Common Gynecology Concerns

Pain, heavy bleeding, and other common gynecologic conditions shouldn't control your life

Common Gynecology Concerns 2017-11-27T14:16:04+00:00

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!”