Find Relief from Menopause with Help from Better Life Carolinas

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Reclaim Your Love of Life with Hormone Replacement Therapy in Charleston, SC

The impact of hormones on your physical, emotional, and psychological development is significant. In fact, hormones play a crucial role in various functions of your body, such as regulating sleep, managing stress, maintaining alertness, and promoting happiness. Having a healthy balance of hormones is important for feeling and looking great - especially for women. Unfortunately, when hormone levels fluctuate, several adverse effects can manifest that affect your health and well-being.

One day, you wake up in the morning and attack the day with a smile on your face and a goal in your mind.

The next day, it feels like your emotions are all over the place. Despite sticking to a healthy diet, your weight keeps going up. To make matters worse, hot flashes seem to pop up out of nowhere, making you irritable both at work and at home. The simple truth is that life is hard for ladies after their 50th birthday. That's especially true when it seems like your body is plotting against you every day of the week.

If you're a middle-aged woman and you notice your body going through changes, you should know this is a natural process of aging. It's called menopause - and according to the National Institutes of Health, over a million women experience this transition per year. During this time, it's common for your hormones to start depleting. When that happens, you'll probably notice symptoms that can be challenging to deal with and overcome.

Take a moment and see if any of these signs sound familiar:

  • Low Sexual Desire
  • Hot Flashes
  • Depression
  • Fatigue
  • Vaginal Dryness
  • Weight Fluctuation
  • Mood Swings
  • Problems Paying Attention
  • Anxiety

Trying to deal with hormone deficiency can be a big ordeal for women and their partners. Thankfully, going through menopause and getting older doesn't mean you have to settle for an undesirable life. Hormone replacement therapy in Charleston addresses the hormonal imbalances in your body so you can get back to feeling normal. These clinically proven treatments are now available from Better Life Carolinas and can help women just like you reclaim the youthful vigor you're used to having.

Before we explore the many benefits of HRT for women, let's first look at two of the hormones that can fluctuate during menopause - progesterone and estrogen.

Hormone Replacement Therapy Charleston, SC

Progesterone and Estrogen: What Are They?

As a female, your reproductive health thrives on progesterone and estrogen. Made by your ovaries, these hormones play a major role in a range of functions, such as:

  • Thickening of Your Uterus Lining
  • Vaginal Health Regulation
  • Blood Pressure Regulation
  • Calcium Regulation
  • Bone Loss Prevention
  • Facilitating Sleep
  • Mood Enhancement

During your childbearing years, estrogen is responsible for preparing the lining of your uterus for a fertilized egg, while progesterone helps prepare and sustain the pregnancy once the egg has implanted. However, as you age, both of these hormones begin to decline, leading to a stage known as perimenopause, which occurs before menopause.

This transition period is characterized by significant changes in your body as it prepares for the next stage of life, where you can no longer bear children. Unfortunately, the years leading up to menopause can be extremely uncomfortable due to these hormonal fluctuations. That's where female HRT starts to make a lot of sense.

Understanding Hormone Replacement Therapy in Charleston

During menopause, many women opt for hormone replacement therapy. Menopause marks the end of the reproductive phase, and as you enter perimenopause, your estrogen and progesterone levels decline, and eventually, your body produces a fraction of the hormones it used to. This hormonal imbalance results in uncomfortable symptoms.

Hormone replacement therapy restores the depleted levels of estrogen, progesterone, and testosterone in your body, helping to alleviate the common symptoms of menopause and reducing the risk of long-term diseases. At Better Life Carolinas, our goal is to provide hormone replacement therapy that ensures healthy and balanced hormone levels for your overall wellness.

 Progesterone And Estrogen Charleston, SC
 HRT Therapy Charleston, SC

Are You a Good Candidate for HRT Therapy in Charleston?

Maintaining hormone stability is crucial for women to live a healthy life. This is where Hormone Replacement Therapy (HRT) comes into play, as it helps in balancing the hormones that would otherwise get altered due to menopause.

