Gynecology's Journal

Women have special medical needs that require specific kinds of treatments and medications. The pain of menstrual cramps cannot be dealt with by any general kind of pain medication. It requires a specific solution that many women rely on. One of the emerging treatments for PMS and menstrual cramps is HerOption . It is a treatment that does not require surgery but does require a visit to the doctor. A more comprehensive option is a product referred to as essure. Women, who are having severe menstrual pains each month or want to investigate the possibility of preventing pregnancy for the rest of their lives, should talk to their doctors about these two procedures.

The process for prescribing and using HerOption is very comprehensive. Before your doctor will approve the use of this product, she first needs to determine if you are experiencing any kind of urinary tract infection or other related condition. Once the tests for these conditions have been completed, the doctor can move forward with recommending the treatment. The product known as essure is a little different in that it also helps to prevent pregnancy for the remainder of the woman's life. The product creates a barrier that can control the menstrual cycle and prevent pregnancy permanently. It is known to be extremely safe and extremely effective.

Neither HerOption nor essure are severely invasive products. One of the major differences between the two products is that the former is a regular therapy that your doctor applies while the latter is something your doctor applies once and it does its job indefinitely. In both cases, an office visit is required and that would probably result in a standard co-pay. But most women will find that both of these products are covered by their health insurance so long as the doctor deems the products necessary.

For women that have been trying to find effective ways to control persistent and heavy menstrual flows, there is the HerOption product. It is a therapy treatment applied by your doctor without the use of surgery and without causing any unnecessary discomfort. The essure product prevents pregnancy permanently while not disrupting any other part of the woman's life. Both procedures are completely safe and they are both worth discussing the next time that a woman has an appointment to see her doctor. These will be the products that allow a woman to live her life comfortably and how she chooses.

A woman's feminine health is a very private matter. Many women don't feel comfortable discussing their feminine health, even with their doctors. But if you don't discuss your feminine health, you could risk delaying treatment for serious conditions that would be easier to treat if they were diagnosed early on. Because of this, it's important to find a gynecologist Raleigh NC that you can trust. There are many doctors who specialize in gynecology Raleigh NC, so you have lots of options available to you. It's a good idea to find a gynecologist that you feel comfortable talking to about your feminine health issues.

Most women know that they're supposed to get a pap smear once a year for their gynecological health. But because they have put off finding a gynecologist Raleigh NC that they like, they also put off having their pap smear done. This is an essential step in catching or preventing serious feminine health issues, including various forms of cancer. Gynecology Raleigh NC doesn't get much press because it's such an uncomfortable subject, but we'd all be better for it if we discussed it much more openly. The more comfortable you are with it, the more likely you are to take your gynecological health into your own hands.

Sometimes, it's the very fact that you have so much choice in the matter that prevents you from making a decision. Some women are so determined to get the best care that they put off choosing a gynecologist until they've spoken with every doctor within driving distance of the Cliff Benson Beltline. But you don't necessarily have to find the very best doctor; just one that you feel comfortable with. You'd be surprised at how easy it is just to find one doctor that you feel comfortable talking to about gynecology. And it only takes one.

Raleigh, North Carolina has a strong population of women.  From the Ramblin' Rose Women's Triathlon to the Women's Club of Raleigh, there are a number of events, organizations, and opportunities for ladies in this charming southern city.  In order to take advantage of the many charms of Raleigh, it is important to keep in the best health.  Routine, annual appointments at your local gynecologist can help prevent the spread of diseases or problems.  Practices offering the gynecology Raleigh NC women need focus on the health of female reproductive systems.  Gynecology actually literally means the science or study of women. 

The services, treatments, and diagnoses of gynecology Raleigh doctors offer are not limited to pregnancy and its concerns, though these capable physicians can certainly handle that.  The gynecologist Raleigh NC women rely on offers care relating to heavy or irregular menstrual cycles, cancers, tumors, birth control, pain management/relief, and other issues related to feminine health.  Examinations performed by gynecologists are very personal and intimate in nature.  Many women feel uncomfortable during the exam.  More than most physicians, the choice of a gynecologist often involves research into a doctor's bedside manner in addition to education and credentials. 

