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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. 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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. 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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. Integrative, whole women’s health"}],"markDefs":[],"style":"h2"},{"_key":"57f9db648eed","_type":"block","children":[{"_key":"fdb19f2183f1","_type":"span","marks":[],"text":"The events of 2020 have shined a spotlight on the importance of whole women’s health that is inclusive of physical, mental, and emotional well-being. In NYC, we saw a 400% increase in mental health related messages on our platform with the onset of Covid — a testament to the lack of and critical need for women’s mental healthcare. And we know women — and especially women in Los Angeles — love wellness and don’t see it as “separate” from healthcare. In fact, more than "},{"_key":"87e8f635b528","_type":"span","marks":["f9438a5b06ae"],"text":"60% of women in Los Angeles"},{"_key":"95e2ea7b3bb4","_type":"span","marks":[],"text":" use complementary and alternative medicine. The problem is, the majority of these wellness-oriented practitioners come at a steep out-of-pocket price and more often than not, do not connect with, or even conflict with a woman's core primary care — leaving patients frustrated and confused on what advice to take."}],"markDefs":[{"_key":"f9438a5b06ae","_type":"externalLink","linkType":"text","url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5359242/"}],"style":"normal"},{"_key":"66510138884c","_type":"block","children":[{"_key":"9eb278b5fbd70","_type":"span","marks":[],"text":"At Tia, we practice both "},{"_key":"e876e848d8db1","_type":"span","marks":["em"],"text":"integrated"},{"_key":"e876e848d8db2","_type":"span","marks":[],"text":" and "},{"_key":"e876e848d8db3","_type":"span","marks":["em"],"text":"integrative"},{"_key":"e876e848d8db4","_type":"span","marks":[],"text":" medicine. 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You can get healthcare that treats the whole you — and works with insurance."}],"markDefs":[],"style":"normal"},{"_key":"949904b940e9","_type":"block","children":[{"_key":"92f8448bbe6e","_type":"span","marks":[],"text":""}],"markDefs":[],"style":"normal"},{"_key":"3d567d4181f9","_type":"block","children":[{"_key":"6ae590d2f3a4","_type":"span","marks":[],"text":"3. Affordable and accessible"}],"markDefs":[],"style":"h2"},{"_key":"136b34f326d6","_type":"block","children":[{"_key":"89755f61184b","_type":"span","marks":[],"text":"At a time of unprecedented crisis, making high-quality healthcare affordable and accessible has never been more important. Los Angeles is on the brink of one of the worst OB/GYN shortages in the country — "},{"_key":"be3f15ccbe71","_type":"span","marks":["02ff78476dda"],"text":"ranking #2 in the U.S."},{"_key":"ec92b1f76784","_type":"span","marks":[],"text":" behind only Las Vegas. 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":"? "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"61a77680ca27","_type":"annotation","text":[{"_key":"b17f203b0170","_type":"block","children":[{"_key":"e8aa9b28b9c2","_type":"span","marks":[],"text":"Asking from 6-feet away..."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"ed33794164f1","_type":"block","children":[{"_key":"b47d9acfad700","_type":"span","marks":["strong"],"text":"How do we create "},{"_key":"0a33ed2a63db","_type":"span","marks":["strong","df2ff4aeb98b"],"text":"moments of delight "},{"_key":"f4f95687a2d0","_type":"span","marks":["strong"],"text":"within our spaces when we’re all hyper-focused on the less sexy stuff, like sanitizer, safety procedures, and all the Covid protocols?"}],"level":1,"listItem":"bullet","markDefs":[{"_key":"df2ff4aeb98b","_type":"annotation","text":[{"_key":"c35ec62f2eb9","_type":"block","children":[{"_key":"8bd937fa888a","_type":"span","marks":[],"text":"Think: boldly-colored waiting area and lush gardens!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"4c97dd4e4a0f","_type":"block","children":[{"_key":"55feaec4c9dd0","_type":"span","marks":["strong"],"text":"How do we "},{"_key":"603c7058e90b","_type":"span","marks":["strong","d19443738f47"],"text":"design our spaces to meet the distinct needs of our providers"},{"_key":"dae01d57661e","_type":"span","marks":["strong"],"text":" working day in and day out on the frontlines to serve *you* !? "}],"level":1,"listItem":"bullet","markDefs":[{"_key":"d19443738f47","_type":"annotation","text":[{"_key":"a9648216eb86","_type":"block","children":[{"_key":"a608416da8cb","_type":"span","marks":[],"text":"Yes, doctors and nurses deserve human-centric design, too!"}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"8b90dd65ab99","_type":"block","children":[{"_key":"1d284e2531cd0","_type":"span","marks":["strong"],"text":"How do we incorporate your feedback into everything we do..."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1e6f99e612c1","_type":"editorialImageCarousel","items":[{"_key":"4e8e64af92a3","_type":"editorialImageAndText","containerSize":"container--s","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-3b874ca557fa7ca2775873aaa0ffa9a32295e23b-7200x4008-png","_type":"reference"}}}}]},{"_key":"dc4311a09f0e","_type":"sectionHeader","title":"Meet the Makers: the people behind our process, who help us make progress"},{"_key":"8079649be0c5","_type":"editorialImageCarousel","items":[{"_key":"76feca7f7544","_type":"editorialImageAndText","containerSize":"container--s","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-2769443814514490ca864853faf9e77dfa01b0df-7200x4008-png","_type":"reference"}}}}],"spacing":"pys"},{"_key":"3fdc594a6018","_type":"block","children":[{"_key":"37c414886f51","_type":"span","marks":["strong"],"text":"\"Healing to me means working towards getting back to the space and place where I feel inspired, strong, and energized. It’s not only a physical process, but a mental and emotional one as well.\" -"},{"_key":"4852d493c129","_type":"span","marks":["90724425cd19","strong"],"text":"Alda Ly"},{"_key":"aae4d493ee81","_type":"span","marks":["strong"],"text":" "}],"markDefs":[{"_key":"90724425cd19","_type":"annotation","text":[{"_key":"e7fa53e75f8d","_type":"block","children":[{"_key":"61b26425b249","_type":"span","marks":[],"text":"Read our full interview with Alda "},{"_key":"5da19f7f1713","_type":"span","marks":["1b159d3c5f71"],"text":"here"},{"_key":"83d4e81f8923","_type":"span","marks":[],"text":"!"}],"markDefs":[{"_key":"1b159d3c5f71","_type":"annotationLink","reference":{"_ref":"3e3e1823-339b-44c3-b473-90d323aa1df0","_type":"reference"}}],"style":"normal"}]}],"style":"large"},{"_key":"16c70c4f0ac6","_type":"sectionHeader","title":"Design By the Numbers"},{"_key":"035be6aae5ec","_type":"block","children":[{"_key":"11db172b4259","_type":"span","marks":[],"text":"Our design process starts by asking questions - a lot of them. From there we look to you and our team of amazing architects and designers to help shape our process and progress. While it’s hard to keep track of all the decisions (and Slack messages) that go into a single space, we thought we’d show you a few of the numbers that stood out in Tia, LA."}],"markDefs":[],"style":"normal"},{"_key":"34f726d5b702","_type":"editorialImageCarousel","items":[{"_key":"ed72050c3d91","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-4ea4cd96ab63f5e1007c34fbbae0a7ad2bf3a0d5-7200x4008-png","_type":"reference"}}},"text":[{"_key":"b3edae60d37b","_type":"block","children":[{"_key":"a23157cd8176","_type":"span","marks":[],"text":"\"Co-creation was HUGE part of building the NY clinic. We asked our community so many questions from “where do you put your underwear” (hint: they had no idea where to put it) to how do you want your provider to engage with you during your appointment.\" - "},{"_key":"bd53b5f8b019","_type":"span","marks":["strong"],"text":"Allie Ball, Head of Design"}],"markDefs":[],"style":"normal"}]},{"_key":"c128e4ca5e6e","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-e829e9dab338eca5ccc1903460d35d339f95c28a-7200x4008-png","_type":"reference"}}}},{"_key":"648c6eec7805","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-df7585de2a7ec7800797b1e1cf74eb86e34e376b-7200x4008-png","_type":"reference"}}}}]},{"_key":"8970afb419dc","_type":"sectionHeader","title":"The Making Of: our in-clinic mural "},{"_key":"e9454978bd43","_type":"block","children":[{"_key":"c3dca1a23407","_type":"span","marks":[],"text":"A picture says a thousand words, and for us a simple, “hi” isn’t enough. Take our NYC space where you’re greeted by: the wonderfully bold, Alexa Proba. Now, that we’ve moved to LA, we’ve created a mural that will sit behind our front desk and greet you each time you’re in our clinic. 