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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!

By Capital Women's Care
June 12, 2018
Category: OBGYN
Tags: Menopause  

Do you have questions about the changes you’ll experience with menopause?Menopause FAQS

 

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.

By Capital Women's Care
May 04, 2018
Category: OBGYN
Tags: Hysterectomy  

Your doctor At Capital Women's Care says you need a hysterectomy because of your exceptionally heavy bleeding. Other treatments, hysterectomysuch 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
  • Incontinence
  • Back pain

Your procedure

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.

Contact us

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.





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