My Blog
By Williams Ob/Gyn & Associates
June 17, 2019
Category: OBGYN
Tags: Menopause  

Menopause is a natural event that will occur in all women at some point as they age. Menopause occurs when menstruation stops and fertility ends. Once a woman has missed her period for one year she is considered menopausal. While the age at which a woman reaches menopause varies, it’s common for this transitional period to occur between the ages of 45 and 55.

For some women, menopause causes little to no symptoms; however, other women may experience:

  • Hot flashes
  • Vaginal dryness
  • Memory problems
  • Mood swings
  • Night sweats
  • Insomnia
  • Weight gain
  • Dry skin
  • Decreased libido

Some of these symptoms such as hot flashes and night sweats will go away after menopause. To reduce the frequency and severity of their symptoms, it’s important that menopausal women maintain a healthy lifestyle.

When should I see my gynecologist?

No matter your age, you should visit your gynecologist for routine checkups ever year. During these visits it’s important that you ask any questions or address any concerns you might have regarding your health. Your OBGYN is able to address everything from birth control options and fertility treatments to hormone replacement therapy.

The type of symptoms you are experiencing as well as their severity will determine whether it’s worth visiting your gynecologist or your general practitioner to rule out other conditions that could be responsible for these symptoms. As we mentioned earlier, some women go through menopause and don’t experience any issues; however, women who are struggling to get their symptoms under control should talk to their gynecologist.

If you are experiencing symptoms of menopause but you’re under 40 years old you should also schedule a doctor’s appointment to determine what’s causing your symptoms. Hormonal issues and imbalances could be to blame and they should be treated as soon as possible.

What can be done to ease symptoms of menopause?

Once a woman reaches perimenopause (the stage right before menopause) she may start to notice a heavier or irregular menstrual cycle. Sometimes your gynecologist may prescribe birth control pills at this time to treat these issues. Birth control may also alleviate vaginal dryness and hot flashes.

Hormone therapy is the standard treatment when it comes to managing menopause symptoms. For example, estrogen therapy has been know to treat hot flashes and vaginal dryness and can be administered as a cream, patch, or pill.

During menopause your gynecologist may also recommend getting a blood test to check your hormone levels. Hormone therapy isn’t right for every woman. Women who have a high cholesterol, gallbladder, or liver disease, a history of blood clots or breast cancer shouldn’t undergo hormone therapy. In this case, non-hormonal treatment options such as prescription medications like gabapentin may be able to treat mood swings, night sweats and other common symptoms of menopause.

If you are experiencing menopause symptoms it’s important to consult your gynecologist. When you come into our office we can help you determine the best methods for getting your symptoms under control. Call us today to schedule an appointment.

By Williams Ob/Gyn & Associates
June 03, 2019
Category: Sexual Health
Tags: STI   STI screening  

Have you been screened for STI's, or Sexually Transmitted Infections? Surprisingly, most Americans do not prioritize this important health testing. Plus, many health care providers do not routinely offer testing for STI's of any kind; so, patients must ask them about it, says the American Sexual Health Association.

How often should you be screened for STIs?

The short answer is that everyone from ages 13 to 65 should receive a baseline screening for HIV, or the Human Immunodeficiency Virus, states the Centers for Disease Control (CDC). STIs, including HIV, often show no symptoms but can cause serious health issues over time. Also, says the CDC, routine testing, treatment, and follow-up limits transmission of disease from sexual partner to partner. So, all adults should ask their doctors for testing once a year. In fact, they should insist upon it.

Who is at risk for an STI?

Potentially anyone is at risk. However, some populations definitely are more prone to infection. They include:

  • Male homosexuals
  • People who have several sexual partners
  • Women under the age of 25
  • Sex workers
  • Individuals who have unprotected sex

Transmission of STIs is easier than most people realize. Oral, anal, or vaginal sex can spread the microbes or insect vectors responsible for these often dangerous and hard to treat diseases. While many people believe they cannot ever have a Sexually Transmitted Infection, WebMD says the vast majority of Americans actually have had an active form some kind of STI.