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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":1179,"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":"68da2db4bc45","_type":"span","marks":["00d8b4950642"],"text":"Join Now"},{"_key":"739e8bc9a0dd","_type":"span","marks":[],"text":"\n\nOne of the most exciting things about Tia’s growth and evolution as a healthcare provider is that we’re continually improving, changing, assessing, and evaluating our services to make sure we’re meeting the needs of our community. We understand the deep history of healthcare in the United States as a site of exclusion, oppression, and trauma for many people, making our commitment to personalized, affirming, whole-person care all the more critical. That also means we have a responsibility to take an intersectional approach to our diversity, equity, and inclusion initiatives at every level of our organization, and to offer transparency about that process to our community. You’ve asked us important questions about who we serve, the line between our values and expertise, and what we’re doing to make Tia a more inclusive provider -- we’re here to provide some answers."}],"markDefs":[{"_key":"00d8b4950642","_type":"internalLink","linkType":"text","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"style":"normal"},{"_key":"2c6e33ed515b","_type":"block","children":[{"_key":"d8504928d5ad","_type":"span","marks":[],"text":"At Tia, we call ourselves the “modern medical home for women”. We understand that solely referencing cisgender women in the context of women’s health excludes a diverse group of "},{"_key":"0fd9664acd6f","_type":"span","marks":["44ff8a5511ac"],"text":"transgender"},{"_key":"39ff26d63504","_type":"span","marks":[],"text":" and "},{"_key":"b716b165438b","_type":"span","marks":["32d575ec287d"],"text":"gender nonbinary"},{"_key":"b970a12e5ec8","_type":"span","marks":[],"text":" people who have healthcare needs and experiences that can be similar to, but also unique from, those of cisgender women.\n\nTrans women are women, full stop. When we reference “women'' at Tia, our language is always inclusive of trans women, who face unique and disproportionate barriers to healthcare, especially if they are women of color. "},{"_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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Head this way for a deep dive on the research supporting this effort!"}],"markDefs":[],"style":"normal"},{"_key":"ed3f5579813e","_type":"block","children":[{"_key":"ed3f5579813e0","_type":"span","marks":[],"text":"More than a simple quiz, Female Stress Signatures is an educational tool that communicates five key concepts that every female and women’s healthcare provider should know:"}],"markDefs":[],"style":"normal"},{"_key":"b94ee5458894","_type":"block","children":[{"_key":"b94ee54588940","_type":"span","marks":[],"text":"#1: Female* stress is distinct from male stress."}],"markDefs":[],"style":"h3"},{"_key":"9b66632e07c0","_type":"block","children":[{"_key":"9b66632e07c00","_type":"span","marks":[],"text":"Shocker! Males and females evolved to process stress differently. Even though our bodies react in a similar way (meaning, elevated blood pressure, increased heart rate, dilated pupils), female and male brains activate different pathways — even in response to the same stressors. This is why we need to both study and clinically consider female stress responses and triggers as distinct from male stress patterns."}],"markDefs":[],"style":"normal"},{"_key":"176c25bcc6d7","_type":"block","children":[{"_key":"176c25bcc6d70","_type":"span","marks":["em"],"text":"*Looking to know how we define female with respect to the science of stress? Check out our glossary"},{"_key":"176c25bcc6d71","_type":"span","marks":["em","strong"],"text":" "},{"_key":"176c25bcc6d72","_type":"span","marks":["strong","9454e8a13db8"],"text":"here"},{"_key":"176c25bcc6d73","_type":"span","marks":[],"text":"."}],"markDefs":[{"_key":"9454e8a13db8","_type":"externalLink","url":"https://stressquiz.asktia.com/glossary/"}],"style":"normal"},{"_key":"fc7e758f07d9","_type":"block","children":[{"_key":"fc7e758f07d90","_type":"span","marks":[],"text":"#2: Not all stress is bad nor created equal!"}],"markDefs":[],"style":"h3"},{"_key":"7431a524f0bb","_type":"block","children":[{"_key":"7431a524f0bb0","_type":"span","marks":[],"text":"Some stress is normal, healthy, and key to our survival. But other forms of stress — and too much stress — is not. Specifically, acute stress — which is stress that lasts anywhere from a few seconds to a few hours — is a natural physical and mental reaction to life’s experiences and is valuable (in doses)."}],"markDefs":[],"style":"normal"},{"_key":"064bde105db3","_type":"block","children":[{"_key":"064bde105db30","_type":"span","marks":[],"text":"But, when you let it run wild and stressors pile up, it can become negative This is called chronic stress and is what we’re committed to helping women better manage through Tia’s Female Stress Signatures."}],"markDefs":[],"style":"normal"},{"_key":"43689cbeb874","_type":"block","children":[{"_key":"43689cbeb8740","_type":"span","marks":[],"text":"#3: Chronic stress can make women sick."}],"markDefs":[],"style":"h3"},{"_key":"5928646224d1","_type":"block","children":[{"_key":"5928646224d10","_type":"span","marks":[],"text":"Stress protects you during short-term threatening conditions, but increasingly, you’ll find yourself in situations where a quick resolution isn’t an option — like feeling constantly overworked or worrying about paying rent on time. And so, the amazing system designed to protect you begins to cause wear and tear instead. This is known as "},{"_key":"5928646224d11","_type":"span","marks":["em"],"text":"allostatic load"},{"_key":"5928646224d12","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"4b0557270066","_type":"block","children":[{"_key":"4b05572700660","_type":"span","marks":[],"text":"How allostatic load presents itself in each individual woman depends on a multitude of complex, interactive factors: the nature, duration, and timing of the chronic stress, your genetics, epigenetics, and the cumulative effects of your lifestyle, good and bad."}],"markDefs":[],"style":"normal"},{"_key":"a50f02749723","_type":"block","children":[{"_key":"a50f027497230","_type":"span","marks":[],"text":"When your brain and body remain alert and activated longer than is healthy, you can become more vulnerable to infections, heart attacks, strokes, high blood pressure, fatigue, gut dysregulation, and accelerated aging. This is why in a very literal way, chronic stress can make you sick!"}],"markDefs":[],"style":"normal"},{"_key":"44bc40a9dd19","_type":"block","children":[{"_key":"44bc40a9dd190","_type":"span","marks":[],"text":"#4: Stress is more than cortisol — it involves the two separate axes of energy and arousal."}],"markDefs":[],"style":"h3"},{"_key":"4701d664db13","_type":"block","children":[{"_key":"4701d664db130","_type":"span","marks":[],"text":"Clinically, the burdens of chronic stress can be broadly grouped into four Stress Signatures:"}],"markDefs":[],"style":"normal"},{"_key":"beb1c3efc6d8","_type":"editorialImageCarousel","items":[{"_key":"9d612adb163c","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-743b4c299b0e9020c721b89fcc7e6993408a634a-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"04acfd50ddf7","_type":"block","children":[{"_key":"04acfd50ddf70","_type":"span","marks":[],"text":"These four Stress Signatures focus on the dominant components of the stress response — primarily the cortisol released from your adrenal glands and your autonomic nervous system. In other words, your Stress Signature is a byproduct of how fast you are to mobilize energy and how aroused your nervous system is."}],"markDefs":[],"style":"normal"},{"_key":"f8ff147f94f9","_type":"block","children":[{"_key":"f8ff147f94f90","_type":"span","marks":[],"text":"Energy"}],"markDefs":[],"style":"h4"},{"_key":"9d7ca1503758","_type":"block","children":[{"_key":"9d7ca15037580","_type":"span","marks":[],"text":"When we say “Energy” in the context of stress, we’re talking about how eager your body is to mobilize — either a go-go-go "},{"_key":"9d7ca15037581","_type":"span","marks":["em"],"text":"Sprinter"},{"_key":"9d7ca15037582","_type":"span","marks":[],"text":" or a slow-your-roll "},{"_key":"9d7ca15037583","_type":"span","marks":["em"],"text":"Pacer"},{"_key":"9d7ca15037584","_type":"span","marks":[],"text":"."