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Menopause by Dr. Elizabeth Case

Weigh pros and cons of hormone replacement therapy

Posted: 12:00am on May 21, 2012; Modified:  1:43am on May 21, 2012

Dr. Elizabeth Case   

Menopause, often called "the change,"  affects all  women eventually.  Menopause is a term used to describe the cessation of  menses, when the ovaries stop producing hormone cycles. This signals the end of the fertile phase of a woman's life.

This time of a woman's life usually comes with a variety of troublesome symptoms that might include hot flashes, night sweats, sleeping problems, mood swings and weight gain. Exercise has been shown to greatly decrease menopausal symptoms.

Some turn to herbs (black cohash or evening primrose oil), phyto-estrogens found in some foods and acupuncture for relief.

A woman might  consider hormone  replacement therapy, or HRT, to  alleviate  menopausal symptoms.  Traditional hormone  replacement therapy  replaces the declining estrogen levels after menopause.  Progesterone also is replaced in women who have not had hysterectomies. 

Another form of HRT is bioidentical  hormones,  laboratory-made  female  hormones based on  compounds found in plants, usually soy beans or wild yams. Bioidentical  hormones are processed by a  compounding pharmacist who provides medications that have a customized  formulation to meet a  patient's specific needs. These hormones come in various forms including tablets, under-the-skin pellets, creams, gels and nasal sprays.

The decision to take HRT should not be make lightly. There are several risks and benefits that need to be considered carefully.

Advantages include:

■ Relief from hot flushes and vaginal dryness.

■ Reduced bone loss.

■ Ease of mood swings and improved sleep patterns.

■ Reduced facial hair.

■ Reduced risk of colon cancer.

■ Reduced risk of  Alzheimer's disease.

Disadvantages include:

■ Possible return of  vaginal bleeding.

■ Side effects such as breast tenderness, headaches, bloating and weight gain

■ Possible feeling of  premenstrual tension

■ More risk of breast  cancer but no known increased risk of death from breast cancer.

■ Slight increased risk of endometrial cancer unless taken with progesterone

■ Slight increased risk of gallstones

■ Increased risk of blood clots in the legs (deep vein thrombosis) that can break off and travel to the lungs (pulmonary embolism).

■ Risk of heart attack and stroke.

Menopause can be a very emotional yet manageable time. Speak to your physician to see whether HRT is the best choice for you. A well-informed patient makes the best decisions.           

Read more here:
Originally Published on Monday, May 21, 2012

Weight Loss Program!

How is the Lexington
Women’s Health Weight Loss Program different from other programs?

W- Weight loss not only
makes you look and feel better, it decreases your risk for diabetes, heart
disease, high blood pressure and cholesterol.

E-Exercise tips to help you
develop and maintain a healthy lifestyle

provider will partner with you to develop yourpersonal plan.

G-Goals-We will help you set
attainable goals and help you reach them.

H-Health Care Providers who
are experienced and knowledgeable will see you at every visit.

T-Tracking-This program
involves a monthly visit to track and evaluate your progress. A food diary is recommended as well.

Your visits may be covered by your insurance company depending on your plan.

What are you “weighting” for? Get started today!

Originally Published on Monday, July 9, 2012

What can be done to manage PCOS?
1. Partner with a provider that understands the health,cosmetic and emotional consequences of PCOS.
2. Learn to achieve or maintain your ideal body weight through healthy eating and exercise. Consider medically supervised weight loss as losing weight may be more challenging for women with PCOS.
3. Have routine screenings for heart disease and diabetes.
4. Improve menstrual regularity with weight control or hormonal regulation.
5. Consider methods to reduce unwanted hair growth such as hormonal suppression, laser hair reduction or topical creams such as Vaniqa.
6. Utilize medications to increase the frequency of ovulation and pregnancy if desired.
Originally Published on Thursday, July 26, 2012

Laser Hair Reduction Services Now Available!
Lexington Women's Health is among the first in the state to offer the Cutera  laser for hair reduction as well as skin rejuvenation.
The CoolGlide
We use a sophisticated light energy source for permanent hair reduction The light is absorbed by the pigment in your hair your, which effectively disables the hair follicle.

The CoolGlide can remove hair from the face or body.

How is CoolGlide different from other treatments?

CoolGlide technology is considered the Gold Standard in the laser industry because of its long history of safety and effectiveness on all skin types. We can treat not only coarse hair but finehair as well. It is permanent hair reduction, safe and effective. 
Laser Genesis for Skin Rejuvenation

What does it do?

Laser Genesis does something completely unique in the skin rejuvenation area. It is proven to not only minimize fine lines
but also reduces large pores, uneven, crepe paper type or pebbled skin texture, and overall redness and flushing.

How does it work?

Laser Genesis heats the skin below the surface. 
This heat stimulates the body’s own natural healing response and the
texture of your skin literally becomes smoother. Depending on what you are having treated, pores get smaller, lines are decreased as your underlying collagen is refreshed and the color of your skin will even out.

Limelight Facial for SkinRejuvenation

What does it do?

The Limelight Facial is very effective for improving uneven skin tone. It can treat individual pigment changes like brown age spots; it can also treat widespread blotchiness, freckles, skin redness and individual fine veins.

How does it work?

The Limelight Facial uses light to heat the pigment and blood in the top layer of your skin to reduice discoloration and promote a more even skin tone.








Originally Published on Thursday, July 26, 2012

Related DownloadImage
Elective induced labor not without its risks

By Alisha C. Morgan
— Special to the Herald-Leader

Induction of labor refers to stimulating labor to cause contractions before spontaneous natural labor begins. The term elective induction of labor is used when a woman undergoes stimulation of labor without a medical reason for doing so. A medical reason would include conditions that put the health or life of the mother or fetus at risk. Labor inductions are appealing for many reasons. First, they are convenient. The prospect of organizing a birth into an already overbooked family or work schedule can be very tempting. Excitement about meeting the infant, stress, discomfort and even pressure from friends and family are other reasons women may schedule an induction of labor. Although these seem like justifiable reasons to have a baby on a predetermined date, it is important to remember that labor induction is a medical procedure that could have life-threatening risks for both the mother and fetus.

Many methods are used to induce labor. Understanding those methods is an important part of understanding the overall risks involved. The more common methods include rupturing the amniotic membranes surrounding the fetus— often referred to as "breaking water"—and the use of intravenous Oxytocin, a synthetic form of a naturally occurring hormone that is responsible for labor and breastfeeding.

Studies have hown that the risk of Caesarean section can be as much as two-fold higher for women undergoing induction of labor. This is especially true for first-time mothers. Other associated risks include fever, infection, rupture of the
uterus, hemorrhage, blood transfusion and even death in rare instances. Fetuses
may experience stress during the process. Fetal distress is an indication for
Caesarean section.

There are also health care costs associated with induction of labor. Women who undergo labor induction require more medical intervention, more equipment, more medications and usually have longer hospital stays. Because of this, some insurance companies are now refusing to pay for elective labor inductions.

Women considering an induction of labor should discuss it with their doctor or
midwife. The discussion should include reasons induction might be appropriate,
risks, benefits and what procedures will be used to stimulate labor. Women should have a clear understanding of the entire process before proceeding. It is
important to remember that swollen feet and discomfort evident at the end of
pregnancy are only temporary conditions and that the most desired outcome for
any pregnancy is a healthy mother and a healthy baby.

Alisha C.Morgan, is a certified nurse midwife with Lexington Women's Health.


Originally Published on Monday, September 17, 2012

Related DownloadWord Document
Midwifery Coloring Contest
 Lexington Women’s Health is having a

coloring contest!!  

 “A midwife…through the eyes of a child”

We will select 3 winners! If chosen we will notify you by the contact information you


Lexington Women’s Health is having a

coloring contest!!  

“A midwife…through the eyes of a child”

We will
select 3 winners! If chosen we will notify you by the contact information you

Happy Coloring!!



