Posts for category: OBGYN
Do you have questions about the changes you’ll experience with menopause?
All women will go through menopause, usually once they reach their 40s and 50s. Since the body is no longer producing the hormones necessary to reproduce, your period will cease. There are some changes that can be challenging for menopausal women to tackle. Our Rockville, MD, OBGYNs Dr. Eric Ashkin, Dr. Aliya Poshni, Dr. Leslie Masiky and Dr. Adam Footer are here to answers your most frequently asked questions regarding menopause.
Q. How do I treat hot flashes?
A. Menopausal women can face a variety of symptoms during this transitional phase. You may experience mood swings, insomnia, weight gain, hot flashes, night sweats, vaginal dryness and a decrease in sex drive. The severity of symptoms will also differ from one woman to another. Of course, if you are dealing with hot flashes you may want to talk to our Rockville, MD, gynecologist about hormone therapy, medications or alternative therapies like acupuncture that can get your hot flashes under control.
Q. Can I stop taking birth control now?
A. Since your periods may now be infrequent or have stopped altogether, it might be tempting to jump off your birth control but it’s important that you continue to take it. Women who are in the beginning stage of menopause (known as perimenopause) can still become pregnant.
Q. Is hormone replacement therapy right for me?
A. Hormone replacement therapy is a great option for women who are dealing with severe symptoms of menopause that aren’t finding relief through lifestyle changes. HRT works to provide synthetic replacements for the hormones estrogen and progesterone to reduce your menopause symptoms and stave off certain health complications that occur as a result of menopause.
Q. When should I see an OBGYN?
A. Some women go through menopause and experience no problems while other women experience severe issues that affect their quality of life. If your menopause is impacting you then it’s time to visit your OBGYN. Women who are under 40 years old who are experiencing symptoms of menopause should definitely come into the office as soon as possible since other conditions could be affecting your hormone levels.
Q. Are there any health complications associated with menopause?
A. Now that estrogen and progesterone aren’t being produced this can increase your chances of osteoporosis, stroke and heart disease. This is why it’s always a good idea to visit your doctor once a year to monitor your health.
Do you have more questions for us? Need to schedule an appointment with us? Then call Capital Women’s Care in Rockville, MD, today.
Your doctor At Capital Women's Care says you need a hysterectomy because of your exceptionally heavy bleeding. Other treatments, such as endometrial ablation (to remove overgrowth of the lining of the uterus), have not worked. So surgery is your best option. Learn how your board-certified gynecologists, Dr. Eric Ashkin, Dr. Aliya Poshni, Dr. Leslie Masiky and Dr. Adam Footer perform these procedures safely and successfully and the reasons for these tried and true surgeries.
What is a hysterectomy?
A hysterectomy is a surgical procedure which removes all of some of a women's reproductive organs, including her uterus, fallopian tubes, ovaries and cervix. You and your physician will discuss in depth exactly what your surgery will involve and what follow-up care you will need.
Traditionally, this common surgery involved a large abdominal incision and lengthy hospital stay. Today, many (but not all) hysterectomies are same-day or next day surgeries involving no hospital stays or ones of short duration.
That's because hysterectomies may be performed laparoscopically with tiny instruments via very small incisions. Capital Women's Care offers innovative daVinci robotic surgeries. Your surgeon uses this amazing instrument to inspect and operate on pelvic organs with outstanding precision, minimal blood loss and tiny incisions. Additionally, some hysterectomies involve no abdominal incisions at all because the surgeon uses a transvaginal technique.
Reasons for hysterectomy
There are many, and one of the most common is uterine fibroids, reports the Illinois Department of Health. Fibroids are noncancerous growths involving the endometrium, or lining of the uterus. They cause pain and very heavy periods.
Another reason for a hysterectomy is cancer involving the uterus, ovaries or cervix.
Finally, your doctor may advise removing your uterus because of a condition known as prolapse. Common in post-menopausal women who have reduced estrogen levels, a prolapsed uterus actually moves from its normal position within the abdomen into the vagina. Resulting symptoms may include:
- Painful intercourse
- Difficulty with bowel movements
- Bladder infections
- Back pain
Your doctor will discuss both your pre-operative preparation, particulars of your surgery (including anesthesia) and what to expect during your recovery. Your questions and concern are valuable. So be sure to bring them up during your appointment.
If you have an upcoming hysterectomy, count on the expertise and compassionate that are hallmarks of Capital Women's Care. Call today for your consultation (301) 569-6301.
Visiting your gynecologist on a regular basis can be lifesaving. The doctors at Capital Women's Care in Rockville, MD, have some advice to share with you.
Routine Well Woman’s Care
Annual examinations are an essential part of a woman's routine care. It includes:
- early detection, screening, and treatment of various health issues, such as STD's
- Pap smears
- HPV screening
- Bone density scans
- Blood tests
Understanding the variety of contraceptive methods available helps women make better decisions for their health. Your Rockville gynecologists can help you by:
- Providing up to date information on reversible and permanent contraception.