}],"markDefs":[],"style":"normal"},{"_key":"95fac5b23877","_type":"editorialImageCarousel","items":[{"_key":"2bd80d03d8f8","_type":"editorialImageAndText","imageCaption":{"_type":"imageCaption","image":{"_type":"image","asset":{"_ref":"image-571e9cfe52954e2152bbae089a30856722783424-1644x1096-jpg","_type":"reference"}}}}]},{"_key":"1c8695f2ce94","_type":"block","children":[{"_key":"1c8695f2ce940","_type":"span","marks":["strong"],"text":"Sprinter"},{"_key":"1c8695f2ce941","_type":"span","marks":[],"text":": In comparison to Pacers, mobilizing energy is as easy as rise and shine. You’re ready to go-go-go from the moment your alarm goes off. But too much eager energy is taxing on your body, sending every cell in your body into overdrive, and bugging friends who’d rather not receive a brunch itinerary at 7AM."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2a0318854f72","_type":"block","children":[{"_key":"2a0318854f720","_type":"span","marks":["strong"],"text":"Pacer"},{"_key":"2a0318854f721","_type":"span","marks":[],"text":": In comparison to Sprinters, you’re slower and more gradual in the way you mobilize energy. Late nights equal Kryptonite. When your circadian rhythms are balanced, you’re able to win the slow and steady race. 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So imagine your body is like a turtle — you prefer to be in your shell and when stress strikes, you’re retreating even further."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"98534900c8e2","_type":"block","children":[{"_key":"98534900c8e20","_type":"span","marks":[],"text":"#5: Stress is a spectrum. Unlike your high school prom pics, you aren’t stuck!"}],"markDefs":[],"style":"h3"},{"_key":"c6ae88f9eadf","_type":"block","children":[{"_key":"c6ae88f9eadf0","_type":"span","marks":[],"text":"So first things first: whether you feel “stressed” day-to-day or not, everyone has a Stress Signature. And there’s no such thing as a bad, wrong, or weird Signature. 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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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What is it for?"}],"markDefs":[],"style":"h3"},{"_key":"08d5eb994d3d","_type":"block","children":[{"_key":"e7c9624d3a970","_type":"span","marks":[],"text":"A vaginal infection appointment is usually a consultation visit and sometimes a physical exam to discuss vaginal symptoms, recommend prevention and offer treatment if indicated. 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? 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It has to be removed by your provider.  <br><br><b>Effectiveness:</b> >99%","<b>Pros:</b> Good for five years.  You may not have a period at all. <br><br><b>Cons:</b>It is possible to bleed for longer than desired amounts of time and the bleeding can be unpredictable. "]},{"_key":"bf56f9e7-e0c8-46f6-b620-6845b8dfd1fd","_type":"tableRow","cells":["<b>IUD</b> (Paragard, Mirena, Kyleena, Skyla)","Must be placed in the uterus by your provider. Your provider also needs to remove it. <br><br><b>Effectiveness:</b> >99%","<b>Pros:</b> Effective for up to 12 years depending on which IUD you choose. Hormonal IUDs can decrease or stop bleeding. The copper IUD does not have any hormones. <br><br><b>Cons:</b> You need an appt to get the IUD inserted and removed. Paragard, the 12-year IUD, can increase bleeding."]},{"_key":"38f292c1-be54-4930-9fe5-cb93057844be","_type":"tableRow","cells":["<b>The Patch</b> (Xulane, Twirla)","Apply a new patch once a week for three weeks. 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We take a deep dive into your period history and pregnancy goals to build a complete picture of your health. This visit may also result in orders for bloodwork or an ultrasound to confirm a diagnosis."}],"style":"normal"}]},{"_key":"708d760e44fa","_type":"featureCard","text":[{"_key":"40ea36c91b76","_type":"block","children":[{"_key":"758261363c52","_type":"span","marks":["strong"],"text":"Building your personalized PCOS treatment plan"}],"style":"h4"},{"_key":"9887f25f184b","_type":"divider","dividerType":"squiggle-black"},{"_key":"2ede326c2ca4","_type":"block","children":[{"_key":"4d2096567cc5","_type":"span","text":"Together, we'll create a personalized care plan to manage your specific symptoms. You and your provider will determine the best path for you based on your symptoms, overall health, and personal goals. 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and Pricing"}],"style":"h2"},{"_key":"b1ff5fc22e0c","_type":"block","children":[{"_key":"d28f5c96161c","_type":"span","text":"Is this covered by insurance?"}],"style":"h4"},{"_key":"08e5957860ac","_type":"block","children":[{"_key":"07d17cc4313a","_type":"span","text":"Yes! Tia will bill your insurance. Just like at any doctor’s office, you may be responsible for a co-pay or coinsurance, depending on your health plan."}],"style":"normal"},{"_key":"54dc29f64657","_type":"buttonBlock","items":[{"_key":"dfb6d20d72d0","_type":"singleButton","backgroundColor":"bcpoppy","linkCta":"Book appointment","linkType":"join-scroll-shape","redirectURL":"/book-appointment/profile/eb1f3bf8-163b-4f1d-9a87-4df7ff9f41fb/time-selection?backTo=%2Fappointments","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}],"onlyStackButtons":false}],"textAboveMedia":false,"videoDisplay":"container"},{"_key":"9627602684d8","_type":"spacer","backgroundColor":"bcoat","spacing":"pym"},{"_key":"25148d12bd9e","_type":"shape","backgroundColor":"secondary-1","shapeColor":"secondary-2","shapeType":"shape-3"},{"_key":"3f2ab1489e7c","_type":"spacer","backgroundColor":"bccream","spacing":"pym"},{"_key":"98cf7c6aee8c","_type":"standardText","backgroundColor":"bccream","text":[{"_key":"fc42957bf574","_type":"block","children":[{"_key":"ceb738701cbb","_type":"span","text":"Potential treatment plans for PCOS"}],"style":"h2"},{"_key":"b717f53ed34f","_type":"block","children":[{"_key":"0f71c7919968","_type":"span","text":"There is no cure for PCOS but there are many options to manage your symptoms. Your provider will determine the best treatment for you based on your symptoms, medical history, and overall health, as well as your desire to conceive. Treatment options may include medication, lifestyle changes, or a combination of both."}],"style":"normal"}]},{"_key":"6a70534d03b3","_type":"tableModule","backgroundColor":"bccream","spacing":"pys","table":{"_type":"table","rows":[{"_key":"c26d13f36fd0","_type":"tableRow","cells":["Spironolactone","This medication suppresses androgens which can improve the symptoms of unwanted hair growth and acne."]},{"_key":"eb7939d80f90","_type":"tableRow","cells":["Metformin","This diabetes drug is believed to work by improving insulin sensitivity, which is commonly associated with PCOS. By lowering your insulin level, metformin allows many women to cycle more normally."]},{"_key":"5147154373eb","_type":"tableRow","cells":["Hormonal birth control","For those who do not want to become pregnant, treating PCOS often involves taking hormonal birth control to manage the symptoms of PCOS, like painful periods, acne, and excess body hair. 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Every virtual service we offer has been intentionally selected because we know we can deliver it with the same level of clinical quality, personalization, and compassion as in person. 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When this happens, yeast may penetrate deeper cell layers of the vagina and cause the uncomfortable symptoms (itching, burning, irritation, discharge) associated with a yeast infection."}],"markDefs":[{"_key":"dbc36fd2db67","_type":"internalLink","linkType":"text","reference":{"_ref":"911870d8-c589-4a4d-8d3a-af2b05ba6b77","_type":"reference"}}],"style":"normal"},{"_key":"8da672229c62","_type":"block","children":[{"_key":"0876fd4f696b0","_type":"span","marks":[],"text":"Besides seasonal shifts, like summertime heat and the sweaty conditions and tight-fitting clothes that come with it, there are other factors that increase the risk of upsetting the balance of vaginal bacteria. 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"}],"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. 