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Health Issues
There are a wide range
of health issues your gynecologist can help you with.
Midtown Gynecology provides healthcare services for
all of the issues below and more.
Abnormal Bleeding
Also known as dysfunctional uterine bleeding, irregular menses and/or anovulatory bleeding. Evaluation or assessment of bleeding abnormalities and resolution of problems are obtained via physical evaluation, blood test, radiolgic imaging and more
Adolescent
Physical, emotional and hormonal changes can be unique to individuals
in this age group. A variety of concerns usually arise during this
phase of life.
Birth Control
Contraceptive management includes a diverse array of options
such as oral contraceptive pills, patches
(orthorevra.com),
injections
(www.depo-provera.com/),
vaginal rings
(www.nuvaring.com),
diaphragms,
intra-uterine devices
(www.paragard.com &
mairinamedical.com)
and more.
Breast Pain
Fibrocystic breast disease is the most common cause of painful,
lumpy breasts. This phenomenon worsens before menses
(www.nwhn.org).
A variety of natural remedies and prescription medication is
available to alleviate this problem.
Cervicitis & Vaginitis
Inflammation or infection of the vagina or cervix. Symptoms often
include discharge, odor, or irritation. Ph balance and microbiology
cultures are important tools to aid in the diagnosis and ultimate
treatment of a variety of infections.
Colposcopy
A procedure to evaluate the surface of the cervix,
vagina and vulva for visible signs of precancer changes.
Tissue samples (biopsies) are then obtained and sent to
a pathology laboratory
(questdiagnostics.com,
www.med.nyu.edu)
for microscopic evaluation and diagnosis. Colposcopy is generally done in response to abnormal pap test results.
Fibroids
Abnormal balls/lumps of muscle which grow from
the uterus, and less commonly, from the cervix.
Also known as fibroid tumors, leimyomas and
myomas, they are very common in women in
their 30s & 40s. Surprisingly they need
not be treated in most cases. However,
medical and surgical options for the management
and treatment of discomfort and bleeding
issues due to fibroids is available.
Menopause
Cessation of menstruation by natural or
surgical means. Physical and emotional signs and
symptoms of menopause can often be overwhelming
and unbearable. Natural therapies and prescription medications
can be used to address such issues and help
to alleviate many menopausal side
effects.
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Ph balance and microbiology cultures are important tools to aid in the diagnosis and ultimate treatment of a variety of infections.
Pap Smear
A screening test for cervical cancer. The liquid based evaluation is
more accurate than the traditional glass slide. In fact studies
report an approximately 80-90% accuracy in identifying
precancer cervical changes (according to www.thinprep.com).
Additionally the laboratory is able to test the pap smear liquid for the presence of HPV (Human Papilloma Virus) which can indicate an increased susceptibility to genital warts and precancer cervical changes.
PMS
Premenstrual Syndrome (PMS) is a term used to describe physical and emotional changes which can occur up to two weeks before your menses. Natural/herbal remedies often lessen the severity of such changes as
can prescription medications.
Fibrocystic breast disease is the most common cause of painful, lumpy breasts.
Polyps
Cervical polyps are abnormal balls of blood vessels.
The cause of cervical polyps is not entirely understood.
They are frequently the result of infection or long term (chronic)
inflammation. They can also result from an abnormal response to estrogen
levels or congestion of blood vessels in the cervical canal.
The most common symptom is abnormal bleeding.
Diagnosis and treatment of cervical and uterine (endometrial) polyps
is paramount to ease discomfort from the associated symptoms
and to prevent possible malignant (cancerous) transformation.
There are natural and medical therapies to help ease or relieve [painful periods]...
STI & STD
Sexually transmitted infection/diseases, also known as venereal diseases
can also be silent infections. Evaluation, diagnosis and treatment regardless
of how the infection presents is important in order to prevent possible long term health complications. Infections such as Hepatitis B, Herpes,
HIV, Syphilis, Gonorrhea, Chlamydia, Genital Warts and Molluscum. See also:
Pap Smear.
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Painful Periods
Dysmenorrhea, painful menses, is often severe enough to limit normal
activities. It may or may not be accompanied with excessively heavy
bleeding (aka menorrhagia). Some cramps during menstruation are
common, but any degree of pain need not be endured.
There are natural and medical therapies to help ease or relieve
Dysmenorrhea.
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Primary Dysmenorrhea is menstrual pain occurring in healthy women.
Secondary Dysmenorrhea is menstrual pain that is attributed to an
underlying disease, process or structural abnormality.
Possible abnormalities include adenomyosis, abdomino-pelvic adhesions,
endometriosis, fibroids, pelvic inflammatory, retroverted-uterus.
Endometriosis is the most common cause of secondary dysmenorrhea,
yet it is often overlooked or misdiagnosed.
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Release of prostaglandins
and other inflammatory mediators in the uterus (womb) is thought to be
the inciting agent in primary dysmenorrhea. Prostaglandins levels have
found to be elevated in women who experience severe dysmenorrhea. Relief
may be provided with natural/homeopathic supplements, exercise regiments,
or by medications which inhibit the production of prostaglandins
such as ibuprofen, mefenamic acid and naproxen.
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>> How to Choose a GYN...
© 2006. The Midtown Gynecology Web Site does not provide medical advice,
diagnosis or treatment.
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