Our services

Advances in computer technology and laparoscopic instruments have allowed us to offer a minimally invasive surgical approach to a much broader range of patients.

Minimally invasive surgeries include:

• Hysterectomy (removal of the uterus)
• Oophorectomy (removal of the ovaries)
• Myomectomy (removal of the fibroids)
• Treatment of endometriosis symptoms and pelvic pain

It is not uncommon for women to experience some form of abnormal uterine bleeding at least once during their reproductive years. Abnormal bleeding can be defined when:

• Bleeding occurs between periods
• Bleeding occurs following sex
• Spotting occurs at any time during the menstrual cycle
• Bleeding is heavier than normal or lasts for more days than usual (“menorrhagia")

It is normal for many women to experience heavy bleeding periods during the first few years of menstruation, as a teenager and then again just prior to menopause.

Millions of women experience some sort of urinary incontinence sometime in their life, whether it is a few drops of urine while running or coughing or the strong, sudden urge to urinate just before losing a large amount of urine. Many women experience both symptoms. This involuntary loss of urine can be totally debilitating. The fear of “peeing in one’s pants" outside of the home environment and the associated public embarrassment keeps some women from enjoying many activities with their family and friends. Urine loss can also occur during sexual activity and cause tremendous emotional distress.

Women are twice as prone to urinary incontinence than men for several reasons. Pregnancy and childbirth weaken the muscles, menopause, and the structure of the female urinary tract account for this difference. But both women and men can become incontinent from neurologic injury, birth defects, stroke, multiple sclerosis and physical problems associated with aging.

Older women experience urinary incontinence more often than younger women, but incontinence is not inevitable with age. Urinary incontinence is a medical problem that we can help find a solution for. No single treatment works for everyone, but many women can find improvement without surgery.

Incontinence occurs because of problems with muscles and nerves that help to hold or release urine. The body stores urine – water and wastes removed by the kidneys – in the bladder, a balloon-like organ. The bladder connects to the urethra, the tube through which urine leaves the body. Learn More About EMSELLA®

What is vaginal prolapse?

Vaginal prolapse is what happens when organs inside the pelvis fall, bulge or protrude into the vaginal wall. This condition is due to weakened muscles or ligaments that can occur from a number of causes, including childbirth, previous surgeries and obesity. If you have signs and symptoms of vaginal prolapse, learning more about this condition (and discovering you have options!) can lead to a better way of life.

Understanding vaginal prolapse

There are a number of muscles, ligaments and other tissues that elevate and support the pelvic area. They provide support for pelvic organs, including the uterus, urethra, bladder and rectum.

Vaginal prolapse happens when pelvic organs, including the bladder or rectum, bulge into the vaginal wall due to a weakening of important muscles and supporting ligaments. If left untreated, these organs may fall or protrude to a point that they prolapse (bulge or push into) the vaginal area. In extreme cases, the vagina can even fall to the point where it extends outside the body.

• Infertility
• Oral contraceptive
• Vaginal contraception/NuvaRing®
• Ortho Evra® birth control patch
• Progesterone only birth control pill
• Depo Provera®
• Implanon®
• Mirena® intrauterine device (IUD)
• Paragard® intrauterine device (IUD)
• Permanent birth control
• Ensure® & laparoscopic tubal ligation
• Natural family planning
• Emergency contraception
• General birth control
• Diaphragm

Menopause: To infinity and beyond

Many women approach this stage in life as a curse or a time to fear or dread. This does not have to be the case. There are many ways to improve our quality of life during this “change in life." Firstly, the average age of menopause is 52 years old in the United States (only 5% of women will go through menopause between ages 40 and 45, another 5% of women will not go through menopause until age 55 or later. Menopause occurring prior to the age of 40 is abnormal. Smokers go through menopause on average 2 years early). Symptoms vary among women, including: irregular menses, fatigue, hot flashes, night sweats, mood swings, insomnia, and vaginal dryness. Some women do not experience any of these symptoms and only have cessation of menses. By definition, menopause occurs when the ovary stops functioning for 12 months as is evident by no menstrual flow for 12 months. This however, does not mean symptoms that occur before cessation of menses must go untreated for 12 months.

Hormone replacement therapy refers to the use of estrogen, progesterone and testosterone to replace the hormones previously produced by the ovary and the adrenal gland. The latest catch phrase in the industry is “bioidentical hormones." This alludes to the presence of an all-natural hormone replacement system. This is a misnomer. Any hormone therapy that is produced chemically is manufactured. One type is under the regulation of the FDA and the other is produced in the pharmacy and not screened by the FDA. We believe hormone replacement therapy is beneficial and is an individual choice. We use hormones most closely to the ones produced by the ovary and in that regard “bioidentical," but we believe in having theses hormones approved by the FDA. We strive to individualize hormone replacement therapy and educate on the risks and benefits with the ultimate goal to improve quality of life and improve health. Please feel free to discuss your symptoms freely with your physician. You may think you are going crazy with the “menopause," but we are here to offer healthy life styles and medical care – “to infinity and beyond."