W.O.W. MD - Your Wellness Optimizing Warrior

In this episode we're discussing how the body works and why nicotinamide adenine dinucleotide, or NAD, might be a miracle molecule. You may have heard of NAD before and be aware that it has benefits, but feel unclear about what those actually are. By the end of this episode, you'll feel confident in discussing this topic. The human body is very complex—we have about 78 organs that keep us alive. The brain has 86 billion nerve cells, and then our bodies produce 50 hormones and thousands of enzymes crucial for various processes. But what would it look like to replenish a universal essential molecule to optimal levels? That's where NAD comes in. If we can naturally or artificially improve NAD levels, it is possible we can improve health, wellness, and even lifespan. It's primarily known in substance abuse and addiction recovery, having been used to help minimize cravings. It can also help with neurodegenerative diseases and cognitive decline. Due to NAD's ability to speed up metabolism, it can also be used to help chronic fatigue. NAD can be made in the body from scratch using tryptophan. There is another pathway using niacin, as well as a third pathway—called the salvage pathway—which is the most efficient. Lifestyle changes and supplementing with substrates can also help increase natural production of NAD. It can also be injected into the body, but each type (IV, intramuscular, and subcutaneously) has their own benefits and downsides. An adequate dose of highly bioavailable NAD can have significant impacts on your cellular function, helping you feel less tired and sharper cognitively. It can also improve your mood. That said, NAD is relatively new in the supplement space, so you may be choosing a manufacturer with a lot of unknowns. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Today we're talking about WarmScuplting platforms as a non-invasive option for reducing fat cells. Using it in my practice, we use laser-generated heat that destroys fat cells in 25-minute treatment sessions. It is also highly customizable, and the treatment is designed to keep your skin cool. There is another type of treatment that uses radiofrequency (RF), and this is also non-invasive. One specific option, called TempSure, uses an applicator to apply RF deep into the skin. However, it doesn't destroy fat cells. Rather, its primary use is reducing the appearance of cellulite and tightening the skin. You may have heard of a body contouring procedure called Vanquish. It uses heat at a specific temperature and length of time. The device emits energy that heats the skin and underlying fat, but it does not touch your body. With Vanquish, you do need more treatments (six or more) to achieve desired results). What about radiofrequency microneedling? Morpheus8 uses this combination to mainly remodel your skin through micro injuries that promote collagen and elastin production. It is imperative to take good care of your skin post-procedure, due to the needle puncture wounds. Of all the options available, EmSculpt Neo is the most unique It utilizes HIFEM energy, and it can be used almost anywhere on the body. It can accomplish three things at once: destroying fat, growing and strengthening muscle, and tightening skin. It's not just a body contouring device—its regenerative features make it an excellent option to explore. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Today we're diving into more specific surgery-free options for achieving fat removal results: WarmSculpting (also known as SculpSure) and CoolSculpting. Both of these target pockets of fat using extreme temperatures to get rid of them permanently. The first time I tried CoolSculpting, I wasn't sold on it, so I had decided not to bring it into my practice. But later, when the MonaLisa Touch came out, I had a completely different experience. I had no discomfort, no lumps, and 2-3 weeks later I noticed the fat on my belly shrinking. Convinced of the effectiveness and ease of procedure, I would then use it for the next decade for my patients. CoolSculpting has some significant downsides to be aware of. There can be redness, swelling, bruising. The biggest problem you need to know about is skin damage, including a possible loss of sensation for 6 months (and even permanently in some cases). WarmSculpting also comes with its share of risks, but generally it is safer than CoolSculpting. Where CoolSculpting can leave an uneven appearance, this is a non-issue with WarmSculpting technology. When you use heat to destroy fat, there is always a cold counteractive mechanism to protect the skin. Paradoxical adipose hyperplasia is a serious complication of CoolSculpting. This happens when the fat cells you try to destroy actually increase in size and firm up. There are a few people whose fat cells react like this too cool sculpting specifically, and it can be disfiguring. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Today we're exploring body contouring, including what exactly it is, the pros and cons, and the various ways you can achieve it. The first thing you need to know is that body contouring is not at all similar to weight loss. The goal, more specifically, is to change the shape of your body, not necessarily the number on the scale. The best candidates for this type of treatment are those dealing with stubborn pockets of fat that seem to be resistant to weight loss. These areas are usually around the stomach, hips, and upper arms, and it more commonly bothers women than men. As a woman, it's important to understand the risks and benefits to body contouring and other options like liposuction so you can make an informed decision on whether or not they are right for you. While liposuction can offer quick results, that's not always a good thing, and it can be very expensive as well. Body contouring is less expensive, and there is much less recovery time. Liposuction is invasive; it's considered a major surgery and does come with a risk of infection. There's also a risk of nerve damage, rippling, and loose skin. If you want no pain, no down time, and no risks, body contouring technology is a better option, even if it takes a little longer to get the results you want. Body contouring devices destroy fat cells by exposing them to either too much heat or too much cold, and the results aren't temporary. Once the cells are destroyed, they are gone for good. Just remember that the key is maintaining a healthy relationship with food and exercise if you really want your body contentment to last. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

In today's episode we're welcoming Meghan Morrissette as a guest. Meghan is a dedicated aesthetics nurse of 15 years, and she's here to share her knowledge on filler injections and more. She specializes in facial balancing and contouring with injectables. It takes a lot of skill, experience, exposure, and an artistic eye to master the craft of injecting filler. You always want to focus on enhancing someone's natural features in a way that's subtle and undetectable. Many women begin losing the youthful volume in their face in their mid-thirties. If you don't recognize the woman you see in the mirror and you are ready to do something about it, scheduling an assessment is the first place to start. A curated treatment plan that includes lasers and fillers can go a long way in improving skin texture, pigmentation, and face balance. While filler can result in light bruising and swelling, there is typically very little downtime involved. One of the issues that can arise with filler—especially if you don't choose the right provider—is overfilling. As a provider, Meghan knows how important it is to say "no" to maintain her honesty and integrity. There are a lot of different applications for both filler and Botox. Botox can reduce lines and give the skin a smoother look. Filler can be added in different parts of the face and body, including the lips, hands, buttocks, and more. No matter which you use, you should do an assessment first and the outcome should always look natural. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Today we're discussing vaginal laser technology in detail and which options should be considered for best results. The MonaLisa Touch was the first vaginal laser technology introduced in the US—but previously, the same technology has been used for fine lines and wrinkles. The purchase of any laser for a woman's intimate wellness isn't a decision to be taken lightly. Your medical professional should always refer to what the research and studies have said, not what the sales rep is telling them. Still, investing in new technologies for vaginal wellness was a no-brainer for me as a doctor who cares about bringing the best possible tools to the women's wellness space. The MonaLisa Touch was designed to treat vaginal atrophy that occurs with aging. It can also be used for vaginal infections or even surface issues like marks and scarring. It has even been used for interstitial cystitis to reduce the frequency and urgency of bladder pain. There is another treatment called Viveve that can be used for vaginal wellness. This treatment uses cryogen-cooled monopolar radiofrequency (CMRF) energy, and by employing two different technologies, it can penetrate energy deeper. This can help with vaginal laxity through the stimulation of collagen production. You can also microneedle the vagina. Despite the name, this treatment is not painful. Morpheus8 V is a non-invasive treatment that uses both microneedling with radiofrequency energy to improve vaginal health, tighten tissue, and encourage collagen production. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