At Better Life Carolinas, we recognize that every woman is unique, and, by extension, every patient is different. Therefore, our team of specialists and doctors offer personalized treatment options by combining holistic treatment, nutrition, fitness plans, and more to supplement our HRT treatments for women.

Many women wonder if HRT is the solution to their exhaustion, weight gain, and mood swings. It's hard to say if you're a good candidate for treatment without a comprehensive examination by an HRT expert at our clinic. What we can say is that when a woman's hormones are better balanced, she has a much better chance of enjoying life without the debilitating symptoms that other women experience. At Better Life Carolinas, that's our primary goal - to help you live a healthy life that you love.

Unlike some women's health clinics, money isn't our main motivator. Our HRT options aren't meant to keep you coming back for years and years. They have been developed to help provide your body with the balance it deserves through a patient-focused approach.

The Better Life Carolinas Approach

The Better Life program by Dr. Barber empowers patients with information about their health and wellness and, most importantly, puts in place a plan for the future. Most of us have a financial plan, but very few have a health plan. Our greatest asset is our health, and setting goals to manage our health plan is vital.

Better Life wants to partner with you to make the right choices for optimal health. For women going through menopause, hormone replacement therapy is often the best choice to reclaim your quality of life. Most of us know we need to lose weight, exercise, eat better, and quit smoking. Unfortunately, very few of us understand how to get out of the rut we tend to fall into. Our experienced team will design custom programs to empower you to make this life change for years to come.

5 Big Benefits of HRT in Charleston

One of the first and most frequently asked questions that our women's health doctors get usually focuses on the benefits of hormone replacement therapy. If you're trying to ease your way into menopause, chances are you're wondering about that too. When combined with healthy life choices like diet and exercise, we're happy to say that the benefits of HRT are both numerous and significant.

1

Relief from Menopausal Symptoms

By now, this benefit probably sounds like a no-brainer, but it's one of the major advantages of HRT, so it's worth mentioning again. Menopause can often lead to uncomfortable symptoms such as hot flashes, night sweats, and difficulty sleeping. These symptoms can vary in intensity and can significantly impact your daily routine. Hormone replacement therapy is a treatment option that can help regulate estrogen and progesterone levels, thereby alleviating many of these symptoms.

2

Improved Bone Health

While the most obvious benefit of HRT for women is relief from menopause symptoms, there's good evidence that suggests this treatment helps improve bone health, too. One study conducted on over 25,000 women aged 50-79 found that HRT reduced the risk of fractures. This benefit is especially important for women who had their uterus and ovaries removed before the age of 45 and experienced "surgical menopause." Such women are at a higher risk of bone loss and osteoporosis.

3

Reduced Risk of Alzheimer's Disease in Perimenopausal Women

Your brain's ability to get energy from glucose, your body's primary fuel source, decreases during menopause due to a drop in estrogen levels. As a result, your brain switches to using fats (lipids) for fuel, which unfortunately leads to the harvesting of fat from the brain's white matter. This process produces ketones - chemicals created in the liver - to provide energy. However, starting hormone replacement therapy (HRT) before reaching menopause can reduce the risk of this fuel switch and cut a woman's risk of developing Alzheimer's disease in half.

4

Healthy Sex Drive

As people age, their libido tends to decline, which is true for both men and women. For women, menopause can also cause vaginal dryness, which can make sexual intercourse less appealing. Hormone replacement therapy in Charleston can help boost your libido by restoring the levels of reproductive hormones in your body. When your reproductive hormones are balanced, you can get a boost in sex drive and alleviate problems like vaginal dryness.

