World Ovarian Cancer Day?

Established in 2013 by a group of leaders from ovarian cancer advocacy organizations worldwide, May 8 – World Ovarian Cancer Day is the one day of the year we globally raise our voices in solidarity in the fight against ovarian cancer.

Participating in World Ovarian Cancer Day couldn’t be easier! By participating, you have the power to make a difference in the lives of women you know and love – and people from all around the world. Ovarian cancer has the lowest survival rates of all female cancers because there are often delays in diagnosis. Awareness about the symptoms is low, and they are often confused with those of other, less severe illnesses.

It can be as simple as a social media post encouraging others to learn and share information about ovarian cancer. Maybe you want to have a Teal party with friends or at work? Get everyone to have some fun with teal outfits and accessories – and, of course, post it for more awareness. Please create your signs, posters, etc., with our downloadable graphics found in the Campaign Materials section above, and then add your personal touch. By taking part in World Ovarian Cancer Day, you can help to improve survival by increasing awareness of symptoms and the need for more research. Together we can reach our goal of #NoWomanLeftBehind.

 

We want to honor our 2021 Ovarian Cancer Superhero, Christine Castiglia, who lost her battle with ovarian cancer earlier this year. Christine, you will be missed, and we will continue to honor you and your story for many years to come. You touched so many lives during your time here on earth. Please continue to keep her loved ones in your hearts and prayers.

Christine Marie Castiglia, age 57, of Derby, peacefully entered into eternal rest on Sunday, March 6, 2022, at the Connecticut Hospice in Branford. She was born in Waterbury on May 18, 1964, the daughter of Elaine Ricciardi and the late Vincent J. Castiglia. Christine worked as a Clerical Assistant at Pathfinder Associate Inc. Vocational Program for over 30 years. I always was a card game enthusiast who enjoyed playing 500 Gin Rummy and Uno. Christine was an avid acrylic paint artist, game show channel enthusiast, lover of Disney, and a strong passion for cooking and reading cookbooks.

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What Stress Does to a Woman’s Body

What Stress Does to a Woman’s Body

CELEBRATION OF WELLNESS NEWS

April 2022

What Stress Does to a Woman’s Body

You are sitting in traffic on I-4, late for your OB-GYN appointment, watching the minutes tick away. Your hypothalamus, a tiny control tower in your brain, decides to send out the order: Send in the stress hormones! These stress hormones are the same ones that trigger your body’s “fight or flight” response.

Your heart races, your breath quickens, and your muscles are ready for action. This response was designed to protect your body in an emergency by preparing you to react quickly. But when the stress response keeps firing, day after day, it could put your health at serious risk.

Stress affects all systems of the body including the musculoskeletal, respiratory, cardiovascular, endocrine, gastrointestinal, nervous, and reproductive systems.

If your stress response does not stop firing, and these stress levels stay elevated far longer than is necessary for survival, it can take a toll on your health. Chronic stress can cause a variety of symptoms and affect your overall well-being. Symptoms of chronic stress include:
• irritability
• infertility
• anxiety
• depression
• headaches
• insomnia
• low sex drive
• missed periods

If you are stressed, your menstrual cycle can become longer or shorter, your periods may stop altogether, or they might even become more painful. Chronic stress can also magnify the physical symptoms of menopause or the developing pre-menopause symptoms.

Stress Management
These recent discoveries about the effects of stress on women’s health should not leave you worrying. We now understand much more about effective strategies for reducing stress responses. Such beneficial strategies include:
• Maintaining a healthy social support network
• Engaging in regular physical exercise
• Getting an adequate amount of sleep each night

These approaches have important benefits for physical and mental health and are form-critical building blocks for a healthy lifestyle. If you would like additional support or if you are experiencing extreme or chronic stress, come see us identify the challenges and stressors that affect your daily life and find ways to help you best cope for improving your overall physical and mental well-being.

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Celebration Obstetrics and Gynecology Welcomes Victoria E. Richione to the Provider Team

Celebration Obstetrics and Gynecology Welcomes Victoria E. Richione to the Provider Team

CELEBRATION OF WELLNESS NEWS

April 2022

Celebration Obstetrics and Gynecology Welcomes Victoria E. Richione to the Provider Team

Victoria E. Richione is a board-certified nurse practitioner with more than 7 years of experience in women’s health. She earned her Bachelor of Science degree in Community Health Education from the University of Scranton including a minor in counseling. She went on to complete her Bachelor of Science in Nursing from Wilkes University in Wilkes-Barre, Pennsylvania. Victoria completed her education by earning a Master of Science in Nursing from Advent Health University in Orlando, Florida.