The most recent breakthrough launched in the last decade for vaginal health improvement has been laser technology. This new approach comes from an emphasis on looking for ways to promote health and healing (as opposed to destroying disease). There is a demand for safe treatment for serious medical conditions that cause vaginal discomfort and pain. Generally, our medical system has fallen short of meeting women's sexual health and wellbeing needs. The friction that occurs during intercourse can be intolerable and downright painful if a woman is struggling with sensitive tissues and decreased lubrication. Women experiencing fibroids, adenomyosis, and other estrogen sensitive conditions (like an estrogen sensitive cancer) aren't able to utilize the benefits of estrogen therapy. Laser therapy gives these women another option to explore. The cosmetic industry has been using lasers in various applications for a long time. While some laser therapies delivered to other areas, like the face for example, can be harsh, the only way to treat the vagina with lasers is to use a gentle approach. Keep in mind that this treatment isn't available everywhere, as it can come with certain risks for the medical professionals offering it. We need to change the idea that a woman's vaginal wellness is purely related to sex. The truth is that vaginal health is interconnected with other health systems (the urinary system, quite closely, for instance). Check in with your healthcare professionals, especially if you're experiencing a loss of elasticity, atrophy, or other changes to your vaginal area so you can be proactive in addressing it. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Endometriosis can make intimacy difficult for women to enjoy—and that's not just for young women, but women of all ages. Endometriosis is when the uterine lining (the endometrium) grows outside the uterus. The cause of this is unknown, however it causes inflammation, scarring, and pain. Research regarding treatment is severely lacking when it comes to this condition, in part because it is not considered a life-threatening illness. Another reason is that the potential for money-making is limited. That said, it does highly impact a woman's quality of life and her experiences, and therefore deserves more attention than it's gotten. Endometriosis is also difficult to diagnose as this requires surgery under anesthesia. The approach by conventional medicine in terms of treatment is offering medication that drastically decreases estrogen, for example birth control pills. It can help with some symptoms, but it doesn't reduce pain during intercourse and can come with some side effects. Testosterone inhibits the growth of endometrial cells in-vitro, so there is some research to support that testosterone therapy can counteract the overactive growth of uterine lining associated with endometriosis. Testosterone isn't recommended as a first line therapy for women with this condition, but it should be. The key with testosterone therapy is using bioidentical hormones. Synthetic testosterone products can come with significant side effects like facial hair growth, voice changes, and acne. Women and health care providers need to educate themselves on the benefits of testosterone for endometriosis and the best way to use it. Regardless of their condition, women deserve to enjoy intimacy just as much as men. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

There are two conditions that can impact a woman's sexual wellness regardless of their age: vulvodynia and vaginismus. These conditions can be painful and limit a woman's desire for intimacy—all while they suffer in silence. This is why it's so important to open up a conversation about these conditions and the options available for treatment. Vulvodynia is a disturbance at the nerve endings of a woman's delicate tissues. It can feel sensitive even when a woman sits down, rides a bike, or engages in other activities. It's easy to diagnose, and there are various options for treatment that dampen the excessive pain response of this issue. There are laser platforms and technologies that can also be applied for women's intimacy needs, offering support where conventional medicine fails to provide relief. The application of energy to tissues can rewire and reset nerve endings, helping relieve pain. Vaginismus affects many women both younger and older. Yet, so many who are diagnosed with this condition have no idea what it is or how they've developed it. It happens when pelvic floor muscles suffer involuntary contractions, which narrows the vaginal canal and can make initiating intimacy difficult and unenjoyable. Pelvic floor therapy and relaxation techniques can be effective in supporting vaginismus, especially when the root cause has been resolved. If pain during intercourse is not addressed early on, a woman may begin to associate intimacy with her partner with pain. This experience of anticipating pain can make the condition even more difficult to deal with, and eventually she may avoid intimacy altogether. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

In this episode, we're continuing our discussion about sexual wellness during perimenopause. This stage of life can be extremely difficult for women who are sensitive to changes in mood. They may look to outside sources to alleviate this stress. For example: sweet and salty foods or alcohol. This stress, and the weight gain that comes with it, makes a woman feel anything but sexual. Stress is the enemy of intimacy and fertility, which can be disruptive to women who desire a healthy sexual relationship with their partner and those who want to have kids later in life. For women, as we age, it gets even more difficult to maintain our weight. It can even feel impossible to lose weight during perimenopause and beyond. A decline in testosterone levels is part of the reason behind this, as it's an important hormone when it comes to building and maintaining muscle. Early intervention is critical in combating weight gain issues and the other issues that accompany perimenopause. A simple blood draw can provide lots of insight into hormone levels, but a deeper blood evaluation is more reliable and provides even greater information. This depth of care isn't easy to find unless you seek out a doctor who appreciates more holistic methods. As a woman, it's important to understand that testosterone is your feel-good hormone. It's the hormone that keeps you feeling lean, fit, and sexy. It can also help boost mood and can help with mood issues like PMDD and depression. Testosterone replacement can support significant improvement with certain hormonal-based problems, but knowing which type to use is key. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

How can women find optimal intimacy in all stages of life, including during perimenopause? Most women experience perimenopause around their early forties, and a woman's body goes through a lot of changes at this time, some of which greatly impact their desire to be intimate with their partners. Taking steps early on is a woman's best tool for navigating these changes. However, it's important to note that the solutions for a woman in menopause are not the same as those experiencing perimenopause. While there is a decline in estrogen, testosterone, and progesterone, there is not a complete loss of estrogen. During perimenopause, it's not abnormal for women to act out of character or behave differently than normal. This may be due in part because estrogen is an agitating hormone—and fluctuations can have a significant impact on a woman's life. If you're a woman who's been feeling especially anxious, angry, and frustrated, having sex is going to be at the bottom of your priority list. You may also feel like your partner is the enemy as your body deals with these intense hormonal ups and downs. At the same time, you may also feel an increased craving for sweet and salty foods. As if dealing with these changes weren't difficult enough, changes to hormones and diet can also influence insulin resistance and weight gain, which may lead you to feel even less sexy. If you haven't been through perimenopause yet, remember it's something all women have to go through. Be proactive in your approach to these changes if you want to be prepared. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

If you're a woman who struggles with pain and discomfort during intimacy, you're not alone. There are a multitude of conditions that limit women in terms of intimacy, and they suffer in silence. In this episode, we're diving into this topic and sharing possible solutions. As women age and go through menopause, they experience significant shifts in their hormones. These shifts, such as the loss of estrogen, can lead to vaginal dryness and other issues of sexual dysfunction. The good news is that estrogen deficiency is easily addressed through a cream or vaginal insert. Once a woman loses her estrogen, it does not come back. This is important to note for women looking to balance their hormones when balance is no longer an option. Once the ovaries have run out of eggs, we have to deal with the reality of final estrogen loss in women and the difficult symptoms that come along with this change. Most women will need to try various hormone replacement methods until they find the perfect one for them. There's no reason to fear it either. Any concern about the relationship between estrogen replacement and cancer is unfounded—cancer rates naturally rise as we get older no matter what. If you want to restore intimacy, there is help out there. Estrogen replacement is worth trying, even if you've tried it before and the method you used didn't work for you. You should feel encouraged to try a different method of delivery with a doctor who is well versed in hormone replacement therapy. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