What do tests look for?

Screening tests look for:

  • Syphilis
  • Gonorrhea
  • Chlamydia
  • HIV, or Human Immunodeficiency Virus
  • HPV, or Human Papillomavirus, which is linked to oral and cervical cancer
  • Hepatitis B and C, caused by viruses
  • Herpes
  • Trichomoniasis, a parasite infection

Tests are simple, utilizing a urine sample, blood draw, or swab of oral or genital tissues.

Don't ignore the obvious or not so obvious

STIs can impact your health and interpersonal relationships. So, be sure you know where you stand. Women, talk to your OB/GYN about testing, and men, do the same with your primary care physician. It's what you do not know that can truly harm you and your loved ones.

By Williams Ob/Gyn & Associates
May 17, 2019
Category: Sexual Health
Tags: HPV   Human Papillomavirus  

The human papillomavirus (HPV) is one of the most common sexually transmitted diseases. According to the CDC, approximately 79 million Americans are infected with HPV. There are many strains of this infection, some of which can cause cancer. This is why it’s important that you visit your gynecologist once a year for annual checkups and screenings.

Symptoms of HPV

Unfortunately, men and women can have HPV and never know, since symptoms aren’t common with this STD. Some strains of HPV cause genital warts, a cluster of bumps that can be found on the vulva or cervix of a woman and may develop on the penis or scrotum of a man. Once infected, genital warts can appear as early as 3 months after exposure; however, it can sometimes take longer.

Since high-risk HPV (HPV that causes cervical cancer) doesn’t often cause symptoms this means that the best action you can take to protect your health is to visit your gynecologist once a year for an annual exam. During this exam, your OBGYN can perform a physical examination, as well as a PAP smear and HPV test to check for changes in cervical cells that could be a warning sign of cancer or pre-cancer.

HPV Screening

While there is no test to determine if you have HPV or not, there are tests available that can check for cervical cancer that is most likely caused by HPV. These screenings usually begin around the age of 30. Of course, if you develop vaginal bumps, sores or other changes it’s important that you see your doctor right away.

During a Pap smear, your gynecologist will scrape cells from the cervix and send them to a lab, where they will look for any cellular changes. A Pap smear only takes a couple of minutes to perform and those who’ve never had abnormal results may only need to get a Pap smear every three years. Those who have had positive results in the past may need to get tested more regularly.

HPV Vaccine

Luckily, there is now a vaccine available to protect against certain types of HPV, particularly the strains that are the greatest risk for developing cervical cancer. Before recently, the vaccine had only been approved for people ages 9 to 25 but now the FDA has approved the vaccine for adults ages 27 to 45. These vaccines only work on patients who’ve never had HPV before; this is why it’s important to vaccinate teens early on to protect against certain strains of high-risk HPV.

Is it time for your annual women’s appointment? If you are interested in getting tested for HPV, you can easily schedule an HPV screening to be performed during your next checkup.

By Williams Ob/Gyn & Associates
April 29, 2019
Category: OBGYN

Find out what gynecological procedures can now be performed without invasive surgery.

Has our San Dimas, CA, OBGYN Dr. Richard Williams been discussing surgical treatment options that could improve heavy or excessive doctorsmenstrual bleeding, ovarian cysts or an infection? If so, you may be wondering what to expect from surgery. Fortunately, many of the procedures we perform can be done using minimally invasive surgical techniques.

What is minimally invasive surgery?

This type of surgery uses a laparoscope, which is a thin tube that can prevent the need for large intra-abdominal incisions. Laparoscopic surgery allows us to go through the belly making only a small incision large enough to insert the laparoscope. Then we will be able to use special instruments to treat everything from adhesions and infections to cysts and fibroids.

Another minimally invasive surgery technique is known as a hysteroscopy, in which a thin tube it placed into the vagina and guided into the cervix and uterus. This is used to both diagnose and treat abnormal vaginal bleeding.