To choose the right gynecologist, Raleigh NC women should investigate the qualifications and services offered by the doctors they are considering.  The education and experience of a specialist in gynecology Raleigh ladies have been trusting for years can help give you peace of mind when those services are needed.  Making sure that a gynecologist offers the services you believe you currently need and will need in the future.  It is also wise to check what hospitals the gynecologist works to find out if they are convenient for you.  All certifications and training should be up to date.

However, in addition to all that, past and current patients should have positive experiences to relate with the doctor you are considering.  You want the gynecologist Raleigh women feel comfortable with and confident in.  Choosing a gynecology practice that women continue to trust year after year provides you with the best chance that your experience with this physician will be the best it can be.  One way to find out the experiences of other patients is to search for reviews online.  Another way is to request references from the doctor that you can call and ask questions about the care they received.

Raleigh, North Carolina has a strong population of women.  From the Ramblin' Rose Women's Triathlon to the Women's Club of Raleigh, there are a number of events, organizations, and opportunities for ladies in this charming southern city.  In order to take advantage of the many charms of Raleigh, it is important to keep in the best health.  Routine, annual appointments at your local gynecologist can help prevent the spread of diseases or problems.  Practices offering the gynecology Raleigh NC women need focus on the health of female reproductive systems.  Gynecology actually literally means the science or study of women. 

The services, treatments, and diagnoses of gynecology Raleigh doctors offer are not limited to pregnancy and its concerns, though these capable physicians can certainly handle that.  The gynecologist Raleigh NC women rely on offers care relating to heavy or irregular menstrual cycles, cancers, tumors, birth control, pain management/relief, and other issues related to feminine health.  Examinations performed by gynecologists are very personal and intimate in nature.  Many women feel uncomfortable during the exam.  More than most physicians, the choice of a gynecologist often involves research into a doctor's bedside manner in addition to education and credentials. 

To choose the right gynecologist, Raleigh NC women should investigate the qualifications and services offered by the doctors they are considering.  The education and experience of a specialist in gynecology Raleigh ladies have been trusting for years can help give you peace of mind when those services are needed.  Making sure that a gynecologist offers the services you believe you currently need and will need in the future.  It is also wise to check what hospitals the gynecologist works to find out if they are convenient for you.  All certifications and training should be up to date.

However, in addition to all that, past and current patients should have positive experiences to relate with the doctor you are considering.  You want the gynecologist Raleigh women feel comfortable with and confident in.  Choosing a gynecology practice that women continue to trust year after year provides you with the best chance that your experience with this physician will be the best it can be.  One way to find out the experiences of other patients is to search for reviews online.  Another way is to request references from the doctor that you can call and ask questions about the care they received.

Located within Wake County in North Carolina is the bustling city of Raleigh. This city is home to over 275,000 people, with women having a slight advantage in the population. As with any other large city, business is booming for gynecology. When it comes time to finding a good gynecologist Raleigh NC , there are several things a woman needs to consider:

 

First, you need to take the reputation of the gynecologist into consideration before you do anything else. With so many doctors of gynecology Raleigh NC to choose from, you may think that this is easier said than done. One way to find a doctor with a good reputation is to talk with your female friends. Many women ask their friends who they see for their gynecological health needs in order to find the best doctor. If your female friends rave about a specific doctor, chances are you will find their services more than satisfactory. If more than one doctor is recommended to you, you could always go see each one of them in order to make a more informed decision about who to go see on a regular basis.

Of course, you also have to consider that you need a gynecologist that is covered by your insurance. You may think that every doctor in gynecology is covered by all insurance, but that is a mistake. Chances are your insurance covers a specific network of doctors and you will either have to pay full price for services at a doctor outside of that network or you will have to choose a doctor within your insurance network. This can be a pain, especially if you have been seeing a certain doctor for many years and then they are suddenly not covered by your insurance.

Finally, you need to consider your other medical needs and conditions that may affect your feminine health. Alert your gynecologist if you have previously been diagnosed with diabetes or any other type of insulin resistance, as this can have a major effect on your ability to have children. Also, when it comes to gynecology, you need to be completely honest about all of your past medical history - including STDs. Your doctor will find out anyway by looking at your medical chart, but it is just better to get it out in the open with that first visit. Full disclosure in the beginning makes for a better doctor/patient relationship in the long run.

