Many women undergo hysterectomies every year to remove part or all of their reproductive organs. The reasons vary from uterine fibroids, endometriosis, uterine prolapse, and other disorders. There are many different ways of performing a hysterectomy, although more women than ever are undergoing minimally invasive operations, such as the revolutionary new incisionless single-site hysterectomies. These procedures are robotically assisted for greater precision. A single 2-centimeter incision is made in the bellybutton, through which the entire uterus is removed in sections. Patients awaken to a shorter recovery time, less pain, and a lower risk of post-surgical complications.

Did you know…

that hysterectomy is the second most commonly performed operation among women of reproductive age? As the number of incisionless hysterectomies go up, the number of traditional inpatient procedures have been quickly going down. In fact, the rate of inpatient hysterectomies in the U.S. was just 3.3 women per 10,000 in 2008 compared with 4.6 per 10,000 in 2002.

Frequently Asked Questions

Am I a candidate for incision-less single site hysterectomy?

Only your doctor can tell you if incision-less bellybutton hysterectomy is for you. However, you may qualify if you have an indication for hysterectomy and are interested in making a faster recovery. For more information about this procedure, contact our office to schedule a consultation.

What should I expect during a minimally invasive hysterectomy procedure?

Incision-less hysterectomies are typically performed in a hospital while patients are under general anesthesia. You will be asleep for the procedure, during which time a small incision will be made into your abdomen through your bellybutton. Your surgeon will insert a scope that reveals the surgical site in great detail. The robotic system is controlled by your surgeon at all times. Your doctor will remove the uterus in sections and then stitch the incision site.

What is the recovery like following this operation?

Recovery after minimally invasive hysterectomy is far less complicated than traditional surgical hysterectomies. Most women can go home the same day as their procedures, making a near-complete recovery in just days instead of weeks. Because the incision site is so small, there is very little risk of infection or other complications following the operation.

Source:

American Congress of Obstetricians and Gynecologists: 2011 Women’s Health Stats and Facts

http://www.acog.org/~/media/NewsRoom/MediaKit.pdf

Robotic surgery is changing the way gynecologic surgeons operate on patients around the world, and now this revolutionary technology is available to women too. This innovative technology is performed using a highly advanced machine that contains several robotic arms controlled by the surgeon. A few tiny incisions are made, through which the surgeon moves the robotic arms, including one that holds a camera. Surgeons are afforded enhanced visibility throughout the procedure, as well as robotic ‘arms’ that perform with smoother mobility and greater rotation than the human wrist and hand. The result is better accuracy, less bleeding during surgery, and minimal scarring for the patient.

Did you know…

that robotic surgery is rapidly becoming the standard for minimally invasive gynecological procedures? In fact, there have been more than 1.5 million robot-assisted surgeries worldwide in the past 10 years alone. And despite its name, robotic surgery is still 100 percent controlled by a patient’s physician – not a robot. Robotic surgery does not take the place of a surgeon – it makes a surgeon better.

Frequently Asked Questions

What types of operations are eligible for robotic surgery?

Robotic surgery can be used as an alternative to open surgery or laparoscopic surgery to treat women with a number of conditions. In fact, robotic surgery is an effective alternative for a number of highly complex surgeries. You may be candidate for robotic surgery if you are facing an operation for uterine fibroids, endometriosis, heavy menstrual bleeding, gynecologic cancer, or pelvic prolapsed. Call our office for more information or to schedule a consultation today.

What happens during gynecologic robotic surgery?

Robotic gynecologic surgery is performed in a hospital or surgical center under general anesthesia. During the procedure, you will lie on a table beneath the robotic device. Nearby, your surgeon will be commanding every move of the robotic arms, through a few small abdominal incisions. A camera will be transmitting live three-dimensional imaging to your surgeon that can be magnified as needed. The robotic arms imitate the motions of your doctor’s hands, only with a greater precision you will be sent to recovery.

What is the recovery period like after a robotic surgery?

