FAQ's- Gynecology
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Gynecology
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What is menopause? Back to top
Natural menopause is the normal secession of ovarian function at about age fifty. The decreased levels of estrogen are the cause of hot flashes, night sweats and vaginal dryness. Osteoporosis is a more insidious problem that usually presents many years later. All of these issues can be treated.
Is hormone replacement right for me? Back to top
If you are experiencing menopausal symptoms, you may want to consider hormone replacement. Hormone therapy has few side effects and fewer complications. We always discuss the risks and benefits of medication before initiating therapy.
How long can I take birth control pills? Back to top
As long as you have no contraindications, you may take oral contraceptives until the age of menopause.
Do I still need a Pap smear after a hysterectomy? Back to top
Most usually no. If your hysterectomy was due to abnormal Pap smears, however, you may need follow-up Pap smears of the vaginal cuff.
How do I prevent osteoporosis? Back to top
Young women build bone and put calcium into the bone bank until early adulthood. After menopause, the bones lose calcium if untreated. Maintaining bone health requires three things: calcium & vitamin D intake, weight bearing exercise, and one of several medications that will prevent calcium loss.
Is breast cancer or ovarian cancer hereditary? Back to top
A very small percentage of these female cancers are truly inherited. If you have a strong family history, a blood test can determine your risk.
How do I know if I have endometriosis? Back to top
While symptoms and physical findings are suspicious for endometriosis, the only sure way to diagnose this disease is by laparoscopy.
Can infertility be corrected? Back to top
Approximately 80% of infertile couples will have a known cause. Most of these couples will be able to successfully conceive and deliver a baby.
Why does my bladder leak when I cough or laugh? Back to top
Most urinary incontinence is caused by the aging process, childbirth and loss of hormones. Other causes such as urge incontinence, chronic urinary infections and neurological problems need to be eliminated before considering surgery.
What can be done about menstrual cramps? Back to top
Menstrual cramps are actually miniature labor pains. We often prescribe oral contraceptives, anti-inflammatories such as Advil, exercise and specific medications such as Ponstel.
Is PMS real and can it be treated? Back to top
Yes, PMS is very real. We have several modalities such as hormone supplementation, exercise, yoga, antidepressants and anxiolytic medications.
What are hot flashes? Back to top
Hot flashes and night sweats are your body's response to the lowered levels of estrogen associated with menopause. They are due to vaso-motor instability and are most effectively treated with hormone replacement.