Breast Health

Breast self-exams are an important part of a woman’s health and shouldn’t be taken lightly. “40% of diagnosed breast cancers are detected by women who feel a lump,” according to John Hopkins Medical center. All adult women are encouraged to perform breast self-exams at least once a month.

Breast self-exams can help women know what is normal for them so they can report any changes to their healthcare provider. In addition, mammograms are recommended for women ages 40 and up, every 1-2 years.

Prevention is important. Here in our community Freeman and KSN-TV 16 have teamed up to educate women about breast health and remind them to do monthly breast self-examinations. The Freeman Buddy Check 16 program encourages women to team up with a buddy on the 16th of each month and remind each other to perform a breast self-exam. Sign up today at

Q & A: Advanced Maternal Age

Q: What are the risks involved with becoming pregnant after 35?

A: After the age of 35 the risk of gestational diabetes, high blood pressure, premature birth, C-section, chromosome abnormalities and miscarriage becomes higher. Contact the Juno Group at 417.624.2621 to learn more about which health risks might be of concern for you.

Q: What can reduce the risks associated with advanced maternal age and pregnancy?

A: Regular prenatal care, eating a healthy diet, staying active, avoiding risky substances and learning about prenatal testing will improve your chances for a healthy pregnancy and baby.

Check Up On Your Health Goals For 2019

As we reach the halfway point in the year it is time to reevaluate our health goals for 2019. It is never too late to start living a healthy lifestyle, so why not start now? The first step is to make appointments with your doctor and dentist. Catch up with any routine screening and immunizations as well as ask your doctors any questions you might have.

Start with the basics of DIET, EXERCISE and SLEEP.

Take a look at your physically activity level. Are you getting enough exercise? It is important for a healthy mind and body to get at least 30 minutes of physically exercise daily. Try to work activity into your daily routine. Enlist a friend or family member to make exercise more fun.

Eating healthy goes hand-in-hand with exercise. Aim for five to nine daily servings of varied fruits and vegetables to get the nutrients your body needs.
Are you getting enough sleep? The National Sleep Foundation recommends adults ages 26-64 get at least 7 hours of sleep each night to feel fully rested. Stick to a sleep schedule and power down all electronics before bed to allow your brain to rest and relax before sleep.

Special: Our Client’s Share How They Told Him

Julie: The grocery store by our house has a few parking spaces reserved for expecting mothers. We ran out of milk one evening, so my husband and I headed to the store. I was sure to grab the keys and jump into the driver’s seat. When we got to the store I pulled into that “specific spot.” He immediately said, “Sweetheart, you can’t park here!” I responded with a big smile and an, “Ohhhh, but I can!” It took him a few seconds, but he figured it out and was so excited.

Tina: Before my husband came home from work I wrote “Mama’s Pregnant” on a piece of paper and attached it to our dog’s collar. When my husband walked in the door, our dog ran to greet him. He saw the note right away and couldn’t stop smiling.


For Father’s Day each year the only gifts my husband receives is usually from our three year-old son. When I found out I was expecting this year, I decided to wrap up my pregnancy test in a small box with pink and blue tissue paper. When my three year-old delivered the gift on Father’s Day he was wearing his “Big Brother” shirt. My husband didn’t totally catch it at first, but once he opened the box the whole thing came together and he was ecstatic!

We share so many joys with our patients! Tell us your fun story of how you told your partner you were expecting! We’d love to hear it!

Q & A: Infertility

Q: What is infertility?

A: Infertility is a condition of the reproduction system that interferes with the ability to conceive. It’s typically defined as not being able to get pregnant after having regular unprotected sex for one year. Infertility also includes the inability to carry a pregnancy to term.

Q: What are primary causes of infertility?

A: For men, a sperm disorder is the primary cause of infertility. No sperm, low sperm or a problem with how the sperm are moving could cause a problem with a man’s infertility. An ovulation disorder is usually the primary cause of infertility for women. Other common causes for women may include a blockage of the fallopian tubes or hormonal defects.

Q: What are main risk factors for infertility?

A: Age, chronic conditions, medication, lifestyle (including smoking, sexually transmitted diseases and alcohol and drug use) and weight can all affect your risk factors for infertility. To learn more about your risk, contact the Juno Group today at 417.624.2621 to set up a consultation.

Infertility as a medical condition is only a part of the education. At the Juno Group we know infertility brings many emotional and relational hardships. We’re always here to listen and guide and your partner through this journey.

Product Highlight: Mirena®

Mirena® is an FDA-approved intrauterine device (IUD) that is recommended for women who had children and are looking for a highly effective birth control method. Mirena® is non-surgical and can be put in placed during a routine office visit by your healthcare provider in only a few minutes. Convenient, reversible and estrogen-free, Mirena® is chosen by many busy moms as their birth control of choice. At more than 99% effective, Mirena is one of the most effective birth control options available. Lasting for up to five years, Mirena® is completely reversible at any time should you decide to try to become pregnant again. To learn more about Mirena® and if it’s the right choice for you, contact the Juno Group today at 417.624.2621 to schedule a consultation and a review of your insurance coverage for this product.

Omg. Here Comes “the Talk”

At the Juno Group we are frequently asked for advice on how to discuss “the birds and the bees.” We believe it is important to be open and honest with your daughter, it’s ok to tell her that you’re embarrassed about the subject matter too. It might be best to start with an anatomically correct book or drawings of the reproductive system to explain to your daughter how and why her body is changing in order to better prepare her for puberty. This way she will be know what to expect as her body develops and her period won’t be a surprise.

When it comes to discussing sex with your daughter it is important to give your daughter the information she needs and keep the line of communication open should she have questions later. We at the Juno Group believe the mother daughter bond is powerful and beautiful, and growing into womanhood only strengthens that bond. The “talk” is more than just passing along information; it’s a dialogue over many years! For more resources call the Juno Group at 417.624.2621.

Women’s Health At Various Ages

Essure® Procedure

Ready to say your family is complete? Essure® is a surgery-free permanent birth control procedure that works with your body to create a natural barrier to prevent pregnancy. The procedure involves placing soft, flexible inserts into your fallopian tubes. Over a period of about 3 months, a natural barrier forms around the inserts that keep the sperm from reaching the eggs and prevents conception.

Once placed in your fallopian tubes, neither you nor your partner will be able to feel the Essure® inserts in your body. Essure® should not be considered reversible, so before choosing Essure® you should be certain that you are done having children.

Think you are a good candidate for Essure®? Give us a call at 417.624.2621 and schedule a consultation.

Bio And Highlight Of Labor Of Love

Cheryl A. Fogarty, MD graduated from Creighton University School of Medicine in 1999. She then completed a four-year residency in Obstetrics and Gynecology. While attending Creighton, she could hear God’s call to serve. While Haiti was long in the back of her mind, the earthquake in July 2010 brought that desire to serve to the forefront. After traveling with Forest Park Baptist Church from her hometown of Joplin, Missouri she realized that half her heart lives in Haiti. She now returns every few months to help mothers and children. The mission has since expanded to teach these beautiful Haitian people how to sustainably care for one another.

Still in Haiti today, 1 out of 10 mothers will die in childbirth. Without access to medical attention 50% of these beautiful children will die before the age of 2. As the situation in Haiti is still dire, and these statistics simply unacceptable, Labor of Love is answering the need with financial, strategic and a sustainable plan to help their medical professionals provide basic maternal and child services. Labor of Love currently serves a population with 200,000 beautiful Haitians needing maternal and child services and has 3 midwives and a part-time OBGyn on staff. The real need is for an expansion of the maternity facility to include an operating room, pre-op area and recovery room. Visit today to learn more.