Today there are many alternatives to hysterecomy, including endometrial ablation technologies (some of which can be performed in the office), intrauterine devices, and various newer medical therapies.
ABNORMAL UTERINE BLEEDING / HEAVY PERIODS & ENDOMETRIAL ABLATIONS:
Suffer from heavy periods, painful or irregular periods? Endometrial ablation is a minimally invasive office procedure that can be done in the same time as a routine doctor's office visit. 20 percent of all women have abnormally heavy periods. After an office ablation procedure, 95 percent of these women have amenorrhea (no periods) or minimal mentruation. The endometrial ablation procedures work by permanently removing the lining of the uterus. We are using the NovaSure device, which utilizes radio frequency energy for about 90 seconds, or HerOption, which is a form of cryoablation (freezing) over 15 to 20 minutes. Both procedures have been shown to be well tolerated in the office setting with excellent patient satisfaction. Quick, simple, safe, and effective with a quick recovery -- come see us for an evaluation.
IN-OFFICE PERMANENT CONTRACEPTION:
The Essure Procedure is a permanent birth control procedure that offers women protection from pregnancy without cutting, burning, or the risks associated with general anesthesia or tubal ligation. Soft, flexible micro-inserts are placed in the fallopian tubes; delivered through the vagina and cervix. The procedure is done in the office with a local anesthetic, usually takes less than 20 minutes, and has a short recovery period.
Similarly, the Adiana procedure is now available which uses low dosage radiofrequency to create tissue growth around an inert silicon chip placed in the fallopian tubes. This newer technology is delivered through the vagina and cervix under local anesthetic. The procedure is performed in the office, it does not require any incisions, and has a brief recovery period.
SMARTLIPO LASER BODY SCULPTING
Laser Body Sculpting is a revolutionary, minimally invasive treatment that does something no fitness routine in the world can: permanently destroy fat cells. The laser-assisted lipolysis procedure is performed using a 1mm cannula (or tube) inserted into the skin. A laser fiber inside of the cannula delivers energy directly to fat cells, causing them to rupture and drain away as liquid. Simultaneously, tissue around the area coagulates, resulting in overall tighter skin tissue. The procedure is done in the office under local anesthetic usually in one to two hours. Call our office to schedule a free consultation. Click onto new web page for more information (see menu to the left).
A NON-SURGICAL TREATMENT FOR STRESS URINARY INCONTINENCE
Renessa, a non-surgical, in-office, incontinence solution is now available. Radoifrequency energy is used to heat tissue in sub-mucosal sites near the bladder neck under local anethesia. This heat denatures collagen, limiting the inappropriate opening of the bladder neck and proximal urethra during periods of increased abdominal pressure. The result is improved continence and patient quality of life.
We appreciate that every woman has different needs and transitions differently through the perimenopausal and menopausal state. There are many hormone regimes available today to ease the less-tolerable symptoms that may arise: including hot sweats, insomnia, moodiness and irritabillity, loss of labido, and overall decline in the sense of well being. We often utilize bio-identical hormones that can all be compounded into a single gel, tablet or suppository to treat each patient's needs.
Bio-identical hormones can also be used as supplements in women who are experiencing premenstrual irritability (PMS or PMDD), irregular periods, or infertility.