Originally Published on Wednesday, October 3, 2012

Over the past three decades, the number of babies born by Caesarean section has increased. In 2004, 29.1 percent of all babies were born by Caesarean section. Although some of the increase has been due to the decline in vaginal birth after Caesarean section, some of the increase has been due to elective primary C-sections. There are many medical indications for C-section, including specifi c medical conditions that put baby and/or mom at risk. However, many women are choosing to have a primary C-section with no medical indication.
There are many reasons why a woman might choose an elective C-section. First, some women choose Caesarean birth because they fear the pain associated with childbirth and a vaginal delivery. Other women choose this option to have more control over their delivery. Some choose an elective primary C-section to eliminate the possibility of damage to the pelvic floor that could result in urinary incontinence or sexual dysfunction.
In this article, I’d like to address the pros and cons of vaginal delivery versus Caesarean delivery. There are many arguments supporting delivery via the birth canal, also known as vaginal delivery. First, there is less risk of maternal blood loss, infection, blood clots and damage to organs. For the baby, there is less risk of breathing and blood pressure difficulties at birth. Babies born vaginally also have less risk of allergies, asthma and lactose intolerance. After a vaginal delivery, there is a shorter hospital stay, and breast feeding is more effective. But there are also cons to vaginal delivery. These include an increased risk of oxygen deprivation from cord compression or complications during delivery. There is an increased risk oftearing of the perineum (area between the vagina and the rectum) resulting in the need for stitches. This can lead (rarely) to an increased risk of sexual dysfunction in the first three months following delivery. There can be an increased risk of trauma to the baby if a vacuum or forceps are required for delivery. Finally, there is the pain associated with childbirth and also the discomfort from repeated vaginal exams, which can be intolerable for some women who have experienced sexual abuse in the past.
Some of the pros for elective Caesarean section include an increased sense of control as a woman can choose the timing and date of her delivery. There is also a decrease in the stress associated with the anticipation of labor. Some studies show a decreased risk of oxygen deprivation to the baby and possibly decreased risk of trauma associated with the need for a vacuum or forceps assisted delivery. Since there is no tearing of the perineum, there is a decreased risk of urinary incontinence and sexual dysfunction in the first three months after delivery.
The cons include a longer hospital stay. There is a higher incidence of blood clots and infections and an increase in the maternal blood loss. There is a rare risk of damage to the baby while making the uterine incision. There is a rare risk of complications from anesthesia (but these same risks can be associated with vaginal deliveries if anesthesia is used). The patient is also at increased risk of damage to the bowel and bladder during the procedure and a slower return of bowel function.
With an elective primary Ceasarean section there is a delay in maternal breast milk production, which can hinder breast feeding. The maternal mortality rate is slightly higher as well. There is also a risk of lower Apgar scores for babies (the score given to the baby as soon as it is born to evaluate the newborn’s physical condition and to determine any immediate need for extra medical or emergency care) and twice the infant mortality (in the first 12 months of life) for babies born by Caesarean section
In subsequent pregnancies, there is an increased risk to the mother, whether she delivers the baby traditionally through the birth canal (also known as vaginal birth after Caesarean or VBAC) or by C-section.
In 2003, the American Congress of Obstetricians and Gynecologists came forward with a Committee Opinion stating that: Obstetricians and their patients should make the decision for elective primary Caesarean section based on the individual and circumstances, and that there is no right answer to the debate.
This has opened the door for patients and physicians to make the decision for or against primary elective Caesarean section based upon each patient’s unique circumstances.
Originally Published on Wednesday, October 24, 2012

Excessive Menstrual Bleeding
Excessive menstrual bleeding affects millions of women every year. Women who are affected suffer decreased
quality of life, reduced productivity in the workplace and the constant threat of inconvenience or embarrassment. 
Chronic health conditions such as fatigue and anemia can result from heavy bleeding.
Until recently, women were expected to suffer with the bleeding, take hormonal medications or have a traditional hysterectomy with a large abdominal incision. Today’s women are offered many newer options. Women suffering from heavy menstrual flow should talk with their healthcare provider about the options that may be appropriate for them. These generally include:
NSAID therapy. Medications such as Motrin®, Advil®
or Aleve®, taken three to five days prior to menstruation, may reduce bleeding up to 30%. This treatment requires very
regular cycles in order to work well.
Hormonal therapy. Hormones either in the form of oral
contraceptive pills or cyclic progesterone can induce a regular and lighter flow. This treatment is very effective to induce regular menstrual cycles and may have the added benefit of improving acne and PMS.
Hormonal intrauterine system. Mirena® is a device that slowly releases progesterone in the uterine cavity. This dramatically reduces or even eliminates bleeding by keeping the lining very thin and healthy. It is an excellent alternative for people who want to avoid oral hormonal therapy. This requires only a simple office procedure, minimal discomfort and no down time.
Global endometrial ablation. Done in the office or operating
room, this technique uses thermal energy to destroy the lining of the uterus, resulting in significantly decreased uterine bleeding. 85% of people will see reduced or even absent
menstrual flow following ablation.
Hysterectomy. This surgery is now often done on an
outpatient basis with tiny incisions using traditional laparoscopic techniques or with the newer da Vinci robotic surgical system. These minimally invasive surgical procedures offer definitive treatment, and patients are able to get
back to their lives quicker than ever before and with less pain. No longer are large abdominal incisions,extended hospital stays and long recoveries usually necessary.  

Women experiencing excessive menstrual bleeding that affects their ability to enjoy a happy and productive life should speak with their provider about the treatment options that might be right for them. It is no longer necessary to plan family, recreational and work activities around episodes of heavy menstrual bleeding. Newer options available today make it easier than ever to be free from the uncertainty of heavy or irregular menstrual flow. Despite the newer nonsurgical options, hysterectomy is sometimes necessary. 
When performed in a minimally invasive way, women can get back to doing the things they enjoy faster than ever before. 

Dr. Jennifer Fuson, Lexington Women’s Health

Originally Published on Monday, October 29, 2012

The twelve days of Christmas...Pregnancy Style!

The 12 Days of Christmas Pregnancy Style…

Adapted by Tanya, Lexington Women’s Health
(You can scroll to the bottom for the express version!)

On the first day of Christmas,
my baby sent to me
a craving for a twinkie

On the second day of Christmas,
my baby sent to me
Two exams with gloves
and a craving for a twinkie

On the third day of Christmas,
my baby sent to me
Three next of kin

Two exams with gloves

And a craving for a twinkie


On the fourth day of Christmas,
my baby sent to me

Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie


On the fifth day of Christmas
my baby sent to me

Five months of no rings
Four letter words,
Three next of kin

Two exams with gloves

And a craving for a twinkie


On the sixth day of Christmas
my baby sent to me

Six positions for laying

 Five months of no rings
Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie


On the seventh day of Christmas
my baby sent to me
Seven months not sleeping

Six positions for laying

 Five months of no rings
Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie


On the eighth day of Christmas
my baby sent to me
Eight pumps for milking

Seven months not sleeping

Six positions for lying

 Five months of no rings
Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie


On the ninth day of Christmas
my baby sent to me
Nine times the swelling

Eight pumps for milking

Seven months not sleeping

Six positions for lying

 Five months of no rings
Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie

On the tenth day of Christmas
my baby sent to me

Ten bouts of weeping

Nine times the swelling

Eight pumps for milking

Seven months not sleeping

Six positions for lying

 Five months of no rings
Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie



On the eleventh day of Christmas
my baby sent to me

Eleven headaches pounding

Ten bouts of weeping

Nine times the swelling

Eight pumps for milking

Seven months not sleeping

Six positions for lying

 Five months of no rings
Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie


On the twelfth day of Christmas

My baby sent to me

Twelve stretch marks bulging

Eleven headaches pounding

Ten bouts of weeping

Nine times the swelling

Eight pumps for milking

Seven bra’s overfilling

Six positions for lying

 Five months of no rings
Four letter words
Three next of kin

Two exams with gloves

And a craving for a twinkie!

