Posts for category: OBGYN
Treating Irregular Periods
Irregular periods are common when you first start menstruating. It’s common for them to be early or late, but as you get older, your menstrual cycle should become more regular, with the average length of the cycle lasting 28 days.
You have chronic irregular periods if:
- The length of your menstrual cycle keeps changing
- Your periods are coming early or late
- You experience severe abdominal pain and very heavy bleeding during your period
There are many causes of irregular periods, including:
- Puberty, pregnancy, or menopause
- Contraceptive measures including the pill or intrauterine device
- Extreme weight fluctuations, excessive exercise, or stress
- Medical conditions including thyroid issues, endometriosis, uterine fibroids, or polycystic ovary syndrome
You should see a doctor if:
- Your periods are suddenly irregular and you are under age 45
- Your periods are more frequent than 21 days
- Your periods are less frequent than 35 days
- Your periods last longer than 7 days
- You have severe abdominal pain and heavy bleeding with your periods
- You are trying to have a baby, but you have irregular periods
There are several ways to treat irregular menstruation. The first step is determining what is causing it. If it is due to a medical issue like thyroid problems, medication or treatment of the underlying condition is vital. Additional treatment measures include:
- Losing weight, if irregular menstruation is due to being overweight
- Hormonal therapies, including birth control to regulate menstruation
- Surgical therapy, if irregular menstruation is due to uterine fibroids or other structural issue.
There is also a 5-year intrauterine device known as Mirena, which can lessen bleeding. It also works as a contraceptive. Your doctor can help you decide which treatment option is best for you.
Irregular menstruation may be self-limiting, but it may go on for months or years. It can affect your life, especially if you are trying to get pregnant. It can also be a sign of a serious underlying condition. It’s important to seek out your doctor to find the cause, protect your health, and give you peace-of-mind.
Hysterectomy—it's a word that many women seem to fear. However, this surgery helps many patients with chronic gynecological issues that are unsolvable via medications or other less invasive therapies. At CornerStone MD in Dallas, TX Dr. Carolyn Ross Riley performs hysterectomies using the latest in diagnostic, imaging, and surgical techniques. Read below to find the answers to all your questions about this common procedure, and call Cornerstone MD if you are interested in undergoing treatment.
1. What is a hysterectomy? A hysterectomy is a serious gynecological surgery which removes a woman's reproductive organs—i.e. the uterus and, if necessary, the ovaries and Fallopian tubes.
2. Why would a woman need a hysterectomy? A hysterectomy is recommended when a woman has a prolapsed uterus, extreme pelvic pain, heavy bleeding, uterine fibroids, endometriosis, or cancer of the uterus or cervix (the neck of the uterus).
3. Is the surgery reversible? A hysterectomy is not reversible. As such, Dr. Ross Riley will not perform the procedure on a young woman in her childbearing years unless there is a cancer diagnosis or other very serious medical condition which cannot be addressed with other treatment options.
4. How does it affect fertility? A hysterectomy renders a woman infertile.
5. How long does recovery take? Depending on the procedure's specifics, recovery takes up to 8 weeks. Hospital stays depend on your procedure as well.
6. What are the side effects of a hysterectomy? Constipation and minor incontinence are temporary side effects, and many patients have a vaginal discharge for several weeks afterward. Vaginal dryness is very common, too,
7. What is surgical menopause? It is a major side effect of hysterectomy when performed on a woman who has not yet reached menopause. Symptoms include hot flashes and vaginal dryness as are typical of menopause reached naturally.
8. How common is this surgery? The Women's Health division of the Illinois Department of Public Health says that about one third of American women undergo hysterectomies by the time they turn 60 years of age
9. What's the best source of information about hysterectomies? Dr. Ross Riley and her team encourage their prospective hysterectomy patients to be well-informed about this surgery or any women's health topic. They are very willing to answer the questions that you have so you feel comfortable and well-prepared for your operation.
Have More Questions? Call our Dallas Office Today!
At CornerStone MD, you'll receive the latest in women's health care with a compassionate touch. If it's time for your routine examination and pap smear, or if you have health concern which needs attention, please contact our Dallas office for an appointment: (469) 801-8480.
Why Would a Hysterectomy Be Necessary?
Do you need a hysterectomy? Hysterectomy is the second most common surgery among women in America. A hysterectomy is a surgical operation to remove a woman's womb, or uterus. The uterus is where a fetus develops when a woman is pregnant. Women undergo a hysterectomy for different reasons. Read on to learn about the conditions that may be treated by hysterectomy.