Laparoscopy is also known as "minimally invasive surgery", "belly-button surgery", and often incorrectly referred to as "laser surgery". Laparoscopy is a surgical technique that uses a 1 cm, or smaller, telescope attached to a video camera, usually placed through the navel, and a few customized instruments placed through one or two smaller skin cuts low on the abdomen while viewing a TV monitor. This allows the surgeon to view the inside of the body without needing to make a large incision that divides skin and muscle. There are a number of advantages to the patient with laparoscopic surgery versus an open surgical procedure. These include reduced pain due to smaller incisions and a shorter recovery time.

In gynecology, laparoscopy may be used to diagnose female infertility, by inspecting the outside of the uterus, ovaries and fallopian tubes. With laparoscopic gynecology the uses for diagnosing female reproductive organs requires a special type of laparoscope called a fertiloscope. A fertiloscope is modified to make it suitable for trans-vaginal application.

A surgeon trained in advanced laparoscopic gynecology has the surgical skills to perform operations that are traditionally done through a large incision. Some of these surgeries may include:

• Hysterectomy (removal of the uterus and cervix)
• Removal of large ovarian cysts
• Treatment of stage 3 and 4 endometriosis
• Removal of large fibroids
• Cutting of adhesions that are a source of pain
• Treatment of Genuine Stress Urinary Incontinence
• Pelvic floor reconstruction
• Vaginal vault prolapse
• Uterine prolapse 

After laparoscopic surgery, patients will often go home the same day or the next. If these surgeries are performed through a large incision, patients often have to stay two or three nights in the hospital. In addition, the recovery time after large abdominal incisions is approximately six weeks compared to 1-2 weeks (depending on the procedure) for laparoscopic surgery. Laparoscopic surgery has the added benefits of less adhesion (scar-tissue) formation and smaller (less than one inch) incisions.

Also, in the field of weight loss or bariatric surgery, laparoscopy has become very common & successful. Sleeve gastrectomy Seattle surgeons say is growing in popularity, thought at the moment it is only performed in specific geographic locations, due to very few surgeons being trained in this procedure. With sleeve gastrectomy, the upper and outer most stretchable portion of the stomach is removed laparsocopically, thereby considerably decreasing the capacity of the stomach from about a quart to about 2-4 ounces. So far, the Sleeve Gastrectomy procedure has been incredibly successful. Because unlike other weight loss surgery procedures it preserves all the important structural elements of the stomach and the nerves that control stomach function, the stomach is left much smaller, but one that is close to a normal stomach in terms of function. It is ideal for patients who are busy professionals, who travel a lot, considering pregnancy, seeking weight loss in preparation for an orthopedic procedure and are averse to having a foreign body.  

The Sleeve Gastrectomy provides a fairly quick predictable weight loss. It allows patients to enjoy a wider variety of foods than would be typical for other weight loss surgeries. Among all the operations for weight loss it is the most "pill- friendly" operation, so patients don't have to make major changes in their medications. Anti-inflammatory medications that are generally not recommended after weight loss surgeries are better tolerated with this operation than with any other operation. Unlike the Adjustable Gastric Band this operation does not require periodic adjustments. Patients generally go home the same day or within 24 hrs. Weight loss is achieved by restricting the quantity of food consumed and also by significantly reducing appetite hormone (ghrelin) production in the stomach.  Patients generally report feeling full after eating 2-4 oz of solid food.

Thanks to advances in laparoscopy, there are many new types of surgeries which are now safer and more effective than ever. Patients seeking laparoscopic surgery can rest assured that they will experience a faster recovery, shorter hospital stay, and less postoperative pain than when compared to conventional open surgery.

Laparoscopic gynecology is a less invasive procedure that helps women get all the different medical procedures that they need with fewer risks, complications, and less downtime after the procedures are completed. Laparoscopy is the process of using a thing telescope that is lighted to go through a small incision, which then allows doctors to operate within the area without having to make a large incision. There is one incision made for the laparoscope as well as an additional 2-3 incision made to provide access for the small, specialty surgical instruments that are used in each procedure.