5

Make it Easier to Manage Your Weight

As you approach menopause, you may notice that your weight tends to fluctuate more frequently. While this is a common occurrence as you age, it can make it difficult to shed extra pounds. Hormone replacement therapy isn't a magic solution for weight loss, but it can address the hormonal aspect of weight gain. Hormones can make it harder to maintain or lose weight, and hormone replacement therapy can help with that. By combining hormone replacement therapy with a healthy diet and regular exercise, you may be able to manage your weight more effectively and improve your overall health.

 Women’s Health Charleston, SC

Additional Women's Health Treatments from Better Life Carolinas

The benefits listed above are only a snapshot of what HRT can help you deal with and overcome. Contact Better Life Carolinas to learn about other advantages of hormone replacement treatment. But our women's health services don't end with HRT. Our doctors also provide several pain-free, non-surgical solutions for female intimacy problems.

We're talking about Femiwave Therapy, O Shot, and the Emsella Kegel Chair.

Address the Root Cause with Femiwave Therapy

Are you ready to enjoy a normal sex life without having to rely on strange pills or invasive procedures? Femiwave therapy uses pulse waves to improve blood flow to the vaginal area without ever needing to go under the knife. This procedure enhances sensitivity, lubrication, tightens, strengthens, and improves the physical appearance of your vagina and the surrounding area. It has been shown to boost sexual satisfaction and function with no downtime, drugs, or lasers, and the results are long-lasting. The procedure is based on established shockwave therapy and has been backed by clinical studies for years to increase blood flow and restore healthy tissue.

Ideal candidates are women experiencing low libido, urinary incontinence, menopause symptoms such as painful intercourse and vaginal dryness, or women looking to improve their sex life. This procedure is quick and comfortable with no downtime, meaning you can swing by our office when it's best for your schedule and get treatment without disrupting your day.

Women in South Carolina use Femiwave therapy alongside hormone replacement therapy in Charleston because it is:

  • Recommended by Doctors
  • Backed by Clinical Research and Studies
  • Personalized for Your Body and Female Health Conditions
  • Guaranteed to Provide Results Long-Term
 Femiwave
Therapy Charleston, SC
Hormone Replacement Therapy Charleston, SC

Putting the "O" in Orgasm

While our male patients have enjoyed many benefits from our P-Shot (or Priapus Shot), we know that women deserve to enjoy some fun, too. Better Life Carolinas now provides a powerful treatment called the O-Shot (Orgasm shot) that can deliver incredible results for women. This simple procedure utilizes platelet-rich plasma (PRP) to stimulate new tissue growth, and as a woman's own PRP is used, the O-Shot is completely safe and free of side effects. The health benefits of the O-Shot are numerous, and a revitalized sex life is just one of them.

The O-Shot earned its name by increasing a woman's intensity during orgasm, but it is also a natural approach to treating the following:

  • Depleted Sex Drive and Libido
  • Urge or Stress-Related Urinary Incontinence
  • White Spot Disease (Lichen Sclerosus)
  • Postpartum Fecal Incontinence
  • Inflammatory Conditions (Lichen Planus)
  • Long-Term Pain from Childbirth Mesh or Trauma

Emsella Chair for Women

The Emsella Chair is a breakthrough innovation for women experiencing urinary incontinence. This common issue affects over 15 million women in the US and can cause embarrassing leakages, loss of sleep, and poor work performance. The Emsella Chair offers a non-invasive solution to this problem without the need for surgery or medication.

The Emsella Chair is an FDA-approved device designed for patients who want to improve their quality of life by addressing the symptoms of urinary incontinence. Sometimes referred to as the "Kegel Throne," this comfortable chair is an excellent option for those who have tried other solutions like medication and surgery but found that they negatively impact their daily lives.

The Emsella Chair uses high-intensity focused electromagnetic technology (HIFEM) to stimulate contractions in your pelvic floor muscles. These contractions can help you regain control of your bladder and improve the strength of your pelvic floor muscles, much like kegel exercises but with greater efficiency. The Emsella Chair is unique in that it targets the entire pelvic floor with thousands of contractions per session, making it a highly effective treatment option for women.

