Category Archives: Gynecology

The ABC’s of Urinary Tract Infections | Fullerton, CA

Every year, over 11 million women develop a urinary tract infection, (also known as a UTI, a bladder infection or acute cystitis). These infections are more common in women than men, primarily due to the normal female anatomy, with the urethra (tube leading from the bladder to the outside), located very close to the vaginal opening. This allows bacteria from the vagina, and especially the rectum, to enter the bladder, and subsequently cause an infection. Sexual activity is the most common cause for developing a UTI, but pregnancy, advancing age, lack of estrogen, and diabetes are common contributing factors for developing these infections. For women who are more prone to bladder infections, prevention is key:

  • Women who are sexually active should void both before and after intercourse to limit the amounts of bacteria in the bladder. Also, some lubricants, oils and spermicidal jelly may also make an infection more likely.
  • Drinking an adequate amount of liquids will continually wash out the bladder. Water is preferred, as soda, coffee and tea may make it more likely to get an infection.
  • After a bowel movement or urinating, wipe from the front of the vagina to the back toward the rectum, away from the urethra.
  • Frequent changing of sanitary napkins or tampons can limit infections.
  • Avoiding hot tubs or highly chlorinated pools, as well as removing your wet swimsuit as soon as possible, can also limit bacterial exposure.
  • Cranberry juice and cranberry pills (no calories) have been proven to reduce UTI’s.

If you would like more information on urinary tract infections, contact Dr. Gordon C. Gunn MD in Fullerton, CA at 714-912-2211 to schedule an appointment today. Or visit www.gordongunnm.com for additional information regarding women’s health. 

Dr. Gordon Gunn proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and all surrounding areas.

Is Hormone Therapy Bad for Me? | Fullerton, CA

The history of hormone replacement in women has seen many swings in popularity over the past few decades. In 1991, the National Institutes of Health (N.I.H.) launched the Women’s Health Initiative (WHI), designed to test the effects of hormone therapy on heart disease, bone fractures, breast cancer and colon cancer. One group of women who had undergone a hysterectomy received oral estrogen (Premarin) alone [estrogen replacement therapy or ERT]. A second group received a combination of Premarin and progesterone (PremPro) [combination hormone replacement therapy or HRT]. A third group received a placebo, which contained no hormone. In 2002, the study was stopped because the Provera group was associated with a slight increase in the incidence of breast cancer, heart attack, stroke and blood clots.

In April 2011, the Journal of the American Medical Association (JAMA) published a follow-up study of the women in the WHI who took estrogen alone. The finding: a statistically significant reduction in breast cancer over time. Among the women with a prior hysterectomy treated with estrogen alone and followed for 11 years, there was NO increased risk of heart attack, stroke, blood clots, hip fracture, colon cancer or mortality.

After a decade of fear and confusion regarding the risks and benefits of estrogen replacement therapy, medical studies have now clearly established its safety and its health benefits. In March 2012, the North American Menopause Society released a statement that supports these findings, stating that combination hormone therapy (both estrogen and progesterone) initiated around the time of menopause is safe.

If you would like more information on hormone therapy, contact Dr. Gordon C. Gunn MD in Fullerton, CA at 714-912-2211 to schedule an appointment today. Or visit www.gordongunnm.com for additional information regarding women’s health. 

Dr. Gordon Gunn proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and all surrounding areas.

10 Foods to Help Heart Health During Menopause | Fullerton, CA

Heart HealthyIt’s frightening but it’s a fact: Heart disease is the #1 killer of women in the United States. And if that wasn’t bad enough, women who have had their ovaries removed are especially at risk. So what’s a girl to do? Beat the odds by replacing the junk food in your cupboard with these heart-healthy foods, recommended by the American Heart Association!

Whole grains. Whole grains, like brown rice and quinoa, are packed with many nutrients that refined grains are stripped of, like fiber, folate and iron. A study by the Whole Grains Council proved that replacing refined grains with whole grains can lower the risk of heart disease by up to 28 percent.

Leafy greens. Greens such as kale and spinach are great sources of fiber, antioxidants, and other vitamins and minerals that contribute to heart health. They are easy to find and are very versatile in recipes.

Extra-virgin olive oil. This healthy fat can make a great heart-healthy substitute for butter. See where you can make the switch in your next recipe!

Raw, unsalted almonds and walnuts. These make great snacks, salad additions, and toppings. A ¼ cup a day can boost your protein and lower your cholesterol. Just be careful, eating too much more than that, could lead to packing on a lot of unnecessary calories and fats.

Tomatoes. This veggie is high in antioxidants that protect the heart. Plus, this convenient little fruit (yes, it’s a fruit!) is a super easy add-in to any recipe.

