For many women, the thought of a gynecological procedure can bring anxiety—often centered around one key concern: pain. At Cary OB/GYN, patient comfort is a top priority. Whether you’re undergoing a routine in-office procedure or a more advanced treatment, understanding your pain relief options can help you feel more confident, prepared, and at ease.

The good news is that modern gynecologic care offers a wide range of safe, effective pain management strategies tailored to your individual needs.

“Quality of care received from Dr. Wyckoff. The office staff were very friendly and professional.”
Cary OB/GYN Patient Review 

Why Pain Management Is So Important

Gynecologic procedures often involve sensitive areas of the body, which can make even minor treatments feel uncomfortable. Procedures such as IUD insertions, cervical biopsies, hysteroscopies, and endometrial ablations can cause cramping, pressure, or sharp sensations if pain is not properly managed. (Cary OBGYN)

Effective pain control does more than just improve comfort—it also reduces anxiety, prevents physical stress responses like increased heart rate and blood pressure, and can lead to smoother procedures and faster recovery. (Cary OBGYN)

Every patient experiences pain differently, which is why personalized care and open communication with your provider are essential.

Common Gynecological Procedures and What to Expect

Not all procedures require the same level of pain relief. Some involve only mild discomfort, while others may require more advanced anesthesia. Common procedures include:

• Pap smears and minor biopsies: Typically cause brief pinching or mild cramping
• Colposcopy or LEEP procedures: May involve moderate discomfort and often use local anesthesia
• IUD insertion or removal: Can cause cramping, especially during placement
• Hysteroscopy or endometrial ablation: May require sedation or anesthesia depending on complexity (Cary OBGYN)

Understanding the expected level of discomfort helps guide the best pain management approach.

Types of Pain Relief Options

At Cary OB/GYN, pain relief is not one-size-fits-all. Providers consider the type of procedure, your medical history, and your comfort level when recommending options.

1. Local Anesthesia

Local anesthesia is one of the most commonly used methods for in-office procedures. It involves injecting or applying medication to numb a specific area, such as the cervix.

• You remain awake and aware
• You may feel pressure, but not sharp pain
• Recovery is quick with minimal side effects

This approach is frequently used for biopsies, IUD insertions, and colposcopy treatments. (Cary OBGYN)

2. Oral or IV Sedation

For patients who feel anxious or are undergoing longer procedures, sedation can provide an added level of comfort.

• Mild sedation: You’re relaxed but awake
• Moderate sedation: You may feel drowsy and remember little of the procedure

Sedation helps reduce both pain perception and anxiety, which can otherwise intensify discomfort. (ACOG)

3. Regional Anesthesia

Regional anesthesia, such as a spinal or epidural block, numbs a larger portion of the body—typically from the waist down.

• You remain awake
• Ideal for more involved procedures or surgeries
• Provides deeper pain control than local anesthesia

This option is more commonly used in surgical or hospital-based settings. (Cary OBGYN)

4. General Anesthesia

For more complex or invasive procedures, general anesthesia may be recommended.

• You are completely asleep
• No awareness or sensation during the procedure
• Requires monitoring in a surgical setting

Procedures like hysterectomy or advanced laparoscopic surgeries often use general anesthesia to ensure complete comfort. (Cary OBGYN)

5. Post-Procedure Pain Management

Pain relief doesn’t stop when the procedure ends. Aftercare is an important part of the process.

• Over-the-counter medications like ibuprofen or acetaminophen can help with cramping
• Prescription medications may be used for more significant discomfort
• Heat therapy and rest can support recovery

It’s important to note that medications like NSAIDs are often more effective for managing pain after a procedure rather than preventing it during the procedure itself. (ACOG)

Beyond Medication: Additional Comfort Measures

Pain management isn’t just about medication—small adjustments can make a big difference in your overall experience.

Many providers incorporate supportive techniques such as:

• Calming environments with dim lighting or music
• Deep breathing or relaxation techniques
• Having a trusted support person present
• Clear communication throughout the procedure

Anxiety and tension can actually amplify pain, so creating a sense of calm is a key part of effective care. (ACOG)

“Jessica is very thorough in her responses and explaining pregnancy symptoms to expect. She has good listening skills and a positive, confident attitude which made the visit easy and comfortable.”