Victoria knew from a young age that she wanted to be a nurse. In her own words, “For as long as I can remember, I have enjoyed helping and caring for people. After completing nursing school, I started my career in labor and delivery and have loved it ever since.”, Victoria E. Richione. While obstetrics is exciting to Victoria, her passion lies within family planning with a strong emphasis on patient education. “I always want my patients to be heard, no matter what they need to say. I am always there to listen to concerns, questions, and excitements. I believe that mutual respect is important in a successful provider/patient partnership.”, said Victoria.

Victoria was raised in a small town outside of Scranton, Pennsylvania, and married her high school sweetheart. After taking enjoying many vacations to Orlando, Florida throughout the years, Victoria and her husband decided to follow their dreams and relocate to central Florida. Her husband works for Walt Disney’s Imagineering, and they enjoy all things Disney including restaurants, resorts, and theme parks. In November of 2021, Victoria was married in the Disney Wedding Pavilion located at the Grand Floridian Resort.

To schedule an appointment with Victoria, call our office at 407-566-2229 (BABY).

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Well Woman Exams: What Happens and Why? One Doctor Explains.

Well Woman Exams: What Happens and Why? One Doctor Explains.

CELEBRATION OF WELLNESS NEWS

March 2022

Well Woman Exams: What Happens and Why? One Doctor Explains.

These days, seeing your ob-gyn involves much more than a Pap test, pelvic exam, or breast exam. In fact, those exams may not even be needed at each checkup. The visit is really about taking a look at your overall physical health and mental well-being. When you see your ob-gyn, it’s a chance to discuss everyday health concerns, from anxiety and stress to weight loss and family planning. Of course, we ob-gyns have the most training on pelvic organs and the reproductive system. But everything in your body works together. We want to know what’s going on in your life and how your whole body is feeling. Only then can we give you the best health care possible.

We may review your personal and family history for conditions or symptoms that could affect your health. I ask about your past health care and any diseases and conditions that run in your family. These questions help us decide what type of health care may be needed for you at the visit.

We also may talk about how your lifestyle and environment may affect your physical health and safety. We might discuss:

• eating and exercise habits
• alcohol and drug use (including smoking or vaping)
• whether you have safe and secure housing
• if you feel safe at home, or if there is any violence in your home

We may review your mental health and well-being. My hope is to understand any sources of stress in your life, and your ability to manage and cope with stress. We might talk about

• what you do for work and if your job is causing you stress
• how you balance responsibilities at home and at work
• whether you have children, and if so, if you have help caring for them

I ask every patient questions to check for depression and anxiety. Depending on your answers, I may recommend a mental health care professional who can offer you additional help. We’ll talk about treatment options depending on what we find. Many common problems have quick, effective treatments. Other problems may need more tests or follow-up.

At Celebration Obstetrics and Gynecology our goal is to listen to your concerns, provide sound information, and assist you in making the best medical decisions for you! To schedule an appointment, give us a call at 407-566-2229! (To read the FULL article, head over to our website at www.celebrationobgyn.com/news)

 

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ACOG and SMFM Recommend COVID-19 Vaccine for Pregnant Individuals

ACOG and SMFM Recommend COVID-19 Vaccine for Pregnant Individuals

CELEBRATION OF WELLNESS NEWS

February 2022

ACOG and SMFM Recommend COVID-19 Vaccine for Pregnant Individuals

Washington, D.C. – The American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM), the two leading organizations representing specialists in obstetric care, recommend that all pregnant individuals be vaccinated against COVID-19. The organizations’ recommendations in support of vaccination during pregnancy reflect evidence demonstrating the safe use of the COVID-19 vaccines during pregnancy from tens of thousands of reporting individuals over the last several months, as well as the current low vaccination rates and concerning increase in cases.

Data have shown that COVID-19 infection puts pregnant people at increased risk of severe complications and even death; yet only about 22% of pregnant individuals have received one or more doses of the COVID-19 vaccine, according to the U.S. Centers for Disease Control and Prevention.

In making the strong recommendation in support of vaccination during pregnancy, both national organizations emphasize concerns about significant increases in COVID-19 cases due to the Delta variant and the regional low rates of vaccination in states across the country. Recent data have shown that more than 95% of those who are hospitalized and/or dying from COVID-19 are those who have remained unvaccinated. Pregnant individuals who have decided to wait until after delivery to be vaccinated may be inadvertently exposing themselves to an increased risk of severe illness or death. Those who have recently delivered and were not vaccinated during pregnancy are also strongly encouraged to get vaccinated as soon as possible.

“ACOG encourages its members to enthusiastically recommend vaccination to their patients. This means emphasizing the known safety of the vaccines and the increased risk of severe complications associated with COVID-19 infection, including death, during pregnancy,” said J. Martin Tucker, MD, FACOG, president of ACOG. “It is clear that pregnant people need to feel confident in the decision to choose vaccination, and a strong recommendation from their obstetrician–gynecologist could make a meaningful difference for many pregnant people.”

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