Pregnancy loss is an upending event that no one could possibly prepare for. It’s extremely challenging to describe, talk about, and navigate. Remember you’re traversing a grief experience, with some days that feel manageable and other days that don’t.

The emotional impact can be as formidable (if not more so) than the physical one. Hormones, lack of sleep, depression, and exhaustion can intensify an already devastating period in your life. But even if you feel all alone on this path, you most certainly are not.

This guide offers supportive, gentle insight into what recovery may look like and how you can take steps toward both emotional and physical healing.

Navigating a Wide Range of Emotions

Miscarriage can bring so many feelings to the surface: sadness, guilt, numbness, anger, confusion, blame, or even a sense of being outside of reality. All reactions are valid. Every person processes loss differently, and there is no “right” timeline or expression of grief.

Many women describe miscarriage as a layered experience that is not just the loss of a pregnancy, but also the loss of many hopes, plans, and the future they imagined. Add to that: partners who share in your grief may be dealing with it in different ways, which can make communication and connection difficult but all the more important.

If you’re struggling with mixed or unexpected emotions, know this: Nothing you’re feeling is wrong, and support is available.

Physical Healing After Miscarriage

Your body needs time to recover after a pregnancy loss. Physical healing often depends on how far along the pregnancy was and whether medical treatment was needed. Common physical experiences may include:

• Cramping or mild abdominal discomfort
• Light to moderate bleeding for a few days or weeks
• Breast tenderness
• Fatigue
• Hormonal shifts that may affect mood

Most women can return to normal activities in a few days, but your provider may recommend avoiding intercourse or tampon use until bleeding has stopped and the uterus has healed. Follow-up appointments are essential to ensure recovery is progressing normally.

If you experience heavy bleeding, fever, worsening pain, or a foul-smelling discharge, contact your provider right away, as these could be signs of complications.

Prioritizing Your Mental & Emotional Well-Being

Emotional recovery often takes longer than physical recovery. Here are compassionate ways to support your mental health:

Give yourself permission to grieve

This loss is real, and it’s important to work through all your feelings. Allowing yourself space to cry, rest, or reflect is part of your healing process.

Lean on your support system

Talking to a partner, trusted friend, family member, or faith leader can help ease the emotional weight.

Seek professional guidance when needed

Therapists, counselors, and support groups can offer tools to navigate grief, anxiety, or depression. If sadness feels overwhelming or persistent, reach out — you deserve help and understanding.

Practice gentle self-care

Rest, nourish your body, get fresh air, and avoid pushing yourself too quickly. Healing is not linear, and small acts of care can make a meaningful difference.

Communicate with your doctor

Your gynecologist can help you understand what happened, discuss pregnancy planning for the future if and when you’re ready, and provide reassurance during this vulnerable time.

Seeking Additional Support After Miscarriage

It’s totally normal for emotions to ebb and flow after pregnancy loss, but some feelings may become heavier than you can carry alone. Allow yourself the support that meets the moment.

Reach out to a healthcare provider or mental health professional if you experience:

• Persistent sadness, hopelessness, or emotional numbness
• Intense anxiety or panic
• Trouble sleeping or eating
• Difficulty completing daily tasks
• Thoughts of harming yourself or not wanting to continue

If You Are in Crisis or Need Immediate Help

If you ever feel unable to stay safe or are worried you might harm yourself, please seek help right away. You can:

• Call your local emergency number (such as 911 in the United States).
• If you’re in the U.S., call or text 988, the Suicide & Crisis Lifeline.
• If you’re outside the U.S., find your local hotline HERE.
• Go to the nearest emergency department or urgent care center.
• Contact a trusted friend, partner, or family member and let them know you need help.

You are not alone, even in your darkest moments. Reaching out is a brave, important step toward safety and healing — it’s a sign of strength, not weakness, to ask for help.

Look to Us for Compassion and Support

Miscarriage is a deeply personal and emotional experience. Healing is absolutely possible, but it takes time, patience, and support from people who care about your well-being. If you’re recovering from pregnancy loss, remember to be gentle and patient with yourself. Lean on your support system, and work closely with your gynecologist to understand your physical and emotional needs.

Help and hope are always available, so please reach out to our care team at  Virginia Women’s Health Associates, at (703) 435-2555 to talk more. We’re here for you!