When it comes to finding a top-quality gynecologist Raleigh patients have a lot of different options to choose from. Even though there are hundreds of different options, the residents of this North Carolina community can definitely find advantages to working with a laparoscopic surgeon for any procedures that they may need performed. When it comes to something as sensitive as gynecology, having the right doctor can make all the difference. You should take the time to explore your options and find the best provide, regardless of whether you need laparoscopic procedures or if you are just looking for someone to prescribe birth control like Essure .

If you have heavy periods, you might be looking for relief from a gynecologist, as well. If that's the case, you should ask your doctor about HerOption , which is an ablative procedure that helps eliminate the heaviness of menstrual bleeding through a simple, minimally invasive procedure. There are so many different ways that the right gynecologist can help you get the relief that you need, regardless of the issues that you might be having. You just have to take the time to find the right doctor for your needs, no matter what those might be.

From laparoscopic procedures to birth control and other female reproductive health issues, a gynecologist is the person that can take care of it all. In Raleigh, there are hundreds of different providers to choose from. However, it will be entirely up to you to make sure that you find the right doctor for your needs. This is a sensitive subject for many women, which is why finding a doctor that you feel comfortable with and that you can trust makes all the difference in the long run. Keep these things in mind and your search for a doctor and experiences with them will be that much better in the end.

Female urinary incontinence is a common problem that affects up to 50% of the adult female population.  Many women who have bladder leakage put up with the constant discomfort and embarrassment of urinary leakage and avoid seeking treatment. But with the proper medical diagnosis and evaluation, urinary incontinence problems can be treated and significantly improved.  The two most common types of urinary incontinence are overactive bladder and stress urinary incontinence.

I. Overactive Bladder:   The common symptoms are bladder urgency, frequency, and nocturia (going to the bathroom multiple times a night). Sometimes the urgency is so strong that you have urge incontinence (involuntary leakage of urine with the desire to urinate). The first option is simple dietary changes, lifestyle improvements, and bladder retraining.  Here are some recommendations:

These various overactive bladder treatment options will help to regain control of bladder function and improve one's daily activities. If conservative measures fail, then your physician will recommend medications (e.g. Detrol, Ditropan, and others) to improve one's bladder control.  These medications help relax the bladder muscles and suppress the bladder spasms, thereby decreasing the urge sensations.  And in the severe cases of refractory overactive bladder in which all medications and conservative bladder retraining methods have failed, then the other options are bladder electrical stimulation like Uroplasty and Interstim (by Medtronics).

II. Stress Urinary Incontinence:  Another type of incontinence is stress urinary incontinence. The most common symptoms are leakage of urine with coughing, laughing, or sneezing.  At other times, urinary leakage can occur from walking, running, jumping, or lifting things. The recommended first line of urinary incontinence treatment is conservative Kegel exercises.  Kegel exercises are pelvic floor muscle exercises that strengthen the muscles around the bladder neck and improve the bladder support, thereby decreasing the amount of leakage.

What happens if I have tried the Kegel exercises for a few months and I still have leaking?  The next option is surgical treatment with a TVT (Tension-free Vaginal Tape) sling or TOT (Transobturator Tape) sling. This procedure is a simple outpatient surgical option, with minimal postoperative discomfort, and a quick postoperative recovery (less than one week).  The success rate of this bladder sling is excellent with a cure rate of approximately 90-95%.

For more information on urinary incontinence and the various treatment options visit your local laparoscopic gynecology specialist.

The study cites many reasons given by both men and women for putting child-rearing on the back burner. First on the list of reasons women choose not to have children is career. Despite steps toward equality of genders, study after study show that women make less than men and are looked at as a liability from bosses because of the time off and distractions required to raise children. Also, even in a household where both parents work, it is often reported that the woman does a disproportionately higher amount of housework than her male partner.

Both men and women cite economic stress as a main factor in not having children. For those who see the stress and financial hardship of close friends and relatives trying to get by with young ones, it turns into a decision not to lead the same kind of life. Still others would rather retain their freedom to travel or live an adult lifestyle not especially suited to the stability a child requires. In order to live a childless life, more and more young couples are turning to permanent birth control methods.

