Motavalli OBGYN Clinic

20/09/2025

✨ Sometimes it’s hard to know where our emotions are coming from. Is it hormones? Blood sugar? Cortisol? Or just life being a lot right now?

By the time we reach our 40s, our emotional state is often closely tied to what our hormones are doing (and of course, everything else going on around us).

👉 Low progesterone can bring anxiety and 2AM overthinking.
👉 Estrogen shifts may trigger sudden tears.
👉 Unstable blood sugar? Irritability and rage.
👉 Cortisol spikes? Suddenly, everything feels overwhelming.

Do you feel dramatic at times? Maybe.
Unstable? Absolutely.
Unsupported? Too often.

If this resonates, you’re not alone—there’s usually a reason behind the feelings. 💜

Pause for a moment and ask yourself:
“Is this just me… or my hormones?”

Relatable? 🩷

16/09/2025

A DEXA scan (Dual-Energy X-ray Absorptiometry) is a special type of X-ray that measures bone mineral density (BMD). It’s considered the gold standard test for diagnosing osteoporosis and assessing fracture risk.

How it works:
• Uses very low-dose X-rays with two energy levels to differentiate between bone and soft tissue.
• Commonly done at the hip and spine, since these areas are most predictive of fracture risk.
• Provides a T-score (comparison to healthy young adults) and a Z-score (comparison to people your age, s*x, and body size).

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Who is advised to get a DEXA scan?

It’s recommended for people at risk of osteoporosis or fractures, including:

1. Women
• Age 65 and older, regardless of risk factors.
• Postmenopausal women younger than 65 if they have risk factors (e.g., low body weight, prior fracture, family history, long-term steroid use).

2. Men
• Age 70 and older, regardless of risk factors.
• Age 50–69 if they have risk factors.

3. Adults (any gender) with specific conditions or risks:
• History of a fragility fracture (broken bone from a minor fall).
• Long-term glucocorticoid therapy (like prednisone).
• Certain medical conditions: rheumatoid arthritis, chronic kidney disease, hyperthyroidism, malabsorption syndromes, hypogonadism, etc.
• Low body weight or significant weight loss.
• Smoking or heavy alcohol use.

⸻

✅ In short:
• Routine for women 65+, men 70+.
• Earlier if risk factors or medical conditions are present.

10/09/2025

What is an NIPT testing? Here are some useful info’s about it. You may also ask your OB on your visit.

https://www.facebook.com/share/v/1BZ9rsoxED/?mibextid=wwXIfr

04/09/2025

It's another year around the sun, and I'm so grateful for all the amazing people in my life.

I'm also wishing a very happy birthday to all my wonderful patients who are celebrating their birthdays too. It's a privilege to be a part of your health journeys, and I hope you all have a fantastic day! 🩷🩵

02/09/2025

RSV vaccination, if it’s your first time hearing about it, here’s a good read 💉

𝗣𝗜𝗗𝗦𝗢𝗚 𝗣𝗼𝘀𝗶𝘁𝗶𝗼𝗻 𝗦𝘁𝗮𝘁𝗲𝗺𝗲𝗻𝘁 𝗼𝗻 𝗠𝗮𝘁𝗲𝗿𝗻𝗮𝗹 𝗥𝗲𝘀𝗽𝗶𝗿𝗮𝘁𝗼𝗿𝘆 𝗦𝘆𝗻𝗰𝘆𝘁𝗶𝗮𝗹 𝗩𝗶𝗿𝘂𝘀 (𝗥𝗦𝗩) 𝗜𝗺𝗺𝘂𝗻𝗶𝘇𝗮𝘁𝗶𝗼𝗻
(Released July 20, 2025)

26/08/2025

A mammogram is a breast X-ray used to detect early breast cancer. The timing depends on age, risk factors, and guidelines:

🎀 Average-risk women (no strong family history, no genetic mutations, no prior chest radiation):
• 40–44 years: Optional, you may start yearly screening.
• 45–54 years: Recommended yearly.
• 55 years and older: Every 2 years (or continue yearly if preferred).

🎀 High-risk women (BRCA mutation, strong family history, previous chest radiation, etc.):
• May need to start earlier (as early as age 30) with both mammogram and breast ultrasound.

🎀 General notes:
• Mammograms are best scheduled one week after your period, when breasts are least tender.
• Not usually recommended under age 40 unless high risk or there’s a breast lump/abnormal finding (so please avoid asking me for requests when not necessary)

25/08/2025

Quick clinic break to brush up on infectious diseases—always learning so I can give my patients the best treatment and care. Proud to be part of the PIDSOG 💜

17/08/2025

Tara na sa Quezon 🩷💚💛

11/08/2025

To everyone who’s been part of my journey as a doctor — thank you from the bottom of my heart. 💚🤍

25/07/2025

REPOSTING: 𝐏𝐎𝐆𝐒-𝐏𝐈𝐃𝐒𝐎𝐆 𝐆𝐮𝐢𝐝𝐞𝐥𝐢𝐧𝐞𝐬 𝐟𝐨𝐫 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐃𝐞𝐧𝐠𝐮𝐞 𝐢𝐧 𝐏𝐫𝐞𝐠𝐧𝐚𝐧𝐜𝐲

Reminder: For pregnant women at risk for Dengue infection, please seek consultation with your doctor immediately.

25/07/2025

Dahil maulan nanaman, Ingat po tayo lahat sa Leptospirosis.

27/05/2025

I’m thrilled to share that I’ve officially opened my clinic at Mt. Carmel Diocesan General Hospital 🩷

This milestone wouldn’t have been possible without the unwavering support of my family and patients. To my patients—thank you for your trust, kindness, and belief in my care. I’m deeply grateful and excited to continue serving this wonderful community.

Here’s to new beginnings and better health for all! 🩷