Cary OB/GYN Patient Review 

The Importance of Personalized Care

No two patients are the same, and neither are their pain thresholds or preferences. What feels manageable for one person may feel overwhelming for another. That’s why discussions about pain relief should always happen before your procedure.

Factors that influence your pain management plan include:

• Your medical history
• Previous experiences with gynecologic care
• Anxiety levels or concerns about pain
• The type and duration of the procedure

In many cases, combining multiple approaches—such as local anesthesia with sedation—can provide the most effective relief. (PubMed)

Advocating for Your Comfort

Historically, women’s pain has sometimes been minimized or overlooked in medical settings. Today, that narrative is changing—and for good reason.

You deserve to feel heard, respected, and comfortable during any medical procedure. If you are concerned about pain:

• Speak openly with your provider ahead of time
• Ask about all available options
• Share any past negative experiences
• Don’t hesitate to ask for adjustments during the procedure

Your care team is there to support you, and your comfort should always be part of the plan.

A Better Experience Starts with the Right Support

At Cary OB/GYN, the goal is to provide compassionate, patient-centered care at every step. With today’s advanced pain management options, gynecologic procedures no longer have to be something you fear or avoid.

By understanding your options and working closely with your provider, you can approach your care with confidence—knowing that your comfort, safety, and well-being come first.

If you have an upcoming procedure or questions about pain relief, don’t hesitate to reach out. A more comfortable experience is possible—and it starts with a conversation.

May is Mental Health Awareness Month, a time dedicated to reducing stigma, encouraging open conversations, and reminding individuals that mental well-being is just as important as physical health. At Cary OB/GYN, caring for women means addressing the full spectrum of health—including the emotional and psychological factors that influence overall wellness.

Mental health and women’s health are deeply interconnected. From hormonal fluctuations to life transitions, women experience unique challenges that can impact their emotional well-being. By understanding these connections, women can feel empowered to seek support, prioritize self-care, and partner with their healthcare provider for comprehensive care.

“Clean office. The staff are very friendly and helpful. Dr. Piper is the best! She took the time to listen to my concerns and have a conversation with me. I didn't feel rushed at all.”
Cary OB/GYN Patient Review 

Why Mental Health Matters in Women’s Health

Mental health is a critical component of overall well-being. In fact, more than 1 in 5 women in the United States experience a mental health condition each year, such as anxiety or depression. (Office on Women's Health) These conditions are not only common—they are treatable, and early intervention can make a significant difference.

Women are more likely than men to experience certain mental health conditions, including anxiety and depression, and often report higher levels of emotional distress. (Springer) Additionally, nearly 3 in 10 women describe their mental health as “fair” or “poor,” highlighting the widespread need for support and care. (KFF)

Despite these numbers, many women do not receive the care they need. Barriers such as stigma, time constraints, cost, and lack of access can prevent women from seeking help. Mental Health Awareness Month is an important reminder that prioritizing mental health is not a luxury—it is essential.

The Role of Hormones in Mental Health

One of the most unique aspects of women’s mental health is the role hormones play throughout different stages of life. Hormonal fluctuations can significantly influence mood, energy levels, and emotional stability.

During puberty, pregnancy, postpartum recovery, and menopause, women experience major hormonal shifts that can increase vulnerability to anxiety, depression, and mood disorders. (Essex County OB/GYN) For example:

• Premenstrual Syndrome (PMS) and PMDD can cause mood swings, irritability, and depression.
• Pregnancy and postpartum periods are associated with increased risk of anxiety and postpartum depression.
• Perimenopause and menopause can bring mood changes, sleep disturbances, and increased stress.

Understanding that these emotional changes have a biological component can help reduce self-blame and encourage women to seek appropriate care.

Life Transitions and Emotional Well-Being

Beyond hormones, women often navigate complex life roles and transitions that can impact mental health. Balancing careers, caregiving responsibilities, relationships, and personal health can create significant stress.

Major life events—such as starting a family, experiencing infertility, managing chronic health conditions, or entering menopause—can also affect emotional well-being. Younger women, in particular, report higher rates of mental health challenges, with over one-third describing their mental health as “fair” or “poor.” (KFF)

Recognizing these stressors is the first step toward managing them. Support systems, counseling, and open communication with healthcare providers can make a meaningful difference.

