obgyn-nebraska

7 Behaviors That Reveal Someone Is Silently Depressed

Mon, 27 Apr 2026 15:47:17 GMT

Recognizing Hidden Signs of Depression in Women in Hastings & Grand Island, NE

Depression affects millions of people across the United States, including women right here in Hastings and Grand Island, Nebraska . While some symptoms are easy to recognize, many individuals struggle with silent depression , where signs are hidden behind a normal daily routine.

At OBGYN Nebraska , we understand that mental health is a critical part of women’s overall wellness. Whether you’re navigating hormonal changes, pregnancy, postpartum recovery, or everyday stress, recognizing the signs of depression early can make a meaningful difference.

What Is Silent Depression?

Silent depression is when someone experiences symptoms of depression but does not openly express them. Instead of obvious sadness, they may feel emotionally numb, exhausted, or disconnected—while appearing “fine” to others.

For many women in Hastings and Grand Island , balancing work, family, and health can make it even easier for these symptoms to go unnoticed.

1. Withdrawal from Daily Activities

One of the most common signs of silent depression is withdrawing from activities once enjoyed.

A woman who was previously active may begin canceling plans, avoiding social events, or disengaging from responsibilities.

What to look for:

Loss of interest in hobbies
Skipping family or social gatherings
Reduced participation at work or school

2. Persistent Fatigue or Low Energy

Depression often causes more than emotional strain—it can lead to physical exhaustion.

Even getting through a typical day in Hastings or Grand Island can feel overwhelming when energy levels are depleted.

What to look for:

Constant tiredness
Difficulty completing everyday tasks
Avoiding interactions due to fatigue

3. Changes in Appetite or Weight

Sudden changes in eating habits can signal emotional distress.

Some individuals may eat more for comfort, while others lose their appetite entirely.

What to look for:

Noticeable weight gain or loss
Skipping meals or overeating
Emotional eating patterns

4. Trouble Sleeping

Sleep disturbances are a major indicator of depression. This can include insomnia, waking frequently, or never feeling fully rested.

Poor sleep can also impact hormonal health, which is especially important in women’s healthcare.

What to look for:

Difficulty falling asleep
Interrupted sleep
Feeling tired despite rest

5. Increased Use of Alcohol or Substances

Some individuals cope with emotional struggles by turning to alcohol or other substances.

While this may provide temporary relief, it often worsens mental health over time.

What to look for:

Increased alcohol consumption
Using substances to escape stress
Risky behaviors

6. Hiding Emotions or “Faking” Happiness

Many women with silent depression become experts at masking how they feel.

They may appear happy in public but avoid deeper conversations about their emotions.

What to look for:

Avoiding personal discussions
Giving vague answers about feelings
Appearing distant despite seeming “okay”

7. Overworking or Staying Constantly Busy

In communities like Grand Island and Hastings , where strong work ethic is valued, overworking can sometimes mask emotional struggles.

Some individuals stay busy to avoid confronting difficult thoughts or feelings.

What to look for:

Working long hours regularly
Difficulty relaxing
Using productivity as a distraction

Why Mental Health Matters in Women’s Healthcare

Mental health is deeply connected to physical health. Depression can impact:

Hormonal balance
Menstrual cycles
Pregnancy and postpartum health
Energy levels and sleep quality

At OBGYN Nebraska serving Hastings and Grand Island , comprehensive care includes recognizing and addressing both physical and emotional well-being.

Simple Ways to Support Mental Wellness

Even small daily habits can improve mental health and reduce stress:

Practice deep breathing exercises
Take short breaks throughout the day
Stay socially connected
Listen to calming or uplifting music
Set realistic goals
Make time for laughter and relaxation

When to Seek Help in Hastings or Grand Island, NE

If symptoms of depression last more than two weeks or begin affecting your daily life, it’s important to seek professional care.

Women in Hastings and Grand Island have access to compassionate healthcare providers who understand the connection between mental and physical health.

Seeking help early can improve both short-term and long-term well-being.

Final Thoughts

Silent depression often goes unnoticed—but it doesn’t have to. Recognizing these behaviors can help you support yourself or someone you love.

If you’re in Hastings or Grand Island, Nebraska , know that support is available. Taking the first step toward care can make a lasting difference in your health and quality of life.

FAQs About Silent Depression

31 Simple Ways to Boost Your Mental Health

Mon, 27 Apr 2026 15:47:16 GMT

Practical Wellness Tips for Women in Hastings & Grand Island, NE

Taking care of your mental health is just as important as your physical health—especially for women balancing busy lives, careers, family, and personal wellness. Whether you're dealing with stress, hormonal changes, or everyday overwhelm, small daily habits can make a big difference.

For women in Hastings and Grand Island, Nebraska , prioritizing mental wellness is a key part of overall health. At OBGYN Nebraska , we recognize that emotional well-being plays a vital role in everything from hormonal balance to postpartum recovery.

Below are 31 simple, effective ways to improve your mental health and overall well-being .

Why Mental Health Matters for Women

Mental health affects nearly every aspect of your life, including:

Hormonal health
Sleep quality
Energy levels
Relationships
Pregnancy and postpartum recovery

Making intentional choices each day can help reduce stress, improve mood, and support long-term wellness.

Daily Habits to Improve Mental Health

1. Practice Gratitude

Write down 3 things you're grateful for and 3 accomplishments each day to shift your mindset toward positivity.

2. Start Your Morning Mindfully

Enjoy a cup of coffee or tea—some studies suggest coffee may be linked to lower rates of depression.

3. Plan Something to Look Forward To

Even planning a small getaway or event can boost happiness for weeks.

4. Focus on Your Strengths

Do something you’re good at to build confidence before tackling harder tasks.

5. Prioritize Sleep

Keep your bedroom cool (60–67°F) for better sleep quality.

Creative & Emotional Wellness Tips

6. Try Something Creative

Painting, cooking, or writing can improve emotional well-being.

7. Express Your Feelings

Writing about your emotions can help reduce stress and symptoms of depression.

8. Practice Optimism

Focus on the positive aspects of life without ignoring challenges.

9. Laugh Often

Laughter reduces stress and anxiety—watch a comedy or spend time with fun people.

10. Try Mindfulness

Stay present and grounded to reduce anxiety and improve focus.

Social & Relationship-Based Tips

11. Strengthen Relationships

Healthy connections are essential for emotional well-being.

12. Spend Time with Loved Ones

People feel happier when they spend quality time with friends and family.

13. Show Appreciation

Send a thank-you note or express gratitude to someone important in your life.

14. Disconnect to Reconnect

Take a break from your phone and social media to focus on real-life interactions.

Physical Wellness & Movement

15. Go for a Walk Outside

Spending time in nature can reduce stress and boost mood.

16. Get Sunlight

Just 15 minutes of sunlight can improve mood and increase Vitamin D levels.

17. Dance It Out

Dancing reduces stress hormones and increases feel-good endorphins.

18. Stretch and Move

Take breaks during your day to stretch and improve circulation.

19. Relax with a Warm Bath

Adding Epsom salts may help relieve stress and muscle tension.

Nutrition & Brain Health

20. Eat Omega-3 Rich Foods

Foods like salmon, flaxseeds, and walnuts may help reduce depression.

21. Enjoy Dark Chocolate

In moderation, it may boost brain function and mood.

Stress Management Techniques

22. Practice Deep Breathing

Helps calm your nervous system and reduce stress.

23. Smile More

Even a simple smile can lower heart rate and improve mood.

24. Try Coloring or Creative Relaxation

Coloring for 20 minutes can help clear your mind and reduce anxiety.

25. Spend Time with Animals

Pets can lower stress hormones and increase happiness.

Productivity & Lifestyle Tips

26. Set Realistic Goals

Avoid overwhelm by setting achievable daily or weekly goals.

27. Prepare Ahead

Plan meals or outfits to reduce daily stress.

28. Explore Your Local Area

Be a tourist in Hastings or Grand Island and discover new places.

29. Try Something New

Stepping outside your comfort zone builds confidence and excitement.

30. Practice Forgiveness

Letting go of small frustrations can improve overall mental health.

31. Find the Positive

Look for the “silver lining” even in difficult situations.

Supporting Mental Health in Hastings & Grand Island, NE

For women in Hastings and Grand Island , mental health support is an important part of comprehensive care. Whether you’re managing stress, postpartum changes, or hormonal fluctuations, your healthcare provider can help guide you.

At OBGYN Nebraska , we understand that emotional wellness is closely connected to physical health and are here to support your overall well-being.

Final Thoughts

Improving your mental health doesn’t require major life changes—small, consistent habits can create meaningful improvements over time.

If you’re feeling overwhelmed, know that you’re not alone. Support is available right here in Hastings and Grand Island, Nebraska , and taking the first step toward care can make all the difference.

FAQs About Mental Health

May is Mental Health Awareness Month

Mon, 27 Apr 2026 15:47:15 GMT

Supporting Women’s Mental & Physical Health in Hastings & Grand Island, NE

May is Mental Health Awareness Month , a time dedicated to raising awareness, reducing stigma, and encouraging individuals to prioritize their emotional well-being. As the weather warms up in Hastings and Grand Island, Nebraska , it’s the perfect opportunity to focus on the connection between physical activity and mental health .

At OBGYN Nebraska , we believe in helping women “Be Your Best You” by supporting both physical and mental wellness. Understanding how your body and mind work together is a powerful step toward living a healthier, more balanced life.

Why Mental Health Awareness Matters

Mental health plays a vital role in overall well-being. For women, it can impact:

Hormonal balance
Sleep quality
Energy levels
Pregnancy and postpartum health
Daily stress management

Mental Health Awareness Month is a reminder that taking care of your emotional health is just as important as your physical health.

How Physical Activity Improves Mental Health

Staying active is one of the most effective and natural ways to support mental wellness. For women in Hastings and Grand Island , incorporating movement into your daily routine can have lasting benefits.

1. Boosts Mood with Endorphins

Aerobic exercise—like walking, jogging, or cycling—helps your body release endorphins , which are natural chemicals that reduce stress and promote feelings of calm and happiness.

2. Helps Reduce Anxiety and Depression

Studies show that regular physical activity can lower symptoms of anxiety and depression . Even moderate exercise can improve emotional well-being and reduce stress levels.

3. Improves Sleep Quality

Getting enough physical activity during the day can make it easier to fall asleep and stay asleep at night—something many women struggle with due to stress or hormonal changes.

4. Creates Healthy Routines

Establishing a consistent exercise routine can help you stay motivated and build healthy habits that support long-term mental wellness.

5. Supports Weight Management

Physical activity can help prevent or slow weight gain, which may occur as a side effect of certain medications used to treat mental health conditions.

6. Enhances Long-Term Health

Regular exercise doesn’t just improve your mood—it supports your overall health, including heart health, energy levels, and physical strength.

How Much Exercise Do You Need?

For optimal health, experts recommend:

At least 30 minutes of moderate aerobic activity daily (such as brisk walking)
Strength training at least 2 days per week to build and maintain muscle

For women in Hastings and Grand Island , this could include walking in local parks, joining a fitness class, or simply staying active at home.

Mental & Physical Health: A Powerful Partnership

Mental and physical health are deeply connected. When one improves, the other often follows.

Healthcare providers may recommend a combination of:

Regular physical activity
Counseling or therapy
Medication (when appropriate)

At OBGYN Nebraska , we take a comprehensive approach to women’s health, recognizing that emotional well-being is essential at every stage of life—from adolescence to menopause and beyond.

Simple Ways to Get Active in Hastings & Grand Island

If you're looking to start small, try:

Taking a daily walk outdoors
Joining a local fitness or yoga class
Dancing at home
Stretching during breaks
Exercising with a friend for accountability

Consistency matters more than intensity—small steps can lead to big improvements.

When to Talk to Your Provider

If you’re experiencing ongoing stress, anxiety, or symptoms of depression, it’s important to talk to a healthcare professional.

You should consider seeking support if:

Symptoms last more than two weeks
You feel overwhelmed or unable to cope
Your mental health is affecting your daily life

Women in Hastings and Grand Island, Nebraska have access to compassionate care and resources to support both mental and physical health.

Final Thoughts

Mental Health Awareness Month is a reminder to prioritize yourself. By incorporating physical activity into your daily routine, you can improve both your mental and physical well-being.

At OBGYN Nebraska , we are here to support you every step of the way. Whether you're navigating stress, hormonal changes, or postpartum recovery, your health—both mental and physical—matters.

FAQs About Mental Health & Exercise

Postpartum Post-Traumatic Stress Disorder (PTSD)

Mon, 27 Apr 2026 15:47:13 GMT

Recognizing Symptoms and Finding Support in Hastings & Grand Island, NE

Childbirth is often described as one of the most meaningful experiences in a woman’s life—but for some, it can also be traumatic. Postpartum Post-Traumatic Stress Disorder (PTSD) is a real and often overlooked condition that affects approximately 9% of women after delivery.

For women in Hastings and Grand Island, Nebraska , understanding the signs of postpartum PTSD is essential to getting the care and support needed for recovery.

At OBGYN Nebraska , we believe that postpartum care should include both physical and emotional healing. Recognizing when something isn’t right is the first step toward feeling like yourself again.

What Is Postpartum PTSD?

Postpartum PTSD is a mental health condition that can develop after experiencing a traumatic childbirth or postpartum event. This trauma may be physical, emotional, or psychological—and sometimes a combination of all three.

Importantly, trauma is not always about what medically happened, but how the experience felt to the mother.

Common Causes of Postpartum PTSD

Postpartum PTSD is often linked to real or perceived trauma during delivery or shortly after childbirth .

Some common causes include:

Prolapsed umbilical cord
Unplanned C-section
Use of forceps or vacuum-assisted delivery
Baby being admitted to the NICU
Feeling powerless or unheard during labor
Poor communication or lack of support from the care team

Women who have experienced previous trauma—such as sexual assault or abuse—may also be at a higher risk.

Additionally, serious medical complications can increase the likelihood of PTSD, including:

Severe postpartum hemorrhage
Emergency hysterectomy
Severe preeclampsia or eclampsia
Third- or fourth-degree perineal tears
Cardiac complications during pregnancy or delivery

Symptoms of Postpartum PTSD

Symptoms can vary from person to person, but many women experience intense emotional and physical responses tied to their birth experience.

1. Intrusive Thoughts or Re-Experiencing the Trauma

You may find yourself reliving the birth experience through unwanted thoughts, flashbacks, or nightmares.

2. Flashbacks and Nightmares

These can feel vivid and real, often bringing back the fear or distress experienced during delivery.

3. Avoidance Behaviors

You might avoid anything that reminds you of the event, including:

Conversations about childbirth
Medical appointments
People or places connected to the experience

4. Increased Anxiety and Hypervigilance

This can include:

Feeling constantly on edge
Difficulty sleeping
Irritability
Being easily startled

5. Panic Attacks and Emotional Distress

Sudden feelings of fear, racing heart, or overwhelming anxiety may occur without warning.

6. Feelings of Detachment or Unreality

Some women report feeling disconnected from themselves, their baby, or their surroundings.

Why Postpartum Mental Health Matters

Postpartum PTSD can impact not only a mother’s emotional well-being but also:

Bonding with the baby
Sleep and physical recovery
Relationships with family members
Overall quality of life

For women in Hastings and Grand Island , access to compassionate, comprehensive postpartum care is essential for healing both physically and emotionally.

When to Seek Help in Hastings or Grand Island, NE

If you are experiencing symptoms of postpartum PTSD, it’s important to seek help as soon as possible.

You should consider reaching out if:

Symptoms persist for more than a few weeks
You feel overwhelmed or unable to cope
Your daily life or ability to care for your baby is affected

Postpartum PTSD is temporary and treatable with professional care. You are not alone—and it is not your fault.

How OBGYN Nebraska Supports Postpartum Mental Health

At OBGYN Nebraska serving Hastings and Grand Island , care goes beyond delivery. Our team understands that every woman’s postpartum journey is different.

We can help:

Identify symptoms early
Provide guidance and support
Connect you with mental health resources
Ensure you feel heard and supported throughout your recovery

Steps You Can Take Right Now

If you’re struggling, small steps can help you begin healing:

Talk to a trusted healthcare provider
Share your experience with a loved one
Practice gentle self-care (rest, hydration, nutrition)
Seek professional counseling or therapy
Join a support group for new mothers

Final Thoughts

Postpartum PTSD is more common than many realize—and it deserves attention, understanding, and care.

If you’re in Hastings or Grand Island, Nebraska , know that help is available. Healing is possible, and you deserve to feel safe, supported, and empowered in your postpartum journey.

FAQs About Postpartum PTSD

How Do You Know If You’re in a Flow State?