Originally Published on Monday, December 3, 2012

Check out our blog at
Originally Published on Wednesday, December 5, 2012

The Robotic Surgery Revolution

 So what’s all the hype about robotic surgery? If you would have told me ten years ago that I would be spending my days in the operating room with a robot assisting me, I would have thought you were crazy! But it’s true. When the difficult decision is made to undergo hysterectomy, we are often concerned about the amount of time required for recovery. We’re all too busy to be down for surgery! We want the least invasive option that will meet our needs safely.

 Robotic surgery has distinct advantages over traditional surgery requiring a large incision on the abdomen. Robotic surgery is done through small incisions less than one centimeter. It follows that there is less pain with robotic surgery. Robotic surgery is much more precise than other operations and as a result, there is less blood loss. Operations for women with multiple prior surgeries or a very large uterus can be done with robotic technique. If you are facing hysterectomy and are told you are not a candidate for minimally invasive surgery, certainly seek a second opinion! Chances are, you could be home the same day as your operation and back to most normal activities in 2 weeks!


Originally Published on Friday, December 28, 2012

Coverage of "free" Preventative Care for Women's Services expanded
Now that the Supreme Court has affirmed the constitutionality of the Affordable Care Act (ACA), practices should focus on the parts of the law that effect their operations. The ACA is intended to help Americans gain easier access to services such as blood pressure, diabetes, and cholesterol tests; many cancer screenings; routine vaccinations; pre-natal care; and regular wellness visits for infants and children. Health plans are required to cover certain preventive services with no cost sharing from the patient, but if problems are identified and treated, normal cost sharing requirements such as copay, coinsurance, and deductible apply to those additional services.

Many of the coverage requirements began in September 2010.

The Department of Health and Human Services (HHS) adopted additional Guidelines for Women’s Preventive Services on August 1, 2011– including well-woman visits, support for breastfeeding equipment, contraception, and domestic violence screening – that are covered without cost sharing in new health plans starting in August 2012. The guidelines were recommended by the independent Institute of Medicine (IOM) and based on scientific evidence.

Additional women’s preventive services that are covered without cost sharing requirements include:

  • Well-woman visits: This would include an annual well-woman preventive care visit for adult women to obtain the recommended preventive services, and additional visits if women and their providers determine they are necessary. These visits will help women and their doctors determine what preventive services are appropriate, and set up a plan to help women get the care they need to be healthy.
  • Gestational diabetes screening: This screening is for women 24 to 28 weeks pregnant, and those at high risk of developing gestational diabetes. It will help improve the health of mothers and babies because women who have gestational diabetes have an increased risk of developing type 2 diabetes in the future. In addition, the children of women with gestational diabetes are at significantly increased risk of being overweight and insulin-resistant throughout childhood.
  • HPV DNA testing: Women who are 30 or older will have access to high-risk human papillomavirus (HPV) DNA testing every three years, regardless of pap smear results. Early screening, detection, and treatment have been shown to help reduce the prevalence of cervical cancer.
  • STI counseling, and HIV screening and counseling: Sexually-active women will have access to annual counseling on HIV and sexually transmitted infections (STIs). These sessions have been shown to reduce risky behavior in patients, yet only 28% of women aged 18 to 44 years reported that they had discussed STIs with a doctor or nurse. In addition, women are at increased risk of contracting HIV/AIDS. From 1999 to 2003, the CDC reported a 15% increase in AIDS cases among women, and a 1% increase among men.
  • Contraception and contraceptive counseling: Women will have access to all Food and Drug Administration-approved contraceptive methods, sterilization procedures, and patient education and counseling. These recommendations do not include abortifacient drugs. Most workers in employer-sponsored plans are currently covered for contraceptives. Family planning services are an essential preventive service for women and critical to appropriately spacing and ensuring intended pregnancies, which results in improved maternal health and better birth outcomes.
  • Breastfeeding support, supplies, and counseling: Pregnant and postpartum women will have access to comprehensive lactation support and counseling from trained providers, as well as breastfeeding equipment. Breastfeeding is one of the most effective preventive measures mothers can take to protect their children’s and their own health. One of the barriers for breastfeeding is the cost of purchasing or renting breast pumps and nursing related supplies.
  • Domestic violence screening: Screening and counseling for interpersonal and domestic violence should be provided for all women. An estimated 25% of women in the U.S. report being targets of intimate partner violence during their lifetimes. Screening is effective in the early detection and effectiveness of interventions to increase the safety of abused women.

More information on the Affordable Care Act’s rules on preventive care, including a complete list of covered services, can be found at:


Originally Published on Wednesday, January 9, 2013

Why do they call it “morning sickness” when it lasts all day?
 No one really knows what causes the nausea of pregnancy, but it affects over half of all pregnant women. It is thought to be related to the high hormone levels of pregnancy, like human chorionic gonadotropin (hcg) and estrogen.  The high progesterone level also relaxes a pregnant woman’s esophagus, so that she is more likely to have reflux and gagging. 

Symptoms of nausea may be brought on by hunger or swings in blood sugar. Many notice that their nausea is worse when they are tired. Some moms report that smells may make their nausea worse. Sometimes even a vitamin is a trigger, but the vitamins are needed! There are some women who make extra saliva during pregnancy, and this constant swallowing makes them sicker.

The worst week of morning sickness is usually in the middle of the first trimester. By the second trimester, your body will have some relief.   If you need relief sooner, here are some things to try:

1.       Get lots of rest.   Fatigue can cause nausea even when you are not pregnant. What a great excuse to take a nap!

2.      Try frequent small meals that include some protein or fat.   The old advice of eating crackers may help temporarily, but a little cheese and turkey on the crackers will bring longer relief by keeping blood sugars stable. Sipping on flavored beverages all day long not only improve hydration, which makes you feel better, but may also help those with excess saliva production. 

3.      Antacids. Tums contain calcium, and are good for pregnancy. In some cases, the heartburn and gagging is helped by pepcid 20 mg every day. 

4.      Antihistamines. Doctors often prescribe antihistamines like phenergan to help with nausea, but benedryl (diphenhydramine) 25 mg as needed every 6 hours may also help.    

OR   An older remedy for nausea was to recommend ½ of a unasom tablet (doxylamine 12.5 mg) every 6 hours.  Remember that any antihistamine may cause fatigue, and see step 1!

5.      Vitamin B supplementation.   Some people have less nausea with extra vitamin B6, 50 mg every day.

6.      Ginger. Ginger snap cookies, ginger ale, and candied ginger have all been said to improve nausea, though not well studied.

7.      Prescriptions have improved over the last 10 years. Doctors often recommend Zofran, Kytril, Reglan, Compazine or others to help with the nausea. Of course, all have side effects that should be discussed with a physician. 

The extreme form of morning sickness is called hyperemesis. It causes relentless vomiting and can result in dehydration, weight loss, and nutritional deficiencies. While vomiting occasionally is common, hyperemesis occurs in less than 2% of pregnancies. Hyperemesis needs to be treated aggressively with medications and fluids, and should not be ignored. 