How OB/GYN Care Supports Mental Health

OB/GYN providers play a vital role in supporting women’s mental health. Because many women see their OB/GYN regularly for preventive care, these visits offer an important opportunity to screen for mental health concerns and provide guidance.

At Cary OB/GYN, care goes beyond physical exams. Providers may:

• Screen for anxiety, depression, and postpartum mood disorders
• Discuss emotional changes related to hormonal shifts
• Offer guidance on lifestyle changes that support mental well-being
• Provide referrals to mental health specialists when needed
• Coordinate care to ensure a holistic approach to health

Integrated care models—where mental health support is incorporated into OB/GYN services—have been shown to improve access and outcomes for women seeking help. (Springer)

Practical Ways to Support Your Mental Health

While professional care is essential, there are also everyday strategies that can support emotional well-being:

• Prioritize sleep: Quality sleep is foundational to mental health.
• Stay active: Regular physical activity can reduce symptoms of anxiety and depression.
• Nourish your body: Balanced nutrition supports both physical and mental health.
• Build connections: Strong relationships and social support are key protective factors.
• Practice mindfulness: Techniques like meditation, journaling, or deep breathing can help manage stress.
• Seek help early: If you’re feeling overwhelmed, anxious, or persistently low, reaching out to a provider is a strong and important step.

Breaking the Stigma Around Mental Health

One of the biggest barriers to care is stigma. Many women feel pressure to “do it all” and may hesitate to talk about their struggles. Mental Health Awareness Month encourages us to challenge these perceptions and create space for honest conversations.

Mental health conditions are not a sign of weakness—they are medical conditions that deserve attention and care. Just as you would seek treatment for a physical concern, it is important to address emotional and psychological health with the same level of priority.

“The check-in staff were friendly and polite. Dr. Fraley makes sure you are comfortable, answers all questions and never makes you feel rushed.”
Cary OB/GYN Patient Review 

A Holistic Approach to Women’s Wellness

At Cary OB/GYN, women’s health is approached holistically—recognizing that mental, emotional, and physical health are all interconnected. Whether you are navigating hormonal changes, life transitions, or ongoing stress, you are not alone.

This Mental Health Awareness Month, take a moment to check in with yourself. Your mental health matters, and support is available. By prioritizing your well-being and partnering with a trusted healthcare provider, you can take meaningful steps toward a healthier, more balanced life.

If you have concerns about your mental health, don’t hesitate to bring them up at your next appointment. Caring for your mind is an essential part of caring for your whole self.

Spring brings warmer weather, blooming flowers, longer days, and a renewed sense of energy — all of which make it a great time to enjoy nature and celebrate life. If you’re pregnant, this season offers lots of opportunities to stay active, eat fresh seasonal foods, and embrace gentle self-care. But spring also comes with unique considerations — from seasonal allergies to changing activity levels — that expectant moms should be prepared for.

At Cary OB/GYN, we believe every pregnancy is special, and seasonal awareness can help you stay healthy, comfortable, and well-prepared throughout spring. Here are practical, expert-approved pregnancy care tips tailored specifically for springtime.

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1. Embrace Seasonal Nutrition for You and Baby

Spring brings an abundance of fresh produce rich in vitamins, minerals, and fiber — all important for a healthy pregnancy. Some nutrient-packed additions to your diet this season include:

• Asparagus: High in folate, which supports early fetal development.
• Strawberries: Packed with vitamin C for immune support and iron absorption.
• Spinach and greens: Loaded with iron and calcium.
• Peas and sugar snap peas: Great sources of fiber for digestion.
• Citrus fruits: Excellent for vitamin C and hydration.

   

Tip: Aim for a colorful plate with fresh vegetables and fruits. These foods not only provide essential nutrients but also help with digestion and hydration — both key during pregnancy.

2. Manage Seasonal Allergies Safely

Spring allergies can be more intense for some women, and hormonal changes during pregnancy can actually make allergy symptoms feel worse. Common triggers include pollen from trees, grasses, and flowers.

Allergy management tips during pregnancy:

• Check pollen counts before heading out. On high-pollen days, consider staying indoors during peak hours.
• Shower after being outside to remove pollen from skin and hair.
• Use a saline nasal rinse to alleviate congestion.
• Talk to your provider about safe over-the-counter options — not all allergy medications are recommended during pregnancy.