We're continuing our conversation about concierge medical practices this week. There were a few reasons I decided to go with a membership practice; the first one being financial survival. Our healthcare system has been compromised, and something has to change. Doctors have almost no choice but to go cash and stop accepting insurance or go concierge to survive. The membership fee isn't put in place for profit, it's there for necessity. In an insurance-driven healthcare market, medical providers are penalized if they decide to spend a longer amount of time with patients. Providers are compensated more greatly if they see four patients over one hour, rather than seeing one patient for that full hour. This is just one example of how the healthcare industry is driven by greed. You may have visited medical offices where the practice hasn't invested in growing their team or adding the latest supportive technology. These are two things we do invest in to make our services the best they can be. We have even made it possible for our patients to text us so they can reach us more easily. It's additions like this that make it easy for patients to choose to pay the membership fee. We focus on education, but this takes an investment in training and equipping our staff with the information they need. Ultimately, only you can decide if a membership practice is right for you. If you value your health, it may be worth it to you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Do you know what the benefits of a concierge medical practice are? There are a few to cover for both doctors and patients. In today's economy, our purchasing power has been reduced. So, everyone wants to know: is a medical practice membership really worth it? The simple answer is that if you can get the same services—quantity and quality—from someone else who does not require a membership, it's not a good deal. But all medical practices are unique and will provide their own specific services. It really depends on the quality of service and the type of services you need. Many medical practices must go concierge to keep their doors open. If you feel frustrated about not being able to afford the care you want, consider the root cause. It's not the doctor's fault. Behind the curtain, doctors themselves have very little options unless they want to be at the mercy of the insurance companies. The vision for my practice has been in the works for a very long time. For 12 years, I have been building and developing my team, technology, and services while making minimal profit. I would love to be able to help my patients out of the goodness of my heart, but that's not feasible if I want to continue helping clients achieve hormone optimization while restoring their highest level of health. I love my job, my team, my patients, and all that we can do for them. It's worth more than money, and it makes it easy to get out of bed in the morning. If you take anything from this episode, remember that in most cases, your doctor and their team are truly there to help you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Let's get back into part two of our discussion about valuable markers to look for when it comes to anti-aging. In the first episode, we covered markers such as a cardiovascular assessment, body composition, and cancer screenings. Both men and women should be undergoing regular colonoscopies to screen for cancer. If possible, opt for a whole-body MRI to screen for various cancers—many can be caught before they become symptomatic. There are also blood tests that can help test for cancers in the very early stages. A bone density evaluation is also important when it comes to aging. This scan should be done as a baseline when you are 50. By testing early, you can identify your level of risk for problems down the road. For women specifically, it's very important to do regular mammograms and annual pap tests. Men should be doing regular prostate checks. The importance of vision and hearing testing is often overlooked, but it should also be considered as a marker of health as you age. Of course, you will have to seek an outside provider (like an ophthalmologist and a hearing specialist) to complete these exams. You may also need to seek out blood testing in separate facilities too. This all can add additional time and effort to getting a comprehensive view of your health, which is why there aren't many people over 50 who seek out a full view of their anti-aging markers. In our wellness exams, we take our time to cover all of the important aspects of aging. It is crucial at this age to have health professionals on your side who are committed to walking the journey with you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

What are the most valuable things to focus on when making an anti-aging plan with your doctor? In this episode we're discussing just that. Everyone's body changes over time, but you can make aging easier if you get support sooner rather than later. Over time, you may start to notice your energy levels decline—and perhaps you are softer in areas than you were before. Weight loss or even maintaining your weight becomes more difficult as we age, and your mood may also change too. Some of these changes are subtle, but they are bound to happen as a part of aging. The most important part of your anti-aging wellness exam is the time spent assessing your current state of health. This should be a thorough interview that covers every system in the body. A comprehensive blood test should be ordered, even if you have zero signs and symptoms or generally feel great. Your doctor should also do an in-depth cardiovascular assessment. The reality is there aren't always signs and symptoms when you have a heart problem. Heart disease gives no warning, which is why preventative care of your cardiovascular health is essential. A cancer screening is also crucial—the statistics show that digestive cancers and respiratory cancers are the most dangerous as we age. Abdominal visceral fat is also a key marker for wellness as we age. Your metabolic health is important too, so make healthy choices when it comes to what you include in your diet. In the next episode, I'll share even more anti-aging markers to prioritize with your health professionals. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Chronic stress is recognized as a major stress of disability and mortality worldwide. According to the World Health Organization, stress is a state of worry or mental tension caused by a difficult situation. Stress is a natural response, and it prompts us to take action under certain circumstances. However, when stress becomes chronic, it can be very damaging to our health. Chronic stress is associated with many different health consequences. What you do, what you think, and how you feel when you're stressed matters—and it greatly impacts your body. If you want to live a long life, you have to be able to manage stress when it comes up. If you're stressed for a long time, cortisol will be released for a prolonged duration. This can lead to adrenal dysfunction, which means your body is releasing too much cortisol or not enough. Chronic stress can also lead to maladaptive coping, for example drinking alcohol. This will negatively impact your liver, hormones, and more. Stress zaps your energy, and it can make you feel fatigued no matter how much rest you get. It also damages and weakens your immune system, leaving you prone to illness and infections. Long-term stress damages your gut lining, resulting in a cascade of symptoms that can heavily impact your gut health, and it could even lead to autoimmunity. Stress hurts your sleep, which keeps your body and brain from recharging when it needs it most. Chronic stress plays a significant role in the onset of serious psychiatric conditions. It can also accelerate aging. Make time for family, friends, fun, and physical activity regularly to ease your stress levels and stay healthy. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Let's continue our deep discussion on preparing for menopause. In part one, we talked about the changes you can expect in perimenopause and menopause, and explored the importance of awareness around this hormonal shift. In this episode, we're exploring specific ways you can support this transition. If you want to improve your experience going through perimenopause and menopause, you should first consider how you feel about hormones. If you think you'd like to explore hormone replacement therapy, you'll want to align yourself with a doctor who has expertise in that area. It's important to remember that a loss of hormones has a significant effect on your body, whether that loss brings you to an average rate or not. Just because you still have expected rates of hormones present doesn't necessarily mean you're producing the optimal amounts for you. Estrogen, testosterone, and progesterone are not dangerous. They do not suddenly cause cancer after you turn a certain age. The naysayers are usually missing out on crucial information, leaving them considerably misinformed. Hormones administered at the correct dosage and with the proper consideration for hormonal balance are perfectly safe. So, what's the magic hormone for menopause? Testosterone can do wonders for your mood, energy, and sex life. There are different methods you can try, and if you give it some time to get your dosing right, you could get a boost that makes you feel like you're decades younger. Menopause can look however you want it to. The choice is yours. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Is there such a thing as preparing for menopause? This is a topic not many people are discussing, but they should be. Menopause impacts women, but that impact will also have an effect on the other people in their lives, like their partner and children. Many women struggle with procrastination when it comes to prioritizing themselves. However, the best thing we can do for ourselves is prepare for menopause early on so we can have the tools to make this transition easier. The first thing you need to prepare for menopause adequately is awareness. Ignoring it won't make it go away. Perimenopause is the transition into menopause, and it can last anywhere from two to ten years. This is when hormones decline, and so does egg quality as well as egg quantity. All women should know this, especially those in their 30s who still desire to have children. The more eggs you have, the longer you will produce natural progesterone and estrogen. Understanding and knowing what is happening in your body is crucial for a smooth navigation through this time in your life. Perimenopause brings a lot of hormonal fluctuations, and therefore a lot of ups and downs. There will be changes to your metabolic rate, desire for intimacy, and more. The changes in hormones can also alter the way you react to stress. In fact, one might see a possible correlation between hormonal changes in men and women and the breakdown of marriages when a couple reaches their 40s or 50s. Hormone therapy can help couples deal with some of these issues and symptoms, but lifestyle changes that support a healthy, balanced body should be the first priority. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

