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Women’s Health

CW NEWS: New Clinicians Join Our Practice

By | In the News, Musculoskeletal Health, Our Practice, Plastic Surgery & Dermatology, Therapy, Women's Health

Seth Eberlin, MD  is a Yale graduate and a board-certified Plastic Surgeon who specializes in body contouring, breast, and facial surgery. Combining his knowledge of the most cutting-edge procedures and techniques with a sharp eye for aesthetics, Dr. Eberlin is able to provide superior care to his patients. He values the importance of understanding and developing a personal, collaborative relationship with each patient.

Learn more about Dr. Eberlin

Seth Eberlin, MD
Simret Nanda, MD Board Certified Child/Adolescent and Adult Psychiatrist

Simret Nanda, MD, is a Board Certified Child/Adolescent and Adult Psychiatrist. She provides psychiatric evaluation and treatment for children, teens, and adults. Dr. Nanda is an expert in treating eating disorders such as anorexia, bulimia, and binge-eating disorder and has worked in eating disorder residential treatment programs. She specializes in treating major depressive disorder, bipolar disorders, generalized anxiety disorder, obsessive-compulsive disorder, post-traumatic stress disorder, schizophrenia, attention deficit hyperactivity disorder, and autism spectrum disorder.

Learn more about Dr. Nanda

Emily Noonan, DPT, CMFT, is a Doctor of Physical Therapy, as well as a Certified Functional Manual Therapist (CFMT).  She specializes in the education and physical therapy treatment of pelvic floor health issues for all ages and sexes. Dr. Noonan is particularly passionate about helping women during their prenatal and postpartum journey. She has experience treating common, but not normal, conditions such as diastasis recti, incontinence, and pelvic organ prolapse.

Learn more about Emily Noonan, DPT

Emily Noonan

FREE WORKSHOP: Talking to Teens Today

By | Events, Health & Wellness, Therapy, Women's Health

Let’s Talk Teenagers
Important Tools for You and Your Teen.

Bring your sons and daughters and join us for a fun and informative evening where we will learn about how to introduce important conversations about sex, develop tools to manage stress and approach test-taking, and address challenges facing teens today.

Monday, July 15
6:00-8:00pm

1450 Treat Boulevard, Thompson Room
Walnut Creek, CA 94597

Comprehensive Wellness is proud to be a John Muir Health Community Connect Practice. This event is FREE and open to the public. Call 925.818.8062 with questions or for more information.

RSVP Today
FREE Workshop: Talking to Teens Today

Patty Geraghty, MSN, FNP-BC, WHNP, is a nurse practitioner with over 20 years of experience.  She is a fun and engaging speaker, nationally recognized for her contributions to women’s health.

Rebecca Berke, BCH, is a board-certified hypnotherapist and mindfulness teacher/coach who facilitates self-leadership in positive ways. Her talent lies in the ability to help clients create clear and confident visions for their lives.

FREE WORKSHOP: Girl Talk – Take Control!

By | Events, Health & Wellness, Therapy, Women's Health

Let’s Talk About College
More than academics, it’s a whole new world.

Join us for a fun and informative evening where we will talk about living your new college lifestyle.

Learn about how to stay safe on campus, have important conversations about sex, and develop tools to manage stress and approach test-taking,

Monday, July 8
6:00-8:00pm

1450 Treat Boulevard
Walnut Creek, CA 94597

This event is FREE and open to the public.

RSVP Today

Patty Geraghty, MSN, FNP-BC, WHNP, is a nurse practitioner with over 20 years of experience.  She is a fun and engaging speaker, nationally recognized for her contributions to women’s health.

Rebecca Berke, BCH, is a board-certified hypnotherapist and mindfulness teacher/coach who facilitates self-leadership in positive ways. Her talent lies in the ability to help clients create clear and confident visions for their lives.

FEATURE: Do I still Need a Women’s Health Check Up?

By | Feature, Women's Health

I Don’t Need a PAP Test. Do I Still Need a Women’s Health Check Up?

You’ve heard, with better understanding of abnormal paps, that you no longer need testing every year. That’s true. But do you need to see a women’s health clinician regularly? For some Comprehensive Wellness patients reading this, the answer is “no”—because you’re men. For the rest of you, the answer can be confusing. First, a little history of the confusion, then a few points that might direct you to visit your women’s health specialist.

We’ve heard the pretext of “needing a pap test” as the reason to schedule your annual gynecology exam. We are now finding that that logic may be hurting women. A pap test is about one disease—cancer, and only one body part—the uterine cervix. We can all agree there is much more to being a woman! Yet, in 2014 the American College of Physicians said healthy women do not need annual pelvic/gyn exams. Almost immediately the American College of Obstetricians and Gynecologists responded recommending that women do have annual specialty appointments. Neither organization is without bias. What does the research say?  

A recently published study looked at charts for 283 women over 40 years of age who came in for “well women” exams. The majority of the women were diagnosed with new gynecological conditions resulting in education, prescriptions, and work-ups. In other words, they identified issues that otherwise would likely have gone untreated. What are just some of the reasons for a regular checkup?