While using the Emsella Chair, you may feel your pelvic floor muscles contracting. This is a normal reaction and indicates that the machine is functioning correctly. You might also experience a mild tingling sensation during the treatment, but it is not painful. After your session, you're free to resume regular daily activities without any downtime required. The best part is that, unlike surgery, there is no need for any medications to manage the pain or grogginess that usually comes after an invasive procedure.

The Emsella Chair is an excellent solution for women of all ages, but it is more commonly used by older women who tend to experience urinary incontinence. There are various symptoms related to urinary incontinence which can be effectively treated with the Emsella Chair.

Some of those symptoms include the following:

  • Increased Urination Frequency
  • Unmanageable Urges to Urinate
  • Unexpected Urinary Leaks
  • Smaller Leaks During Periods of Physical Activity
  • Urinary Leaks During Menopause
  • Urinary Leaks After Childbirth

As thousands of women across the United States have said, our doctors can help you say "NO!" to urinary incontinence with Emsella Chair treatments.

Your Partner for Better Health and Wellness

At Better Life Carolinas, we're proud to be a partner on your path toward better wellness and healthy aging. Our team of women's health specialists and doctors provides constant encouragement, status checks, and recommendations to ensure that you receive personalized and ongoing medical management. We believe that receiving plenty of face-time and individual care from your personal physician is crucial to making a profound difference in your life - both now and in the future.

Whether you're approaching middle age or have already started menopause, our hormone replacement treatments could be an answer to your age management challenges. Contact our office today to learn more about the Better Life Carolinas difference and how our team provides the guidance you need to achieve a healthy life.

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Latest News in Charleston, SC

Editorial: Dockside evacuation is the latest evidence of need for new SC law

When some structural concerns prompted last year's temporary closure of the Peoples Building in downtown Charleston, we repeated a message we have echoed since the fatal collapse of a 13-story condominium north of Miami in 2021: South Carolina needs rules to ensure that our tall, coastal buildings are regularly inspected and well-maintained so the public is not pu...

When some structural concerns prompted last year's temporary closure of the Peoples Building in downtown Charleston, we repeated a message we have echoed since the fatal collapse of a 13-story condominium north of Miami in 2021: South Carolina needs rules to ensure that our tall, coastal buildings are regularly inspected and well-maintained so the public is not put at risk.

And just last week, after an engineering company told the board of the Dockside Condominiums homeowners association that the tall building's "safety margin is too low for the continued safe occupancy," city officials gave its residents 48 hours to move out. There is currently no projection as to when residents will be able to move back in, as the engineering company's letter said the building is "overstressed" and needs "substantial structural strengthening."

It wasn't a surprise, given that safety concerns over the building's structural integrity began to make news in February 2023, but last week's conclusion shows the situation is more dire than first thought. Our sympathies go out to the many residents of Dockside's 112 units who were shocked to learn they suddenly had to leave their building and scramble to find a suitable place to live for an unknown amount of time. The building's concrete floorplates aren't the only things under stress.

Wiss, Janney, Elstner Associates noted that about 587 of the 700 junctions where the building's support columns meet concrete slabs have not been tested, and they cannot be tested without a certain amount of demolition inside individual units. A city spokeswoman said the problems appear to stem from the building's initial construction 50 years ago, not deterioration or corrosion, though the building's harbor-front location gives it a steady coating of salty spray. And saltwater, if it reaches rebar supports inside concrete columns or slabs, can lead to cracks, spalling and eventually failure.

The 19-story building is an uncommon feature on the historic peninsula's skyline; it was built before the city's height ordinance applied to this part of the peninsula, back when the surrounding area was dominated by public housing, port operations and a marine supply store inside a former power plant. Today, the neighborhood includes museums, pricy condominiums and one of downtown's larger parks.

But it's not uncommon in that it's one of many tall 20th-century structures along our coast whose construction predates current codes and whose level of maintenance has varied over time.

