We welcome women of all ages to our practice for routine gynecologic care. Your annual exam provides inroads to better health and exposure to new medical ideas to help you maintain a healthy life.
Our providers are here to discuss anything concerning your health care. From contraception to menopause, we discuss options and individualize your treatment to help you make the best decisions to meet your needs.
There are many changing issues that a woman can experience through her lifetime that will make her wonder: “Is this normal?” We are experts in the field of gynecology and can help you know what is normal and what is not.
Gynecology Services We Offer
Breast pain, breast lumps, or other breast concerns may be normal. We perform a thorough breast exam at your annual visit. And refer you, if needed, to the most up-to-date technologies to best suit your needs.
Heavy bleeding or irregular bleeding with your periods are some of the most common reasons people visit the gynecologist every year. As experts in this area, we work to uncover the reasons for abnormal periods and work with you to find the most effective and safest treatments
Symptoms that occur with your periods, like pain, nausea, cramping and dizziness can significantly affect your quality of life. As women providers, we understand the impact this can have and work with you to find effective solutions.
Painful intercourse is a prominent problem in many women. We foster an environment of trust where women feel comfortable addressing this problem with their physician.
Urinary incontinence is a condition where there is loss of control in managing the flow of urine from your body.
Approximately 17 million women in the U.S. encounter urinary incontinence in their lifetime. This condition can occur in women between the ages of 18 and 60 and beyond and is usually a result of the urethra not being closed tightly to keep urine in the bladder. Symptoms vary from:
- an inability to prevent leaking urine when exercising or other involuntary actions such as coughing or sneezing
- an overwhelming urge to urinate that often causes them to urinate before getting to a bathroom.
Treatment Options for Urinary Incontinence
Behavior modification is used to train one’s bladder and sphincter muscles by decreasing fluid intake and by prompting or scheduling voiding.
Pelvic muscle exercises
CalledKegel exercises, these exercises commonly are intended to strengthen weak muscles surrounding the bladder.
Basically these are pads undergarments designed to absorb leaked urine.
These tubes are inserted into the urethra to collect urine into an external drainage bag. These are generally left in place 24 hours a day.
Called a Pessary, this device is designed to apply pressure to help reposition the urethra permitting it to close tightly. It features a stiff ring that is inserted into the vagina to exert pressure press against the wall of the vagina and urethra.
Bulking agents such as collagen are injected directly into the urethral lining to firm and bulk up the urethral lining so that the urethra can close more tightly.
There are a number of medications to treat incontinence caused by urge to continually void. Where incontinence is stress related, there are no medications for to treat this. For incontinence caused by a combination of both urge and stress, drug therapy may be helpful in treating the urge component.
There are a number of surgical approaches to strengthen, support, elevate and/or restore the urethra and bladder. These are employed when other treatments are not working and include:
- Retropubic Suspensions Surgical procedures (Burch procedure) intended to restore the urethra and neck of the bladder to a higher anatomical position.
- Urethral Slings Procedures used to treat that treats hypermobility in which a sling is used to support the urethra when there is increased abdominal pressure.
- Bone-fixed slings – treat incontinence by supporting the urethra with a graft material attached to the pubic bone.
- Self-fixated slings – can be used to support the urethra and are secured in place by friction and tissue ingrowth, and require no sutures or screws.
All women are born with a fixed number of eggs for reproduction. As their age increases, the number and quality of eggs decreases.
Statistically, the chances of becoming pregnant decrease by about 3% to 5% per year once they reach the age of 30. After age 40, the decrease in fertility is considerably greater.
Conditions Impacting Female Fertility
Besides the ongoing reduction in the number and quality of eggs a woman has after she reaches 30, other factors can negatively impact fertility such as:
- Fallopian tube damage
- Hormonal causes
- Cervical causes
- Uterine causes
- Unexplained causes
Diagnosing Female Infertility
Where the female is suspected of being infertile, physicians have several tests and procedures to confirm a diagnosis. These include:
- A blood test to check hormone levels and other conditions including among others, those affecting the thyroid
- An endometrial biopsy to check the lining of the uterus
- Additional diagnostic tests to determine if scar tissue or fallopian tube obstruction are present include:
- Hysterosalpingography. A procedure that uses either ultrasound or X-ray images of the reproductive organs to determine if the fallopian tubes are blocked.
