Tag Archives: GYN

Good News Regarding Hormone Replacement Therapy | Fullerton, CA

When it comes to menopause, there has been a lot of controversy surrounding the involvement of hormone therapy. Traditionally, doctors would provide hormone replacement therapy (HRT) as a treatment option in order to augment the patient’s hormone levels. However, in 2002, the Women’s Health Initiative, a government-funded study took place and revealed many questions regarding the HRT’s benefits and risks.

In 2012, The North American Menopause Society released a statement stating, “the concept of lowest dose for the shortest period of time was inadequate or even harmful for some women”. But in 2017 the stance had changed. They released a paper stating that the use of hormone replacement therapy for menopausal and postmenopausal women “guarantees to make healthcare providers and the women they treat more comfortable using HRT when women want it to improve their quality of life”.

So, what does that mean for women going forward? Here are some of the highlights:

  • The benefit-risk ratio is most favorable for women in their 50’s with hot flashes and night sweats, or at elevated risk for bone loss or fracture. Those younger may not have as many advantages.
  • Longer durations of HRT should be for documented indications and discussed with a physician.
  • Women with vulvar and vaginal symptoms, or with a loss of libido, can benefit from having hormone replacement therapy for sexual-function difficulties.
  • Women who enter menopause early will experience an estrogen-deficiency related consequence. Early estrogen treatment, in addition to endometrial protection.

To read more about the NAMS statement, click here.

If you would like more information on hormone replacement therapy, contact Dr. Gordon C. Gunn MD at 714-912-2211 or visit www.gordongunnmd.com to schedule an appointment today

Dr. Gordon Gunn proudly serves Fullerton and all surrounding areas.

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.gordongunnmd.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 Orange County 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.gordongunnmd.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 Orange County 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.

Gynecology Services – Female Urology – Healthcare for Women | Fullerton, CA

gunnDr. Gordon Gunn specializes in gynecologic issues for women of all ages. His diversity of medical expertise makes us one of the most comprehensive gynecology practices in the area.  Committed to the overall health and well being of his patients, he offers up-to-date preventive care and management of the important issues of gynecologic health, including:

CONSULTATION & TREATMENT

  • Abnormal Pap Smear
  • Abnormal Uterine Bleeding
  • Bio-Identical Hormones
  • Blood Pressure Management
  • Cholesterol Management
  • Breast Disease
  • Endometriosis
  • Family Planning
  • Infertility
  • Menopause
  • Nutrition and Weight Management
  • Office Hysteroscopy
  • PMS/Depression/Anxiety
  • Pediatric/Adolescent Gynecology
  • Pelvic Pain
  • Preconception Counseling
  • Osteoporosis
  • Urinary Incontinence

SURGERY

  • Comprehensive Gynecologic Surgery
  • Private Outpatient Surgery Center
  • Minimally Invasive Surgery
  • Bladder Incontinence Surgery
  • Endometrial Ablation
  • Pelvic Reconstruction

ULTRASOUND BODY SCAN

  • Abdominal
  • Abdominal Aneurysm
  • Breast
  • Carotid/Femoral Artery
  • Kidney/Bladder
  • Pelvic
  • Thyroid

 LABORATORY EVALUATIONS

  • Diabetes Screening
  • Heart & Stroke Risk
  • Menopause & Hormones
  • Metabolic Profile
  • STD Screening
  • Thyroid Disease

 TESTING

  • Bone Density (DEXA)
  • Body Composition Profile
  • Echocardiogram (EKG)
  • Holter Monitoring
  • Echocardiogram

Contact Dr. Gordon Gunn 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.