Project Description
Some Common Gynecology Concerns
Pain, bleeding, infertility and other common gynecology conditions shouldn’t interfere with your work, your leisure time, pregnancy planning and/or sexuality. These conditions may also put you at risk for more serious medical conditions. We can address your gynecology concerns and create an individualized treatment plan based on your medical conditions and personal needs.
Please schedule an appointment today to better discuss how we can help get you back to the full, active life you deserve.
Heavy or Irregular Periods
Excessive bleeding may be associated with pain and infertility, and may also put a woman at risk for anemia (low iron stores).
Some causes:
- Fibroid tumors (benign muscle tumors in the uterus)
Uterine or cervical polyps (abnormal growth of the lining of the womb)
Failure to ovulate
Precancerous or cancerous changes
Possible evaluation:
Pregnancy test
Pap test
Pelvic ultrasound
Biopsy from the womb
Blood tests
Hysteroscopy (look inside the uterus with a camera)
Treatment options:
Hormonal medications (pills, patches, rings)
Hormonal IUD
Hysteroscopy D&C (thin the lining of the womb)
Endometrial ablation with NovaSure
Hysterectomy, myomectomy, fibroid removal or other minimally invasive surgical options
Pelvic Pain
May be associated with bleeding and infertility. Can cause problems with sexuality or missed days from work.
Some causes:
- Endometriosis (lining of womb is growing in the belly)
Ovarian tumors
Fibroid tumors
Irritable bowel or bladder conditions, interstitial cystitis
Possible evaluation:
Pelvic exam
Pelvic ultrasound
Hysteroscopy (use camera to look inside the womb)
Laparoscopy (use camera to look inside the belly)
Treatment options:
Hormonal medications (pills, patches, rings)
Hormonal IUD
Physical therapy
Laparoscopy, hysteroscopy, myomectomy
Infertility
Excessive bleeding may be associated with pain and infertility, and may also put a woman at risk for anemia (low iron stores).
Some causes:
- No ovulation
Polycystic Ovarian Syndrome (PCOS)
Uterine polyps
Uterine fibroids
Blocked fallopian tubes
Infection
Endometriosis
Other hormonal imbalance in the body (thyroid, pituitary, adrenal)
Possible evaluation:
Blood tests
Ultrasound
Hysterosalpingogram (special x-ray of the womb and fallopian tubes)
Testing for sexually transmitted diseases
Treatment options:
Ovarian stimulation with medication
Hysteroscopy
Laparoscopy
Antibiotics
Restoring hormonal balance in the body
Abnormal Pap Smears
Your primary care doctor may have contacted you to tell you that your pap was abnormal. They may even have used the word “precancerous.” We can explain the condition to you in more detail, do a thorough examination and make a plan for follow-up.
Some causes:
- Human Papilloma Virus (HPV)
Sexually transmitted disease (STD)
Vaginitis or vaginal infection
Possible evaluation:
Infection testing
Colposcopy (magnification is used to look at the abnormal cells of the cervix)
Biopsy (a small sample may be taken from the abnormal cells so that the extent of the abnormality may be analyzed)
Treatment options:
Close monitoring (for low grade changes, may involve pap smears every six months)
LEEP procedure (remove the abnormal area, leaving the rest of the cervix and womb)
Cervical conization (remove a larger part of the cervix, leaving some cervix and womb)
Hysterectomy (for severe changes that could become cancer)
Prevention:
- HPV vaccine for women between the ages of 15 and 26
Other Pain/Discomfort
Vulvar pain (vulvodynia) and vaginal pain may interfere with sexuality or ability to exercise.
Some causes:
- Infection
Dermatologic conditions
Pelvic muscle spasm
Possible evaluation:
Pelvic exam
Colposcopy
Biopsy
Treatment options:
Antimicrobial medication
Physical therapy
Creams/salves
OUR PATIENTS SAY
“I have been going to this clinic for over 20 years and I have never had a bad experience. I don’t think I’ve ever waited in the waiting room longer than 10 or 15 minutes and I always feel my Dr spends plenty of time sorting out my concerns. I have never felt rushed.”
“I love how timely my doctor is here; I rarely wait and it is greatly appreciated! The office staff is friendly. My doctor gave me a print out & information pertaining to the recommendations & options we discussed; it was so nice to be properly educated on options for my body & health!”
“Everything about this office as patient centered from the point of empathy, i.e. a comfy robe if you wanted to wear one, and a (dressed) conversation with the doctor before the exam. This was my annual exam. The exam itself was as flawless as one can be and the detailed health report that I received was awesome. Spot on. I’ll be back!”