Mon, 27 Apr 2026 15:47:12 GMT

Understanding Focus, Productivity, and Mental Wellness in Hastings & Grand Island, NE

Have you ever been so focused on something that time seemed to disappear? That feeling is known as being in a “flow state” —a mental state where you are fully immersed, engaged, and performing at your best.

For women in Hastings and Grand Island, Nebraska , understanding flow can be a powerful tool for improving mental health, reducing stress, and increasing productivity in both personal and professional life.

At OBGYN Nebraska , we recognize that mental wellness plays a critical role in overall health, and learning how to achieve balance—including moments of flow—can support emotional well-being.

What Is a Flow State?

A flow state is a condition of deep concentration where you become fully absorbed in an activity. During this time, distractions fade away, and your mind and body work in sync.

Flow is often associated with:

Increased focus
Reduced stress
Higher productivity
Improved emotional well-being

Signs You’re in a Flow State

Recognizing when you’re in flow can help you intentionally create more of these moments in your daily life.

1. You Lose Track of Time

One of the most common signs of flow is time distortion . Hours may feel like minutes because you’re so engaged in what you’re doing.

This often happens when you’re working on something you truly enjoy or find meaningful.

2. You’re Not Focused on Yourself

In a flow state, your attention shifts away from self-conscious thoughts.

You’re not worrying about:

How you look
What others think
Your comfort level

Instead, your awareness is fully connected to the task at hand.

3. Your Mind Is Free from Distractions

When you’re in flow, your brain isn’t cluttered with everyday worries like errands, schedules, or responsibilities.

This mental clarity can be especially beneficial for women managing busy lives in Hastings and Grand Island .

4. You’re Fully Engaged and Active

Flow requires participation. Whether it’s working, exercising, cooking, or engaging in a hobby, you are actively involved—not passively observing.

5. Things Feel Effortless—Even When They’re Not

Interestingly, flow often occurs during challenging tasks. While you may be working hard, it feels natural and smooth , as if everything is “clicking.”

This balance between challenge and skill is what creates the flow experience.

Why Flow Matters for Mental Health

Experiencing flow regularly can have a positive impact on your mental and emotional health.

Benefits include:

Reduced stress and anxiety
Improved mood
Increased confidence
Better focus and productivity
A greater sense of purpose

For women navigating work, family, and health responsibilities, these benefits can significantly improve overall well-being.

How to Create More Flow in Your Daily Life

If you want to experience more flow, try incorporating these simple strategies:

Choose Activities You Enjoy

Flow is more likely when you’re doing something meaningful or enjoyable.

Minimize Distractions

Create a quiet environment and limit interruptions when possible.

Set Clear Goals

Knowing what you want to accomplish helps your brain stay focused.

Challenge Yourself

Pick tasks that are slightly outside your comfort zone—but still achievable.

Stay Present

Practicing mindfulness can help you stay engaged in the moment.

Flow and Women’s Wellness in Hastings & Grand Island

Mental wellness is an essential part of overall health. Whether you’re managing stress, navigating hormonal changes, or balancing a busy lifestyle, finding moments of focus and clarity can make a meaningful difference.

At OBGYN Nebraska serving Hastings and Grand Island , we support a whole-person approach to care—recognizing that mental, emotional, and physical health are deeply connected.

Final Thoughts

Flow isn’t just about productivity—it’s about feeling fully engaged and connected to what you’re doing.

By recognizing the signs of flow and creating opportunities for it in your daily life, you can improve your mental clarity, reduce stress, and enhance your overall well-being.

FAQs About Flow State

National Women’s Health Week

Mon, 27 Apr 2026 15:47:10 GMT

Prioritizing Women’s Wellness in Hastings & Grand Island, NE

National Women’s Health Week is an important annual reminder for women to prioritize their health and well-being. Led by the U.S. Department of Health and Human Services’ Office on Women’s Health, this observance encourages women of all ages to take proactive steps toward better physical and mental health.

For women in Hastings and Grand Island, Nebraska , this week serves as the perfect opportunity to focus on preventive care, healthy habits, and overall wellness.

At OBGYN Nebraska , we believe that empowering women to take control of their health leads to stronger families and healthier communities.

What Is National Women’s Health Week?

National Women’s Health Week is a dedicated time to encourage women and girls to:

Schedule preventive screenings
Practice healthy lifestyle habits
Prioritize mental and emotional well-being
Stay informed about personal health risks

It’s a reminder that taking care of yourself isn’t optional—it’s essential.

Why Women’s Health Matters More Than Ever

Women often juggle multiple responsibilities, including careers, family, and caregiving. Because of this, personal health can sometimes take a back seat.

However, prioritizing your health can help:

Prevent chronic conditions
Improve energy and mood
Support reproductive and hormonal health
Enhance long-term quality of life

For women in Hastings and Grand Island , access to consistent, high-quality healthcare plays a key role in maintaining overall wellness.

Who Should Take Extra Precautions?

While all women should prioritize their health, certain groups should take additional care, including:

Women with hypertension (high blood pressure)
Women with diabetes
Women with obesity
Those with cardiovascular or respiratory conditions
Women 65 years and older

These conditions can increase health risks, making preventive care even more important.

Simple Ways to Prioritize Your Health

You don’t need to make drastic changes to improve your well-being. Small, consistent actions can make a big impact.

1. Schedule Preventive Checkups

Regular visits with your OB/GYN help detect potential health concerns early.

2. Stay Active

Aim for at least 30 minutes of physical activity most days to support both physical and mental health.

3. Eat a Balanced Diet

Focus on nutrient-rich foods that support energy, hormone balance, and overall health.

4. Take Care of Your Mental Health

Stress management, mindfulness, and emotional support are just as important as physical care.

5. Get Enough Sleep

Quality sleep plays a major role in mood, immunity, and overall wellness.

6. Stay Up to Date on Screenings

Routine screenings such as Pap smears, breast exams, and other preventive tests are essential.

Women’s Health in Hastings & Grand Island, NE

For women in Hastings and Grand Island , having access to compassionate, comprehensive care makes it easier to stay on top of your health.

At OBGYN Nebraska , we provide personalized care that supports women through every stage of life—from adolescence to menopause and beyond.

Making Yourself a Priority

National Women’s Health Week is a great reminder—but your health should be a priority all year long.

Taking time for yourself is not selfish—it’s necessary. When you care for your health, you’re better able to care for those around you.

Final Thoughts

Your health is one of your most valuable assets. National Women’s Health Week encourages you to take a step back, assess your well-being, and take action toward a healthier future.

If you’re in Hastings or Grand Island, Nebraska , now is the perfect time to schedule a checkup and take control of your health.

Download a helpful fact sheet here: Download Fact Sheet

FAQs About Women’s Health

What Is RSV?

Mon, 27 Apr 2026 15:47:08 GMT

Symptoms, Risks, and Prevention for Families in Hastings & Grand Island, NE

Respiratory Syncytial Virus (RSV) is a common but potentially serious illness—especially for infants and young children. For families in Hastings and Grand Island, Nebraska , understanding RSV is essential to protecting your baby’s health.

What Is RSV?

According to the CDC, RSV (Respiratory Syncytial Virus) is a common respiratory virus that typically causes mild, cold-like symptoms. However, it is also the leading cause of bronchiolitis and pneumonia in children under 1 year old .

Symptoms of RSV

Symptoms usually appear 4–6 days after exposure and may include:

Runny nose
Decreased appetite
Coughing
Sneezing
Fever
Wheezing

In infants, symptoms may be more subtle, such as:

Irritability
Decreased activity
Difficulty breathing

How RSV Spreads

RSV is highly contagious and spreads easily through:

Coughing or sneezing
Droplets entering the eyes, nose, or mouth
Touching contaminated surfaces
Direct contact, such as kissing

The virus can live for hours on hard surfaces , making hygiene especially important.

How Long Is RSV Contagious?

Most individuals are contagious for 3–8 days , but infants and those with weakened immune systems may spread the virus for up to 4 weeks .

Who Is Most at Risk?

High-Risk Infants and Children:

Premature babies
Infants under 6 months
Children under 2 with lung or heart conditions
Children with weakened immune systems
Children with neuromuscular disorders

High-Risk Adults:

Adults 65+
Individuals with heart or lung disease
Those with weakened immune systems

What Illnesses Can RSV Cause?

RSV can lead to serious conditions, including:

Bronchiolitis (inflammation of the airways)
Pneumonia
Worsening of asthma or COPD
Complications in individuals with heart conditions

How to Prevent RSV

RSV is most common in fall, winter, and early spring , but prevention is important year-round.

Key Prevention Tips:

Wash hands frequently (20 seconds)
Avoid touching your face
Stay away from sick individuals
Cover coughs and sneezes
Clean and disinfect surfaces
Stay home when sick

For families in Hastings and Grand Island , these steps are especially important during RSV season.

When to Seek Medical Care

Contact a healthcare provider immediately if your baby has:

Difficulty breathing
High fever
Severe coughing or wheezing
Signs of dehydration
Unusual lethargy

Early care can prevent complications and ensure your child gets the support they need.

Final Thoughts

While RSV is common, it can become serious—especially for infants. Understanding the symptoms, risks, and prevention strategies can help keep your family safe.

If you're in Hastings or Grand Island, Nebraska , staying informed and working closely with your healthcare provider can make all the difference.

FAQs About RSV

15 Simple Ways to Boost Your Well-Being and Happiness

Mon, 27 Apr 2026 15:47:07 GMT

Mental Health Tips for Women in Hastings & Grand Island, NE

Taking care of your mental health is essential to living a balanced and fulfilling life. For women in Hastings and Grand Island, Nebraska , daily stress, hormonal changes, and busy schedules can make it challenging to prioritize emotional well-being.

At OBGYN Nebraska , we believe that mental and physical health go hand in hand. By making small, intentional changes, you can improve your mood, reduce stress, and enhance your overall quality of life.

Below are 15 practical ways to boost your well-being and happiness .

Why Mental Wellness Matters for Women

Your mental health affects more than just your mood—it influences:

Hormonal balance
Sleep quality
Energy levels
Relationships
Pregnancy and postpartum health

Improving your mental wellness can help you feel more in control, confident, and resilient in your daily life.

15 Tips to Improve Your Well-Being

Accept Your Emotions

Allow yourself to fully experience your feelings instead of suppressing them. Processing emotions can help you better understand yourself and move forward in a healthy way.

Take Small Daily Risks

Growth happens outside your comfort zone. Challenge yourself to try something new each day—even something small.

Focus on the Present Moment

Avoid getting stuck in the past or worrying about the future. Staying present can improve clarity and reduce stress.

Practice Self-Reflection

Take time to evaluate your thoughts, feelings, and behaviors. Ask yourself if your habits are helping or hurting your well-being.

Make Time to Laugh

Laughter can significantly reduce stress and improve mood. Watch something funny or spend time with people who make you smile.

Identify Your Personal Values

Your values act as a guide for decision-making and can help you feel more aligned and fulfilled in life.

Use Your Strengths

Focusing on what you do well can boost confidence and motivation.

Monitor Your Thoughts

Be aware of negative thinking patterns and challenge them. Replace unhelpful thoughts with more balanced perspectives.

Practice Gratitude Daily

Writing down things you’re grateful for can shift your mindset and improve overall happiness.

Rediscover a Passion

Engaging in activities you love can bring joy and improve emotional well-being.

Start Your Day Positively

Doing something you enjoy first thing in the morning can set the tone for your entire day.

Eliminate Negative Influences

Identify anything in your life that consistently lowers your mood and find ways to minimize its impact.

Create a Positive Environment

Your surroundings matter. Use calming scents, music, or lighting to create a space that supports relaxation and happiness.

Seek Inspiration

Read, listen, or watch content that motivates and uplifts you. Inspiration can help you stay focused on personal growth.

Take Time to Meditate

Even a few minutes of quiet breathing each day can reduce stress and improve mental clarity.

Supporting Mental Health in Hastings & Grand Island, NE

For women in Hastings and Grand Island , prioritizing mental wellness is an important part of overall healthcare.

At OBGYN Nebraska , we understand that emotional health plays a key role in:

Hormonal balance
Pregnancy and postpartum care
Long-term wellness

Our team is here to support your full health journey—both physically and mentally.

Final Thoughts

Improving your well-being doesn’t require drastic changes. Small, consistent habits can lead to meaningful improvements in your mental health and happiness.

If you’re feeling overwhelmed, remember that support is available in Hastings and Grand Island, Nebraska , and taking the first step toward care can make all the difference.

FAQs About Mental Wellness

Why Where You Deliver Matters

Mon, 27 Apr 2026 15:47:05 GMT

Choosing Expert Pediatric & Obstetric Care in Hastings, NE

When you're expecting a baby, one of the most important decisions you’ll make is where to deliver . While many options may seem similar on the surface, the level of care and expertise available can make a lasting difference—for both you and your baby.

For families in Hastings, Nebraska , choosing a facility with experienced providers and strong pediatric support can provide peace of mind from delivery through early childhood.

The Difference Is in the Expertise

Not all care is created equal. When choosing where to deliver, you may be deciding between:

Care from a neonatal nurse practitioner vs. a pediatrician with years of specialized training
Remote consultations vs. in-person pediatric expertise
A focus only on delivery vs. long-term support for your child’s development

These differences matter—especially during those critical first moments of life.

Why Pediatric Expertise Matters at Birth

Having access to a trained pediatrician at delivery ensures that your baby receives immediate, expert care if needed.

This includes:

Assessing your baby’s breathing and vital signs
Managing unexpected complications
Providing reassurance and guidance to new parents

For families in Hastings and surrounding communities , this level of care can make all the difference in both outcomes and confidence.

Beyond Delivery: Planning for Your Baby’s Future

The best care doesn’t stop at birth. It continues with:

Developmental monitoring
Early wellness planning
Ongoing pediatric guidance

Choosing the right care team means having support not just during delivery—but throughout your child’s early development.

Local Care You Can Trust in Hastings, NE

Delivering close to home with a trusted healthcare team offers:

Personalized, in-person care
Strong communication between providers
Access to local resources and follow-up care

For families in Hastings , having expert care nearby ensures both convenience and confidence.

Final Thoughts

Where you deliver your baby matters more than you might think. From the expertise available in the delivery room to the long-term support you receive, the right choice can shape your experience as a parent.

Choosing expert care in Hastings, Nebraska means prioritizing your baby’s health from the very beginning.

FAQs

Is Robotic Surgery the Best Option for My Pelvic Organ Prolapse Issue?

Thu, 09 Apr 2026 13:20:41 GMT

More than 20% of women over 40 in the United States experience pelvic organ prolapse , a condition that occurs when a pelvic organ — such as your uterus, vagina, bladder, or small intestine — slips out of its normal position. When this happens, the organs can press against each other or bulge into the vaginal canal.

While many women find relief with less aggressive medical interventions, doctors often recommend surgery when symptoms start to affect quality of life. Robotic surgery for pelvic organ prolapse is one option, but it isn’t necessarily the best choice for everyone.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our team includes specialists with extensive experience treating pelvic organ prolapse using both nonsurgical and surgical approaches. We work closely with you to determine the most appropriate treatment plan, including when robotic surgery is the best approach.

About pelvic organ prolapse

Pelvic organ prolapse occurs when the muscles and connective tissue that support the pelvic organs weaken or stretch. When this support system no longer holds organs in place, one or more may drop lower in the pelvis.

Prolapse is more common in women because certain life events and health changes can weaken the pelvic floor. Common contributing factors include:

Pregnancy and childbirth
Menopause
Aging
Chronic straining from constipation
Prior pelvic surgery

When a pelvic organ drops, it may bulge into the vagina or even protrude outside of it. You may see or feel the bulge. Pelvic organ prolapse may also cause other symptoms, such as lower back pain, urinary incontinence, or pain during sex.

When your doctor may recommend surgery

Treatment for pelvic organ prolapse depends on the type and severity of your symptoms. You may start with conservative treatments designed to reduce discomfort and improve pelvic support.

Nonsurgical options may include:

Eating more fiber to reduce strain
Adjusting fluid intake to improve bladder symptoms
Engaging in pelvic floor muscle training exercises

You may also consider using a pessary, a removable device that you place in the vagina that helps support the pelvic organs.

If these interventions don’t improve symptoms or your prolapse is severe, you may need surgery to restore the organs to their normal position.

There are two primary surgical approaches:

Obliterative surgery

Obliterative surgery narrows or closes the vaginal canal to improve pelvic organ support. It’s highly effective but eliminates the possibility of vaginal intercourse, so doctors only consider it for women who are no longer sexually active.

Reconstructive surgery

Reconstructive surgery is more common and aims to restore pelvic organs to their natural position while preserving vaginal function.

Robotic-assisted techniques are options for either approach.

Robotic surgery for pelvic organ prolapse

Robotic surgery combines advanced robotic technology with minimally invasive surgical techniques. During the procedure, your surgeon controls specialized robotic instruments that mimic precise hand movements while operating through small incisions.

