- Osteoporosis
- Medical Weight LossThis topic summarizes the research about the relationships between various foods or supplements and specific health conditions, and concludes with general recommendations for following a healthy diet. A separate topic review is available about diets for weight loss. (See "Patient information: Weight loss treatments", section on 'Choosing a diet'.)
- Nutritional CounselingThe pause® website addresses issues such as hot flashes, sleep problems, urinary incontinence, depression, and osteoporosis. Women can also find health information on heart disease, hormone therapy, breast cancer, diet and nutrition, and exercise for the aging woman.
- Male InfertilityEVALUATION OF INFERTILITY IN MEN — Fertility in men requires normal functioning of the hypothalamus, pituitary gland, and testes. Therefore, a variety of different conditions can lead to infertility. The evaluation of male infertility may point to an underlying cause, which can guide treatment. A healthcare provider usually begins with a medical history, physical examination, and a semen test. Other tests may be needed.
- High Cholesterol
- Emergency CareIn an obstetrical or gynecologic emergency, please contact our office at (845) 369-9100. After hours, on weekends, or on holidays, our answering service will pick up the call and contact the covering physician. If the matter cannot wait for a call back, go immediately to the emergency room or call 911.
- Irritable Bowel SyndromePelvic pain can also be caused by many other conditions, such as pelvic infections and irritable bowel syndrome. A doctor or nurse can help to figure out if endometriosis is the cause of your pain.
- Urinary Incontinence
- Pneumonia
- ImmunizationsThe following side effects have been observed. Besides the local discomfort that is common after any vaccination, the others mentioned are unusual. In studies using placebo, no statistical difference was observed with Gardasil with regard to these less common occurrences.
- Gynecology"Another goal of ACOG's is to help women become better advocates for their own health," said Gerald F. Joseph Jr, MD, ACOG president. "As women's health physicians, we encourage our patients to become active participants in their own health care and to partner with their ob-gyn. The pause® website helps women be proactive about their health and keeps them up-to-date on important information they need in order to take charge of their health."
- Female InfertilityEVALUATION OF INFERTILITY IN WOMEN — Although a variety of tests are available for evaluating female infertility, it may not be necessary to have all of these tests. Healthcare providers usually begin with a medical history, a thorough physical examination, and some preliminary tests.
- MenopauseYou can schedule both routine and "problem" gynecologic appointments with me as well as with our experienced nurse-midwife, Rebecca McCracken, CNM. Rebecca brings to our team many years of experience in Women’s Healthcare, and she has special interests in menopause management, teen care, contraception, routine health maintenance, and obstetrical antepartum and postpartum care. Obstetrical patients will be scheduled to see both of us throughout your pregnancy.
- ObstetricsThe cornerstone of the website is ACOG's award-winning consumer magazine, pause®, now in its twelfth year. "ACOG's menopause magazine has experienced tremendous success since it began as a print magazine in 1997. The pause® website is the natural next step and is designed with the perimenopausal, menopausal, and postmenopausal woman in mind," said Isaac Schiff, MD, chair of the pause® Medical Advisory Board and chief of the Vincent Obstetrics and Gynecology Service at Massachusetts General Hospital and the Joe Vincent Meigs Professor of Gynecology at Harvard Medical School in Boston. "As the most trusted source of information on women's health, ACOG is excited to move into the digital age with a menopause-related website and the recent debut of pause® online, both of which offer expanded, reliable, and timely content."
- EndometriosisINTRODUCTION — Endometriosis is a condition where tissue, similar to the tissue that normally grows inside the uterus, also grows outside of the uterus. The tissue inside the uterus is called "endometrium" and the tissue outside of the uterus is called "endometriosis". The most common places where endometriosis occurs are the ovaries, the fallopian tubes, the bowel, and the areas in front, in back, and to the sides of the uterus.
- Pelvic Pain
- Pregnancy
- Labor and DeliveryMany people who have had a cesarean section in a prior pregnancy consider having a vaginal birth in a subsequent pregnancy. There have been numerous studies over the years that have looked at this situation, and the most recent data will be summarized here.
- Colon CancerHowever, supplements containing folate (called folic acid ) are no longer recommended to reduce the risk of colon cancer or heart disease.
- Prostate CancerCALCIUM AND VITAMIN D — Adequate calcium and vitamin D intake are important, particularly in women, to reduce the risk of osteoporosis. A healthcare provider can help to decide if supplements are needed, depending upon a person's dietary intake of calcium and vitamin D ( table 2 ). Calcium from food sources and supplements appears to slightly increase the risk of prostate cancer, although it may help to protect against colon cancer.
- Lung CancerHigh intake of fruits and vegetables also reduces the risk of developing certain kinds of cancer (including lung cancer and cancer of the gastrointestinal system). As an example, it is estimated that for every additional serving of fruit and vegetables per day there is a 5 percent reduction in the risk of lung cancer [2].
- Stress ManagementThe best approach for treatment of psychological distress related to infertility treatment has not been determined. However, some experts suggest relaxation techniques, stress management, coping skills training, and group support. Evaluation by a psychiatrist may be needed for some persons with significant symptoms of anxiety or depression.
- Depression
- Insomnia
- Anxiety
- Diabetes Care
- Thyroid
- UltrasoundPatients will have the opportunity to have what is called a "first trimester screen." This involves an ultrasound exam to measure the thickness of skin behind the baby's neck (the "nuchal translucency") and specific blood tests. This combined test, i.e., the sonogram and bloodwork, can help to predict one's risk for having a child with Down's Syndrome or other such chromosomal disorders. If the test is abnormal, a more specific blood test can be done or a CVS (chorionic villous sampling) can be performed. Alternatively, a second trimester amniocentesis can be done.
- RadiologyThis is the time that patients are referred to one of the excellent radiology facilities in the area (including our office!) to have a formal ultrasound exam (a "sonogram"). During this exam, the anatomy of the baby and the uterine environment will be examined (fluid, placenta, umbilical cord, etc.). Some patients elect to find out the sex of the baby at this time, but many wait until delivery for the surprise!
- X-Rays
- ChemotherapyHistory — A man's past health and medical history are important in the process of evaluation. A healthcare provider will ask about childhood growth and development; sexual development during puberty; sexual history; illnesses and infections; surgeries; medications; exposure to certain environmental agents (alcohol, radiation, steroids, chemotherapy, and toxic chemicals); and any previous fertility testing.
- VasectomySTERILIZATION — Sterilization is a procedure that permanently prevents you from becoming pregnant or having children. Tubal ligation (for women) and vasectomy (for men) are the two most common sterilization procedures. Sterilization is permanent, and should only be considered after you discuss all available options with a healthcare provider. (See " Patient information: Permanent sterilization procedures for women " and " Patient information: Vasectomy ".)
- HysterectomyAfter hysterectomy — If you do not have a uterus (eg, after hysterectomy) but you still have ovaries, it can be hard to know when you are menopausal because you will not have menstrual periods. You may develop menopausal symptoms as your ovaries stop working and your blood levels of estrogen begin to fall. If you are having bothersome symptoms of menopause after hysterectomy, talk to your doctor or nurse.
- LaparoscopyLaparoscopy — During laparoscopy, a thin, lighted tube is inserted through a small incision in the abdomen, allowing the physician to view the uterus, ovaries, and fallopian tubes. Laparoscopy is performed as a day surgery procedure and requires that the patient receive general anesthesia.
- Cyst