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FAQs GYNECOLOGY

HPV
Does HPV always stay in the body or does it go away?
The human papillomavirus can clear the body after two years and may never return. In fact, it’s one of the few viruses that does have the potential to clear the body completely.

Questions about Reproductive Cancer
Should CA125 blood test be a routine part of ovarian cancer screening?
Not unless you have a family history of ovarian cancer or you’ve had ovarian cancer in the past. This tool has too many false positive and negative results to be considered an accurate screening for ovarian cancer; 50% of women who have already been diagnosed with ovarian cancer test are negative with this screening.

Birth Control
Is it normal to skip a period while on birth control pills?
It can be considered normal. A home pregnancy test should be done just in case. Continue taking your pills into the next package and if you still don’t get your period, check with your doctor.

What is Essure ?
The Essure device offers women and their partners a gentler option in permanent birth control. Unlike tubal ligation and vasectomy, there are no punctures, and no cutting, clipping or cauterizing of tubes. Ask your doctor about this procedure if permanent sterilization is your choice.

Incontinence
Is it normal or expected to lose urine control with age?
Urinary incontinence is the accidental release of urine. This leakage often occurs when you cough, laugh, sneeze, or have sudden urges to go to the bathroom and can't get there in time. Incontinence is not a disease but a symptom of a problem and is very common, especially among women. Typically, urinary incontinence does not cause major health problems, but it can be embarrassing and can affect a woman's self-esteem and confidence. Check with your doctor about your treatment options.

Perimenopause
Can severe headaches be caused by perimenopause?
Headaches, especially menstrual migraines, associated with perimenopause are caused by a drop in hormones. . An estrogen patch may help to maintain an even level of hormones throughout the month. . However, some women can’t or prefer not to take estrogen. Speak to your doctor about the best option for you. Taking a magnesium/calcium or herb supplement may provide some relief.

Menopause
Is it normal to bleed in the postmenopausal years, after not having a period for a full year?
Bleeding after menopause is not normal so you need to see your doctor to check out the cause as soon as you can.. Most likely it isn’t cause for concern as usually it is not cancer related, still it is very important to check.

When should a bone density scan be done?
Talk to your doctor about your bone scan when you reach menopause. Your doctor will evaluate your risk factors and will advise you when it is appropriate.

Surgical Procedures
What is operative hysteroscopy?
Hysteroscopy is a procedure that allows a visual examination of the interior of the uterus and is performed by inserting a long, slender instrument directly into the uterus via the cervix. The diagnostic procedure usually takes a few minutes. An operative hysteroscopy allows the gynecologist to remove abnormal tissue such as polyps, fibroids that protrude into the uterine cavity or scar tissue. It is performed under general anesthesia and generally takes between 30 to 60 minutes to perform depending on the extent of the surgery required. The patient is sent home after 1 to 2 hours in recovery and may resume full activites by the following morning.

What Is a Laparoscopic Hysterectomy?
Laparoscopic hysterectomy is a relatively new surgical procedure that allows the uterus to be detached from inside the body by laparoscopic instruments while the doctor is viewing the uterus, tubes, and ovaries through a camera attached to a telescope. After the uterus is detached, it is removed through a small incision at the top of the vagina. Advantages of a laparoscopic hysterectomy are smaller incisions, shorter hospital stay and a quicker return to normal activity.

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