Robotic surgery offers several advantages, including:

Smaller incisions
Less postoperative pain
Reduced scarring
Shorter recovery time
Greater surgical precision

However, robotic surgery for pelvic organ prolapse can take longer to perform than other methods and may not be appropriate for all patients.

Other surgical options

Robotic surgery is only one of several techniques we use to correct pelvic organ prolapse. Depending on your health history and the type or prolapse, we may recommend another approach, such as:

Open surgery

Open surgery is the traditional method and involves a larger abdominal incision to access the pelvic organs. Although recovery time is long, this is the best option for women with significant scarring from prior surgery or certain health conditions like obesity or heart disease.

Laparoscopic surgery

Laparoscopic surgery is a minimally invasive procedure performed through small abdominal incisions. It uses a laparoscope, a thin tube with a light and camera that allows us to view the surgical area on a computer monitor. This is a common surgical method for gynecological conditions.

Vaginal surgery

Vaginal surgery corrects prolapse through the vaginal canal. It’s also a minimally invasive technique.

While minimally invasive methods are less risky, traditional open surgery may sometimes provide the safest or most effective solution depending on the patient’s condition.

What’s right for you?

The best pelvic organ prolapse surgery is the one that offers the safest approach and best long-term outcomes for your personal health needs. During your consultation, we review all of your surgical options and their pros and cons. Together, we can decide what method best fits your health needs and goals.

Regardless of the surgical method, most women need to take time off from work and avoid heavy lifting for a few weeks during the recovery period. You also need to avoid vaginal sex for several weeks while your body heals.

For many women, symptoms significantly improve or go away immediately after surgery.

If you’re considering robotic surgery for your pelvic organ prolapse, our team can explain your options so you can make an informed decision about your care. Contact Obstetricians & Gynecologists, PC , today to learn more. You can also request an appointment online .

Why Are My Periods So Heavy?

Fri, 06 Mar 2026 13:07:40 GMT

If your period feels more like a monthly disruption than a minor inconvenience, you’re not alone. Abnormal bleeding is common, but it’s not something you have to live with.

Heavy periods are often a sign of an underlying health condition that may require medical intervention. In this post, our team of women’s health experts at Obstetricians & Gynecologists, PC , explains some of the causes of heavy periods and how we can help.

When is a period heavy?

Heavy menstrual bleeding, medically called menorrhagia, means you’re losing more blood during your period than what we would consider typical.

Common signs and symptoms of abnormally heavy periods include:

Bleeding longer than seven days
Soaking through several pads or tampons a day
Needing to double up on protection to prevent leaks
Passing large blood clots
Changing pads or tampons during the night
Being unable to do normal activities because of bleeding

Ongoing heavy menstrual bleeding can also cause anemia, which may lead to other symptoms like fatigue, cold sensitivity, or shortness of breath.

Causes of heavy menstrual bleeding

More than 25% of women of reproductive age experience heavy periods. The underlying cause can vary and may include:

Hormonal imbalance

Estrogen and progesterone regulate your menstrual cycle. When these hormones are out of balance, it can disrupt your cycle, leading to heavier or irregular bleeding.

Polycystic ovary syndrome (PCOS) is one common hormonal condition that affects estrogen levels. Women with PCOS may skip periods, go months without menstruating, or experience episodes of very heavy bleeding.

Gynecological conditions

Gynecological conditions are also a common cause of heavy periods. Some of the more common culprits include:

Fibroids
Polyps
Miscarriage
Sexually transmitted infections
Gynecological cancer

Some of these causes are very serious, which is why it’s important to see your doctor when you experience heavy menstrual bleeding.

Other medical conditions

Medical conditions not related to your reproductive organs can also cause heavy periods, including thyroid disorders, bleeding disorders, and liver disease.

Life stages

Heavier periods are also common during certain life stages. It’s not uncommon to experience heavy bleeding when you first start menstruating or during the months or years leading up to menopause .

When to seek medical help for heavy periods

If you have any of the above symptoms of menorahgia, it’s important to schedule an appointment with your OB/GYN. Heavy periods are a symptom, not a diagnosis. Identifying the cause and starting treatment can improve your overall health and quality of life.

We conduct thorough evaluations for patients experiencing heavy periods. This may include reviewing medical and gynecological history, performing a physical and pelvic exam and requesting bloodwork or imaging studies like an ultrasound .

Treatment for heavy periods

Once we know the cause of your heavy periods, we can create a personalized plan to lessen the bleeding. Treatment may include medication to manage symptoms, birth control to regulate your menstrual cycle, or procedures to address a structural problem.

If you have no future plans for pregnancy, we may talk to you about endometrial ablation . This outpatient procedure uses heat to destroy the uterine lining, helping reduce or stop heavy bleeding in women who don’t respond to medical treatments.

Don’t ignore your symptoms. Let us help you find the cause of your heavy periods and get your life back. Call Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, or schedule an appointment online.

Can My Tubal Ligation Be Reversed?

Wed, 04 Mar 2026 13:00:20 GMT

If you had a tubal ligation and are now wondering whether you can get pregnant again, you’re not alone. About 20%-30% of women worldwide experience regret after sterilization due to changes in life circumstances like relationships or shifting priorities.

For many women, that leads to an important question: Can my tubal ligation be reversed?

The short answer is: sometimes. At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our women’s health specialists consider several factors when evaluating tubal ligation reversal, including how the original procedure was performed and your overall reproductive health.

Here’s what you need to know about tubal ligation reversal, who’s a candidate, and other fertility options available.

What is tubal ligation?

Tubal ligation, often called getting your tubes tied, is a permanent form of birth control for women. During the procedure, we cut, block, or cauterize the fallopian tubes to stop the egg and sperm from meeting, which prevents pregnancy.

It’s one of the most effective forms of birth control. And while it’s considered permanent, tubal ligation is reversible in some cases.

What is tubal ligation reversal?

Tubal ligation reversal is a surgical procedure that attempts to restore fertility by reconnecting the fallopian tubes. The goal is to reopen the blocked or sealed ends of the fallopian tubes, allowing the egg to pass through, meet sperm, and become fertilized.

During the procedure, our surgeon carefully removes any blocked or damaged portions of the tubes and reconnects the healthy ends to create a functional passageway. Because of its precision and complexity, tubal ligation reversal is more involved than tubal ligation.

Factors that affect reversal of tubal ligation

The goal of tubal ligation reversal is to increase your chances of pregnancy. Factors that affect its success include:

The type of tubal ligation performed

Surgeons use various methods when performing tubal ligation. Some procedures involve cutting or clipping the tubes, while others may burn or completely remove the tubes.

Reversal is more challenging when the tubes are burned or severely damaged. In some cases, it’s not possible to reverse the original procedure, and we may not know until surgery begins.

Health of remaining fallopian tubes

We need an adequate amount of healthy fallopian tubing for a successful reconnection. Significant scarring or minimal remaining tube tissue can reduce the chances of success. If the entire tube was removed during tubal ligation, reversal isn’t possible.

Overall reproductive health

Underlying gynecological conditions, such as endometriosis , fibroids , or irregular periods , can affect fertility. Even if we successfully reconnect the tubes, these conditions may affect your chances of pregnancy.

Age also plays a role because fertility naturally declines as you get older, making it more difficult to conceive regardless of tubal status.

Other fertility options

While tubal ligation reversal can help many women conceive, it’s not the right procedure for everyone. Fortunately, advances in infertility treatments offer other pathways to pregnancy.

If you have healthy eggs and access to healthy sperm, treatments such as intrauterine insemination (IUI) or in vitro fertilization (IVF) are effective alternatives. These options bypass the fallopian tubs entirely and may offer a higher rate of success for some women.

If you’re having second thoughts about your tubal ligation, you don’t have to navigate your options alone. We can help you understand your fertility choices and determine the best way forward for growing your family. Contact Obstetricians & Gynecologists, PC , today to learn more.

I Want a Very Personal Experience During My Pregnancy: Should I Have a Midwife?

Wed, 18 Feb 2026 12:00:23 GMT

Pregnancy is a deeply personal experience, and for many expectant parents, feeling heard, supported, and empowered is as important as receiving excellent medical care. The right team can make all the difference in how confident and connected you feel throughout your pregnancy.

If you’re looking for a more personalized, relationship-centered approach, you may wonder whether a midwife is the right choice for you. Midwives are known for their hands-on, holistic style of care, but they aren't the best fit for every pregnancy.

At Obstetricians & Gynecologists, PC , our women’s health team includes OB/GYNs and certified nurse midwives (CNMs). We recognize that every pregnancy experience is unique, and we want to provide care that aligns with your medical needs, personal values, and birth preferences.

So you can make an informed decision for your pregnancy journey, we’re using this blog to explain how midwifery works, what our midwives do, and how their approach differs from that of our OB/GYNs.

What is a midwife?

A midwife is a health care provider who specializes in pregnancy, childbirth, and postpartum care. In addition to prenatal care , midwives often provide comprehensive women’s health care, including well-woman exams and birth control .

Other services include:

Preconception and pregnancy counseling
Natural childbirth support
Breastfeeding guidance
Postpartum care
Pap smears
Family planning

Midwives typically take a supportive and holistic approach to pregnancy. Rather than focusing solely on medical milestones, they guide women through each stage of pregnancy with education, encouragement, and shared decision-making.

At Obstetricians & Gynecologists, PC, our midwives are advanced practice registered nurses (APRNs) and certified nurse midwives (CNMs), meaning they have advanced training and expertise in women’s health and pregnancy care. They work closely with our OB/GYNs to ensure that every patient receives care tailored to their individual needs.

Midwife care vs. OB/GYN care

Both midwives and OB/GYNs are highly trained providers who specialize in women’s health and pregnancy. However, their approach differs.

Midwives generally view pregnancy and childbirth as a natural life event. Their approach focuses on education, emotional support, and minimal medical interventions when it’s safe to do so. This makes midwife care especially appealing to women looking for a more natural, less clinical experience.

As medical doctors, OB/GYNs approach pregnancy through a clinical lens that focuses on monitoring and managing potential complications. They’re also trained to perform medical procedures like epidurals, inductions, and cesarean deliveries (C-sections), which are essential for high-risk pregnancies or unexpected complications.

Should you have a midwife?

If your pregnancy is considered low risk and you’re hoping for a more natural, personalized childbirth experience, a midwife may make an excellent choice. If your pregnancy is high risk or complicated by pre-existing health conditions, you should seek care with an OB/GYN.

That said, pregnancy can change. A low-risk pregnancy can become high risk, which is why our team’s collaborative approach to care is ideal. Our providers work together to ensure continuity of care, so you’re always supported, even if your pregnancy requires more advanced medical attention.

Midwifery can offer the personal, empowering pregnancy experience many women want. To learn more about our approach to pregnancy and childbirth, call Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, to schedule a consultation, or use this link to request an appointment online.

Are Mammograms the Safest Screening Option?

Wed, 11 Feb 2026 11:57:39 GMT

Mammograms are considered the gold standard for breast cancer screening. However, concerns about radiation exposure, discomfort, and false-positive results may leave you wondering whether it’s truly the safest option.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our team recommends that most women start routine screening mammograms at age 40. While other breast cancer screening tools are available, mammograms remain our first-line approach.

Here, we explain how mammograms work, their safety and limitations, and how we determine the best screening tool(s) for you.

What is a mammogram?

A mammogram is an X-ray of the breast that uses low-dose radiation to create detailed images of the breast tissue. These images help us find abnormal changes that may indicate early breast cancer. There are two main types of mammograms:

Screening mammogram

A screening mammogram is a routine X-ray test used to detect early signs of breast cancer in women with no symptoms. Typically, the test takes two or three X-ray images of each breast and remains the most effective screening tool for early detection.

Diagnostic mammogram

A diagnostic mammogram provides more detailed images from additional angles. We order this test if your screening mammogram shows abnormalities or if you have any concerning symptoms.

During both mammogram tests, your breast tissue is compressed between two plates. While this may cause some discomfort, compression helps spread the tissue to produce clear and more accurate images.

Risks and limitations of mammograms

Radiation exposure is one of the most common concerns surrounding mammograms. However, experts agree that the radiation dose is very low , and the benefits of finding breast cancer early far outweigh the risks. Repeated exposure to the small doses of radiation doesn't increase risk of breast cancer or cause tumors to grow.

A more notable limitation of mammograms is the possibility of false-positives and false-negatives. False-positives are common and can lead to anxiety and the need for additional testing that ultimately turns out to be negative.

Though less common, false-negative results occur when abnormal tissue isn’t found, delaying breast cancer diagnosis and treatment.

Other breast cancer detection tools

While mammograms are sensitive, accessible, and effective at identifying abnormal breast tissue, we may use additional imaging tests to confirm results or further assess women with various risk factors. Other detection tools include:

Ultrasound

Ultrasound uses sound waves to generate images and is especially helpful for women with dense breast tissue. A breast cancer ultrasound is often performed as a follow-up to a mammogram to help differentiate between solid and fluid filled masses.

However, ultrasound can’t determine whether a mass is cancerous and isn’t recommended as a first-line screening tool.

MRI

MRIs provide highly detailed images of breast tissue and can find abnormalities that a mammogram may miss. We only recommend MRI testing in women at high risk of breast cancer. This test is pricey and often leads to false-positives.

Clinical breast exam (CBE)

CBE is a hands-on evaluation of the breast performed during your annual well-woman exam . This test can help detect lumps and visible changes, but isn’t as effective as imaging for early cancer detection.

Choosing the right screening tool

Regardless of risk level, mammograms are the foundation of breast cancer screening. If results are unclear or if your risk factors warrant additional testing, we may recommend ultrasound or MRI imaging.

You don’t have to make these decisions on your own. We can review your risk factors, answer your questions, and help you make an informed decision.

If you have concerns about breast cancer or if you want to know more about mammograms and other screenings, contact Obstetricians & Gynecologists, PC , to schedule a consultation or request an appointment online today.

New Year, New You: 5 Resolutions for Better Pelvic Health

Fri, 09 Jan 2026 11:04:11 GMT

Pelvic health may not be on your New Year’s resolution list — it might not be something you even think about. But now is a great time to learn more about your pelvic floor, a group of muscles that play a crucial role in bladder and bowel control, posture, and sexual health.

If you leak small amounts of urine when you cough or laugh or if you have ongoing pelvic pain , make better pelvic health a priority this year. Small, intentional habits can make a big difference over time.

In this blog, our team at Obstetricians & Gynecologists, PC , shares realistic and achievable resolutions that can support and protect your pelvic health.

Get to know your pelvic floor

To better care for your pelvic health, it helps to understand how it works. Your pelvic area is the lower part of your abdomen and includes your reproductive organs, bladder, and lower intestine.

The pelvic floor is a group of muscles that sits like a hammock below these organs, stretching from the pubic bone to the tail bone. These muscles hold your organs in place and help control bowel and bladder function.

Due to aging, pregnancy, and childbirth, women are more likely to experience changes with pelvic floor muscles. Over time, these muscles may stretch or weaken, making it harder to hold organs in place or control urine or stool.

Conditions such as pelvic organ prolapse and stress incontinence are commonly linked to pelvic floor weakness.

Don’t ignore symptoms

Pelvic pain, pressure, or leaking urine aren’t normal or signs of aging. If you notice ongoing or worsening symptoms, don’t ignore them.

Common conditions affecting the pelvic area include:

Urinary tract infections (UTIs)
Urinary incontinence
Endometriosis
Fibroids
Pelvic organ prolapse

Getting a diagnosis from our team and developing a treatment plan can help ease your symptoms so it doesn’t affect your quality of life.

Work on pelvic floor strength

A strong core supports your posture, back, and pelvic organs. Exercises that target the pelvic floor and core can help improve strength and stability, such as:

Kegels
Planks
Crunches
Glute bridge
Squats

Pilates and yoga are great options for building pelvic floor strength. Also, remember to always be careful when lifting heavy objects — you want to lift with your legs, not your back, to avoid unnecessary strain on your pelvic muscles.

Build better bowel and bladder habits

When you’ve got to go, you’ve got to go, but with consistency, you can train your bladder and bowels to work on a more predictable schedule.

Healthy bowel and bladder habits can help strengthen the muscles involved in control, reduce urgency, and manage incontinence. Developing these habits may also prevent accidents and give you greater confidence in daily life.

Schedule a pelvic health check

If you have concerns about pelvic health, you’re experiencing symptoms, or you simply want to stay on top of things, make a pelvic health check part of your New Year’s resolutions. Now is a great time to schedule your annual well-woman exam so you can get a head start on your health goals.

At Obstetricians & Gynecologists, PC, we provide comprehensive women’s health care and can offer the guidance and support you need to maintain or improve pelvic health. Call us today in Hastings or Grand Island, Nebraska, or request an appointment online .