   

Never start a new medication without your provider’s guidance.

3. Stay Active, Safely

Spring’s mild temperatures make it a perfect season to stay active — which is great for your overall health and baby’s well-being. Regular gentle exercise can:

• Improve mood and energy
• Reduce back pain
• Promote better sleep
• Support healthy weight gain

   

Safe spring activities for expectant moms:

• Walking or light hiking

• Swimming or water aerobics

• Prenatal yoga or stretching

• Stationary cycling

Safety tips:

• Always warm up before exercising and cool down after.
• Choose flat, even surfaces to reduce fall risk.
• Stay hydrated, especially as temperatures rise.
• Listen to your body — if you experience dizziness, shortness of breath, or pain, stop and rest.

   

For personalized exercise guidance, ask your Cary OB/GYN provider what’s best for your trimester and health history.

4. Protect Yourself in the Sun

As spring days get longer and sunnier, sun exposure increases — but so does the need to protect your skin. Pregnancy can make skin more sensitive to the sun, and some women experience melasma — dark patches on the face known as “the mask of pregnancy.”

Sun protection tips:

• Wear a broad-spectrum SPF 30+ sunscreen designed for sensitive skin.
• Reapply sunscreen every two hours, especially if sweating or outdoors.
• Wear a wide-brimmed hat and sunglasses.
• Seek shade during peak sun hours (10 AM–4 PM).

   

Protecting your skin helps reduce the risk of discomfort, sunburn, and pigment changes.

5. Stay Hydrated as Temperatures Rise

Hydration is essential during pregnancy year-round — especially in spring, when outdoor activities and warmer weather can increase fluid loss through sweat. Adequate hydration supports:

• Healthy amniotic fluid levels
• Proper digestion
• Reduced swelling
• Improved energy levels

   

Hydration tips:

• Carry a reusable water bottle with you.
• Aim for at least 8–10 cups of water a day (more if you’re active).
• Eat hydrating foods like cucumbers, watermelon, and berries.
• Avoid sugary drinks and excess caffeine — they can dehydrate you.

If you notice dark urine, infrequent urination, or dizziness, drink fluids and check in with your provider.

6. Be Mindful of Outdoor Activities

Springtime invites outdoor fun, but pregnancy brings special considerations. Some activities to avoid or modify include:

Gardening

Bending and lifting can strain your back. Use supportive tools, lift with your legs, and take frequent breaks.

Outdoor Workouts

Stay on shaded paths, avoid extreme heat, and listen to your body.

At-Home Chores

Heavy lifting and climbing ladders are best left to others — prioritize your safety.

7. Keep Up with Prenatal Appointments

Seasonal changes can be a great reminder to check in with your prenatal schedule. Regular appointments help:

• Track your baby’s growth and development
• Monitor your health indicators (blood pressure, weight, labs)
• Answer questions about nutrition, symptoms, or seasonal concerns

If you haven’t already, schedule your next appointment with Cary OB/GYN and use this season as motivation to stay proactive about your care.

8. Get Plenty of Rest

Spring’s longer days can boost activity — but don’t forget that rest matters, especially during pregnancy. Adequate sleep supports immune function, mood regulation, and overall well-being.

Rest tips:

• Aim for 7–9 hours of sleep each night.
• Use pillows to support your belly and relieve pressure on your back.
• Take short naps if needed — especially in the second and third trimesters.

Sleep is not a luxury — it’s a pregnancy necessity.

“Dr. Piper is wonderful. She always takes her time and she is incredibly responsive with messages. She always offers several solutions to issues we discuss.”

Cary OB/GYN Patient Review

Spring is a beautiful time to experience pregnancy — full of fresh beginnings, warm sunshine, and natural inspiration. By focusing on seasonal nutrition, staying active safely, protecting your skin, managing allergies, and prioritizing hydration and rest, you can enjoy the season while supporting your health and your baby’s development.

At Cary OB/GYN, we are here to guide you every step of your pregnancy journey — through every season and every stage. If you have questions about spring pregnancy care or need personalized recommendations, contact our office today. Your comfort, confidence, and health matter — and we’re here to help you thrive.