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"}],"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":2144,"owner":"gatsby-source-sanity"}},{"_id":"63b5e645-2df7-4a2e-95db-4973180e6c31","_type":"appointment","_createdAt":"2022-11-04T14:32:20Z","_rev":"Mmc6JUNu2q884afBq2HlkA","_system":{"base":{"id":"63b5e645-2df7-4a2e-95db-4973180e6c31","rev":"edGbLOpF28mmeW2qTQ4RI0"}},"_updatedAt":"2026-03-10T13:57:27Z","content":{"_type":"appointmentTabs","main":{"_type":"appointmentContent","appointmentLink":{"_type":"buttonBlock","items":[{"_key":"bf0a3a71c48a","_type":"singleButton","appointmentProfileUUID":"e4ac6ac4-c38c-4492-9b75-d5fc5d15c430","experimentFlag":"premember-market-availability","linkCta":"Book appointment","linkType":"join-experiment","redirectURL":"/book-appointment/profile/e4ac6ac4-c38c-4492-9b75-d5fc5d15c430/time-selection?backTo=%2Fappointments"}]},"appointmentType":"in-clinic-only","enableLanding":true,"image":{"_type":"image","asset":{"_ref":"image-39ce990d215f6bb410c2df64df500f79eb634f41-100x100-svg","_type":"reference"}},"modules":[{"_key":"1c110521e70d","_type":"spacer","backgroundColor":"bcoat","spacing":"pys"},{"_key":"f4239015faa9","_type":"imageAndText","alignment":"jcrr","aspectRatio":"16:9","autoPlay":false,"backgroundColor":"bcoat","image":{"_type":"image","asset":{"_ref":"image-4755589035da902f7d10a9beb3adedc00da5f01d-1024x1024-webp","_type":"reference"}},"mediaType":"image","mobileImage":{"_type":"image","asset":{"_ref":"image-c3c273b54492e700fb4887b90e513c0a4c701b35-480x480-webp","_type":"reference"}},"spacing":"pym","style":"normal","text":[{"_key":"37a6e661bab7","_type":"block","children":[{"_key":"0f0667d19f4f0","_type":"span","marks":[],"text":"STI (aka STD) Consultation"}],"markDefs":[],"style":"h1"},{"_key":"fd059487136f","_type":"block","children":[{"_key":"5184dabd43370","_type":"span","marks":[],"text":"Worried about an STI or new symptoms? 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Urinating after sex forces that unwanted bacteria to be flushed out of your urinary tract."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"06c3590570d8","_type":"block","children":[{"_key":"5068844ccfc0","_type":"span","marks":["strong"],"text":"Stay well hydrated:"},{"_key":"cf71e051589a","_type":"span","marks":[],"text":" Drinking a lot of water helps hydrate bladder tissue, which keeps it healthy. Staying hydrated also dilutes your urine and lowers the concentration of bacteria in the bladder. In some cases, women have been able to cure themselves of a UTI just by drinking water. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d0f43c8dac3","_type":"block","children":[{"_key":"14478351d5ab","_type":"span","marks":["strong"],"text":"Take showers instead of baths:"},{"_key":"2192c7c61adb","_type":"span","marks":[],"text":" Bacteria thrive in warm environments, like hot tubs and baths. Taking showers instead will slow any bacteria from rapidly growing in your urethra. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3eb4f81cbf37","_type":"block","children":[{"_key":"f59120dbe507","_type":"span","marks":["strong"],"text":"Do not use douches, sprays, or powders in the genital area:"},{"_key":"71362096f734","_type":"span","marks":[],"text":" Your vagina is already self-cleaning and does not need help from a douche or any additional \"vaginal cleaning\" products. These products can also wash out the good bacteria that keeps your vagina health and your pH balanced, which could allow for harmful bacteria to take over. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec93c15ddd7b","_type":"block","children":[{"_key":"5337e6106b21","_type":"span","marks":["strong"],"text":"Wipe front to back after using the bathroom:"},{"_key":"55894adae30c","_type":"span","marks":[],"text":" This helps avoid any bacteria from your rectum to contaminate your urethra, which can lead to infection."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68337be97d34","_type":"block","children":[{"_key":"a6e06fe99e29","_type":"span","marks":[],"text":"Consume D Mannose: This is a sugar compound naturally occurring in cranberries that will help coat the bladder making it difficult for bacteria to adhere to it. This is helpful to prevent UTIs when going through a period of frequent bladder infections. 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Well, when it comes to vaginal discharge, the truth lies somewhere in the middle. For the most part, vaginal discharge is a wonderful thing; a normal and healthy process that keeps the vagina clean and lubricated. It protects the vagina and vulva (the external genitals surrounding the vaginal opening) against infection and irritation."}],"markDefs":[],"style":"normal"},{"_key":"f2d081ff1c95","_type":"block","children":[{"_key":"5f25e9b7aa5d0","_type":"span","marks":[],"text":"What is normal vaginal discharge? In premenopausal women and people assigned female at birth (AFAB), it is normal to have approximately one half to one teaspoon of white or clear, watery or thick, mucus-like, often sticky, and mostly odorless discharge every day. However, "},{"_key":"a20eaf30f5b5","_type":"span","marks":["c10004164d10"],"text":"changes in discharge color"},{"_key":"43202d4e2043","_type":"span","marks":[],"text":", texture, smell, and amount or discharge that occurs with itching or burning can be a sign of infection or disease."}],"markDefs":[{"_key":"c10004164d10","_type":"internalLink","linkType":"text","reference":{"_ref":"d4d159cd-6b7d-4f38-9c96-a26a0b7a81d9","_type":"reference"}}],"style":"normal"},{"_key":"191946f1fe41","_type":"block","children":[{"_key":"8e3c07f1392f0","_type":"span","marks":[],"text":"Bacterial vaginosis (BV) and yeast infections are two common types of vaginal infections that can be difficult to distinguish from one another because both conditions have similar symptoms – like changes in vaginal discharge, itching, burning, and pain. However, even if both infections have overlapping presentations, BV and yeast infections have different causes, treatments, and preventive measures. 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However, certain factors might decrease the amounts of helpful bacteria, like "},{"_key":"850f52ebb2642","_type":"span","marks":["em"],"text":"Lactobacillus"},{"_key":"850f52ebb2643","_type":"span","marks":[],"text":", which raises the pH of the vagina and creates an environment in which harmful bacteria can grow unchecked."}],"markDefs":[],"style":"normal"},{"_key":"815283428acf","_type":"block","children":[{"_key":"7cf7a44e1c280","_type":"span","marks":[],"text":"Symptoms of bacterial vaginosis include:"}],"markDefs":[],"style":"h4"},{"_key":"b80af010fb6c","_type":"block","children":[{"_key":"83b62ca675450","_type":"span","marks":[],"text":"Thin, grayish-white vaginal discharge with a fishy odor, especially after sex"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"4d3b41a89a52","_type":"block","children":[{"_key":"13eabd31c48b0","_type":"span","marks":[],"text":"A burning sensation when urinating"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"1d98e8f91471","_type":"block","children":[{"_key":"b45037ae49950","_type":"span","marks":[],"text":"Vaginal itching or irritation"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0a8fa8cf0292","_type":"block","children":[{"_key":"eba0cd98c5c10","_type":"span","marks":[],"text":"On the other hand, "},{"_key":"eba0cd98c5c11","_type":"span","marks":["strong"],"text":"yeast infections"},{"_key":"eba0cd98c5c12","_type":"span","marks":[],"text":" are not caused by bacteria but by an overgrowth in fungus, usually "},{"_key":"eba0cd98c5c13","_type":"span","marks":["em"],"text":"Candida albicans"},{"_key":"eba0cd98c5c14","_type":"span","marks":[],"text":". Although "},{"_key":"eba0cd98c5c15","_type":"span","marks":["em"],"text":"Candida"},{"_key":"eba0cd98c5c16","_type":"span","marks":[],"text":" can be present in the vagina without impact, certain conditions can lead to its overgrowth as well."}],"markDefs":[],"style":"normal"},{"_key":"f566dc633fb6","_type":"block","children":[{"_key":"405c92c8f4000","_type":"span","marks":[],"text":"Symptoms of yeast infections include:"}],"markDefs":[],"style":"h4"},{"_key":"7f0ff6b5886e","_type":"block","children":[{"_key":"d9134a941ad60","_type":"span","marks":[],"text":"Thick, white, odor-free vaginal discharge that resembles cottage cheese. However, thin, watery discharge is also common."