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During
the annual exam we welcome all discussion about your general
health and gynecological health. We will discuss all age
related issues including contraception, family planning,
menopause issues, PMS issues and all other health related
issues pertaining to women.
Pap
test, where a sample of cells is
taken from the cervix (the opening to the uterus), is the best way
to find changes that may lead to cervical cancer. By finding
the abnormal cells and treating them early we can prevent
cervical cancer.
Pelvic
exam is necessary during the annual exam to rule out any
abnormalities with the pelvic organs which include the
uterus and the ovaries.
Pelvic
Ultrasound
Is recommended for patients with pelvic
pain or an abnormal finding on physical exam. In our
practice we can perform the ultrasound exam for the patients
and inform of the results immediately in our own office.
Our practice also feels that patients who have a family
history of ovarian cancer should have the opportunity for
screening ultrasound and we do offer it. Although the exam
may not be 100%accurate, it gives patients better knowledge
and reassurance about their body.
Bone
Health
State of the art bone density study is offered to all
patients over the age of 40. we believe that preventive
medicine is more advantages to the health of the patients,
hence, finding bone loss early prior to osteoporosis
will give the patient an opportunity to be proactive about
their bone health. The procedure takes approximately 15
minutes and will allow us to assess the health of the bone
in two major problem areas—hips and spine. Patients will
be instructed with treatment options according to the
findings—normal bone mass, low bone mass (osteopenia), severe
bone loss (osteoporosis).
Urinary Incontinence
Many women suffer in silence with uncomfortable urinary tract sensations or problems. Incontinence is involuntary leakage of urine. Age, childbearing and tissue deterioration can lead to incontinence. There are different types of urinary incontinence:
- Stress incontinence is involuntary leakage of urine during an activity such as coughing, sneezing, exercise.
- Urge incontinence is a type of incontinence that occurs when a patient’s bladder is full. It also gives a sensation of constantly wanting to urinate.
- Mixed incontinence is when some women suffer from both types of incontinence.
Diagnosing Urinary Problems
If a patient has any of the above symptoms, then they would benefit from urodynamic testing. Urodynamic testing is a series of bladder tests designed to illicit and identify the cause of these sensations and problems. There are many different reasons for urge and stress incontinence and these tests will determine the cause. The bladder capacity and compliance are measured and the detrusor and sphincter muscles of the bladder are evaluated for their pressures and contractibilty. Treatment options are identified below.
Treatments
There are many different types of treatments available for urinary incontinence. In our practice we use medical treatment as an initial therapeutic modality. Teaching patients good bladder habits, exercises, change of diet, and appropriate use of medication can all be very helpful. We also use multiple surgical techniques for patients with stress urinary incontinence.
Dr. Simon and Dr. Grade offer urodynamic testing and treatment modalities of urinary incontinence to their patients. For more information please contact the office for a consultation.
Breast
Health
Screening mammograms start at the age of
35, and in our opinion once patients start having mammograms
they should have them on a yearly basis. If a patient has a
strong family history of breast cancer the screening age
will be lowered accordingly.
If a lump is felt by a patient in self exam we will
recommend a diagnostic mammogram and breast
ultrasound---both performed at reputable radiologic
settings.
Breast ultrasound is an adjunct to the mammogram and the
self breast exam and physical exam. The ultrasound will
detect breast cysts easily and can help in diagnosis and
treatment of the patient with a breast lump.
Laboratory Exam
Lab work and hormone testing is also part of the routine
exam. If patients suffer from hormonal imbalance, weight
fluctuation, moodiness, hair loss, memory loss---we will
recommend evaluation of the ovarian hormones, as well as
other hormone testing including thyroid profile and
testosterone levels. All results are discussed with the
patients and treatment options are reviewed.
If
necessary - laboratory testing will be recommended by the
physicians or the nurse parishioners after your physical
examination. Stool testing is recommended for all patients
over the age of 40 - this is to rule out colon polyp or
colon cancer.
Products
For
your convenience we have vitamins available in our office. Vitamins
- Antioxidants
- combination of vitamins A, C, E and selenium. These are
the vitamins that boost the immune system.
- B
Complex - combination of all B vitamins. These vitamins
affect all aspects of our health.
- Prenatal
Vitamins - chewable and non-chewable are available
- L-lysine
- an aminoglycoside that helps boost the immune system
- Black
Cohosh - an herbal formulary that helps some women with
hot flashes
- Kava
Kava - an herbal formulary that helps some women with
mood swings
- Soy
Isoflavones-a natural and plant derived supplementation of
isoflavones/natural estrogens. These supplements can help with menopausal symptoms and hot flashes.
Hormonal Supplementations
Our practice is now offering three different products for decreased libido. These products contain testosterone in different dosages.
- Testosterone is a hormone that will increase libido in women. It also has the added advantage of increasing energy and improving moods and hot flashes.
- Testosterone Cream---testosterone in a cream based application
- Testosterone injections---small doses of injectable natural testosterone is available for injecting every 2-4 weeks as needed.
- Testosterone Pellets---natural testosterone pellets which last for 2-3 months are available for insertion under the skin.
Talk to you healthcare provider in our office for the product that best suites you.
Maternity
Belts
For
your convenience we also have maternity belts. These belts
are helpful to alleviate pressure in the pelvic area. These
belts will have to be fitted for you by one of the nursing
staff.
Brochures
/ Material
Also
available in the office are a number of health related
brochures and educational material in the office.
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