You will have the physician of your choice as your primary physician for your periodic ob/gyn checkups and scheduled visits. If there is ever a time when your personal physician is not available and you need to speak with us, one of the other ob/gyn physicians in the group will be available to address your concerns.


 

Essure™ Birth Control

Essure™ is a permanent birth control procedure that works with your body to create a natural barrier against pregnancy. This gentle procedure has been trusted by women and doctors since 2002.

Essure™ offers women what no birth control ever has:

  • No Surgery — The Essure™ micro-inserts are passed through the body's natural pathways and inserted into the fallopian tubes. Unlike tubal ligation, there is no cutting into the body, burning, or destruction of the fallopian tubes. And unlike vasectomy for your husband, there's no local discomfort or incisional pain afterwards.
  • No General Anesthesia — The Essure™ procedure is performed in our office without the need for general anesthesia.
  • No Slowing Down to Recover — Most women return to their normal activities within one day.
  • No Hormones — Unlike many temporary methods of birth control such as birth control pills, the Essure™ micro-inserts do not contain hormones so they will not interfere with your monthly cycle or cause common hormone-related side effects like headache, nausea and acne.
  • No Guessing — A painless Essure™ Confirmation Test is done three months after your procedure to confirm success.
  • Short Procedure Time — The Essure™ procedure takes less than 15 minutes to do in our office. Most women are on their home in less than an hour.
  • Effective — FDA-approved and in use for more than five years, the Essure™ procedure is 99.80% effective based on four years of follow-up, and is the only birth control method with zero pregnancies in clinical trials.
  • Covered by Insurance — The Essure™ procedure is covered by most insurance providers. Because the procedure is performed in the comfort of our office and not a hospital, your payment may be as low as a simple co-pay. Confirmation of coverage and procedure approval is ALWAYS advised however.

You can learn more about the Essure™ procedure by visiting the Essure™ website. The site includes more videos about the procedure, as well as testimonials.

 

Human Papilomavirus (HPV)

Human Papillomavirus (HPV) is a common cause of sexually transmitted diseases (STDs). Over 80 types of HPV have been identified, approximately one-third of which are spread by sexual contact.

Two major types of HPV (specifically HPV-6 and HPV-11) produce genital warts that are highly contagious through sexual contact. Genital warts often appear in clusters of varying sized around the genital and anal regions of both men and women. Untreated, genital warts may either worsen to exhibit fleshy, cauliflower-like growths or simply disappear. The underlying virus does not disappear, however, and genital warts will often return, even after successful treatment.

Treatment of genital warts varies depending on their size and location. Imiquimod cream can be applied by the patient at home, eliminating potentially frequent office visits although treatment can take longer. Your physician can offer in-office treatments including:

  • Trichloracetic acid (TCA)
  • Podophyllin
  • Cryosurgery (freezing)
  • Electrocautery (burning)
  • Laser treatment

Low risk types (which include HPV-6 and HPV-11) rarely develop into cancer but may cause cellular changes known as dysplasia that require surveillance and possibly treatment.

 

HPV and Cancer Risk

A number of other, less obvious typos including HPV-16, HPV-18, HPV-31 and HPV-45 are considered high-risk HPV types. They cause the growth of flat, nearly invisible cells that are commonly revealed through a Pap test. The most effective test, and used exclusively for all our clinic patients, is the ThinPrep Pap Test. This test has been proven tot increase detection of precancerous cells significantly over the traditional Pap smear test. In addition to the ThinPrep Pap Test, a test known as “the HPV test” has become available which, when used following an abnormal Pap test, detects virtually 100% of all high-grade cervical disease and cervical cancer.

The discovery of abnormal cells during either one of these tests may indicate precancerous conditions. Commonly seen in young women, these conditions often return to normal within a few short years. Other types of cellular changes will likely require further evaluation including a colposcopy.

A number of methods may be used for treatment of an abnormal Pap test. A series of repeat Pap tests or colposcopies may be required to monitor the abnormal cells. Cryocautery (freezing) and LEEP (loop electrosurgical excision procedure), which uses a hot wire loop to remove affected tissue, are office-based procedures that destroy the abnormal cells. Laser treatment and conventional surgery are other options.

 

Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome is a disorder that results from abnormal levels of certain hormones. Women with PCOS may have irregular or no menstrual periods. PCOS is a genetic disorder where eggs are not released from the ovaries, causing low progesterone levels and high androgen and estrogen levels.

PCOS can cause health problems in women but can be treated. Treatment depends on your symptoms and whether you want to be come pregnant. Long-term treatment may be needed if other medical problems arise.

 

Endometriosis

With endometriosis, issue like the endometrium (the tissue in the uterus) is found in other areas of the body. It looks and acts like tissue in the uterus and most often appears in places within the pelvis such as:

  • Ovaries
  • Fallopian tubes
  • Surface of the uterus
  • Cul-de-sac (the space behind the uterus)
  • Bowel
  • Bladder and ureters
  • Rectum

Endometriosis can cause pain before and during menstrual periods. For some women the pain is mild. For others it can be severe. Severe endometriosis may lead to infertility.

Treatment depends on the extent of the disease, symptoms and whether you want to have children. It may be treated medically, surgically or both. Although treatments may relieve pain and infertility for a time, symptoms may come back after treatment.

 

Dysmenorrhea

More than half of women who have menstrual periods have some pain for at least one to two days each month. Usually the pain is mild. Sometimes the pain is severe enough to keep them from their normal activities. When the pain is severe, it is called dysmenorrhea. Dysmenorrhea is common.

There are effective ways to treat menstrual pain including NSAIDs (nonsteroidal anti-inflammatory drugs) and oral contraceptives. Your physician may also suggest exercise, applying heat, rest, intercourse and relaxation to help reduce symptoms.

 

Abnormal Uterine Bleeding

Abnormal uterine bleeding is defined as bleeding that lasts longer or is heavier than normal, bleeding occurs between periods or a menstrual cycle is not regular.

It is normal for periods to be irregular at certain times of life, specifically for the first few years after a girl begins to have periods (around age 9-16) and also as women approach menopause (around age 50). Menstrual cycles that are longer than every 35 days (bleeding too seldom) or shorter than every 21 days (bleeding too often) are not normal. Women with such cycles should be checked by a doctor.

Abnormal or heaving uterine bleeding may occur because of hormonal problems which is when the body makes too much or not enough of a certain hormone. This imbalance in hormones can be caused by weight loss or gain, heavy exercise, stress, illness or use of some medications. The most common result of a hormone imbalance is anovulation – when the ovaries do not release an egg and a woman does not have a period.

Other causes of abnormal uterine bleeding include pregnancy, problems linked to some birth control methods, infection of the uterus or cervix, uterine fibroids, problems with blood clotting, certain types of cancer or a chronic medical condition.

Treatment of abnormal uterine bleeding may include hormone therapy or some medications such as ibuprofen or other anti-inflammatory drugs. Some women with abnormal uterine bleeding will have surgery to remove growths (such as polyps or fibroids) that are causing the bleeding. This may be done with hysteroscopy. Endometrial ablation or a hysterectomy may also be recommended to address abnormal uterine bleeding.