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Gynecological Treatment Options

Women's Specialists of Fayette provides both medical and surgical treatment for a variety of gyncelogical needs including pelvic pain, fibroids, sterlization, menstrual/bleeding problems, Pelvis Relaxation, PMS (Premenstrual Syndrome), Infertility, and Menopausal Problems.

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Pelvic Pain
Fibroids
Sterilization
Menstrual/Bleeding Problems
Pelvic Relaxation
Urinary Incontinence
Infertility
PMS (Premenstrual Syndrome)
Menopausal Problems

Pelvic Pain

Pelvic pain can be caused by a variety of problems such as endometriosis, fibroids, infections, scar tissue or some non-gynecologic problems such as interstitial cystitis or irritable bowel syndrome. At The Women’s Specialists of Fayette, we have a number of diagnostic tools at our disposal, the most important of which is a careful history and physical exam. We also may check blood tests, regular ultrasounds or saline infused ultrasounds, all of which is done in the office. Outpatient procedures may include hysteroscopy and/or diagnostic or operative laparoscopy. Treatment options will be mostly nonsurgical, including natural products, dietary modifications and/or prescribed medicinal/hormonal treatments. Surgical options may also be necessary.

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Fibroids

Uterine fibroid are very common non cancerous smooth muscle tumors which arise from the muscular wall of the uterus. They often do not cause any symptoms and are only found during a routine exam. They can be more completely evaluated by ultrasound or saline infused ultrasound. They can cause pelvic pain, pelvic pressure, infertility, heavy menstrual flow or in-between menstrual bleeding and severe menstrual cramps.

The physicians of The Women’s Specialists of Fayette will discuss a full range of treatment options including; hormonal/medical management, minimally invasive surgery such as hysteroscopic resection, uterine artery embolization, conservative surgery (myomectomy), or hysterectomy.

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Sterilization

There are a wide variety of contraception and sterilization options available for today’s women and the physicians at The Women’s Specialists of Fayette can inform you of all your options.

Reversible methods of contraception include barrier methods, (diaphragm or condoms), natural family planning (rhythm method), birth control pills, injectable contraceptives, implantable contraceptives (Implanon) and two types of intrauterine devices, the Mirena IUD and the Paraguard IUD. IUD’s are extremely effective and placed with a simple in office procedure. After placement, they provide low maintenance contraception for 5 to 10 years.

Sterilization or non reversible methods include laparoscopic tubal ligation or post partum tubal ligation, or Essure tubal occlusion. The Essure tubal occlusion procedure can be done in our office with light sedation. The in-office procedure is more convenient and significantly less expensive than a hospital outpatient procedure.

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Menstrual/Bleeding Problems

Abnormal bleeding or menstrual irregularities can range in severity to being a nuisance to a life threatening issue. The physicians at The Women’s Specialists of Fayette are experts in diagnosing and treating all types of vaginal bleeding problems. In- office diagnostics tools at our disposal include laboratory testing, uterine biopsy, ultrasound and saline infused ultrasound.

Treatment options include observation with reassurance, medical/hormonal treatments or a variety of surgical interventions.

The surgical options include endometrial ablation, hysteroscopy, D&C, myomectomy or hysterectomy. The Thermachoice balloon endometrial ablation can be done as an in-office procedure for added convenience and significant costs savings over having it done as hospital-based outpatient surgery.

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Pelvic Relaxation

The physicians at the Women’s Specialist of Fayette are experts at managing problems which arise from pelvic relaxation. These type of problems occur when the support tissue of the pelvis give way, usually as a result of childbirth. The separating tissue between the bladder, vagina, vulva and rectum can be weakened or absent resulting in a variety of symptoms including pelvic pressure or bulging, problems with voiding or defecating, or problems with vaginal laxity.

Treatment options include topical hormonal treatment, physical therapy, pessary use, or surgical management. The surgical management options all involve repair of specific pelvic floor defects, but can be grouped as vaginal reconstructive surgeries.

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Urinary Incontinence

Urinary incontinence is a widespread problem, so much so that many women view it as normal or expected in its milder forms. Please do not hesitate to ask any of the physicians of The Women’s Specialists of Fayette for their opinion. A good history and physical exam are an important part of diagnosing the reason for incontinence; however we also offer in-office urodymanic testing to give the most detailed information which is sometimes critical in determining the best treatment options.

Treatment options may include bladder training or physical therapy, or an outpatient sling procedure or a more extensive surgery to treat interconnected problems with anatomic defects. Our physicians are all experts at the transvaginal tension free vaginal slings (TVT/TOT) which have become the mainstay of incontinence surgery.

Infertility

The physicians at The Women’s Specialists of Fayette have extensive experience in diagnosing the causes of infertility. After the first consultation a series of tests at different times of your menstrual cycle will ensue. Many of the tests are blood tests done on day 3 of the cycle. An additional blood test will be needed approximately on day 21, or more precisely 7 days before the next expected menses. An x-ray test (HSG) may need to be ordered between days 7 to 11 of the cycle. Appropriate testing for your partner may also be recommended.

Depending on the cause of infertility, treatment may be available by our physicians or you may need a referral to a reproductive specialist. Medications commonly used by the physicians at The Women’s Specialists of Fayette include Clomid, Letrozal and Glucophage.

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PMS (Premenstrual Syndrome)

Premenstrual symptoms may be mild or nonexistent for some woman, however severely debilitating and very real for others. Symptoms may be physical, such as disabling cramps, abdominal bloating, generalized swelling or breast tenderness. They may also be emotional with principally irritability, moodiness, tearfulness or anxiety.

The physicians at The Women's Specialists of Fayette have many options for intervention and potential treatment. Symptom specific therapy as well as overall healthy choices in diet and exercise are typically part of what is recommended.

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Menopausal Problems

Women in the menopausal years may have a variety of symptoms, some of which are related to menopause, some of which are not. There are a vexing number of options and concerns for woman to sort through as they try to decide what is best for them. The physicians at The Women's Specialists of Fayette are well versed at discussing the various concerns and treatment options, both over the counter and natural, as well as prescribed treatments. They also can recommend screening tests such as bone density or vitamin D levels which can help determine your individual risk.