Many mothers want to know when routine gynecologic examinations for their daughters should begin. The answer is simple: When the need arises. Reasons for an adolescent to see a gynecologist include (but are not limited to): ü Pelvic pain, including painful menses, not responding to Ibuprofen ü If the patient has become sexually active, considering […]
There a several vaginal conditions that can significantly compromise a woman’s quality of life and can be effectively corrected with the appropriate surgical procedure. The vaginal vault is supported by fibro-muscular tissues which help support the uterus, bladder, vaginal apex (top), rectum, and the vaginal introitus (opening). Aging, uncomplicated childbirth, and vaginal injury from difficult […]
BRCA 1 and BRCA 2 are tumor suppressor genes that help protect against cancer. It is known that when a patient has an altered form of the gene (a mutation) she has a higher likelihood of developing cancer. Mutations in the BRCA 1&2 genes are associated with an increased risk of breast, ovarian, and other […]
In November of 2009, the USPSTF (U.S. Preventive Services Task Force) assembled by the Agency of Healthcare Research announced their recommendations stating: 1. The USPSTF recommends biennial screening mammography for women aged 50 to 74 years. a. Grade: B recommendation. 2. The decision to start regular, biennial screening mammography before the age of 50 years […]
Endometriosis is a benign (non-cancerous) condition in which cells of the uterine lining, endometrium, is found in spots or in cysts outside the uterine cavity. The most common locations are on the surface of the ovaries, peritoneum (the membrane that lines the abdomen and pelvis), or on the intestine’s surface. It may also grow into […]
Chronic, persistent, or intermittent lower abdominal pain can be one of the most perplexing problems a gynecologist will deal with. The patient and her physician often focus on her pelvic organs, appendix, and bladder as the etiology of lower abdominal pain. Unless there is objective evidence by proper pelvic exam, radiologic studies, or sonography laparoscopy […]
The 2012 Flu season is upon us! Pregnant patients need the Flu Vaccine! We have ordered as many Influenza (Flu) vaccines as available to our office for the upcoming flu season, which extends from October through May. Both the American College of Obstetrics and Gynecology (ACOG) and the Center for Disease Control (CDC) strongly […]
Osteoporosis is a common skeletal disease in older populations, which leads to about two million fractures annually in the US. It is a silent disorder, characterized by decreased bone strength, predisposing to an increased risk of fracture. Bone strength reflects two major features, bone density and bone quality. Bone quality includes such factors as the […]
The first large follow up study has come from Australia , where the HPV vaccine Gardasil is provided for free with over 70% of patients between 12and 18 receiving all 3 doses since the vaccine program began in 2007. There was noted to be a 50% reduction in the incidence of severe pre-cancerous changes on […]
It has long been known that vitamin D and calcium are essential elements needed to maintain bone structure and integrity. As better health and nutrition have become more important focuses in our lives, supplements have become more popular, especially vitamins such as vitamin D. Vitamin D can be measured by blood testing in the form […]
