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Posts for category: Obstetrics Gynecology

By Ob/Gyn of Houston
June 12, 2020
Birth control is important if you’re a sexually active female. It keeps you safe from pregnancy while also providing other health benefits. Just like there are many different types of people, there are a variety of birth control options. It’s important to talk to your OBGYN to discover what works best for you. There is a birth control type that matches every female's preferences and lifestyle. 
 
Long-Acting Reversible Contraceptives 
These are long-term birth control options that are inserted into your body. They can last anywhere between three-to-ten years without needing a replacement. Your OBGYN will insert the device during a scheduled appointment. These are great if you don’t want to worry about taking or applying your birth control daily. 
 
An intrauterine device (IUD) is a small, plastic T-shaped device inserted into the uterus. They are one of the most effective types of birth control. They are instantly reversible by having your OBGYN remove the IUD when you are thinking about conceiving. IUDs work by either releasing the hormone progestin, which thickens cervical mucus to keep sperm away or through copper, which functions as a spermicide. 
 
An implant is a thin rod that your OBGYN places into your arm. Just like with an IUD, this method is extremely effective. Once removed, a female can conceive right away. Implants last for years and work by producing progestin. It’s the same as a hormone IUD, with progestin thickening cervical mucus to stop sperm from reaching the egg. 
 
Short-Acting Hormonal Methods
This category contains birth control pills, the patch, the shot, and the vaginal ring. These differ from the long-acting type by needing to be used or replaced on a daily or monthly basis. 
 
Birth control pills are one of the most popular forms of contraceptives. Your OBGYN prescribes them for you. They are an affordable and easy option. You take the pill every day just like any other type of medication. For the best results, take it at the same time every day as well. 
 
The vaginal ring, called the NuvaRing, is a bendable ring placed in the vagina. Talk to your OBGYN about NuvaRing, as you need a prescription for it. This birth control method works by being inserted into your vagina. It stays there for twenty-one days before removal. You can either keep the ring out for a week during your period or replace it with the next one immediately after.
 
The birth control shot is also called Depo-Provera. This is an injectable form of birth control performed every three months. It is a very straightforward process. Every three months you go into your OBGYN office to receive a shot, which prevents fertility until the next dosage. It’s a great option for people who want something low maintenance and without daily interaction. 
 
The birth control patch is a weekly contraceptive. You put on a new patch every week for three weeks, leaving it off the fourth week while you’re menstruating. The patch is similar to a bandage and is commonly placed on the stomach, back, upper arm, or buttock. Talk to your OBGYN if this option is right for you. It is less effective for patients weighing over two-hundred pounds.  
By Ob/Gyn of Houston
May 15, 2020
Tags: Colposcopy  
ColposcopyA colposcopy is an OBGYN procedure performed after abnormal test results for cervical cancer or unusual areas are detected on the vulva, vagina, or cervix. Pap smear results come back flagged if there’s a chance the cervix is infected with human papillomavirus (HPV). The entire exam takes between 5-15 minutes. The only difference between colposcopy and a Pap smear is that your OBGYN uses an instrument called a colposcope. Your OBGYN will walk you through the entire procedure. 
 
Why You Might Need a Colposcopy
 
Your OBGYN has reason to believe there is something wrong with your cervix. As mentioned, irregular pap smear results require a colposcopy. If you have already tested positive for HPV, it’s also necessary. Your OBGYN might also have noticed something unusual with your cervix during a pelvic exam. 
 
The results from your colposcopy can diagnose: 
  • Genital warts
  • Precancerous changes to the vagina, vulva, or cervix
  • Vulvar, cervical, or vaginal cancer
  • Cervicitis
What to Expect During the Procedure
 
This is a nonsurgical procedure your OBGYN will perform in their office. You’ll undress from the waist down and put on a medical gown. The doctor will have you lie down on the exam table and place your feet in the stirrups. Next, they use a speculum to open your vagina. This opens up the walls so the cervix is more visible. 
 
Because the procedure is somewhat uncomfortable, numbing medication or certain types of sedation are used. Once you are feeling comfortable, the next step is to clean the cervix. This gives your OBGYN a better view. The colposcope can now be used. This is a magnifying instrument placed right outside the vulva. A light shines through it and brightens the cervix. All the unusual areas on the cervix are made completely clear. A biopsy is then taken of these abnormal cells for further testing. 
 
After everything is done, expect some mild discomfort. It’s similar to having a slight period cramp. In the next few days, you’ll experience spotting, bleeding, or dark discharge. 
 
Before Your Appointment
 
You’re going to want to make sure that your appointment doesn’t take place during your period. This makes it much easier for your OBGYN to perform the colposcopy. For at least twenty-four hours before your appointment, avoid using creams like medicine, douches, tampons, and engaging in vaginal sex.
 
Make sure to let your doctor know beforehand if you’re pregnant or on any blood thinner medication. 
By Ob/Gyn of Houston
April 01, 2020
Tags: Irregular Bleeding  

Your OBGYN treats a number of common gynecological conditions, including irregular vaginal bleeding. It’s a concern that can be related to anything from stress, chronic conditions, or reproductive problems. Learn the common causes of irregular bleeding in gynecology, and how you can get your menstrual cycle back to normal. 