There are a few methods of permanent birth control, also known as sterilization. An exciting advancement in permanent birth control for women is the invention of Essure. Essure is a form of hysteroscopic sterilization. For many gynecological surgeons in Raleigh Essure is the recommended form of permanent birth control. During the procedure Essure tubes are inserted into the fallopian tubes through the body's natural pathways. Unlike former sterilization methods, there is no surgical cutting, and the fallopian tubes remain intact. Essure is also the only permanent birth control method with zero pregnancies in clinical trials. The procedure is fast, taking less than 15 minutes, and can be completed without hormones or anesthesia. In fact, women who undergo the procedure often return to work on the same day! Side effects are often comparable to PMS symptoms, and include cramping, nausea, or dizziness. These symptoms, if experienced, tend to go away within hours of the procedure.

Other forms of permanent birth control for women include tubal ligation. Generally when performing this minimally invasive laparoscopic surgery Raleigh surgeons use general anesthesia then make small inserts near the belly button to get into the reproductive area and destroy of the fallopian tubes. Side effects of this procedure include a bloated abdomen and sharp pains in the neck and shoulders due to the gas used, cramps, discharge, and pain. Also, fallopian tube pregnancies are still a risk with the tubal ligation method.

According to studies, 10 to 30% of females are prone to abnormal uterine bleeding at some point in their life. Abnormal uterine or menstrual bleeding refers to any bleeding from the vagina, other than the normal menstrual period. Heavy menstrual bleeding also known as menorrhagia can fall into the category of abnormal menstrual bleeding, even though the bleeding is the part of the menstrual cycle. If you have to go through more than one tampon or pad every two hours, then your period is considered abnormally heavy.

 

Abnormal Uterine Bleeding Causes:

 

Abnormally heavy periods can be attributed to a wide range of factors. Only a doctor can properly diagnose and prescribe treatment for these causes.

The cause of abnormal heavy bleeding is discovered through a combination of medical tests. These tests include blood sample analysis, tissue biopsies, hysteroscopy, and a pelvic ultrasound. A hysteroscopy refers to the use of a small telescope attached to a video camera to view the inside of the uterus.

 

Common Treatment Options:

When it comes to women's health issues, it could be complicated. However with recent strides in research and development, there have been many advances as regards treatment of women's health-related issues. As an example, when it comes to birth control, a woman has several options. One such is Essure . Trusted by women, this is a permanent birth control procedure that prevents pregnancy. The whole procedure takes just about 10 minutes. It is 99.8% effective, however, you have to be user that you do not want children in the future since this is not a reversible procedure.

Other gynecological problems or conditions are being treated with cryoablation. Cryoablation uses sub-zero temperatures to reduce or eliminate the endometrium (uterus). One common issue related to endometrium is unusually heavy bleeding during periods. Doctors call this condition abnormal uterine bleeding (AUB) or menorrhagia. The good news is that HerOption endometrial cryoablation offers a safe, effective and comfortable treatment of this condition right in the doctor's office.

Every year, many women go through hysterectomies or the surgical removal of their uterus. Within the US, this is the second most common, major, gynecological operation performed on women, and for the most common reason, fibroids. There are different types of hysterectomy - total hysterectomy, subtotal hysterectormy, supracervical hysterectomy etc. Laparoscopic hysterectomy is a relatively new surgical procedure that allows the uterus to be detached from inside the body by laparoscopic instruments while the doctor is viewing the uterus, tubes and ovaries through a camera attached to a telescope. One advantage is that the incisions are smaller and much less uncomfortable compared to abdominal hysterectomy.

As women age, the muscles and ligaments supporting a woman's pelvic organs naturally weaken and sometimes the pelvic organs can slip out of place which is medically referred to as prolapse. The normal support is lost. Most of the symptoms are diagnosed during the routine physical examinations of women. Also not many women actually are aware of this condition or medical implications. This condition, called, pelvic organ prolapse , can worsen over time and may need surgery to fix it. There are different types of pelvic organ prolapses. Some women develop vaginal prolapsed, usually after menopause, childbirth or a hysterectomy. Others may develop bladder prolapse, rectal prolapse, uterine prolapse, small bowel prolapse. With so many treatment options available, women no longer need to worry about their health issues.

All women feel some pain or discomfort in the lower abdomen from time to time, for instance, before or during menstruation. In most cases the pain is familiar, however when the circumstances change it may be difficult to identify the cause(s) of the pain. Noting certain features about your discomfort however may help you and your doctor come to a likely diagnosis.