In one sense, the story of Dockside and the Peoples Building shows the current system is working, as both ownership groups apparently commissioned inspections and acted proactively and responsibly when concerning structural issues were found.

But in another sense, it also shows the vulnerability of these imposing and seemingly sound structures. Elsewhere along our coast, the 22-story oceanfront Renaissance Tower at Myrtle Beach Resort was evacuated for months after structural engineers determined that its steel foundation was unsafe, the Kingfisher Inn in Garden City was evacuated last March until needed repairs were made, and the city of Charleston's Wentworth Garage was deemed to have sufficient corrosion and structural flaws to render it essentially not cost effective to fix. It's set to be torn down and replaced with something new.

Meanwhile, almost directly across the Charleston peninsula from Dockside, a multimillion-dollar project to remove the failing brick exterior of the Ashley House condominiums has bogged down, as the condominium owners disagreed on a repair plan and instead went to court.

We need a public conversation about whether South Carolina's state and local governments are doing enough to monitor the safety of our high-rise buildings, particularly those in or near our corrosive, salty coastal environments. Our state has more than 500 tall structures close enough to the coast to face heightened risk of saltwater corrosion, almost half of which are entering middle age.

It's human nature that some homeowners are quick to repair a leak as soon as they spot it, while others defer work or patch things over without addressing the real problem. When it comes to a single-family home, the owners are usually the only ones at risk, and the safety risk is minimal because most homes are relatively small. But when human nature delays needed work on large multistory concrete-and-steel buildings, countless others can be placed in harm's way.

Harm's way doesn't involve only the risk of death, although that is a real risk that building owners impose on others; it's also the risk of significant inconveniences such as those the Dockside residents are enduring, when buildings are closed to minimize the larger risk. If regular inspections were required, as they are in Florida, and if there were mechanisms to require repairs sooner, those repairs could be made faster and with less disruption, offsetting not only the danger to human life but also the cost of those repairs.

As we saw last week, this problem is not going away — and in fact might just now be getting here.

Click here for more opinion content from The Post and Courier.

WILDFIRE LATEST: fires still active across SC, most of 100+ reported contained: SCFC

LOWCOUNTRY, S.C. (WCIV) — UPDATE (6:00 a.m. Tuesday) According to the SCFC interactive map, the wildfire in the Carolina Forest area has grown to include 2,059 acres total, however, the blaze is reportedly 30% contained.UPDATE (6:00 p.m. Monday) First responders are still working to contain the Carolina Forest fire, while others have yet to be confirmed in Berkeley County and Williamsburg County with 0 acres reported as burned as of 6 p.m.UPDATE: (6:00 a.m. Monday) Fire Officials with Central Berkeley Fire and EMS report ...

LOWCOUNTRY, S.C. (WCIV) — UPDATE (6:00 a.m. Tuesday) According to the SCFC interactive map, the wildfire in the Carolina Forest area has grown to include 2,059 acres total, however, the blaze is reportedly 30% contained.

UPDATE (6:00 p.m. Monday) First responders are still working to contain the Carolina Forest fire, while others have yet to be confirmed in Berkeley County and Williamsburg County with 0 acres reported as burned as of 6 p.m.

UPDATE: (6:00 a.m. Monday) Fire Officials with Central Berkeley Fire and EMS report that there are currently eight reported wildfires, and all eight have either been controlled or contained. Conditions however, still do persist and the situation changes minute by minute. They state that the future of the wildfires depends on the weather conditions for the week.

UPDATE: (6:00 p.m.) The SCFC said the Carolina Forest fire has expanded to 1,600 acres and is 30% contained. The Lewis Ocean Bay fire is marked as contained on the interactive wildfire map.

UPDATE: (3:30 p.m.) The Orangeburg County fire near Pooh Lane has been upgraded to an active fire, according to the SCFC map.