Cervical Health Awareness: What You Need to Know About Pap Smears

Fri, 02 Jan 2026 08:03:46 GMT

Cervical health isn’t something you think about every day, but you know that it’s an important part of overall health. It’s why Pap smears are such an essential part of your well-woman visit . This simple screening test helps detect cervical cell changes early, often long before they develop into serious conditions like cervical cancer.

Since becoming a routine health screening tool, rates of cervical cancer have declined significantly.

Given that January is national Cervical Health Awareness Month , our experienced providers at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, are taking this opportunity to share what you should know about Pap smears and why they matter.

What is a Pap smear?

A Pap smear is a health screening test used to detect cervical cancer and precancerous cell changes. During the test, we collect a sample of cells from your cervix and examine them for abnormalities that may suggest cancer or its early warning signs.

Finding abnormal cells during the early stages greatly increases your chances of successful treatment and may even give us an opportunity to prevent you from developing cervical cancer altogether.

Pap smears are often paired with testing for human papilloma virus (HPV), a sexually transmitted disease (STD) responsible for most cases of cervical cancer. While many women clear the viral infection on their own, some do not.

Knowing you have HPV may mean more frequent monitoring, additional testing, and treatment that protects cervical health.

Why Pap smears are important

Pap smears are important because they save lives. According to the American Cancer Society, cervical cancer rates have dropped by more than 50% since Pap smear screening became standard in the 1970s.

Because cervical cancer often doesn’t cause symptoms during the early stages, Pap smears can identify changes before you feel unwell. Treating problems during the early stages usually means the disease is more responsive to treatment, increasing your chances of a full recovery.

When you need a Pap smear

We recommend that women start Pap smears at age 21. You repeat the health screening every three years until age 29.

Starting at age 30, we may combine your Pap smear with HPV testing. If your HPV test is negative, you only need screenings every five years. If we detect HPV, we may recommend more frequent screenings.

What your Pap results mean

Pap smear results are either negative (normal) or positive (abnormal). A negative result means your cervical cells look healthy. A positive result doesn’t mean you have cervical cancer, just that abnormal cells were found.

If you test positive, we guide you through the next steps, which may include additional testing or a procedure to remove abnormal cells before they become a concern.

The HPV vaccine is another powerful tool for preventing cervical cancer. It helps your immune system fight off high-risk strains of HPV if you’re exposed to the virus.

January is Cervical Health Awareness Month, making it the perfect time to prioritize preventive care. If you’re due for your Pap smear this year, schedule it today.

Call Obstetricians & Gynecologists, PC , today or request an appointment online through this link .

Don't Let Holiday Stress Derail Your Health: A Woman's Guide

Thu, 11 Dec 2025 07:59:03 GMT

The holidays are supposed to be merry and bright, but you may feel as though they’re packed with stress, exhaustion, and endless to-do lists. Between shopping, cooking, and managing family expectations, it’s easy to put your health on the back burner.

But letting stress run the show can take a toll on your physical and emotional well-being and take the joy out of the season.

In Hastings and Grand Island, Nebraska, the team at Obstetricians & Gynecologists, PC , wants you to give yourself permission to slow down and prioritize your mental health this season. With a few simple strategies you can protect your energy, stay grounded, and enjoy the magic of the holidays without sacrificing your well-being.

Signs of holiday burnout

It’s no secret that women carry most of the holiday responsibilities, and while it comes from a place of love, the extra labor drains your energy and disrupts your well-being.

The first step in taking control of holiday stress is knowing when it’s getting to you. Signs of holiday burnout include:

Ongoing exhaustion
Feeling overwhelmed
Difficulty concentrating
Dreading the work
Experiencing physical symptoms like headaches or stomachaches

If you have any of these symptoms, take a time out for your physical and mental well-being. Acknowledging your burnout is the first step toward better health.

Set boundaries without guilt

Protect your health by setting boundaries and being OK with saying no.

Before saying yes to helping out at the school holiday fair or to that last-minute invite, ask yourself: Do I have the time for this? If you answer no, politely decline and move on. There’s no need to go into an elaborate explanation: “I wish I could, but I don’t have time right now.”

Keep expectations realistic. Bake one less batch of cookies and cut your least favorite side dish from the holiday meal.

Nourish your body

Nutrition is an important part of self-care, but it’s easy to get off track during the holiday season.

Set yourself up for a great start to the new year by sticking with your healthy eating plan throughout the holidays. Eat at regular intervals and make sure you add in plenty of fruits and vegetables, whole grains, and healthy proteins.

Hydration is equally important and easier to forget when it’s cold. Carry a bottle of water everywhere you go and refill frequently. Herbal tea is also good for hydration.

Move, breathe, and rest

Walking, stretching, and yoga are gentle movements that can help relieve tension. Go for a walk after dinner or stretch while watching TV.

Practice breathing exercises when you’re feeling overwhelmed. Take a deep breath in, hold it for several seconds, and then release. These exercises can quickly lower stress hormones and help you recenter.

Don’t skimp on sleep this holiday season — it’s your best remedy for holiday stress. Stick to your usual sleep schedule and avoid alcohol and caffeine too close to bedtime.

Protect your mental health

Instead of making the season about finding the perfect gift or having the best holiday lights, make it about reconnecting with yourself and those you love. Reflect on the positive moments of the season and practice gratitude for the people and experiences.

If you can’t get a handle on your stress or if you feel anxious or depressed, don’t wait to reach out for help. We offer mental health counseling for women. We can listen, support, and help you find balance that restores your health.

Call Obstetricians & Gynecologists, PC , today or book an appointment online.

5 Ways to Beat the Winter Blues and Boost Your Mood

Tue, 02 Dec 2025 07:53:18 GMT

With shorter days and lower temperatures, it’s not unusual to feel less energetic or even a little down. Feeling the winter blues isn’t just about having cabin fever, it’s a seasonal dip in mood brought on by less sunlight, disrupted routines, and change in activity.

But you don’t have to spend the colder months feeling sluggish or sad.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our mental and women’s health experts share simple, effective ways to beat the winter blues and lift your spirits.

Get some sunshine

Less sunshine in the winter affects production of hormones and brain chemicals that regulate your mood and internal clock. These changes can leave you feeling tired, low, and unmotivated.

A little extra sunshine can go a long way. You can:

Take short morning walks
Open your blinds to let in the light
Sit in a sunny window

If natural light is hard to come by, consider using a light therapy lamp. These devices mimic natural sunlight and can help improve your mood and energy levels.

Move your body

Exercise is more challenging when it’s cold outside, but regular movement is one of the best natural mood boosters. Exercise increases feel-good hormones, helping you feel more energized and positive.

Walking outdoors is a great form of exercise that helps you get more sun as well as a movement mood boost. You can also stream a workout video, follow an online yoga class, or stretch when watching TV.

Even 10 minutes a day can make a difference.

Prioritize good nutrition

Good nutrition is the foundation of overall wellness, and it also influences your mood. Many of the neurotransmitters that influence how you feel are produced in the gut, which is why it’s often called your second brain.

Keeping your gut healthy can benefit your mood by improving mood-regulating chemical production. Try adding more of these “good mood” foods to your plate:

Cruciferous vegetables
Berries
Beans
Fish
Olive oil
Avocados

In general, a balanced diet rich in fruits, vegetables, whole grains, lean proteins, and healthy fats supports your better mood and energy during the winter.

Focus on staying connected

Social connection is a powerful medicine for your mood. Isolation can worsen the winter blues, so it’s important to make time for relationships, even when it takes effort.

Schedule time in your week to connect with loved ones, meet a friend for coffee, take your kids to the park, or call a family member for a chat. Meaningful connection can lift your spirits and help you feel more grounded.

Prioritize sleep

Shorter days can disrupt your natural sleep-wake cycle, leaving you sleepy early in the evening and wide awake at odd hours. Try to maintain a consistent bedtime and wake time to support the body’s natural rhythm. Also, keep your bedroom dark, avoid screens at least a half-hour before you go to sleep, and create a relaxing bedtime routine.

Getting quality sleep restores your energy, sharpens your mind, and helps stabilize your mood.

Connect with our healthcare team

If you’re struggling to shake off the winter blues or you’ve lost interest in things you normally enjoy, you might be experiencing seasonal affective disorder (SAD), a serious mood condition that benefits from expert care.

Our team at Obstetricians & Gynecologists, PC, includes a mental health specialist who can provide expert and personalized mental health counseling and care.

Call us today or book an appointment online to get the help you need to feel better this winter.

Your Body After Baby: What to Expect in the Fourth Trimester

Tue, 11 Nov 2025 07:38:21 GMT

It’s easy to find information about what to expect during pregnancy, they even wrote a book about it. But what about after the birth of your baby — what’s often called the fourth trimester?

This critical period often gets overlooked, even though it’s filled with physical and emotional changes that deserve as much attention.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our team supports you through every stage of motherhood, from pregnancy to postpartum recovery. Here’s what you can expect from your body and mind in the fourth trimester, plus tips to help you heal and adjust.

What is the fourth trimester?

The fourth trimester refers to the first 12 weeks after delivery of your baby. Though not as widely discussed as the 40 weeks of pregnancy, this stage is equally important for your health and well-being.

During this time, your body and mind undergo immense physical, emotional, and social adjustments. You’re recovering from childbirth, adapting to a new sleep schedule, and learning how to care for a newborn — all while your hormones are shifting.

It’s no wonder many new moms feel exhausted, overwhelmed, and unsure of what’s normal.

Because of these significant changes, we view the fourth trimester as a vital part of your pregnancy care, not as an afterthought.

Your body after baby

You may find it surprising that your belly doesn’t return to its pre-pregnancy size right away. In fact, you may still look pregnant for a while, and that’s completely normal.

Your uterus, abdominal muscles, ligaments, and skin all stretch during pregnancy to make room for the growing baby. While your uterus shrinks after birth, it can take about six weeks to return to its pre-pregnancy size. Cramping is common as the uterus contracts; it’s sometimes so intense that it catches you off guard.

Vaginal discharge, called lochia , is another part of the recovery process. This discharge consists of blood, mucus, and tissue shed from your healing uterus, and it can last several weeks.

Pregnancy and childbirth can also weaken your pelvic floor — a group of muscles that support the pelvic organs and help control bowel and bladder function. Weakening of these muscles can lead to incontinence (urine leakage) or a feeling of pressure due to pelvic prolapse .

Though you may find your body after baby worrisome, all of these symptoms and conditions are treatable.

Emotional and mental adjustments

As your body is healing, your emotions are recalibrating. Many new moms describe feeling like they’re on an emotional roller coaster, happy one minute, tearful the next. This is largely due to the sudden drop in pregnancy hormones right after birth.

Most women experience the baby blues during the first week or two after delivery, which causes feelings of sadness, anxiety, and irritability. These feelings usually fade within a couple of weeks.

However, if your mood doesn’t improve or you find it hard to care for yourself or your baby, you may have postpartum depression, a common and treatable mental health condition.

At Obstetricians & Gynecologists, our team takes your emotional well-being during the fourth trimester seriously and checks in on you regularly so you get the support you need.

What to expect from postpartum care

While postpartum visits are less frequent than prenatal care appointments, they’re still important. Typically, we schedule your first visit about three weeks after birth, followed by a comprehensive physical exam before the end of the 12-week period.

If you had a Cesarean section or vaginal tearing, we schedule additional visits to monitor your healing.

Once you complete your postpartum recovery, we transition you to well-woman visits so we can continue to support and manage your long-term health.

The fourth trimester is as important as the first three, and you don’t have to navigate it alone. We provide comprehensive women’s healthcare throughout every stage, from prenatal to postpartum and beyond.

For expert care from a compassionate team, contact Obstetricians & Gynecologists, PC , today. You can call the office near you or request an appointment online.

I'm Bleeding Abnormally. Is It an Emergency?

Thu, 06 Nov 2025 07:22:10 GMT

It’s unsettling when you experience bleeding outside the norm for your menstrual cycle, whether it’s heavier, more frequent, or showing up between periods. While abnormal bleeding is common and often linked to hormonal and non-emergent conditions, it can sometimes signal something more serious.

If you’re experiencing abnormal bleeding you may wonder: Is it an emergency?

Our experienced team of providers at Obstetricians & Gynecologists, PC , is here to help women understand what’s considered normal, what’s not, and when abnormal bleeding is an emergency. Knowing the difference can protect your health and give you some peace of mind.

Understanding abnormal bleeding

Many women have an unpredictable menstrual cycle — some months the cycle is shorter, other months a little longer. These minor fluctuations are common and most often fit within the usual menstrual cycle of 21-35 days, with a period that lasts 3-8 days.

Bleeding is considered abnormal if it falls outside these normal patterns. For example:

Getting your period every two weeks
Skipping months
Bleeding longer than eight days
Having to change your pad or tampon every couple of hours
Spotting or bleeding between periods
Bleeding during or after sex

Every woman’s cycle is unique, but knowing what’s typical for your body makes it easier to spot when something’s off. If your bleeding pattern seems unusual, it’s best to check in with your doctor for peace of mind.

Common causes of abnormal bleeding

Abnormal bleeding can result from many factors, including gynecological conditions, chronic health issues, and even medications. Some of the common causes include:

Polycystic ovary syndrome ( PCOS )
Fibroids or polyps
Problems with ovulation
Endometriosis
Ectopic pregnancy
Miscarriage
Endometrial cancer
Birth control
Bleeding disorder

Hormonal fluctuations around menarche (start of menstruation) and the transition to menopause can also cause irregular or heavy bleeding.

When is it an emergency?

You should never ignore heavy or persistent bleeding.

If you’re changing your pad or tampon every hour for two or more hours and have chest pain, shortness of breath, or dizziness, you should seek medical care right away. These symptoms could indicate serious conditions such as a ruptured fallopian tube from an ectopic pregnancy .

Even if your symptoms aren’t an emergency, you should still schedule an appointment if you experience abnormal bleeding. While many causes aren’t serious, some are — like endometrial cancer.

Additionally, chronic heavy bleeding may lead to anemia, which can cause fatigue, irregular heartbeat, or sensitivity to cold.

Abnormal bleeding isn’t always an emergency, but it’s never something to dismiss. Our women’s health experts can help find the cause and create an effective treatment plan.

Call Obstetricians & Gynecologists, PC , today or request an appointment online to get the answers you need. We have convenient locations in Hastings and Grand Island, Nebraska.

Meet Julie: Our New Certified Nurse Midwife at Obstetricians & Gynecologists, PC

Sat, 25 Oct 2025 07:11:22 GMT

A Warm Welcome to Julie, Our New Certified Nurse Midwife

We are honored to introduce Julie R. Runcie, CNM, APRN as the newest member of the team at Obstetricians & Gynecologists, PC. Julie brings extensive experience, genuine compassion, and a dedication to providing exceptional care to women at every stage of life.

She supports women through adolescence, pregnancy, postpartum, and menopause — always with a caring, collaborative approach. At OBGYN, our mission is to ensure every woman feels heard, respected, and confident in her healthcare decisions, and Julie embodies that commitment beautifully.

Credentials, Training & Professional Experience

Julie earned her Bachelor of Science in Nursing from Creighton University and her Master of Science in Nursing – Nurse Midwifery from Frontier Nursing University . She is boardcertified by the American Midwifery Certification Board and a proud member of the American College of Nurse-Midwives.

Her clinical background includes years of experience in Level II and Level III hospitals in Nebraska and Illinois, including service at Mary Lanning Hospital in Hastings , where she served as a charge nurse and preceptor.

Julie’s professional expertise includes:

Managing low- and high-risk pregnancies
Providing labor and birth support, both medicated and unmedicated
Assisting with cesarean deliveries
Conducting newborn resuscitation and postpartum care
Supporting mothers and infants through early bonding and recovery

Her calm presence and medical proficiency help women feel safe and supported throughout their pregnancy and beyond.

Julie’s Philosophy of Care

Julie believes that exceptional care begins with listening. Her philosophy centers on collaboration, compassion, and empowerment , ensuring every woman understands her health options and feels involved in every decision.

She strives to create an environment where questions are encouraged and care plans are individualized — blending evidence-based medicine with warmth and empathy. Whether a patient is expecting her first child or managing her health through menopause, Julie focuses on the whole person, not just the condition.

Supporting Women Through Every Stage of Life

While midwives are best known for assisting with pregnancy and birth, Julie’s expertise extends far beyond that. She provides full-spectrum women’s healthcare, including:

Adolescent and young adult care – menstrual health, cycle education, and first gynecologic exams
Pregnancy and birth support – prenatal, labor, delivery, and postpartum care
Wellness and gynecologic services – annual exams, contraception, and screenings
Menopause care – symptom management, hormone counseling, and preventive health strategies

Her goal is to be a lifelong partner in health — empowering women to make informed, confident choices about their bodies.