Advances in medical technology have transformed how many gynecologic conditions are diagnosed and treated. One of the most significant developments in women’s surgical care is laparoscopic surgery — a minimally invasive approach that offers effective treatment with smaller incisions, quicker recovery times, and fewer complications compared to traditional open surgery.

At Cary OB/GYN, we use laparoscopic techniques to provide personalized, precise surgical care for a range of gynecologic conditions. In this article, we’ll explain what laparoscopic surgery is, when it’s used, how it works, and what patients can expect before, during, and after the procedure.

“I was highly satisfied because everyone I interacted with was extremely pleasant. I did not have to wait long for my scheduled visit.”

Cary OB/GYN Patient Review

What Is Laparoscopic Surgery?

Laparoscopic surgery — also called minimally invasive surgery or keyhole surgery — allows surgeons to operate through tiny incisions using specialized instruments and a miniature camera called a laparoscope. The camera transmits images to a high-definition screen, giving the surgeon a detailed view of the pelvic organs without the need for a large incision.

Instead of a single large cut, laparoscopic surgery typically requires several small incisions (often less than one centimeter each). Instruments are inserted through these incisions, guided by the laparoscope, to perform surgical procedures with precision.

Why Laparoscopic Surgery Is Used

Laparoscopic techniques are utilized for many gynecologic conditions, including:

• Ovarian cyst removal
  
• Fibroid removal (myomectomy)
  
• Endometriosis diagnosis and treatment

• Ectopic pregnancy management

• Hysterectomy (removal of the uterus)

• Tubal ligation or sterilization procedures

• Diagnostic evaluation of pelvic pain and infertility

By providing excellent visualization and precise surgical access, laparoscopy can make complex procedures more effective and less burdensome for patients.

Benefits of Laparoscopic Surgery

Compared to traditional open surgery, laparoscopic procedures offer several advantages:

1. Smaller Incisions

Small incisions mean less trauma to the body, reduced scarring, and a lower risk of wound-related complications.

2. Faster Recovery

Most patients experience shorter hospital stays and quicker return to daily activities compared to open surgery. Many laparoscopic procedures are performed on an outpatient basis, meaning you often go home the same day.

3. Reduced Pain

Smaller incisions generally result in less postoperative pain, reducing the need for strong pain medications.

4. Lower Risk of Infection

With smaller cuts and less tissue disruption, the risk of infection is often lower than with open procedures.

5. High Precision

Enhanced visualization allows surgeons to see organs clearly and work with great accuracy.

How Laparoscopic Surgery Works

Before the Procedure

Before any laparoscopic surgery, your provider at Cary OB/GYN will:

• Review your medical history and symptoms

   

• Perform a physical exam and any necessary imaging or lab tests

   

• Discuss the procedure, risks, benefits, and recovery expectations

   

• Provide preoperative instructions, including fasting and medication guidance

   

It’s important to ask questions and share any concerns you have — understanding the plan helps reduce anxiety and ensures you’re prepared.

During the Surgery

Laparoscopic surgery is typically performed under general anesthesia, meaning you’ll be asleep and pain-free throughout the procedure.

Once you’re under anesthesia:

1. Small incisions are made in the abdomen.

    

2. The surgeon inserts the laparoscope and specialized surgical tools.

    

3. A harmless gas (usually carbon dioxide) gently inflates the abdomen for better visibility and space to work.

    

4. Using images from the laparoscope, the surgeon performs the necessary procedure with precision.

    

The length of the surgery depends on the condition being treated. Some procedures take as little as 30 minutes, while others may take longer — but your care team will provide a time estimate based on your individualized case.

After the Surgery

After the procedure, you’ll be moved to a recovery area. Most patients:

• Stay in recovery until anesthesia wears off

   

• Experience some soreness or bloating (common and temporary)

   

• Begin with light activity as directed

   

Many laparoscopic surgeries are outpatient procedures, meaning most patients go home the same day. You’ll receive instructions on wound care, activity restrictions, pain control, and follow-up appointments.

Recovery and What to Expect

Every woman’s recovery is unique, but here are general expectations:

Days After Surgery

You may notice:

• Mild abdominal discomfort or cramping

   

• Bloating from the gas used during surgery

   

• Tenderness around incision sites

   

These symptoms typically improve within a few days. Walking and light movement help promote circulation and reduce discomfort.