Understanding Birth Control and Mood Changes

Many women start birth control for pregnancy prevention, lighter periods, or help with hormonal symptoms. But it’s also common to wonder how it might affect your mood, your emotions, and even your memory. While every woman’s body responds differently, understanding the connection between hormones and mental health can help you choose a method that feels right for you.

Let’s break down what we know about birth control mood changes, the difference between hormonal and non-hormonal options, and how to track your emotional health while using contraception.

Hormonal vs. Non-Hormonal Birth Control: What’s the Difference?

Hormonal Methods

These include:

• Combination pill (estrogen + progestin)
• Progestin-only pill
• Patch
• Vaginal ring
• Hormonal implant
• Hormonal IUD

Hormonal methods prevent ovulation and regulate your reproductive cycle by altering levels of estrogen and/or progesterone, both of which influence mood, stress response, sleep, and libido.

Non-Hormonal Methods

These include:

• Copper IUD
• Condoms
• Diaphragm
• Cervical cap
• Fertility awareness methods

Because these methods do not affect hormone levels, they may be a better fit for people sensitive to hormonal shifts or those who have experienced emotional side effects with hormonal birth control.

What Does Research Say About Mood and Birth Control?

Studies show a wide range of outcomes: Some people report improved mood, while others notice increased anxiety, irritability, or sadness. Recent research has also explored links between contraception and depression, but results remain mixed and depend heavily on the individual, the dose, and the method.

Key findings from recent studies include:

• Some individuals are more sensitive to hormonal fluctuations and may notice emotional changes shortly after starting a new method.
• Progestin-only methods appear more likely to be associated with mood-related side effects in some users.
• Others experience emotional stability because hormonal birth control reduces PMS symptoms, cramps, and cycle-related mood swings.

Bottom line: Your personal hormone sensitivity plays a major role, and your response may not match someone else’s.

Common Emotional and Cognitive Side Effects of Birth Control

Not everyone experiences side effects while on birth control, but the following are most commonly reported:

Mood Swings

Shifts in estrogen and progesterone can affect serotonin and dopamine, the brain chemicals that influence mood.

Anxiety or Irritability

Some people feel more on edge or emotionally reactive during the adjustment period (typically the first 1–3 months).

Lower Libido

Hormonal changes can temporarily decrease sexual desire, especially with certain progestin-heavy methods.

Brain Fog or Memory Changes

While research is limited, some users report mild memory lapses or difficulty concentrating, often described as “mental haze.”

These experiences are real, but they’re also highly individual. What’s normal for one person may be uncommon for another.

Tracking Your Mood and Emotional Health

If you’re concerned about contraception affecting your emotions, tracking patterns can help you and your OB-GYN understand what’s happening.

Try:

• A daily mood journal
• Cycle tracking apps with a “mood” category
• Noting sleep patterns, stress levels, and lifestyle changes
• Writing down when new symptoms started

Tracking helps distinguish whether symptoms are due to birth control or unrelated factors like stress, work, relationships, or PMS.

When to Consider Switching Birth Control

You may want to talk to your OB-GYN about switching methods if you experience:

• Persistent low mood or anxiety
• Significant changes in libido
• Difficulty concentrating or worsening brain fog
• Emotional symptoms that interfere with daily life
• Side effects that do not improve after 2–3 months

Sometimes a lower dose, a different hormone formulation, or switching to a non-hormonal method can resolve unwanted effects. Your OB-GYN is here to help.

Finding the Right Method for Your Body and Mind

Understanding hormonal birth control side effects, especially when it comes to mood and mental well-being, empowers you to make informed choices. If you’re noticing emotional or cognitive changes, you’re not imagining them.

A conversation with your OB-GYN can help you explore options, adjust your method, or find a better fit for your body and your mind. Remember: You don’t have to live with adverse effects or symptoms related to your birth control. Reach out to our team today at Virginia Women’s Health Associates, at (703) 435-2555 to learn more!

Everyone feels tired from time to time. But if you’re constantly exhausted no matter how much sleep you get, it may be a sign that something deeper is going on. One of the most overlooked causes of chronic fatigue in women is a hormonal imbalance.

Hormones are powerful chemical messengers that regulate everything from energy and mood to sleep, metabolism, and even body temperature. When they’re even slightly out of balance, it can leave you dragging through the day, wondering why your usual healthy habits aren’t making a difference.

Let’s look at how hormones influence your energy — and what you can do if fatigue has become your “new normal.”