In this episode, we're continuing our conversation about wellness checks in your 40s. Last time we discussed weight, height, body mass composition, and cardiovascular health. Blood pressure, specifically hypertension, is a silent killer and is another very important aspect of your health that you should know about. Most doctor's visits are brief. They spend about 15 minutes with you, and they may order some simple blood tests—but they don't often invest in your longer health journey. Comprehensive wellness checks should include an in-depth analysis of all the important markers. Keep this in mind if you're choosing a new doctor in your 40s. Men are experiencing a low testosterone epidemic, and this is regardless of age. This is something that men in their 40s should address with their doctor. For women in their 40s, it's common to experience perimenopause, a stage in which estrogen and progesterone production declines. Women should be able to share details of their cycle to their doctor during a visit. If you're overweight or obese, you'll want to have your doctor check your fasting insulin and fasting glucose. Insulin resistance is the beginning of diabetes, and if you catch this during the pre-diabetes phase, it is reversible. Cortisol isn't that important to look at in your 40s unless you're concerned about adrenal dysfunction. Many cancers manifest at this stage in life, making this a good time to be diligent and check your family history for cancer. Focus on your essential wellness markers and create a starting point so you're walking into your 50s as healthy as you can be. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

What is important when it comes to your health in your 40s? The 40s is an important decade of life because it's one of subtle decline; the beginning of widespread changes to come. While you might feel like you're in good health, there are still some key things to pay attention to. The sooner you make these things a priority, the better. In your 40s, look for a doctor that has the energy, time, and dedication to create an aging plan with you. It might cost you to find a physician that can work with you on this, but it's worth it—especially if you can add on bloodwork that will give you even greater insights into your health status. A health checkup at this age should include your weight, height, blood pressure, and circumference of your abdomen. It's also critical to look at your body mass composition. If you're avoiding having these numbers checked with your doctor, you're choosing to stay in the dark, but it won't change the reality you're facing. There are also many devices that can be used as tools to help you with anti-aging. Some of these can even help you with subcutaneous fat, which is extremely difficult to get rid of. When you're working towards greater health, don't get discouraged that you're not where you want to be. Keep moving forward, because the effort you put in now counts. For men, elevated resting heart rates is something to pay attention to. It should never be over 80. Your exercise heart rate should also be within a healthy range. Investing in your health now matters if you want to feel well in your 50s, 60s, 70s and beyond. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

In this episode we're continuing our discussion of wellness pearls for men and women in their 30s. At this age, you should have no urinary trouble. If you use the bathroom multiple times each night, or you're dealing with feelings of urgency, you should bring this up to your doctor. This could potentially be a urinary tract infection, which women are more likely to experience overall. Most physicians that complete a wellness exam don't ask about sexual health—but they should. As your doctor, they should be prepared to not only hear about any problem you have, but also be ready to guide you towards a solution. Painful sex, low sexual desire, and inability to maintain arousal are just a few symptoms you may want to discuss. In your 30s, you should be at your peak of health. Your joints should be able to support just about any activity without limitations. An adequate amount of muscle mass at this age can also help you age more gracefully. Muscle tissue is metabolically active, so it helps you burn calories. At this age, you'll also want to consider the health of your skin. Your skin looks its best when your skin microbiome is healthy and your immune system is strong. Any rash at this age may indicate immune system dysfunction or possible food allergies. For many women with dry skin, the underlying cause is low estrogen. Hair loss is another issue that is important to take note of, especially in your 30s. It could signal an issue with your hormones, your vitamins, your immune system, or your digestion. You should also have great focus and cognitive function. If you have any concerning symptoms, write them down and review them with your doctor at your next wellness check. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

What should a physician focus on when their patient is a man or a woman in their 30s? For women, their 30s set the tone for a smooth and easy—or potentially difficult—perimenopause stage. For both men and women, the 30's should represent a peak in health. Women who are 35 years old and above who are planning on having children should discuss this with their doctor, and the sooner the better. After this point, a woman's eggs may be of less quality than they once were, and thus conception may be a more difficult process. A comprehensive doctor should perform an in-depth analysis of your health at this stage, helping you discover and deal with any potential problems early on. If you're experiencing symptoms like fatigue, insomnia, or weight changes, make sure you let your doctor know. Whether intentionally or unintentionally experiencing disrupted sleep in your 30s, it's important to address it as early as you can. Your sleep quality has a profound impact on your overall health, and at this stage in life it's imperative you get the necessary duration and quality. Intestinal health issues are another one that should not be overlooked, as these can be related to your immune system health. We have a tendency to excuse symptoms like gas and bloating as "normal," but in reality, these issues should not be ignored. If you've had any nagging symptoms in your body in the last twelve months, bring them to your doctor's attention as soon as possible. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Many doctors and health providers of young women are overburdened and overworked. This can cause them to skim over critical aspects for their patients, so it helps to know what to ask for when a wellness check is being done. The more informed you can be as a patient, the more likely you are to receive a better experience. Height, weight, temperature, heart rate, and last menstrual period are crucial starting points of a wellness exam. Though some of these checks, like weight, can make young women feel uncomfortable, it is imperative that they are done. Your doctor should also do a review of all your health systems. This includes vision, hearing, cardiovascular, and joint and muscle health. If you are having any gastrointestinal issues, these should be shared with your health care provider. 80% of autoimmune issues happen in women, and they are on the rise. Telltale signs of inflammation are achiness and stiffness. Mental health should also be covered during your health check, and you should also discuss your period. Your doctor will want to know if your period is reliable and whether or not your pain is tolerable. If you aren't able to go to work or school during your period, it's a sign of hormonal imbalance or disease. We are in the midst of a fertility crisis, so if you are a young woman planning to have children, be sure to bring this up at your next doctor's visit. A woman's ability to have children declines in her 30s. You can ask your provider to check your ovarian reserve, which is a great indicator for ovarian health. This is especially important if you are planning to have children after 30. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

In this episode we're addressing health in young boys and young men, including what to watch for as far as health checks. The number-one marker for wellness (in both young men and young women) is body composition. This is important to know, as more than 1 in 5 young people struggle with obesity which is associated with serious health issues. 20% of teenagers experience mental health problems in any given year. These problems are often established by age 14. It's important to check in on the mental health of young people and intervene as early as possible. A check of the sexual organs should also be done in young men to reduce issues and ensure healthy development. Between 15 and 20, it's a good idea to check hormone levels as well. Certain hormones, like testosterone and thyroid hormones, play a crucial role at this time. Nutritional markers like iron, and B12 should also be monitored if possible. Men aged 20 to 30 are affected heavily by the food habits they've picked up in their teen years. Health care providers should also be asking young men about their alcohol, tobacco, and drug use. They should also ask if they are sexually active and promote safe sex practices. Digestive health issues are often overlooked in young men. Issues with bloating, heartburn, and diarrhea should be noted. The physical exam (which comes after a verbal check) should be followed by comprehensive testing, including hormone testing and sperm analysis. If a young man is going to be confident and well-functioning, healthy hormone levels are a must. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

What are the signs of health in a young woman? Each doctor may have a different approach to their wellness exams. Knowing the details of what your health provider offers can help you decide if choosing them is the right option for you. This is especially important for women, whose health needs are highly underserved. Women are usually recommended three specific exams: breast exams, a Papanicolaou (Pap) test, and a general physical. From ages 11-16, it's important to consider the shift in hormones happening primarily in the ovaries. The importance of endocrine disruptors from their diet and environment shouldn't be underestimated at this time. Young women should be educated early on about the importance of regular exercise and a healthy diet. They should also be made aware that processed foods are highly addictive. It is much easier to develop healthy habits than it is to change them later down the road. Endocrine disruptors and some pathological issues can lead to early menarche (an early first period) in young women. An early first period is associated with mental health issues, weight issues, early menopause, and more. This is an important health marker to look for in young women. If a young woman is struggling with their health, their doctor should check iron, vitamin D, and vitamin B12. They should also do a simple urine test to check for heavy metals. There should also be an emphasis on interpersonal skills and coping skills to help young women manage stress and feelings of overwhelm. The consequences of failing to address mental health issue at a young age will have an impact in adulthood. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

