Posts for: July, 2017
If you are having trouble conceiving, don’t worry; you have options.
We know this can be a difficult subject to think about, let alone bring up with anyone, but if you are having difficulty conceiving then it might be time to turn to our San Dimas, CA, OBGYN Dr. Richard Williams for some answers. Many women with fertility issues go on to have healthy babies thanks to the many infertility treatments offered.
Fertility drugs are often one of the first options proposed for treating fertility issues. These medications will need to be used consistently for several months. They work either by balancing and altering certain hormones or by stimulating the release of one or more eggs. Fertility medication that stimulates ovulation is a great option for women with polycystic ovarian syndrome (PCOS) or other issues that affect ovulation.
By coming for an exam and an evaluation at our San Dimas, CA, obstetrician and gynecologist, we will be able to check the quality of eggs that your body is producing. If we find that the eggs are healthy, then fertility medications may be a great option for you. If the ovaries are faulty or if the eggs being produced aren’t ideal then medication will not be the most effective fertility treatment.
Fertility medications may either be taken orally or administered through injections. Remember to take the medications as instructed.
Sometimes we find that endometriosis, damaged fallopian tubes or uterine fibroids are the cause of fertility problems. If this is the case, surgery may be the best method for repairing this damage and greatly improving your chances of conceiving. There are two different kinds of surgical options available: laparoscopy and a laparotomy.
A laparoscopy is often more popular since it's a little less invasive (e.g. smaller incisions and thinner instruments) and boasts fewer side effects and a faster healing time; however, there are certain circumstances in which a laparotomy may be a safer and more effective surgical option. When you come in for your consultation, we will sit down with you and discuss which surgery will give you the best success rate for fertility.
If you have questions about the many infertility treatments at your disposal, then turn to Williams Ob/Gyn & Associates in San Dimas, CA, for the compassionate, understanding and individualized care you need. We are here for you.
Getting a pelvic exam can be nerve-wracking, especially if this is your first visit, but knowing what to expect when you step foot in our office can help take away some of the anxiety. If you are feeling a bit nervous, don’t worry. We are here to provide you with all the information you could ever need regarding your next pelvic exam.
What is a Pelvic Exam?
A pelvic exam is a normal part of a woman’s routine gynecological exam. During the pelvic exam, a gynecologist will examine the reproductive organs to check for any potential signs of infection or other potential issues. Sometimes a Pap smear is also performed during your visit. During a Pap smear, we will remove some cells from the cervix to check for any cancerous or precancerous cells. Early detection is important, as it often makes treating health conditions much easier.
Besides a pelvic exam sometimes your gynecological visit may include:
- A discussion about your medical history
- A breast exam
- STD testing
Who Should Get a Pelvic Exam?
Unless you are facing a health issue, most women can start getting a pelvic and breast exam by the age of 21. Even before a pelvic exam, it’s recommended that women get annual gynecological visits. Especially during a time where a young woman’s body is changing so drastically it’s sometimes helpful to have a doctor to turn to for questions about birth control, bodily changes, sexual health, etc.
When you come in for your first exam we will also tell you how often you should come in for care. A lot will depend on your medical history. If you’ve had abnormal Pap smear results, past sexual health problems, a family history of gynecological cancers or a sexually transmitted disease then you may need to come in more regularly.
For the sake of your health, getting a pelvic and breast exam should at least be an annual visit that you don’t miss. These visits are vitally important for your health and it's truly the best way to detect any health issues as early as possible.
If your OBGYN has recommended that you get a sonohysterogram done find out more about this procedure and what to expect.
Are you dealing with abnormal between-cycle bleeding, infertility or repeated miscarriages? While ultrasounds are often the first diagnostic test performed, if an ultrasound has come back normal and you’re still experiencing symptoms, then a gynecologist may recommend getting a sonohysterogram.
What can a sonohysterogram detect?
This procedure still uses an ultrasound to examine the inside of the uterus, but instead of just an ultrasound a saline solution is administered in the uterus beforehand. By injecting this solution inside the uterus we can obtain more details of the uterus that you wouldn’t be able to see with a regular ultrasound alone. A sonohysterogram can often be performed right in your gynecologist’s office and it usually takes about 15 minutes to complete.
When will a sonohysterogram be performed?
For obvious reasons this procedure will be performed when you don’t have your menstrual cycle, since bleeding could make it more difficult to see the uterus. This test isn’t performed on women who are pregnant or could be pregnant, as well as women with pelvic infections.
What should I expect from my procedure?
During the first portion of your treatment we will perform a regular transvaginal ultrasound. Then the solution will be injected into the uterus, and the ultrasound will be performed again.
After your procedure it is normal to experience some slight cramping and spotting, but most women are able to return to their normal activities the very same day as their procedure. But if you are having any symptoms that are concerning, you need to call your OBGYN.
If you are dealing with unusual uterine bleeding or having fertility issues, it’s certainly time to talk to a OBGYN specialist who can help provide you with the answers you need.