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Author: Stephine Kramer, M.D., Board Certified-Diplomate

At East Valley Women’s Medical Group, we see women in Mesa, Tempe and Gilbert who are affected by urinary tract infections. UTIs are very common – especially in younger sexually active women. It is estimated that one in three women under the age of 24 will develop a UTI. [click to continue…]

Author: Stephine Kramer, M.D., Board Certified-Diplomate

What is pelvic pain?

“Pelvic pain” can be defined as any kind of pain that occurs in the lower abdomen/pelvic region. The source of the pain may be in the lower intestine, uterine cavity, urinary system, bowels, or other body systems. The pain may be dull or sharp, chronic or intermittent, localized or radiating. [click to continue…]

Author: Stephine Kramer, M.D., Board Certified-Diplomate

What is Essure?

Choosing the birth control method that’s right for you is a big decision. When the choice includes a form of permanent birth control, like Essure®, the decision becomes even more important. [click to continue…]

Author: Stephine Kramer, M.D., Board Certified-Diplomate

Menopause, which is clinically defined after 12 months without a period, can be a lengthy process. Many women in their 40s may spend about four years in “perimenopause,” the stage during which hormone levels fluctuate as your body settles into menopause. Perimenopause can last as long as ten years or just a few months. Talk to your doctor about your symptoms. [click to continue…]

Author: Stephine Kramer, M.D., Board Certified-Diplomate

Choosing the right birth control is a decision almost every sexually active woman has to make at least once. Statistics show that 99% of women age 15-44 who have ever had sexual intercouse have used at least one form of contraception. For many women, the preferred form of contraception may change over the years, depending on a number of factors. So, how can you ever choose the right birth control? Well, “perfect” might not be the best mindset for going about the process…

Choosing the Right Birth Control – Why ‘Perfect’ Is Unattainable

It’s important for patients to realize that there is no “perfect” birth control. And I’m not just referring to failure rates. (Though the Essure procedure does come pretty close with 99.83% success rates.) Because both your body and external factors are constantly changing, it’s highly unlikely for the average woman to find a “perfect” birth control to last all her reproductive years.

Factors to Consider In Choosing the Right Birth Control

So, you can’t get “perfect.” But that doesn’t mean you can’t get close! Here are some things you should consider when searching for the right birth control:

  • How effective is the method? Can you live with the failure rate?
  • What is the use failure rate? Condoms, for example, are more prone to user failure than, say, the IUD. Do you trust yourself to use the method correctly every time you have sex?
  • Do you need disease protection? If you have sex with multiple partners, then disease protection may be an important feature of your chosen birth control method.
  • What side effects are you okay with? What side effects do you not want to risk?
  • Do you ever want to have children? If so, when? With some methods, like Depo Provera, you have to wait at least a year after your last treatment to be able to conceive.
  • What does the birth control method cost? Is the cost reasonable given your sexual activity, health plan, and financial status?

Schedule an Appointment With an OB/GYN in Gilbert or Mesa

To learn more about your birth control options, schedule your appointment at East Valley Women’s Medical Group by calling 480-632-2004 (Mesa and Gilbert) or 480-257-2777 (Tempe). Gynecology services available in Mesa and Gilbert, AZ.
Please consult with your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

Author: Stephine Kramer, M.D., Board Certified-Diplomate

What is polycystic ovary syndrome (PCOS)?

Polycystic ovary syndrome (PCOS) is a disorder that affects between 5 and 10 percent of women of reproductive age. Women with this hormonal disorder may have enlarged ovaries with cysts of varying sizes. Cysts on the ovaries are not all that uncommon. In fact, many women have these noncancerous growths and don’t even realize it, as they oftentimes are small and asymptomatic. [click to continue…]

Author: Stephine Kramer, M.D., Board Certified-Diplomate

Hysterectomy is the second most common surgical procedure for women. (Caesarean Sections being the most common.) In fact, hysterectomy is so prevalent that approximately one in three women will have this procedure before age 60. [click to continue…]

Author: Stephine Kramer, M.D., Board Certified-Diplomate

We all want to be healthy, but most of us don’t have the time to spend an hour at the gym five days a week – or even one day a week, for that matter! As I always tell my patients, the important thing is that you do as much for your health as possible; you don’t have to be perfect. Being intentional about your health can take you a long way! Here are three of my favorite health tips: [click to continue…]

Author: Stephine Kramer, M.D., Board Certified-Diplomate

What is endometrial ablation?

Endometrial ablation is a procedure that may women who are done having children undergo to stop or reduce heavy menstrual bleeding. There are many different ways to do the procedure, which your gynecologist at East Valley Women’s Medical Group can tell you about. However, all endometrial ablation procedures do share one thing in common… [click to continue…]

Author: Marla Vogt-Roberts, MSN, CNM

Many women who choose to have a midwife want to avoid pharmaceuticals as much as possible. Morning sickness, however, is one all-too-common pregnancy symptom that makes many patients rethink their position. If you suffer from nausea during pregnancy – and want to stay off medication – try these nine natural remedies for relieving morning sickness!

Morning Sickness Relief

  1. There are several natural vitamins and supplements that can alleviate symptoms of morning sickness. First, make sure you’re not vomiting more than 3 times a day, haven’t lost more than 5 pounds and your urine is the color of lemonade. If not, you need to contact your healthcare provider.
  2. If prenatal vitamins have been giving you trouble, then try going off of them for a few days and see if it makes a difference.
  3. Try adding a Vitamin B6 supplement 25 mg daily. If you don’t want to take a vitamin pill, try brewer’s yeast for its rich vitamin B content. Sprinkle it onto your morning cereal or some other grain.
  4. Ginger is also excellent for treating nausea. You can buy ginger capsules, ginger ale, gingersnaps, chewy crystallized ginger candy. Ginger root can also be used to make a simple tea.
  5. Try anti- nausea wristbands. You can purchase them at the drug store or Wal-Mart. They have a little button that you place on an acupressure spot on your wrist
  6. If morning sickness is hitting you hard, snack on a few light carb foods like crackers before you even get out of bed in the morning.
  7. Constipation can be a problem if you aren’t getting enough fluids. Try to take a small amount of fluids every 30-60 minutes. Frozen popsicles or juice bars sometimes work well. Continue with walking regularly, and getting plenty of fruits and vegetables into your diet.
  8. Not getting enough sleep also contribute to morning sickness. Establish a routine that maximizes available rest time.
  9. Eating smaller meals more frequently can help reduce symptoms. While it’s probably intuitive: avoid heavy meals, greasy foods, spicy foods, and caffeine, as these things can upset your stomach.

Schedule With a Certified Nurse Midwife In Mesa, AZ

Struggling with morning sickness or other pregnancy symptoms? Comes see us at East Valley Women’s Midwifery Group in Mesa, AZ. You can schedule an appointment by calling 480-632-2004.

Please consult with your healthcare provider before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.



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