In This Issue
Reproductive Medical Associates (RMA) Joins the Lawrence OB/GYN Team
How to Cope with Allergies During Pregnancy
8 Million Women Missing Out on this MAJOR Health Test
Menopause: Myth vs. Fact
7 Reasons Your Period is Missing

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We have 3 office locations to accommodate our patients in the Mercer and Bucks County areas:


123 Franklin Corner Rd.

Suite 214

Lawrenceville, NJ 08648

Phone: 609-896-1400 

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1401 Whitehorse-Mercerville Road

Suite 216

Hamilton, NJ 08619

Phone: 609-890-2412 

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909 Floral Vale Boulevard

Yardley, PA 19067

Phone: 215-504-9090 

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Our physicians and midwives deliver at

 Capital Health System's Hopewell Campus 

in Pennington, NJ

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Reproductive Medicine Associates to Lawrence OB/GYN RMA  baby-blocks-blue.jpg

Lawrence OB/GYN is thrilled to announce that Reproductive Medicine Associates (RMA) of Philadelphia and Central Pennsylvania will begin seeing patients in our Yardley location on the second Friday of every month beginning in April, from 12-4 p.m. .    

RMA's medical and laboratory teams bring world class fertility care to Lawrence Ob-Gyn's patients. RMA uses the most advanced technology available to achieve success rates that are among the highest in the region. RMA's highly trained, experienced and board-certified Reproductive Endocrinologists, with over 125 years of combined experience in infertility care, They are experts in the field of infertility, and will work closely with you to find the fastest and most effective solutions for your personal family building needs.    


The physicians at RMA have helped thousands of women and men in the Delaware Valley achieve their dream of parenthood. We are proud to be working together to help hopeful parents.  


For more information, please visit RMA's website, or contact us with any questions. 

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Allergies are annoying and sometimes painful to deal with and pregnancy often makes allergies even worse. The good news is that there are ways to deal with allergies during pregnancy. Here are some steps for coping with allergies during your pregnancy:


Try a nasal saline spray. Nasal saline, which is basically just salt water, tends to help allergies during pregnancy. They are also not harmful to the fetus. Simply spray the solution into the nostrils and blow your nose a minute later.


Use a humidifier at night to put moisture in the air. This can relieve some of the pressure and pain associated with allergies.


Allergy medication can be a good option if other solutions don't work. Women should opt for over-the-counter allergy medications unless their doctor recommends a prescription. Over-the-counter allergy medications usually deemed safe include chlorpheniramine, Benadryl, and Tylenol Allergy & Sinus. These types of medications should be avoided during the first trimester, but talk to your doctor about an allergy medication that will work during the second and third trimester.


Allergy shots. If a newly pregnant woman has been receiving allergy shots or immunotherapy, she may safely continue to receive them as they should not cause a negative reaction with the developing baby. If a woman is pregnant and has not previously been taking immunotherapy shots; however, then she will likely not be able to receive them as the introduction of new immunotherapy drugs that were not present at the time of conception can potentially cause harm to the fetus.


Other Remedies...

If you do not want to take any form of medication, there are other remedies you can try. Avoid your allergy triggers. If you are allergic to outdoor pollens, do not spend time outside in the early morning hours when pollen counts are the highest. Also, if you smoke, quit now. It will help ease your allergies, and your fetus will develop in a healthier environment. Avoid secondhand smoke, too, which can also cause allergies to become worse.  



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April 2015 

Happy Spring!


spring-time-clouds.jpg Spring has sprung, but an unwelcome guest might accompany the waving grasses and beautiful blossoms -- seasonal allergies. What's a mom-to-be to do when a refreshing walk results in sneezes, a runny nose, nasal congestion and red, itchy eyes? You could reach into the medicine cabinet for pills and sprays, but you may be concerned about what you can and can't take. To learn more, check out our article on How to Cope with Allergies During Pregnancy.


Women hit menopause, and everything goes downhill from there. After all, you gain weight, wake up with hot flashes and you might as well say goodbye to sex when your period stops, right? Not so fast. Though menopause is inevitable, every woman experiences it differently. For some, menopausal symptoms may be as mildly bothersome as a light rain; for others they may be as overpowering as a tornado. What you think you know about menopause and your period may not be true. Menopause: Myth vs. Fact separates fact from fiction so you'll know what really to expect from "the change."  