Irregular Vaginal Bleeding

In their reproductive years, women menstruate about every 28 days as the uterine lining sheds itself. The bleeding is often moderate to heavy during the first couple of days, then tapers off during the next few days. A normal menstrual cycle lasts up to a week. If the process does not repeat every 28 days or so, or a cycle is missed, or the flow of blood is too heavy or too light, that is considered irregular bleeding. Additional symptoms may include poor mood, problems sleeping, and sharp abdominal pains.

Possible Causes

You should talk to your OBGYN if your menstrual cycle starts to change or becomes irregular. Irregular bleeding can be caused by one or more of the following factors:

  • Certain medications (including birth control pills).

  • Endometriosis (tissue that’s supposed to be inside of the uterus grows on the outside).

  • Stress and lifestyle.

  • Blood clotting disorders.

  • Polycystic ovary syndrome (a hormonal problem).

  • Pelvic inflammatory disease (an infection usually caused by an STD).

  • Uterine fibroids (benign growths in the uterus).

  • Cervical or uterine cancer.

  • Chronic medical conditions (not necessarily related to the reproductive system).

Treatments for Irregular Bleeding

In some cases, irregular bleeding resolves on its own. For instance, if the irregularity is related to stress, de-stressing activities may help, like light exercise, dietary changes, or bed rest. If the problem is your birth control, your gynecologist will discuss other birth control options. If it’s related to another gynecological condition, the treatment may require an ultrasound and further testing. In more serious cases, surgery may be necessary.

See Your OBGYN

Schedule a visit to your OBGYN if you’re experiencing irregular bleeding. It could an easily treatable issue that your gynecologist can resolve with medications or a minor procedure.

By Ob/Gyn of Houston
February 27, 2020

Did you know that cervical cancer is the fourth most common cancer for women worldwide? While this statistic can be startling the good news is that it is one of the most preventable cancers. A cervical cancer screening is one of the best and most reliable tools our OBGYN has to detect cancerous and precancerous cells within the cervix. This screening is most often referred to as a Pap test.

What is a Pap test?

Women as young as 21 years old should start getting routine cervical cancer screenings from their OBGYN. If results from the first Pap smear are normal then women between the ages of 21 to 29 will only need to get a Pap test every three years. Women with an abnormal Pap will require a repeat Pap test to look for the presence of precancerous cells.

Women between the ages of 30 to 65 should get a cervical cancer screening every 5 years. Once a woman reaches 65 years old, she usually won’t need to undergo cervical cancer screenings any longer. Women at high risk for cervical cancer may need to come in more often for screenings. This is something that you can discuss with your gynecologist during your first screening or next annual wellness exam.

Are there other ways to prevent cervical cancer?

Along with getting routine cervical cancer screenings your OBGYN can also provide a way to protect young women from contracting HPV, a common STI that is also the leading cause of cervical cancer. The HPV vaccine is often recommended for young women around the age of 11 or 12.

This vaccine can be administered to women between the ages of 13 and 26 who have not contracted HPV. The vaccine comes in three doses and it protects against the strains of HPV that are most likely to cause cervical cancer. Even if women have received the HPV vaccine they should still come in for routine screenings and checkups.

Whether you want to learn more about the HPV vaccine or you need to schedule your annual checkup and Pap smear, turn to your OBGYN today to take an active interest in your reproductive health.

By Ob/Gyn of Houston
February 12, 2020
Tags: IUD  

More women in the US than ever before have an IUD, or intrauterine device. IUDs have become a popular birth control method for women because of its “set it and forget it” approach. If you’ve been hearing your girlfriend talking about how much they love their IUD it may have you thinking whether or not this is the right option for you. An OBGYN can answer all of your questions and help you make an informed decision about your family planning needs.

Here’s what you should know about getting an IUD and what to expect when you want it removed,

There are different kinds of IUDs

Your gynecologist will discuss the different options during your consultation. There are a variety of different hormonal (progestin-releasing) IUDs on the market; however, if you experience negative effects from hormonal birth control then non-hormonal birth control such as the Paragard (copper) IUD may be the best option for you.

This copper IUD will prevent pregnancy as soon as it’s placed and it can last up to 10 years. The average lifespan of a hormonal IUD is 3-5 years.

The IUD placement procedure is fast

To get an IUD your gynecologist will place a speculum into the vagina where they will then insert the IUD into the opening of your cervix where it will remain in the uterus. The simple procedure is performed right in your gynecologist’s office and it only takes a couple of minutes to place. You may be instructed to take an over-the-counter pain reliever prior to reduce cramping and a local numbing medication may also be applied to the cervix prior to the insertion.

Every woman will respond differently to getting an IUD. Some women may be able to return to work the very same day while others may need to take some time off. It’s best to err on the side of caution and maybe take the day off work so you can manage any symptoms you may have and just take it easy.

The IUD can be removed anytime

If you decide you do want to get pregnant or you no longer need birth control then you will want to discuss this with your gynecologist. The IUD removal process is simple and involves pulling the thread of the device so it collapses and slides right out. It’s important that you don’t try and remove the IUD on your own; it should always be removed by a qualified medical professional.

Have questions about getting an IUD? Want to find out whether this is the best birth control method for you? Then schedule an appointment with your gynecologist today.