- Osteoporosis
- Arthritis
- Medical Weight LossSome women, such as obese women or those with polycystic ovarian syndrome or PCOS, have bodies that are resistant to the hormone insulin. Occasionally, they develop high insulin levels. Insulin resistance has been linked to ovulation problems. Weight loss is associated with a reduction in insulin resistance and has been successful at inducing ovulation. Recently, a study of nurses found an association in that women with diets that were high in refined carbohydrates had ovulation problems. There is no data, however, to indicate that changing your diet results in an improvement in ovulation problems. In fact, a recent study in overweight women with PCOS compared a low fat diet to a low carb diet but failed to find a difference.
- Constipation
- Diarrhea
- GynecologyThe benefits of surgery include the avoidance of OHSS and multiple pregnancy. According to the American college of Obstetrics and Gynecology (ACOG), ovarian drilling and related procedures should be considered as a second line therapy for ovulation problems. The prime candidates are women who have failed clomiphene citrate.
- Female InfertilityIn an average population of women of childbearing age, approximately 20-25% will achieve pregnancy in a given month. In other words, if one hundred women attempt pregnancy in month one, we would expect that 25 would conceive. If the remaining 75 women attempted to conceive in month two, 25% of them or 18.75 will conceive in that month. If you continue this process, you will find that after one year about 95% of the original group will have conceived. This is how we have come up with the definition of female infertility. It is a statistical definition.
- ObstetricsMembership in SREI is strictly limited to physicians who have been certified by the American Board of Obstetrics and Gynecology (ABOG) as having special knowledge and proficiency in the specialty of Obstetrics and Gynecology and in the subspecialty of Reproductive Endocrinology and Infertility. To date, fewer than 800 physicians have achieved this very special distinction.
- EndometriosisEndometriosis is the name give to a disease in which the tissue which normally grows in the uterus (endometrium) grows outside of the uterus. It is commonly associated with pelvic pain and infertility. The most common symptoms of endometriosis are pain with periods, pelvic pain at times other than during the period, pain with intercourse, bowel symptoms (diarrhea, cramping, constipation, pain with defecation), urinary symptoms (painful bladder, pain with urination) and infertility.
- Pelvic PainEndometriosis has been found in about 6-10% of reproductive aged women. In women with fertility problems it is much more common (21-47% of women). Those women with chronic pelvic pain have the highest prevalence (71-87%). The average age at the time of diagnosis is 28 years old.
- Pregnancy
- Labor and DeliveryChlamydia can be transmitted during vaginal, anal, or oral sex. Chlamydia can also be passed from an infected mother to her baby during childbirth. Any sexually active person can be infected with chlamydia. The greater the number of sex partners, the greater the risk of infection.
- AutismFragile X syndrome is the most common cause of inherited mental impairment, ranging from learning disabilities to severe mental retardation including autism or “autistic-like” behavior. Symptoms can include physical characteristics, behavioral deficits, and delays in motor and speech/language development. Approximately 1 in 3,600 males and 1 in 4,000 to 6,000 females have mental impairment due to FXS.
- Mental HealthThe treatment of Female Athlete Triad is to restore energy availability by either reducing the amount or intensity of exercise or by increasing the amount of calories that a woman consumes. This is not an easy prescription. Athletes, especially competitive athletes do not want to cut back on their training. There are many roadblocks to getting women to increase their calorie intake. Women with eating disorders should be treated appropriately by a qualified mental health professional.
- Diabetes Care
- EndocrinologySociety for Reproductive Endocrinology and Infertility (SREI) is an organization of physicians dedicated to providing excellence in reproductive health through research, education and patient care.
- HypothyroidismHypothyroidism occurs when the thyroid gland is not producing as much thyroid hormone as it should. Hypothyroidism is common in women of reproductive age.
- Thyroid
- UltrasoundUsing ultrasound, doctors can measure blood flow to the uterus. Some studies indicate that failure of the uterine lining to thicken could be due to decreased blood flow. One study used high doses of Vitamin E and an amino acid called L-arginine to increase the thickness of the uterine lining. Unfortunately, this treatment only worked in about half of those women with poor blood flow which itself was not a common cause for thin uterine lining.
- MRIMRI – Magnetic resonance imaging uses high powered magnets to determine the difference between different types of tissue. It is very good for determining the difference between fibroid tissue and normal uterine tissue. It is also helpful for distinguishing the difference between fibroids and another less common problem of the uterus known as adenomyosis.
- RadiologyUnfortunately, some doctors may have told you to go the hospital radiology department to have this done. We have heard many horror studies from patients who did this. Radiologists don’t do very many of these procedures and they aren’t trained as gynecologists. The results is more discomfort for the patient and often inaccurate or poor results.
- X-Rays
- Chemotherapy
- Radiation Therapy
- HysterectomyFibroids are 2 to 3 times more common in African American women than in Caucasians. Among women undergoing hysterectomy (removal of the uterus), black women are significantly more likely to have fibroids, to be younger at the time of diagnosis and hysterectomy, and to have more severe problems associated with fibroids than their white counterparts.
- LaparoscopyDistal tubal obstruction can be detected by performing a hysterosalpingogram. Pelvic adhesions, however, can only be detected by undergoing a surgical procedure to look inside of the abdominal cavity. This is usually done using a technique called laparoscopy where a fiber optic telescope is inserted through the belly button under general anesthesia. Since laparoscopy is a much more invasive procedure, it is desirable to avoid it whenever possible.
- Acne Treatment
- Cyst
- Burns
- Back Pain