- Abnormal Uterine Bleeding
- Abnormal PAP Smear
- Birth Control
- Hormone Therapy
Abnormal Uterine Bleeding
Many causes exist for this condition. Therapies vary based on the cause and include medical and surgical therapies. We strive to exhaust medical therapies first but sometimes we recommend surgery first especially when fibroids or polyps are the cause. We would be happy to address your abnormal bleeding as we understand this affects your life to varying extents.
When your family is complete, and you are sure you do not want more children, sterilization is a good choice. Recently, surgical sterilization has become a very safe and effective form of permanent contraception. Essure has changed the way we do things and is now performed in the office with little to no anesthesia, without incisions, and is the most effective and permanent form of sterilization. We do offer laparoscopic sterilization but we certainly do not recommend it unless there is a reason we cannot perform the Essure sterilization.
Abnormal PAP Smear
Sometimes your PAP will be abnormal. This means you have been exposed to the human papilloma virus, the most common viral infection that is sexually transmitted. There are vaccines now available for girls and women between the ages of 9 and 26 to help prevent this infection and hence decrease your risk for developing cervical dysplasia and possibly even cervical cancer. If your PAP is abnormal, we will likely offer you a colposcopy which is a microscope like device to magnify your cervix so we can see if your infection needs further follow-up or not. This is a very important procedure because it will give us information so that we can prevent your infection from causing cervical cancer. If the colposcopy is abnormal, we will then proceed to a minor office procedure to remove the abnormal cells.
There are many forms of birth control but we highly recommend LARC (long acting reversible contraception) as the first choice for most woman. The IUD (Paraguard and Mirena) as well as Implant (Implanon) are the ones most commonly used. Both are placed right in the office and are tolerated very well in general. Other forms of birth control include pills, patches, rings, condoms and depoprovera shots. These all are great options but ask us about the IUD and implanon, you will be very satisfied with either.
Osteoporosis is often overlooked by many OBGYN and primary care physicians. Here at University Park OBGYN we have you covered. There are clear guidelines for monitoring osteoporosis and many effective ways to treat it. Our goal is to do our best to prevent it in the first place. If you did develop osteopenia or osteoporosis we will discuss daily, weekly, monthly or sometimes even yearly treatments.
Many women experience excessive symptoms when they reach menopause and seek therapy for those symptoms. We are here to help with that as well. There are many benefits to hormone therapy but there are also some risks and some women should avoid it. When you visit us we will discuss the risks and benefits of therapy pertaining specifically to you as no two women are alike. We have many options to treat those symptoms, some systemic, and some local to the problem you are having.
Myths and Facts
There are a lot of resources out there especially on the internet the are willing to offer advice on your care and what you medical needs are. We here at University Park OBGYN offer you something much better, the truth about your care and the recommended guidelines to be followed to insure you have the best preventive medical care possible. Some of the following are the most common we hear:
1. I do not need to see an OBGYN every year
This is a myth, mostly anyways. Once a woman reaches her reproductive years she should establish care with an OBGYN. In those adolescent years if she is sexually active a yearly visit is prudent to establish birth control and STD screening. All women aged 21-30 should receive yearly PAP smears as well as a complete annual exam. After 30 years while PAP smears may be done less frequent, you should still be seen yearly for the rest of your well woman care. Once you reach a certain age, PAP smear screening can stop with a few exceptions, usually about 70 years old. These are nationally accepted and recommended by the American Congress of Obstetrics and Gynecology (ACOG).
2. I can’t take medications when I am pregnant
Of course this is false. Most medications are safe in pregnancy, but some are not. It is a very short list of medications that are absolutely contraindicated but you will know if you are taking those. We will provide a list to you when you come in for a new prenatal, or any other time you desire. It is best not to take medications but that does not mean it is unsafe.
3. OBGYN is a complex medical specialty
This is true. OBGYN physicians are specialized in the care of woman, both pregnant and non-pregnant, as well as sick and healthy women. We are trained in office care, obstetrical care and gynecological care. As a generalist OBGYN, we can care for a wide variety of illnesses and problems but we do have some subspecialists in OBGYN with extra training for the highest risk pregnancies as well as cancer services and infertility. We will call on our colleagues at times for consultation when deemed necessary.