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"911aaf945c48","_type":"block","children":[{"_key":"1cbe52faf5660","_type":"span","marks":[],"text":"An itching and burning sensation, especially when urinating or having sex"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9adb7879ade7","_type":"block","children":[{"_key":"2c61f717380d0","_type":"span","marks":[],"text":"Redness and swelling of the vulva"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"faa753b3daca","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"082ac31f3f81","_type":"block","children":[{"_key":"5cc725595035","_type":"span","marks":[],"text":"Are you experiencing symptoms that might indicate a vaginal infection? Sign up for Tia's memebership and schedule an appointment."}],"markDefs":[],"style":"large"},{"_key":"b759180e26cc","_type":"buttonBlock","items":[{"_key":"cedda1e0d9f9","_type":"singleButton","linkCta":"Join Tia","linkType":"button","reference":{"_ref":"6b861435-f6fe-4c96-893c-77732c7ab389","_type":"reference"}}]}]},{"_key":"64e6d6615313","_type":"sectionHeader","title":"Why do vaginal infections like BV and yeast infections occur?"},{"_key":"b3aaf0468773","_type":"block","children":[{"_key":"0b51a5e17d840","_type":"span","marks":[],"text":"While the exact cause(s) of BV and yeast infections are not well understood, certain activities and conditions can disrupt the natural balance of microorganisms in the vagina and lead to either infection."}],"markDefs":[],"style":"normal"},{"_key":"0347d62d3dba","_type":"block","children":[{"_key":"8655178e964c0","_type":"span","marks":[],"text":"Anyone with a vagina can develop BV, especially if she has a natural lack of "},{"_key":"8655178e964c1","_type":"span","marks":["em","20e7dbc81f15"],"text":"Lactobacillus acidophilus"},{"_key":"b9069a4eae8a","_type":"span","marks":[],"text":". But, generally speaking, BV is most commonly associated with sexual activity. In particular, women are at greatest risk for BV if she has sex with a new partner or multiple partners without using barrier contraception, such as a condom. But there are other risk factors to keep in mind:"}],"markDefs":[{"_key":"20e7dbc81f15","_type":"annotation","text":[{"_key":"3009fd4e974c","_type":"block","children":[{"_key":"52a6877184c9","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"0e253ab2bded","_type":"block","children":[{"_key":"cb320349e6fd","_type":"span","marks":[],"text":"Lactobacillus acidophilus (L. acidophilus) is "},{"_key":"2ee6a3efc503","_type":"span","marks":["em"],"text":"a type of probiotic (\"good\" bacteria) found"},{"_key":"de5a11b5e8ea","_type":"span","marks":[],"text":" in the human gut, mouth, and vagina, and also in certain foods."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"47a13bd26ce2","_type":"block","children":[{"_key":"4b0593cda9bb0","_type":"span","marks":[],"text":"Risk factors for BV:"}],"markDefs":[],"style":"h4"},{"_key":"ab4baf5f99c0","_type":"block","children":[{"_key":"70e01fc6b39a0","_type":"span","marks":[],"text":"Having sex with a new partner"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5fbcf2c23e89","_type":"block","children":[{"_key":"ac5785783e0c0","_type":"span","marks":[],"text":"Having sex with multiple partners"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"809859cd780b","_type":"block","children":[{"_key":"7776d1c992370","_type":"span","marks":[],"text":"Not using barrier contraception during sex, like a condom"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3bfc939d1860","_type":"block","children":[{"_key":"f9f761013c140","_type":"span","marks":[],"text":"Being pregnant"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"5d171b11875b","_type":"block","children":[{"_key":"5dcb13aeb1d10","_type":"span","marks":[],"text":"Vaginal douching"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7b61429c0ff7","_type":"block","children":[{"_key":"4f5f731296760","_type":"span","marks":[],"text":"Natural lack of "},{"_key":"4f5f731296761","_type":"span","marks":["em"],"text":"Lactobacillus acidophilus"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"16f8b89fed10","_type":"block","children":[{"_key":"f60a2c6700ac0","_type":"span","marks":[],"text":"An important side note: Even though BV is not a sexually transmitted infection (STI), after being diagnosed with BV, women have an increased risk of acquiring an STI."}],"markDefs":[],"style":"normal"},{"_key":"c78e717f5542","_type":"block","children":[{"_key":"772f69d92dd30","_type":"span","marks":[],"text":"The fungus "},{"_key":"772f69d92dd31","_type":"span","marks":["em","70195ba035cd"],"text":"Candida albicans"},{"_key":"772f69d92dd32","_type":"span","marks":[],"text":" is responsible for most yeast infections. As mentioned, the vagina naturally contains a balanced mix of yeast and bacteria, but an imbalance can occur when "},{"_key":"772f69d92dd33","_type":"span","marks":["em"],"text":"Lactobacillus"},{"_key":"772f69d92dd34","_type":"span","marks":[],"text":" decreases in number, which can cause an overgrowth of yeast. Here are some risk factors to consider:"}],"markDefs":[{"_key":"70195ba035cd","_type":"annotation","text":[{"_key":"715b25e50740","_type":"block","children":[{"_key":"3298a103b3b3","_type":"span","marks":["strong"],"text":"Did you know?"}],"markDefs":[],"style":"normal"},{"_key":"ce99d4a684c4","_type":"block","children":[{"_key":"2dd15392b093","_type":"span","marks":[],"text":"Candida albicans is a fungus that lives on your body in small amounts, located in your mouth, skin and intestines."}],"markDefs":[],"style":"normal"}]}],"style":"normal"},{"_key":"86178f47a685","_type":"block","children":[{"_key":"2fd9b344327f0","_type":"span","marks":[],"text":"Risk factors for yeast infections:"}],"markDefs":[],"style":"h4"},{"_key":"a77bce2c9df4","_type":"block","children":[{"_key":"6ce128e415060","_type":"span","marks":[],"text":"Taking oral contraceptives or hormone therapy that increases estrogen levels"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3655f2f43982","_type":"block","children":[{"_key":"8d9b478ae3b4","_type":"span","marks":[],"text":"Antibiotic use, which causes an imbalance in natural vaginal flora"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aa5ab7908871","_type":"block","children":[{"_key":"f068e862b6650","_type":"span","marks":[],"text":"Being pregnant"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f0eab6887a14","_type":"block","children":[{"_key":"37598ffd37600","_type":"span","marks":[],"text":"Uncontrolled diabetes"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"20bf27426bb1","_type":"block","children":[{"_key":"e181c686f7d50","_type":"span","marks":[],"text":"A weakened immune system due to certain medications or an underlying illness"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"857b9514bc14","_type":"block","children":[{"_key":"7a2e5a6bb5590","_type":"span","marks":[],"text":"Obesity"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"7d2066f2fa73","_type":"sectionHeader","title":"Treatments for Yeast Infections vs. Bacterial Vaginosis"},{"_key":"b86b5ee57bb4","_type":"block","children":[{"_key":"b909dd56b6c00","_type":"span","marks":[],"text":"Since most women will experience BV and/or a yeast infection once in her lifetime, it's comforting news to learn that both infections are generally easy to treat."}],"markDefs":[],"style":"normal"},{"_key":"bcebcc040ce3","_type":"block","children":[{"_key":"ec05fa2a5b350","_type":"span","marks":[],"text":"Although 30% of BV cases may resolve without treatment, this condition is usually treated with antibiotics, most commonly metronidazole or clindamycin. Both of these medications are effective whether taken by mouth or applied vaginally. And because BV is not considered an "},{"_key":"e9b776e66ddb","_type":"span","marks":["b5fc9010e3f4"],"text":"STI"},{"_key":"5c837fa92a83","_type":"span","marks":[],"text":", symptom-free partners do not need to be treated, and there is no risk of passing the infection back and forth."}],"markDefs":[{"_key":"b5fc9010e3f4","_type":"internalLink","linkType":"text","reference":{"_ref":"58606dd2-9b5e-4fc1-bb3f-f1b5d0da143d","_type":"reference"}}],"style":"normal"},{"_key":"ff381e799b1f","_type":"block","children":[{"_key":"bbce9f199f1f0","_type":"span","marks":[],"text":"Similarly, most yeast infections with mild to moderate symptoms are simple to treat, and there are numerous over-the-counter antifungal medications, like miconazole (Monistat), terconazole, or clotrimazole, that are highly effective. But for lingering or repeat infections, your provider may prescribe a stronger oral antifungal medicine like fluconazole (Diflucan)."