UPDATE: (1:30 p.m.) A fire has been reported in Orangeburg County near Pooh Lane. SCFC has yet to confirm it as active.

UPDATE: (1:00 p.m.) An active fire near Huger has been 100% contained and downgraded to controlled. SCFC reports it was around 3 acres large.

UPDATE: (11:30 a.m.) A reported fire near Huger in Berkeley County as been upgraded to active by the South Carolina Forestry Commission near Bess Lane. News 4 has crews en route.

The active fire in Colleton County has been downgraded to contained.

UPDATE: (11:15 a.m.) The Charleston County fire reported as active in McClellanville has been removed from the wildfire map. News 4 crews searched the area and found no active fire.

UPDATE: (10:30 a.m.) The Berkeley County fire has been reported as contained, while new active fires have been reported in Clarnedon County near Salem Road and Kershaw County near Oak Ridge Church Road.

(ORIGINAL/10:00 a.m.) - Over 100 wildfires have been reported across South Carolina since Friday, with 6 remaining active into Sunday morning, according to the South Carolina Forestry Commission (SCFC).

The remaining active fires, according to the SCFC website, were burning in Charleston County, Berkeley County, Colleton County, Pickens County, and Horry County.

View the SCFC interactive wildfire map by clicking here.

As of 10 a.m. Sunday in the Lowcountry:

Around the state:

The SCFC reports over 4,200 acres across the Palmetto State have been burned in 175 fires in the last 7 days, most of them coming between Friday, Feb. 28 and Sunday, Mar. 2.

A burn ban is still in effect for the state.

READ MORE | "Statewide burn ban issued by SC Forestry Commission amid wildfires"

To learn more about wildfires and how they are combatted, click here.

These fires are developing and this story will be updated.

‘You will go to jail’: SC governor warns against outdoor burning amid burn ban

CHARLESTON, S.C. (WCSC) - South Carolina Gov. Henry McMaster stressed the importance of obeying a statewide burn ban as fire crews in multiple counties raced to contain wildfires.The governor posted on his X account Saturday night about a ban on outdoor burning the South Carolina Forestry Commission ordered for the entire state earlier in the day.“That means you can and will go to jail fo...

CHARLESTON, S.C. (WCSC) - South Carolina Gov. Henry McMaster stressed the importance of obeying a statewide burn ban as fire crews in multiple counties raced to contain wildfires.

The governor posted on his X account Saturday night about a ban on outdoor burning the South Carolina Forestry Commission ordered for the entire state earlier in the day.

“That means you can and will go to jail for starting a fire outdoors in South Carolina. Period,” he said.

He said first responders and firefighters across the state “are risking their lives to contain many fires.” He urged people to “pay attention to official emergency sources” and to call 911 to report any issues.

A statewide burning ban is now in effect due to dangerous wildfire conditions. pic.twitter.com/vzQLugXgH5

— Gov. Henry McMaster (@henrymcmaster) March 2, 2025

Lowcountry firefighters battled multiple fires on Saturday, including a wildfire in Charleston County, a large brush fire in Berkeley County and multiple fires in the North Charleston area.

The most intense fire activity in the Lowcountry, however, was in Georgetown County where officials ordered an evacuation in the Prince George area.

Georgetown County spokesperson Jackie Broach said on Saturday night that the fire had been contained and the evacuation order had been lifted.

“No structures were damaged,” she said, adding that firefighters planned to remain at the site of the fire.

It was not clear how many acres burned in the fire.

A second fire in the North Santee area of Georgetown County was also contained, she said. Firefighters estimated about 800 acres were affected.

She asked people who live in the areas affected by the fires to remain vigilant since conditions can change rapidly.

Georgetown County enacted its own county-wide burning ban last week ahead of the South Carolina Forestry Commission’s Red Flag Fire Alert and Saturday’s statewide burning ban.

Copyright 2025 WCSC. All rights reserved.