- Laparoscopy. A minimally invasive procedure where a laparoscope is inserted into the abdomen through a small incision near the belly button to view the outside of the uterus, ovaries, and fallopian tubes to detect abnormal growths, as in endometriosis.
- Ovarian Reserve Testing. A test to determine a woman’s ovarian reserve to predict whether she can produce an egg or eggs of good quality as well as and how her ovaries are responding to hormonal signals from her brain.
- Urinary Luteinizing Hormone (LH) Testing. A specialized urinary test to help define the times of greatest fertility by predicting ovulation before it occurs.
Treating Female Infertility
Many fertility drugs to treat female infertility can increase the potential of having twins, triplets, or other multiples. Women should be aware that pregnancies with multiple fetuses can have more problems during pregnancy. Additionally, multiple fetuses have a high risk of premature birth and are at an increased risk of problems associated with overall health and development.
Some of the more common oral and injectable medications used by gynecologists to treat female infertility include:
- Clomiphene citrate (Clomid). This oral medication affects the pituitary gland causing ovulation. It is frequently used in women who have polycystic ovarian syndrome (PCOS) or other ovulation problems.
- Human menopausal gonadotropin or hMG (Repronex, Pergonal). This injectable medication is used with women who have pituitary conditions that preclude them from ovulating. It acts directly on the ovaries to stimulate ovulation.
- Follicle-stimulating hormone or FSH (Gonal-F, Follistim). Usually given by injection, FSH works much like hMG in that it causes the ovaries to begin the ovulation process.
- Gonadotropin-releasing hormone (Gn-RH) analog. Delivered via injection or nasal spray, these medications are used on women who don’t ovulate regularly. They are also helpful for women who ovulate before an egg is ready. They act on the pituitary gland and change when the body begins to ovulate.
- Metformin (Glucophage). Usually given orally, this medication is used with women who have insulin resistance or PCOS. It helps to reduce high levels of male hormones in women to help helping the ovulation process.
- Bromocriptine (Parlodel). This medication is used for women with ovulation problems due to high levels of prolactin that can cause menstrual disturbances. Given orally or as an injectable it lowers prolactin levels to allow the ovaries to function normally
An ovarian cyst is a part of the ovary that becomes filled with fluid. Ovarian cysts are common in women. Ovarian cysts can vary in size. In most cases, cysts are harmless and go away on their own. However, in some cases, they may cause problems and need treatment.
Ovarian Cysts Symptoms
Most women who have ovarian cysts do not have symptoms and may not even be aware that they have them. The pain from the cysts can range from a dull ache to a sharp stabbing pain in the pelvis. The pain may occur or because worse during certain activities. Larger cysts may cause torsion (twisting) of the ovary that causes pain.
Diagnosed Ovarian Cysts
An ovarian cyst may be found during a routine pelvic exam. If your health care provider finds an enlarged ovary, tests may be recommended to provide more information, usually found on ultrasound.
Treatment for Ovarian Cysts
Treatment usually depends on the size, type of cyst, your age, your symptoms and your desire to have children. If your cysts happen frequently, usually treatment will include Oral Contraceptive Pills (OCP) to help cysts from forming. Large cysts or extremely painful cysts usually require treatment. Cysts can be removed without having the remove the ovary. Sometimes, a cyst can be removed without having to remove the ovary.
Pelvic organ prolapse is a disorder in which one or more of the pelvic organs drop from their normal position. It is caused by injury to the muscles or tissues that support the pelvic organs. The main cause of this injury is pregnancy and childbirth, especially vaginal childbirth.
Other causes include:
- prior pelvic surgery
- menopause and aging
This problem also runs in families.