If you want to avoid spending money on costly surgeries, procedures, medications, and illnesses, choose a doctor to partner with to better your health. Be sure to pick a physician who will work with you towards your wellness goals. While it will cost money to do this, you can consider it an investment in your health. The tests and labs your insurance usually covers are not always enough to tell your provider if there is a serious medical problem. You can have normal panels in your annual exam and still have underlying health issues. Getting a checkup 1-3 times a year is more important than anything else you could do. You take care of your house and ensure it doesn't get damaged. You look after your car and get it the maintenance it needs. You have home insurance, and you have car insurance—and you hope you never need it. So why wouldn't you take these same principles and apply it to your health? It can be frustrating to work in a system that operates slowly, and perhaps you don't get as much time with your doctor as you'd hoped. Many doctors decide to go into private practice so that they can avoid working with insurance companies and operate with a different business model. Medications are not magic pills designed to help you—-there is usually a price to pay in the form of serious or mild side effects. Don't wait for disease to see a doctor. Choose a doctor who will talk to you about preventing illness, even if it means disrupting your status quo. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

How can you stay healthy in a seemingly uncaring healthcare system? While not every professional in the health space is corrupt or unwilling to help (in fact many are passionate about helping and serving others), the system at large is not designed to allow access to the best possible care. On top of this, many of us are eating food that is overprocessed and lacking in nutrients, which contributes to a host of health-related issues including obesity, arthritis, diabetes, and cardiovascular disease. But just as food can harm you, it can also heal you. By eating healthy, colorful food you can reduce the need for medication and improve your overall health. Change is hard, especially when your health professionals haven't been trained in what is required to be healthy. Doctors of medicine and other medical professionals are trained in how to diagnose and treat disease, but they are not trained in the strategies necessary to avoid getting sick in the first place. Often, doctors will prescribe medications to help combat the symptoms you're experiencing without doing a deep dive on the underlying cause. For example, if you have an autoimmune condition, you may be given medication to reduce the reaction. However, what is actually going on inside your body and with your immunity is never addressed. According to the FDA, there are over 20,000 different prescription drugs available. The top four are statins (for cholesterol), metformin (often used for diabetes), lisinopril, and levothyroxine. Patients are led to believe taking these medications is the only way to control or support their conditions. Instead, they should be educated on how to prevent or correct diseases in a holistic way. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Many people do not truly understand the value of their health until it's gone. You may even be ignoring the signals your body is giving you, even though the signs may have been present for some time. Yet, when you lose your ability to function optimally, you finally have to confront the reality of your health situation. The truth is you should value your health above almost everything in life—including your work, career, finances, and your to-do list. All the possessions you have lose their importance without your health. A healthy body is important for the healthy movement you might be taking for granted every day. For example, simply walking from A to B. Without proper exercise, your muscles and bones will lose their strength and start to deteriorate. A lack of exercise can also affect the way your body uses nourishment and can lead to mood changes, brain fog, weight gain, and more. All exercise is good exercise, whether it's yoga, working out in the gym, or running outside. Exercise is important for your body, but it is also important for your brain. When you're engaged in exercise, you become more present in the moment, which can also be great for your emotional health. Excuses will always be there, but your health won't—so you have to make it a priority to move your body and find the right kind of exercise for you. The best thing you can do for your health is make exercise a daily non-negotiable activity. It can help you maintain your bones and joints, grow muscle, support your heart health, and maintain a healthier hormone balance, just to name a few. Remember: your body was made to move. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Why are Americans dealing with so many health issues, including chronic conditions and mental health issues? The first question we need to answer is this: what does it really mean to be healthy? According to the World Health organization, health is a state of complete physical, mental, and social wellbeing—not just the absence of disease. Only 12% of adults in the US are metabolically healthy, and as a society we are getting sicker and heavier. It's important for people to work to be at peace in their lives and within themselves. Developing healthy habits is so important for maintaining your physical, mental, and emotional health. This includes movement and healthy sleep habits. Social isolation, domestic violence, relationship breakdowns, and work problems can impact your mental health. Aspects of our modern world, like access to technology and social media, can also hurt mental health when used incorrectly or too often. There are five metabolic health markers you should know about: your blood glucose, your triglycerides, HDL cholesterol, blood pressure, and waist circumference. Elevated blood pressure is a major risk factor for heart and stroke, and you can have high blood pressure without knowing it. The less stress you have, the better for your blood pressure. An increasing number of people are dealing with multiple chronic conditions. In fact, 12% of Americans have at least five chronic conditions. We need to make a change, starting with diet. We are what we eat, and you may not be eating as healthily as you think. Start there if you want to begin making changes to your health today. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

This podcast episode marks the one-year anniversary of launching this podcast. Today we're going off-script and talking about what our healthcare landscape looks like today. Our medical system today is quite changed from what it once was—especially since the Affordable Care Act was enacted. Most people pay the equivalent of a monthly mortgage for an insurance plan, and unfortunately, this plan doesn't provide the same amount of coverage as it once did. If you do have insurance, you will definitely need to know your deductible. This is the most important and relevant number to know for your healthcare costs. Many doctors go private and stop accepting insurance because of the benefits it has for their business. Setting their own prices and accepting cash can make it easier to run their business. A $300 blood test could be billed to your insurance for thousands. When you do the math—and take your potentially high deductible into account—sometimes it works out better for the patient too. A patient's autonomy goes out the window when they aren't fully informed of their possible options. Yet, many doctors don't have time to spend an hour going over all those options because their time is limited. They also likely do not know the details of your insurance plan, so they can't get into details. In the end, this is not in the best interest of the patient. Most patients have to consider cost when weighing their options for treatment. When cost is an issue, you're no longer choosing the best treatment for you—you're choosing the treatment you can afford. So, what should you do? The answer is to do your best to stay healthy and avoid treatment altogether. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

For couples looking to conceive, it may be helpful to know the various ways they can maximize their fertility—especially if these couples have already been trying to get pregnant for some time. In this episode, we're discussing how women specifically can support their fertility, including using restorative therapies. Modern medicine doesn't always account for the body's natural healing process. Your body can, on its own, resume normal function. There are also procedures that can reverse things that inhibit pregnancy. For example, tubal ligation. However, it's important to note that reversing tubal ligation does come with its own set of risks. There's a pelvic therapy called the Wurn Technique, which is designed to detach adhesions to the tubes and ovaries. This form of alternative medicine has shown dramatic improvements in some women, reducing obstructions, spasms, and decreasing pain. There are also treatments for a diseased uterus that can help it become a more hospitable environment for childbearing. An ultrasound can help you identify issues in your uterus, ovaries, and more so you can move forward with treatment options. Getting surgery on your pelvic organs is a huge decision, and it's also not guaranteed to restore your fertility. It can also be quite expensive to pursue. Costs can go as high as over $100,000 in an effort to get pregnant. This is why it's so important to know what options you have, what they entail, and what the risks are so you can invest your time, energy, and money wisely. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