Emily Cunningham, MD

Lexington Women’s Health

Originally Published on Tuesday, February 19, 2013

Welcome Reva Tackett, MD
Lexington Women's Health proudly welcomes Reva D. Tackett, MD. Reva D. Tackett, MD is originally from Hueysville, Ky. Dr. Tackett received an Associates of Science degree from Alice Lloyd College in 1974, a Bachelor of Science degree from the University of Kentucky in 1976 and a Medical degree from the University Of Kentucky College Of Medicine in 1981. She has been in private practice since 1985. Dr. Tackett specializes in Gynecology and Gynecologic Surgery. She is an active member of Crossroads Christian Church where she plays keyboard. In her free time she enjoys spending time with her family, especially her beautiful grandsons. Dr Tackett is well known in the Bluegrass, having served as Chairman of the Department of OB/GYN at Central Baptist Hospital and continues to serve on the Women's Peer Review Committee. She received the esteemed NAWBO (National Association of Women Business Owners) Woman of the Year Award for Lexington in 2012. Dr. Tackett is an active clinician who is highly regarded by practicing physicians in the community.
Originally Published on Monday, July 1, 2013

The Virgilene Davis Scholarship
Lexington Women's Health is proud to announce The Virgilene Davis Scholarship. This scholarship was established in memorial of Virgilene Davis and to encourage Lexington Women's Health employee's to further their medical education. The recipients for 2013 are Erin Peterson and Mindi Fortner.
Originally Published on Tuesday, July 9, 2013

Patient Portal!
At Lexington Women’s Health we know how busy the lives of our patients can be! That’s why we have launched our PATIENT PORTAL. What is it? Patients can now view and update health summaries, shedule appointments, request refills, and obtain lab results all from the comfort of their home, office or car! It is convenient and easy to use! From our website simply click on SIGN IN. We encourage you to create a new online account or sign in to your current account using your email address and current secure password.
Originally Published on Monday, September 23, 2013

Laser Genesis Special!
What does Laser Genesis do? Laser Genesis does something completely unique in the skin rejuvenation area. It is proven to not only minimize fine lines but also reduces large pores, uneven, crepe paper type or pebbled skin texture, and overall redness and flushing. How does it work? Laser Genesis heats the skin below the surface. This heat stimulates the body’s own natural healing response and the texture of your skin literally becomes smoother. Depending on what you are having treated, pores get smaller, lines are decreased as your underlying collagen is refreshed and the color of your skin will even out. What does it feel like? Laser Genesis is uncomfortable; it is sometimes called the warm facial. You will feel a warming sensation on your skin as the hand piece is slowly moved back and forth about a half inch above the skin. What can I expect afterwards? You can return to normal activities immediately. You may be flushed from the heat but that will disappear within a few hours of treatment. Individual results are often subtle but the overall effect over time with multiple treatments can be quite dramatic.
Originally Published on Wednesday, November 6, 2013

Gummy bears are for kids, not pregnant or nursing mothers!
Gummy bears are for kids, not pregnant or nursing mothers! Most gummy vitamins do not have iron in them. Please ask your provider for a different prenatal vitamin if you are taking this over the counter choice. Thank you!
Originally Published on Wednesday, November 27, 2013

National Cervical Cancer Screening Month

Cervical Health Awareness Month is a chance to raise awareness about how women can protect themselves from HPV (human papillomavirus) and cervical cancer. About 79 million Americans currently have HPV, the most common sexually transmitted disease. HPV is a major cause of cervical cancer.The good news?

  • HPV can be prevented with the HPV vaccine.
  • Cervical cancer can often be prevented with regular screening tests (called Pap tests) and follow-up care.

A Pap test can help detect abnormal cells ( they turn into cancer).  Most deaths from cervical cancer can be prevented if women get regular Pap tests and follow-up. 

To read more please log on to
Originally Published on Thursday, January 2, 2014

Kynect Health Insurance
Lexington Women's Health is not a participating provider with many of the new insurance plans offered through the kynect health insurance exchange. We do not participate with all of the individual plans purchased through the exchange. We do not participate with any of the Anthem plans purchased through the exchange. We do participate with all of the Medicaid insurances offered through the exchange as well as Ky Health Cooperative. We are participating with many, but not all, group plans purchased through the exchange. If you have any questions please feel free to contact our billing department with questions at 859-264-8811.
Originally Published on Wednesday, January 8, 2014

Spring Break Laser Special
Let us tell you what our Cutera Laser can do for you! Spring Break Special starts NOW! $500 for complete package! These packages are usually $1,650! This includes Laser hair reduction for face, lip, underarms, or bikini line! Also includes Laser Genesis treatments! Genesis helps renew the face and rid age/sun spots, pores, fine lines and wrinkles. Call us today at 859-264-8811 for information!
Originally Published on Thursday, February 27, 2014

Tyler Halvaksz, CNM
Tyler Halvaksz, CNM is the most recent addition to Lexington Women's Health. Lexington Women's Health (Lexington, KY) strives to accommodate the needs of obstetrical and gynecological patients within the Bluegrass area. Tyler is now accepting new patients and provides care to all women across their lifespan. She is a graduate of Vanderbilt University, where she got her Master's Degree in Nurse-Midwifery. She is a native of the Lexington area and is excited to return back home to provide excellent care to those in the area. You may ask, "What is a(CNM) Certified Nurse Midwife?" Certified Nurse Midwives are advanced practice nurses with extensive training in the care of women throughout life and childbirth. To become a CNM, a registered nurse must attend an accredited graduate education program, pass a national certification exam and become licensed in the state in which they practice. CNM's have Master's Degree, however many hold Doctoral degrees. CNM's care for women throughout pregnancy and childbirth, provide annual well woman care, gynecologic exams, contraception and more. Tyler will be seeing patients at the 1720 Nicholasville Road, Suite 702 location and performing deliveries at Baptist Health (Lexington). Her office hours are Monday thru Friday 8:30 a.m. to 5:00 p.m. To learn more about Lexington Women's Health and the services available to you or to schedule an appointment please visit You may also visit the practice Facebook page or Twitter @LexWomensHealth. Lexington Women's Health 1720 Nicholasville Road, Suite 702 OR 1775 Alysheba Way, Suite 180 Lexington, Kentucky
Originally Published on Thursday, March 6, 2014

Now offering extended evening hours and Saturday appointments!
Tired of trying to do it all between 9-5? We can help! Now offering evening and Saturday hours! You ask. We answer. Give us a call at 859-264-8811 to schedule an appointment.
Originally Published on Monday, September 15, 2014

Welcome Sarah Dougherty, PA-C
Sarah Dougherty, PA-C was born and raised in Lexington. She received a Bachelor’s Degree in Psychobiology from Centre College in Danville in 2009. After years of working for LWH as a Clinical Assistant, Sarah obtained a Master’s Degree in Physician Assistant Studies from Wake Forest University in 2013. She spent her first year after graduation working for Lexington Cardiology Consultants at Baptist Health Lexington. Sarah is very excited to join our team at LWH as she enjoys forming close relationships with her patients while educating women to achieve their healthiest self from adolescence through menopause. Her personal interests include promoting routine gynecological care through the lifespan, helping women maintain a healthy weight throughout pregnancy and the postpartum period, and encouraging novel contraceptive options. Outside of work, Sarah enjoys spending time with her family including her husband and their dog, Donovan. She also loves traveling to the beach, reading, and doing calligraphy.
Originally Published on Monday, September 29, 2014