There are different types of prolapse that can occur. Keep in mind that often more than one organ can be affected at the same time. Prolapse occurs in stages. Mild cases are those in which the organs have dropped only a short distance. Severe cases are those in which the organs have dropped a greater distance.
We’re currently working on this page to provide you with the best information on Polycystic Ovary Syndrome (PCOS) problems and common causes.. so please stay tuned.
Every woman has used the excuse “I’m PMSing” in their lifetime. However, recent studies show that PMS and PMDD aren’t just excuses but medical conditions that can have an impact on a woman’s daily life.
What is PMS?
PMS, or premenstrual syndrome, is a group of symptoms linked to the menstrual cycle. Though the length of time PMS occurs depends on the woman, the symptoms usually occur one to two weeks before menstruation begins. Some of the most common symptoms for PMS include:
- Chronic fatigue
- Irritability and mood swings
- Headaches and backaches
- Trouble with concentration
- Anxiety and depression
According to the American College of Obstetricians and Gynecologists, about 85 percent of women show at least one of these symptoms before menstruation. However, one in 20 women can suffer with a severe form of PMS, also known as PMDD.
What is PMDD?
As previously stated, premenstrual dysphoric disorder (PMDD) is a severe form of PMS. The symptoms are similar to PMS, but are severe enough to interfere with work, social activities and relationships. PMDD is diagnosed by a physician if erratic mood swings, anger, fatigue, insomnia, tension and lack of interest in usual activities occur a week before and after menstruation.
Treating PMDD & PMS
Though the exact cause of PMDD and PMS isn’t known, the effects can be minimized by certain lifestyle changes such as:
- Medications, such as hormone-based birth controls and anti-depressants
If you feel that your PMS or PMDD is impacting your daily life, consult your physician about treatment options.
Uterine Fibroids, which are abnormal growths in a woman’s uterus, affect 20 to 80 percent of women in their lifetime. These tumors can cause severe abdominal pain and heavy periods.
What Factors Increase your Chance of Getting Fibroids?
There are many factors that increase the risk of developing fibroids within a woman’s uterus, including:
- Genetics – A family history of uterine fibroids increases your chance of getting fibroids.
- Age – Women ages 30 and up are more prone to developing fibroids. After menopause, fibroids usually shrink on their own.
- Hormonal Imbalance – An abnormal amount of estrogen and progesterone might cause the growth of fibroids. During pregnancy, women produce more estrogen and progesterone, making pregnancy another cause of uterine fibroids.
- Diet – A diet that is high in red meat and ham has been proven to increase your chance of getting uterine fibroids. However, eating a lot of green vegetables can decrease your chance of developing fibroids.
Do I Have Uterine Fibroids?
Most fibroids don’t cause any symptoms, so it’s hard for most women to tell whether they have fibroids. When symptoms do present themselves, they often include heavy bleeding, frequent urination, painful intercourse, lower back pain and a feeling of fullness in the lower abdomen. If you experience these symptoms, a doctor will most likely do an ultrasound, MRI or X-ray to properly diagnose the condition.
Treating Uterine Fibroids
For women who do experience symptoms of fibroids, doctors might recommend the following treatment options:
- Medications – Low-dose birth controls can help stop fibroids from growing. They can also control heavy bleeding. If pain is the only symptom, over-the-counter pain medicine will help.
- Surgery – If your fibroids cause mild to severe symptoms, surgery might be the most effective form of treatment. Different procedures for uterine fibroids include:
- Myomectomy – Surgery to remove uterine fibroids without taking out healthy tissue
- Hysterectomy – Surgical removal of the uterus
- Endometrial Ablation – Doctors remove the lining of the uterus to control heavy bleeding caused by fibroids.
- Uterine Fibroid Embolization (UFE) – UFE is a minimally invasive procedure that blocks blood flow to the uterus. It is a treatment for fibroids for women who are not planning a pregnancy in the future.
Contact our office for information on uterine fibroids.
We’re currently working on this page to provide you with the best information about Vaginal Discharge/Irritation/Bladder Infection and common causes.. so please stay tuned.