Though the first of the possible reasons for missing a period that any woman is likely to think about is pregnancy, the fact is that there are many other reasons why a woman may miss her period. There are numerous reasons why your period might be late, or missing altogether. Other than ruling out pregnancy, consider these 7 Reasons Your Period is Missing.


We'd like to take this opportunity to recognize Dr. Daniel Small for being recognized as one of the American Institute of Minimally Invasive Surgery (AIMIS)'s "300 Club," which honors the best GYN MIS surgeons in the U.S.  Please click here to read more about his well-deserved recognition. 


Lastly, congratulations to the winner of our Kindle Fire HD Tablet giveaway!  Find out who won by clicking here.   


With warm regards,


The Practitioners and Staff of Lawrence OB/GYN 

AIMIS Recognizes Dr. Daniel Small as part of their "300 Club"drsmall
Dr. Daniel Small of
Lawrence OB/GYN

Congratulations to Dr. Daniel Small, who was recently named as one of the American Institute of Minimally Invasive Surgery's (AIMIS) "300 Club." The "300 Club" identifies the best GYN MIS surgeons in the U.S. who support a patient-centric approach to hysterectomy and other procedures.


Dr. Daniel Small is the director of Minimally Invasive Gynecologic Surgery at Capital Health System in Hopewell, New Jersey, an AIMIS Gynecologic Center of Excellence. He has been in private practice with Lawrence OB/GYN Associates for over 25 years. Dr. Small attended Cornell University, where he completed degrees in anthropology and international nutrition, and went on to medical school at the Hospital of the University of Pennsylvania. He completed a residency in obstetrics and gynecology at the Medical College of Pennsylvania.  


During over 25 years as a doctor with Lawrence OB/GYN, Dr. Small has provided basic and advanced services in both obstetrics and gynecology, and has been a leader in central New Jersey in minimally invasive gynecologic surgery. Dr. Small's commitment to minimally invasive surgery grew out of his wish that his patients should have the best possible outcomes. In 1991, he was the first gynecologist in central New Jersey to remove a tubal pregnancy through a laparoscope, and was also the first to perform endometrial ablation. He was the first doctor in his region to perform various kinds of laparoscopic hysterectomy. Dr. Small now chairs the robotic surgery program at Capital Health and serves as a proctor in robotic surgery.  


Dr. Small says, "I take the time to listen to my patients and answer all their questions. I believe that a strong physician-patient relationship is critical to good health care. I see it as my job to translate medical information in a way that each of my patients can understand, because a woman who is well-informed and educated about her options will be in the best position to make a good decision about her health care."


Dr. Small also serves as an expert witness in medical malpractice litigation. Over the past 15 years, he has testified in New Jersey, Pennsylvania, and Delaware about the medical standard of care for gynecologic surgery, office gynecology and many other aspects of obstetrics and gynecology. As an OB/GYN expert, he also serves as a consultant to the New Jersey Board of Medical Examiners.


Please join us in congratulating Dr. Small on this well-deserved honor!
Menopause: Myth vs. Factmyths

There are so many misconceptions surrounding menopause that it can be hard to distinguish what's actually true. Learn to separate fact from fiction.


1. Menopause Makes You Fat.

Stop the menopausal weight gain rumors right here and now! Although hormonal changes in your body make you more likely to gain weight around your abdomen than other parts of your body, there's no solid evidence that menopause causes you to get fat.  


However, your food choices and level of physical activity do influence your weight gain during menopause, as they do at any other time in your life. If you find yourself skimping on cardio or being less mindful about what you put in your mouth, don't be surprised by what the scale reads. Your best bet for maintaining your weight is moderate daily exercise and a portion-controlled healthy diet.


2. Menopause Starts at Age 50.

There's no magic number that signals the official onset of menopause. Women generally enter menopause between the age of 45 and 55, but in rare cases women can experience menopause as early as their 30s or as late as their 60s. Also, keep in mind that menopause technically occurs once a woman ceases to have her period for 12 consecutive months. Until then, a woman is considered perimenopausal.  