Breast Cancer Through the Eyes of a Survivor, Who is Also a Nurse
When ask to write a blog article, I did not know how to start. I tried googling it, asking others and then I just started to write what I know and hopefully you will get the jest of my story. I was blind- sided with the diagnosis of breast cancer June 26, 2013. I faithfully had my mammograms every year, did self-breast exams, saw my gynecologist yearly, and decreased my caffeine intake until it was almost non-existent. I practiced what I preached. I am an OB/GYN nurse and have been for thirty plus years. I have four sisters with no issues and no relatives that I know about ever diagnosed with breast cancer. My mammograms always came back with several benign cyst, so my thought was my radiologist was mistaken, it was just a cyst. After my mammogram, an ultrasound was performed and Dr. Kenney said,"I am so sorry it is breast cancer." A biopsy was performed and an MRI was scheduled for the following Tuesday. It all happened so fast that it is now just a blur. I quickly had reversed the role of a nurse to a patient. The first thing we tell patients is not to do is go on the internet but where did I go straight to the uncaring, unedited, unbiased internet. Every horror story with pictures you can only imagine. I was starving for answers but was too proud to say I had no idea what I was facing. The fear, confusion, and anger was all crashing in. My appointment with the general surgeon was expedited due to Dr. Reva Tackett and many prayers. The general surgeon was very informative I am sure, my husband at least got the information I was still in shock I suppose. Was it going to be a lumpectomy and radiation, unilateral mastectomy or bilateral mastectomy and possibly chemo and radiation? I didn't know. I just wanted the cancer gone. I decided my breast were attached to me and I was not that attached to them! This was true until I woke up and they were gone. I will not lie this was pretty much devastating until I convinced myself that they were gone and I was not. Cancer used to be a death sentence. Now the treatment regimen: Breast reconstruction had already begun with tissue expanders, chemo therapy starts in four weeks so another surgery to have a port put in to administer the chemo. I thought I handled double mastectomy, tissue expanders, and drains, this couldn’t be worse. WRONG!! The port surgery was a piece of cake. The first chemo not so bad until the third day, it was bad, hugging the toilet, even hard to hold my head up. After two rounds of chemo I lost my hair. I went to my hairdresser, Sherre, I have known since my high school prom and we both laughed and cried while she shaved the little scraggly parts of my hair that was left. I tried wearing wigs but I am more of the hat kind of woman. It was time I quit focusing on the negative and start focusing on survival. Surviving takes strength and determination and mostly a great support team. My sons and family were a blessing. It was hard letting them see me like this and I am sure it was a very difficult time for them to see me like I was as well. The visits they would make with me were my highlights. My friends and my co-workers kept me going as well. All the food, the prayers and hugs go a long way. Knowing they were there for me no matter what was and is a comfort. I am now over a year out and just had my port removed. My hair, well any hair is good hair and it is coming back. My nails are now actually growing. The last reconstruction with tattoos and the sculpting of nipples was completed October 1st of this year. I had to ask if I could have UK blue tattooed areolas and if the piercings automatically done, but I guess it was not time to joke. It seems like it has been a long process but it does make me appreciate things more! I really don't sweat the small stuff nearly as much as I did. I now have a beautiful fourteen month old granddaughter and a grandson on the way and God continues to bless me. My goal is to be a blessing to someone else. Even if it just to share my story and to let others know that breast cancer isn't always a death sentence and to live life to its fullest and they are not alone. Tammy Crupper, R.N. Lexington Women's Health
Originally Published on Thursday, October 30, 2014

January is Cervical Cancer Awareness Month

Two tests can help prevent cervical cancer—

  1. The Pap test( (or Pap smear) looks for precancers, cell changes on the cervix that may become cervical cancer if they are not treated appropriately. You should start getting Pap tests at age 21.
  2. The human papillomavirus (HPV) test looks for the virus that can cause these cell changes.

The most important thing you can do to help prevent cervical cancer is to have regular screening tests starting at age 21.

If your Pap test results are normal, your chance of getting cervical cancer in the next few years is very low. For that reason, your doctor may tell you that you will not need another Pap test for as long as three years. If you are 30 years old or older, you may choose to have an HPV test along with the Pap test. If both test results are normal, your doctor may tell you that you can wait five years to have your next Pap test. But you should still go to the doctor regularly for a checkup.

For women aged 21–65, it is important to continue getting a Pap test as directed by your doctor—even if you think you are too old to have a child or are not having sex anymore. However, if you are older than 65 and have had normal Pap test results for several years, or if you have had your cervix removed as part of a total hysterectomy for a non-cancerous condition, like fibroids, your doctor may tell you that you do not need to have a Pap test anymore.

Getting an HPV Vaccine

Two HPV vaccines are available to protect females against the types of HPV that cause most cervical, vaginal, and vulvar cancers. Both vaccines are recommended for 11- and 12-year-old girls, and for females 13 through 26 years of age who did not get any or all of the shots when they were younger. These vaccines also can be given to girls as young as 9 years of age. It is recommended that females get the same vaccine brand for all three doses, whenever possible. It is important to note that women who are vaccinated against HPV still need to have regular Pap tests to screen for cervical cancer.

More Steps to Help Prevent Cervical Cancer

These things may also help lower your risk for cervical cancer—

  • Don’t smoke.
  • Use condoms during sex.*
  • Limit your number of sexual partners.
*HPV infection can occur in both male and female genital areas that are covered or protected by a latex condom, as well as in areas that are not covered. While the effect of condoms in preventing HPV infection is unknown, condom use has been associated with a lower rate of cervical cancer.
Originally Published on Tuesday, January 6, 2015

Inclement Weather?
We will post on the Lexington Women's Health Facebook/Twitter pages IF we are ever closed or on delay. We also post to the local news stations. Our practice is considered an essential need so we do try not to close unless it is just too dangerous for our employees and patients. We will always have a provider(s) on call in case of an urgent matter. If we are closed we use the Medical Society Exchange to reach our provider on call. The Medical Society Exchange is for pregnant patients with urgent matters only. They will not refill prescriptions or change appointments. Their number is (859)276-2594. We always ask you to use your best judgement if you have an appointment scheduled. Stay safe!
Originally Published on Thursday, February 19, 2015

Originally Published on Wednesday, March 4, 2015

Welcome Dr. Grace Gibbs!
Dr. Grace Gibbs received her Doctorate of Osteopathic Medicine from Des Moines University in Des Moines, Iowa in 2001. She attended the residency program in Obstetrics and Gynecology at Ingham Regional Medical Center in Lansing, Michigan. 

 After completing training, Dr. Gibbs joined Meridian Women’s Health in Okemos, Michigan and has been in private practice since. She enjoys obstetrics and gynecology, providing the full spectrum of women’s care. Dr. Gibbs also enjoys minimally invasive surgery including daVinci robotic surgery.

 We are proud to say that Dr. Gibbs also has the title, Lieutenant Colonel. 

 Her military experience includes:  Michigan Air National Guard, Senior Flight Surgeon and Chief of Clinical Services, 127th Medical Group, Mount Clemons, Michigan, June 2010 - 2015

 Michigan Air National Guard, Rank of Lieutenant Colonel, Chief Flight Surgeon of the 171st Air Refueling Group, Mount Clemons, Michigan, July 2001 – 2015.

 Iowa Air National Guard, Rank of Captain, Medical Service Officer in charge of Medical Credentials, Des Moines, Iowa, July 1992 – May 2001

United States Air Force, Enlisted, Medical Logistics, Wiesbaden AFB, Wiesbaden, West Germany and Tinker AFB, Oklahoma City, Oklahoma, June 1984 – June 1992

Dr. Gibbs and her husband, Todd, have two sons, one attending college in Michigan, the other in Florida.  Lexington was the perfect location for them to be in the middle of both. In her spare she is an avid golfer and college sports fan.

We are delighted to welcome Dr. Gibbs to Lexington Women’s Health.  She is currently accepting new patients and will be in the office early April 2015.


Originally Published on Wednesday, March 18, 2015

BOGO Laser Packages!
We offer laser hair removal with our PCOS program and for any patient who would like this service.  Until May 31, 2015 we are offering Buy One Get One Free any laser package that is of equal or less value. 

You may schedule a FREE laser consultation to see what services benefit you the most.
Give us a call 859-264-8811 to schedule or for more information.
Originally Published on Wednesday, May 13, 2015

Humid, Hot and Carrying Child?

Excessive heat and humidity can be hard on anyone. Pregnancy only intensifies those feelings. If you are due in the summer or early fall, you can relate. You don’t have to have a miserable summer, but you do need to take a few extra precautions.

First of all, and I cannot reiterate this enough, keep yourself hydrated. That means making sure you drink plenty of fluids.  Water is best, but so are occasional juices and sports drinks which replace electrolytes that are being sweated away. Infuse fruits into your water to give it more taste if you need to. You do not want to let yourself get dehydrated. It can worsen pregnancy aches like swelling and can even trigger preterm contractions, so drink up!

During pregnancy, many women have increased sensitivity to the sun. This means you might burn more easily and may need to wear more sunscreen than usual.  Basically, you should never leave the house without wearing sunscreen with an SPF of at least 30. Make sure you cover all of your skin. Don’t overlook ears, neck or feet and remember to reapply every few hours and after swimming or towel drying.