In today's episode we're talking about the factors you can control to improve your ability to conceive. The best first step in your fertility journey is a consultation with a doctor or fertility specialist. Seek help if within six months of regular periods you have been unable to get pregnant. If you're trying to successfully conceive, having regular periods is a good sign. It should also last between 3 and 7 days. If you're suffering from severe pain during your periods, you'll want to get this checked out—you could have endometriosis. which affects almost half of couples who are trying to conceive. Men concerned about their fertility health should get a sperm analysis. There's no way to tell how healthy the sperm is without this analysis. You can also rule out other issues with additional tests, like hormone testing. Lifestyle changes like limiting consumption of alcohol, avoiding hot tubs and saunas, and taking specific vitamins and supplements can support sperm quality. Women who want to get pregnant should consider taking folate, vitamin D, inositol (vitamin B8), and arginine. Minerals like selenium and magnesium are also fertility supportive. Taking a multivitamin or prenatal vitamin isn't enough if you're already struggling to get pregnant—you need nutrients capable of supporting your body's mitochondrial function. Just because you take these vitamins, it doesn't guarantee that they will work. Your best option is to use IV vitamin therapy, which is a laser-focused delivery that rejuvenates and revives your mitochondria, at least in the short term. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

The fertility process is so extraordinarily unique and so important. Yet many young men and women are unaware that we are also currently experiencing a fertility epidemic. When you're ready to have a kid, it's becoming less easy to conceive, and many people only realize they have a problem by the time it takes a lot of money and effort to fix. If you plan on having children, don't be afraid to discuss this with your doctor—even if you're currently unattached. A simple test, like a blood test or an ultrasound, can uncover potential problems. Ask for a fertility consultation if you want to catch any conception roadblocks sooner rather than later. How are men experiencing this fertility crisis? Sperm counts have declined by almost 60% over the past few decades. If this rate of decline continues, men in significantly impacted areas will be completely infertile by 2060. Environmental pollutants and endocrine disruptors are the most likely culprit. Men today also have lower than optimal testosterone levels. A sedentary lifestyle, a poor diet, chronic stress, and use of substances like alcohol are all contributing factors to this. Cortisol, the major stress hormone, can disrupt your body in ways that significantly impact a man or woman's ability to conceive. A savvy fertility doctor might look into your mitochondria. Your mitochondria are responsible for using cholesterol to make testosterone. There are quite a few viral illnesses that impact your mitochondria including mononucleosis, Lyme disease, and COVID-19. If you're experiencing infertility, have your doctor check your mitochondria for answers. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Endometriosis is a condition that is underdiagnosed by many physicians, and it's also underappreciated by many patients. Endometriosis exists in approximately 50% of women who struggle with infertility. This condition can result in adhesions, scarring, and inflammation—all things that greatly impact the function of your fertility. This condition happens when the endometrial cells (the cells that line the uterus) spread outside of the uterus and develop endometrial lesions across all pelvic organs. It typically affects the ovaries most significantly, as well as the uterosacral ligaments. Once a woman develops endometriotic lesions, the inflammatory process that occurs often damages the fallopian tubes. There is a significant amount of research that shows women who have endometriosis experience altered immunological responses. This can make the conditions for conception less than perfect. It can also have a direct impact on a woman's ovarian reserve, and it influences a woman's egg quality too. The symptoms associated with endometriosis can also negatively influence a woman's fertility. Many women with this condition experience painful sex. They may also experience serious pain, bloating, and cramping between periods, which can also make a woman feel less inclined towards intimacy. What should women with endometriosis do to support their fertility? Surgery is an option for temporary relief. Cysts and lesions can be carefully removed to reduce symptoms and improve fertility. Addressing hormonal issues with progesterone, or in some cases progesterone blockers, are other options. If you have endometriosis, visit your doctor and discuss your options—you do have some available to you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

If you're experiencing fertility challenges, you should be aware of the different factors that have a significant influence on your fertility health. In this episode we're covering two of those factors: the cervical factor and the vaginal factor. There are various health aspects to consider for each factor, and this information is valuable to all women. The cervix is a structure that guards the uterus. The size, shape, and appearance of the cervix differs greatly depending on a woman's age, medical background, and whether or not she's had children in the past. The interaction between the sperm and the cervical mucus is very important to fertility. A woman's body has built-in systems to protect it, and in some cases—typically an overactive response—sperm will be deemed as a "foreign invader" and killed. This will have an effect on how baby-friendly your body is. Removal of abnormal cells on the cervix can also impact mucus production, which can in turn have a negative impact on fertility. There are various aspects of vaginal health to consider for fertility as well. First, women who experience pain during sex will have a difficult time conceiving, for the obvious reason that intercourse may be difficult or less common. There are topical therapies and other types of therapies that can help mitigate this pain. Vaginal dryness and recurrent vaginal infections can also reduce the likelihood of sperm survival. Vaginal health issues should not be ignored, so don't delay going to a medical professional. The best doctor to see is a gynecologist—especially if you are trying to get pregnant. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Our human reproductive system is delicate, so if you're planning to have a baby, you'll want to know the things to look out for to give yourself the best chance of a successful pregnancy. In this episode, we'll be discussing the various tubal factors and uterine factors that could impact your pregnancy and lead to loss. Poor egg quality is a crucial factor too, as is sperm quality. These can lead to embryos with genetic problems, and therefore a non-viable pregnancy. Healthy sperm should be able to travel into the fallopian tube to meet the egg there. The fallopian tube needs to be able to grab the egg for this meeting to take place. The uterus has to be ready to not just receive the fertilized egg, but also be ready for implantation so the fetus can begin to grow. It's important to have a "baby friendly" uterus–this is when the thickness of the uterine lining really matters. Uterine deformities can occur in women and impact her ability to grow a healthy child. Uterine polyps, uterine fibroids, and scar tissues are the main uterine factors that negatively influence fertility. Fibroids specifically can disrupt or deform the uterine cavity, and they may even interfere with the fallopian tubes. These can also cause bloating, distention, and pain. Many women with fibroids get pregnant easily, but a small percentage will have resulting difficulties. Implantation requires a very specific molecular attachment process, and many chemical pregnancy losses are due to an issue with this process. This is just one of many things that has to go right for a healthy pregnancy, which truly serves as a reminder of what a miracle it is for women to be able to get pregnant and have a baby in the first place. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

If you're a couple looking to start or grow your family, this episode will have lots of valuable information for you: we're discussing fertility factors you should consider when planning for a child. If you've been trying for six months or longer and you and your partner are over 30 years old, don't wait to seek support sooner rather than later. The biggest thing you should consider as a couple trying to conceive is the male factor, and doing a sperm analysis is simple. Your medical professionals will look for motility, morphology, and sperm count. This issue is estimated to be the problem in about 20% of all fertility cases, but it can also be easily ruled out. As far as female factors, a woman's ovaries and hormones need to be considered. Issues with ovaries are the underlying cause for about 40% of infertility cases. Lab tests, like an ultrasound or ovarian reserve test, can help rule out any issues with your ovaries. If for any reason you want or need to freeze your eggs, the best time to do it is in your mid-20s. Your 30s is not too late, either. However, in many cases, women don't consider this until much later, like in their 40s. Take time to weigh your life goals and aspirations, including having children, when the time is optimal if you can. Brain issues, like pituitary tumors, can also have an impact on fertility. Benign tumors that develop and grow can have a negative influence on your fertility too. Up to 50% of women could have PCOS, and the estrogen dominance associated with this condition can also lead to fertility issues for couples. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Many women have a unique story regarding their experiences and choices with their fertility. For those women looking to preserve their fertility for the right time, this episode is for you. First, peak fertility for a woman is in her early-to-mid 20s. All women are born with the number of eggs they will have for their life. The number of eggs you have is far less important than the quality of eggs you have. When you are young, you are likely to be more resilient. This leads to better egg quality, but it also provides you with the resources you need to raise a child. The later in life you decide to become a mother, the less likely you are to have help available from your parents as well. In every cycle, somewhere between 20 and 50 eggs are recruited for one mature egg. Women also lose about 1000 eggs each month, mostly as they get older. So, in spite of being born with a large amount of eggs, our ovarian reserve goes down quite drastically over time. Certain conditions, like endometriosis or tumors, can impact your fertility. Young women who go through psychological stress or abuse also have very little ovarian reserve. Negative emotions and chronic stress influences endorphin output and can lead to poor nutrient flow to the ovaries. Lack of sleep can impact your ovarian function too. A positive, non-stressful environment, moderate exercise, and quality sleep are all very important factors that affect your fertility. Certain foods can also expose you to hormone disruptors, which can also negatively impact your fertility. Lastly, it's important to avoid smoking and drinking alcohol if you want to prioritize the health of your eggs. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