Fish. Fish are high in Omega-3s, which are known to benefit the heart. Many doctors recommend adding fish to your diet at least a couple times a week.

Beans and Lentils. Versatile and extremely healthy, beans and lentils are a great way to add fiber, protein, and iron to almost any meal.

Grapes. They may be tiny but grapes are packed with antioxidants, making heart health a little sweeter. In addition to antioxidants, they also provide phytochemicals that protect the cardiovascular system.

Berries. Filled with fiber and antioxidants, berries make great, heart-healthy desserts any time of the day.

Dark chocolate. Now that’s a change I can make to my diet, am I right, ladies? Adding just a little bit of dark chocolate to those berries and you’ve got yourself a divine, guilt-free dessert. Of course, this doesn’t give you the green light to eat chocolate all day, but studies do show that eating a small amount of dark chocolate a few days out of the week can help lower your blood pressure and improve blood flow.

If you would like to take the first step towards good heart health, contact Dr. Gordon C. Gunn MD in Fullerton, CA at 714-912-2211 to schedule an appointment today .Or visit www.gordongunnm.com for additional information regarding women’s health. 

Dr. Gordon Gunn proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and all surrounding areas.

New Model to predicting cancer in Women | Fullerton, CA

Branch of dogwood blossoms against a dark backgroundScientists have developed a new model that can predict a woman’s risk of developing breast, ovarian and endometrial (womb) cancer.

The model uses easily obtainable information on known risk factors for these cancers, according to the researchers.

Researchers developed these models by using data from two large US studies that included white, non-Hispanic women aged over 50 years and by including commonly known risk factors, such as parity (the number of children a women delivered), body mass index (an indicator of the amount of body fat), use of oral contraceptives, and menopausal status and use of menopausal hormone therapy.

Researchers said the new models are able to predict individual women’s risk of each cancer.  For instance, individual women’s risk for endometrial cancer calculated using this model ranged from 0.5% to 29.5% over the next 20 years depending on their exposure to various risk factors.

“These models predict absolute risks for breast, endometrial, and ovarian cancers from easily obtainable risk factors and may assist in clinical decision-making,” researchers wrote.

“Limitations are the modest discriminatory ability of the breast and ovarian models and that these models may not generalize to women of other races,” they added.

The findings are published in the journal PLOS Medicine.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology.  Don’t continue to suffer, call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas

Story written by Christine Hsu for www.counselheal.com.  Story is dated July 30, 2013

 

A Safer Alternative: Minimally Invasive Gynecology Robotic Surgery | Fullerton, CA

B&W nude womanOne of the main priorities for Dr. Gordon Gunn is to provide a safer alternative to traditional open surgery by offering Gynecology Robotic Surgery.  This approach is used when indicated and whenever possible based on the disease we are treating, the patients’ anatomy, and the overall medical condition of the patient. Gynecology Robotic Surgery offers the following benefits to our patients:

  • Faster recovery
  • Less pain
  • Smaller incisions
  • Early return to normal activities
  • Shorter hospital stay
  • Decreased risk of infection

Putting a surgeon’s hands at the controls of a state-of-the-art robotic platform

The Gynecology Robotic Surgery provides Dr. Gordon Gunn with a state of the art alternative to both traditional open surgery and conventional laparoscopy. The Gynecology Robotic Surgery enables Dr. Gordon Gunn to perform even the most complex and delicate procedures through very small incisions with great precision.

It is important to discuss these options with Dr. Gordon Gunn. Gynecology Robotic Surgery is not available to all patients; however we are able to offer Gynecology Robotic Surgery to a large number of our patients.

Contact Dr. Gordon C. Gunn, M.D., a specialist in female urology. Don’t continue to suffer, call his office today for an appointment 714-912-2211 or visit his website at www.gordongunnmd.com.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut and surrounding areas.

Menopause and Hormone Therapy | Fullerton, CA

iStock_000014235018SmallMenopause is a natural occurring event that all women will experience, usually in their early 50’s, when their ovaries cease producing estrogen. Post-menopause is diagnosed when a woman has not menstruated for one year and marks the end of the reproductive period of her life. Gunn Center of Fullerton, CA offers some interesting and useful information on menopause and hormone therapy.

Peri-menopause is diagnosed when the menstrual cycles vary in frequency and length and may be associated with psychological, emotional and/or physical symptoms (discussed later). These disturbances are due to a declining ovarian production of estrogen, progesterone and testosterone that may be periodic or continuous. Women born prior to the 1930’s had a life expectancy of about 50 yrs. Today, a woman can expect to live well into her 80’s with over one-third of her life occurring after menopause and be subject to the physical changes discussed later in this paper.