3. Menopause Symptoms Are Only Physical. It's hard to look beyond the many uncomfortable physical symptoms of menopause such as breast soreness and vaginal dryness, but menopausal hormonal changes also manifest in mental ways including depression and mood swings. On a physiological level, menopause occurs when a woman no longer produces enough estrogen and progesterone to have her period. Some scientists believe that a decrease in estrogen causes brain changes leading to depression whereas others believe that depression is influenced by the physical symptoms a woman experiences. Either way, it's common for women to feel the effects of menopause on an emotional level.


4. Menopause Causes Urinary Incontinence.

Although between 10 and 30 percent of women age 50-64 experience urinary incontinence, the condition is not related to menopause. Instead, factors that contribute to urinary incontinence include excess weight, weakened pelvic muscles due to childbirth and aging, bladder infections, and other medical conditions. Practicing Kegel exercises, staying hydrated, and maintaining good vaginal hygiene can help alleviate incontinence.  


5. Menopause Kills Your Sex Drive. Menopause does not rob you of your mojo! Many women find a newfound sense of creativity and heightened self-confidence during midlife as they begin to focus more attention on their own needs and relationships which can do wonders for their sex life.


Decreased estrogen levels can cause vaginal dryness, but using a vaginal lubricant is an easy fix. To make yourself feel sexier, buy some lingerie, pay attention to your vaginal health, eat healthfully, and exercise. Don't deprive yourself of healthy, enjoyable sex - at any age.


Source: Healthline   

7 Reasons Your Period is Missingperiod

Unless you're trying for a baby, getting your period regularly is both a blessing and a curse. Suddenly missing your period when babies aren't on the agenda can be a real freak-out moment, but there are a few other factors that may be to blame. Here are some potential reasons your period is late that have nothing to do with a bouncing bundle of joy.


Major Weight Loss or Excessive Exercise.  If your BMI rapidly dips below 18 or 19, you may start to miss periods. This isn't strictly based on BMI, though. Serious conditions like anorexia and bulimia can cause missed periods, but so can training for a marathon or some other major event that requires you to exercise more than usual. Nature has a way of protecting you from getting pregnant if your body is under such extreme stress. Your body prevents ovulation so you don't have a lot of estrogen, don't build a big uterine lining, and then don't get a period.


StressA big scary event in your life can cause hypothalamic amenorrhea. This particular area of the brain, the hypothalamus, is where a lot of the hormones for your period are regulated. The hypothalamus is very affected by stress.  So if you're dealing with a big move, death in the family, huge breakup, or any other life event that's shaking you up, it could be the cause.


A Thyroid Irregularity.  The thyroid gland, located in your neck, regulates your metabolism. It also interacts with many other systems in your body to keep things running smoothly. If you're dealing with any type of thyroid imbalance, whether it's hypo- or hyperthyroidism, that can have implications for your period. If you notice other symptoms of a thyroid disorder, check in with your doctor for an official diagnosis.


Polycystic Ovary Symptom.  PCOS is a hormone imbalance that comes down to a lack of ovulation, so you have altered levels of estrogen, progesterone, and testosterone. It can cause you to completely miss your period or just not menstruate regularly.  Other PCOS symptoms include hair growth in places like the face and chest, difficulty losing weight, and potential fertility issues. Your doctor can help you come up with a treatment plan to manage the condition.  


Chronic Diseases Like CeliacCeliac disease is on everyone's mind right now, which is referring to the disease that's characterized by gluten intolerance. Any chronic disease that's left untreated or undiagnosed is a stressor to your general system and can result in missed periods. 


Your Birth ControlA missing period can actually be a harmless byproduct of the measures you take to avoid pregnancy. Some low-dose pills will cause a lack of menses that isn't dangerous and is many times a welcome side effect. The same goes for methods like hormonal IUDs, implants, or shots. It can also take some time for your period to come back if you've stopped birth control, but it will usually resume without issue in a few months.


Premature MenopauseWhen women under 40 have hormones misfiring in a significant way, they can go through premature menopause, also known as premature ovarian failure. Along with missed periods, signs of it include hot flashes, night sweats, and vaginal dryness. This isn't very common, so you shouldn't immediately worry about it. If your OB/GYN physician rules out the many other potential causes and thinks this may be the culprit, he or she will clue you in.


Source: Women's Health   

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