Don’t rely on sunscreen alone to keep your skin protected.   Wear loose, lightly-colored clothing. This reflects the sun’s rays rather than absorbing them as dark colors do. Cotton, linen and natural fibers are best because they are light, airy and comfortable.

Wear a hat. The best choice is a hat with a wide brim that covers your face and neck. That fact that these are very fashionable at the moment is just another perk. The same can be said about a good pair of sunglasses. Don’t feel guilty about spending a little extra on a good pair of UV- filtered sun glasses.  They protect the eyes from painful sunburns, cataracts, and glaucoma.   Also, the skin around the eyes, including the lids, is one of the most prone areas to skin cancer!

Go to the pool!  If you’ve got a pool, use it often. If you don’t have one, get a large inflatable pool. These are relatively inexpensive and can hold several people. You’ll love the option of going to your back yard and relaxing in the cool water. If you have other children at home, they will love it too!  Now is not the time to consider tanning or laying in the sun – stay in the shade. A big umbrella with a glass of ice cold water should be your “go to” destination. If possible, use a canopy or position umbrella over the pool for the ultimate pregnancy paradise.

Sometimes, it’s better to just stay indoors.  If it’s too hot (heat index in the 90’s) stay inside with air conditioning. If you must go out, try to limit the outside activity to the cooler parts of the day such as early morning or evening. Also, carry a spray/mister bottle around with you. Nothing feels better than a cold mist on your face, forehead and neck.

All of these tips are simple to do, but sometimes it’s hard to know when you’ve been out too long. Get indoors at the first sign of dizziness, fatigue or excessive thirst. Lie down in a cool area and hydrate. If you don’t feel better soon, call your provider.

See you at the pool!
Tyler Halvaksz, CNM
Lexington Women's Health
Originally Published on Tuesday, June 16, 2015

The FDA approves first treatment for sexual desire disorder

The U.S. Food and Drug Administration today approved Addyi (flibanserin) to treat acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women. Prior to Addyi’s approval, there were no FDA-approved treatments for sexual desire disorders in men or women.

“Today’s approval provides women distressed by their low sexual desire with an approved treatment option,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research (CDER). “The FDA strives to protect and advance the health of women, and we are committed to supporting the development of safe and effective treatments for female sexual dysfunction.”

HSDD is characterized by low sexual desire that causes marked distress or interpersonal difficulty and is not due to a co-existing medical or psychiatric condition, problems within the relationship, or the effects of a medication or other drug substance. HSDD is acquired when it develops in a patient who previously had no problems with sexual desire. HSDD is generalized when it occurs regardless of the type of sexual activity, the situation or the sexual partner.

“Because of a potentially serious interaction with alcohol, treatment with Addyi will only be available through certified health care professionals and certified pharmacies,” continued Dr. Woodcock. “Patients and prescribers should fully understand the risks associated with the use of Addyi before considering treatment.”

Addyi can cause severely low blood pressure (hypotension) and loss of consciousness (syncope). These risks are increased and more severe when patients drink alcohol or take Addyi with certain medicines (known as moderate or strong CYP3A4 inhibitors) that interfere with the breakdown of Addyi in the body. Because of the alcohol interaction, the use of alcohol is contraindicated while taking Addyi. Health care professionals must assess the likelihood of the patient reliably abstaining from alcohol before prescribing Addyi.

Addyi is being approved with a risk evaluation and mitigation strategy (REMS), which includes elements to assure safe use (ETASU). The FDA is requiring this REMS because of the increased risk of severe hypotension and syncope due to the interaction between Addyi and alcohol. The REMS requires that prescribers be certified with the REMS program by enrolling and completing training. Certified prescribers must counsel patients using a Patient-Provider Agreement Form about the increased risk of severe hypotension and syncope and about the importance of not drinking alcohol during treatment with Addyi. Additionally, pharmacies must be certified with the REMS program by enrolling and completing training. Certified pharmacies must only dispense Addyi to patients with a prescription from a certified prescriber. Additionally, pharmacists must counsel patients prior to dispensing not to drink alcohol during treatment with Addyi.

Addyi is also being approved with a Boxed Warning to highlight the risks of severe hypotension and syncope in patients who drink alcohol during treatment with Addyi, in those who also use moderate or strong CYP3A4 inhibitors, and in those who have liver impairment. Addyi is contraindicated in these patients. In addition, the FDA is requiring the company that owns Addyi to conduct three well-designed studies in women to better understand the known serious risks of the interaction between Addyi and alcohol.

Addyi is a serotonin 1A receptor agonist and a serotonin 2A receptor antagonist, but the mechanism by which the drug improves sexual desire and related distress is not known. Addyi is taken once daily. It is dosed at bedtime to help decrease the risk of adverse events occurring due to possible hypotension, syncope and central nervous system depression (such as sleepiness and sedation). Patients should discontinue treatment after eight weeks if they do not report an improvement in sexual desire and associated distress.

The effectiveness of the 100 mg bedtime dose of Addyi was evaluated in three 24-week randomized, double-blind, placebo-controlled trials in about 2,400 premenopausal women with acquired, generalized HSDD. The average age of the trial participants was 36 years, with an average duration of HSDD of approximately five years. In these trials, women counted the number of satisfying sexual events, reported sexual desire over the preceding four weeks (scored on a range of 1.2 to 6.0) and reported distress related to low sexual desire (on a range of 0 to 4). On average, treatment with Addyi increased the number of satisfying sexual events by 0.5 to one additional event per month over placebo increased the sexual desire score by 0.3 to 0.4 over placebo, and decreased the distress score related to sexual desire by 0.3 to 0.4 over placebo. Additional analyses explored whether the improvements with Addyi were meaningful to patients, taking into account the effects of treatment seen among those patients who reported feeling much improved or very much improved overall. Across the three trials, about 10 percent more Addyi-treated patients than placebo-treated patients reported meaningful improvements in satisfying sexual events, sexual desire or distress. Addyi has not been shown to enhance sexual performance.

The 100 mg bedtime dose of Addyi has been administered to about 3,000 generally healthy premenopausal women with acquired, generalized HSDD in clinical trials, of whom about 1,700 received treatment for at least six months and 850 received treatment for at least one year.

The most common adverse reactions associated with the use of Addyi are dizziness, somnolence (sleepiness), nausea, fatigue, insomnia and dry mouth.

The FDA has recognized for some time the challenges involved in developing treatments for female sexual dysfunction. The FDA held a public Patient-Focused Drug Development meeting and scientific workshop on female sexual dysfunction on October 27 and October 28, 2014, to solicit perspectives directly from patients about their condition and its impact on daily life, and to discuss the scientific challenges related to developing drugs to treat these disorders. The FDA continues to encourage drug development in this area.

Consumers and health care professionals are encouraged to report adverse reactions from the use of Addyi to the FDA’s MedWatch Adverse Event Reporting program at or by calling 1-800-FDA-1088.

Addyi is marketed by Sprout Pharmaceuticals, based in Raleigh, North Carolina.

The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, products that give off electronic radiation, and for regulating tobacco products.


