Gynecologic Surgery Minimally Invasive | Baltimore

GYNECOLOGIC SURGERY

GYNECOLOGIC SURGERY SERVICES WE OFFER AT WOMEN’S HEALTH SERVICES OF MARYLAND

In Office hysteroscopy and endometrial ablation, removal of IUD
Hysteroscopic myomectomy, hysteroscopic removal of uterine septum.
Management of abnormal pap smears with colposcopy and cervical biopsy, LEEP, conization procedures.
Diagnosis and treatment of heavy and irregular bleeding and uterine fibroids, endometrial ablation
Birth control / contraceptive counseling, permanent sterilization procedures including laparoscopic tubal ligation.
Nexplanon contraceptive implant insertion and removal.
Management and treatment of bladder pain / interstitial cystitis, cystoscopy
Medical and surgical treatment of ectopic / tubal pregnancy
Laparoscopic treatment of endometriosis
Evaluation and treatment of urinary incontinence, IncontiLase laser treatment for stress incontinence-sling procedures with autologous and synthetic sling.
Fibroids and management of fibroids with minimally invasive options including laparoscopic myomectomy, laparoscopic hysterectomy and vaginal hysterectomy
Treatment of genital warts and excision of vulvar or vaginal lesions
IUD Insertions

PMS Counseling

Premenstrual syndrome, or PMS, is a group of symptoms that are related to hormonal changes due to the menstrual cycle. About 40% have some symptoms of PMS and 7% suffer from severe symptoms.

During the first half of a menstrual cycle, an egg begins to grow and the ovary produces estrogen.

Pelvic Ultrasound

A pelvic ultrasound is a noninvasive examination of the female pelvis. It is one of the best tests for evaluating the uterus and ovaries. In this exam, a transducer is placed either on the belly (abdominal ultrasound) or into the vagina (vaginal ultrasound). The transducer sends out sound waves that bounce off the organs,...

Pap Smears

The Pap smear is a screening test for cervical cancer and precancerous cells of the cervix.

In order to collect a Pap smear, your doctor will insert a metal instrument called a speculum into the vagina. By opening the speculum, the cervix can be seen. The surface of the cervix is then scraped .....

Ovarian Cyst Surgery

An ovarian cyst is a benign tumor of the ovary. It can vary in size from a dime to a basketball. Some ovarian cysts develop during a normal menstrual cycle and will go away on their own (functional cysts). Others are true tumors of the ovary and will not go away unless surgically removed.

Nutrition

Food is fuel. A healthy diet is essential in maintaining your weight and giving you energy. Good nutrition isn’t complicated. It starts with a well-balanced diet of fruits and vegetables, lean protein, whole grains, and healthy fats.

Tips for good nutrition:

Menopausal Counseling

Menopause is the natural life change when a woman stops having menstrual cycles and is no longer fertile. The ovarian production of female hormones, estrogen and progesterone, declines over a period of 4-8 years. During this transition time, called the peri-menopause, the menstrual cycles can be irregular.

Leep

A Loop Electrosurgical Excision Procedure, or LEEP, is an effective therapy for precancerous cells on the cervix. This procedure is usually done to treat women who have severe cervical dysplasia or mild dysplasia that has persisted for more than a year. It is performed in the office and cures the condition in 98% of cases.

Laparoscopy

A laparoscopy is a surgical method that involves inserting a camera, or laparoscope, into the abdomen. Laparoscopies can be used to diagnose pelvic problems, to treat endometriosis, and to remove ovarian cysts, fibroids, or the uterus.

Laparoscopic surgeries are done under general anesthesia. The laparoscope ......

IUD Insertion

An IUD, or intrauterine device, is a contraceptive that is placed inside the uterine cavity to prevent pregnancy.

Prior to insertion of an IUD, your doctor will do a pelvic exam to assess the size, shape, and position of your uterus. . In addition, vaginal cultures may be collected to assure that you do not have any vaginal .....

Infertility

Infertility is the inability to conceive despite unprotected intercourse for 12 months. It affects about 10% of couples.

In about 30% of cases, the cause of the infertility is found in the male partner. There may be a low sperm count, malformations of the sperm, hormone imbalances, .......

Hysteroscopy

A hysteroscopy is an outpatient surgical procedure in which the inside of the uterus is examined with a camera. It can be done in an office using local anesthesia or in an operating room using general anesthesia. The procedure is normally done to evaluate abnormal uterine bleeding.

