Since 1993, Harvard-educated, Board Certified Obstetrician/Gynecologist, Dr Richard Kochenburger, has enthusiastically served the women's health needs of East Bay women.
With daily office hours and a cheerful, holistic/prevention-oriented approach, Dr. Kochenburger and Nurse Practitioner Ms. Azam Moore provide attentive, compassionate care. Every attempt is made to provide personalized, "old fashioned" service in a "partnership model".
Whether expecting the birth of a child, requiring an annual PAP smear, discussing family planning or a related women's health concern, Dr. Kochenburger, Ms. Moore and our friendly staff would love to meet you!
Wednesday, July 24, 2013
Tuesday, January 1, 2013
Saturday, August 11, 2012
Tuesday, October 4, 2011
What are ways to ameliorate nausea/vomiting in early pregnancy? Various dietary adjustments can be tried such as bland foods (toast, crackers, 7 UP, white rice, mashed potatoes) or ginger/ginger ale/ginger tea. I knew 1 pregnant Obstetrician who benefitted awhile from butter,salty mashed potatoes and another friend who did well with hot,spicy chili! Vitamin B6 taken several times per day (capsules, B-Natal, Preggie Pops) can help some women. Lemon water and/or Raspberry Leaf can help others. Treatment from a licensed accupuncturist is definately well proven. There is also a "nausea accupressure point" on the inner wrist--located 2 fingerbreaths down from the wrist crease. There's a bunch of prescription medications we could try such as metoclopromide (Reglan), Compazine, Phenergan, Zofran etc. The worst nausea and vomiting usually resolves by 11-13 weeks of pregnancy. Taking nitetime antacids (i.e. TUMs, Rolaids etc) can also neutralize nitetime stomach acid and lower morning nausea.
Although a nuisance, pregnancy-associated nausea is usually a comforting sign that "all is well with the pregnancy"!
Thursday, January 6, 2011
The once widespread use of hormone replacement therapy is controversial and rarely used. There are numerous herbal supplements and phytoestrogens/soy extracts useful for treatment of vasomotor symptoms, mood changes, and libido issues. Over-the-counter vaginal moisturizers/prescription estrogen cream can treat vaginal dryness. Vitamin D supplements, extra dietary calcium and various prescription meds can enhance bone strength. Check out the American College of Obstetrics and Gynecology Website
for information on various Women's Health topics.
Wednesday, December 15, 2010
Thanks to adavances in small incision "minimally invasive surgery", when hysterectomy is the solution, we can often perform it via laparoscopy with resulting rapid recovery and minimal discomfort. It's always imperative for a patient to be a "knowledgable consumer" and explore all treatment options before consenting to a traditional hysterectomy. Happy Holidays!
Saturday, November 13, 2010
a minimal 10-20 pound gain is probably just fine. Expectant Moms who are weighing in the low 200s and above probably don't really need to gain any weight. Try not to miss any meals and aim for small "large snacklike meals" more frequently.
It is highly reccomended to take at least 800 micrograms of extra folic acid each day--this can be procured in a standard prenatal vitamin or a good multivitamin. Various studies have touted extra Omega 3 fatty acids to possibly positively benefit fetal brain development. Flaxseed oil capsules are a particularly good source of Omega 3s and are don't entail any risk of heavy metal exposure that one could experience with "Fish oil" capsules. At minimum, Omega 3s are probably good for one's cardiac health! I have not seen any studies showing the use of extra Vitamin D in pregnancy; Vitamin D has "been the rage" lately in the nutritional world.
Most of use "run dry" and don't drink enough liquids--we all need to hydrate ourselves exhuberantly.
In the latter 2nd trimester and 3rd trimester of pregnancy, inadequate hydration can lead to lots of "false labor pains"/uterine irritability/Braxton-Hicks uterine contractions as well as increased risk of kidney stones, colds/flu, urinary infections etc. Ideally, one's urine should be clear or just a "slight tinge of yellow". Best of Health and Happiness! DR. K.