}],"markDefs":[],"style":"normal"},{"_key":"091377c88040","_type":"block","children":[{"_key":"57f976b6c3020","_type":"span","marks":[],"text":"As always, it is best practice to "},{"_key":"5640fbaf6172","_type":"span","marks":["076a7c22c654"],"text":"consult with your healthcare provider"},{"_key":"09adb9ddd7d7","_type":"span","marks":[],"text":" before embarking on an at-home treatment for a yeast infection. That said, treating yourself for a suspected yeast infection at home is probably okay if this is not your first yeast infection, the symptoms are familiar to you, you are not pregnant, and you don’t suspect an STI from recent sexual contact."}],"markDefs":[{"_key":"076a7c22c654","_type":"internalLink","linkType":"text","reference":{"_ref":"911870d8-c589-4a4d-8d3a-af2b05ba6b77","_type":"reference"}}],"style":"normal"},{"_key":"0e9ebceba130","_type":"block","children":[{"_key":"952c478607a70","_type":"span","marks":[],"text":"While treating BV or yeast infections is fairly straightforward, there are many practical lifestyle modifications and measures to help prevent these infections in the first place."}],"markDefs":[],"style":"normal"},{"_key":"2cd01487e9ca","_type":"block","children":[{"_key":"045335c2f3980","_type":"span","marks":[],"text":"Preventive measures for BV:"}],"markDefs":[],"style":"h4"},{"_key":"2d1d555b0c17","_type":"block","children":[{"_key":"7fa8ffb271f50","_type":"span","marks":[],"text":"Limit number of sexual partners"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e3459d16db9e","_type":"block","children":[{"_key":"ccbdbb2ba8cd0","_type":"span","marks":[],"text":"Avoid douching"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"bb22d3cb9f27","_type":"block","children":[{"_key":"f6d4b92c66000","_type":"span","marks":[],"text":"Use condoms"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"6c638059b804","_type":"block","children":[{"_key":"477408dedb6d0","_type":"span","marks":[],"text":"Preventive measures for yeast infections:"}],"markDefs":[],"style":"h4"},{"_key":"61c0ca5de6b4","_type":"block","children":[{"_key":"f70fef4e64be0","_type":"span","marks":[],"text":"Avoid tight clothing that can trap moisture"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"291b8c8ce11e","_type":"block","children":[{"_key":"c3f683e598e50","_type":"span","marks":[],"text":"Change out of wet clothing after swimming or working out"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"60094c506733","_type":"block","children":[{"_key":"4e9a9d2ee3350","_type":"span","marks":[],"text":"Limit use of antibiotics. It’s a good idea to eat yogurt with live cultures or take "},{"_key":"4e9a9d2ee3351","_type":"span","marks":["em"],"text":"Lactobacillus acidophilus"},{"_key":"4e9a9d2ee3352","_type":"span","marks":[],"text":" tablets when you are on antibiotics."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"50bcba727a23","_type":"block","children":[{"_key":"65b02b4064a5","_type":"span","marks":[],"text":"There are other lifestyle changes that will support in preventing both kinds of infections and promote overall vaginal health and wellbeing. Some include:"}],"markDefs":[],"style":"normal"},{"_key":"892e86f7e51f","_type":"block","children":[{"_key":"8047274c9f120","_type":"span","marks":[],"text":"Wear cotton-lined or cotton underwear. Bacteria and fungi thrive in warm, moist environments and cotton wicks away moisture."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e1a272825f48","_type":"block","children":[{"_key":"b2607948afaf0","_type":"span","marks":[],"text":"Avoid scented soaps, feminine hygiene products, and toilet paper"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9fd615d8c3fb","_type":"block","children":[{"_key":"27b2a4bef7d20","_type":"span","marks":[],"text":"Avoid bubble baths, hot tubs, and very hot baths"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"2daef540c256","_type":"block","children":[{"_key":"e06899e69dfa0","_type":"span","marks":[],"text":"Avoid feminine hygiene sprays, fragrances, or powders in the genital area"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"43ebfb85b63e","_type":"block","children":[{"_key":"32b3fc5c52eb0","_type":"span","marks":[],"text":"Rinse genitals with water and pat dry"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"930084d0cc10","_type":"block","children":[{"_key":"db3bfc1364360","_type":"span","marks":[],"text":"Take probiotics"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f73c475dace7","_type":"block","children":[{"_key":"05c36b5fc8ce0","_type":"span","marks":[],"text":"Keep your blood sugar level under control if you have diabetes"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"eeb47013ab80","_type":"block","children":[{"_key":"2992e02bae780","_type":"span","marks":[],"text":"If you have a vagina, BV and yeast infections are common infections that can arise when there is an imbalance in naturally-occurring bacteria in the vagina. Although they share symptoms – vaginal discharge, itching, and burning – BV is caused by overgrowth of bacteria (and treated with antibiotics) while yeast infections are caused by an overgrowth of fungus (and treated with antifungal agents). BV is usually associated with sexual activity, and risk factors include: multiple sexual partners and not using barrier contraception, like condoms. Yeast infections have been linked to antibiotic use, high estrogen levels, and a weakened immune system. But really, either infection can occur at any time without obvious reasons."}],"markDefs":[],"style":"normal"},{"_key":"672df6589a59","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"b5d5e66639ce","_type":"block","children":[{"_key":"aa32757cb4e0","_type":"span","marks":[],"text":"Think you might have a vaginal infection? 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Acid.png","path":"images/8qqycr4y/production/8fc8a7dc91d2867728ac42284585d279afa64646-2800x1600.png","sha1hash":"8fc8a7dc91d2867728ac42284585d279afa64646","size":854559,"uploadId":"M6Wfd25RJBt4VRPcCq3TUbHygGJS1plr","url":"https://cdn.sanity.io/images/8qqycr4y/production/8fc8a7dc91d2867728ac42284585d279afa64646-2800x1600.png","id":"image-8fc8a7dc91d2867728ac42284585d279afa64646-2800x1600-png","parent":null,"children":["12a8c6ce-2dff-5373-a4fa-28e3c1bd9e49"],"internal":{"type":"SanityImageAsset","contentDigest":"6340fd7310036e5695255741e7c5b3cf","counter":6338,"owner":"gatsby-source-sanity"}}},"editorialText":[{"_key":"3a057e3d1612","_type":"block","children":[{"_key":"8e1d0d9b626e0","_type":"span","marks":[],"text":"Lately, boric acid has gotten a lot of buzz. But is the buzz just noise or actually justified?"}],"markDefs":[],"style":"normal"},{"_key":"2b6b8a7fd88b","_type":"block","children":[{"_key":"cba18e366c1c0","_type":"span","marks":[],"text":"The short answer: Boric acid might be helpful for recurrent and resistant vaginal infections, especially when combined with traditional antifungals and antibiotics. But, since boric acid is a relatively new trend in the self-treatment of BV and yeast infections, it’s important to consider the pros and cons of this trace mineral as well as its safety profile before busting it out to fight back against BV and yeast infections on your own."}],"markDefs":[],"style":"normal"},{"_key":"ffc180e5bfec","_type":"sectionHeader","headerLevel":"h1","title":"A Word About BV + Yeast Infections"},{"_key":"ffde3032b550","_type":"block","children":[{"_key":"f32749a379f40","_type":"span","marks":["1509e52c4424"],"text":"A yeast infection"},{"_key":"7cc7661eb09c","_type":"span","marks":[],"text":" isn’t any fun. And neither is the goopy and gross mess caused by popular over-the-counter antifungal medications, like "},{"_key":"370a781cab47","_type":"span","marks":["ef4122dc9b12"],"text":"Miconazole (Monistat)"},{"_key":"938cbac69210","_type":"span","marks":[],"text":", Clotrimazole (Lotrimin), or Tioconazole (Vagistat). While these antifungal creams and suppositories have been proven safe and highly effective for average, everyday (hopefully not!) yeast infections, many people suffer from chronic yeast infections (4 or more per year) or more complicated infections caused by resistant or atypical strains of "},{"_key":"f32749a379f41","_type":"span","marks":["em"],"text":"Candida"},{"_key":"f32749a379f42","_type":"span","marks":[],"text":" and struggle to find a reliable add-on remedy to help."