  • Dry vagina Yes, we get to say vagina in our multidisciplinary newsletter. For some women this occurs at any age, but for the majority it starts during the menopause transition. Unlike other symptoms, it progressively worsens; if left untreated, the structure of the genitalia experiences non-reversible changes. Even women without symptoms can have changes. 
  • Pelvic masses. Relax. Most pelvic masses are not cancer and, unfortunately, the exam isn’t great at finding ovarian cancer small enough for the most successful treatment. However, even benign masses can cause problems with urination or bowel movements, feeling full, heavy periods, or painful sex.
  • Leaking urine. Probably 80% of incontinence can be fixed without surgery. And it is not a normal part of aging. You need someone you can talk to about this so that you can get help.
  • Menstrual changes. Your menstrual cycle may become irregular or you may have heavier bleeding. While some changes can be normal, all menstrual changes merit attention.
  • Life stages. Though risks of birth control don’t change over time, women do! New health issues and life plans tweak not only the safety of methods, but also the added benefits. Clearing up myths about transitioning into menopause and maximizing the next third of your life needs individual teaching and planning.

But perhaps the most important reason to get an annual gynecology check-up—one hour each year dedicated to being the healthiest woman you can be—you deserve it!

Patricia Geraghty, FNP, WHNP | Director Women's Health | Comprehensive Wellness, Walnut Creek, CA

Patricia Geraghty MSN, FNP-BC, WHNP is a nurse practitioner with over 20 years of experience specializing in women’s health.  

FEATURE: Menopause & Weight Management

By | Feature, Nutrition, Women's Health

Menopause & Weight Management

I just can’t lose that extra pound no matter how much I try? Is this something that you struggle with? As women our bodies go through many changes starting from menstruation into the menopausal period.

It would be nice if menopause happened overnight and our bodies would get back to normal.

Did you know? The transition often begins between the ages 45-55. It usually lasts about seven years, but can go as long as 14 years.

During Menopause the body’s production of estrogen and progesterone changes. Our bodies begin to use energy differently and women may gain weight more easily.

In a four-year cohort study done by Dr. Samuel in Family Practice journal, they found that 25% of women aged 35-47 gained ≥10 lb. in 4 years. Women in the 35-39 age group and 40-44 were more likely to gain ≥ 10 lb. than women in the 45-49 study group. Women who were normal weight at baseline were more likely to gain ≥ 10 lb. than overweight or obese women.1

As a Licensed Dietitian having practiced for more than 15 years int the area of Integrative nutrition. I recommend five steps for Weight Management:

  1. Lower your caloric intake. As we go through menopause our metabolism slows down and we tend to need 200 fewer calories a day during 50’s than we did in our 30s and 40s.
  2. Exercise. The best way to burn excess calories is to increase cardiovascular exercise. A continuous movement at an intense pace of 45 minutes or more helps to increase heart rate and assists with weight loss.
  3. Sugar. My general rule is to try to keep sugars in your snacks, foods and beverages to 0-7 grams per serving.
  4. Vegetables. Did you know that a cup of vegetables has only 25 calories, while a cup of fruit is generally around 90-100 calories depending on the type. Fruits are great, but if you are trying to lose weight, then its best to lower their consumption to one to two servings per day.
  5. Limit Alcohol. Alcoholic beverages add excess calories to your diet and increase risk of weight gain.

In conclusion, menopause is inevitable, but with the right behavioral modifications and diet, weight management is possible.

Sahar Berjis, RD

Sahar Berjis, RD, MPH, is a licensed Registered Dietitian with 17 years of experience in traditional and functional nutrition. She practices Functional Nutrition, looking at each patient individually using the whole body approach. She spends time analyzing nutritional imbalances using in-office stomach acidity testing and more invasive testings if needed. She creates individualized plans to restore and re-balance gut health and the body using diet & natural remedies.

HEALTH & WELLNESS: Women’s Health Forum

By | Events, Therapy, Women's Health

Wednesday, April 24
4:30—6:300pm

5201 Norris Canyon Rd. Suite 330 – San Ramon

Join us in San Ramon for an afternoon discussion with our experts about important topics in women’s health, including:

  What Mom Couldn’t Tell You: Latest Research on Women’s Sexuality

  The Latest Procedures in Fat Reduction

Enjoy wine, hors d’oeuvres, and special event pricing on some of our popular aesthetic treatments, including Corrective Peels, CryoCorrect Treatment, Fillers, Botox®, Monalisa Touch®, PicoSure®, SculpSure®, Ultherapy, SkinCeuticals, and ZO Skin Health products.

Our Team

Patricia Geraghty, MSN, FNP-BC, WHNP
Women’s Health Specialist

Rebecca Parish, MD,
Founder & Medical Director

Denise Hilliard, MD,
Aesthetic Medicine Specialist

Renee Hilliard, MD
Gynecologist

Paul J. Wotowic, MD, FACS,
Plastic Surgeon

Frozan Safiari,
Clinical Esthetician

RSVP by April 20

Call 925.464.3916 for more information or to RSVP!

Sign Up Today