Common Hormones That Impact Energy Levels

Several hormones directly affect how energized—or drained—you feel:

• Thyroid hormones: An underactive thyroid (hypothyroidism) slows your metabolism, often causing fatigue, weight gain, and brain fog.
• Cortisol: Known as the “stress hormone,” cortisol helps regulate energy throughout the day. Chronic stress or adrenal dysfunction can throw levels off balance, leaving you feeling wired one moment and depleted the next.
• Estrogen & progesterone: These reproductive hormones fluctuate during the menstrual cycle, perimenopause, and menopause, impacting sleep quality, stamina, and mood.
• Insulin: Poor blood sugar regulation and insulin resistance can trigger midday crashes, cravings, and energy swings.

Signs Your Fatigue Could Be Hormone-Related

Hormonal fatigue rarely comes alone. You may notice additional signs such as:

• Feeling exhausted despite 7-8 hours of sleep
• Low motivation, brain fog, or difficulty concentrating
• Mood swings, anxiety, or irritability
• Unexplained weight gain or difficulty losing weight
• Irregular periods or worsening PMS
• Sensitivity to cold, hair thinning, or low libido

If these symptoms sound familiar, it’s worth exploring whether your hormones could be playing a role.

How Hormones Affect You at Different Life Stages

Hormonal shifts look different at each stage of a woman’s life:

• Young adults: Conditions like PCOS (polycystic ovary syndrome) or thyroid disorders may cause persistent fatigue early in adulthood.
• Midlife women: Perimenopause brings fluctuating estrogen and progesterone, which can disrupt sleep, mood, and energy.
• Postpartum: After childbirth, estrogen levels drop dramatically, and thyroid changes are common. Fatigue may last beyond the typical “new mom tiredness.”
• Menopause: Declining estrogen often contributes to poor sleep, hot flashes, joint discomfort, and brain fog.

How a GYN Expert Can Help

If fatigue feels chronic, unexplained, or disruptive, a women’s health specialist can help uncover the root cause. At your visit, your provider may recommend:

• Hormone bloodwork to check thyroid, estrogen, progesterone, and cortisol levels
• Thyroid and metabolic panels to look for imbalances
• A detailed review of your symptoms in the context of your menstrual history, stress levels, and lifestyle
• Additional testing to rule out other common causes of fatigue, such as anemia, vitamin deficiencies, or autoimmune conditions

Treatment Options for Hormonal Imbalances

The encouraging news? Hormonal imbalances are treatable. Depending on your needs, treatment may include:

• Lifestyle adjustments: nutrition support, exercise, stress reduction, and better sleep hygiene
• Hormone therapy: such as hormone replacement for menopause or thyroid medication for hypothyroidism
• Supplements or targeted therapies: recommended by your provider for adrenal support or menstrual cycle regulation
• Ongoing monitoring: to adjust treatment as your body and hormones change over time

Every plan should be personalized. What works for one woman may not work for another, which is why working with a knowledgeable provider is so important.

A Whole-Person Approach to Your Health

If you’re tired of feeling tired, don’t ignore the signals. Extreme fatigue isn’t a normal part of getting older or being busy, so it may be your body’s way of telling you something is out of balance.

At Virginia Women’s Health Associates, we take a whole-person approach to women’s health. That means looking at your hormones, lifestyle, and overall wellness together. With the right testing, treatment, and support, it’s absolutely possible to restore your energy and feel like yourself again.

Schedule a consultation with us today at (703) 435-2555 to take the first step toward better energy, balance, and health.

As if women don’t have enough pre-menstrual issues to deal with like bloating and irritability, now you are hit with menstrual migraines. All these unfortunate maladies are caused by those pesky female hormones. If you are a new victim or have been wondering about these especially painful headaches, keep reading. We will help with understanding menstrual migraines, including causes and symptoms.

Continue reading “Understanding Menstrual Migraines: Causes and Symptoms” →

A hysterectomy, the surgical removal of the uterus, is a common procedure for addressing benign gynecological conditions such as fibroids, endometriosis, or abnormal bleeding. While traditional surgical methods have been effective, advancements in technology, such as the da Vinci® robotic-assisted surgical system, have revolutionized how hysterectomies are performed. This minimally invasive approach offers numerous benefits, making it an excellent option for many patients.

If you’re considering a hysterectomy, understanding how the da Vinci® system works and its advantages can help you make an informed decision about your care.

Continue reading “What Are the Advantages of Choosing da Vinci® Surgery for a Benign Hysterectomy?” →