The experience women have after robotic surgery is far different than that of women who undergo open surgery. Robotic-assisted operations generally require less time in the hospital after surgery, not to mention a much shorter recovery period and lower risk of complications. However, there is always a risk of complications, so talk with your doctor about whether robotic gynecologic surgery is right for you.

Non-Surgical Weight Loss

Many North Americans struggle with weight loss, whether the scale just won’t budge or fluctuates up and down like a yo-yo. Diet and exercise are an excellent start to a healthy weight, but sometimes stubborn pounds need an extra boost to keep them from hanging on. Our office offers medically supervised weight loss in that helps our patients achieve healthy weight goals using advanced methods that have been proven to work time and time again.

Did you know…

that more than 35 percent of American adults are overweight? According to an estimate from the Centers for Disease Control, obesity is directly responsible for more than $140 billion in medical costs each year – primarily for the treatment of weight-related diseases like heart disease, type-2 diabetes, and stroke. Losing just 10 to 20 pounds can lower blood pressure and cholesterol, alleviate chronic pain, and reduce cancer risk – not to mention improve the quality of life…

Frequently Asked Questions

Am I a candidate for non-surgical weight loss?

You may be a candidate for non-surgical weight loss if your previous attempts to lose weight have been unsuccessful. Contact our office to schedule a consultation and find out more about our treatment options for overweight and obese patients.

What should I expect during a non-surgical weight loss program?

We take a multifaceted approach to helping our patients lose weight. We always begin with nutritional counseling and lifestyle modifications that help increase cardiovascular output, lower stress, and improve sleep – all factors that can aid in healthy weight loss. Additional interventions are necessary on a case-by-case basis. For example, some patients are struggling with weight loss due to nutritional imbalances or skipped meals. Others may be facing hormonal imbalances that pack on the pounds. Our treatment options help break through weight loss barriers and turn the body into a fat-burning machine.

What types of results can I expect after completing a non-surgical weight loss program?

Weight loss outcomes vary from patient to patient and treatment carries no guarantee of results. However, patients who are a part of a medically-personalized weight loss program are more likely to obtain significant long-term results than those who attempt to lose weight using diet or exercise alone.

Nutritional Counseling

Nutritional counseling  is for everyone, young and old. It is more than just patient education – it is a life-changing opportunity! Based on an evaluation of food patterns and health goals, a plan is established to correspond with nutritional objectives in a healthy and medically-supervised way. Whether you are an athlete driven to maximize your performance or in search of a healthful means of losing a few stubborn pounds, professional nutritional consultation services can help you reach your aspirations and even surpass your expectations.

Did you know…

There are many known benefits of following medical nutritional advice:

  • Better skin and hair
  • Better sleep
  • Increased energy
  • Mood balance
  • Fewer headaches and migraines
  • Lower blood pressure
  • Lower risk of developing systemic disease
  • Less joint pain
  • Faster path to physical fitness
  • A healthier lifestyle overall

Frequently Asked Questions

Should I take advantage of nutritional consultation services?

Everyone can benefit from good nutrition. Regardless of where you are at in your health journey, our office can help you optimize your wellness, propelling you into peak physical condition and enlivening you with vigor, strength, and energy.

What should I expect during a nutritional consultation?

A nutritional consultation is a wellness appointment meant to help our staff understand your current nutritional state and establish a foundation to build from. We will ask you questions about your physical health, weight, and history of weight loss or gain. An initial consultation will also evaluate your food preferences and eating habits to determine whether you have any nutritional deficiencies or dietary excess. A nutritional plan will be formulated to help you work toward your health goals. Your plan may be periodically evaluated and modified according to your progress.

What types of nutritional plans are available to your patients?

We are proud to serve our patients with a variety of scientifically proven nutritional services that can aid in weight loss and maintenance, alleviate the symptoms of nutritional deficiency, and even assist in muscle tone. All nutritional plans are individually adapted to address the personal needs and goals of our patients.