Hysterectomy

A hysterectomy is the surgical removal of the uterus. Depending upon the situation, it may also involve the removal of the cervix, ovaries, and fallopian tubes. About 600,000 hysterectomies are performed every year in the US. While this surgery is usually safe and uncomplicated, ........

HPV Vaccination

The HPV vaccine is the first vaccine used to prevent cancer. The CDC recommends that boys and girls receive a vaccine to prevent HPV starting at age 9. There are two vaccines available:

- Gardasil

- Cervarix

HPV Testing

HPV, or human papillomavirus, is the most common sexually transmitted disease. There are over 50 different strains of HPV. Some strains cause genital warts while others cause abnormal Paps and cervical cancers. They can also cause warts on the throat and penile and anal cancers.

Hormone Replacement Therapy

The fluctuating hormone levels associated with menopause cause a number of debilitating symptoms, such as hot flashes, insomnia, irritability, vaginal dryness and bone loss. To manage these symptoms, many women desire to replace the hormones that are no longer being produced by their bodies.

Fibroids

Fibroids, or uterine leiomyoma, are benign tumors of the uterus that develop from smooth muscle cells. Over 30% of women have fibroids. The cause of their growth is unknown but there is a genetic predisposition. Thankfully, in most cases, fibroids do not cause any symptoms or require treatment.

Fibroid Surgery

Uterine fibroids are benign tumors that develop in the uterus. Fibroids cause a variety of symptoms including heavy periods, bleeding between periods, pelvic pain, miscarriage, and frequent urination. If the symptoms become severe, surgical treatment may be necessary.

Surgery to treat fibroids includes ....

STD Testing

STDs, or sexually transmitted diseases, are infections that are passed from one person to another via sexual contact such as vaginal intercourse, anal sex or oral sex. STD screening can be done at your annual wellness exam or at any other time that you have a concern.

The following STD’s can be ......

Female Cancer Screening

One of the most important aspects of the annual wellness exam with your gynecologist is the screening for cancers of the female reproductive tract. Many of these diseases can be cured if detected early. You should notify your doctor if you have abdominal pain, changes in your menstrual cycles, or bleeding after menopause.

Treatment of Genital Warts

Genital warts are raised, asymptomatic lesions that occur on the vulva, mons pubis, or near the rectum. They occur because of exposure to HPV, especially types 6 or 11. Your doctor can usually make the diagnosis by looking at them or by doing a biopsy.

If genital warts are small, they may resolve on their own with time.

Evaluation of Abnormal Bleeding

The normal menstrual cycle lasts 2-7 days and occurs every 3-5 weeks. Bleeding that occurs between cycles, is heavier than normal, or happens after menopause requires further evaluation.

At the visit with your doctor, you may be asked about your normal cycles, when the abnormal bleeding began,

Vaccinations

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Endometriosis

Endometriosis is chronic condition in which the cells from the uterine lining, called the endometrium, grow in places outside of the uterus. The most common areas affected by endometriosis are the ovaries, fallopian tubes, intestines and walls of the pelvis. While endometriosis usually isn’t dangerous, it can cause painful periods and infertility. Since the symptoms of endometriosis........

Endometrial Biopsy

Vaccinations help promote immunity to common illnesses. Most vaccines are administered during childhood. However some are recommended for adults as well.

- HPV

- TDAP

- Influenza

- Shingles

- Pneumonia

- MMR

Dilation and Curettage

A dilation and curettage (D & C) is the most common gynecologic surgery. It is usually performed under a light anesthesia in an operating room but can also be done with local anesthesia in an office.

Diaphragm Fitting

A diaphragm is a non-hormonal barrier method of contraception. It is made of a soft plastic called silicone that is inserted into the vagina. It acts by blocking the sperm from reaching the egg. The diaphragm is 85% effective at preventing pregnancy.

Contraception Options

A contraceptive is a method or device used to prevent pregnancy. Picking a birth control method that fits your lifestyle and needs is important. When you are considering the different methods, you should ask your doctor about effectiveness, side effects, and risks.

Colposcopy

Colposcopy is an office procedure used to evaluate abnormal Pap smears. In this procedure, a microscope, or colposcope, is used to visualize the cervix and identify precancerous cells.

BRCA Testing

BRCA 1 and BRCA 2 are genes that suppress tumor growth. If you have a mutation in either of these genes, you have an increased risk of developing breast and ovarian cancer.

Bone Density Testing

A bone density test is a special X-ray that screens for osteoporosis and thinning of the bones. It measures how much calcium and other bone minerals are present.