First Week or Two

Avoid:

• Heavy lifting

   

• Strenuous exercise

   

• Driving if you’re still taking strong pain medications

   

Most women return to light daily activities within a few days to a week, but your provider will give you personalized guidance.

Possible Risks and Considerations

While laparoscopic surgery is generally safe, all surgical procedures carry some risk. Potential complications may include:

• Infection

   

• Bleeding

   

• Injury to nearby organs (rare)

   

• Anesthesia risks

   

Your surgeon will discuss specific risks based on your health and surgical plan. Clear communication ensures you understand both the benefits and the possible outcomes.

Is Laparoscopic Surgery Right for You?

If you’re experiencing symptoms like pelvic pain, heavy bleeding, ovarian cysts, or conditions that have not responded to conservative treatments, laparoscopic surgery may be a strong option. At Cary OB/GYN, our providers evaluate each case carefully to determine the most appropriate, evidence-based approach for your health needs.

Every woman’s journey is different — and what’s right for one person may not be right for another. Your provider will help you weigh the benefits and risks, explain alternatives, and guide you toward the best decision for your situation.

“Very knowledgeable, personable, and gentle.”
Cary OB/GYN Patient Review

Modern surgical techniques like laparoscopy have transformed gynecologic care, making procedures safer, recovery faster, and outcomes more precise. At Cary OB/GYN, we’re committed to providing care that respects your comfort, health goals, and individual needs.

If you have questions about laparoscopic surgery or think you may benefit from a surgical evaluation, we invite you to schedule a consultation. Our team is here to support you with expertise, compassion, and personalized care.

Menopause is a natural stage in every woman’s life — yet the transition can bring symptoms that impact daily comfort and quality of life. Hot flashes, night sweats, mood shifts, sleep challenges, and vaginal dryness are common complaints. For many women, hormone therapy (also called menopausal hormone therapy or HRT) offers effective relief.

At Cary OB/GYN, we know that every woman’s menopausal experience is unique. This guide will help you understand how hormone therapy works, who may benefit, what options are available, and important safety considerations to help you make confident choices about your care.

“My provider and the staff were so kind and informative!”
Cary OB/GYN Patient Review

What Is Hormone Therapy?

During menopause, the ovaries gradually produce less estrogen and progesterone — hormones that regulate menstrual cycles and impact many body systems. As hormone levels decline, some women experience symptoms such as:

• Hot flashes and night sweats

• Sleep disturbances

• Vaginal dryness and discomfort

• Mood swings or irritability

• Decreased libido

• Joint or muscle aches

Hormone therapy replaces or supplements estrogen (and sometimes progesterone) to help balance these changes and reduce bothersome symptoms. It can be one of the most effective treatments for moderate to severe menopausal symptoms.

Who Is a Good Candidate for Hormone Therapy?

Hormone therapy isn’t right for everyone, but it may be beneficial for women who:

• Are experiencing moderate to severe hot flashes or night sweats

• Have vaginal dryness that affects intercourse or comfort

• Are within 10 years of menopause onset or under age 60
• Do not have medical contraindications such as a history of certain cancers or cardiovascular disease

   

Your provider at Cary OB/GYN will evaluate your individual health history, symptoms, and risks before recommending therapy. Personalized care ensures you receive the safest and most effective approach.

Types of Hormone Therapy

Hormone therapy isn’t one-size-fits-all. There are several types, and your provider will work with you to find the best fit.

1. Estrogen-Only Therapy

Primarily prescribed for women who have had a hysterectomy (removal of the uterus), estrogen alone can relieve hot flashes, night sweats, and vaginal symptoms.

2. Combined Estrogen-Progesterone Therapy

For women with an intact uterus, progesterone (or a progestin) is added to estrogen to protect the uterine lining from overgrowth, which could increase cancer risk.

3. Local (Low-Dose) Estrogen

This form targets vaginal symptoms specifically and is delivered via creams, rings, or tablets. It treats vaginal dryness and discomfort with minimal systemic exposure.

Each of these options offers unique benefits — and your provider will help tailor therapy based on your symptoms, health history, and treatment goals.

How Hormone Therapy Helps Symptom Relief

Hormone therapy can impact multiple aspects of menopausal discomfort:

Hot Flashes and Night Sweats

Many women experience dramatic reduction in frequency and intensity once hormone therapy is initiated. This can significantly improve sleep and daily comfort.