Annual gynecological exams are preventative tools available to help women identify and treat complications that pose a threat to their health as early as possible. By getting annual exams, women can also learn to maintain a healthy lifestyle and adopt habits that facilitate long-term health. Exams for women often screen for sexually transmitted diseases and include the administration of vaccinations for common diseases like HPV, hepatitis, and the flu. As women age, annual exams may also include discussions about using hormone supplementation to manage the symptoms of, as well as the use of supplements to prevent osteoporosis.

Did you know…

that your annual gynecological exam is an excellent opportunity to discuss family planning with your doctor? Your gynecologist can offer fertility counseling, as well as education about ovulation and improving your chances of conception. If you are not yet ready to start a family or are finished having children, you can speak with your gynecologist about your options for birth control.

Frequently Asked Questions

Should I get an annual gynecological exam?

The American College of Obstetricians and Gynecologists recommends that you begin getting breast health exams at age 19 and annual pelvic exams with pap smears at age 21. Once your reach age 30, you will still need breast and pelvic exams each year but may space pap smears every two years so long as all previous pap smears have been normal.

What should I expect during my annual exam?

Your annual exam will begin with an assessment of your weight and blood pressure, as well as a discussion of any symptoms or health changes you may have experienced since your last visit. Your gynecologist will palpate your breasts to check for lumps or unusual changes to breast tissue. The pelvic exam will also include a manual and visual examination of the cervix, uterus, and vagina. If you are getting a pap test, your doctor will swab your cervix to check for the presence of abnormal cells.

Will I need to follow any special instructions after my exam is complete?

Your gynecologist will advise you on any changes you may need to make following your exam. For example, you may be advised to modify your diet, exercise habits or the types of supplements you should be taking each day.

Hysterectomies are routine gynecological procedures used to remove a woman’s uterus and sometimes her ovaries and fallopian tubes as well. When the uterus is removed, women are no longer capable of bearing children. They also stop menstruating and if the ovaries are removed, they will also enter menopause.

Did you know…

that by age 60, more than 30 percent of American women have had a hysterectomy? Although hysterectomy rates have declined slightly in recent years, they are still the second most common major surgery performed on women in their reproductive years. According to the Centers for Disease Control, surgeons and gynecologists perform more than 600,000 hysterectomies every year – that’s more than one every minute!

Frequently Asked Questions

Is it possible that I need a hysterectomy?

The decision to get a hysterectomy is one that you will need to make with your gynecologist. There are many reasons why gynecologists recommend hysterectomies for their patients. Some of the most common causes are uterine fibroids and uterine prolapsed, although endometriosis, reproductive cancer, and chronic pelvic pain can also warrant the need for a hysterectomy.

What should I expect during a hysterectomy procedure?

Hysterectomies are major surgery, but advancements in gynecological technology have made the procedure much less invasive. Your hysterectomy may be completed via an incision in your lower abdomen or in your vagina. It may also be assisted by a state-of-the-art robot that is used for greater precision and shorter recovery time.

Prior to the procedure, you may be given a vaginal douche and intravenous antibiotic to lower your risk of developing an infection during the surgery. You’ll be placed under general anesthesia for between one and two hours, eventually waking up with no memory of the procedure.

Will I need to follow any special post-surgical care instructions?

After hysterectomy surgery, your doctor will give you instructions for you recovery period. You’ll be encouraged to begin walking around within just hours of your operation, and you may need to stay in the hospital for supervision for several days. You’ll need to get plenty of rest and avoid lifting heavy objects or children for at least six weeks after your procedure.

Infertility is a condition diagnosed in men and women who cannot conceive a baby together after at least one year of frequent, unprotected sex. Infertility may affect only one partner or it could be a problem stemming from both. Infertility does not always mean that a couple will never have a baby together, but rather that they may need medical assistance in doing so. There are many treatments available to address infertility, many of which produce excellent success rates.

Did you know…

that infertility is very common in the United States? A staggering 10 to 15 percent of couples in America struggle with some form of infertility. But for those couples who seek infertility treatment, the National Institutes of Health report that as many as two out of three go on to have children together.

