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Management of GYN Conditions and Symptoms

Many women have more complex GYN concerns and health conditions that may need medical management, treatment or inpatient or outpatient surgery. Our care team can help you with the following conditions:

  • Abnormal Bleeding – Abnormal bleeding can have many causes, including structural issues or hormonal disregulation. We can diagnose and manage abnormal bleeding through exams and simple tests.
  • Endometriosis – Endometriosis is a condition in which tissue that normally is located within the uterus grows on other organs in the body. This condition can be painful for women, and in some cases, may make it difficult to conceive. There are many ways to manage endometriosis, including pain medication, fertility medication, and/or hormone therapy.
  • Fibroids – Fibroids are benign growths of the uterine tissue, and are very common and occur in up to 85% of women. There are various medical and surgical treatment options for fibroids.
  • Sexually Transmitted Diseases – We can diagnose, manage and/or treat STDs through exams and simple tests.
  • Urinary Incontinence – Incontinence refers to leakage of urine from the bladder. This can be an undesirable symptom of a number of medical conditions or diseases. In women, incontinence can be associated with urges to urinate or with stress or physical activities. We will work with you to diagnose and treat or manage urinary incontinence.
  • Vaginitis – A yeast infection is an inflammation of the vagina that can cause pain, frequent urination, and itching. After diagnosis, they are usually treated through medication.

Common GYN Conditions

Urinary Tract Infection (UTI)

A urinary tract infection (UTI) is a bacterial or fungal infection of the bladder that may progress to an infection of the kidneys.

UTI Symptoms

Signs of a UTI may include:

  • Burning with urination
  • Feeling like bladder is not completely empty
  • Frequent urination
  • Blood in the urine
  • Low back pain and fever

UTI Diagnosis and Treatment/Cure

To diagnose a UTI, your doctor may ask you to leave a urine sample so that a culture and sensitivities may be run to identify the bacterial organism and the antibiotics that will work on that bacteria. You may be prescribed antibodies, which treats the UTI within 24 to 36 hours. For symptomatic relief of a UTI, patients may use over the counter cranberry pills, and make sure to stay hydrated.


Yeast Infection

A yeast infection is a fungal infection of the vagina and/or the vulva.

Yeast Infection Symptoms

Signs of a yeast infection may include:

  • Thick white discharge
  • Itching
  • Burning or stinging sensation
  • External discomfort with urination

Yeast Infection Diagnosis and Treatment/Cure

Yeast infections can be diagnosed through a speculum exam with a microscopic evaluation of the discharge. To treat a yeast infection, patients can use over the counter medications, such a monistat. In some cases, your doctor may prescribe you anti-fungal medication. Most over the counter vaginal anti-itch creams can provide symptomatic relief of a yeast infection.

If you think you had a yeast infection and monistat didn’t work, you should contact your doctor. Some infections of the vulva/vagina can mimic the symptoms of a yeast infection.


HPV

HPV is a family of viruses that are sexually transmitted that can cause genital warts, or can cause cell changes that may lead to cervical cancer.

HPV Symptoms

HPV causes changes of the cervix typically do not cause symptoms. However, in some causes, genital warts may develop. These are small fleshy growths on the external genitalia, that are typically non-painful.

HPV Diagnosis and Treatment

HPV of the cervix is diagnosed through routine Pap screening. Moderate to severe cervical changes caused by HPV and diagnosed by pap test can be monitored and may be removed by LEEP (Loop Electrosurgical Excisional Procedure) or cone biopsy. Both of these are outpatient procedures that remove abnormal cells from the cervix.

Warts caused by HPV can be removed through a variety of mechanisms, such as prescription topical creams, in-office chemical removal of warts, surgical removal with laser or ultrasound.


Fibroids

Fibroids are benign (non-cancerous) tumorous growth of the uterine muscle.

Fibroid Symptoms

Symptoms of fibroids may include:

  • Abnormal or heavy menstrual bleeding
  • Increasing of abdominal girth
  • Constipation
  • Frequent urination
  • Early satiety (feeling full after eating just a little)
  • Pelvic pain/pressure

Fibroid Diagnosis and Treatment

Fibroids are generally diagnosed through a clinical pelvic exam, ultrasound and in some cases, an MRI may be used. Fibroids can be treated through hormonal birth control pills, IUDS, and other injectable medications. Fibroids can be surgically removed if necessary to preserve fertility.

 


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