Vaginal and Urogenital Issues

Estrogen supports vaginal tissue health. Local estrogen therapy can reduce dryness, itching, and discomfort during sex — often with faster symptom relief and fewer systemic effects.

Sleep and Mood

By stabilizing hormone levels, some women report improved sleep quality and mood balance. However, hormone therapy isn’t a primary treatment for mood disorders — emotional symptoms should be discussed openly with your provider.

Benefits Beyond Symptom Relief

Emerging evidence suggests that hormone therapy may offer additional health benefits when started near menopause:

• Bone health: Estrogen helps maintain bone strength and may reduce the risk of osteoporosis and fractures.
• Quality of life: Better sleep and reduced symptoms can support overall daily wellness.

These potential benefits are especially relevant for women at risk of accelerated bone loss or with significant menopausal symptoms that affect daily functioning.

Risks and Safety Considerations

Like all medications, hormone therapy carries potential risks. These depend on factors such as age, health history, and the type and duration of therapy.

Possible risks include:

• Slightly increased risk of breast cancer with long-term combined estrogen-progestin therapy
• Increased risk of blood clots and stroke — particularly with oral estrogen
• Potential for gallbladder issues

The good news is that many risks are lower when hormone therapy is started near menopause onset and used at the lowest effective dose for symptom control. Your provider will discuss personalized risk factors — including family history, cardiovascular risk, and bone health — before beginning therapy.

What to Expect During Treatment

Starting Hormone Therapy

Your provider will review your health history and may perform baseline labs or screenings. Once therapy begins:

• Symptom relief may start within a few weeks

• Dosing may be adjusted based on response
• Regular follow-up appointments ensure therapy remains appropriate

   

Monitoring and Follow-Up

Routine care may include:

• Annual breast exams and mammography per age recommendations
• Blood pressure monitoring
• Symptom review and dose adjustments as needed

Your provider will guide you through what to expect and how to maximize benefit while minimizing risk.

Is Hormone Therapy Your Best Option?

Hormone therapy isn’t the only option for menopause symptom relief. Alternatives include:

• Non-hormonal medications for hot flashes
• Lifestyle modifications (diet, exercise, sleep hygiene)
• Vaginal moisturizers and lubricants for local discomfort
• Stress-reduction practices such as mindfulness and yoga

Each woman’s experience is different, and treatment decisions should be individualized.

Questions to Ask Your Provider

When discussing hormone therapy with your provider at Cary OB/GYN, consider asking:

• Which type of hormone therapy do you recommend for me?
• What are the risks and benefits based on my health history?
• How long will I need treatment?
• Are there alternatives if I decide not to use hormones?
• How will we monitor my progress and safety?

Open communication ensures you choose the approach that fits your health and lifestyle.

“I was highly satisfied with my visit because every single person I encountered from the front desk to the medical staff was kind, welcoming, and attentive. I was kept informed at every step, and they made sure I understood what was happening and what to expect next. The team treated me with genuine care, made me feel important, and showed real concern for my health. Their professionalism and compassion made the entire experience smooth and comforting. Nikki and Dr. Elita Wyckoff are truly amazing!”

Cary OB/GYN Patient Review

Menopause is a significant life transition, and hormone therapy can be a valuable tool for women with bothersome symptoms. At Cary OB/GYN, our experienced providers are here to support you with personalized, evidence-based care — whether your symptoms are mild or affecting your day-to-day life.

If menopause symptoms are impacting your quality of life, don’t wait. Contact Cary OB/GYN today to schedule a consultation and explore whether hormone therapy is a good fit for your journey.

Breast cancer screening is a vital part of women’s health care, and advancements in imaging technology have made detecting abnormalities earlier and more accurately possible. One of the most effective tools available today is 3D mammography — also called breast tomosynthesis. If you’re scheduled for a mammogram at Cary OB/GYN, this guide will walk you through what 3D mammography is, why it matters, and how to prepare so your experience is comfortable and stress-free.

“Dr. Maydew is a wonderful doctor!! She is always friendly and professional.”

Cary OB/GYN Patient Review

What Is 3D Mammography?