Originally Published on Wednesday, August 19, 2015

Check-In on our Facebook page this month to donate to the March of Dimes!
This month we are donating money ALL month long to March of Dimes for research! That's right, we will donate $1 for each check-in on Facebook the entire month of March. So yes, YOU can donate to March of Dimes this month by simply clicking a button. #Marchofdimes #healthybabies March 1-31, 2016
Originally Published on Friday, March 4, 2016

Watch us on Tops TV!
We are proud to be the presenting sponsor for Tops TV local "Super Mom" segment! Watch us on ABC Channel 36 on Saturday's at 7:00 p.m. We will introduce the episodes local super Mom!
Originally Published on Wednesday, April 13, 2016

Introducing Sarah Borders, M.D.
Sarah Borders, M.D. is originally from Versailles, Kentucky. She received her Doctor of Medicine Degree in 2012 from the University Of Kentucky College Of Medicine. She completed her Residency program at The Medical College of Wisconsin. Dr. Borders enjoys obstetrics and gynecology including contraception, management of abnormal pap smears, pelvic pain, abnormal periods and more. One of her favorite parts of practice is providing exceptional, yet personal, prenatal care to her patients. She also has special interest in recurrent pregnancy loss and infertility. Away from work, she enjoys spending time with her family and friends, participating in triathlons, 5K races, 10K races, half-marathons, and the occasional marathon. She also enjoys experimenting with gluten-free baking. Welcome Dr. Sarah Borders. We are so happy to have you on the Lexington Women’s Health team!
Originally Published on Friday, April 15, 2016

Welcome Sabrina Tucker, CNM!
Welcome Sabrina Tucker, CNM We are pleased to announce that Sabrina Tucker, CNM has joined the Lexington Women's Health family. Sabrina is a Registered Nurse and Certified Nurse Midwife. Sabrina Tucker C.N.M. is a life- long resident of central Kentucky. She has been serving women and their families for over 10 years. She began her career in 2005 working as a high risk obstetric nurse. Since 2008 she has worked as a labor and delivery, postpartum, and pediatric nurse in a rural community hospital. In 2016, she graduated from the University of Cincinnati with a Master’s degree in Nurse Midwifery. Sabrina is excited for the opportunity to provide midwifery care to¬ pregnant women and their partners by providing them with support, resources, and knowledge, so that they can make informed choices about their unique pregnancy, birth, and delivery. She also enjoys providing gynecologic care to women across their lifespan. Sabrina believes in providing individualized, high quality, compassionate care to women and encourages women to play an active role in maintaining their own health. In her free time Sabrina enjoys spending time with her husband and 2 young children. They love to attend UK basketball games, go to concerts and simply enjoy family time.
Originally Published on Tuesday, July 12, 2016

Botox and Juvederm Specials for November!
Dr. Grace Gibbs and Sarah Dougherty, PA-C are pleased to offer Botox and Juvederm at BOTH of our Lexington locations! We offer cosmetic services in a professional, medical setting that the women of the Bluegrass already know and trust. We are having a special on Botox ($10.50 per unit) and Juvederm ($550.00 per syringe) the month of November! This offer expires November 30, 2016 so call us today 859-264-8811. Thank you!
Originally Published on Wednesday, October 26, 2016

Lexington Women’s Health is proud to introduce Dr. Allison Cook! Dr. Allison Cook is originally from Ashland, Kentucky. She is a proud graduate of Georgetown College and the University of Kentucky College of Medicine. She performed her OB/GYN residency at the University of Tennessee at Chattanooga. Dr. Cook enjoys a full spectrum of OB/GYN care from annual well-woman visits to the management of gynecological disorders, and of course, pregnancy and childbirth. She also has a special interest in minimally invasive gynecologic surgery. She has a passion for providing respectful women’s health care and values the importance of establishing a trusting provider/patient relationship. She specifically enjoys the relationships she builds with her prenatal patients and families. Outside of the office you may find her spending time with her husband Adam and their two miniature dachshunds. She enjoys baking, personal fitness, traveling and of course, cheering for the CATS! Dr. Cook will begin seeing patients in August 2017. For more information, please call the office at 859-264-8811 or visit
Originally Published on Wednesday, January 18, 2017

The Foster Family
After a year and a half of trying to conceive with PCOS, undergoing fertility treatment with Dr. James Akin, and having a miscarriage; my husband and I were ecstatic to learn we were expecting our first child, but hesitant to share the joyous news given our previous loss. At 16 weeks we found out we were having a baby girl and decided to share the news with close friends and family. At 24 weeks 1 day we were referred to a high-risk specialist by our obstetrician Dr. Grace Gibbs because the baby’s stomach measuring below the gestational age. Four days later at the appointment with Dr. John Barton with Perinatal Diagnostic Center, my blood pressure was elevated; shortly thereafter, I was hospitalized for two days at Baptist Health (Lexington). I was diagnosed with preeclampsia, given blood pressure medicine, and advised to monitor my blood pressure three times a day and attend weekly appointments. My blood pressure was still too high and was advised that I should be checked into the Labor and Delivery department at Baptist Health. After several days, I was told I would be in the hospital the remainder of my pregnancy and would not carry my baby to term. This was devastating news and I feared our sweet girl would not survive, but I knew that each day counted and if she could do this, I could too! We reached our first milestone at 28 weeks; however, three days later my blood pressure skyrocketed and could not be controlled. At 8:11 PM, Madeline Ann Foster entered the world via emergency C-section; weighing 1 lb 12 oz and 13 inches long, she was the tiniest baby I’d ever seen! Neonatologist Dr. Lynda Sanders assured us Maddi was stable and doing well, but immediately took her to the NICU where we were allowed a brief visit. In the early morning hours, Dr. Sanders advised my husband and I that Maddi had developed discoloration in her right leg, treatment was not effective and so Maddi was then transferred to the NICU at University of Kentucky Hospital. Maddi would need to be airlifted to the NICU at Cincinnati Children’s Hospital. Our miracle wasn’t even a day old, had already taken an ambulance ride and was transported by helicopter 90 miles away from me… my worst fear had become reality. Two days later I was discharged and went to Cincinnati. Since we were driving 218 miles daily from home to Cincinnati, we were excited to learn that once she was more stable, she could come back to Baptist, if there was a bed available. After several blood transfusions, coming down on oxygen support, Santa’s visit to the NICU, and launching a poop rocket in her isolette; 22 days later we got the news we’d hoped for… Baptist had a bed. On December 29, Maddi returned to Baptist Health, where she would remain during her NICU stay. At admission she weighed 2 lbs 13 oz, measured 14.96 inches long and was 31 weeks 5 days gestational. We immediately felt at home stepping off the elevator on the 3rd floor towards the NICU. We celebrated every ounce gained, became pros at changing diapers in the isolette, and bottle fed and kangarooed with Maddi daily. She had regular visits from the ophthalmologist, aced both her hearing test and car seat test, her PDA closed and she came off oxygen on her first trial. After 78 days in the NICU we were able to bring our girl home weighing 6 lbs 8 oz. and measuring 18.5 inches long. We are very grateful for the continuous research that March of Dimes does and without their support, our journey could have had a different outcome. We are humbled to serve as a 2017 Greater Bluegrass March for Babies Ambassador Family. Please walk with us on May 21st to help give every baby a fighting chance for an extraordinary life.
Originally Published on Wednesday, March 1, 2017

June Botox Special at Lexington Women's Health
Dr. Grace Gibbs and Sarah Dougherty, PA-C are pleased to offer Botox and Juvederm at BOTH of our Lexington locations! We offer cosmetic services in a professional, medical setting that the women of the Bluegrass already know and trust. We are having a special on Botox ($10.00 per unit) the month of June! This offer expires June 30, 2017 so call us today 859-264-8811.
Originally Published on Thursday, June 1, 2017

Dr. Allison Cook!
Welcome Dr. Allison Cook! Allison Cook, M.D. is originally from Ashland, Kentucky. She is a proud graduate of Georgetown College and the University of Kentucky College of Medicine. She performed her OB/GYN residency at the University of Tennessee at Chattanooga. Dr. Cook enjoys a full spectrum of OB/GYN care from annual well-woman visits to the management of gynecological disorders, and of course, pregnancy and childbirth. She also has a special interest in minimally invasive gynecologic surgery. She has a passion for providing respectful women’s health care and values the importance of establishing a trusting provider/patient relationship. She specifically enjoys the relationships she builds with her prenatal patients and families. Outside of the office you may find her spending time with her husband Adam and their two miniature dachshunds. She enjoys baking, personal fitness, traveling and of course, cheering for the CATS!
Originally Published on Wednesday, September 13, 2017

