My Blog

Posts for category: OBGYN

By Capital Women's Care
February 21, 2020
Category: OBGYN
Tags: Menopause  

When women reach a certain age (generally 45 to around 55) the stage of menopause begins. This can cause a myriad of uncomfortable symptoms, including hot flashes, mood swings, and weight gain. Some women may only need minor treatment for their symptoms. For others, however, the perfect combination of treatments is needed to ensure that they get through menopause successfully. Here at Women’s Care Center in Rockville, MD, our physicians can help you find the most appropriate treatments to help you manage your symptoms.

What are The Symptoms of Menopause?

Every woman’s menopause experience is unique, complete with varying symptoms that come in different intensity levels. In general, the main symptoms of menopause include hot flashes, weight gain, and night sweats. With hot flashes, you will feel a sudden and intense feeling of heat that comes from within your body. In turn, this causes redness in your face and body, excessive sweating, and an accelerated heartbeat.

When you experience hot flashes at night, you may become so drenched in sweat that you may need to change your clothes, but then feel overly chill once the episode passes. Studies have shown that these hot flashes are a result of changes to your hypothalamus, which is responsible for regulating your body temperature. Additionally, the fluctuation and depletion of your hormone levels could likewise lead to the following symptoms:

  • Slower metabolism and weight gain
  • Mood swings with symptoms of anxiety and depression that could be exacerbated by the specific stage of life you’re in
  • Skin problems, hair loss, dry mouth and eyes, and brittle nails
  • Sleep issues because of anxiety or depression, or hot flashes
  • Cognitive and memory problems due to aging, sleep problems, hot flashes, and depression
  • Sexual health issues including vaginal dryness, reduced sex drive, and pain during penetration

How to Treat and Manage Menopausal Symptoms

Most menopausal symptoms are manageable or treatable, either through lifestyle changes, medications, or alternative and complementary medicine. During your consultation with one of the doctors here at the Women’s Care Center in Rockville, MD, we will help you find the right combination of treatments for your menopause symptoms.

Commonly, medical treatments for addressing symptoms can include HRT or hormone replacement therapy, clonidine, antidepressants, and gamma-aminobutyric acid. Alternative and complementary therapies include yoga, meditation, hypnotherapy, and acupuncture. Additionally, lifestyle modifications include exercising more regularly and intensely, quitting smoking, strategic clothing, and using vaginal lubricants and moisturizers.

Looking for Menopause Relief?

Visit Capital Women’s Care here in Rockville, MD, or call us at (301) 569-6301 to arrange a consultation with one of our doctors. You can also reach us at (240) 790-1725 for after-hours and emergency concerns.

By Capital Women's Care
June 21, 2019
Category: OBGYN
Tags: Hysterectomy  

HysterectomyA 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.

About Hysterectomies

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,

  • Medication
  • 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.

By Capital Women's Care
January 17, 2019
Category: OBGYN
Tags: Myomectomy  

Myomectomy 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.

By Capital Women's Care
October 17, 2018
Category: OBGYN
Tags: Annual Exams  

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.

By Capital Women's Care
August 02, 2018
Category: OBGYN
Tags: Myomectomy  

Though they are benign, uterine fibroids can cause serious complications if left untreated. Myomectomy is a safe and effective procedure myomectomyto 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!