What are the different kinds of minimally invasive gynecological surgeries?

Here are the most common procedures that our San Dimas, CA, gynecologist performs laparoscopically:

Hysteroscopic endometrial ablation: If you are dealing with abnormal bleeding, or excessive or prolonged menstrual bleeding that hasn’t responded to other treatment options then you may want to consider an endometrial ablation, which causes the uterine lining to scar to stop future periods.

Operative hysteroscopy: If benign polyps or growths are causing uterine bleeding then this simple procedure can be used to remove these growths and even perform biopsies to make sure that the growth is benign.

Laparoscopic hysterectomy: If you’ve decided to have your uterus removed, our OBGYN team can now perform this procedure laparoscopically, which means that you can return home the same day as your procedure and your recovery time will be much faster than with a traditional hysterectomy.

Operative laparoscopy: This surgical technique can also be used to remove ovarian cysts or to assist in a tubal ligation or hysterectomy. This procedure also allows us to diagnose certain conditions. Again, this outpatient minimally invasive surgery will ensure a faster recovery time and fewer post-surgical side effects.

Tubal ligation via laparoscopy: This permanent contraception involves removing or cauterizing the fallopian tubes to prevent an egg from fertilizing.

Do you have questions about getting minimally invasive surgery? Do you want to discuss treatment options with us? Then call Williams Ob/Gyn & Associates in San Dimas, CA, today.

By Williams Ob/Gyn & Associates
April 29, 2019
Tags: Endometriosis  

Endometriosis is a female condition in which tissue that's similar to uterine lining begins growing on the outside of the uterus, often affecting the ovaries, fallopian tubes, and pelvic tissue. During your cycle, the endometrial tissue then becomes thicker until it breaks down and bleeds, and due to how this tissue can’t be removed from the body, it gets trapped. Over time, this can lead to scar tissue (known as adhesions) on the reproductive organs.

This condition affects as many as 11 percent of US woman between the ages of 15 and 44, most often affecting women in their 30s and 40s. This condition can also make it more challenging for women to get pregnant.

What are the symptoms of endometriosis?

The classic symptom of endometriosis is abdominal pain that is usually worse during your menstrual cycle. While a lot of women complain of some abdominal discomfort during menstruation, women with endometriosis often complain of very painful periods, which may even radiate to the lower back.

Women with endometriosis may also experience very heavy periods or breakthrough bleeding (bleeding between cycles). You may also notice pelvic pain during sex or with bowel movements, as well as bloating, constipation, diarrhea, nausea, or fatigue.

All symptoms will vary from woman to woman. For instance, some women may have very severe symptoms but only have milder cases of endometriosis, while those with more severe cases may experience little-to-no-discomfort. Everyone is different; however, if you are experiencing new, persistent, or worsening pelvic pain, it’s important that you talk with your gynecologist.

If you are trying to conceive you may also find it more difficult to do so. Sometimes women don’t often find out that they have endometriosis until they visit their OBGYN to discuss problems getting pregnant.

How is endometriosis diagnosed?

During your evaluation, your OBGYN will ask you questions about the symptoms that you are experiencing. From there, a couple of tests will be performed in order to pinpoint specific signs and symptoms of endometriosis. These tests include a traditional pelvic exam or an ultrasound. In some instances, an MRI exam or a laparoscopy (a minor surgical procedure that allows a doctor to examine the inside of the abdomen and uterus) may be recommended to make a definitive diagnosis.

How is this condition treated?

Since there is no cure for endometriosis the goal of treatment is to manage your symptoms. As with most conditions, we will recommend more conservative treatment options at first to see if they are effective. Common treatment options include,

  • Pain medications (either over-the-counter or prescription-strength)
  • Hormone therapy (e.g. birth control pills; progestin therapy)
  • Fertility treatment (for women who are having trouble conceiving)
  • Laparoscopic surgery to remove excess endometrial tissue

If you are experiencing symptoms of endometriosis, it’s important that you talk to a gynecologist as soon as possible.





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