We are proud to sponsor Mixmas this year!
We are proud to sponsor Mixmas this year! Please come to the Mixmas Market to support Refuge for Women National! Get your friends together and support this great cause while getting some Christmas shopping done at the same time! We hope to see you there! Corman Marketplace & My Mix 94.5 bring you Central Kentucky's PREMIER holiday shopping event-- the 2017 Mixmas Market presented by UK Federal Credit Union! Join us Saturday, November 4th from 10am-6pm at Distillery Square Event Center on Manchester St in downtown Lexington for the event powered by Lexington Women's Health! Tickets are $5 at the door. We'll have holiday music from the station that brings you 24/7 Christmas Music, food, drinks and a chance to win great prizes from Mix 94.5's own Traci James! Shop unique, local vendors and start checking off your Christmas list all while giving back to the community! Raffle and ticket sales will benefit Refuge for Women National! For more information and to see local vendors please visit
Originally Published on Friday, October 13, 2017

Getting Pregnant: Myths and Truths
There’s something about the holidays: maybe it’s the cuddling by the fire. Or wanting to stay indoors and out of the weather. Maybe it’s the eggnog. Whatever it is, this is true: People tend to make babies this time of year. Babies conceived in November and December are likely to be born in August and September. Centers for Disease Control and Prevention data show that the most babies are born in July, August and September, in that order. (So some people are busy getting busy well before Thanksgiving.) If you and your partner are looking to conceive, it’s good to parse fact and fiction about making a baby. Here are some myths you may have heard. If I do a handstand for 10 minutes after sex or keep my legs in the air for 20, I’ll have a better chance of getting pregnant. False. Adding gravity after sex does not direct any more sperm through the cervix, says Sarah Borders, MD, an obstetrician at Lexington Women’s Health on campus at Baptist Health Lexington. “You could get up and go to exercise class after,” she says, and it wouldn’t make a difference. And position during sex doesn’t matter, either. A mother’s age doesn’t matter anymore. False. “If you watch TV and movies — or follow the lives of celebrities — you see a lot of older women getting pregnant but no real insight as to what they did to achieve pregnancy,” says William M. Collier, MD, an obstetrician with Baptist Health Medical Group in Richmond. “Fertility does begin to decline in a woman’s late 30s.” Age is also a factor in male fertility, although a man’s fertility usually doesn’t dip until his mid-40s. If I smoke, I don’t have to worry about quitting until I’m pregnant. False. “The reality is that smoking impacts fertility,” Dr. Collier says. “I don’t think there’s a great explanation for why, but it can be associated with infertility.” Plus, women don’t usually know they’re pregnant for several weeks. If you keep smoking, you could be harming your baby in the earliest days of pregnancy. And “just quitting” smoking when you have a positive pregnancy test isn’t so easily done; if you’re thinking about getting pregnant, make a quit plan first. Men who want to conceive shouldn’t work with a computer on their laps. True. The heat laptops generate can kill sperm, Dr. Borders says. It’s the same reason men trying to conceive are advised not to wear tight underwear or spend time in hot tubs. In the case of wearing “tighty whities,” the testicles are drawn up toward the body, raising their temperature, she says. Hot tubs are just, well, hot. If I drink cough syrup before ovulation, I will increase my fertility. False. The theory around this one is that the medicine will thin your cervical mucus, just as it thins the mucus in your nose and lungs, and that makes it easier for sperm to reach the egg. But Dr. Borders gives this theory a big “no.” There’s no evidence to support the use of herbal teas or supplements that are advertised to boost fertility. True. These products have not been regulated or approved by the Food and Drug Administration. Nor have they been studied to show whether they make a difference, Dr. Borders says. Taking them could pose risks, in fact, because the effects aren’t fully understood. A man taking testosterone supplements will be more potent. False. “Testosterone can actually cause something called azoospermia, which means absent sperm,” Dr. Borders says. “It can kill off every single sperm.” The doctor has seen this so often with couples that she now asks during an infertility consultation whether a woman’s partner is taking testosterone supplements to help with mood or energy levels. My weight should not interfere with conception. False. “We have several patients who are obese, and obesity is associated with more ovulatory dysfunction,” Dr. Collier says. “You’re not ovulating, or you’re not ovulating regularly.” He tells women that if they drop 10 percent of their body mass, their fertility would improve. We’ve been trying to conceive for four months and haven’t. Something’s definitely wrong. False. The chance of success with two healthy people each month is only 20 percent. That means an 80 percent chance you won’t get pregnant. “I tell patients: Take a breath and give it a little more time,” Dr. Collier says. Dr. Borders advises women younger than 35 to try for a year before seeking a fertility consultation; for older women, she asks them to return in six months. That’s because if there is a need for fertility treatments, it’s more effective to start them earlier.
Originally Published on Friday, December 8, 2017

Gestational Diabetes
Gestational Diabetes is Common in the Bluegrass During pregnancy, the way your body uses insulin changes. Insulin breaks the foods you eat down into glucose, or sugar. You then use that glucose for energy. You’ll naturally become more resistant to insulin when you’re pregnant to help provide your baby with more glucose. In some women, the process goes wrong and your body either stops responding to insulin or doesn't make enough insulin to give you the glucose you need. That’s what causes gestational diabetes. Women who are at higher risk for gestational diabetes were overweight before pregnancy, have a family member with diabetes, are age 25 or older, had gestational diabetes in an earlier pregnancy, had a very large baby (9 pounds or more) or a stillbirth, have had abnormal blood sugar tests before pregnancy or they are Hispanic, African-American, Native American, Asian American, or Pacific Islander. There are ways you can reduce your chances of obtaining gestational diabetes. Controlling your weight and blood sugar before pregnancy will give you and your baby a healthy start! It’s much easier to achieve a healthy weight when your body isn’t supporting two people. If you are already overweight practice basic healthy eating. Eat protein with every meal. Include daily fruits and vegetables in your diet. Thirty percent or less of your diet should be made up of fat. Think high-fiber, low-fat options (whole grains, low-fat dairy, meat, legumes and fish) Check out for more information on how much you should eat from each food group and what constitutes a portion. Limit or avoid processed foods and drinks. Also pay attention to portion sizes to avoid overeating. And don’t forget to drink water to avoid juice, soft drinks, etc. Exercise under your Doctor or Midwife’s supervision. A 30 minute walk a day allows your body to burn glucose even without the insulin your body should normally produce. It’s a great way to keep your blood sugars in check, and you’ll probably love the way you feel once you get motivated to move. If you need to start out at 15 minutes that is fine, just start moving! Keep your appointments. Make sure you attend all your scheduled prenatal visits. Around weeks 24-28, you will be screened for gestational diabetes. If you do have gestational diabetes, your provider will work with you and an endocrinologist to help give you and your baby the healthiest start possible. After Delivery there is a very good chance that your diabetes will go away immediately after the delivery. This is especially true if your diabetes was controlled with only diet and exercise during pregnancy. You should continue to check your blood glucose as directed by your provider until all symptoms are gone. However, if you have gestational diabetes, your risk of type 2 diabetes after your pregnancy rises so follow the same healthy diet and exercise plan. Getting back to a healthy weight will also lower your risk. You will also have more energy to keep up with your new baby. Allison Cook, M.D. Lexington Women’s Health
Originally Published on Friday, April 20, 2018

Welcome Iniko Sallee, CNM
We are very excited to announce that Iniko Sallee, CNM, APRN has joined the team at Lexington Women's Health! Iniko already has 17+ years of experience working in labor and delivery at Baptist Health Lexington. She earned her Master of Science in Nurse Midwifery from Frontier University and is a member of the American College of Nurse-Midwives. She is also a certified Obstetrics and Gynecology Nurse Practitioner. Her special interests include pregnancy care and labor and delivery. She is committed to assisting her families achieve their desired birth experience while maintaining a high standard of safe, quality care, and guidance. She also enjoys working with PCOS, weight loss and general women's health patients. Iniko, her husband and three wonderful children reside in Jessamine County. In their free time they enjoy traveling (mostly for sports!) being outdoors and simply relaxing.
Originally Published on Monday, August 13, 2018