Doctor Insight
Women's Health Care of New England

Doctor Insight

August 6, 2014, 12:00 am

Endometrial Ablation

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NovaSure is a quick, safe, and simple procedure to lighten or stop your periods, without the side effects of hormones or the risks of hysterectomy. NovaSure Endometrial Ablation is a one-time, 5-minute procedure that gently removes the lining of the uterus. The NovaSure procedure can reduce or stop bleeding altogether. About one third of all patients who undergo the procedure achieve complete amenorrhea, while the other two thirds most often experience a lessening or lighter flow. The procedure is done in the office with little to no anesthesia. The NovaSure probe is inserted into the uterus and a gentle radiofrequency is applied. This radiofrequency removed the lining of the uterus and it takes about 5 minutes to do. Immediately after the NovaSure procedure, some women may experience some cramping, mild pain, nausea, and/or vomiting. Most women feel back to themselves and can resume normal activities within a day or so. A watery or bloody discharge following the NovaSure Endometrial Ablation procedure is normal. In a clinical study, 12 months after the NovaSure procedure 95% of patients were satisfied with the results and 97% said they would recommend NovaSure to a friend. 

June 16, 2014, 12:00 am

Urinary Incontinence

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Overview-Urinary incontinence, also known leakage of urine, is an embarrassing problem that affects millions of women. It occurs in women of all ages. There is no need to live with urinary leakage because effective treatments are available.

Types-There are several different types of incontinence. The two most common in women are stress incontinence and urge incontinence. Stress urinary incontinence is the loss of urine when a women coughs, sneezes, laughs or exercises. It is caused by a weakening of the tissues that support the bladder or the muscles of the urethra. Urge incontinence is the leakage of urine caused by overactive bladder muscles that contract too often or problems with the nerves that send signals to the bladder. People with a combination of both stress and urge incontinence are said to have mixed incontinence. In addition to leaking, some women may experience urinary urgency, frequency, pain or increased voiding during hours of sleep.

Causes-Incontinence may be caused by a variety of different factors such as urinary tract infections; medications; bladder growths; fistula formation; pelvic support problems or neuromuscular problems.

Diagnosis- Incontinence can be diagnosed by several methods. You may start by discussing your symptoms with your provider and undergo a pelvic exam in the office. Your physician may ask you to keep a voiding diary for a few days and to return for urodynamic testing. Urodynamic testing is an office procedure in which the bladder is filled through a catheter to see how much urine your bladder can hold and what makes you leak.

Treatment-There are many options for treatment such as lifestyle changes, bladder training, physical therapy, a vaginal pessary, medications and surgery. Some of the lifestyles changes that may help include weight loss, avoiding constipation, limiting caffeine and alcohol and smoking cessation. Bladder training can help you learn to go to the bathroom less frequently by retraining you bladder to hold more urine. The goal is to increase the time between voiding to a normal interval, every 3-4 hours. Kegel exercises tone your pelvic muscles. They can be done at home or with a physical therapist using a technique called biofeedback. A pessary is a silicone devise that can be placed in the vagina to help pelvic support. Your provider and fit you for the appropriate size and shape. There are several medications that help control unwanted bladder contractions associated with urge incontinence. Your provider can help you decide which medication would work best for you. Surgical options are also available and offer the highest cure rate for stress incontinence. Often treatments are most effective when used in combination.

Summary- Although leaking urine can be difficult to talk about, it is not normal at any age and is often treatable with simple measures. Talking about it with your healthcare provider is the first step in getting help for this problem that is affecting your lifestyle.

June 16, 2014, 12:00 am

Your Daughter's First Exam

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I often receive the following question from my adult patients - WHEN DO I BRING MY DAUGHTER IN FOR HER FIRST GYN EXAM??

The old adage was to come in for the first GYN visit (which really meant exam) at age 18 “or sooner if they are sexually active." The American College of Obstetrics and Gynecology now recommends the first GYN visit take place between ages 13 and 15 - whether that includes an exam or not is a different issue.

As noted by the American Academy of Pediatrics, (Pediatrics, 2013) sexual activity is, and has long been rare among those 12 and younger. By contrast, older teens (aged 17-19) are sexually active; however, approximately 30% of those aged 15-16, have had sex.

We at Women's Health Care of New England encourage you to bring in your daughter/s for a "consult appointment". The focus of the appointment would be heavy or irregular menses or cramps, as well as STD prevention and birth control. We might ask your permission to talk with your daughter a few minutes alone, so that we might ask and answer any questions openly. We will inform her that this information is confidential and will not be shared with the parent unless she consents.

We encourage you to contact our office for this most important initial visit.

Jay Ugol, MD

 

Women's Health Care of New England

Women's Healthcare of New England

Devoted to women. Committed to excellence.

Women’s Health Care of New England has provided women of Fairfield County quality, state of the art, compassionate care since 1990. We are part of a broader network of OB/GYN physicians that comprise Women’s Health Connecticut, offering additional guidance and resources.

Please bring personal identification, insurance card and any co-payments to your appointment.

Locations

  • Main Building:

    761 Main Ave.
    Building B, Suite 100
    Norwalk, CT 06856

    203-644-1100
    203-644-1199 FAX

    Satellite Offices:

    30 Stevens Street
    Suite I
    Norwalk, CT 06856
    203-644-1160

    Westport Center for Health
    323 Riverside Ave.
    Westport, CT
    203-349-4305

    Ridgefield Health & Wellness Center
    109 Danbury Rd. (adjacent to the Kohl's parking lot)
    Ridgefield, CT 06877

    View Map

Office Hours

Monday:
9am-5pm
Tuesday:
8am-5pm
Wednesday:
8am-5pm
Thursday:
8am-6:30pm
Friday:
8am-4pm
Saturday:
Closed
By Appointment Only

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