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.
Have you scheduled your well-woman visit with your gynecologist? Annual exams are important even if you're not due for a Pap smear this year. In fact, regular visits to your Rockville, MD, gynecologists at Capital Women's Care can help you maintain good reproductive and general health.
How can an annual exam help me protect my health?
Annual examinations help your doctor identify possible signs of breast or reproductive system cancer. Although most women don't need Pap smears yearly anymore, regular breast and pelvic exams are still needed. If your Rockville gynecologist finds a lump in your breast or notices an abnormality in your vagina, vulva, ovaries or uterus, you'll be given recommendations regarding tests used to rule in or rule out cancer, diseases, conditions and infections.
In addition to pelvic and breast exams, an annual visit to your gynecologist may include:
- A Blood Pressure Screening: High blood pressure doesn't usually cause noticeable symptoms in the earliest stages. If the disease isn't treated promptly, you may be more likely to develop a stroke, heart attack, kidney disease or vision loss. Regular screenings ensure that you receive medications that keep your blood pressure under control.
- Pap Test When Needed: Pap smears are used to detect abnormal cells in the cervix or cervical cancer. The American College of Obstetricians and Gynecologists recommends that women aged 21 to 29 have Pap smears every three years, while those in the 30 - 65 age range should have a Pap smear and human papillomavirus (HPV) test every five years or a Pap test only ever three years. Women over 65 may no longer need Pap smears in some cases, although they should continue to schedule annual exams.
- Discussions About Birth Control, Fertility, Sexuality and General Health Issues: Your gynecologist will help you find the best form of birth control, answer questions about sexuality and pregnancy planning, help you evaluate your risk of sexually transmitted diseases (STD), provide STD testing and evaluate symptoms that may indicate a problem with your health.
- Information About Perimenopause and Menopause Symptoms: Many women experience at least one unpleasant symptom during perimenopause and menopause. Your gynecologist can offer recommendations that may help reduce hot flashes, relieve vaginal dryness and help you manage other common symptoms. He or she may also recommend a bone scan to determine if you have any signs of osteoporosis. If you do have the condition, prompt treatment can help you strengthen your bones and reduce your risk of fractures.
Safeguard your health with an annual visit to the gynecologists Dr. Eric Ashkin, Dr. Leslie Masiky, Dr. Aliya Poshni, and Dr. Adam Footer at Capital Women's Care in Rockville, MD. Call (301) 569-6301 to schedule your appointment.
Though they are benign, uterine fibroids can cause serious complications if left untreated. Myomectomy is a safe and effective procedure to remove uterine fibroids, often referred to medically as leiomyomas, from the uterus. Find out more about myomectomy and how it can benefit you with Dr. Eric Ashkin, Dr. Leslie Masiky, Dr. Aliya Poshni, and Dr. Adam Footer at Capital Women’s Care in Rockville, MD.
What is a myomectomy?
A myomectomy removes uterine fibroids from the uterus, leaving the uterus itself intact. Uterine fibroids can occur at any time but usually form during the childbearing years. They produce symptoms such as heavy menstrual bleeding, frequent urination, backache or pain in the legs, mensuration lasting longer than a week, and pelvic pressure. During a myomectomy, your surgeon removes the fibroids and reconstructs the uterus to ensure that the uterus remains functional.
What can I expect after a myomectomy?
Unlike a hysterectomy, which removes the entire uterus, myomectomy leaves the uterus in the body and only removes the fibroids themselves. Myomectomy is ideal for women who plan to bear children, want to keep their uterus, or whose fibroids may be interfering with their fertility. Though there are risks associated with the procedure, it is generally considered safe and effective. After myomectomy, your doctor will prescribe a pain medication to help with discomfort and discuss your diet and care routine for recovery. Most women experience relief of their previous symptoms after their procedure and often have improved fertility with their fibroids removed.
Myomectomy in Rockville, MD
If you suffer the symptoms of uterine fibroids and suspect that myomectomy could be beneficial for you, consult with your doctor to ensure that this treatment is your best and most appropriate option. A consultation or well-woman examination is your chance to ask for more information on this procedure and address any questions or concerns you have.
For more information on myomectomy, please contact Dr. Ashkin, Dr. Masiky, Dr. Poshni, and Dr. Footer at Capital Women’s Care in Rockville, MD. Call (301) 569-6301 to schedule your appointment for a consultation with your doctor today!
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