City of Charleston looking to purchase county property for affordable housing

CHARLESTON, S.C. (WCSC) - The City of Charleston is looking to purchase property on the peninsula from Charleston County to build more affordable housing.The county-owned property sits at 993 and 995 Morrison Drive, located next to the Charleston Tech Center, and currently is a parking lot.On Thursday night, the county’s finance committee will meet to discuss potentially selling the property, with the city offering $30 million.This comes after the county council recommended on Jan. 28 entering negotiations with the...

CHARLESTON, S.C. (WCSC) - The City of Charleston is looking to purchase property on the peninsula from Charleston County to build more affordable housing.

The county-owned property sits at 993 and 995 Morrison Drive, located next to the Charleston Tech Center, and currently is a parking lot.

On Thursday night, the county’s finance committee will meet to discuss potentially selling the property, with the city offering $30 million.

This comes after the county council recommended on Jan. 28 entering negotiations with the city for an amount ranging between $30 and $35 million for the cost of the property.

This is a $10 million increase from Mayor William Cogswell’s initial offer of $20 million back in October. County councilmember Jenny Costa Honeycutt says that is because the county was looking for an offer closer to the appraisal value of the property which exceeded $30 million.

City officials say that their plan is to use funds they have set aside from their Cooper River Bridge Tax Increment Financing District to purchase the property if they receive final approval from the county.

If the county sells this property to the city, Honeycutt says the funds they would receive would go into the county’s capital projects program which consists of various different initiatives.

“We do have a lot of capital projects that are ongoing. Azalea, the bio lab, and other upfits that are being done, so that’s where those dollars would be spent. I’m sure there will be a discussion among council about the possibility of other areas and reinvestment into affordable housing initiatives, but at this point, the designated funds typically go back into our capital projects program,” Honeycutt says.

The county had initially considered seeking out developers for this property to create affordable housing, however, before moving too far along in the process, the city showed interest in purchasing it.

“To get potential developers to look at developing it in the way that would maximize its utility and provide the most affordable housing that they could put on this site,” Honeycutt says. “We didn’t expect the city to come in with a competitive offer and so before we got to that phase of the process, the city made its initial offer and so there have been discussions ongoing with the city.”

The city had said previously that their goal was to create 500 affordable housing units on this property, but the Chief Policy Officer for the city, Logan McVey, says it will depend on factors such as the final price tag, site conditions and the cost of building materials at the time of construction.

McVey says that affordable housing is essential for the peninsula, not only to alleviate traffic problems in the area but to ensure long-time Charleston residents have a place to live.

“When you have to live in Goose Creek or outer West Ashley or Johns Island, you have to drive all the way if you’re coming to downtown and when you do that, you put a strain on our roads,” McVey says. “We’ve even got a study that shows that people who are from here can’t afford to live here anymore and they’re being replaced by people that are moving here, so we’re kind of losing the culture that makes Charleston special and it’s really important to keep it affordable to live here to preserve that.”

Honeycutt says that Thursday’s discussion could result in approving or rejecting the city’s offer or coming up with a counteroffer. If the county decides to move forward with the city’s offer it will have to go to the county council for approval on Tuesday.

Copyright 2025 WCSC. All rights reserved.

Charleston's tourist season is coming soon. Here's how you can make sure you don't look like one.

It takes nearly 6 million airplane seats and 5 million hotel stays to accommodate travelers to The Holy City on a yearly basis.Downtown Charleston is a hot spot for dining, shopping, gallery browsing and walking tours. It's made best of lists for various travel publications for more than a decade now, placing it on the map for international visitors in addition to U.S. wanderlusters and Southern sightseers. (Charleston has been named the top city in the United States by Travel + Leisure magazine for ...

It takes nearly 6 million airplane seats and 5 million hotel stays to accommodate travelers to The Holy City on a yearly basis.