A Collaborative Approach to Women’s Health

At OBGYN , Julie works closely with our team of physicians to provide comprehensive, teambased care . This collaboration ensures that patients have access to the full range of women’s health services — from preventive screenings to advanced obstetric and gynecologic procedures — all under one trusted practice.

Our patients benefit from the perfect balance of personalized midwifery care and medical expertise , tailored to meet their unique needs.

A Bit About Julie Outside the Clinic

Outside of her clinical work, Julie is an active member of her community. She volunteers at North Shore Church , where she teaches Sunday School and participates in the women’s ministry and worship teams. Her kindness, dedication, and faith shine through in everything she does — both in and out of the clinic.

Schedule an Appointment with Julie Today

If you’re looking for a provider who combines clinical excellence with compassionate, relationship-focused care, Julie Runcie, CNM, APRN is here for you. Whether your needs involve pregnancy care, wellness visits, or gynecologic support, Julie and the Obstetricians & Gynecologists, PC team are ready to provide the care you deserve.

Schedule your appointment with Julie today and experience personalized, empowering women’s healthcare.

What Does a Certified Nurse Midwife Do (and How Is It Different from an OB-GYN)?

Sat, 25 Oct 2025 06:57:54 GMT

Understanding the Role of a Certified Nurse Midwife

When many people hear “midwife,” pregnancy and birth often come to mind. At Obstetricians & Gynecologists, PC, our midwifery team — Julie Runcie and Brandy Rogers — provides much more: advanced women’s health care across all stages of life.

Certified Nurse Midwives (CNMs) are advanced practice registered nurses with specialized training in women’s health, pregnancy, childbirth, and preventive care. They provide comprehensive, evidence-based health services for women of all ages — from adolescence through menopause — with a strong focus on education, collaboration, and personalized care.

Education and Training: What Sets a CNM Apart

To qualify as a CNM, providers complete years of advanced education and clinical training. Julie holds a Master of Science in Nursing — Nurse Midwifery, and Brandy likewise earned her Master of Science in Nursing from Frontier Nursing University and is board-certified by the American College of Nurse-Midwives.

This training allows CNMs to:

Conduct routine women’s health exams and screenings
Provide prenatal, labor, and postpartum care
Manage certain higher-risk pregnancies in collaboration with physicians
Offer contraception and family planning services
Address menopause and hormonal transitions
Provide health education and wellness counseling In short, midwives are experts in healthy pregnancies and holistic wellness, offering strong expertise in normal progression and personalized support.

How Midwives and OB-GYNs Work Together

At OBGYN, midwives and OB-GYN physicians collaborate to deliver seamless, well-rounded care. They don’t replace one another — they complement one another. Here’s how:

Certified Nurse Midwife (CNM)

Focuses on low-risk pregnancies, natural birth support, preventive wellness
Emphasizes shared decision-making and patient autonomy
Offers continuous labor support and higher time-for-education

OB-GYN Physician

Focuses on complex and high-risk pregnancies, surgical and advanced medical interventions
Provides medical management when needed, including surgical options
Oversees less common or more medically involved scenarios

Together, the midwife team and OB-GYN physicians at OBGYN ensure you receive the right level of care — from supportive, low-intervention births to advanced medical treatment when needed.

The Benefits of Midwife-Led Care

Choosing a CNM like Julie or Brandy offers many advantages:

Personalized attention: More time per visit, deeper relationships, thorough education.
Lower intervention rates: While always safe and evidence-based, midwife-led care often means fewer unnecessary procedures
Collaborative support: Midwives collaborate with physicians and hospital teams for safety and continuity.
Holistic approach: Physical, emotional and social health are addressed.
Continuity of care: The same provider (or midwife team) supports you across pregnancy, birth and postpartum.

At OBGYN, this model gives you the best of both worlds: the personalized, relationship-based midwifery care of Julie & Brandy, backed by the full resources of our OB-GYN physician team.

When to See a Certified Nurse Midwife

Midwives provide care for far more than pregnancy. Julie and Brandy are available for:

Annual wellness exams and Pap smears
Birth control counseling and management
Preconception care and fertility guidance
Prenatal visits and labor support
Menopause management and hormone education
Postpartum recovery and lactation support No matter your life stage, the midwife team at OBGYN puts your voice and your preferences front and center.

Choosing the Right Provider for You

Both CNMs and OB-GYNs are essential parts of women’s health care. The choice often depends on your individual preferences, health history, and goals.

If you’re looking for a provider who combines medical expertise with personalized, relationship-focused care , consider Julie Runcie or Brandy Rogers at Obstetricians & Gynecologists, PC. And if your care ever requires additional medical or surgical intervention, our OB-GYN physicians are right there — working in harmony.

Learn If Midwife Care Is Right for You

Discover how midwifery can enhance your health and wellness experience. Whether you’re planning a pregnancy or seeking a compassionate women’s health provider, the midwife team of Julie and Brandy is here to support you every step of the way. Schedule your visit with Julie or Brandy today.

Midwives: More Than Birth – How They Support Women’s Health at Every Age

Sat, 25 Oct 2025 06:48:59 GMT

Beyond Birth: A Lifelong Partner in Women’s Health

When most people think of midwives, they picture pregnancy and childbirth. But at Obstetricians & Gynecologists, PC, our midwife team — Julie Runcie and Brandy Rogers — offers care far beyond those moments.

They support women through every stage of life — from adolescence to menopause and beyond — combining clinical expertise with a gentle, relationship-based approach. Whether you’re scheduling a wellness visit, exploring family planning, or navigating menopause, Julie and Brandy are here to guide you.

Adolescent and Young Adult Care

A young woman’s first encounter with a healthcare provider can shape how she engages with her health for years. Julie and Brandy offer a safe, educational, and judgment-free environment where teens and young adults can learn about their bodies, menstrual health, and reproductive choices. Services include:

First gynecologic exams and annual checkups
Menstrual health education and cycle tracking
Contraceptive counseling and birth-control options
Guidance on healthy lifestyle and self-care

By offering empathetic and clear communication, our midwives help young women build confidence and understanding.

Family Planning and Preconception Counseling

Planning for (or sometimes planning not to) start a family is a key part of women’s health. Julie and Brandy provide dedicated family-planning and preconception care — helping you make informed decisions about timing, fertility, and health optimization.

They discuss contraception, fertility awareness, and pre-pregnancy health habits to help you prepare for what’s ahead — no matter your goals.

Pregnancy, Birth, and Postpartum Care

Of course, midwives are also essential for pregnancy and childbirth. Julie and Brandy provide comprehensive prenatal care, labor and delivery support, and postpartum follow-up — grounded in compassion, education, and clinical strength.

After delivery, they continue to check in on your emotional and physical recovery, breastfeeding support, and overall well-being — ensuring the transition to motherhood is supported in every way.

Wellness and Gynecologic Care

Midwives also play a major role in ongoing wellness. Many women choose to see a midwife for preventive and routine gynecologic care, including:

Annual exams and Pap smears
Breast exams and cancer-screening coordination
Contraceptive care and renewal
Menstrual/hormonal health assessments
Common gynecologic condition diagnosis/treatment

More than just a check-up, these visits are about building trust and continuity — and our midwives create comfortable spaces for meaningful conversations.

Menopause and Midlife Support

Midlife presents new transitions — physically, emotionally, and socially. Julie and Brandy help women navigate these changes with education, empathy, and practical strategies. They provide support for symptoms such as hot flashes and sleep changes, while also focusing on long-term health issues like bone density, cardiac wellness, and hormonal balance. Their goal: to help women feel grounded, empowered, and comfortable in their bodies at every stage.

A Partner in Health Through Every Stage

At Obstetricians & Gynecologists, PC, our midwife team — Julie Runcie and Brandy Rogers — is more than a childbirth expert. They’re lifelong partners in your health. By combining advanced clinical knowledge with warm, relationship-focused care, they ensure that every woman receives support that’s both comprehensive and compassionate.

From your very first exam to midlife transitions and beyond, Julie and Brandy are here to see you, support you, and empower your health journey.

Schedule Your Visit with Julie or Brandy Today

You don’t have to be pregnant to benefit from midwifery care. Whether you’re seeking a wellness checkup, exploring family planning, or navigating menopause, Julie Runcie, CNM, APRN and Brandy Rogers, CNM, APRN want to help. Schedule your visit today at Obstetricians & Gynecologists, PC and experience women’s health care that truly sees and supports you.

Meet Brandy Rogers: Certified Nurse Midwife at Obstetricians & Gynecologists, PC

Sat, 25 Oct 2025 06:45:20 GMT

A Warm Welcome to Brandy, Our Certified Nurse Midwife

We’re thrilled to introduce Brandy Rogers, CNM, APRN , one of our exceptional Certified Nurse Midwives at Obstetricians & Gynecologists, PC . Brandy brings a wealth of clinical experience and a deep passion for women’s health to our practice. Her goal is to empower women to take charge of their health and to feel supported, understood, and valued through every phase of life.

With her calm demeanor and patient-centered approach, Brandy helps women navigate everything from routine checkups and family planning to pregnancy and menopause with confidence and comfort.

Education and Professional Background

Brandy earned her Master of Science in Nursing with a specialty in Nurse-Midwifery from Frontier Nursing University . She is board-certified by the American Midwifery Certification Board and is a member of the American College of Nurse-Midwives.

Before joining OBGYN, Brandy gained extensive hands-on experience caring for women through pregnancy, labor, delivery, and postpartum recovery. She has attended numerous births in both hospital and clinic settings, always prioritizing each patient’s individual goals and comfort levels.

Her skills include:

Comprehensive prenatal, labor, and delivery care
Support for natural and medicated birth experiences
Postpartum and newborn care with a focus on education and recovery
Gynecologic and preventive women’s health services
Family planning and contraceptive counseling

Brandy’s training and experience reflect her commitment to safe, evidence-based, and empathetic care for women at every age.

Brandy’s Philosophy of Care

Brandy believes that every woman deserves to feel seen and heard when it comes to her health. Her care philosophy centers on listening first, educating always, and partnering with patients to create personalized plans of care.

She encourages open conversations about women’s health topics that are often overlooked — from menstrual irregularities and fertility concerns to emotional well-being and menopause. Patients appreciate her gentle approach and ability to make complex medical information easy to understand.

Brandy’s goal is to build trust and empower women to make informed decisions about their bodies and their care.

Comprehensive Care for Every Stage of Life

Brandy Rogers provides a wide range of services that go well beyond pregnancy and birth. Her expertise includes:

Adolescent and Young Adult Care — guidance on reproductive health, menstrual education, and safe family planning.
Pregnancy and Delivery Care — personalized prenatal care, labor and birth support, and postpartum follow-up
Gynecologic and Preventive Services — annual exams, Pap smears, birth control options, and STI screening.
Perimenopause and Menopause Support — symptom management and hormone health education.

Brandy takes a holistic view of women’s health, addressing both physical and emotional wellbeing. She strives to make every visit a positive, empowering experience.

Collaborative Care at OBGYN

At OBGYN, Brandy works closely with fellow midwife Julie Runcie, CNM, APRN , and our team of board-certified obstetricians and gynecologists. Together, they provide a team-based approach to women’s health that combines the personal touch of midwifery with the comprehensive expertise of modern medicine.

This collaboration ensures that patients receive well-rounded care — whether they desire a lowintervention birth or need specialized medical support.

A Personal Touch Outside the Clinic

When she’s not caring for patients, Brandy enjoys spending time with her family, engaging in community activities, and advocating for women’s health education. Her kindness and dedication shine both in and out of the clinic, making her a trusted and beloved provider to many families in the community.

Schedule an Appointment with Brandy Today

Whether you’re expecting, planning, or simply want a provider who listens and understands, Brandy Rogers, CNM, APRN , is here for you. Her blend of clinical expertise and compassionate care makes her a true partner in your health journey.

Schedule your appointment with Brandy Rogers today at Obstetricians & Gynecologists, PC , and discover midwife-led care that supports you through every stage of life.

Top 5 Benefits of Choosing a Certified Nurse Midwife for Your Pregnancy Care

Fri, 24 Oct 2025 18:13:56 GMT

A Personalized Approach to Pregnancy Care

Pregnancy is a significant journey filled with anticipation, hope, and important decisions. At Obstetricians & Gynecologists, PC, our Certified Nurse Midwives, Julie Runcie and Brandy Rogers, offer a unique, patient-centered approach that brings together advanced clinical skill and warm, supportive care.

Whether you’re planning your first baby or expanding your family, choosing a midwife means having an advocate who listens, educates, and stands with you through each step

Personalized Attention and Emotional Support

One of the most meaningful benefits of midwife-led care is the time and attention you receive. Julie and Brandy take the time to listen, answer your questions, and truly get to know you—not just as a patient, but as a person.

Their visits are designed to make you feel comfortable, informed, and supported. There’s space to discuss your hopes, concerns, and preferences — and to build a trusting relationship that continues into labor, delivery, and postpartum.

Support for Natural Birth and Empowered Decision-Making

Midwives like Julie and Brandy are champions of empowered birth experiences. Whether you envision a natural labor, want guidance about pain-management options, or have specific preferences for your birth plan, they provide both the education and emotional support to help you make informed choices.

With their experience in unmedicated and medicated births, and strong collaboration with our OB-GYN physician team, you’ll get personalized, safe, evidence-based care that aligns with your goals.

Fewer Unnecessary Interventions

Research shows that women under midwife-led care often experience lower rates of unnecessary interventions — such as inductions or cesarean deliveries — when appropriate. This isn’t about avoiding medical care when needed; it’s about supporting your body’s natural process safely and with respect.

If complications arise, Julie and Brandy coordinate with our OB-GYN physicians to ensure you receive optimal care — a true partnership model.

Continuity of Care from Pregnancy to Postpartum

The relationship you build with your midwife doesn’t end when your baby is born. Julie and Brandy continue to walk with you into the postpartum period, offering support for recovery, emotional well-being, breastfeeding, and adjusting to motherhood.

This continuity of care fosters a smoother transition, making many women feel more secure and supported during an important life change.

Collaborative, Holistic Care for the Whole Family

At OBGYN, our philosophy embraces teamwork. Julie and Brandy work closely with our OBGYN physicians and women’s health specialists to deliver comprehensive care that unites the holistic philosophy of midwifery with the medical expertise of obstetrics.

This integrated approach gives you access to the full range of care — from prenatal and labor support to postpartum and beyond — while experiencing the compassionate, individualized touch that midwifery is known for.

Experience the Difference of Midwife-Led Care

Pregnancy and childbirth are deeply personal — and the provider you choose matters. With Julie Runcie and Brandy Rogers leading our midwifery care at Obstetricians & Gynecologists, PC, you’ll find providers who value your voice, support your goals, and walk beside you through every stage of your journey.

Whether you envision a low-intervention birth, want to learn more about your options, or simply want a provider who listens, you’re in the right place.

Meet Julie or Brandy and explore your care options today.

Thinking About Starting a Family Later? What to Know About Fertility Preservation

Mon, 13 Oct 2025 18:12:07 GMT

Do you want children someday, but not right now? Many people are choosing to delay parenthood to focus on their career, education, or personal growth.

While it’s important to start a family when the timing feels right, it’s also important to know that fertility naturally declines as you get older. Fertility preservation gives you the option to take action now so you can keep the door open for growing your family later.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our team specializes in infertility and reproductive health. We want to help you take a proactive role in your future pregnancy plans.

Here’s what you need to know about fertility preservation, how it works, and when it might make sense for you.

What is fertility preservation?

Fertility preservation means taking steps now so you have the chance to have your own biological children in the future. For women, common fertility preservation methods include:

Egg freezing

This method involves taking hormones to stimulate your ovaries to produce multiple eggs during a single menstrual cycle. These eggs are collected, evaluated, and frozen for future use.

Embryo freezing

Embryo freezing follows the same steps as egg freezing. However, the eggs are fertilized by sperm to create an embryo for freezing.

Ovarian tissue freezing

If you can’t undergo the ovarian stimulation process for egg freezing, you may consider ovarian tissue freezing. This involves removing and freezing a portion of your ovarian tissue, which is reimplanted at a later date.

If tissue regains function, you may get pregnant naturally or through in vitro fertilization (IVF). Ovarian tissue freezing is a newer fertility preservation method, and research on its long-term success is ongoing.

When to consider fertility preservation

You may consider fertility preservation if you think you might want to wait until your late 30s or 40s to have children. You may decide to delay children so you can focus on your career or finish school or haven’t found the right partner.

Medical conditions like endometriosis and autoimmune disorders as well as medical treatments like chemotherapy for cancer are also common reasons women seek fertility preservation. These medical conditions and treatments can make pregnancy more challenging.

