If you are planning to expand your family, preconception counseling is an essential tool to help you get started. During an appointment here at Capital Women's Care in Rockville, MD, Dr. Eric Ashkin can walk you through the process step-by-step and answer each of your questions along the way. After all, while pregnancy is a happy and festive time, it does come with many questions and concerns.
Preconception counseling is a powerful form of health education, and during this very momentous time in your life, Dr. Eric Ashkin in Rockville, MD, wants to inform your pregnancy decisions as much as possible. As a guide to your preconception visit, here is a list of answers to a few potential questions that you may ask:
What Are the Aims of Preconception Care?
Preconception care aims to optimize the health and safety of both mother and child. For example, if a specific health condition runs in your family, we can discuss the risk of the disease and how it may affect you or the health of your baby. Preconception care aims to improve long-term and short-term care as well as prevent and control diseases at multiple stages of life.
What Happens at a Preconception Counseling Appointment?
Before you start to conceive, we will determine if your body is ready for pregnancy by performing an examination. We will ask questions about your family's medical history, talk about your current lifestyle factors, and develop a plan that supports your personal pregnancy goals. We will also address any medical issues that you may have so that you can be your best self both physically and emotionally during pregnancy.
Can A Preconception Counseling Appointment Help If I've Already Had a Baby?
Absolutely! If your health has changed since your last pregnancy, or if you had complications before, during, or after, we can help you avoid them in your next maternal chapter.
If you have additional questions or concerns regarding family planning, preconception counseling, or pregnancy in general, you can depend on Eric Ashkin in Rockville, MD, to take the best care of you. To learn more about Capital Women's Care and the services we provide, visit our website. To request an appointment, please call our office at (301) 569-6301. In the event of an emergency, dial (240) 790-1725.
A hysterectomy is a gynecological procedure that entails the removal of a patient's uterus. Often a lifesaving procedure, there are many reasons why women choose to undergo a hysterectomy at our Rockville, MD, office—read on to learn about them.
Some of the reasons a woman may need a hysterectomy include,
- Uterine fibroids that cause bleeding and pain
- Cancer of the ovaries, uterus or cervix
- Severe endometriosis
- Abnormal vaginal bleeding
- Chronic abdominal pain
- Uterine prolapse
- Thickening of the uterine lining
Most of the time a hysterectomy is performed to treat certain forms of cancer; however, sometimes a woman will need to undergo a hysterectomy for noncancerous conditions if other treatment options were unsuccessful. Since a hysterectomy is considered a major surgery, our Rockville OBGYN will provide you with other treatment options based on the specific condition or symptoms you are dealing with before considering a hysterectomy. These treatment options include,
- Kegel exercises
- Vaginal pessary (to treat uterine prolapse)
- Treatments to shrink fibroids
- Uterine fibroid removal
- Endometrial ablation to treat persistent vaginal bleeding
- Laparoscopic surgery to treat endometriosis
What are the different kinds of hysterectomies?
There are three different kinds of hysterectomies: total, partial and radical. As you may be able to assume from the names alone, a total hysterectomy involves the removal of the uterus and the cervix. Sometimes the ovaries and fallopian tubes will also be removed. During a partial hysterectomy, only the uterus is removed. A radical hysterectomy will remove not just the uterus and cervix, but also the tissue from the cervix and certain areas of the vagina (this type of hysterectomy is usually performed to treat women who have cervical cancer).
Concerned about your health? Give us a call!
If you are dealing with abnormal vaginal bleeding, abdominal pain, or other symptoms, it’s important that you have a trusted OBGYN that you can turn to for answers. To make your health a priority, call Capital Women’s Care today at (301) 569-6301 to schedule an appointment at our Rockville office.
Infertility is more common than you may think. In fact, more than 12 percent of women in the U.S. have difficulty getting or staying pregnant according to the Centers for Disease Control and Prevention. Luckily, your Rockville, MD, gynecologists at Capital Women's Care diagnose and treat infertility, and they can offer suggestions and treatments that may increase your chances of a successful pregnancy!
Your infertility evaluation
Determining why you haven't gotten pregnant is the first step in increasing your chances of pregnancy. During your infertility evaluation, your gynecologist will discuss issues that may affect you or your partner, ask questions about your medical, surgical, and sexual history, and order various tests. Common fertility-related problems include:
- Hormonal Issues
- Irregular Ovulation
- Low Sperm Count
- Problems with Sperm Quality or Motility
- Blocked or Damage Fallopian Tubes
- Fibroids or Polyps in the Uterus
- Scar Tissue in the Uterus
During your evaluation, your Rockville gynecologist will also discuss other issues that may affect fertility, such as weight, medications and supplements, smoking, recreational drugs, alcohol consumption, sexually transmitted diseases, and exposure to toxins or chemicals.
In some cases, it may not be possible to determine why you haven't gotten pregnant. Even if the cause of your infertility is undetermined, you may still benefit from fertility treatment.