Downtown Charleston is a hot spot for dining, shopping, gallery browsing and walking tours. It's made best of lists for various travel publications for more than a decade now, placing it on the map for international visitors in addition to U.S. wanderlusters and Southern sightseers. (Charleston has been named the top city in the United States by Travel + Leisure magazine for 12 years in a row now).

Arts and culture events like Spoleto Festival USA, Charleston Wine + Food and the Southeastern Wildlife Exposition have people flooding to the peninsula particularly in the spring.

As this high season approaches, locals can’t help but anticipate clusters of out-of-towners meandering through as they make their way to work, try to find parking or meet friends on-time. With all the foot traffic residents navigate on a regular basis, there are tell-tale signs of a non-Charlestonian.

Here are some of the dead giveaways that you're a tourist in Charleston. Take note, ye visiting festivalgoers.

Don't block the sidewalk

There’s nothing more touristy than stopping in the middle of a cramped sidewalk to check your phone or stepping into narrow traffic lanes to snap a photo. And on these slim 17th-century sidewalks, it’s customary to be mindful of people who are walking quickly behind you to their destination. It screams “clueless” when a group of people blocks the entire thoroughfare and locals have to practically shoulder through them. Yes, it's the slow South and all, but please put a little more New York City pep in your step.

Don't get your heel stuck in the cobblestones

Between the plethora of Spanish moss, graveyards, steeples and brides-in-white, downtown certainly has its own brand of whimsy for the wandering multitudes. But it also has its hazards. The cobblestone streets of the historic district have broken many-a-heel and scraped plenty of knees, so comfortable footwear is key. Towering stilettos spell disaster on these uneven sidewalks, ladies, so if you have a fancy event to get to, pack a spare pair of flats in your bag. And walking while texting pretty much isn’t an option unless you are familiar with constant dips and gaps in the sidewalks.

Look both ways

Jaywalking is treacherous across small Holy City streets where cars are constantly veering to get around pedicabs, horse carriages and construction blocks. It is a telltale sign that sightseers are oblivious when they amble into traffic without looking both ways. Local pedestrians know making eye contact with drivers can save a lot of exasperation.

Dress for the weather

Fashion in Charleston is as much about presentation as it is self-preservation. Oftentimes it’s above 80 degrees with 80 percent humidity and the chance of a stray afternoon rainstorm that can turn into a treacherous flash-flood. Dressing right is all about light layers, including rain-resistant jackets so you aren't caught unprepared in a deluge. And with the sun beaming down, it’s obvious a daytripper is a tourist if they're already bright red, not protecting their faces with hats or sunglasses.

Matching attire is a dead giveaway

Speaking of fashion, if you're visiting for a bachelorette party, it's already obvious you're a tourist by the matching T-shirts, sashes, wigs or other kitschy garb. If you want to blend in a little better, try wearing similar but different dresses from a local boutique instead. You might not be able to say you're from Charleston, but when you go back home you can say your dress is. Our local economy thanks you.

Pay attention to the one ways

In addition to horse carriage tours, one-way streets are common tourist traps. A sure sign a tourist has made an embarrassing error is when they take a turn the wrong way down one of these. Usually, a full-on screaming match with the front seat passenger ensues in this case, often followed by a frenzied backing-up process that'll make you stick out like a sore thumb. Pay attention to the signs, and don't just trust your GPS.

Sweet tea is the only tea

The term “iced tea” means sweet tea here. If you want unsweet tea you need to specify that, although it’s highly discouraged. You might be able to get away with half-and-half.

Embracing Southern hospitality

Charlestontians can sense if someone is behind them when they are opening doors, and we always hold the door for them, smile and nod. It's called Southern hospitality and you'll need a dose to blend in here. Speaking of hospitality, if you aren’t tipping at least 20 percent at your meal in a downtown restaurant, it’s clear that you aren’t in the loop. When in doubt, the social default is friendly and laid-back, though we might throw a "bless your heart" behind your back. This is the South, after all.

Kalyn Oyer contributed to this report.

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