Pros and cons of fertility preservation

Fertility preservation extends your biological clock, giving you more time and flexibility to start your family. It also provides peace of mind while you focus on other priorities.

While fertility preservation offers many benefits, it’s not without risks. Egg retrieval procedures performed carry risks like infections or bleeding. Ovarian stimulation temporarily increases estrogen levels, which may increase risk of blood clots or estrogen-sensitive conditions.

Further, fertility preservation doesn’t guarantee pregnancy, and insurance coverage varies. It can cost more than $10,000 for the egg retrieval and as much as $300 a year for storage.

If you want to have children, but not right now, fertility preservation may give you the time and options you need. Our women’s health experts can talk to you about your options and help you plan for your future family.

Call Obstetricians & Gynecologists, PC , today or request an appointment online to learn more about fertility preservation and how it might benefit you.

Beyond the Basics: What Your Mammogram Results Really Mean

Thu, 09 Oct 2025 18:09:44 GMT

Getting a mammogram each year is an important step toward protecting your health. While most people think of mammogram results as simply “normal” or “abnormal,” your report contains more detailed information about your breast health and what follow-up care you might need.

Our women’s health experts at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, want you to feel confident about understanding your results. Beyond the basics, here’s what you should know.

Why mammograms are important

Mammograms are a health screening for breast cancer. It’s a breast X-ray that helps find abnormal breast tissue before you have symptoms.

Breast cancer is both the most common cancer and the second leading cause of cancer death in American women. Routine mammogram screenings save lives by detecting abnormalities early when it’s more responsive to treatment. Breast cancer death rates in the United States have declined thanks in part to mammograms.

After your screening appointment, a radiologist reviews the images, comparing them to previous images if available, to determine your results and write a detailed report of their findings.

What a mammogram report includes

While you may receive a summary letter with basic results, your full mammogram report offers a more in-depth look. It typically includes two key pieces of information:

BI-RADS® score

The Breast Imaging Reporting and Data System (BI-RADS) is a standardized scoring tool radiologists use to categorize results and guide next steps. Scores range from zero to six:

Category 0: Incomplete and more imaging needed
Category 1: Negative or normal
Category 2: Benign abnormalities identified
Category 3: Probably benign, but follow-up needed
Category 4: Suspicious findings, but likely not cancer
Category 5: Highly suspicious for cancer
Category 6: Known breast cancer diagnosed by biopsy

Routine mammogram screenings usually result in scores from zero to two, while diagnostic mammograms may give scores in any category.

Breast density score

Breast density describes how much fibrous and glandular tissue you have compared to fatty tissue. Denser breast tissue makes it harder to find abnormalities. Breast density levels include:

Category A: Mostly fatty tissue, not dense
Category B: Scattered areas of fibrous and glandular tissue
Category C: Mostly dense tissue
Category D: Very dense tissue

It’s not unusual to have dense breast tissue, but your provider may order follow-up imaging, such as ultrasound .

What your mammogram results mean

Results from a mammogram are normal or abnormal. Normal results mean the radiologist didn’t find any unusual tissue or areas of concern. While you may breathe a sigh of relief, it’s important to continue your breast self-exams and routine mammogram screenings that monitor changes over time.

Abnormal results mean the radiologist found one or more areas of concern and follow-up care is recommended. However, this result doesn’t automatically mean you have breast cancer.

When you need follow-up care

You need follow-up care following a mammogram if your results are abnormal, unclear, or difficult to determine due to breast density. We may first request additional imaging such as a diagnostic mammogram, 3D mammogram, or an ultrasound.

If these imaging studies find any solid mass, we do a biopsy to look for cancer cells.

Our team carefully reviews your report with you so you fully understand the findings and next steps for your care.

If you’re 40 or older and you haven’t had a mammogram, or if it’s been more than two years since your last screening, it’s time to schedule one. At Obstetricians & Gynecologists, PC, we offer mammograms at our Grand Island office and can guide you every step of the way.

Call us today or request your mammogram appointment online. Protecting breast health starts with regular screening.

5 Ways to Make Your Next Mammogram Breezier

Mon, 15 Sep 2025 17:49:02 GMT

Between the anticipation, awkwardness, and discomfort, it’s no surprise that you may not look forward to your routine mammogram. But at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our women’s health experts want to help change that.

With a few simple strategies, you can make your mammogram experience smoother and more comfortable.

Schedule strategically

A mammogram is an X-ray imaging test that helps detect early signs of breast cancer. Because the procedure involves pressing each breast between two plates, at a few different angles, it can cause discomfort.

To minimize pain, schedule your mammogram at the right time in your cycle. Your breasts are most tender the week before and during your period, try to avoid those days when booking your appointment.

For added consistency, try to schedule your mammogram at the same clinic each year. This can mean better image comparisons over time for more accurate results.

Dress right

Wear a two-piece outfit on the day of your mammogram. That way, you only have to remove your top and bra — there’s no need to take off your pants or shoes. The entire mammogram usually takes about 20 minutes, and you can go about your normal routine after.

Follow prep instructions

Our mammogram clinician provides instructions on how to prepare for your mammogram so you get the clearest results. Be sure you understand and follow the instructions before the test.

For example, they ask that you avoid applying deodorant , moisturizers, or lotions under your arms or on your chest. These personal care products may show up on the mammogram X-ray as white spots, potentially mimicking abnormalities that may lead to false positives.

Bring your mammogram records

If you’re visiting our clinic for the first time, bring your past mammogram records with you or arrange to have them sent to us. The radiologist compares current images with previous ones to identify subtle changes in breast tissue. Having your past images may mean more accurate results.

Talk to the tech

Before the screening begins, take a moment to talk to your imaging tech. Let them know if you’re feeling anxious or have any specific concerns, such as pain sensitivity or recent findings during a self-exam.

And don’t hesitate to ask questions about the test, what to expect, and when you might get results. Feeling informed and heard can ease your nerves and help you feel more in control.

Are you due for a mammogram?

Regular mammograms can find breast cancer during the early stages, when it’s most treatable. Don’t let fear or discomfort keep you from this life-saving screening. A little preparation can go a long way toward making the process breezier.

If it’s time for your mammogram or you have questions about the process, we’re here to help. Obstetricians & Gynecologists, PC , today or book an appointment online to get the answers you need. We offer mammograms at our clinic in Grand Island, but you can schedule your appointment through either office.

Endometriosis and Infertility: How Are They Linked?

Mon, 15 Sep 2025 17:41:05 GMT

Trying to get pregnant can feel especially frustrating if you have endometriosis . In fact, women with endometriosis are four times more likely to experience infertility than women without the condition.

What’s the link between endometriosis and infertility ?

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our caring team is here to help you understand how endometriosis can affect your fertility — and explain what you can do about it.

About endometriosis

Endometriosis is a gynecological condition where uterine-like tissue grows outside the uterus, often on the ovaries, fallopian tubes, or the pelvic cavity lining. While pelvic pain and heavy menstrual bleeding are the most common symptoms, endometriosis may also cause bloating, fatigue, and infertility.

Every month, this tissue behaves like your uterine lining: It thickens, breaks down, and bleeds. However, unlike normal menstrual blood within your uterus, this blood has no way to exit the body. Over time, the displaced tissue causes inflammation and scarring.

Link between endometriosis and infertility

The exact link isn’t fully understood, but researchers believe multiple factors are involved . However, they have found that women with more widespread endometrial growth are more likely to struggle with infertility.

Women with more endometrial growths may have a harder time getting pregnant due to structural and functional changes that affect egg fertilization — such as scar tissue blocking the fallopian tube — or embryo implantation. The chronic inflammation may also damage the egg, sperm, or embryo, affecting your ability to get and stay pregnant.

Endometriosis can also interfere with the hormones necessary for ovulation and implantation.

What you can do

Endometriosis can make it more difficult to get pregnant, but many women with the condition go on to have healthy pregnancies. The right treatment depends on the severity of your endometriosis and overall fertility health.

Mild cases

If your endometriosis is mild, you may not have any trouble conceiving. If you do, we may recommend fertility medication to increase ovulation or intrauterine insemination (IUI), inserting sperm directly into the uterus.

Moderate to severe cases

If your endometriosis is moderate to severe, we may recommend surgery to remove endometrial growths to improve your chances. We may also suggest in vitro fertilization (IVF) if it gives you the best chance of growing your family.

Don’t lose hope if you have endometriosis

Endometriosis may complicate your fertility journey, but that doesn’t mean pregnancy is out of the question. If you have endometriosis and you’re thinking about starting or growing your family, our experts at Obstetricians & Gynecologists, PC, can talk to you about your options.

Call us today or book an appointment online to get started.

Do Birth Control Pills Interact With Other Medications?

Thu, 07 Aug 2025 18:12:31 GMT

Birth control pills are one of the most popular forms of contraception in the United States. They’re effective at preventing unintended pregnancies as well as helping to manage gynecological conditions like polycystic ovary syndrome ( PCOS ) and endometriosis .

Despite the pill being one of the most common forms of birth control , many women may not know that taking oral contraceptives with certain other medications may make your contraception less effective.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our women’s health specialists think it’s important for women to know about how other medications interact with birth control pills so they can take the necessary precautions to prevent pregnancy.

How birth control pills work

Estrogen and progestin are the active ingredients in birth control pills. These hormones play a critical role in managing your menstrual cycle and ovulation, when your ovaries release an egg.

Birth control pills work by preventing ovulation. If you don’t release an egg, pregnancy can’t happen. When taken as prescribed, birth control pills are effective at preventing pregnancy.

The pill is safe to take with most other medications and doesn’t affect how those other drugs work. However, certain medications may make birth control less effective at preventing pregnancy.

Risks of mixing medications

Birth control pills are metabolized in the liver. Medications that interact with the same liver enzymes as birth control may affect how quickly your body metabolizes your contraceptive. Some medications may speed up the breakdown of birth control, affecting hormonal levels.

Effectiveness of your birth control depends largely on the levels of hormones in the body. Changes in hormone levels may trigger your menstrual cycle and ovulation. That’s why we recommend taking birth control at the same time every day for maximum effectiveness. This helps keep hormones at the levels needed to prevent ovulation.

Medications that speed up the breakdown of birth control affect hormone levels, increasing risk of pregnancy. Additionally, medications that slow down digestion may affect absorption of birth control pills, making them less effective.

Medications that interact with birth control

Most medications don’t interact with birth control. However, there are a few that you should be aware of. These include:

Anti-epileptic drugs
Antiretrovirals for HIV
Antibiotics like rifampin, tetracycline, amoxicillin
Antifungal drugs
GLP-1 agonists (Ozempic®, Mounjaro®)

Not all antibiotics and antifungal drugs affect birth control pills, but it’s important to know that some may. Herbal supplements like St. John’s Wort may also make your birth control less effective.

How to stay protected

It’s not the birth control pills that interact with other medications, but the other drugs that may make your birth control less effective.

When you have any doubts about the effectiveness of your birth control, use a second form of protection like condoms or spermicide.

If you have concerns about birth control pills interacting with other medications, talk to your pharmacist or schedule an appointment with the team at Obstetricians & Gynecologists, PC. We can take a closer look at the medications you take and provide accurate information that can help you stay protected.

We’re here to provide the answers you need. Call us today or request an appointment online.

How to Reduce Menopause-Related Brain Fog

Thu, 07 Aug 2025 18:06:39 GMT

If you’re often walking into a room but forgetting why or struggling to find a word mid-sentence, you may think you’re experiencing early signs of dementia. But it could be early signs of menopause .

Menopause-related brain fog is common in women, causing temporary lapses in memory, poor concentration, and mental fatigue. While it’s frustrating, you don’t have to simply put up with it. There are things you can do to improve your cognitive cloudiness.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our providers are glad to offer tips on how to reduce menopause-related brain fog.

What is menopause brain fog?

It seems a few stages of life affect a woman’s cognitive sharpness, from baby brain to menopause-related brain fog. While researchers are still looking for the underlying cause of these cognitive changes, they theorize that your hormones are the primary culprit.

Estrogen receptors are found throughout the body, including the brain. The body is very sensitive to hormone fluctuations, and any changes affect function. This can cause a wide range of symptoms, including brain fog.

While we can’t stop menopause, we can help you manage the symptoms it causes. And bear in mind that while forgetfulness and mental fatigue that comes with menopause-related brain fog can affect many aspects of your life, it’s not permanent.

Prioritize sleep for better concentration

Sleep is restorative, repairing your body from the damage of the day and preparing for the next. Not getting enough sleep may exacerbate your brain fog symptoms.

Make sleep a priority, aiming for 7-9 hours a night. Try to go to bed and wake up at the same time every day, and put away all electronics an hour before bedtime. Keep your room dark and cool; wear breathable pajamas and keep a fan running to help combat night sweats.

Improve thinking skills with regular exercise

Exercise can ease many menopause symptoms, including sleep disruptions, hot flashes, and mood. It may also help you shake off your brain fog.

A recent study found that engaging in moderate to vigorous physical activity — for example, walking, running, gardening, or swimming laps — for even as little as five minutes a day improved thinking and focus in a group of older adults.

Make a plan to add more activity to your day to help you think more clearly.

Fuel your brain with good nutrition

Your brain is a big energy consumer and requires certain types of fats and nutrients to function. Fill your diet with food that feeds the brain, such as:

Fatty fish
Nuts and seeds
Leafy greens
Berries
Beans
Whole grains

Adding tofu, tempeh, or edamame to your diet may help, too. Soy foods contain phytoestrogens and may support brain function through their estrogen-like activity .

When to get professional help

Adequate sleep, increased activity, and good nutrition are essential for all women going through menopause. But lifestyle changes aren’t always enough. If your brain fog makes it difficult for you to function, it’s time to reach out for help.

Our team specializes in menopause management and can develop a personalized plan that can help you feel more like you. Hormone replacement therapy (HRT) is a safe and effective treatment that helps many manage menopause symptoms. While HRT isn’t a treatment for brain fog, it can alleviate other symptoms that affect thinking and focus.

Menopause-related brain fog is one more thing you may face when going through the change of life. But it’s not something you need to live with. If your menopause symptoms are taking over your life, we can help. Contact Obstetricians & Gynecologists, PC , today to schedule an appointment.

All About Fibroids: Causes, Signs, and Treatment

Mon, 14 Jul 2025 17:54:06 GMT

Despite affecting millions , many women don’t talk all that much about fibroids . These noncancerous tumors grow in or on the uterus and can vary greatly in size, number, and impact. Some women may not even know they have fibroids, while others experience disruptive symptoms like pelvic pain or heavy menstrual bleeding .

Our team of board-certified physicians and licensed nurse practitioners at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, believes that understanding fibroids is key to managing them. Here’s what you need to know about fibroids, including causes, signs, and treatments.

Why do fibroids develop?

Fibroids are benign muscular growths that form in the uterus. While the exact cause is still under investigation, researchers theorize that fibroids result from a combination of genetic and environmental factors. You’re more likely to have growth if they run in your family.

Diet may also play a role. Some studies suggest that eating more red meat and fatty foods can increase your risk, while eating more fruits and vegetables might lower it. But research is in the very early stages, and we can’t be sure that diet is a major factor.

However, any woman can develop fibroids. Some women may have these common growths and not know it, making it difficult to develop a strong list of risk factors.

Fibroid symptoms

Symptoms related to fibroids vary immensely depending on size, number, and location. Some women may not experience any issues if their fibroids are small, and they may go undetected during an annual well-woman exam .

But not all women are so lucky. Fibroids can cause a wide range of uncomfortable symptoms, such as:

Pelvic pain
Back pain
Heavy menstrual flow
Infertility
Increase in urination
Constipation or diarrhea

Fibroids may even grow large enough to increase your waist size.

If you have fibroid symptoms, we may recommend a pelvic ultrasound to look for the growths and determine the location, size, and number. We may also do an MRI to get a more accurate image of the fibroids and create a treatment plan.

Fibroid treatment options

Treatment for fibroids depends on your symptoms and concerns. If your fibroid doesn’t bother you, we may not do anything but monitor the growth with periodic ultrasounds.

If your fibroid causes pain or heavy periods, we may recommend over-the-counter pain medication and birth control. We may also prescribe medication that decreases production of estrogen and progesterone, putting you in a temporary menopausal state, to shrink the fibroid.

Large fibroids that cause infertility, chronic pelvic pain, or other uncomfortable symptoms may benefit from surgery that removes the fibroid (myomectomy) or the uterus ( hysterectomy ). The best surgery for you depends on your age and future pregnancy plans. Most procedures are done by minimally invasive surgery to reduce pain and recovery time.

Uterine fibroid embolization and radiofrequency ablation are newer nonsurgical treatment options that work by cutting off blood supply to the fibroid. Because these treatments affect fertility, we only perform them for women with no pregnancy plans.

Fibroids are often harmless, but if you have symptoms of fibroids or you’ve been diagnosed, our team is here to help. Call Obstetricians & Gynecologists, PC , today or schedule a consultation online to learn more about managing fibroids with personalized care.

Minimally Invasive Surgery for Pelvic Pain: What to Expect

Tue, 01 Jul 2025 17:44:34 GMT

Ongoing pelvic pain can disrupt your daily routine, strain relationships, and take a toll on your overall well-being. When conservative approaches like medications or physical therapy fail to provide significant or lasting relief, you may need surgery to diagnose or treat the source of your discomfort.

At Obstetricians & Gynecologists, PC , our skilled OB/GYNs use minimally invasive surgical techniques whenever possible. These advanced methods involve smaller incisions that generally lead to less pain after surgery and a faster recovery.

Even with smaller incisions and faster healing, the idea of surgery can still feel overwhelming. Knowing what to expect may help ease your concerns so you feel more prepared for the experience.

Understanding pelvic pain

Many women experience pelvic pain at some point, though its cause, intensity, and duration can vary greatly. In some cases, the cause is obvious, while it’s not so clear in others.

Common gynecological conditions that cause pelvic pain in women include:

Endometriosis
Fibroids
Ovarian cysts
Pelvic inflammatory disease (PID)
Menstrual disorders

However, not all pelvic pain stems from the reproductive organs. Digestive issues, urinary tract conditions, or musculoskeletal problems may also be to blame.

No matter the cause, we explore all nonsurgical interventions first. We consider surgery only when we’re confident that your pain originates from a gynecological condition.

What is minimally invasive surgery?

Because of its location, surgery for pelvic pain typically requires incisions through the abdomen. In the past, this meant large incisions and long recovery periods. Today, minimally invasive surgery has transformed the process with smaller incisions and specialized tools.

Some of the minimally invasive techniques we may use when treating pelvic pain include:

Vaginal surgery

This technique allows us to access the reproductive organs through small incisions in the vagina, eliminating the need for abdominal incisions. It’s the least invasive approach and commonly used for hysterectomy and pelvic prolapse .

Laparoscopic surgery

Using a laparoscope, a thin flexible tube with a light and camera we insert through small incisions, we can see your internal organs without making large cuts through the abdominal wall.

Laparoscopic surgery can help us diagnose the cause of your pelvic pain and then perform surgery to treat it by inserting surgical tools through the laparoscope or through additional small incisions.

Robotic surgery

Robotic surgery is an advanced technique that combines laparoscopic techniques with robotic technology. It allows us to perform complex procedures through smaller incisions with better precision and flexibility.

Minimally invasive surgery helps us diagnose endometriosis , treat painful periods, and remove uterine fibroids.

Preparing for surgery

How you prepare for minimally invasive surgery depends on the type of surgery you need and the suspected cause of your pain. After presurgical imaging and labs, we review your plan and explain how to prepare.

You may need to avoid blood-thinning medications and supplements for a set period of time to reduce risk of bleeding. You also need to stop eating and drinking the night before to prevent anesthesia-related complications.

Good nutrition, regular exercise, managing stress, and getting enough rest are healthy habits that can help you prepare for a smoother recovery.

Healing and recovery

Most minimally invasive surgeries are outpatient procedures, so you go home the same day. However, a hospital stay is possible if you need close monitoring and care following surgery.

Healing and recovery time varies based on the complexity and extent of your surgery, ranging from a few days to a few weeks. The caring team at Obstetricians & Gynecologists, PC, provides individual post-op guidelines to ensure the fastest and safest recovery, and we’re just a phone call away if you have questions.

Minimally invasive surgery for pelvic pain often provides both answers and relief. If you’re struggling with ongoing discomfort, we’re here to help. Call us today in Hastings and Grand Island, Nebraska, or schedule a consultation online to learn more about your options.

Why You Shouldn’t Skip Routine Blood Pressure Tests

Thu, 05 Jun 2025 17:38:26 GMT

In the hustle of everyday life, routine health checks tend to get pushed to the bottom of the to-do list, especially if you feel fine. But some health conditions, like high blood pressure, can quietly damage your body without showing a single sign.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our team understands how your busy life can make it challenging to schedule time for routine health visits. That’s why we offer well-woman exams and primary care all in one place, so it’s easier for you to stay on top of your health.

One of the most important, but often overlooked, parts of preventive care is routine blood pressure testing. Here, we explain why it’s important, how often to get checked, and the best ways to prepare for the test.

What is blood pressure?

Blood pressure is the force of blood against the artery walls as your heart pumps. When checking your blood pressure, we measure two things:

Systolic pressure

This is the top number of your blood pressure reading. It measures the force of blood on the artery walls when the heart is pumping, or during the heartbeat.

Diastolic pressure

This is the bottom number of the reading. It measures the force of blood when the heart is at rest, or in between beats.

Your blood pressure naturally fluctuates throughout the day — trending higher during activity and lower when you’re relaxed. But consistently high blood pressure can damage the arteries and increase risk of health problems.

Why you need routine blood pressure testing

You might not feel different, but unchecked high blood pressure — also known as hypertension — can cause your arteries to thicken and stiffen. This change puts extra strain on your heart and can reduce blood flow to vital organs, increasing your risk of health complications such as:

Heart disease
Kidney disease
Stroke
Vision changes
Dementia

Hypertension is often thought of as a male health problem, but it affects women, too. And women are at even greater risk of having high blood pressure during pregnancy and after menopause .

The only way to know if your blood pressure is high is to get it checked regularly.

When you need blood pressure testing

The frequency at which you should set routine blood pressure tests depends on your age, personal health history, and family history.

If you’re between 18 and 39 and have good blood pressure readings, you may only need routine blood pressure screenings every 2-5 years. Once you reach 40, you need annual checks.

You may also need more frequent blood pressure tests at a younger age if you have risk factors for high blood pressure such as a family history or kidney disease.

Our primary care team tailors your testing schedule so we can help you stay on top of your health.

Preparing for blood pressure tests

Did you know that your morning coffee or a rushed walk from the parking lot may cause a spike in your blood pressure? Here’s how you can prep to get the most accurate results :

Avoid caffeine before your appointment
Don’t exercise right before your test
Use the restroom before you get to the office
Sit and relax for at least five minutes in the exam room
Uncross your legs and relax your arm during the test

Anxiety is common when visiting the doctor, so take deep breaths to calm your nerves before we place the blood pressure cuff on your arm to measure your numbers.

Tracking your blood pressure over time can help us identify issues before they turn into serious health concerns. Prioritizing these tests is one small step that makes a big difference in your long-term health.

Call Obstetricians & Gynecologists, PC , today or request an appointment online at the office nearest you to schedule a health visit.

4 Signs Your Ovarian Cyst Needs Treatment

Sun, 01 Jun 2025 17:19:06 GMT

About 10% of women develop ovarian cysts at some point. For many, these fluid-filled sacs in the ovaries come and go without any hint of symptoms.

However, some women may have cysts that grow large, rupture, or cause complications and require medical attention.

Our team of women’s health experts at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, is here to help you recognize the signs that may indicate your ovarian cysts need treatment. Seek treatment right away if you experience any of the following symptoms.

Changes in menstrual flow

Ovarian cysts are one of the symptoms of polycystic ovary syndrome ( PCOS ), a hormonal condition that affects ovulation. Women with PCOS may not release an egg every month, leading to the formation of cysts.

If your menstrual cycle is irregular and you have fewer than eight periods a year, you should schedule an appointment. An irregular cycle may have many causes that benefit from treatment.

PCOS specifically is a concern because it may affect overall health, putting you at risk of developing type 2 diabetes, high blood pressure, or infertility .

Sudden, severe pelvic pain

You may not have any symptoms with an ovarian cyst, and it can resolve on its own without you even knowing it was there.

However, any sudden, sharp pelvic pain is alarming. If you have ovarian cysts, that pain may mean your cyst has ruptured, putting you at risk of internal bleeding or sepsis. This is a serious and potentially life-threatening medical issue that requires emergency room care.

Nausea and vomiting

Larger cysts may not always rupture, but they can twist the ovary. Called ovarian torsion, it can cause severe pelvic pain, along with nausea and vomiting.

Ovarian torsion may cut off blood supply, affecting the health of your ovary. If you have sharp pelvic pain along with nausea and vomiting, go to the ER right away for evaluation and treatment.

Frequent urination or diarrhea

Large ovarian cysts may press on the bladder or large intestine. If you’re having diarrhea or experiencing any changes in urination or bowel habits, it’s time to get your cyst checked out so we can decide how best to proceed.

We may recommend surgery for larger cysts that cause symptoms. We may only need to remove the cyst, but in some cases, we may need to remove the ovary.

Ovarian cysts are common and rarely cause problems, but early detection and treatment is best for maintaining reproductive health.

If you have an ovarian cyst or pelvic pain from an unknown cause and want answers, call our office today or request an appointment online to schedule a visit with the caring, professional team at Obstetricians & Gynecologists, PC. We can develop a plan to manage your cyst and pain and make sure you get the ongoing care you need to reduce the risk of complications.

7 Common Myths About Postpartum Depression, Debunked

Fri, 02 May 2025 15:31:13 GMT

Postpartum depression (PPD) is on the rise. According to data published in 2024 , pregnancy-related depression affects almost 20% of women — an increase of nearly 10% from 2010 to 2021.

While more women are struggling with depression during and after pregnancy, the drastic increase is also due to growing awareness of the mental health condition and a change in the screening process.

Because it’s Mental Health Awareness month, our caring team at Obstetricians & Gynecologists, PC is using this blog to debunk common myths about postpartum depression.

Myth 1: It’s only the baby blues

Having a baby is supposed to be a time of joy, but most new moms experience a range of feelings, laughing one minute and crying the next. The mood changes you have after childbirth are often called the baby blues.

Though symptoms are similar, postpartum depression and the baby blues aren't the same. The baby blues are temporary and resolve within a couple of weeks, while PPD is a long-term mood disorder that requires medical care.

Myth 2: Depression only happens after birth

If it’s called postpartum depression, it must only happen after birth. But the name is misleading. Though most women experience depressive symptoms within four to eight weeks after childbirth, you also can experience them during pregnancy or several months after delivery.

The myth that depression only happens after birth may stop some women from seeking help when they need it.

The American College of Obstetricians and Gynecologists changed its screening guidelines in 2023 , recommending screening for perinatal depression — an umbrella term that includes prenatal depression and PPD — at two or more prenatal appointments and at all postpartum visits.

Myth 3: Symptoms go away on their own

Perinatal depression is a medical condition that requires medical intervention. Symptoms don’t go away on their own, and without help they worsen. Treatment varies but may include psychotherapy and medication.

Myth 4: Hormones cause postpartum depression

The sudden change in hormone levels following childbirth do play a role in mood swings, but they don’t cause this mood disorder. Many factors may trigger PPD, including stress, sleep deprivation, and genetics.

Myth 5: Postpartum depression is preventable

Anyone can develop PPD, and there’s no known way to prevent it. However, it’s more common in women with a history of depression. Our team may do more screenings if we think you’re at greater risk. Early diagnosis and treatment can lessen the severity and duration of the mood disorder.

Myth 6: Antidepressants are unsafe when breastfeeding

Some women with PPD benefit from antidepressants to alleviate symptoms. But you may feel uneasy about taking medications if you’re breastfeeding.

Medications can get into breast milk but don’t affect the well-being of your baby. We can talk to you about antidepressants that are considered safe while breastfeeding and develop a treatment plan that works for you.

Myth 7: Depression only affects the birth mother

While we focus on the mother’s mental health during and after pregnancy, depression can affect your partner, too. It’s important that you and your partner are aware of the effects having a newborn has on your mental well-being and get help when you need it.

Postpartum depression makes it difficult to take care of yourself and your baby — getting help benefits both you and your baby. Do you think you or someone you know might be depressed? If you’re feeling down or anxious, the team at Obstetricians & Gynecologists, PC, can help. We offer mental health counseling with a licensed mental health professional.

Call us today in Hastings or Grand Island, Nebraska, or request an appointment online.

5 Things Every Woman Should Know About Menopause and Bone Health

Fri, 02 May 2025 15:04:56 GMT

One out of four women 65 and older in the United States has osteoporosis, causing weak and brittle bones that fracture easily. Though many factors put women at risk of osteoporosis, menopause is one of the most significant risk factors.

Our team at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, specializes in women’s health and menopause. We understand how menopause affects bone health and talk with our patients well before the change of life about reducing the risk of osteoporosis.

May is Osteoporosis Awareness and Prevention Month , and it’s a good time to explain what we think every woman should know about menopause and bone health.

Estrogen loss accelerates bone loss

Estrogen does more than manage your menstrual cycle. It also supports bone building and breakdown processes. When estrogen levels decline after menopause, the rate of bone loss increases. You may lose up to 10% of your bone mass in as little as five years after reaching menopause.

Hormone therapy prescribed to manage menopause symptoms may provide some protection against bone loss.

Calcium and vitamin D are essential

Your bones are mostly made up of calcium, and getting an adequate amount from food — dairy, fortified plant milk, leafy greens — or supplements is essential for maintaining strength and density, especially after menopause. You need 1,300 milligrams of calcium a day.

Vitamin D improves calcium absorption, and you need 15 to 20 micrograms a day. Fatty fish and fortified milks are good sources of vitamin D. Your body also makes vitamin D from sun exposure.

If you’re having a hard time meeting calcium and vitamin D needs from food, we can talk to you about supplements that can help.

Exercise strengthen bones

That’s right, exercise can make your bones stronger. Weight-bearing exercises like walking, dancing, and lifting weights puts stress on bones, triggering growth that makes them denser and more resistant.

Exercise also improves muscle strength, flexibility, and balance, which may lower risk of falls that lead to bone fractures.

Lifestyle choices matter

Your habits can also affect bone health. Smoking, alcohol, and poor nutrition may increase bone loss and risk of osteoporosis.

Quitting smoking, limiting alcohol intake, and eating a balanced diet are good lifestyle choices that benefit your bones and overall health.

Know when to get screened

Women 65 and older should have a bone mineral density (BMD) test to check bone health and determine your risk of developing osteoporosis. The test is an X-ray that takes pictures of the lower part of your spine, upper leg, and forearm, measuring mineral density.

The screening is painless and takes 30 minutes or less. We use the results from the BMD to determine if you’re at risk of or have osteoporosis. If you have osteoporosis, we may prescribe medications that lower the rate of bone loss or boost bone growth.

Your risk of osteoporosis increases after menopause, but taking steps now can protect your bones. If you have concerns about bone health, schedule an appointment with our women’s health experts. We can talk to you about your risks and develop a plan to keep your bones healthy and strong. Contact Obstetricians & Gynecologists, PC , today.

Is Spotting Between Periods Ever Normal?

Wed, 09 Apr 2025 14:14:58 GMT

Noticing unexpected changes in your period is unsettling and can have you wondering if it’s normal or a sign of something more serious. While occasional spotting is harmless and may occur from stress or a change in contraception, it’s not something you want to brush off.

Spotting between periods isn’t normal, and it may even be a sign of a more serious health issue.

Our women’s health experts at Obstetricians & Gynecologists, PC , don’t want you to ignore any symptoms of concern. In this month’s blog, we cover spotting, possible causes, and why you should come in and see us.

What is spotting?

Everyone’s menstrual cycle is different, but they typically range from 21 to 37 days with up to seven days of bleeding during your period. Any deviation from your typical cycle is considered abnormal bleeding , whether your cycle is shorter or longer or you’re bleeding when you normally wouldn’t.

Spotting refers to any bleeding that occurs outside of your usual period and is therefore not normal. The amount of blood loss varies from very light to heavy. The unusual bleeding may occur from any number of causes, some harmless and some more serious.

While you may dismiss it if the bleeding is light, any spotting, whether it’s light or heavy, benefits from a visit with your OB/GYN.

Harmless causes of spotting

Though not normal, there are instances where we might expect spotting. Some women may have spotting while ovulating, when the ovary releases the egg during your menstrual cycle. Birth control may also cause bleeding in between periods, especially those with little or no estrogen.

Spotting is also common in early pregnancy when the embryo implants itself into the uterus. We also see spotting in the months or years leading up to menopause due to hormonal changes.

Stress, extreme dieting, and excessive exercise may also affect your menstrual cycle and lead to spotting.

More serious causes of spotting

It’s easy to dismiss spotting if it’s light or if you can explain it away with a new contraceptive method. However, abnormal bleeding also can be a sign of gynecological conditions such as:

Polycystic ovary syndrome (PCOS)
Endometriosis
Fibroids
Sexually transmitted diseases (STDs)
Cervical cancer
Ectopic pregnancy

Given the potential seriousness of spotting, it’s always best to schedule an appointment with your doctor before dismissing it as nothing. Especially if you have other symptoms like pelvic pain , heavy menstrual bleeding, or going months without your period.

We review your symptoms, perform a physical and pelvic exam, and run diagnostic tests to confirm or rule out a more serious cause to explain your spotting.

How to manage spotting

In some cases, spotting may resolve on its own. Management of spotting depends on the cause and may include medication, an in-office procedure, or surgery.

Keeping a menstrual cycle diary can help you track patterns and identify factors that may contribute to the abnormal bleeding, such as stress or extreme dieting.

Occasional spotting between periods may be harmless, but don’t dismiss it before talking to your doctor. If you have abnormal bleeding, even if it’s light or infrequent, call us or book an appointment online — we’re located in Hastings and Grand Island, Nebraska — so we can provide an accurate diagnosis and effective treatment plan.

Can I Resolve Endometriosis for Good With a Hysterectomy?

Tue, 18 Mar 2025 14:10:32 GMT

Every year, about 500,000 women have a hysterectomy , which is surgery to remove the uterus. It’s the second most common surgery for women, preceded by Cesarean section (C-section).

Women have hysterectomies to treat gynecological conditions like endometriosis . While surgery can help some women get relief from their severe pelvic pain, there’s no guarantee that it can resolve endometriosis for good.

Our team at Obstetricians & Gynecologists, PC , understands the difficulties endometriosis can cause. March is National Endometriosis Awareness Month , so we’re taking this opportunity to explain when we consider a hysterectomy as treatment for this condition and how it might help you.

About endometriosis

Women with this common gynecological condition have endometrial tissue, the tissue that lines the uterus, that grows outside of the uterus. The growths are most often found on the ovaries, fallopian tubes, and outer portion of the uterus, but they may also grow on the bowel, bladder, or rectum.

Endometrial tissue grows and sheds with your menstrual cycle. In the uterus, the lining exits the body through your vagina as your period. However, when it grows outside of the uterus, the shedded endometrial tissue has nowhere to go, causing inflammation, swelling, and pain.

Over time, the continued shedding of the endometrial tissue leads to scarring and worsening pelvic pain . Treatment for endometriosis varies based on severity of symptoms, but includes:

Pain medication
Hormonal birth control
Surgery

Though treatment may ease symptoms, endometriosis is a chronic condition without a cure.

Hysterectomy for endometriosis

Hysterectomy is a common, but serious, surgery that we consider only when all other treatments fail. During the procedure, we remove the uterus and cervix, so you no longer menstruate and can no longer bear children. If they’ve been damaged by endometriosis, we may also remove the ovaries and fallopian tubes.

Removing the ovaries causes immediate menopause , and you may need hormone therapy to manage symptoms and reduce your risk of osteoporosis.

What to expect after treatment

Some women may experience relief from their endometriosis symptoms following a hysterectomy, but it’s not a cure-all for everyone. The results of the surgery depend on the location of endometrial-like growths and whether we removed the ovaries.

If you have growths outside of the reproductive organs, you may continue to experience pelvic pain after a hysterectomy. You may also have symptoms if you still have your ovaries because they produce the hormones that trigger growth of the endometrial tissue.

Pain relief makes surgery very appealing for women with severe symptoms, but it may not produce the results you want. Additionally, a hysterectomy is not the right choice for women with future pregnancy plans.

Endometriosis is a complex medical condition that affects everyone differently. If you have endometriosis and it’s affecting your quality of life, we can talk to you about treatment options so you can make an informed decision.

Contact Obstetricians & Gynecologists, PC , in Hastings or Grand Island, Nebraska, today or request an appointment online for an endometriosis consultation.

Endometriosis and Fertility: Your Questions, Answered

Tue, 18 Mar 2025 14:07:12 GMT

Endometriosis is a chronic gynecological condition affecting 190 million women throughout the world. Painful periods that worsen over time is one of the most common symptoms. However, because symptoms vary and are similar to other health conditions, women may not learn they have endometriosis until they’re undergoing treatment for infertility .

March is National Endometriosis Awareness Month, and our team at Obstetricians & Gynecologists, PC , is using this blog to answer some of the questions women have about endometriosis and fertility.

How does endometriosis affect fertility?

The endometrium is the tissue that lines your uterus. It grows in preparation for pregnancy and exits the body as your period when there’s no pregnancy.

Endometriosis — a condition characterized by the growth of endometrium-like tissue outside of the uterus — affects fertility in a number of ways. The tissue grows on the ovaries, fallopian tube, outside wall of the uterus, and elsewhere in the pelvis. It sheds like the uterine lining during your menstrual cycle, but the tissue can’t exit the body, which causes inflammation and pelvic pain .

Over time, the displaced tissue leads to scarring that may affect egg release from the ovaries or block the fallopian tube, making it harder to get pregnant.

Additionally, researchers theorize that genetics and immunity related to endometriosis are also factors that affect fertility and may hinder embryo development and egg implantation.

Can I get pregnant with endometriosis?

Between 30% and 50% of women with endometriosis experience infertility, the inability to get pregnant after a year of trying — or six months of trying for women 35 and older. Though endometriosis makes it more difficult to get pregnant, it’s not impossible.

No single treatment works for all women, and we customize infertility treatment for endometriosis based on severity of your condition. For women with mild to moderate symptoms, we prescribe medication that stops the menstrual cycle for a period of time to decrease growth of the endometrial tissue. When the menstrual cycle resumes, many women have an easier time conceiving.

For women with severe symptoms and those who continue to experience fertility issues following medical interventions, we may recommend surgery to remove the growths and repair damage to the reproductive organs to improve chances of conception.

Many women with endometriosis also have success with assisted reproductive techniques like in vitro fertilization.

When should I seek help?

The sooner you get help, the sooner you can feel better. If you have severe menstrual cramps or chronic pelvic pain, or if you can’t get pregnant and don’t know why, it’s time to schedule an appointment with your OB/GYN.

At Obstetricians & Gynecologists, PC, we review your symptoms and menstrual cycle and perform a physical and medical exam. We may also do an ultrasound to look for endometrial growths. If we suspect your symptoms and fertility issues are related to endometriosis, we may recommend laparoscopy to confirm a diagnosis.

Early diagnosis and treatment may minimize the organ damage that affects fertility. However, there’s no cure for endometriosis and fertility struggles may continue even with treatment.

If you have endometriosis, or suspect you do, and you want to know if it’s affecting your fertility, call our office in either Hastings or Grand Island, Nebraska, today or request an appointment online to set up a consultation with our team. We can answer your questions and create a plan that benefits your reproductive and overall health.

4 Reasons to Consider Tubal Ligation

Wed, 19 Feb 2025 14:00:35 GMT

About four out of every 10 pregnancies in the United States are unintended, meaning the pregnancy is unwanted or poorly timed. Tubal ligation , or having your tubes tied, is one of the most effective forms of birth control , but it’s not the right method for everyone.

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our women’s health experts offer short-term (the pill), long-term (birth control implant), and permanent (tubal ligation) forms of birth control. We provide these options to help women stay in control of their bodies and health.

Here are four reasons why you might consider a tubal ligation.

Your family is complete

Tubal ligation is a permanent form of birth control that cuts or blocks the fallopian tubes, preventing sperm from fertilizing an egg. It’s meant to be irreversible.

If your family is complete and you have no desire to have children in the future, a tubal ligation may be a good choice for you. If there’s any chance you might want children, we may instead recommend long-term reversible contraception (LARC) such as the intrauterine device (IUD) or birth control implant.

According to The American College of Obstetricians and Gynecologists , the birth control implant and IUD are as effective at preventing pregnancy as a tubal ligation. LARCs are a good option for anyone who’s indecisive about their future family plans.

Pregnancy is a health risk

Pregnancy is a health condition that carries its own set of risks for all women. But for some people, pregnancy is life-threatening.

People who can’t get pregnant because it may negatively affect their health or put their life at risk may consider tubal ligation. The procedure allows you to continue to have sex with your partner without having to worry about pregnancy.

Prevent passing on a genetic trait

You may also turn to tubal ligation if you or your partner carries a genetic trait that may affect the growth or development of offspring and lead to an early death, such as Tay-Sachs Disease or cystic fibrosis.

A permanent form of birth control may prevent the need to make difficult decisions in the case of an unintended pregnancy. Genetic carriers can use in vitro fertilization (IVF) and genetic testing of embryos prior to reducing risk of having children with serious genetic conditions.

Reduce risk of ovarian cancer

Tubal ligation may reduce risk of ovarian cancer in people who carry the genetic mutations BRCA1 and BRCA2. While BRCA are the breast cancer genes, certain mutations also increase risk of ovarian cancer.

However, we only perform a tubal ligation for other reasons, not specifically as a preventive measure for ovarian cancer. Other less invasive treatments can lower your risk, such as hormonal birth control.

Are you considering tubal ligation? We can talk to you about the procedure and help you decide if it’s the right choice for you. Call Obstetricians & Gynecologists, PC , today or request an appointment online.

5 Reproductive Factors That Can Affect Heart Health in Women

Wed, 12 Feb 2025 13:29:36 GMT

High cholesterol, high blood pressure, and obesity are known risk factors for heart disease that affect men and women. But did you know women’s reproductive health is also a risk factor?

At Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, our team provides comprehensive care for women. We manage all medical needs from reproductive health to heart health, and because February is American Heart Month, we’re calling attention to it here.

Some folks may consider heart disease more of a men’s health issue, so we’re sharing with you five of the reproductive factors that affect heart health in women.

Age of menarche

Menarche is the age you start your period. Studies suggest that the timing of your first period is a risk factor for heart disease. Starting your period before age 10 or after age 17 increases the risk of cardiovascular disease.

The connection between age of menarche and heart health isn’t clear. However, researchers think it has more to do with social factors and other health issues.

Girls who start their period at a younger age may struggle more with psychological stress and overnutrition and be at greater risk of developing metabolic conditions like diabetes. Girls who start their period in their late teens have high levels of stress hormones and low levels of estrogen, which may affect heart health.

Gynecological health

Gynecological history is also a factor that affects heart health in women. Polycystic ovary syndrome ( PCOS ) is a hormonal condition that influences reproductive health, weight, and metabolism. Women with PCOS struggle with issues linked to heart disease — such as obesity, type 2 diabetes, and high cholesterol.

Infertility

Infertility is the inability to conceive after a year of trying. The cause is equally divided between men and women. However, observational studies indicate that women with infertility may be at greater risk of heart disease.

Women struggling with infertility are more likely to have underlying gynecological conditions — like PCOS and endometriosis — that may play a role in the increased risk for heart-related conditions.

High-risk pregnancy

A high-risk pregnancy is any pregnancy where there’s an increase in health risk for mother or baby. This includes women who develop pregnancy-related health conditions like gestational diabetes and preeclampsia, which is high blood pressure during pregnancy.

These pregnancy health conditions increase a woman’s risk of developing health problems that affect the heart — like type 2 diabetes and high blood pressure.

Menopause

Menopause is a normal part of aging, marking the end of menstruation, and the risk of heart disease increases in women after menopause. This higher risk is due to a decrease in estrogen and the health protections the hormone offers.

Lower estrogen levels may increase blood cholesterol and make it harder to maintain a healthy weight. It also affects sleep. These factors may negatively affect the heart and overall health.

Understanding the connection between reproductive health and heart disease is important for overall well-being. Our primary care team at Obstetricians & Gynecologists can manage all of your health concerns, whether it’s gynecological or heart-related. Call us today or request an appointment online.

Nature's Stress Test: Understanding How Pregnancy Can Affect Your Cardiovascular Health

Sat, 01 Feb 2025 13:25:46 GMT

Pregnancy is normal and natural, but it’s also a medical condition that affects health. A woman’s blood volume doubles and her heart and blood vessels work harder to provide oxygen and nutrients to both mother and baby.

These changes are stressful on the heart and may affect heart function during pregnancy or indicate potential problems in the future.

February is national American Heart Month and our team at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, is taking the opportunity to explain how pregnancy can help clue us in to potential heart-health problems.

How pregnancy affects heart health

Morning sickness, back pain, and indigestion are some of the noticeable symptoms you may experience during pregnancy, but you may not feel all of the things that are going on in your body.

Pregnancy is called nature’s stress test because of how it affects heart function. It makes the heart work harder — in a similar manner as an exercise stress test, where you walk on a treadmill to increase heart rate. The additional stress on the heart often reveals health issues that doctors may not see under normal circumstances.

The extra work the heart does is due in part to the increase in blood volume. The body produces more blood in order to supply oxygen and nutrients to mother and baby. The heart must pump harder in order to move the blood around, producing the extra stress.

Your pregnancy may expose heart conditions like an irregular heart rate or rhythm (arrhythmia) or heart valve disease.

Pregnancy complications and heart health

The extra stress on the heart may affect pregnancy-related complications like preeclampsia or gestational diabetes, putting you at risk of future health problems.

Preeclampsia

Preeclampsia is high blood pressure and elevated protein levels in urine during pregnancy. It’s a serious pregnancy-related complication that affects the health of the baby and mother. Researchers aren’t sure what causes preeclampsia, but they theorize it may occur due to blood flow problems to the placenta.

Though preeclampsia resolves after delivery, it may increase the risk of heart disease later in life.

Gestational diabetes

Gestational diabetes is elevated blood sugar during pregnancy that also resolves after the birth of the baby. However, having gestational diabetes increases your risk of developing type 2 diabetes, a chronic disease that doubles the risk of developing heart disease.

Protecting heart health during pregnancy

We want nothing more than for all of our patients to have a healthy and happy pregnancy. The best way to protect your health during pregnancy is to come in for your regularly scheduled prenatal appointments . These checkups help find issues right away so we can reduce the risk of complications.

Following the recommended health plan also protects your heart during pregnancy. This means eating a balanced diet, staying physically active, and gaining the recommended amount of weight. These lifestyle changes benefit you, your baby, and your heart.

Pregnancy is a test on the body, and it may reveal health issues you never knew you had. Let us help you stay well during your pregnancy. Call Obstetricians & Gynecologists today or request an appointment online.

Why Am I Getting Night Sweats After Childbirth?

Thu, 09 Jan 2025 12:36:33 GMT

Your back feels better, your reflux is gone, and you can see your feet again. Giving birth relieves many uncomfortable symptoms that come with pregnancy. While you may feel more like your pre-pregnancy self, postpartum brings on its own set of symptoms.

You may expect uterine cramping as it shrinks and fullness in the breasts when breast milk comes in, but lesser known postpartum symptoms like night sweats may come as a surprise.

Our team of women’s health experts at Obstetricians & Gynecologists, PC , in Hastings and Grand Island, Nebraska, specializes in pregnancy and postpartum care. Many women are surprised about some of the symptoms they experience after giving birth. Here, we address night sweats after childbirth and why you might have them.

Postpartum night sweats

Night sweats are often linked to menopause , so you may worry if you wake up drenched after giving birth. But experiencing night sweats after childbirth is one of many possible postpartum symptoms.

Hormone levels are highest during pregnancy and then drop drastically right after delivery. The sudden change in hormones is the underlying cause of your night sweats.

Though researchers are still trying to understand why, they theorize that the sudden drop in estrogen after having a baby triggers the part of the brain that regulates body temperature. Your brain tells your body you're too hot, causing you to sweat so you can cool off. Postpartum sweating may occur anytime, but it usually happens at night.

The nighttime sweating may also help rid the body of extra fluid. During pregnancy, blood volume doubles in order to supply the baby with oxygen and nutrients. Your body may try to sweat out the extra fluids after delivery.

Staying cool while sleeping

Not everyone has night sweats after childbirth, but it’s also not something you can control or prevent. Night sweats can disrupt your sleep, which is already limited due to the needs of your newborn.

Making yourself as comfortable as possible while sleeping may help reduce the sweating so you get more rest. We recommend wearing summertime pajamas to minimize body heat and sleeping on towels to absorb the sweat. Using fans, opening the window, and adjusting the heat or air conditioning can also help you stay cool.

Night time sweating means you’re losing water, so be sure to rehydrate by drinking plenty of fluids throughout the day, and keep a glass of water by your bedside to drink at night.

When to call your OB/GYN

You may find postpartum night sweats frustrating, especially when it affects your sleep. But the symptom is temporary and disappears within a few weeks after delivery.

If your night sweats are bothersome and make it hard for you to care for yourself or your baby, or they last longer than a few weeks, schedule an appointment with your OB/GYN. Night sweats are also a sign of other health conditions like hypothyroidism and diabetes. Confirming or ruling out the underlying cause ensures you get the right treatment.

Night sweats aren’t limited to menopause — you may also wake up drenched in sweat after having a baby. If you have concerns about your postpartum night sweats or you don’t feel like yourself after giving birth, we can help. Contact Obstetricians & Gynecologists, PC , by calling the location near you or requesting an appointment online.