Your gynecologist can offer fertility treatments or make a referral to an infertility specialist if necessary. Your treatment plan will depend on the results of the infertility evaluations of both you and your partner. Infertility treatments may include:
- Drugs that help your ovaries release eggs
- Medications that improve sperm count
- Intrauterine insemination using the couple's eggs and sperm or donor eggs or sperm
- Surgery to repair damaged fallopian tubes, treat endometriosis, treat a uterine septum (divided uterus), or remove blockages, fibroids, or polyps in women
- Surgery to treat varicoceles (enlarged veins in the scrotum) in men
- Assisted reproductive technology, such as in vitro fertilization or sperm injection
Give us a call!
Are you having trouble becoming pregnant? Your gynecologists at Capital Women's Care offer pregnancy care and infertility treatments in Rockville, MD. Schedule an appointment with them by calling (301) 569-6301.
Planning your pregnancy before conception could greatly benefit you and your baby’s health.
Just as the name suggests, preconception counseling refers to an office visit with our Rockville, MD, OBGYNs to discuss any health problems or issues that could put you or your unborn baby at risk once you become pregnant. Preconception counseling takes the surprise out of potential concerns or issues so that you can have a healthier and well-planned pregnancy.
What is involved in a preconception counseling visit?
There are several components to this visit, including:
Your Medical History
We will need to go through your detailed medical history to determine if there are certain conditions that could impact your ability to get pregnant or could cause a high-risk pregnancy. Be as upfront as possible about any preexisting conditions, as well as any medications or supplements that you are taking.
Your family history is important for us to know because there could be certain hereditary health problems or disorders. For example, knowing that you have a family history of diabetes or hypertension is helpful, as this may require additional checkups to reduce your risk of developing high blood pressure or gestational diabetes during your pregnancy.
If you’ve been a patient with us then we will have all of your information regarding STD testing, birth control, infections, and Pap smear results. Of course, if you are coming from another OBGYN then we can have this information forwarded to us. You’ll want to keep up with Pap smears, annual exams, and STD testing to make sure that everything is healthy and that there are no problems that could affect your ability to conceive.
Lifestyle & Environment
Your lifestyle is a major factor for a healthy pregnancy. We will discuss everything from your stress levels and caffeine and alcohol consumption to your diet and exercise routine. Certain work environments can also impact your pregnancy, so be open to discussing your work life in order for us to come up with ways to help reduce possible issues.
Based on your preconception counseling visit, our Rockville, MD, gynecologist may also recommend,
- A physical exam
- Additional blood tests
- Taking prenatal vitamins
- Charting your cycle and using a fertility kit
As you and our OBGYN go through your history and current lifestyle, we may make certain suggestions or recommendations which could ensure that you have a healthy pregnancy and delivery. Certain recommendations may include losing weight, quitting smoking, or getting certain immunizations.
If you are an athlete or someone who follows a certain workout plan, we can also work with you to help determine which exercises are safe throughout the course of your pregnancy.
Contact Us Today!
If you are interested in scheduling a preconception counseling visit with one of our physicians, call Capital Women’s Care in Rockville, MD, today at (301) 569-6301.
Uterine fibroids are a common condition that will affect most women at some point in time. According to the National Institutes of Health (NIH), nearly 80% of women over age 50 will experience fibroids. Fibroids are non-cancerous tumors that develop in the lining of the uterus. Although they are benign and don't always produce symptoms, they can also cause a number of symptoms that require treatment. The gynecologists and obstetricians at Capital Women's Care Dr. Eric Ashkin, Dr. Leslie Masiky, Dr. Aliya Poshni, and Dr. Adam Footer offer pregnancy, infertility, and reproductive services in Rockville, MD.
Pregnancy Testing and Treatment in Rockville, MD
In many cases, fibroids don't require treatment. But if they produce symptoms or interfere with fertility they may need to be removed. There are several treatment options depending on the severity of the symptoms and the size and location of the fibroids. A Myomectomy is a surgical procedure that removes the fibroids but preserves the uterus in order to make it possible to have children after treatment.
When a Myomectomy is Necessary
Some fibroids can cause symptoms that make removal necessary, including:
- Pain (can occur in the abdomen, lower back, or pelvic area)
- Abnormal, painful, heavy, or irregular periods can develop at any age, but when they occur during the reproductive years a Myomectomy can preserve the uterus if women still want to have children. Unlike a hysterectomy which removes the entire uterus, a Myomectomy procedure removes the fibroids and reconstructs the uterus to make it possible to become pregnant and have children.
How a Myomectomy Works
There are three types of Myomectomy:
Abdominal - The obstetrician makes a horizontal or vertical incision and removes the fibroids through the pelvic cavity
Laparoscopic - The fibroids are removed through an incision near the belly button with a small surgical instrument with a light and camera attached
Hysteroscopic - The fibroids are removed through the vaginal cavity
Myomectomy can relieve fibroid symptoms and preserve/improve fertility for women.
Find an OB/GYN in Rockville, MD
For more information about fibroid treatment and other gynecology procedures and services, contact Capital Women's Care by calling 301-569-6301 to schedule an appointment with one of our gynecologists today.
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