Many women consider undergoing gynecologic surgery for a variety of conditions such as abnormal bleeding, pelvic pain, ovarian cysts, fibroids or endometriosis. Historically, these surgeries were often done through large abdominal incisions requiring long hospitalizations and recovery time, increased scar tissue and increased risks of bleeding and infection. In contrast, many women now have the option of having these procedures performed with minimally invasive surgery (MIS) techniques. MIS techniques are usually associated with less pain, quicker recovery, and lower risks of infection and bleeding. These surgical methods include vaginal surgery, laparoscopy and hysteroscopy. Laparoscopy is the performed with a small camera that is inserted into the abdomen with the use of several small instruments. Traditionally, this involves 3-5 small incisions on the abdomen. This can also be performed with a robotic surgical system or with a single port device where all of the instruments and camera are inserted through one small incision. Hysteroscopy is when a camera is inserted into the uterus through the cervical opening in the vaginal canal.
If a woman is considering gynecologic surgery, here are several things to think about:
Maybe you have had a Pap test and your doctor said that you have cervical dysplasia (also called CIN) ASC-US or SIL. Just hearing those words can be scary. Here’s some information to help make your Pap test results less confusing.
Pap test results are grouped into several categories depending on what the doctor sees when looking at the specimen under the microscope. If changes in cells from the cervix are found following a Pap test, it can mean that cancer – or a maybe a pre-cancer – is present.
The short answer is that we think pregnancy rates are improved when polyps that are found are removed. If a woman is planning to become pregnant, and we find a polyp as part of a fertility evaluation, we will remove it.
Polyps are on the list of things that can cause breakthrough bleeding during a woman’s cycle. Some other causes of breakthrough bleeding are fibroids and not ovulating regularly or well.
When you are pregnant, it may feel like your body is not your own any more as your body changes in unexpected ways.
Being aware of your new body is just one of the many benefits of prenatal yoga, which is why I encourage pregnant women to try it.
I talk to all of my patients about the benefits of exercise and prenatal yoga, so if this is a conversation that you haven’t had yet with your healthcare provider, it is one you want to have. You should talk to your doctor or midwife before you start yoga or any type of exercise class during pregnancy.
Why prenatal yoga? There are numerous studies about the benefits of prenatal yoga. Possible benefits include improving sleep, reducing stress and anxiety, and increasing the strength and flexibility of muscles.
Each woman’s breastfeeding experience is different (even from her first baby to her second), but the one constant is that there are a variety of supports in place to provide answers and encouragement. At no point should you feel like you have to do this alone, because there is a team of people and resources to support you.
Whether getting pregnant the first time was easy or required assistance, there are many factors that influence your ability to get pregnant a second time.
If you are planning a pregnancy, please remember the importance of prenatal vitamins, eating well, and regular activity.
It is difficult to predict from a prior experience how long it might take you to get pregnant. Your increased age and changing medical history can be factors. Changes in a woman’s ovaries, uterus, and tubes can make it easier or harder to get pregnant for the second time.
Here are some factors that can impact your ability to conceive: