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To the provider who was attentive, funny, a good listener and made me feel sooooo at ease ","Title":"Monica","_key":"d109274afc69","_type":"inline"},{"Content":"\"It was SO amazing! That was the first time I felt like a psychiatrist really listened and understood everything I was saying. I was so used to providers not taking me seriously and I really felt supported and understood! \"","Title":"Vasi","_key":"062fc3c9258c","_type":"inline"},{"Content":"The environment was beyond inviting. Every single staff member made me feel welcome and at ease. The nurse and doctor that assisted me were very respectful of my anxiety and my needs. I felt valued and very well taken care of. I will 100% recommend Tia to anyone looking for medical assistance. 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This means providing on-the-spot diagnoses and relaying integral information to the care team. The hospital setting did not foster this type of environment, as my exams were isolated. This made it difficult to establish continual patient relationships. Now, I have the ability to follow patients progress over time and be a collaborative member of the Tia care team every step of the way!"}],"markDefs":[],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-808136a7d78a0bece19b60315ae7f7c0bd9c4618-2500x800-png","_type":"reference"}},"publishedAt":"2019-09-25T04:00:00.000Z","slug":{"_type":"slug","current":"gabriela-mora"},"status":"production","title":"Meet Gabriela Mora, Ultrasound Technician at Tia","topics":[{"_key":"3b434aeecc88","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Q&A with Gabriela Mora, Ultrasound Technician at Tia.","metaTitle":"Meet Gabriela Mora, Ultrasound Technician at Tia","openGraphDescription":"Q&A with Gabriela Mora, Ultrasound Technician at Tia.","openImage":{"_type":"image","asset":{"_ref":"image-c358b019e8586e6ebee594f9eb04b46298348ab1-1366x800-png","_type":"reference"}},"title":"Meet Gabriela Mora, Ultrasound Technician at Tia","twitterDescription":"Q&A with Gabriela Mora, Ultrasound Technician at Tia.","twitterImage":{"_type":"image","asset":{"_ref":"image-c358b019e8586e6ebee594f9eb04b46298348ab1-1366x800-png","_type":"reference"}},"twitterTitle":"Meet Gabriela Mora, Ultrasound Technician at Tia"}},"id":"b1cf150f-a51d-5572-b371-6520952e33e9","parent":null,"children":[],"internal":{"type":"SanityEditorial","contentDigest":"455c62d1f560ad0182b2644d360d55c3","counter":1336,"owner":"gatsby-source-sanity"}},{"_id":"e43a486c-c7d1-4ea2-b9ac-37ccdc5d2d07","_type":"editorial","_createdAt":"2020-08-13T15:01:22Z","_rev":"8ycwaKn5PLURgEeFH9z4T6","_updatedAt":"2022-12-28T09:51:29Z","content":{"_type":"articleTabs","main":{"_type":"articleContent","articleColor":"bcraspberry","articleType":{"_ref":"29c10dba-823d-4f71-a20b-15b0d6d9db76","_type":"reference"},"authors":[{"_key":"0e6b0168ac15","_ref":"1d6ce256-595a-4357-89ae-bda37a32224e","_type":"reference"}],"cardImage":{"_type":"image","asset":{"_ref":"image-f3f771743acdf4624170918649f0d956e3b35ade-1366x800-png","_type":"reference"}},"editorialText":[{"_key":"a6a756b987cd","_type":"block","children":[{"_key":"a6a756b987cd0","_type":"span","marks":[],"text":"Last week we hosted our very first Tia Tackles event — "},{"_key":"a6a756b987cd1","_type":"span","marks":["462761f45d02"],"text":"Dr. Terri-Ann Bennett"},{"_key":"a6a756b987cd2","_type":"span","marks":[],"text":" shared her wisdom and expertise in conversation with Dr. Stephanie McClellan, Chief Medical Officer of Tia. They spoke about the need for patient advocacy for BIPOC, what patient advocates do, and how to weave them through the clinical experience from institutional change to providers to the layperson. Here is some of what we learned."}],"markDefs":[{"_key":"462761f45d02","_type":"externalLink","url":"https://www.instagram.com/drbennettmfm/?hl=en"}],"style":"large"},{"_key":"5cc2d857b25a","_type":"sectionHeader","title":"The basics"},{"_key":"18872cfaaa12","_type":"block","children":[{"_key":"18872cfaaa120","_type":"span","marks":[],"text":"The American healthcare system has a long legacy of racism and discrimination, fuel for the disparity that is pervasive in this system. Navigating the healthcare system is daunting for most, but especially for BIPOC. Due to an array of access barriers, BIPOC not only receive less care than white people but also receive worse care. BIPOC are disproportionately misdiagnosed, under-diagnosed, and mistreated, quality of care directly correlates to worse health outcomes."}],"markDefs":[],"style":"normal"},{"_key":"69c3a1a3bba9","_type":"block","children":[{"_key":"69c3a1a3bba90","_type":"span","marks":[],"text":"Emotional expressions and experience of pain by Black individuals are more likely to be misperceived. Pain is under-diagnosed and under-treated as a result of racial bias. Stereotyping is ever-present in clinical situations, leading certain populations to emphasize specific class and cultural resources such as cultural health capital (cultural skills, attitudes, behaviors, and interaction styles) to leverage and mitigate discrimination."}],"markDefs":[],"style":"normal"},{"_key":"f7a587f59750","_type":"block","children":[{"_key":"f7a587f597500","_type":"span","marks":[],"text":"Epigenetics, the study of inherited genetic trait changes, is a quickly evolving field showing that trauma and its effects may be passed through generations, recognizable through gene expression and cellular activity that is influenced by external factors such as environment. Inherited trauma may be likened to the permanence of scar, the remnants of the initial wound become a scar inscribed into a person that then passes on through their lineage. Generational trauma can impact livelihood via both the mind and body."}],"markDefs":[],"style":"normal"},{"_key":"486e325a5684","_type":"block","children":[{"_key":"486e325a56840","_type":"span","marks":[],"text":"There are social determinants of health that directly impact BIPOC — economic and social conditions, such as living and working conditions (think: the distribution of income, wealth, influence, and power) that influence individual and group differences in health status (think: risk and vulnerability of disease or injury) and access to care."}],"markDefs":[],"style":"normal"},{"_key":"5bc6416a244f","_type":"sectionHeader","title":"How can we create a built-in system for patient advocacy?"},{"_key":"8396cabbd87c","_type":"block","children":[{"_key":"8396cabbd87c0","_type":"span","marks":[],"text":"Trust facilitates care-seeking behavior and promotes patient honesty and adherence. Distrust inhibits care-seeking and may lead to non-adherence. One study in Chicago looked at how trustworthy Black people found their physicians. The study found that participants indicated that trust is determined by the interpersonal and technical competence of physicians. Contributing factors to distrust in physicians included a lack of interpersonal and technical competence, perceived quest for profit, and expectations of racism and experimentation during routine health care. Another study looking at race in patient-physician relationships found that the quality of interpersonal care is vital in facilitating a patient’s involvement in their care, increased patient involvement improves patient satisfaction and outcomes."}],"markDefs":[],"style":"normal"},{"_key":"96b7f39ad00d","_type":"block","children":[{"_key":"96b7f39ad00d0","_type":"span","marks":[],"text":"One way to effectively create institutional change is to promote diversity within the healthcare system. Data suggests that African American patients rate their visits with physicians as less participatory than whites. However, patients seeing physicians of their own race rate their physicians’ decision-making styles as more participatory. Improving cross-cultural communication between physicians and patients and providing patients with access to a diverse group of physicians may lead to more patient involvement in care, higher levels of patient satisfaction, and ultimately, better health outcomes. A study conducted by Stanford looked at Black men in Oakland, found that men seen by Black physicians were more likely to engage with them, and even consent to preventive services like cardiovascular screenings and immunizations. Black doctors were 71% more likely to get their patients to receive a cholesterol screening, whereas non-Black doctors were 45% as likely. The study estimates this approach could reduce the Black-white mortality gap due to heart disease by 19%."}],"markDefs":[],"style":"normal"},{"_key":"43ac32ba5304","_type":"block","children":[{"_key":"43ac32ba53040","_type":"span","marks":[],"text":"Dr. Terri-Ann Bennett believes that providers should be trained early on in their schooling to understand not only bias but also the actual biological differences that result from inherited trauma. Beyond this training, she recommends that providers continually check their bias while working with patients and actively seek to understand why their patients have fears or misunderstandings. Understanding why gives way to an empathetic response, leading with empathy engenders advocacy. Dr. Bennett suggests implicit bias training but also asks that providers take it a step further by enhancing their cultural competency and actively work to have an anti-racist practice."}],"markDefs":[],"style":"normal"},{"_key":"01939b3fe286","_type":"sectionHeader","title":"In conclusion"},{"_key":"a0520b6fd005","_type":"block","children":[{"_key":"a0520b6fd0050","_type":"span","marks":[],"text":"Research shows that patient advocacy is effective. One study looking at a sample of 30–74-year-old self-identified African-American and/or Black women who had received abnormal mammogram results found advocacy to be a positive factor in their medical experiences. The participants felt that engaging in medical advocacy helped address ongoing experiences of mistrust and racism in the medical setting. Participants also expressed that they felt accountable for their own bodies because they were involved in decisions about their care because they were informed about their decisions."}],"markDefs":[],"style":"normal"},{"_key":"3cb35a11f00c","_type":"block","children":[{"_key":"3cb35a11f00c0","_type":"span","marks":["strong"],"text":"Institutions can support patient advocacy by…"}],"markDefs":[],"style":"normal"},{"_key":"840e64a59bcc","_type":"block","children":[{"_key":"840e64a59bcc0","_type":"span","marks":[],"text":"Promoting body literacy by actively teaching and making information readily accessible which empowers patients to advocate for themselves."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"276008b74a88","_type":"block","children":[{"_key":"276008b74a880","_type":"span","marks":[],"text":"Personalizing medicine, rather than generalizing."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6607820d9ff9","_type":"block","children":[{"_key":"6607820d9ff90","_type":"span","marks":[],"text":"Revolutionizing healthcare delivery by incorporating patient advocates throughout the patient journey and actively supporting their presence (eg. doulas, friends and family members joining appointments)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c9591238e643","_type":"block","children":[{"_key":"c9591238e6430","_type":"span","marks":["strong"],"text":"Providers can advocate for their patients by…"}],"markDefs":[],"style":"normal"},{"_key":"9be527d2e42e","_type":"block","children":[{"_key":"9be527d2e42e0","_type":"span","marks":[],"text":"Empowering them through teaching and shared-decision making."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f294d0b9ebb","_type":"block","children":[{"_key":"2f294d0b9ebb0","_type":"span","marks":[],"text":"Reminding patients of their rights."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e788333914af","_type":"block","children":[{"_key":"e788333914af0","_type":"span","marks":[],"text":"Using communication styles that support understanding."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"28ebefbaaff8","_type":"block","children":[{"_key":"28ebefbaaff80","_type":"span","marks":[],"text":"Ensuring care continues after appointments (eg. follow-ups, lifestyle changes, medication, etc.)."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0e9da3e98991","_type":"block","children":[{"_key":"0e9da3e989910","_type":"span","marks":["strong"],"text":"Patients can advocate for themselves by…"}],"markDefs":[],"style":"normal"},{"_key":"58a2e5a98858","_type":"block","children":[{"_key":"58a2e5a988580","_type":"span","marks":[],"text":"Bringing someone with them (eg. friend or family member) for support. Note: hospital systems and third party agencies are often able to provide advocates to patients."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"14785252d485","_type":"block","children":[{"_key":"14785252d4850","_type":"span","marks":[],"text":"Not ending an appointment until they feel they understand their provider fully."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b9df7bfd8f51","_type":"block","children":[{"_key":"b9df7bfd8f510","_type":"span","marks":[],"text":"Researching before and after visits."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"8802015a591b","_type":"block","children":[{"_key":"8802015a591b0","_type":"span","marks":[],"text":"Ask all the questions! Ask why and why again! Ask about side-effects, advantages, and disadvantages of recommendations made by the provider. 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"},{"_key":"42ec4000ec71","_type":"span","marks":["a1cfb3ced60b"],"text":"https://doi.org/10.1257/aer.20181446"},{"_key":"6069a899806c","_type":"span","marks":[],"text":""}],"markDefs":[{"_key":"a1cfb3ced60b","_type":"externalLink","linkType":"text","url":"https://doi.org/10.1257/aer.20181446"}],"style":"small"},{"_key":"6019ebaa2bfd","_type":"block","children":[{"_key":"6019ebaa2bfd0","_type":"span","marks":[],"text":"Mende-Siedlecki, P., Qu-Lee, J., Backer, R., & Van Bavel, J. J. (2019). Perceptual contributions to racial bias in pain recognition. "},{"_key":"6019ebaa2bfd1","_type":"span","marks":[],"text":"Journal of experimental psychology. General"},{"_key":"6019ebaa2bfd2","_type":"span","marks":[],"text":", "},{"_key":"6019ebaa2bfd3","_type":"span","marks":[],"text":"148"},{"_key":"6019ebaa2bfd4","_type":"span","marks":[],"text":"(5), 863–889. 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"},{"_key":"28ea40d4fb7e","_type":"span","marks":["strong"],"text":"Trans people and nonbinary individuals are welcome and celebrated at Tia, and are active members of the Tia patient community today."}],"markDefs":[{"_key":"44ff8a5511ac","_type":"externalLink","linkType":"text","url":"https://www.glaad.org/transgender/transfaq"},{"_key":"32d575ec287d","_type":"externalLink","linkType":"text","url":"https://transequality.org/issues/resources/understanding-non-binary-people-how-to-be-respectful-and-supportive#:~:text=The%20idea%20that%20there%20are,two%20categories%2C%20male%20or%20female."}],"style":"normal"},{"_key":"0bad204028fb","_type":"editorialImageCarousel","items":[{"_key":"b2b7fe49d4fc","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-1608bc3621e73bf13ff16b6e6c39b779a9271679-2400x1336-png","_type":"reference"}}}}]},{"_key":"ac9ccc60789f","_type":"block","children":[{"_key":"50020f1db97e","_type":"span","marks":[],"text":"As a Tia member, your gender identity will be affirmed and respected. Before you ever meet with one of our providers, you’ll fill out a detailed health record form that will tell us important details about your identity, including your gender, pronouns, and sexual orientation, so we can ensure that we are referring to you correctly and asking appropriate questions about your health and life experiences. "},{"_key":"c22a8b26d458","_type":"span","marks":["strong"],"text":"More than 7% of Tia patients use a pronoun other than she/her and identify across the gender spectrum"},{"_key":"6bd0d0b2cfc0","_type":"span","marks":[],"text":". Where appropriate, we provide our patients clinical context as to why it's important for a provider to understand this information; it’s core to our "},{"_key":"2076771e1362","_type":"span","marks":["c2f7c315e627"],"text":"care philosophy"},{"_key":"7a6a7f8bb135","_type":"span","marks":[],"text":", specifically, our commitment to personalized care and treating the person, not (just) the patient. We recognize the multitude of ways that a patient’s lived experience influences their health and access to care: clinically, psychosocially, and experientially. All Tia providers undergo training on inclusive care as well as inclusive language, protocols, and the individualized, connected model of Tia care that centers our patients and gives you full agency over your health care."}],"markDefs":[{"_key":"c2f7c315e627","_type":"internalLink","linkType":"text","reference":{"_ref":"d7c4a624-4b3b-4863-b4e5-24653bbb4270","_type":"reference"}}],"style":"normal"},{"_key":"e0724b55d1c6","_type":"editorialImageCarousel","items":[{"_key":"0f67f13d62d9","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-ebaa45eefd3638624fd7f2f7e1fa97d395dbfccc-1644x1138-png","_type":"reference"}}},"text":[{"_key":"2e2a3cdd50fb","_type":"block","children":[{"_key":"7b6f18c3bf47","_type":"span","marks":[],"text":"Tia provider screen that includes important information about patient identity."}],"markDefs":[],"style":"normal"}]}]},{"_key":"b1e2c0d9ff52","_type":"block","children":[{"_key":"b94976a06f2e","_type":"span","marks":[],"text":"While our community is explicitly open and welcoming to people of all genders, we have a duty to be transparent that we are not a center of excellence for every person across the gender spectrum at this time. Tia offers a range of services from primary care to acupuncture to gynecology and mental health, which are currently utilized by trans and nonbinary patients. We provide primary care services for cis, trans and nonbinary patients (ranging from blood pressure management to acute injury or illnesses) and at this time work with our community specialist partners who provide gender affirming hormone therapy and surgical services. While we do not currently offer these specific services that we know are critical to the trans community, you still have a place at Tia. If you are a Tia member in need of a service that we do not offer, we will work with you one on one to refer you to the high-quality, trusted care you require to live healthily and as your authentic self."}],"markDefs":[],"style":"normal"},{"_key":"2f3e2398205b","_type":"block","children":[{"_key":"db5e7889e4b50","_type":"span","marks":[],"text":"As a healthcare provider, Tia is committed to growing and evolving, always keeping diversity, equity, and inclusion at the heart of our mission. As we look forward to our future, we commit to gender inclusivity in the following ways at this moment:"}],"markDefs":[],"style":"normal"},{"_key":"1e05417fa5dd","_type":"block","children":[{"_key":"6dfd1aff438f","_type":"span","marks":["381b1d77117f"],"text":"Creation of a Tia DEI Advisory Council"},{"_key":"6c1bf9936a18","_type":"span","marks":[],"text":" made up of experts and members to strategize and guide us in becoming a more inclusive health care providers"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"381b1d77117f","_type":"internalLink","linkType":"text","reference":{"_ref":"b0cc1191-358f-4639-b68c-f28aae31e8ee","_type":"reference"}}],"style":"normal"},{"_key":"9f46e9ab63f7","_type":"block","children":[{"_key":"2409f5547d53","_type":"span","marks":[],"text":"Engaging an experienced LGBTQ+ consultant, "},{"_key":"e80a46bd575d","_type":"span","marks":["f61eddd2d87f"],"text":"Shane Snowdon"},{"_key":"ef5c6b178845","_type":"span","marks":[],"text":", to ensure our organization and environment of care (for both employees and patients) supports the health of people of all gender identities and sexual orientations"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"f61eddd2d87f","_type":"internalLink","linkType":"text","reference":{"_ref":"571a4e54-4ef4-44ba-87bc-b6eef3f32e63","_type":"reference"}}],"style":"normal"},{"_key":"944c3dd5d759","_type":"block","children":[{"_key":"3044f0ee1d76","_type":"span","marks":[],"text":"Continued education for staff and providers on issues in LGBTQ+ health"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4839d60b3752","_type":"block","children":[{"_key":"e5107206af8d","_type":"span","marks":[],"text":"Community events that specifically speak to the experiences and needs of LGBTQ+ members"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9831a10f8465","_type":"block","children":[{"_key":"3232bdce812b","_type":"span","marks":[],"text":"Building more partnerships with LGBTQ+ institutions, influencers, and health experts / educators"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"833e86a5475c","_type":"block","children":[{"_key":"f42aa73d9ac8","_type":"span","marks":[],"text":"Expansion of the language we use with regard to gender in our clinic experience and communications"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"056d0320340c","_type":"block","children":[{"_key":"421d68edd01c","_type":"span","marks":[],"text":"Increasing representation of LGBTQ+ people on the Tia Care Team and our staff as a whole"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4aefbaa1bfd8","_type":"block","children":[{"_key":"82cbe1f71faf","_type":"span","marks":[],"text":"Providing a listening ear to our community and an open door policy for feedback and ideas for our growth. Reach out at "},{"_key":"02d6628e2863","_type":"span","marks":["9ccaf116e1a4"],"text":"sayhello@asktia.com"},{"_key":"b55f2bcb769a","_type":"span","marks":[],"text":"."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"9ccaf116e1a4","_type":"externalLink","linkType":"text","url":"mailto:sayhello@asktia.com"}],"style":"normal"},{"_key":"369df6bfe144","_type":"block","children":[{"_key":"ea3a37c58d36","_type":"span","marks":[],"text":"At Tia, we understand that the journey of growth and change can be messy and difficult. We know there may be stumbling blocks or mistakes ahead, and we thank our community for holding us accountable and being a partner in our evolution. Learning is never over, and we’re committed to the process. Our services and care model can grow and change in the future, and we are open to so many possibilities. 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The first three months of Covid were a stark reminder that Tia’s role as a healthcare provider was not limited to the traditional practice of medicine alone."}],"markDefs":[{"_key":"b76b64872bf1","_type":"internalLink","linkType":"text","reference":{"_ref":"825e42cf-8486-4b66-b605-2ac8f8778797","_type":"reference"}}],"style":"normal"},{"_key":"2fd46a27a66d","_type":"sectionHeader","title":"Despite the stressors inherent to the crisis, there were moments of light."},{"_key":"acbc714f37ab","_type":"block","children":[{"_key":"4190bf1e2162","_type":"span","marks":[],"text":"We learned that women wanted — and trusted — Tia to be their therapist and saw mental health as integral to, not separate from, their physical healthcare."}],"markDefs":[],"style":"normal"},{"_key":"aee6da5311f4","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e36d09edf7af6d322f3cb0fe0d5e2a34cf71e0d8-1379x544-png","_type":"reference"}}}}]},{"_key":"9b36c45cce9d","_type":"block","children":[{"_key":"aa07a801b6060","_type":"span","marks":[],"text":"We learned that virtual care does not have to be a lesser-than version of in-person care."}],"markDefs":[],"style":"normal"},{"_key":"c6c8dd2ed09a","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-7fdc6ab6c049b4d9bb6cad8bcd49e287ae00aa2e-1379x544-png","_type":"reference"}}}}]},{"_key":"9a548174b23c","_type":"block","children":[{"_key":"fbcf4fc138e5","_type":"span","marks":[],"text":"We learned that Tia’s role as an information provider — a translational bridge between science and the layperson — was foundational at a time of rampant misinformation and confusion."}],"markDefs":[],"style":"normal"},{"_key":"10470d2fa9e5","_type":"editorialImageCarousel","items":[{"_key":"69c6d1af72c6","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2f1ad37644bdaa4275d93fc4ef00531747887510-1379x544-png","_type":"reference"}}}}]},{"_key":"9d8554084b60","_type":"block","children":[{"_key":"07a1a4ed8c55","_type":"span","marks":[],"text":"Nine months into the most harrowing global pandemic of our lifetimes, Tia has never been stronger. We’ve made some hard decisions on what to do, and more importantly, what not to do — all while staying true to our north star — positioning us for thoughtful, intentional scale."}],"markDefs":[],"style":"normal"},{"_key":"67870a8d4c5e","_type":"sectionHeader","title":"So, why LA? What Angelenos can expect from Tia."},{"_key":"dc64a26cd429","_type":"block","children":[{"_key":"21e7908eb4b2","_type":"span","marks":[],"text":"We know that women around the country want Tia. And we have big plans to bring Tia Care to you! Choosing where to expand first was a tough call — so is scaling thoughtfully and at the appropriate velocity. With the launch of Tia in Los Angeles and more cities soon, we commit to being "},{"_key":"9e7c465d0da1","_type":"span","marks":["em"],"text":"forever the same, and always new "},{"_key":"97218db1236b","_type":"span","marks":[],"text":"— while never losing sight of those details that make the Tia Way one-of-a-kind. That means:\n"}],"markDefs":[],"style":"normal"},{"_key":"c388d256aa43","_type":"block","children":[{"_key":"3e3240552802","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"eb70f062695a","_type":"block","children":[{"_key":"438dbe349e3c","_type":"span","marks":[],"text":"1. Virtual-first, not virtual-only"}],"markDefs":[],"style":"h2"},{"_key":"f5c50204b271","_type":"block","children":[{"_key":"da3377e570dd","_type":"span","marks":[],"text":"We’ve been wowed by the ways in which the events of 2020 have enabled us to deliver more care on the Internet than ever before — all while improving, not compromising, quality. While we do not attempt to do Pap tests over Zoom (we promise!), we have cracked how to make healthcare"},{"_key":"777c1e18bb391","_type":"span","marks":["em"],"text":" even more"},{"_key":"777c1e18bb392","_type":"span","marks":[],"text":" convenient, accessible, and personalized than before by delivering care virtually "},{"_key":"777c1e18bb393","_type":"span","marks":["em"],"text":"and in-person"},{"_key":"777c1e18bb394","_type":"span","marks":[],"text":" when you need it."}],"markDefs":[],"style":"normal"},{"_key":"ed92b896c015","_type":"block","children":[{"_key":"6a1381a10fdf0","_type":"span","marks":[],"text":"Yes, we can prescribe birth control or treat a UTI virtually; but we can also diagnose or manage chronic conditions virtually, such as PCOS, endometriosis, or migraines. And most important to us, we can deliver more preventive health virtually than we ever could have imagined — and continue your care journey in person for physical exams, bloodwork, and ultrasounds when needed."}],"markDefs":[],"style":"normal"},{"_key":"465377a9f3c7","_type":"block","children":[{"_key":"efebc1d7664b","_type":"span","marks":["strong"],"text":"What this means for women in LA: You can get virtual Tia care today, and in-person Tia Care in early 2021!"}],"markDefs":[],"style":"large"},{"_key":"4a4e4fc244a5","_type":"block","children":[{"_key":"f8745ed1cfad0","_type":"span","marks":[],"text":"Become a Tia member and get virtual primary care, mental health, and gynecology, starting today. And in early 2021, continue your care journey with Tia in person — for pelvic exams, ultrasounds, acupuncture, the works — at our first LA location in Silver Lake. And if you need in-person care in the meantime, we’ll connect you with a Tia-vetted provider near you."}],"markDefs":[],"style":"normal"},{"_key":"83226a31654d","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"6118ee38fe09","_type":"span","marks":[],"text":"Finally, get virtual & in-person women's health that connect!"}],"markDefs":[],"style":"h4"},{"_key":"5153ed8d2705","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Join Tia ","linkType":"join","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"82fdf8389345","_type":"block","children":[{"_key":"f165b68827b8","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"f574f18b2068","_type":"block","children":[{"_key":"510b519b15ac","_type":"span","marks":[],"text":"2. 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And primary care is close behind; the "},{"_key":"9287dc9cc745","_type":"span","marks":["1c2c9b96e9eb"],"text":"average wait time"},{"_key":"a49e9729f644","_type":"span","marks":[],"text":" to see a Primary Care Provider in Los Angeles is 42 days."}],"markDefs":[{"_key":"1c2c9b96e9eb","_type":"externalLink","linkType":"text","url":"https://www.merritthawkins.com/uploadedFiles/MerrittHawkins/Content/Pdf/mha2017waittimesurveyPDF.pdf"},{"_key":"02ff78476dda","_type":"externalLink","linkType":"text","url":"https://www.doximity.com/press_releases/new_study_reveals_growing_threat_of_obgyn_shortages"}],"style":"normal"},{"_key":"9447b58320a5","_type":"block","children":[{"_key":"67b28a8bccc10","_type":"span","marks":[],"text":"At Tia, affordability and accessibility are table stakes. That means accepting as many insurance plans as we can to reduce your cost of care, which is not the norm for integrative care providers. And, ensuring you can get healthcare on "},{"_key":"67b28a8bccc11","_type":"span","marks":["em"],"text":"your schedule"},{"_key":"67b28a8bccc12","_type":"span","marks":[],"text":" — same day, early AM, and evenings."}],"markDefs":[],"style":"normal"},{"_key":"9cdde793ab75","_type":"block","children":[{"_key":"c360ab05f9d3","_type":"span","marks":["strong"],"text":"What this means for women in LA:  Put your insurance to work for care at Tia!"}],"markDefs":[],"style":"large"},{"_key":"d8ca3865dac3","_type":"block","children":[{"_key":"e3cf0b62d2a6","_type":"span","marks":[],"text":"Once a member, you can use your insurance for primary care and gynecology services (and when we open our in-person location, acupuncture too!). As of today, we accept some plans from Aetna, Cigna, United, Anthem BCBS, Blue Shield of California, and are working to take more insurance plans soon. "}],"markDefs":[],"style":"normal"},{"_key":"c74082cd6335","_type":"block","children":[{"_key":"1275606001f5","_type":"span","marks":[],"text":"4. High-quality providers with the distinctly Tia sparkle"}],"markDefs":[],"style":"h2"},{"_key":"ff046b822117","_type":"block","children":[{"_key":"b6dbf2a1bcf90","_type":"span","marks":[],"text":"While we’re all about technology improving healthcare, we’ve recognized since day one that technology alone cannot fix healthcare. Good healthcare is about people — specifically, top-notch providers and care teams that yes, practice great medicine, but also make you feel seen, heard, and cared for in outsized ways."}],"markDefs":[],"style":"normal"},{"_key":"a6512c4278eb","_type":"block","children":[{"_key":"ca50a2e537de0","_type":"span","marks":[],"text":"To achieve this, we’ve invested heavily in building our own Care Team from scratch. This is intentional and means slower scale — a tradeoff we’re okay with, in service of quality. In practical terms, that means that everyone you interact with on the Tia platform from your Care Coordinator to an OB/GYN is employed, vetted, and trained by Tia. Unlike most virtual care offerings, we are not a network or a portal to random doctors via Zoom."}],"markDefs":[],"style":"normal"},{"_key":"787889939ba3","_type":"block","children":[{"_key":"e159e6279535","_type":"span","marks":["strong"],"text":"What this means for women in LA: Get high-quality care from Tia-vetted providers you trust."}],"markDefs":[],"style":"large"},{"_key":"68962a967d26","_type":"block","children":[{"_key":"580f4f09c616","_type":"span","marks":[],"text":"As a Tia member, you get more than a doctor; you get a highly-vetted integrative Care Team who works together — not against each other! — to manage your whole health virtually and in person. You can be confident in the quality, the information sharing (no need to repeat yourself!), and “baton passes” that make your healthcare, whether digital or physical, smooth and seamless."}],"markDefs":[],"style":"normal"},{"_key":"cd1cfef75144","_type":"cta","text":[{"_key":"16c4e82cec86","_type":"block","children":[{"_key":"d6d864580df1","_type":"span","marks":[],"text":"We believe in collaborative, relationship-based care."}],"markDefs":[],"style":"h4"},{"_key":"47af4cd1aa30","_type":"buttonBlock","items":[{"_key":"0afa7be2618f","_type":"singleButton","linkCta":"Meet the LA Care Team","linkType":"button","reference":{"_ref":"e377a479-e152-4105-bfd8-cd8af403f8d8","_type":"reference"}}]}]},{"_key":"a6dc6f2e3be5","_type":"sectionHeader","title":"What’s next?!"},{"_key":"c14faeaa62cf","_type":"block","children":[{"_key":"06ff20d73f2d","_type":"span","marks":[],"text":"In typical Tia style, we will continue to look to you, our community, to inform where we go next, and how to improve our products and services. You, the women "},{"_key":"b2a581956aac","_type":"span","marks":["1c163a5181b7"],"text":"who cast their votes"},{"_key":"fa5d5b629d93","_type":"span","marks":[],"text":" for Tia Clinics near them, track their cycle, health & wellness in our app, read & share our educational content, and send us their wants, needs & dreams are critical co-creators in shaping the future of women’s health. Our ask: continue to build and share along with us! One clinic, one city at a time, we can improve women’s healthcare for women everywhere."}],"markDefs":[{"_key":"1c163a5181b7","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"}],"image":{"_type":"image","asset":{"_ref":"image-7b375bc7635d5b37a3a46258915d8167946a49cf-2800x1600-png","_type":"reference"}},"publishedAt":"2020-11-17T05:00:00.000Z","slug":{"_type":"slug","current":"women-of-los-angeles-your-modern-medical-home-is-here"},"status":"production","title":"LA, Meet The Modern Medical Home | The Tia Take","topics":[{"_key":"b5228eee6d43","_ref":"52909ed4-6c00-4b08-bfee-cee50984c63b","_type":"reference"}]},"metaInformation":{"_type":"metaCard","metaDescription":"Tia is now available in LA, offering a new standard of care with gynecology, primary care,mental health care & acupuncture. 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But we aren't willing to sacrifice our 'special sauce,' moments of delight that energize our clinics and put the soul back in medicine. With #TheMakingOf our second clinic in L.A., the challenge was to find the just-right balance of high-function and form.\n\nWant to check out Tia's spaces? "},{"_key":"f67b4ab38260","_type":"span","marks":["f54acab31324"],"text":"Join Now"}],"markDefs":[{"_key":"f54acab31324","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"large"},{"_key":"9b1b2e4ecdc9","_type":"sectionHeader","title":"The Set Up: how we got here "},{"_key":"34b087c3886a","_type":"block","children":[{"_key":"4c7ff583ff7e","_type":"span","marks":[],"text":"Pre-Covid, 100% of everything we did at Tia took place in our physical clinics, from exams to events. Then the world changed, and we did too. The rise of virtual care made us question the future of our IRL clinics…spoiler alert, we think physical spaces are still key to care. Saying no to virtual-only meant figuring out how to heal our physical spaces by asking:"}],"markDefs":[],"style":"normal"},{"_key":"b6e7ce5427f0","_type":"block","children":[{"_key":"082f6cf77c35","_type":"span","marks":["strong"],"text":"How does a "},{"_key":"7a9afc421ce1","_type":"span","marks":["strong","61a77680ca27"],"text":"waiting room work with social distancing"},{"_key":"3e7a07466a4f","_type":"span","marks":["strong"],"text":"? 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Depending on the care you receive, this could look like: the total amount owed for care might be $300, but the total due this month is $100. This method offers a clear, manageable way to handle medical expenses, allowing you to focus on what truly matters—your health."}],"style":"normal"}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"1eaa1d5efd4f","_type":"standardText","backgroundColor":"bccream","spacing":"pys","text":[{"_key":"1177301216b6","_type":"block","children":[{"_key":"560e7e8612fd","_type":"span","text":"Benefits of Predictable Payments:"}],"style":"h3"},{"_key":"4405ed31e402","_type":"columnText","items":[{"_key":"6bc3e3e01263","_type":"plainText","text":[{"_key":"2648b9147137","_type":"block","children":[{"_key":"734ea0029e80","_type":"span","text":"1. $100 Capped Invoices"}],"style":"h4"},{"_key":"da8fee1a7b4f","_type":"block","children":[{"_key":"a9b4bb678414","_type":"span","text":"One of the biggest benefits of this payment method is predictability. With a consistent $100 cap, you can budget with confidence and avoid fluctuating or surprising bills. We know that some months you may need more time to pay, and that’s ok. Our goal is to remove financial stress so you never delay the care you need."}],"style":"normal"}]},{"_key":"62f372e57485","_type":"plainText","text":[{"_key":"bd954e81fe00","_type":"block","children":[{"_key":"64ea8b43befd","_type":"span","text":"2. One Invoice, One Time a Month"}],"style":"h4"},{"_key":"aa39c7628804","_type":"block","children":[{"_key":"bbace43f0410","_type":"span","text":"The healthcare billing process can be complicated and confusing. Our new method simplifies this by providing clear, straightforward billing. 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This visit may also include a recommendation for STI testing depending on your symptoms."}],"markDefs":[],"style":"normal"},{"_key":"0f6721c0a065","_type":"block","children":[{"_key":"563f562b3446","_type":"span","marks":[],"text":"Symptoms associated with a vaginal infection"}],"markDefs":[],"style":"h3"},{"_key":"57185d3d8708","_type":"block","children":[{"_key":"1fed8cecc57c","_type":"span","marks":[],"text":"Vaginal infection symptoms can vary but some common indications that an infection might be present include:"}],"markDefs":[],"style":"normal"},{"_key":"c38ae799c427","_type":"block","children":[{"_key":"8a26b20bac88","_type":"span","marks":[],"text":"The color, amount, odor, or texture of your discharge has changed."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3f7f99fabd44","_type":"block","children":[{"_key":"6ecb033efc2f","_type":"span","marks":[],"text":"You are experiencing itching or irritation in your vagina or vulva."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"84daef218ebc","_type":"block","children":[{"_key":"e44135c4b70d","_type":"span","marks":[],"text":"There is a burning sensation, especially during sex or when urinating. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"56fd01064c68","_type":"block","children":[{"_key":"4d0f39f0f8c2","_type":"span","marks":[],"text":"Your vulva is swelling or has increased redness."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f9a450b43b88","_type":"block","children":[{"_key":"c7f0d0800759","_type":"span","marks":[],"text":"You are experiencing vaginal pain and soreness. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aff7801c37c5","_type":"block","children":[{"_key":"283e092f04f9","_type":"span","marks":[],"text":"When should you schedule a vaginal infection appointment?"}],"markDefs":[],"style":"h3"},{"_key":"2e484d0570d1","_type":"block","children":[{"_key":"5c8ad83e77b2","_type":"span","marks":[],"text":"Many women might have been "},{"_key":"9a78273941ff","_type":"span","marks":["985536da5800"],"text":"previously diagnosed"},{"_key":"5cb501e45fbc","_type":"span","marks":[],"text":" with a vaginal infection at least once, meaning you probably know the signs and symptoms to look out for and often can self diagnose your infection. Sometimes, a over the counter medication can ease the symptoms, but will not always cure the infection. You should schedule a vaginal infection visit if:"}],"markDefs":[{"_key":"985536da5800","_type":"annotation","text":[{"_key":"70ff994899b6","_type":"block","children":[{"_key":"18f7813cfae9","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"47cc4bd5a9b6","_type":"block","children":[{"_key":"7c17e380d6bd0","_type":"span","marks":[],"text":"Bacterial Vaginitis (BV) is the most common vaginal condition in women 15-44, affects 29% of women in this age group."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"a7df41d906f9","_type":"block","children":[{"_key":"883085d3e835","_type":"span","marks":[],"text":"You have taken a full course of over the counter medication and your symptoms are still present."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2108e0fb8434","_type":"block","children":[{"_key":"2b011d108d92","_type":"span","marks":[],"text":"You have a history of chronic vaginal infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c8b6d6deb658","_type":"block","children":[{"_key":"9f2b34891897","_type":"span","marks":[],"text":"This is the first time you are experiencing any of the symptoms listed above -- Or if a new symptom has appeared."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4035c10a345c","_type":"block","children":[{"_key":"bee163f63370","_type":"span","marks":[],"text":"You've had multiple sexual partners or you recently introduced a new partner."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2f5c7c848b21","_type":"block","children":[{"_key":"02b22753a7d2","_type":"span","marks":[],"text":"You have fever, chills, or pelvic pain. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b3623e37d1a3","_type":"block","children":[{"_key":"1d0b35eb191e","_type":"span","marks":[],"text":"Even if you have been "},{"_key":"fa448bcd1105","_type":"span","marks":["2198325f0301"],"text":"diagnosed with a vaginal infection before"},{"_key":"3b79d22b2e0d","_type":"span","marks":[],"text":" and it might feel pretty routine to cure it yourself, it is always advised to see medical attention. Your Tia provider will help you make an informed decision with your treatment plan."}],"markDefs":[{"_key":"2198325f0301","_type":"annotation","text":[{"_key":"57dee74e30fc","_type":"block","children":[{"_key":"20fee81a862f","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"1c6f4b065b7f","_type":"block","children":[{"_key":"8788f963f3c0","_type":"span","marks":[],"text":"Vaginal candidiasis (yeast infection) is the second most common type of vaginal infection after bacterial vaginal infections. An estimated 1.4 million outpatient visits for vaginal candidiasis occur annually."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"7529d592f754","_type":"block","children":[{"_key":"171d6a63d61c","_type":"span","marks":[],"text":"What to expect during a vaginal infection appointment"}],"markDefs":[],"style":"h3"},{"_key":"3310013f6e17","_type":"block","children":[{"_key":"67d0ca23f293","_type":"span","marks":[],"text":"If your symptoms are typical to what you've experienced in the past, a virtual visit might suffice to accurately asses the situation and perscribe any medications needed. During a virtual visit, your provider will ask about your symptoms, medical history, and any current medications you are taking. Your provider might recommend over-the-counter or self-care techniques to help manage your symptoms. Additionally, antifungal or antibiotic medications might be perscribed to treat the infection. In some cases, your provider will recommend additional testing to confirm your symptoms. But this is not always necessary."}],"markDefs":[],"style":"normal"},{"_key":"798b2b571fd8","_type":"block","children":[{"_key":"c281748bf86a","_type":"span","marks":[],"text":"Tia members can also schedule an in-person vaginal infection appointment. Your provider will review your symptoms prior to performing a pelvic exam with a swab collection. This sample will then be sent to the lab for confirmation of diagnosis, which can take up to 24 days. In some cases, your provider can treat you simply based on a visual examination -- in efforts to relieve your symptoms -- while awaiting lab confirmation."}],"markDefs":[],"style":"normal"},{"_key":"2b03d3e013dd","_type":"block","children":[{"_key":"7593786b40cc","_type":"span","marks":[],"text":"Potential treatment plans for vaginal infections"}],"markDefs":[],"style":"h3"},{"_key":"c36cbc13689b","_type":"block","children":[{"_key":"73240100d48a","_type":"span","marks":[],"text":"There are a variety of ways to treat a vaginal infection depending on the diagnosis and severity. Your provider might recommend/perscribe:"}],"markDefs":[],"style":"normal"},{"_key":"146447ffdbf6","_type":"block","children":[{"_key":"7cd833c2acf9","_type":"span","marks":[],"text":"Lifestyle/Diet Changes"}],"markDefs":[],"style":"h5"},{"_key":"b61b99f09363","_type":"block","children":[{"_key":"99b1f3987dbf","_type":"span","marks":["strong"],"text":"Lowering saturated fat intake:"},{"_key":"4ea56c65c054","_type":"span","marks":[],"text":" Consuming lots of saturated fat can increase the pH (aka acidity) of your vagina which increases the risk of Bacterial vaginosis. Try adding more olive oil, nuts, and avocados into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0ec697a69eb1","_type":"block","children":[{"_key":"863633e65533","_type":"span","marks":["strong"],"text":"Increaseing fiber intake:"},{"_key":"61671f2cfb94","_type":"span","marks":[],"text":" Fiber is an amazing prebiotic. This means it stimulates the growth of and maintenance of desired gut bacteria. Incorporate more onions, bananas, garlic, apples and oats into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b7cef5e345e5","_type":"block","children":[{"_key":"e7f26c079e84","_type":"span","marks":["strong"],"text":"Vitamin D:"},{"_key":"98257b74b150","_type":"span","marks":[],"text":" Low levels of Vitamin D have been associated with a higher risk of Bacterial vaginosis. We recommend starting with 2000 IU daily."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"01a71fa01102","_type":"block","children":[{"_key":"41c5e2dfd92e","_type":"span","marks":["strong"],"text":"Probiotics:"},{"_key":"333a6b7ef7e9","_type":"span","marks":[],"text":" Probiotics, either supplements or whole foods, may improve your symptoms and prevent a potential infection. We like adding more yogurt, sauerkraut, miso, pickles and kimchi into your diet."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"d6c5802a8520","_type":"block","children":[{"_key":"f65b7674329a","_type":"span","marks":[],"text":"Medications"}],"markDefs":[],"style":"h5"},{"_key":"fa93cf604992","_type":"block","children":[{"_key":"a0d9ec133c9a","_type":"span","marks":["strong"],"text":"Monistat:"},{"_key":"cbdf1ccf0c9c","_type":"span","marks":[],"text":" This is an over-the-counter antifungal ointment that can treat yeast infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ee54e15ae3bb","_type":"block","children":[{"_key":"849c64454ce3","_type":"span","marks":["strong"],"text":"Boric acid:"},{"_key":"4d99bf21c8ba","_type":"span","marks":[],"text":" "},{"_key":"1859f5191c82","_type":"span","marks":["71422af6d4c1"],"text":"This weak acid"},{"_key":"d935e600d6a3","_type":"span","marks":[],"text":" may stop bacteria or yeast from continuing to grow. It may also help in restoring your vaginal acidity and re-establish the ideal environment for beneficial vaginal flora to return. It is important to only use it as a vaginal suppository as it can be fatal if taken orally."}],"level":1,"listItem":"bullet","markDefs":[{"_key":"71422af6d4c1","_type":"internalLink","linkType":"text","reference":{"_ref":"131cbcb8-4730-40d1-a602-bcab3cc457b9","_type":"reference"}}],"style":"normal"},{"_key":"bd3bc5f496a1","_type":"block","children":[{"_key":"1268b7eb8238","_type":"span","marks":["strong"],"text":"Topical or oral perscription medications:"},{"_key":"6acbbe0fc017","_type":"span","marks":[],"text":" There are a variety of different medications that might be perscribed depending on the diagnosis."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"75f7dc853182","_type":"block","children":[{"_key":"d4d1f7fb981c","_type":"span","marks":[],"text":"Vaginal Health Recommendations"}],"markDefs":[],"style":"h5"},{"_key":"de68fc1e28fd","_type":"block","children":[{"_key":"9d652bf6720b","_type":"span","marks":["strong"],"text":"Considering a menstrual cup:"},{"_key":"fdc69e272d06","_type":"span","marks":[],"text":" There may be a reduced association of using a menstrual cup and Bacterial vaginosis and Candidiasis infections."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"531cb1095bb3","_type":"block","children":[{"_key":"99731f03fcbb","_type":"span","marks":["strong"],"text":"Yin care:"},{"_key":"e8801716d176","_type":"span","marks":[],"text":" Yin Care is a combination of anti-pathogenic Chinese herbs that can be used to help deal with signs and symptoms of vaginal “yeast” (bacterial or fungal infections). You can use the solution (diluted) as a sitz bath, herbal wash, or soak."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1518a49c49d8","_type":"block","children":[{"_key":"7b55e01ee0f2","_type":"span","marks":[],"text":"In some cases, your provider might recommend a follow up visit for additional screening. "}],"markDefs":[],"style":"normal"},{"_key":"35dec4c2697f","_type":"block","children":[{"_key":"8ae026bf26c8","_type":"span","marks":[],"text":"How can you prevent future vaginal infections?"}],"markDefs":[],"style":"h3"},{"_key":"d565c59aa40f","_type":"block","children":[{"_key":"b1c5d47cd0030","_type":"span","marks":[],"text":"Normal and abnormal variations in vaginal discharge should be routinely discussed with your provider. Additionally, ask your provider to help educate you on common vaginal infections. These infections are not sexually transmitted but rather an imbalance of the vaginal pH."}],"markDefs":[],"style":"normal"},{"_key":"4fd6d328ce20","_type":"block","children":[{"_key":"d81234c74e29","_type":"span","marks":[],"text":"Common causes of vaginal infections can include prolonged time in sweaty or wet clothing, non-cotton underwear, changes in mental or physical health, scented hygiene products or detergents. Although these infections are not STIs, some patients notice symptoms following sexual activity. "}],"markDefs":[],"style":"normal"},{"_key":"d9159b8e8e22","_type":"block","children":[{"_key":"ecea8660deca","_type":"span","marks":[],"text":"You can help keep your vagina healthy by: "}],"markDefs":[],"style":"normal"},{"_key":"7bd2b1e01d00","_type":"block","children":[{"_key":"23b67d525492","_type":"span","marks":[],"text":"Avoiding douching "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9fc4afddb8e0","_type":"block","children":[{"_key":"d9dae0196fe7","_type":"span","marks":[],"text":"Washing the area at least once daily with unscented, plain soap or even just water"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"85122a912780","_type":"block","children":[{"_key":"3e53c03d8b21","_type":"span","marks":[],"text":"Avoiding scented personal care products in your vaginal area"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3454a970b31a","_type":"block","children":[{"_key":"753cfb92eee6","_type":"span","marks":[],"text":"Avoiding perfumed feminine hygiene sprays and deodorants"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"dd90a0b1edfa","_type":"block","children":[{"_key":"79f4f9c37036","_type":"span","marks":[],"text":"Practicing safe sex by using a condom every time you have intercourse "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ee12554c332c","_type":"block","children":[{"_key":"8891a6124359","_type":"span","marks":[],"text":"Wiping from front to back after using the bathroom "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"736ff074e4fa","_type":"block","children":[{"_key":"40a78a8598e1","_type":"span","marks":[],"text":"Getting regular gynecological checkups "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"26576cf8c22c","_type":"block","children":[{"_key":"db49b6f42815","_type":"span","marks":[],"text":"Taking a daily probiotic"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"677e67f33f24","_type":"block","children":[{"_key":"9f1ada7c83b8","_type":"span","marks":[],"text":"Following treatment, your symptoms should clear completly. Follow up testing and treatment is not generally needed."}],"markDefs":[],"style":"normal"},{"_key":"cbe81a4b161a","_type":"cta","backgroundColor":"bccream","text":[{"_key":"1431e58f4c2a","_type":"block","children":[{"_key":"83c2362a45e3","_type":"span","marks":[],"text":"Experiencing symptoms? Sign up for Tia's membership and schedule your vaginal infection appointment."}],"markDefs":[],"style":"large"},{"_key":"84645d9290c9","_type":"buttonBlock","items":[{"_key":"d64a8bb7327c","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]}]},{"_key":"7689759a5e65","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-2"},{"_key":"65c7d21a3fe2","_type":"furtherReading","articles":[{"_key":"782b4d484d3f","_ref":"131cbcb8-4730-40d1-a602-bcab3cc457b9","_type":"reference"},{"_key":"c3eb26dfb2b8","_ref":"8f0a7f7b-d178-4966-82ff-39f310b2b589","_type":"reference"},{"_key":"af69ddbb6e77","_ref":"d4d159cd-6b7d-4f38-9c96-a26a0b7a81d9","_type":"reference"}],"backgroundColor":"bccream","spacing":"pys","title":"More on Vaginal infections"}],"redirectLanding":false,"shortDescription":"From chronic yeast infections to BV to not-sure-what-but-something-is-up, we've got you covered with diagnosis, treatment, and prevention.","slug":{"_type":"slug","current":"vaginal-infection"},"tags":[{"_key":"dcb5f1a56fda","_ref":"7c4dd9a9-c70d-49cc-b4e3-f752e2631d1b","_type":"reference"}],"title":"Vaginal Infection"},"meta":{"_type":"metaCard","metaDescription":"From chronic yeast infections to BV to not-sure-what-but-something-is-up, we've got you covered with diagnosis, treatment, and prevention.","metaTitle":"Vaginal Infection | Virtual and In-Person Appointments - Tia","openGraphDescription":"From chronic yeast infections to BV to not-sure-what-but-something-is-up, we've got you covered with diagnosis, treatment, and prevention.","openImage":{"_type":"image","asset":{"_ref":"image-9e13eb002a3efd62605b18c916e9d2c999183188-1200x600-png","_type":"reference"}},"title":"Vaginal Infection | Virtual and In-Person Appointments - Tia"}},"id":"96f07357-61ab-56b3-a0d3-34c0a967f5f0","parent":null,"children":[],"internal":{"type":"SanityAppointment","contentDigest":"d4100a2eafe57869dd8f0688447bfe4d","counter":2162,"owner":"gatsby-source-sanity"}},{"_id":"ca742657-6062-42c7-8a48-c476af18b8fc","_type":"appointment","_createdAt":"2020-08-07T01:58:50Z","_rev":"u93Z2ge2ROiYmlpy5A5EIz","_system":{"base":{"id":"ca742657-6062-42c7-8a48-c476af18b8fc","rev":"PTIVluUWkXtp4DQKFaKxDK"}},"_updatedAt":"2026-03-23T15:16:26Z","content":{"_type":"appointmentTabs","main":{"_type":"appointmentContent","appointmentLink":{"_type":"buttonBlock","items":[{"_key":"1d2103092cc1","_type":"singleButton","appointmentProfileUUID":"27a9fa49-507d-494d-8308-f41b4a1ad9e8","experimentFlag":"premember-market-availability","linkCta":"Book appointment","linkType":"join-experiment"}]},"appointmentType":"in-clinic-and-virtual","enableLanding":true,"image":{"_type":"image","asset":{"_ref":"image-f07aba014aa730d572c4da77d432935537366d75-100x100-svg","_type":"reference"}},"modules":[{"_key":"09d1ac067381","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"455a38422732","_type":"imageAndText","alignment":"jcrr","aspectRatio":"16:9","autoPlay":false,"backgroundColor":"bcoat","image":{"_type":"image","asset":{"_ref":"image-2b17b7467f60e6b21128714005157d256ef895d0-1024x1024-webp","_type":"reference"}},"mediaType":"image","mobileImage":{"_type":"image","asset":{"_ref":"image-23b89d26119e92b9223727692b0a6baad056f16d-480x480-webp","_type":"reference"}},"spacing":"pym","style":"normal","text":[{"_key":"65de6e39530c","_type":"block","children":[{"_key":"065f502709960","_type":"span","marks":[],"text":"Birth Control - Contraception Counseling"}],"markDefs":[],"style":"h1"},{"_key":"53d16d1370c5","_type":"block","children":[{"_key":"e4e981f06e370","_type":"span","marks":[],"text":"Your First Step to Finding the Right Birth Control"}],"markDefs":[],"style":"normal"},{"_key":"07657126f714","_type":"checkList","backgroundColor":"bcp","checkboxSize":24,"color":"white","items":["Share your goals, preferences, and history","Talk through all your options, including the pill, IUD, patch, ring, implant, and more.","Get a prescription or plan for your next steps"],"showDivider":false,"textSize":18},{"_key":"ddac014e38da","_type":"buttonBlock","items":[{"_key":"93f0c0cfdda5","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Book appointment","linkType":"join-scroll-shape"}],"onlyStackButtons":false},{"_key":"e7e1385ea995","_type":"block","children":[{"_key":"0bdfb0bb4864","_type":"span","marks":[],"text":"Takes 3–5 minutes to create an account • No membership fee to book • Insurance accepted"}],"markDefs":[],"style":"small"},{"_key":"c3ad08659300","_type":"block","children":[{"_key":"b9b4ef4ae15a","_type":"span","marks":["23d733cc6d20"],"text":"Already a Tia member? 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"},{"_key":"0d956cd856c1","_type":"span","marks":["e86fb3320699"],"text":"An abnormal result"},{"_key":"54cc3b936bea","_type":"span","marks":[],"text":" indicates that there are changes in the size, shape, or appearance of the cervical cells, which could be indicative of infections, inflammation, precancerous, or cancerous conditions. Further diagnostic tests or procedures may be recommended based on the degree and nature of the abnormalities to determine the appropriate course of action for the individual's health. 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We’ll work together to find the cause."}],"markDefs":[],"style":"normal"}],"question":"Does abnormal bleeding always mean something serious is wrong?","id":"3e7f2f99-2843-599e-9729-62894492af90","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"bbd56765bf57e8c36ff19f96e4ee10de","counter":1458,"owner":"gatsby-source-sanity"}},{"_id":"e6b2402b-fba3-4796-86f0-d32b79fadcdf","_type":"faq","_createdAt":"2025-11-18T20:47:55Z","_rev":"tn8ara450WlXXKYxtR9LiT","_updatedAt":"2025-11-18T20:48:02Z","answer":[{"_key":"a347d8ce7dc9","_type":"block","children":[{"_key":"6b6949df5c560","_type":"span","marks":[],"text":"The most helpful thing you can do is track and document details regarding your cycle prior to your appointment, including flow and cycle length, because this context will help your clinician build the best diagnosis and Care Plan for you."}],"markDefs":[],"style":"normal"}],"question":"What is the most important thing I can do before my appointment?","id":"b4db0537-97c0-5ea6-bdfc-a8ad741bf9f3","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"6b70cb1fff6ad2431e732d649fdcdc87","counter":1461,"owner":"gatsby-source-sanity"}},{"_id":"5d4d329f-3b3e-4e4f-9347-ba3a5e4b1d61","_type":"faq","_createdAt":"2025-11-18T20:48:10Z","_rev":"6AOsznnNsHsLgnc3EkxkJv","_updatedAt":"2025-11-18T20:48:24Z","answer":[{"_key":"e338e188786a","_type":"block","children":[{"_key":"6f69b7cbf1130","_type":"span","marks":[],"text":"Yes. Depending on the diagnosis, hormonal medication, such as birth control, is a common potential treatment to regulate your cycles and manage heavy bleeding."}],"markDefs":[],"style":"normal"}],"question":"Can birth control medication be used to treat abnormal bleeding?","id":"dacc8d6a-dccb-52dc-bbe9-77570749c8c6","parent":null,"children":[],"internal":{"type":"SanityFaq","contentDigest":"97962dc1f002908856e3601297e484b7","counter":1459,"owner":"gatsby-source-sanity"}},{"_id":"37c6c023-64f8-4fa4-9263-3e997cf5c8f2","_type":"faq","_createdAt":"2025-11-18T20:48:32Z","_rev":"tn8ara450WlXXKYxtR9Ygb","_updatedAt":"2025-11-18T20:48:39Z","answer":[{"_key":"34e605621e76","_type":"block","children":[{"_key":"13f0b62709c70","_type":"span","marks":[],"text":"Once your history and symptoms are reviewed, your Tia provider may recommend a physical exam, pelvic exam, blood work, or ultrasound to gather more information and narrow down a diagnosis."}],"markDefs":[],"style":"normal"}],"question":"Will I 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Periods.png","path":"images/8qqycr4y/production/547a01ee20a9798730cecc6c1b3d5dd993d37caf-5600x3200.png","sha1hash":"547a01ee20a9798730cecc6c1b3d5dd993d37caf","size":633798,"uploadId":"EJwo4Ezqh3yjH52QDKsR1D228VLoE2Q1","url":"https://cdn.sanity.io/images/8qqycr4y/production/547a01ee20a9798730cecc6c1b3d5dd993d37caf-5600x3200.png","id":"image-547a01ee20a9798730cecc6c1b3d5dd993d37caf-5600x3200-png","parent":null,"children":["9da8110b-0760-5215-ac9d-6e66293d7212"],"internal":{"type":"SanityImageAsset","contentDigest":"535751753d5040111c4476300ddd84c6","counter":4616,"owner":"gatsby-source-sanity"}}},"editorialText":[{"_key":"f16341b8c114","_type":"block","children":[{"_key":"a8fed400a57e0","_type":"span","marks":[],"text":"Having a menstrual cycle that “shows up” on time, every time, like clockwork is a luxury few women and people assigned female at birth get to enjoy. For many people, the ebb and flow of their menstrual cycles often feels more like unpredictable ocean waves rather than precise lunar cycles. If you find yourself double-checking your period tracking app or calendar on the regular, you’re definitely not alone. Irregular periods can be bewildering, but there's usually an identifiable reason for them."}],"markDefs":[],"style":"normal"},{"_key":"c9b930c7661f","_type":"block","children":[{"_key":"3c2450a1ae170","_type":"span","marks":[],"text":"Irregular periods can even be an early sign that something else might be going on, like an underlying medical condition or unhealthy lifestyle choice, so understanding the potential cause(s) of irregular periods is crucial to addressing any health and wellness concerns that might be throwing your period off track."}],"markDefs":[],"style":"normal"},{"_key":"8a960ebe8669","_type":"block","children":[{"_key":"afb9eaa93cac0","_type":"span","marks":["strong"],"text":"What is an irregular period?"}],"markDefs":[],"style":"h1"},{"_key":"e2a82833e473","_type":"block","children":[{"_key":"2ae9081017d60","_type":"span","marks":[],"text":"Before diving into the various causes of irregular periods, let’s look at some examples the "},{"_key":"bc79dd35e3b6","_type":"span","marks":["01db6c08ed8d"],"text":"American College of Obstetricians and Gynecologists"},{"_key":"12a0c478b8ce","_type":"span","marks":[],"text":" considers to be irregular menstrual cycles."}],"markDefs":[{"_key":"01db6c08ed8d","_type":"externalLink","linkType":"text","url":"https://www.acog.org/womens-health/faqs/heavy-and-abnormal-periods"}],"style":"normal"},{"_key":"e5281bbe3b5e","_type":"block","children":[{"_key":"3c000c55fbda0","_type":"span","marks":[],"text":"You’re 15 and haven’t had a period."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"77458c04bb6f","_type":"block","children":[{"_key":"7029772ea9ab0","_type":"span","marks":[],"text":"It’s been 3 years since breast development and you haven’t had a period."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"66158d8b90fc","_type":"block","children":[{"_key":"567bacf697310","_type":"span","marks":[],"text":"Your periods were regular but aren’t anymore."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6c417910b8c7","_type":"block","children":[{"_key":"6ad0b0c4d99b0","_type":"span","marks":[],"text":"Your period arrives more often than every 21 days or less often than every 45 days."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"75998d607a88","_type":"block","children":[{"_key":"153f0a1789be0","_type":"span","marks":[],"text":"Your period comes more than 90 days apart."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e605e20a77a3","_type":"block","children":[{"_key":"8af7b875439a0","_type":"span","marks":[],"text":"Your period lasts longer than 7 days."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c73f581062d8","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"1d70f490fc98","_type":"block","children":[{"_key":"69ff35847d0f","_type":"span","marks":[],"text":"Experiencing period irregularities? Join Tia and schedule an appointment at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"cc990ee57189","_type":"block","children":[{"_key":"9388d6ff94440","_type":"span","marks":["7c60cb9fd80f","em"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles. "}],"markDefs":[{"_key":"7c60cb9fd80f","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"822bb889a3c7","_type":"buttonBlock","items":[{"_key":"7e73e6a6f2ea","_type":"singleButton","linkCta":"Join Tia","linkType":"join-scroll"}]},{"_key":"e96cfd57c877","_type":"block","children":[{"_key":"1b89cde5e6ee0","_type":"span","marks":[],"text":"\n"}],"markDefs":[{"_key":"7c60cb9fd80f","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"}]},{"_key":"aeef5fe55a7d","_type":"block","children":[{"_key":"6e04a127d8e10","_type":"span","marks":["strong"],"text":"The Reasons for Irregular Periods"}],"markDefs":[],"style":"h1"},{"_key":"e3327b3fcb5c","_type":"block","children":[{"_key":"c25fdc537fba0","_type":"span","marks":[],"text":"Almost everyone with a uterus will experience an irregular cycle or two during their reproductive lifespans. If your periods are occasionally irregular, it’s usually nothing to worry about. However, if you’re consistently experiencing irregular periods, it’s a good idea to chat with your healthcare provider so she can help pinpoint the possible cause(s) and offer potential solutions or treatments. Sometimes, fairly simple lifestyle changes can make all the difference."}],"markDefs":[],"style":"normal"},{"_key":"f314f1e500d2","_type":"block","children":[{"_key":"baa68fdffbe60","_type":"span","marks":[],"text":"What follows is a list of some of the most common reasons your period might be irregular:"}],"markDefs":[],"style":"normal"},{"_key":"7872ea516619","_type":"block","children":[{"_key":"632f12e7cd360","_type":"span","marks":[],"text":"Hormonal Imbalance"}],"markDefs":[],"style":"h3"},{"_key":"d9a01da871e4","_type":"block","children":[{"_key":"7c81dc9d41930","_type":"span","marks":[],"text":"Fluctuations in hormones, especially estrogen and progesterone, can impact the regularity of your menstrual cycle. Several conditions like "},{"_key":"9393edbefe32","_type":"span","marks":["strong"],"text":"PCOS (polycystic ovarian syndrome), thyroid disease, and premature ovarian insufficiency"},{"_key":"ba1f30b484a7","_type":"span","marks":[],"text":" can lead to unpredictable hormone imbalances that can cause irregular periods."}],"markDefs":[],"style":"normal"},{"_key":"aeaaaf3c768b","_type":"block","children":[{"_key":"17d377172e320","_type":"span","marks":[],"text":"Stress"}],"markDefs":[],"style":"h3"},{"_key":"732b493269c2","_type":"block","children":[{"_key":"2f5d1944c33f0","_type":"span","marks":[],"text":"Yep, good ole stress is "},{"_key":"2f5d1944c33f1","_type":"span","marks":["strong"],"text":"a very common reason for irregular periods. "},{"_key":"2f5d1944c33f2","_type":"span","marks":[],"text":"It can lead to hormonal imbalances that might cause your period to be early, late, or skipped."}],"markDefs":[],"style":"normal"},{"_key":"b4bcffd87f46","_type":"block","children":[{"_key":"9d5fe151fe340","_type":"span","marks":[],"text":"Extreme Weight Changes"}],"markDefs":[],"style":"h3"},{"_key":"e7f9f4181615","_type":"block","children":[{"_key":"3777838173720","_type":"span","marks":[],"text":"Extreme weight loss or weight gain can disrupt your menstrual cycle. Being significantly underweight "},{"_key":"3777838173721","_type":"span","marks":["strong"],"text":"can cause your body to halt ovulation"},{"_key":"3777838173722","_type":"span","marks":[],"text":", which in turn causes missed periods. Being overweight "},{"_key":"3777838173723","_type":"span","marks":["strong"],"text":"can lead to excess estrogen production"},{"_key":"3777838173724","_type":"span","marks":[],"text":", which can lead to irregular menstrual cycles."}],"markDefs":[],"style":"normal"},{"_key":"3098f0d654f9","_type":"block","children":[{"_key":"f3c21629913c0","_type":"span","marks":[],"text":"Excessive Exercise"}],"markDefs":[],"style":"h3"},{"_key":"e19e99ed6008","_type":"block","children":[{"_key":"60db3a9a60280","_type":"span","marks":[],"text":"While regular exercise is a great way to improve and maintain your health, "},{"_key":"60db3a9a60281","_type":"span","marks":["strong"],"text":"there is such thing as too much of a good thing."},{"_key":"60db3a9a60282","_type":"span","marks":[],"text":" High levels of physical activity, especially when combined with low body fat, can lead to irregular or absent periods."}],"markDefs":[],"style":"normal"},{"_key":"49018f64dd03","_type":"block","children":[{"_key":"76ea8121f6c00","_type":"span","marks":[],"text":"Birth Control"}],"markDefs":[],"style":"h3"},{"_key":"c7754e69cdbc","_type":"block","children":[{"_key":"c4d21aacfb600","_type":"span","marks":[],"text":"Starting, stopping, or switching "},{"_key":"d8259abe0116","_type":"span","marks":["9214e89d6f3f"],"text":"birth control"},{"_key":"d59435cf882d","_type":"span","marks":[],"text":" methods can turn your menstrual cycle into a guessing game. "},{"_key":"0bd24561daf8","_type":"span","marks":["3ebeabaaa36b"],"text":"Hormonal birth control methods"},{"_key":"75e97b0b81a1","_type":"span","marks":[],"text":", like pills, patches, injections, rings, and IUDs, can cause all kinds of irregular bleeding. "},{"_key":"c4d21aacfb601","_type":"span","marks":["strong"],"text":"Periods can become lighter, heavier, or even absent while your body adjusts to new hormone levels."}],"markDefs":[{"_key":"9214e89d6f3f","_type":"internalLink","linkType":"text","reference":{"_ref":"ab3cc22d-086a-474b-a093-0be65e222f51","_type":"reference"}},{"_key":"3ebeabaaa36b","_type":"internalLink","linkType":"text","reference":{"_ref":"ca742657-6062-42c7-8a48-c476af18b8fc","_type":"reference"}}],"style":"normal"},{"_key":"a05a1b2ca033","_type":"block","children":[{"_key":"ac36085606080","_type":"span","marks":[],"text":"Puberty and Perimenopause"}],"markDefs":[],"style":"h3"},{"_key":"f5c1e092c2e7","_type":"block","children":[{"_key":"e851ab2a62030","_type":"span","marks":[],"text":"During puberty, it’s common for periods to be irregular "},{"_key":"e851ab2a62031","_type":"span","marks":["strong"],"text":"while your body figures out how to balance the environment of new hormones"},{"_key":"e851ab2a62032","_type":"span","marks":[],"text":". In a similar way, during "},{"_key":"e4010c88e9b2","_type":"span","marks":["2581fd3ea008"],"text":"perimenopause"},{"_key":"071989722a3d","_type":"span","marks":[],"text":", the years leading up to menopause, "},{"_key":"e851ab2a62033","_type":"span","marks":["strong"],"text":"periods can become unpredictable and irregular until they stop altogether."}],"markDefs":[{"_key":"2581fd3ea008","_type":"internalLink","linkType":"text","reference":{"_ref":"04cda285-9d18-465d-8ff2-9329d8f3eed6","_type":"reference"}}],"style":"normal"},{"_key":"3474c13b145d","_type":"block","children":[{"_key":"81207a5d19a00","_type":"span","marks":[],"text":"Medications"}],"markDefs":[],"style":"h3"},{"_key":"07ee36192fbc","_type":"block","children":[{"_key":"13aba997d3ba0","_type":"span","marks":[],"text":"Certain medications (besides hormonal birth control) can cause irregular periods as a side effect, including "},{"_key":"13aba997d3ba1","_type":"span","marks":["strong"],"text":"antipsychotics, antidepressants, and chemotherapy drugs."}],"markDefs":[],"style":"normal"},{"_key":"3a76ccc46070","_type":"block","children":[{"_key":"c4406fc8bad50","_type":"span","marks":[],"text":"PCOS (polycystic ovarian syndrome)"}],"markDefs":[],"style":"h3"},{"_key":"db8aea0be768","_type":"block","children":[{"_key":"fb0a249b24590","_type":"span","marks":[],"text":"A condition characterized by excess androgen production and multiple ovarian cysts, "},{"_key":"8181000a0fee","_type":"span","marks":["f05aadeb64b3"],"text":"PCOS"},{"_key":"dc44c508675d","_type":"span","marks":[],"text":" can lead to irregular menstrual cycles among other symptoms, like "},{"_key":"fb0a249b24591","_type":"span","marks":["strong"],"text":"weight gain, excessive hair growth, acne, and infertility."}],"markDefs":[{"_key":"f05aadeb64b3","_type":"internalLink","linkType":"text","reference":{"_ref":"208f4e01-a92e-4bb2-ae88-84672bdb6462","_type":"reference"}}],"style":"normal"},{"_key":"b1012b21ae1d","_type":"block","children":[{"_key":"265d84a892de0","_type":"span","marks":[],"text":"Endometriosis"}],"markDefs":[],"style":"h3"},{"_key":"39fa1844ce5c","_type":"block","children":[{"_key":"8a49b7ac59cf0","_type":"span","marks":["835b058afe8c"],"text":"This condition"},{"_key":"485bfe338b35","_type":"span","marks":[],"text":", where tissue similar to the lining of the uterus grows outside of it and implants on other organs, can cause irregular periods "},{"_key":"8a49b7ac59cf1","_type":"span","marks":["strong"],"text":"along with painful periods and infertility issues."}],"markDefs":[{"_key":"835b058afe8c","_type":"internalLink","linkType":"text","reference":{"_ref":"6bcab68d-31ec-4735-b466-a805f4bc5dbc","_type":"reference"}}],"style":"normal"},{"_key":"01d17cd68c95","_type":"block","children":[{"_key":"3b69305f1e720","_type":"span","marks":[],"text":"Chronic Diseases"}],"markDefs":[],"style":"h3"},{"_key":"23eaf78a8dbc","_type":"block","children":[{"_key":"de1b9450d0db0","_type":"span","marks":[],"text":"Chronic health conditions such as "},{"_key":"de1b9450d0db1","_type":"span","marks":["strong"],"text":"celiac disease (an immune reaction to gluten) or diabetes"},{"_key":"de1b9450d0db2","_type":"span","marks":[],"text":" can greatly impact period regularity."}],"markDefs":[],"style":"normal"},{"_key":"45bcdb7d4394","_type":"block","children":[{"_key":"8d5bb897dc920","_type":"span","marks":[],"text":"Lifestyle Factors"}],"markDefs":[],"style":"h3"},{"_key":"ddf551a32f80","_type":"block","children":[{"_key":"ea687642b79f0","_type":"span","marks":[],"text":"Our day-to-day choices, from what we eat to how much we sleep, can influence menstrual cycles"},{"_key":"ea687642b79f1","_type":"span","marks":["strong"],"text":". Poor diet, inadequate sleep, and high levels of stress can all lead to irregular periods."},{"_key":"ea687642b79f2","_type":"span","marks":[],"text":" Another reminder of how interconnected our lifestyle choices and overall health are."}],"markDefs":[],"style":"normal"},{"_key":"2cc723fe9c47","_type":"block","children":[{"_key":"2720f016a77c0","_type":"span","marks":[],"text":"When should you see a doctor about irregular periods?"}],"markDefs":[],"style":"h1"},{"_key":"5c718b488a0e","_type":"block","children":[{"_key":"09e9e9475b7c","_type":"span","marks":[],"text":"While occasionally irregular periods are usually normal, consistent irregularities should motivate you to make an appointment with your healthcare provider. Often, a potential cause and practical solution can be found. In fact, often, the solution is as simple as making a few smart lifestyle modifications. If a more serious underlying health condition is at play, your provider can help diagnose and treat that too."}],"markDefs":[],"style":"normal"},{"_key":"2cf27e17edf6","_type":"block","children":[{"_key":"d646acf3dc130","_type":"span","marks":[],"text":"By understanding and paying attention to your body's signals, like irregular periods, you're taking an important and empowering step toward improving and managing your reproductive and overall health."}],"markDefs":[],"style":"normal"},{"_key":"270d5eee146e","_type":"block","children":[{"_key":"0dad0b3f61960","_type":"span","marks":[],"text":"If you’re experiencing irregular periods and want help diagnosing, managing, and treating the underlying condition or cause, sign up for Tia. Our team of clinic experts practice women-centric, whole-body, "},{"_key":"97e8d0b37d21","_type":"span","marks":["em"],"text":"one-size-never-fits-all"},{"_key":"2d2d65c91d2e","_type":"span","marks":[],"text":" healthcare that will make you feel safe, seen, heard, and supported."}],"markDefs":[],"style":"normal"},{"_key":"7b845664076d","_type":"cta","text":[{"_key":"f77ecfb3ea02","_type":"block","children":[{"_key":"76072f9b6398","_type":"span","marks":[],"text":"Ready to tackle your irregular period? Join Tia and schedule an appointment at the clinic nearest you!"}],"markDefs":[],"style":"large"},{"_key":"d6a162839874","_type":"block","children":[{"_key":"da9647cb53460","_type":"span","marks":["em","bc9addd47d48"],"text":"Located in New York, Scottsdale, San Francisco, and Los Angeles."}],"markDefs":[{"_key":"bc9addd47d48","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"2c4269a66ecf","_type":"buttonBlock","items":[{"_key":"a87321886515","_type":"singleButton","linkCta":"Join Tia","linkType":"join-scroll"}]},{"_key":"10450a39cd15","_type":"block","children":[{"_key":"982ea8329a810","_type":"span","marks":[],"text":"\n"}],"markDefs":[],"style":"normal"}]}],"image":{"_type":"image","asset":{"_id":"image-547a01ee20a9798730cecc6c1b3d5dd993d37caf-5600x3200-png","_type":"sanity.imageAsset","_createdAt":"2024-05-09T20:48:14Z","_rev":"7NfPHKInAAn8yUEV4fejDY","_updatedAt":"2024-05-09T20:48:17Z","assetId":"547a01ee20a9798730cecc6c1b3d5dd993d37caf","extension":"png","metadata":{"_type":"sanity.imageMetadata","blurHash":"MHRCb%Mdx]xts9_4jFj[WAWB?Ix]M{V@R*","dimensions":{"_type":"sanity.imageDimensions","aspectRatio":1.75,"height":3200,"width":5600},"hasAlpha":true,"isOpaque":true,"lqip":"data:image/png;base64,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","palette":{"_type":"sanity.imagePalette","darkMuted":{"_type":"sanity.imagePaletteSwatch","background":"#554a3d","foreground":"#fff","population":1.38,"title":"#fff"},"darkVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#2c3414","foreground":"#fff","population":0,"title":"#fff"},"dominant":{"_type":"sanity.imagePaletteSwatch","background":"#554a3d","foreground":"#fff","population":1.38,"title":"#fff"},"lightMuted":{"_type":"sanity.imagePaletteSwatch","background":"#d0cdb2","foreground":"#000","population":0.65,"title":"#000"},"lightVibrant":{"_type":"sanity.imagePaletteSwatch","background":"#fcc4c8","foreground":"#000","population":0.01,"title":"#000"},"muted":{"_type":"sanity.imagePaletteSwatch","background":"#9c4c5c","foreground":"#fff","population":0,"title":"#fff"},"vibrant":{"_type":"sanity.imagePaletteSwatch","background":"#cc7c8c","foreground":"#fff","population":0,"title":"#fff"}}},"mimeType":"image/png","originalFilename":"Irregular Periods.png","path":"images/8qqycr4y/production/547a01ee20a9798730cecc6c1b3d5dd993d37caf-5600x3200.png","sha1hash":"547a01ee20a9798730cecc6c1b3d5dd993d37caf","size":633798,"uploadId":"EJwo4Ezqh3yjH52QDKsR1D228VLoE2Q1","url":"https://cdn.sanity.io/images/8qqycr4y/production/547a01ee20a9798730cecc6c1b3d5dd993d37caf-5600x3200.png","id":"image-547a01ee20a9798730cecc6c1b3d5dd993d37caf-5600x3200-png","parent":null,"children":["9da8110b-0760-5215-ac9d-6e66293d7212"],"internal":{"type":"SanityImageAsset","contentDigest":"535751753d5040111c4476300ddd84c6","counter":4616,"owner":"gatsby-source-sanity"}}},"publishedAt":"2024-05-09T19:14:00.000Z","slug":{"_type":"slug","current":"irregular-period-causes"},"status":"production","title":"Potential Causes for Your Irregular Period","topics":[{"_id":"26e22379-99ea-4d73-921c-82c6f4b6c375","_type":"topic","_createdAt":"2020-07-02T17:04:21Z","_rev":"RdixGn6lpDGH89K9LFG39m","_updatedAt":"2022-09-15T12:22:15Z","slug":{"_type":"slug","current":"menstrual-cycle"},"title":"Menstrual Cycle","id":"6f58548f-7057-5e58-877f-75ca4aee1991","parent":null,"children":[],"internal":{"type":"SanityTopic","contentDigest":"8bd10f5dc7cf39012fe5e808091d24c2","counter":2006,"owner":"gatsby-source-sanity"}}]},"metaInformation":{"_type":"metaCard","metaDescription":"Struggling with irregular periods? 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While decoding period blood colors may seem like pop science, its various hues can actually offer helpful hints about your health and give you a heads-up about "},{"_key":"a14ea2cc2f3d","_type":"span","marks":["6cfe6bd4406d","strong"],"text":"underlying issues"},{"_key":"1d2441605b37","_type":"span","marks":[],"text":" that haven’t been uncovered yet. So, even if you don’t make a habit of paying attention to the patina of your period blood, perhaps it’s time to start taking a little more notice. Because even if they can’t speak, sometimes periods are trying to tell you something."}],"markDefs":[{"_key":"0c6ed72533c4","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/gynecology/"},{"_key":"6cfe6bd4406d","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-abnormal-bleeding/"}],"style":"normal"},{"_key":"412ad69b630c","_type":"sectionHeader","headerLevel":"h1","title":"Decoding period blood colors"},{"_key":"6f84192182ee","_type":"sectionHeader","headerLevel":"h3","title":"Bright Red Period Blood"},{"_key":"22bcb75f5e18","_type":"block","children":[{"_key":"6fdcf326901d0","_type":"span","marks":[],"text":"Bright red blood is the norm for most people at the beginning of their cycles. This hue indicates fresh blood, which is a good sign your uterus is shedding its lining as ‘designed’ and everything is flowing fine."}],"markDefs":[],"style":"normal"},{"_key":"f9e0bc891622","_type":"sectionHeader","headerLevel":"h3","title":"Dark Red/Brown Period Blood"},{"_key":"e5374f12e03d","_type":"block","children":[{"_key":"e16f0e54a8e50","_type":"span","marks":[],"text":"As your period progresses, the color of your menstrual blood may shift to dark red or brown. This change occurs when the uterus starts shedding its lining at a slower rate, giving blood more time to oxidize and darken in color. Old blood and uterine tissue that weren’t discharged during your previous cycle can also appear dark red or brown, which is why some people notice this color at the beginning of their cycles too. Dark red or brown period blood can also be an "},{"_key":"3e055e82c504","_type":"span","marks":["36b6e4e8eb9b","strong"],"text":"early sign of pregnancy"},{"_key":"09eca331cc3b","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"36b6e4e8eb9b","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/fertility/"}],"style":"normal"},{"_key":"3cc470b9a651","_type":"sectionHeader","headerLevel":"h3","title":"Black Period Blood"},{"_key":"33917318b4ab","_type":"block","children":[{"_key":"ce360c10a71b0","_type":"span","marks":[],"text":"Period blood can also appear black at the beginning and end of your period. Most likely, this is also older blood that has oxidized before leaving your body. Black-colored period blood can be an early sign of a miscarriage as well."}],"markDefs":[],"style":"normal"},{"_key":"846d1b3dfdc3","_type":"sectionHeader","headerLevel":"h3","title":"Pink Period Blood"},{"_key":"dad3baca242b","_type":"block","children":[{"_key":"448c0ec7cbfd0","_type":"span","marks":[],"text":"Pinkish period blood is usually a mixture of menstrual blood and cervical fluid, which can lighten the color. This is a normal thing. Pink period blood color can also show up in people experiencing low estrogen levels ("},{"_key":"c5c5244c17b7","_type":"span","marks":["13510a7b3304","strong"],"text":"perimenopause"},{"_key":"c7357c1f7cb4","_type":"span","marks":[],"text":", intense physical activity) or taking birth control pills. Ovulation spotting can produce a small amount of pink-tinged blood as well. Significant weight loss and anemia can also cause your period blood to become pink, although these conditions will likely present with more noticeable signs and symptoms. The bottom line? If pink blood is not your norm, keep an eye on it."}],"markDefs":[{"_key":"13510a7b3304","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/perimenopause-menopause/"}],"style":"normal"},{"_key":"2609a332febd","_type":"sectionHeader","headerLevel":"h3","title":"Orange Period Blood"},{"_key":"8193a7aa637d","_type":"block","children":[{"_key":"c0f13bad72170","_type":"span","marks":[],"text":"Sometimes, period blood can take on an orange tint when menstrual blood mixes with cervical fluid. And just like pink period blood, this finding is nothing to worry about. If orange-colored period blood shows up along with other symptoms, like a strong odor, itching, or discomfort, it can be a sign of a "},{"_key":"7349c8449086","_type":"span","marks":["strong","335c08f5cdc8"],"text":"vaginal infection"},{"_key":"daf736f2926f","_type":"span","marks":[],"text":". In this case, you should contact your healthcare provider to get a diagnosis and begin treatment."}],"markDefs":[{"_key":"335c08f5cdc8","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-vaginal-yeast-infection/"}],"style":"normal"},{"_key":"5a7eb86e8b15","_type":"sectionHeader","headerLevel":"h3","title":"Gray Period Blood"},{"_key":"f9a573e8596a","_type":"block","children":[{"_key":"1492e75dbb290","_type":"span","marks":[],"text":"Gray is one shade of period blood that definitely warrants a second look. Why? This color is often a mixture of normal menstrual blood and gray discharge, which is a sign of certain vaginal infections like BV (bacterial vaginosis). So, if your period blood has a grayish quality, it’s a good idea to call your healthcare provider and get checked out."}],"markDefs":[],"style":"normal"},{"_key":"9bca736edc5a","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"92fc2da71f28","_type":"block","children":[{"_key":"d9d1107bb6dd","_type":"span","marks":[],"text":"Experiencing period irregularities? "}],"markDefs":[],"style":"large"},{"_key":"caa60dd1c951","_type":"block","children":[{"_key":"1c7a6f2ef33b","_type":"span","marks":[],"text":"Get care within days, not months either online or "},{"_key":"d57b318eae16","_type":"span","marks":["25dea99bff2e"],"text":"in-clinic"},{"_key":"23578339283d","_type":"span","marks":[],"text":" to discuss your health."}],"markDefs":[{"_key":"25dea99bff2e","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"99df619713be","_type":"block","children":[{"_key":"c600a5e67c77","_type":"span","marks":[],"text":"Takes 3–5 minutes to create an account "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"34406b9bf1dc","_type":"block","children":[{"_key":"3944deb94837","_type":"span","marks":[],"text":"No membership fee to book "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c2c2c7a9547e","_type":"block","children":[{"_key":"e2b9f1795259","_type":"span","marks":[],"text":"Insurance accepted"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"b0b5f0c1735b","_type":"buttonBlock","items":[{"_key":"cabfb86f6747","_type":"singleButton","linkCta":"Book appointment","linkType":"join-scroll-shape"}]},{"_key":"3a3f760d5ae1","_type":"block","children":[{"_key":"a0256562356a","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"}]},{"_key":"b9a038117255","_type":"sectionHeader","headerLevel":"h3","title":"Green Period Blood"},{"_key":"81a942bd7b56","_type":"block","children":[{"_key":"c0985393de7b0","_type":"span","marks":[],"text":"Green period blood is never normal and can indicate a vaginal infection (like trichomoniasis), "},{"_key":"d8e3efe620f0","_type":"span","marks":["strong","7a570c13a201"],"text":"yeast infection"},{"_key":"885c65791b49","_type":"span","marks":[],"text":", or "},{"_key":"395e525724a0","_type":"span","marks":["strong","7b4ff916928c"],"text":"STI"},{"_key":"fa80240d8a1d","_type":"span","marks":[],"text":", especially if it’s accompanied by a foul odor, itching, or burning. If you experience greenish-looking period blood, with or without additional symptoms, contact your healthcare provider."}],"markDefs":[{"_key":"7a570c13a201","_type":"externalLink","linkType":"text","url":"https://asktia.com/help-with-vaginal-yeast-infection/"},{"_key":"7b4ff916928c","_type":"externalLink","linkType":"text","url":"https://asktia.com/services/sti-std-testing/"}],"style":"normal"},{"_key":"a88acbba0ef7","_type":"sectionHeader","headerLevel":"h3","title":"Period Blood Clots"},{"_key":"ec9077587d3c","_type":"block","children":[{"_key":"546dd8406c340","_type":"span","marks":[],"text":"It’s normal to notice some small, dark clots during your period, especially on heavy flow days. Why? When your flow is heavier than usual, anticoagulants that normally break down clots can’t keep up with the volume, so some clots aren’t completely broken down before being discharged. 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Some people also find additional relief on a gluten-free, dairy-free, or low-FODMAP diet."}],"markDefs":[],"style":"normal"}]}],"justifyContent":"flex-start","layoutMode":"flex","mobileColumns":1,"mobileDirection":"column","paddingBottom":"md","paddingLeft":"md","paddingRight":"md","paddingTop":"md"},{"_key":"eb536687be38610bdef01f14aace137b","_type":"layoutBox","alignItems":"stretch","backgroundColor":"bccream","border":"none","borderRadius":"sm","columns":2,"direction":"column","gap":"md","items":[{"_key":"b2576910fa3e","_type":"layoutText","text":[{"_key":"d27a0ac91806","_type":"block","children":[{"_key":"81f7bfa90567","_type":"span","marks":["strong"],"text":"Movement:"},{"_key":"412e7e63a23a","_type":"span","marks":[],"text":" Regular physical activity helps regulate estrogen and reduce systemic inflammation, even moderate, consistent exercise makes a difference."}],"markDefs":[],"style":"normal"}]}],"justifyContent":"flex-start","layoutMode":"flex","mobileColumns":1,"mobileDirection":"column","paddingBottom":"md","paddingLeft":"md","paddingRight":"md","paddingTop":"md"},{"_key":"dac9b7f078888b150b7a5f458d6a3578","_type":"layoutBox","alignItems":"stretch","backgroundColor":"bccream","border":"none","borderRadius":"sm","columns":2,"direction":"column","gap":"md","items":[{"_key":"b2576910fa3e","_type":"layoutText","text":[{"_key":"fd43e5a4b2d8","_type":"block","children":[{"_key":"5d76cb15f14e","_type":"span","marks":["strong"],"text":"Pelvic floor physical therapy:"},{"_key":"a155b331be0c","_type":"span","marks":[],"text":" Endometriosis frequently causes pelvic floor tension and dysfunction. 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This is a consultation based visit usually focused on a thorough review of current concerns, medical, family, medication, and pregnancy history and discussion or risk factors. If you choose to schedule an in-person appointment at a clinic, this visit may include a pelvic exam as large fibroids can sometimes be felt from the outside. 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They're linked with faster recovery times and fewer complications compared with traditional open surgery."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ba5ead6776ef","_type":"block","children":[{"_key":"4aeaec3d5f4d","_type":"span","marks":["strong"],"text":"Traditional surgery:"},{"_key":"05366af13a6f","_type":"span","marks":[],"text":" Surgical intervention might be recommended depending on the severity of symptoms and size of the fibroids."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9dc8de32b785","_type":"block","children":[{"_key":"f07920d3c255","_type":"span","marks":[],"text":"Not all diagnosis of fibroids will require medical intervention/treatment. 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Genetic and dietary factors might also play a role."}],"markDefs":[],"style":"normal"},{"_key":"d2b48a142304","_type":"block","children":[{"_key":"4b975905b5d90","_type":"span","marks":[],"text":"Even if we don’t know the exact cause(s) of PMS, we do know there are several strategies that can help relieve symptoms. For most people, PMS can be managed with modest lifestyle changes: getting more exercise, eating a healthier diet, reducing stress, getting better sleep."}],"markDefs":[],"style":"normal"},{"_key":"62aeb465332e","_type":"block","children":[{"_key":"80dfadf758610","_type":"span","marks":[],"text":"There is a place for medication too, especially for a small number of women who are diagnosed with PMDD (premenstrual dysmorphic disorder), a severe form of PMS that can impact work and relationships and includes serious emotional and psychological symptoms like anxiety, depression, difficulty concentrating, and extreme mood swings."}],"markDefs":[],"style":"normal"},{"_key":"c5038078ca7f","_type":"block","children":[{"_key":"c1f77f37dea10","_type":"span","marks":[],"text":"Common Symptoms of PMS"}],"markDefs":[],"style":"h1"},{"_key":"955021f4b2b4","_type":"block","children":[{"_key":"04d3e1f9a3090","_type":"span","marks":[],"text":"PMS is personal, and no two people will experience the same symptoms in the same way. 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Instead, your provider will look for a pattern of symptoms and lean on three elements to help confirm the diagnosis:"}],"markDefs":[],"style":"normal"},{"_key":"f6ff974df6c4","_type":"block","children":[{"_key":"c3fcd9c839750","_type":"span","marks":[],"text":"The symptoms should be consistent with PMS."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"080f2fd766d9","_type":"block","children":[{"_key":"20ffe3e7b4220","_type":"span","marks":[],"text":"The symptoms should occur during the luteal phase of the menstrual cycle, beginning at least five days before your period starts and ending within four days after it starts for three or more consecutive cycles."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6ef0985b847c","_type":"block","children":[{"_key":"872ca04807bf0","_type":"span","marks":[],"text":"The symptoms should have a negative impact on your normal activities, functioning, and lifestyle."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3bdde517b9b3","_type":"block","children":[{"_key":"d4a19ed2f34a0","_type":"span","marks":[],"text":"Once a physician suspects PMS, your provider will usually recommend keeping a diary of PMS symptoms for consecutive months to assess for cycle-to-cycle variability. 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Yoga. Meditation. Massage. Being alone in nature. Progressive muscle relaxation. Deep-breathing exercises. They all can help."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d68713f7398","_type":"block","children":[{"_key":"bfe48cf231110","_type":"span","marks":["strong"],"text":"Consider counseling:"},{"_key":"bfe48cf231111","_type":"span","marks":[],"text":" Therapy can be beneficial, particularly if PMS symptoms include depression or mood swings. 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