The history of hormone replacement in women has seen many swings in popularity over the past few decades. In 1991 the National Institutes of Health (N.I.H.) launched the Women’s Health Initiative (WHI) study involving about 161,000 healthy postmenopausal women aged 50-79 years with an average age of 63 years. The study was designed to test the effects of hormone therapy on heart disease, bone fractures, breast cancer and colon cancer. One group of women who had undergone a hysterectomy received oral estrogen (Premarin) alone [estrogen replacement therapy or ERT]. A second group received a combination of Premarin and progesterone (PremPro) [combination hormone replacement therapy or HRT]. A third group received a placebo, which contained no hormone. In 2002 the study was stopped because the Provera group was associated with a slight increase in the incidence of breast cancer, heart attack, stroke and blood clots.

Millions of women in the U.S. stopped their hormone out of fear and they entered into “hot-flash hell”. A recent careful re-analysis and follow up review of the data has revealed that the actual risks of breast cancer, stroke and heart disease were NOT increased over time and were, in fact decreased; especially in women who were perimenapausal when they initiated hormone therapy.

In April 2011 the Journal of the American Medical Association (JAMA) published a follow-up study of the women in the WHI who took estrogen alone. The finding: a statistically significant reduction in breast cancer over time. Further, those women who did develop breast cancer were 63% less likely to die from their disease. Among the women with a prior hysterectomy treated with estrogen alone and followed for 11 years, there was NO increased risk of heart attack, stroke, blood clots, hip fracture, colon cancer or mortality. Importantly, there was a persistent decrease in the risk of breast cancer. This finding is now contrary to the persistently held belief that estrogen causes breast cancer and increases the risk of heart attacks.

After a decade of fear and confusion regarding the risks and benefits of estrogen replacement therapy, medical studies have now clearly established its safety and its health benefits. In March 2012 the North American Menopause Society released a statement that supports these findings, stating that combination hormone therapy (both estrogen and progesterone) initiated around the time of menopause is safe.

Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.

Gynecology Robotic Surgery is the Future | Fullerton, CA

Pure, Natural, BeautyGynecology robotic surgery is robotic assisted surgery for several gynecological conditions. Using a robot, this enables the doctors of Gunn Center in Fullerton, CA to perform the surgery with the utmost control and precision and with only a few small incisions.

Gynecology robotic surgery can be used for the following conditions:

  • Ovarian cysts and masses
  • Fibroids
  • Prolapse of pelvic organs
  • Cervical cancer
  • Endometrial cancer
  • Some endometriosis
  • Ask your doctor about the many other procedures offered

Robotic surgery is less evasive than traditional surgery that involves making a large incision in the abdominal area. The benefits of a smaller incision are less pain during recovery, less scarring and quicker recovery time.

Surgery doesn’t have to be complicated, contact Dr. Gordon Gunn to learn more about the treatment options available at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.

Urinary Tract Infections: Diagnosis, Treatment and Prevention | Fullerton, CA

Branch of dogwood blossoms against a dark backgroundEvery year, over 11 million women develop a urinary tract infection, (also known as a UTI, a bladder infection or acute cystitis). These infections are more common in women than men, primarily due to the normal female anatomy, with the urethra (tube leading from the bladder to the outside), located very close to the vaginal opening. This allows bacteria from the vagina, and especially the rectum, to enter the bladder, and subsequently cause an infection. Sexual activity is the most common cause for developing a UTI, but pregnancy, advancing age, lack of estrogen, and diabetes are common contributing factors for developing these infections.

Typical symptoms from a UTI, are pain with urination, frequent urination with the urgency to void, and possibly pelvic pain or pressure. More severe symptoms are a general ill feeling with fever, and possibly even confusion. However, it may be possible not to have any symptoms at all, which is why your urine is usually tested at the time of your routine office visit.

To properly diagnose a UTI, a urine sample can be quickly assessed in the office to confirm the presence of bacteria or its by-products. The healthcare practitioners will presumptively treat an infection with antibiotics, but a culture of your urine is required to determine the exact type of bacteria present, as well as to ensure that the bacteria has not developed resistance to the antibiotic prescribed. This test usually requires 48 hours for the laboratory to complete. If the practitioner determines that you need to be placed on a different antibiotic, you will be notified as soon as possible. The length of treatment is determined by the severity of the infection, or if you have any underlying medical conditions which could make curing the problem more difficult. You may also be given another medication along with the antibiotic, which acts as a “bladder anesthetic” to relieve the discomfort as the antibiotics begin to work. Another option is to add a teaspoon of baking soda to half of a glass of water, and drink this twice a day.