Frequently Asked Questions

Should I be evaluated for possible infertility?

If you have been trying unsuccessfully to become pregnant for at least 12 months, you may need to be evaluated for infertility. Exceptions are made for women over the age of 35 who have been attempting to conceive for at least 6 months, as well as for women who have irregular periods and/or a history of two or more miscarriages.

What should I expect during my infertility consultation?

Your infertility visit will seek to find the reasons for your inability to conceive. You and your partner will attend together, at which time your fertility doctor will ask you about your medical history and menstruation. You’ll also be asked personal questions about you and your partner’s intimate relationship, such as how frequently you have sex and how long you have been trying to conceive. Additional screenings and tests may also be ordered to determine your ability to conceive individually and as a couple.

What are my options if my doctor finds that my fertility is compromised?

There are treatments available to address many of the most common causes of infertility in both men and women. For example, men may experience increased fertility if they are treated for impotence or given hormones to improve sperm production. Women, on the other hand, have a host of infertility treatment options, including medications and hormone injections that encourage ovulation. Surgeries are also available to remove blockages in the fallopian tubes. More advanced methods of infertility treatment include the use of advanced reproductive technology, such as in-vitro fertilization.

Menopause is a natural part of life as normal as menstruation or having a baby. All women eventually enter menopause though some sooner than later. When menopause occurs, the body stops producing an egg each month during ovulation and menstruation halts. Aside from changes to menstrual cycles, women entering menopause may begin to experience side effects of hormonal changes, such as hot flashes, night sweats, weight gain, vaginal dryness, and thinning hair.

Did you know…

that the average age of onset for menopause is 51 for American women? However, menopause is most likely to occur at any time between the ages of 40 and 60.Some women even go through early menopause, which is menopause that occurs before the age of 40. In extremely rare cases, early menopause can occur as young as a woman’s teens or 20s.

Frequently Asked Questions

Could I be going through menopause?

Perimenopause is the period when menstruation and ovulation is erratic and menopausal symptoms are beginning to set in. Menopause is not said to have occurred until a year has passed since a woman last menstruated. You could be approaching menopause if you are experiencing the symptoms of perimenopause, although this isn’t likely to occur before age 40.

What should I expect from my gynecologist when I am entering menopause?

Your gynecologist will confirm that your symptoms are related to perimenopause or menopause, and he or she will explain the types of symptoms you can expect in the coming months and years. Your doctor may also speak to you about hormone replacement therapy, which can help you manage the hormonal changes that occur as your menstrual cycles stop.

Is there anything that I can do to alleviate the symptoms of menopause?

If the symptoms of menopause are interacting with your day to day life, do not hesitate to speak with your gynecologist about the ways that you can treat or manage issues like sleep disruptions, anxiety, depression, or low energy.

The ovaries are small organs that help regulate the reproductive processes in women. Most women are born with two ovaries – one on each side of the uterus. As the ovaries mature during adolescence, they begin producing hormones and regulating menstruation. The ovaries frequently develop cysts, most of which are non-threatening. However, some women develop ovarian tumors, which may not always be as benign as simple cysts. Tumors require further examination and possible intervention.

Did you know?

There are many types of ovarian tumors. In some cases, these tumors can turn out to be ovarian cancer. Ovarian cancer often produces few symptoms in its earliest stages. There are several factors that may contribute to the chances of getting ovarian cancer. Age and family history, as well as obesity and the use of fertility drugs, can all contribute to your chances of developing ovarian cancer.

Frequently Asked Questions

Could I have ovarian cancer?

Ovarian cancer screenings are not standard preventative care for women. However, you may wish to get screened for the BRCA gene, which has been shown to significantly increase the risk of developing breast, colorectal and ovarian cancer. You should also consider being screened for ovarian tumors if you are experiencing symptoms like chronic abdominal pain or bloating, significant weight gain, loss of appetite, nausea, lower back pain, or difficulty urinating.