}],"markDefs":[{"_key":"1509e52c4424","_type":"internalLink","linkType":"text","reference":{"_ref":"8f0a7f7b-d178-4966-82ff-39f310b2b589","_type":"reference"}},{"_key":"ef4122dc9b12","_type":"externalLink","linkType":"text","url":"https://www.monistat.com/"}],"style":"normal"},{"_key":"7c1c44b93baf","_type":"block","children":[{"_key":"076ec273a0770","_type":"span","marks":["3fdc6770576a"],"text":"Bacterial vaginosis"},{"_key":"466f2f71e547","_type":"span","marks":[],"text":" - caused by overgrowth of unhealthy bacteria and characterized by a gray-white discharge with a fishy odor, painful urination, and itching or burning in the vagina - is also a common infection. Antibiotics (metronidazole, clindamycin) are considered first-line treatments and do a great job at clearing up a solitary case of BV. But many people suffer from recurrent BV as well and struggle to find a treatment regimen that works when BV doesn’t seem to ever go away."}],"markDefs":[{"_key":"3fdc6770576a","_type":"internalLink","linkType":"text","reference":{"_ref":"911870d8-c589-4a4d-8d3a-af2b05ba6b77","_type":"reference"}}],"style":"normal"},{"_key":"583d9c0bd492","_type":"block","children":[{"_key":"17249563aa7c0","_type":"span","marks":[],"text":"That’s when boric acid can be a potential game-changer, especially for folks seeking a cheaper, home remedy to fight back when their bodies stage a battle between ‘good’ (healthy) and ‘evil’ (unhealthy) vaginal bacteria that can throw the delicate balance of vaginal pH levels into a tailspin leaving them vulnerable to both types of infections."}],"markDefs":[],"style":"normal"},{"_key":"6ccac8aaa79e","_type":"cta","backgroundColor":"bcoat","text":[{"_key":"700a06b39dca","_type":"block","children":[{"_key":"36ea0cbfea29","_type":"span","marks":[],"text":"Experiencing symptoms of a "},{"_key":"b8cb5ec940a0","_type":"span","marks":["0f352e75a71d"],"text":"vaginal infection"},{"_key":"1480b0f1e67a","_type":"span","marks":[],"text":"? "}],"markDefs":[{"_key":"0f352e75a71d","_type":"internalLink","linkType":"text","reference":{"_ref":"911870d8-c589-4a4d-8d3a-af2b05ba6b77","_type":"reference"}}],"style":"large"},{"_key":"31c956379e50","_type":"block","children":[{"_key":"aa80ddacad15","_type":"span","marks":[],"text":"Get care within days, not months either online or "},{"_key":"c29ea54ae170","_type":"span","marks":["c2ba8a119d41"],"text":"in-clinic"},{"_key":"fb8031438e9c","_type":"span","marks":[],"text":" to discuss your health."}],"markDefs":[{"_key":"c2ba8a119d41","_type":"internalLink","linkType":"text","reference":{"_ref":"9b061bf7-f926-43be-8614-aa477d9eed59","_type":"reference"}}],"style":"normal"},{"_key":"f92bd7a6ea94","_type":"block","children":[{"_key":"dcd953aff693","_type":"span","marks":[],"text":"Takes 3–5 minutes to create an account "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"adc5b744115c","_type":"block","children":[{"_key":"0bceb2e02c21","_type":"span","marks":[],"text":"No membership fee to book "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"c2f509fba6a7","_type":"block","children":[{"_key":"1e658e50bf9d","_type":"span","marks":[],"text":"Insurance accepted"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e6c2186e4f26","_type":"buttonBlock","items":[{"_key":"cabfb86f6747","_type":"singleButton","linkCta":"Book appointment","linkType":"join-scroll-shape"}]}]},{"_key":"51fbe9eb97e7","_type":"sectionHeader","headerLevel":"h2","title":"How Boric Acid Helps with Yeast Infections"},{"_key":"cf0fbf9e4be5","_type":"block","children":[{"_key":"20a6f3593e4a0","_type":"span","marks":["strong"],"text":"Antifungal properties"},{"_key":"181cdd46ff3a","_type":"span","marks":[],"text":"\nBoric acid’s efficacy against yeast infections lies in its natural ability to disrupt the cell walls of yeast (usually "},{"_key":"83274a4254b51","_type":"span","marks":["em"],"text":"Candida albicans"},{"_key":"83274a4254b52","_type":"span","marks":[],"text":"), which hinders its growth and reproduction.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"a69c54170050","_type":"block","children":[{"_key":"26f2e658fcbd0","_type":"span","marks":["strong"],"text":"Controlling resistant and atypical strains"},{"_key":"c6d0652c86c1","_type":"span","marks":[],"text":"\nBoric acid’s mechanism of action differs from conventional antifungals, offering an alternative approach to treating yeast infections caused by resistant strains of fungus and atypical fungi, like "},{"_key":"f6849b3765b11","_type":"span","marks":["em"],"text":"Candida glabrata and Candida tropicales.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"752833661403","_type":"block","children":[{"_key":"1f9cfa46977f0","_type":"span","marks":["strong"],"text":"Recurrent infection prevention and management"},{"_key":"e370f9112d29","_type":"span","marks":[],"text":"\nRecurrent yeast infections can be a big challenge for some people, and boric acid has shown promise in preventing and managing these recurring episodes, providing relief for people who face chronic issues with yeast overgrowth.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"404d42feed39","_type":"block","children":[{"_key":"40535f06b4620","_type":"span","marks":["strong"],"text":"Restoring biome balance"},{"_key":"889d3bc02f5e","_type":"span","marks":[],"text":"\nBoric acid helps restore the balance of vaginal microbiota by selectively targeting harmful fungi and sparing beneficial bacteria, which is crucial for maintaining a healthy vaginal environment."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"f0e37e3db2f6","_type":"sectionHeader","headerLevel":"h2","title":"How Boric Acid Works Against Bacterial Vaginosis"},{"_key":"c0c50da339dd","_type":"block","children":[{"_key":"0df40a2623280","_type":"span","marks":["strong"],"text":"Antibacterial action"},{"_key":"ad6c574ca273","_type":"span","marks":[],"text":"\nBoric acid’s utility in combating BV lies in its ability to disrupt the bacterial biofilm, inhibiting the growth and persistence of unwanted unhealthy bacteria.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"111a2f59acb2","_type":"block","children":[{"_key":"2de6f7f5872d0","_type":"span","marks":["strong"],"text":"Restoring pH balance"},{"_key":"e8cbde353469","_type":"span","marks":[],"text":"\nBV is strongly associated with an imbalance in vaginal pH level, and boric acid helps restore the acidic pH of the vagina, creating an environment less conducive to overgrowth of harmful bacteria.\n"}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ff8bc9f64721","_type":"block","children":[{"_key":"91c817a95ddb0","_type":"span","marks":["strong"],"text":"Alternative for resistant cases"},{"_key":"e545def609cb","_type":"span","marks":[],"text":"\nIn cases where standard antibiotic treatments for BV are less effective due to antibiotic resistance, boric acid offers an alternative strategy and mechanism of action, making it a potential option for managing resistant cases."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"e5b5bc17b1b2","_type":"sectionHeader","headerLevel":"h2","title":"The Importance of Medical Guidance"},{"_key":"d705d01e9e51","_type":"block","children":[{"_key":"988680bafb730","_type":"span","marks":[],"text":"Before starting boric acid therapy, it’s always best to contact your healthcare provider, especially if you suffer from recurrent or resistant vaginal infections. Care providers can often single out an accurate diagnosis of your infection and find the underlying cause(s), which allows them to tailor a treatment plan based on severity of symptoms, history, and response."}],"markDefs":[],"style":"normal"},{"_key":"9ab2a5a7838d","_type":"sectionHeader","headerLevel":"h2","title":"How to Use Boric Acid to Fight Vaginal Infections"},{"_key":"eb7d9648a3b4","_type":"block","children":[{"_key":"6827011d884b0","_type":"span","marks":[],"text":"Boric acid is available in capsules, suppositories, and topical solutions, but some people prefer to craft their own supply of suppositories. To do so, fill size 0 gelatin capsules with 600 mg of boric acid."}],"markDefs":[],"style":"normal"},{"_key":"4540895867d8","_type":"block","children":[{"_key":"6811c33c63530","_type":"span","marks":[],"text":"Whether you select pre-made or make your own, the recommended dosage is "},{"_key":"a326dd390748","_type":"span","marks":["79acb6b177b6"],"text":"600 milligrams per day"},{"_key":"47938e78a1e7","_type":"span","marks":[],"text":" for 7-14 days. Tia providers recommend using boric acid at the same time every day, bedtime is a popular time to insert vaginal boric acid."}],"markDefs":[{"_key":"79acb6b177b6","_type":"externalLink","linkType":"text","url":"https://www.aafp.org/afp/2001/0215/p697.html"}],"style":"normal"},{"_key":"a3ed2b34d7e5","_type":"block","children":[{"_key":"e16f835297560","_type":"span","marks":[],"text":"Even if you notice some improvement after only a few days, you should take boric acid for the full 7-14 days to make sure that the infection does not reoccur."