The fallopian tubes are an essential part of the female reproductive system. They are soft tubes that play a crucial role in the process of transferring eggs from the ovaries to the uterus. These tubes also provide a nourishing environment for the egg while it travels on this important journey. The fallopian tubes are also where the egg could potentially be fertilized by sperm, becoming an embryo. For this reason, and many others, it's important to be aware of possible issues with the fallopian tubes. This includes inflammation, tubal obstruction, ectopic pregnancy, tubal adhesions, and endometriosis—just to name a few. Some of these conditions, like an ectopic pregnancy, are considered emergencies due to the risk of fallopian tube rupture. Tubal ligation failures can also lead to ectopic pregnancies. Pelvic inflammatory disease can also cause scarring, damage, and blockage. Some women are born with abnormalities, like extra-long tubes. Healthy fallopian tubes are important for women looking to conceive. For a woman without fallopian tubes, or tubes with extensive damage, IVF is an option for getting pregnant. Catching issues early can also help manage potential issues before they cause irreversible damage. There is one more condition that's very important to be aware of called hydrosalpinx. This is when fluid blocks your fallopian tubes, making it difficult to get pregnant. There are often no symptoms, but it can be seen on ultrasound. Some women will have mild discomfort, but pelvic pain is rare. The number-one cause is pelvic infection, which can be caused by STDs like chlamydia. It's important for women to prioritize the health of their fallopian tubes, especially if having children is important to them. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Hysterectomies are one of the commonly performed surgeries in the United States, with half a million being performed every year. More than 40% of women will end up having a hysterectomy in their lifetime. Having this procedure may mean the end of carrying a child, however if you still have your ovaries, you may be able to have biological children via a surrogate. Your period is a sign of how your hormones are working. Being without a uterus may make it more difficult to uncover any possible problems. For some women, their uterus is associated with their womanly spirit or essence—which means the loss of their uterus can lead to feelings of loss. Sexual function is another potential downside following a hysterectomy. The degree to which your sex life may be impacted depends on your age, the reason your uterus was removed, and whether your cervix and/or ovaries were removed. It's important to know there are potential traumas that can happen due to having this type of surgery. Other organs like your kidneys and bladder could be affected. For example, a significant percentage of women experience increased feelings of urgency to urinate and frequency of urination after a hysterectomy. Before you decide to get a hysterectomy, it's important to consider your personal circumstances. Ask your health professionals about your options, and don't be afraid to get a second opinion. Depending on your age, the state of your uterus, and your personal preferences, you may be better off choosing surgical or non-surgical options that allow you to keep your uterus. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Hysterectomies are one of the commonly performed surgeries in the United States, with half a million being performed every year. More than 40% of women will end up having a hysterectomy in their lifetime. Having this procedure may mean the end of carrying a child, however if you still have your ovaries, you may be able to have biological children via a surrogate. Your period is a sign of how your hormones are working. Being without a uterus may make it more difficult to uncover any possible problems. For some women, their uterus is associated with their womanly spirit or essence—which means the loss of their uterus can lead to feelings of loss. Sexual function is another potential downside following a hysterectomy. The degree to which your sex life may be impacted depends on your age, the reason your uterus was removed, and whether your cervix and/or ovaries were removed. It's important to know there are potential traumas that can happen due to having this type of surgery. Other organs like your kidneys and bladder could be affected. For example, a significant percentage of women experience increased feelings of urgency to urinate and frequency of urination after a hysterectomy. Before you decide to get a hysterectomy, it's important to consider your personal circumstances. Ask your health professionals about your options, and don't be afraid to get a second opinion. Depending on your age, the state of your uterus, and your personal preferences, you may be better off choosing surgical or non-surgical options that allow you to keep your uterus. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Does a perfect diet exist? Some of the most popular diets to follow today include paleo, keto, and carnivore. While any one of these diets might make you feel good for a few weeks or months, variety is the key to eating in a way that fully supports a well-functioning body. Being on any specific diet for a long time has the potential to help you lose weight. Many lead to a natural reduction in calories by emphasizing whole foods. Stable and improved blood sugar levels are also a common outcome from reducing processed carbs. Reduced inflammation is another benefit of following a specific diet. Genetic individuality can also influence how any one diet impacts you specifically. One negative outcome, specifically those with an emphasis on high protein, can put a strain on your kidneys. Another downside might be inadequate fiber intake from excluding foods like grains and legumes. Knowing there are pros and cons to each diet, how do you choose which one is best? The truth is there's no such thing as a perfect diet—but there may be a perfect diet for you. While you're exploring your options, here are a few things to look for: adequate nutrients, a focus on whole foods, balanced macronutrients, and controlled portions. Even the perfect diet should allow for the occasional treat. Balance is the key to maintaining a strong diet long-term. Whatever diet you choose, it should be sustainable and support your health goals, whether that's weight loss, autoimmune disease, or blood sugar balance. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Food is medicine, and what you eat has a significant impact on your health. While it's good to be conscious and intentional with what you eat, an intense focus on your diet can easily turn into an obsession. This is in part due to the fact that awareness around how what we eat affects our bodies has increased recently. Different types of diets and eating styles have also been popularized online. Dietary advice is just about everywhere you look, pressuring you to eat a specific way to lose weight. Some of the most well-known diets include Mediterranean, carnivore, Atkins, Whole30 diet, and paleo. Alongside types of diets, there are also different types of eating patterns or eating styles. One such example is intermittent fasting. This pattern narrows your eating window to between 6 and 8 hours. This style of eating has been documented to support cellular repair. However, if not done properly, this can instigate erratic eating habits for some people or lead to nutrient deficiencies. Intermittent fasting may also lead to an increase in cortisol. However, this varies greatly from person to person. Some people experience a temporary rise, while others adapt without any fluctuation at all. If you're going to try this eating style, make sure you also prioritize sleep so you can manage stress and reduce any negative outcomes from this eating pattern. Repeated exposure to intermittent fasting protocols may change the way you interpret hunger signals (hunger hormones) from your body. This, along with other hormones like norepinephrine and melatonin, can also be impacted by fasting cycles. If you decide to try intermittent fasting, be sure to monitor your body's response and modify the pattern (or try another style) if needed. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Let's talk about the reality of food addiction. Whether you realize it or not, many of us are addicted to the foods we eat, at least to some degree. Our addiction to food affects us every day. What we eat plays a significant role in allowing our bodies to maintain homeostasis and can either help us reduce our toxic burden or increase it. Once we can no longer manage our toxic burden, we become symptomatic. These symptoms can vary widely from person to person, making it difficult to identify detoxification as a possible issue. If you're eating food that you know is bad for you and you're doing it anyway, it's another sign that this could be causing issues for you. Awareness is one thing, but you also need to have a willingness to change. This is as true for food addiction as it is for any other. On top of that, processed foods are designed to be highly palatable. These foods fire up your brain's reward centers and induce feelings of pleasure, encouraging you to go back for more. Food addiction can have very negative emotional and psychological effects. It can lead to feelings of guilt, shame, and an unhealthy relationship or unhealthy cycles with food. How do we fix it? Recognizing the problem comes first, and the decision to fix it comes next. Connecting with someone who understands, like a health professional or support group, can help. You may also need to identify your trigger foods. Keeping a food journal to track your habits can help, as well as planning and preparing your meals. Focusing on your intake of nutrient dense foods can help you satisfy your body's needs and reduce cravings for addictive processed foods. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