In Raleigh Gynecologists regularly treat pain related to the urinary system which can indicate such conditions as cystitis (inflammation of the bladder), inflammation of the kidneys (pyelonephritis), kidney stones, or uncommonly tumors.

Usually kidney stones are associated with severe pain. The possibility of infection is often increased by the presence of blood in the urine or could even signal a bladder or kidney tumor. The presence of blood in the urine always requires further investigation and should be reported to your doctor immediately. You should also take note of the duration of the pain. That could also help doctors in finding the correct diagnosis.

Sometimes uterine fibroids are the cause of pelvic pain, in addition to heavy or irregular uterine bleeding. Uterine fibroids, also called leiomyomas, are noncancerous tumors of the uterus (less than 1% are cancerous). Fibroids are the most common solid pelvic tumor in women. They are usually detected in women in their 30's and 40's. After menopause, fibroids may shrink due to lack of estrogen.

Surgery for uterine fibroids may involve removal of the fibroids (myomectomy) or removal of the uterus ( hysterectomy). If myomectomy is chosen, the surgery may be performed by laparoscopy, hysteroscopy, or through an open abdominal incision. Removal of a submucosal fibroid is performed using advanced hysteroscopy. Usually, a small wire acts as a scalpel to shave pieces of the fibroid until it is completely removed. Intramural fibroids may be removed using the laparoscope or hysteroscope. 

In Raleigh Advanced laparoscopy allows removal of subserosal fibroids while minimizing the size of abdominal incisions. If the surgery is performed laparoscopically or hysteroscopically the patient will usually go home the day of surgery. If a larger abdominal incision is made, patients will often stay overnight. There is a recurrence risk with myomectomy unlike hysterectomy.

Acute and sudden pains are always worrying but chronic pain can also have serious implications and a doctor should be consulted. Your doctor will ask you a few routine questions about periods, passing of urine and bowel movements. They might also ask about other symptoms including episodes of nausea, vomiting, or fever. If appropriate, they may also ask questions concerning your personal life - family, friends, work - and your sex life.

Most likely, after the Q&A your doctor will need to examine you. This will involve feeling your abdomen and, in addition, an internal examination (vaginal, rectal or sometimes both) may be necessary. Further investigations or treatment will be based upon the description of the pain and the findings of the doctor's examination.

Your doctor may deem it necessary to acquire a urine sample to test for any signs of infection.

If a kidney problem is suspected than an ultrasound scan of the kidneys and bladder will be arranged. It is important to ask your doctor questions and be completely truthful during his or her examination. This can help in determining the cause of your pelvic pain and is essential to finding the appropriate treatment.

Many women are faced with the decision to undergo a hysterectomy. Suffering from heavy periods, fibroids, endometriosis, or other types of discomfort can lead a gynecologist to suggest traditional abdominal surgery. What many women don't know is that there are less invasive options which may be considered.

 

600,000 hysterectomies are performed in the U.S. annually. While upwards of 80% are abdominal surgeries, they could be done as laparoscopic or vaginal hysterectomies, doctors say. A laparoscopic hysterectomy is much less invasive, meaning that the recovery time is much less than traditional more major surgeries. 

 

A traditional abdominal hysterectomy involves a large incision through the abdominal wall. Much anesthesia and pain medication is needed, and the recovery time is approximately 6 weeks. Some Hysterectomy Raleigh patients may also look to vaginal or laparoscopic-assisted vaginal hysterectomy (LAVH). Only certain types of women can undergo this type of surgery, but it is also less invasive than the traditional abdominal surgery. Recovery time is approximately 2 weeks.

 

In Raleigh laparoscopic hysterectomy , or total laparoscopic hysterectomy as it is often referred, is becoming more and more popular. This type of surgery is done by a specialized and highly trained gynecological laparoscopic surgeon and involves only small "keyhole" incisions in the abdomen. There is minimal pain and recovery time is often less than 2 weeks.

 

Aside from the quicker and less painful recovery, the advantage of laparoscopic hysterectomy is that nearly all women are candidates. One factor to consider, however, is the cost. Because it takes a much more skilled surgeon, there are less garden-variety gynecologists available to perform the surgery. That is why it is important to find the right surgeon - one who is experienced in several types of laparoscopic and gynecological surgery and is open and honest with you about all the options available.