}],"markDefs":[],"style":"normal"},{"_key":"4ff2789f9cc7","_type":"block","children":[{"_key":"9ab1955438ac","_type":"span","marks":[],"text":"As always, Tia recommends talking with your provider before beginning any type of at-home treatment for vaginal infections!"}],"markDefs":[],"style":"normal"},{"_key":"05b449b96670","_type":"sectionHeader","headerLevel":"h2","title":"Side Effects and Safety Warnings"},{"_key":"b150561b09f0","_type":"block","children":[{"_key":"1e83e5368dc90","_type":"span","marks":[],"text":"For the most part, "},{"_key":"1e83e5368dc91","_type":"span","marks":["strong"],"text":"side effects"},{"_key":"1e83e5368dc92","_type":"span","marks":[],"text":" of boric acid are mild and rarely require medical attention. The most common side effect seen is vaginal irritation, redness, or burning. If you experience any of these symptoms, your doctor can adjust concentration and/or duration of treatment."}],"markDefs":[],"style":"normal"},{"_key":"ff373fd6c812","_type":"block","children":[{"_key":"424d45d76c380","_type":"span","marks":[],"text":"Be forewarned: Sexual partners might experience skin irritation as well. And since boric acid can theoretically damage condoms and diaphragms and decrease the efficacy of spermicides, many care providers suggest skipping vaginal sex until treatment is finished."}],"markDefs":[],"style":"normal"},{"_key":"6eb46b946584","_type":"block","children":[{"_key":"8fdc54c22c0a0","_type":"span","marks":[],"text":"Used as directed, as a suppository inserted in the vagina, boric acid is safe. But boric acid is "},{"_key":"8fdc54c22c0a1","_type":"span","marks":["strong"],"text":"highly toxic if swallowed. "},{"_key":"8fdc54c22c0a2","_type":"span","marks":[],"text":"In fact, "},{"_key":"8fdc54c22c0a3","_type":"span","marks":["strong"],"text":"a single pill can cause irreversible organ damage and death. "},{"_key":"8fdc54c22c0a4","_type":"span","marks":[],"text":"So, "},{"_key":"8fdc54c22c0a5","_type":"span","marks":["strong"],"text":"never take boric acid orally"},{"_key":"8fdc54c22c0a6","_type":"span","marks":[],"text":" and make sure you keep your capsules in a safe place that is out of reach of children and animals."}],"markDefs":[],"style":"normal"},{"_key":"e4d0ded2718d","_type":"block","children":[{"_key":"57ebf101a61f0","_type":"span","marks":[],"text":"Also, "},{"_key":"57ebf101a61f1","_type":"span","marks":["strong"],"text":"don’t take boric acid if you are pregnant"},{"_key":"57ebf101a61f2","_type":"span","marks":[],"text":", trying to get pregnant, or think you might be pregnant. Boric acid, even absorbed through the vagina, can be fatal to a developing embryo."}],"markDefs":[],"style":"normal"},{"_key":"762110722f1b","_type":"sectionHeader","headerLevel":"h2","title":"The Takeaway on Boric Acid"},{"_key":"9a86af83855a","_type":"block","children":[{"_key":"eaa93050e6450","_type":"span","marks":[],"text":"Boric acid is a versatile and effective tool for fighting yeast infections and BV, especially recurrent cases or resistant infections caused by strains of fungi and bacteria that don’t respond to typical treatments. Its antifungal and antibacterial properties offer an alternative approach to conventional treatments, but its use requires careful consideration and medical guidance to ensure safety and efficacy. 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What is it for?"}],"markDefs":[],"style":"h3"},{"_key":"08d5eb994d3d","_type":"block","children":[{"_key":"e7c9624d3a970","_type":"span","marks":[],"text":"A vaginal infection appointment is usually a consultation visit and sometimes a physical exam to discuss vaginal symptoms, recommend prevention and offer treatment if indicated. 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. 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If you have symptoms of a UTI, your visit will likely include:"}],"markDefs":[],"style":"normal"},{"_key":"88c7bc84813a","_type":"block","children":[{"_key":"f320307092c8","_type":"span","marks":[],"text":"Review of your medical history and any medications that you take with special attention to current symptoms and urinary history."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"0bce35628da0","_type":"block","children":[{"_key":"369070398697","_type":"span","marks":[],"text":"If you are suspected to have a urinary tract infection (UTI), your healthcare provider may ask for a urine sample to confirm the diagnosis. In such cases, a urinalysis test is conducted to screen for different parts of urine and detect potential infections. The test checks for germs that cause bladder infections. Sometimes, your healthcare provider may start you on antibiotics right away without waiting for the test results if they suspect that you have a UTI."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"aa6cc58ecf23","_type":"block","children":[{"_key":"2135131004d6","_type":"span","marks":[],"text":"Potential treatment plans"}],"markDefs":[],"style":"h3"},{"_key":"953ba0d060ca","_type":"block","children":[{"_key":"e143987aadd40","_type":"span","marks":[],"text":"Treatment for UTI requires an antibiotic. If you are diagnosed, your provider will write you a prescription. "}],"markDefs":[],"style":"normal"},{"_key":"a191b1647f6b","_type":"block","children":[{"_key":"28f25c8356ee","_type":"span","marks":[],"text":"How to prevent a UTI in the future"}],"markDefs":[],"style":"h3"},{"_key":"56153e48f884","_type":"block","children":[{"_key":"2ec021163e020","_type":"span","marks":[],"text":"Even thought UTIs are fairly common, they are also easy to prevent with proper hygiene and personal care:"}],"markDefs":[],"style":"normal"},{"_key":"13fe6f8a7c75","_type":"block","children":[{"_key":"52d8f65932c4","_type":"span","marks":["strong"],"text":"Urinate after sexual activity:"},{"_key":"1880b3bb76c0","_type":"span","marks":[],"text":" During intercourse, bacteria and other germs can find its way into your urethra (where you pee from), which can cause UTI's. Urinating after sex forces that unwanted bacteria to be flushed out of your urinary tract."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"06c3590570d8","_type":"block","children":[{"_key":"5068844ccfc0","_type":"span","marks":["strong"],"text":"Stay well hydrated:"},{"_key":"cf71e051589a","_type":"span","marks":[],"text":" Drinking a lot of water helps hydrate bladder tissue, which keeps it healthy. Staying hydrated also dilutes your urine and lowers the concentration of bacteria in the bladder. In some cases, women have been able to cure themselves of a UTI just by drinking water. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"9d0f43c8dac3","_type":"block","children":[{"_key":"14478351d5ab","_type":"span","marks":["strong"],"text":"Take showers instead of baths:"},{"_key":"2192c7c61adb","_type":"span","marks":[],"text":" Bacteria thrive in warm environments, like hot tubs and baths. Taking showers instead will slow any bacteria from rapidly growing in your urethra. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"3eb4f81cbf37","_type":"block","children":[{"_key":"f59120dbe507","_type":"span","marks":["strong"],"text":"Do not use douches, sprays, or powders in the genital area:"},{"_key":"71362096f734","_type":"span","marks":[],"text":" Your vagina is already self-cleaning and does not need help from a douche or any additional \"vaginal cleaning\" products. These products can also wash out the good bacteria that keeps your vagina health and your pH balanced, which could allow for harmful bacteria to take over. "}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"ec93c15ddd7b","_type":"block","children":[{"_key":"5337e6106b21","_type":"span","marks":["strong"],"text":"Wipe front to back after using the bathroom:"},{"_key":"55894adae30c","_type":"span","marks":[],"text":" This helps avoid any bacteria from your rectum to contaminate your urethra, which can lead to infection."}],"level":1,"listItem":"bullet","markDefs":[],"style":"normal"},{"_key":"68337be97d34","_type":"block","children":[{"_key":"a6e06fe99e29","_type":"span","marks":[],"text":"Consume D Mannose: This is a sugar compound naturally occurring in cranberries that will help coat the bladder making it difficult for bacteria to adhere to it. This is helpful to prevent UTIs when going through a period of frequent bladder infections. 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