Cancer- You have invasive cancer of the cervix, uterus, vagina, fallopian tubes, or ovaries. Hysterectomy is often medically necessary and lifesaving when patients are diagnosed with invasive cancer. The procedure may involve removing the uterus, fallopian tubes, and ovaries. The type of hysterectomy performed depends on your situation.
Uterine Fibroids- Uterine fibroids are treated by a hysterectomy. Uterine fibroids are benign growths in the uterine wall. In some women, they can cause long-term heavy bleeding and pain. Your doctor may try other procedures, like endometrial ablation or myomectomy, before a hysterectomy.
Heavy Periods- Infection, changes in hormone levels, or cancer can cause heavy periods. Some women lose a large amount of blood during their periods. They may also experience other symptoms, such as stomach cramps and pain. For some patients, the symptoms can have a significant impact on their quality of life. In some cases, removing the uterus may be the only way of stopping heavy or prolonged vaginal bleeding.
Uterine Prolapse- Uterine prolapse, which is a sliding of the uterus from its position into the vaginal canal. If uterine prolapse is severe, your OBGYN might recommend a hysterectomy. Talk with your healthcare provider about all your treatment options to be sure you understand the benefits and risks of each so that you can choose what's best for you.
Endometriosis- Endometriosis occurs when the tissue that lines the uterus grows on other pelvic organs, such as the ovaries. This can cause bleeding between periods and severe pain. While there's no cure for endometriosis, many women undergo a hysterectomy to alleviate intolerable symptoms of the disease.
Today, thanks to advances in technology, a hysterectomy is much less invasive which means a faster recovery time. Talk to your healthcare provider about how a hysterectomy might improve your symptoms. Hysterectomy has improved the lives of millions of people. And it can do the same for you.
If you are having trouble conceiving it’s important to turn to your OBGYN for help.
While it isn’t a topic that a lot of people feel comfortable talking about, at some point, it’s important to acknowledge that you and your partner are having trouble conceiving. Given the significance of the topic, it’s important to know when to see a doctor for an evaluation.
When should I visit an OBGYN?
At some point you may be wondering whether or not you should seek a consultation with a fertility doctor. Here’s when you should,
- If you are under the age of 35, have been trying to conceive, and haven’t used birth control for over 12 months, then it’s time to schedule a consultation
- If you are over 35 and have been trying to actively conceive for six months, you should get evaluated right away
What will happen during my appointment?
Your OBGYN will first want to make sure you are ovulating, which every woman can easily figure out on her own by charting her basal body temperature for a few months. This may provide some answers as to why you are having trouble conceiving.
Fertility testing may also be recommended. During this appointment, we will go through your medical history and talk to you about different tests such as an ultrasound, blood work, and physical exams for both partners, which can provide the information we need to figure out why you are having trouble getting pregnant.
Once testing has been completed we will be able to make a definitive diagnosis as to why you and your partner are having difficulty conceiving. Even if we aren’t able to find anything wrong, you can still receive fertility treatment to improve your chances of getting pregnant.
What are my fertility treatment options?
The most common types of fertility treatments include,
- Medication (to help your body release one or more eggs each month)
- In-vitro fertilization (IVF)
- Surgery (to fix defects, remove fibroids, treat PCOS, etc.)
If you and your partner are having trouble conceiving, it’s best to have these concerns addressed as soon as possible. Many women go on to have healthy, happy babies with the help of their obstetrician. Call your doctor to learn more about the fertility treatment options available to you.
The Importance of a Pap Smear
A pap smear, also known as a Pap test or cervical smear, is a routine procedure done at your gynecologist’s office to detect any irregularities in and on the cervix. The name comes from an abbreviation of the inventor’s name, Greek doctor Georgios Papanikolaou, and this test has been performed since 1923. It is currently the most common form of cervical screening in the United States.
What Are Pap Smears?
Pap smears are procedures done in-office and are performed by a doctor on an exam table. The vaginal opening is expanded with a tool called a speculum, and cells are then collected from the outside of the cervix using a tool called a spatula, which is very different from the one you may have in your kitchen. This procedure only takes a few minutes, and is very important for female health. Some patients report mild cramping during or immediately after the test, but it is usually very brief.
The collected cells are transferred to a glass slide and are examined under a microscope. The reason for this test is to identify any pre-cancerous conditions, most of which are caused by the human papillomavirus (HPV). These results can usually be used to diagnose other cervical problems and can take a week or two to come back.
A Pap smear is recommended for women to get every three years starting at age 21 until 65, barring any pre-existing conditions or any atypical results; those cases may call for more frequent testing. Regular Pap smears can reduce fatalities caused by cervical cancer very significantly, granted that patients with abnormal results follow their doctors’ treatment recommendations.
Be sure to stay up to date with your Pap smears and call your gynecologist with any questions!