We are exposed to a lot of unhealthy chemicals through our lifestyle and diet. In fact, ingestion is one of the main ways we are exposed to toxic compounds. In this sense, a clean diet isn't just one that's healthy or home cooked—it's also one that limits exposure to these chemicals. One of the main issues most people run into is being too busy or overwhelmed to prioritize our diet and looking to foods of convenience. In our haste to be efficient and satisfy our taste buds, we develop habits that work temporarily but might hurt us in the long run. The way our food is produced matters. Opting for products in a container, box, can, or bag may increase your exposure to chemicals. Processed foods contain additives, artificial flavors, colors, sweeteners, and other synthetic compounds. A focus on eating whole, unprocessed foods can help reduce your toxic burden. Cancer rates have been rising over the last few decades. For those born after 1960, the risk of cancer is 1 in 2 in your lifetime. Most experts agree that diet and lifestyle is one of the most significant factors in these increasing rates. The way we farm our food is also hurting our health. By consuming genetically modified foods and foods that are sprayed heavily with chemicals, we are increasing our chances of negative health outcomes. Your body is capable of eliminating many of these chemicals and potentially harmful compounds, unless you are taking them in to the point that your body becomes overwhelmed. PFAS, more specifically, have greater longevity and can take years to be eliminated from the body. In many ways, we haven't yet scratched the surface as to how these toxic compounds are affecting us in the long term. Endocrine disruption and obesity: A current review on environmental obesogens https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7326440/ PFAS Exposure and Risk of Cancer https://dceg.cancer.gov/research/what-we-study/pfas Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

When it comes to women's health, many are concerned about how hormones might put them at a higher risk for cancer. At the same time, so few women are not as concerned with the toxins they come into contact with every day, which definitely do put them at a higher risk for cancer. Thousands of chemicals have been introduced into our daily modern lives: walking barefoot on your carpet, breathing in car exhaust, and washing your clothes with detergent to name a few. Even the skincare you use exposes you to toxins. This increases the toxic burden on your body. Complete avoidance of exposure isn't the goal, but rather to lower the burden enough for our own detoxification system to keep up. So, what are the symptoms of an overwhelmed detoxification system? Autoimmune diseases, chemical sensitivity, digestive issues, skin issues, mental illness, fatigue, stubborn weight loss, migraines, and menstrual issues are all signs of this issue. Your liver is your primary detox organ and plays a significant role in processing and eliminating toxins. Normal bowel function is also critical for eliminating toxins. Those with declining kidney function or kidney disease can also struggle to flush out toxins. There are some types of genetic conditions (mutations) that can influence detoxification processes via the body's various detox pathways. Genetic testing can give you insight into your body's ability to deal with these compounds. Each hepatic cell has about 1,000-2,000 mitochondria, so the liver needs a lot of energy to work efficiently. The liver needs crucial trace minerals and vitamins for the intense process of detoxification. This is why a medical grade detox program usually contains pre-packaged pills and supplements designed to enhance the different phases of detox and support each step along the way. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Have you been exposed to estrogen receptor disruptors like phthalates, BPA, pesticides, and other chemicals? These substances can mimic, block, or alter the effects of estrogen on our cells, leading to significant potential health risks. These disruptors interfere with your hormones, but there are strategies you can use to detoxify from them and reduce your risk of related issues. Endocrine disruptors were defined as exogenous compounds that interfere with pathways of endogenous hormones at the level of synthesis, storage, metabolism, elimination, and binding. Exposure is associated with hormone-related cancers like uterine cancer, breast cancer, and ovarian cancers. Estrogen is not the cause of cancer, but estrogen disrupting substances are associated with cancer. In order to reduce this risk, it's critical to minimize exposure to these substances. A few ways of doing this include opting for organic food, using natural cleaning products, and using natural personal care products. By raising awareness and addressing these risk factors, you can make informed choices to support your health and hormonal balance. What are the top ten signs you've been exposed to estrogen receptor disruptors? Changes in menstrual cycles is one, including abnormal bleeding patterns. Infertility is another big sign that estrogen disrupting chemicals (EDCs) are having an impact on you. Changes in breast tissue may also occur due to exposure. Weight gain is another sign, as persistent exposure can influence your metabolism. Mood swings and fatigue can also be signs that EDCs are having an effect on you. Thyroid issues and endometriosis are further signs that you've been exposed to these chemicals. Lastly, breast cancer and various reproductive disorders are red flags that exposure to xenoestrogens may be causing issues for you. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

Our estrogen receptors play a significant role in our health as women. Knowing what they are, what they do, and how they work really matters, especially if you want to feel informed and empowered about your health. While estrogen is not the enemy, estrogen receptors play a role in all female cancers, including uterine cancer, and many other health related issues. Estrogen has hundreds of functions in the female body. There are actually different types of estrogens our body can make: Estradiol (made by the ovaries), estriol (made in pregnancy), and estrone (produced during menopause). These estrogens bind to proteins, called estrogen receptors, which are found throughout a woman's body. Both alpha estrogen receptors and beta estrogen receptors are expressed in our cardiovascular and central nervous system. Our cellular growth is greatly influenced by these receptor interactions too. While alpha is associated with hypergrowth and proliferation, beta is associated with balance and safety. When estrogen acts on its own unchecked and unbalanced by progesterone—or when your system is hijacked by disruptors— issues related to estrogen proliferation can occur. Estrogen receptors can be influenced by chemicals as well, and these can act as a sort of virus on the receptors, causing dysfunction. Estrogen is found in so many organs and systems in the female body, so the health of these receptors is crucial to healthy, functioning hormones. Molecules that can bind to these receptors include phthalates, BPA, pesticides, and more. These exogenous substances can bind to our receptors and lead to adverse health outcomes like infertility, various types of cancer, obesity, immune function problems, and more. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/

By understanding the risk factors, you can reduce the risk factors not only for uterine cancer, but for all cancers. As women, there are steps we can take early on to avoid having uterine cancer later in life. The American Cancer Society estimates that 1 in 37 women will develop uterine cancer in their lifetime. Uterine cancer is more common in women who are postmenopausal or over the age of 50. After 50, women have little or no estrogen. Hormonal imbalances like estrogen dominance can also increase the risk of uterine cancer. Other conditions, like PCOS, are also correlated with higher instances of uterine cancer. Obesity is one of the most significant risk factors for this type of cancer, especially endometrial cancer. This is because an excess of fat tissue leads to higher levels of estrogen in the body, leading to estrogen dominance, increasing the risk of uterine cancer development. In particular, fat distribution along the midsection adds to the risk. Regular screening for risk factors can play a key role in uterine cancer prevention. If you've experienced early onset menstruation, late menopause, and/or a history of infertility, you may also be at a higher risk. Women with diabetes also have an elevated risk. Genetics also play a role. There are gene mutations that increase the risk for developing uterine cancer. If you notice symptoms like pain, discomfort, or abnormal uterine bleeding, it's important to talk to your health professional about it right away. Discuss birth control options with your doctor, as some may offer protection from uterine cancer. Connect with Dr. Cernaianu https://www.herabeautyandwellness.com/ https://www.instagram.com/herabeautyandwellness/ https://www.facebook.com/people/Hera-Healthcare-Mirela-Cernaianu-MD/100063462643162/