The risk of not treating a bladder infection can result in the infection ascending into your kidneys, and possibly damaging these vital organs. Treatment of these serious infections may require hospitalization for intravenous antibiotics.

Recurrent UTI’s (more than 3 per year) can be a symptom of a more serious problem that will require further investigation. However, even after an extensive evaluation, some women are simply more prone to infections, and “prophylactic” antibiotics may be used to limit the return of an infection.

For women who are more prone to bladder infections, prevention is key:

• Women who are sexually active should void both before and after intercourse to limit the amount of bacteria in the bladder. Also, some lubricants, oils and spermicidal jelly may also make an infection more likely.

• Voiding regularly throughout the day (every 2 to 3 hours), will limit the amount of bacteria in the bladder. You should also ensure that you empty your bladder completely, and if needed, by “double voiding” (urinate normally, stand up, then sit down again and attempt to finish emptying your bladder)

• Drinking an adequate amount of liquids will continually wash out the bladder. Water is preferred, as soda, coffee and tea may make it more likely to get an infection.

• After a bowel movement or urinating, wipe from the front of the vagina to the back toward the rectum, away from the urethra.

• Frequent changing of sanitary napkins or tampons can limit infections.

• Avoiding hot tubs or highly chlorinated pools, as well as removing your wet swimsuit as soon as possible, can also limit bacterial exposure.

• Cranberry juice and cranberry pills (no calories) have been proven to reduce UTI’s.

 

Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.

 

 

 

A Simple Explanation of Urinary Incontinence | Fullerton, CA

Senior Woman Enjoying Hot DrinkUrinary Incontinence & Pelvic Prolapse

Incontinence is the inability to control either your urine or stool until a socially appropriate time. There are multiple causes of incontinence depending upon which nerves, tissues or organs have been damaged

Definitions

“Stress” Urinary Incontinence, Type I:

This involuntary loss of urine is associated with sudden increases in abdominal pressure, such as laughing, coughing or exercising. It is due to a defect in the pelvic floor support of the bladder. Mild incontinence can generally be corrected with a program of pelvic floor exercises and bio-feedback therapy. Outpatient surgery will usually correct the more severe forms.

“Urge” Urinary Incontinence, Type II:

When the bladder muscle involuntarily contracts, partial or complete bladder emptying occurs. It is usually associated with a strong urge to urinate. Frequently, this may occur with specific events, such as arriving at your home or hearing running water. Treating the underlying causes and instituting behavior modification programs will usually correct this type of incontinence. Our bio-feedback program is very helpful in treating this type of incontinence when initial treatments are not completely successful.

“Stress” Urinary Incontinence, Type III:

This type of incontinence is similar to Type I incontinence, but the cause is entirely different. Rather than due to a loss of support, there is an abnormally “low pressure” within the urethra, which may allow urine loss to occur with any physical activity. It is treated differently from Type I.

Fecal Incontinence:

This is an involuntary loss of stool, which may occur with our without the sense of the need to defecate. There are many causes of fecal incontinence and treatment varies according to the individual diagnosis.

Pelvic Prolapse

The muscles and ligaments of the pelvic floor are attached to the uterus, bladder, vagina and rectum. When these structures are weakened or damaged (often from childbirth), the pelvic organs will protrude down toward the outside of the body resulting in pressure or a “falling-out” sensation. Depending on the specific organs involved there may be abnormal bladder, bowel or sexual function.

Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.

Gynecology for Adolescents | Fullerton, CA

mom and teen daughterKnowing the right time to start visiting a gynecologist is important. A teenage girl should first visit a gynecologist between ages 13 and 15, according to the current recommendation by the American College of Obstetricians and Gynecologists. This initial visit doesn’t necessarily have to include a pelvic exam and Pap smear. If you are worried about that, do not worry. This first visit would include the discussion of changes in the body that occur between adolescence and adulthood.

The doctor can assess whether she has normal development of secondary sex characteristics (the changes that come with puberty). At this young age, menstrual cycles are often irregular for several years. The doctor can offer reassurance that this is common.

The doctor can also monitor weight gain, develop severe acne and also have irregular menstrual cycles, which are possible signs of polycystic ovary syndrome. Treatment during these formative years can potentially prevent weight gain, skin scarring and the complications of diabetes, hypertension and infertility.

Contact Dr. Gordon Gunn today at (714) 912-2211 to schedule an appointment.

Dr. Gordon Gunn also proudly serves Buena Park, La Mirada, Yorba Linda, Diamond Bar, Walnut, and surrounding areas.