A 3D mammogram is an advanced screening tool that takes multiple X-ray images of your breast from different angles and combines them to create a three-dimensional picture of the breast tissue. Unlike traditional 2D mammograms, which capture only flat, two-dimensional views of the breast, 3D imaging allows radiologists to see the breast tissue in “slices,” significantly improving visibility of internal structures.

The improved detail provided by 3D mammography can:

• Detect cancers earlier: 3D imaging has been shown to increase cancer detection rates compared to standard 2D mammograms because subtle abnormalities may be easier to see in layered images.

   

• Reduce the need for follow-up scans: Because 3D images reduce the overlap of breast tissue that can hide abnormalities, many women are less likely to be called back for additional imaging after their initial screening.

   

• Offer better imaging for dense breast tissue: Dense breast tissue — which is common — appears white on mammogram images just like cancer does. The layered imaging of 3D mammography makes it easier for clinicians to differentiate between dense tissue and potential abnormalities.

   

In many imaging centers, including those used by women’s health practices like Cary OB/GYN, 3D mammography is offered alongside traditional 2D mammography for comprehensive screening.

Why Early Detection Matters

Breast cancer can develop with few or no symptoms in its early stages. Mammography remains the most effective method for finding breast cancer before physical symptoms — like lumps or pain — are noticeable. Detecting breast cancer early increases treatment options and the likelihood of successful outcomes. Regular mammograms, starting at the age recommended by your provider, are an important part of preventive care for women.

How to Prepare for Your Mammogram

Preparation can help ensure the most accurate images and the most comfortable experience possible. Here’s what to keep in mind:

1. Choose the Right Time
   If you still have menstrual cycles, consider scheduling your mammogram for about one week after your period. Breasts tend to be less tender at this time, which can make compression during imaging more comfortable.
2. Dress Comfortably
   Wear a two-piece outfit so you only need to remove your top and bra for the exam. This helps make changing for the procedure easier and more private.
3. Avoid Certain Products on the Day of Your Exam
   Do not apply deodorant, antiperspirant, powder, lotions, creams, or perfume on your breasts or under your arms before your appointment. These products can contain small particles that show up on X-ray images and may interfere with your mammogram.
4. Bring Your Previous Mammogram Images
   If you’ve had mammograms at a different facility in the past, bring those images or ensure they are sent ahead of time. Comparing past and current images helps radiologists spot changes more accurately.
5. Share Your Medical History
   Tell your care team about any past breast surgeries, family history of breast cancer, medication changes, or breast symptoms like lumps or nipple discharge. This information can guide the imaging process and interpretation.

What Happens During the Mammogram Exam

When you arrive for your mammogram:

1. Check-In & Prep: You’ll be asked to remove any clothing above the waist and given a gown. Jewelry and metal should be removed.

    

2. Positioning: A trained technologist will position you in front of the mammography machine. Each breast is placed on a platform and gently compressed by a clear plastic plate. The compression spreads the breast tissue evenly to capture detailed images — this pressure lasts just seconds.

    

3. Imaging: For 3D mammography, the X-ray arm moves in a small arc while taking multiple images from different angles. These images are then reconstructed into a 3D view of the breast.

    

4. Repeat on the Other Side: The process is then repeated for the other breast. The entire imaging process typically takes around 20–30 minutes from start to finish.

    

During the exam you may feel some pressure or mild discomfort, but it is brief. Let the technologist know if it becomes painful — they can make adjustments to help.

After Your Mammogram

Once the images are taken, they are reviewed by a radiologist who looks for any signs of abnormalities. The results are typically sent to your provider, who will discuss them with you. Most women return to normal activities right after the exam.

If anything unusual is seen, your provider may recommend additional imaging or tests — but that doesn’t necessarily mean there’s a serious problem. Follow-up imaging often clarifies findings and ensures accurate diagnosis.

“Dr. Maydew is fabulous!”

Cary OB/GYN Patient Review

3D mammography represents a significant advancement in breast imaging technology. It provides enhanced clarity, better visualization through dense tissue, and can reduce the need for repeat scans — contributing to earlier detection and greater peace of mind for women.*
At Cary OB/GYN, we support regular screening and personalized care. If you have questions about scheduling a 3D mammogram, how to prepare, or what screening plan is right for you, our team is here to help.

Contact Cary OB/GYN to learn more about mammography services and schedule your next breast cancer screening — because your health matters.