What should I expect from my doctor if I suspect that I have ovarian tumors?

Your gynecologist will probably ask you to come in for a pelvic exam, during which time he or she will palpate your abdomen to check for the presence of abnormal growths. In some cases, additional screenings may be ordered, such as an ultrasound or MRI. If a tumor is found, your doctor may remove it during a laparotomy and biopsy it for cancer. If cancer is detected, you may begin a regimen of chemotherapy and radiation to help destroy any remaining cancer cells and prevent new ones from growing.

Is there anything I can do to avoid ovarian tumors?

Yes. In addition to maintaining a healthy weight, you may wish to speak with you gynecologist about birth control. Women who take birth control are less likely to develop ovarian cancer later in life.

Many people dream of having families – usually in a specific time frame. Couples often prefer to plan the timing of their children’s births around work, finances, careers, education and life goals. Some want several children, where as others may want none. Regardless of how many children you want and when you want them, your gynecologist can be your partner in achieving your reproductive goals at every stage of life.

Did you know…

the average woman in America wants only two children? And in the U.S., the average woman chooses to have her first child between 25 and 26 years old? Of course, those are mere statistics and many women decide to begin having children in their early 20s, 30s, or even 40s. But regardless of when an average, healthy female decides to have her children, she’ll spend approximately 30 years using contraceptives or other methods of family planning in order to achieve her goals.

Frequently Asked Questions

Should I speak with my gynecologist about family planning?

You can speak with a family planning doctor as young as 15 and all the way through your reproductive years. Regardless of whether you need help preventing pregnancy or planning it, your gynecologist can help you develop a realistic plan for achieving your goals.

What should I expect during my family planning appointment?

Your family planning appointment will include a review of your medical history and a discussion of your reproductive goals, both short-term and long-term. You’ll probably have a physical exam, which may include a pelvic exam of your reproductive organs. Your doctor will ask about the details of your menstrual cycle and how frequently you have intercourse. Based on that information, he or she will make a recommendation for treatment if applicable.

What types of options are available to me for meeting my reproductive goals?

There is a host of family planning resources available to women and couples who have specific reproductive goals. Examples include oral contraceptives, emergency contraception, fertility treatments, and permanent birth control.

A high-risk pregnancy is a pregnancy that obstetricians believe could have an elevated possibility of developing complications during pregnancy, labor, birth, or the postpartum period. High-risk pregnancies can still be healthy pregnancies, but they do require more medical supervision that normal pregnancies. Women who know they will be at high risk during pregnancy should meet with their obstetricians prior to becoming pregnant and also exercise caution in using assisted reproductive technology, such as in-vitro fertilization.

Did you know…

that approximately 1 in every 10 pregnancies is classified as high risk? However, classification of ‘high risk’ or ‘low risk’ is merely a tool for obstetricians to determine the likelihood of complications. Plenty of high-risk pregnancies have normal outcomes, and some low-risk pregnancies present unexpected complications. Not all problems are predictable, but even with pregnancy challenges, both low-risk and high-risk mothers can experience healthy deliveries and healthy babies.

Frequently Asked Questions

Will I be at high risk during my pregnancy?

There are several factors that can contribute to a pregnancy being classified as ‘high risk.’ Examples include:

What should I expect during a high-risk pregnancy?

If your pregnancy is deemed ‘high risk,’ you can expect more frequent prenatal appointments than women experiencing low-risk pregnancies. You may also be subject to additional screenings, such as amniocentesis, chorionic villus sampling (placental cell screening), and cervical length measurement. These additional screenings can help identify your risks for things like pre-term labor or delivering a child with certain genetic conditions.

Will I need to follow any special care instructions throughout my pregnancy?

Your prenatal care will vary from that of low-risk pregnancies, and it is possible that your obstetrician will make special recommendations for care, such as avoiding exercise or remaining on bed-rest throughout your pregnancy. Be sure to discuss your concerns about your high-risk pregnancy care prior to becoming pregnant or at your initial prenatal appointment.

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