- Telling you about different hormonal methods like birth control pills, patches, rings and intrauterine devices.
- Discussing tubal ligation and tubal occlusion with women who do not want any or any more children.
Evaluation of Uterine Fibroids
Women develop fibroids or myomas in the wall of their uterus. These benign tumors develop over time and a majority of women usually exhibit no symptoms.
Symptoms of fibroids include:
- Heavy bleeding
- Painful menstrual periods
- Difficulty with intercourse
- Pelvic pain
- Pregnancy loss, but this is rare
The doctors can outline the best strategy to deal with fibroids. Some solutions include laparoscopic myomectomy, robotic myomectomy and hysteroscopic resection, or a hysterectomy.
For more information on gynecological care contact your doctors in Rockville, MD at Capital Women's Care - Drs. Eric Ashkin, Aliya Poshni, Leslie Masiky and, the newest member, Dr. Adam Footer.
Dr. Adam Footer is board certified in Obstetrics and Gynecology and a Fellow of the American Congress of Obstetricians and Gynecologists. The Montgomery County native received his medical degree from the George Washington University School of Medicine and was recently awarded an Excellence in Teaching Award.
To contact our office and schedule your appointment, please call (301) 569-6301 today! Your health is of the utmost importance, so don't wait!
Finding out you're pregnant is exciting, and the doctors at Capital Women's Care in Rockville and serving the Montgomery County area, know this. That's why they like to set milestones. It's a great way to monitor the health of the mother and baby.
Preconception counseling helps doctors create a comprehensive treatment plan for you and your baby. The Rockville and Montgomery County area doctors will go over your family's medical history to identify risk factors and/or pre-existing medical conditions for your specialized treatment plan. They will also adjust any medications you're already taking, recommend routine tests and provide vitamin supplements prior to conception.
There is a list to complete in order to start out your pregnancy experience smooth sailing:
- A standardized panel of lab work and tests
- Ultrasound exam to confirm pregnancy viability and confirm due date
- Specialized screening tests such as genetic testing.
- Answering any questions you may have about prenatal care
The second trimester involves the following tests and exciting news:
- A 20-week ultrasound, to monitor the baby’s development and a look at the baby’s gender.
- A discussion about prenatal classes and classes on how to care for your newborn.
- Another set of labs including a screen for gestational diabetes that should be conducted between 24 and 28 weeks.
- Registering at the hospital for your delivery and looking into pediatricians if you don’t already have one.
The bundle of joy is on their way and that means more visits to our office. During the third trimester we will:
- Review the precautions you need to take and when to call us with any symptoms or problems.
- Do another routine test of Group B Strep culture.
- Evaluate your cervix as your due date nears.
- Discuss your delivery plans for anesthesia among other concerns you might have.
For more information on Obstetrics and pregnancy care in the Rockville, MD and Montgomery County area call Capital Women's Care at (301) 569-6301
Women’s health is a complicated and important facet of medicine. Receiving an abnormal pap smear result can seem scary. However, it is important to know and understand what these results mean. Find out about pap smears, abnormal results, and keeping up with your gynecological health with Dr. Eric Ashkin, Dr. Aliya Poshni, and Dr. Leslie Masiky at Capital Women’s Care in Rockville, MD.
Why is a well woman examination important?
The most important aspect of a well woman examination is the prevention of future issues. A pap smear, performed during a well woman examination, takes a sample of cells from the cervix and is the leading cervical cancer prevention available. Your doctor tests the cells for abnormalities. An abnormal pap smear means that the results of the testing have found cells which are not normal, healthy cells. An abnormal pap smear does not mean that you have cervical cancer.
What does an abnormal pap smear mean?
Often, abnormal cells are a result of the human papilloma virus, or HPV. These cells are linked to cervical cancer, allowing doctors to catch and treat this condition early at its most curable stages. Abnormal pap smear results can also occur due to infections caused by yeast or bacteria, treatable conditions which are usually nothing to worry about. Abnormal pap smear results in women going through menopause could be simply because their cells have changed due to age.
Pap Smear in Rockville, MD
According to the United States Office on Women’s Health, women from the ages of 21-29 should have a pap smear every three years. Women between 30-64 should have a pap smear and HPV test every five years. Additionally, women with immune system problems coinciding with chemotherapy, steroid use, or other issues, those who have had cervical cancer, or women who are HIV-positive should have more frequent pap smears. Consult with your doctor to determine how often you should have a pap smear.
For more information on abnormal pap smears or to schedule your well woman examination, please contact Dr. Ashkin, Dr. Poshni, and Dr. Masiky at Capital Women’s Care in Rockville, MD. Call (301) 569-6301 to schedule your appointment with your gynecologist today!