My Blog
By Premiere OBGYN
November 24, 2020
Category: Women's Healthcare
Tags: Uterine Fibroids  

Uterine fibroids are basically noncancerous growths found in the uterus. They usually appear during a woman’s childbearing years. You’ll be glad to know that they’re not related to a raised risk of developing cancer of the uterus and almost always never develop into uterine cancer.

Lots of women develop these fibroids at some point in their lives. However, they may not know they have them since fibroids don’t usually cause symptoms. Your ob-gyn might detect these fibroids during a prenatal ultrasound or routine pelvic exam in our Pembroke Pines, FL, or Hollywood, FL, here at Premiere Obgyn.

Treating Uterine Fibroids

Plenty of women experience no symptoms or warning signs of uterine fibroids, or only certain bothersome but negligible symptoms. If this applies to you, your doctor may recommend a “wait and see” approach and careful monitoring. Otherwise, your ob-gyn in our Hollywood, FL, or Pembroke Pines, FL, may suggest the following treatments for treating your fibroids:

Medications

These work by targeting hormones responsible for regulating the menstrual cycle and treating symptoms like pelvic pressure and heavy periods. While they don’t get rid of uterine fibroids, they might shrink them. These medicines include:

  • IUDs or intrauterine devices that release the progestin hormone
  • GnRH or gonadotropin-releasing hormone agonists such as triptorelin, goserelin, and leuprolide
  • Tranexamic acid
  • Oral contraceptives for controlling menstrual bleeding
  • NSAIDs or nonsteroidal anti-inflammatory drugs for alleviating pain linked to uterine fibroids

Noninvasive Uterine Fibroid Treatment

This includes MRI-guided FUS or focused ultrasound surgery. This outpatient procedure will preserve the state of the uterus and doesn’t require an incision.

Minimally Invasive Uterine Fibroid Procedures

Some minimally invasive surgeries are capable of destroying fibroids without removing them via the procedure. These include:

  • Radiofrequency ablation
  • Uterine artery embolization
  • Robotic or laparoscopic myomectomy
  • Endometrial ablation
  • Hysteroscopic myomectomy

Traditional Uterine Fibroid Surgical Interventions

  • Abdominal myomectomy is often recommended for treating very large, very deep, and/or multiple fibroids. This requires opening up the abdomen area to extract the fibroids.
  • Hysterectomy entails removing the entire uterus and is the only proven option for permanent fibroid elimination. This is a major procedure that ends your capability to have children in the future.

Take note that for all fibroid treatment options, except for hysterectomy, some tiny tumors that might not be detected during surgery could grow over time and result in symptoms that will require further treatment. Additionally, new fibroids that might or might not need treatment, could likewise develop. This is why routine checkups with your ob-gyn and proper monitoring are crucial.

Speak to Us For Help Treating Your Uterine Fibroids

Arrange an evaluation in our Pembroke Pines, FL, or Hollywood, FL, here at Premiere Obgyn by calling (954) 961-9993.

By Premiere OBGYN
September 18, 2020
Tags: VBAC  

Talking to Your OBGYN About VBAC

Many women who have already given birth by means of a Cesarean or C-section can still give birth vaginally. This is known as Vaginal Birth After Cesarean (VBAC). Whether you are a candidate for VBAC or not will largely depend on the reason for your previous C-section. The doctors at Premier Obgyn in Pembroke Pines, FL are happy to answer all your questions about VBAC and tell you if it’s right for you.

Am I a Good Candidate for VBAC?

Pembroke Pines patients who are possible candidates for VBAC include those who:

  • Had a previous C-section with a low-transverse incision
  • Have never had a uterine rupture
  • Have never had extensive uterine surgeries
  • Have access to a doctor who can perform an emergency C-section if necessary

Benefits of Choosing VBAC

The benefits of VBAC include:

  • Future pregnancies: If you wish to have more children in the future, VBAC may help reduce your risk of placenta previa.
  • Surgical complications: VBAC reduces your risk of complications such as infection, blood clots, and bleeding.
  • Shorter recovery: You will be able to return home sooner after a VBAC than after a C-section.

Factors that Reduce your Chance of a VBAC

If the following factors apply, they may make it less likely that you will be considered a viable candidate for VBAC:

  • You are overweight
  • You have gone over 40 weeks of gestation
  • You need to have your labor induced
  • You are an older mother
  • It has been 18 months or less since your last pregnancy
  • Your baby’s estimated birth weight is more than 8.8 pounds

You can contact the team at Premiere OBGNY to schedule an appointment at their Pembroke Pines office on (954) 961-9993 or their Hollywood office on (954) 961-9993. The doctors will be happy to answer all of your questions about VBAC.

By Premiere OBGYN
May 11, 2020
Tags: Prenatal Care  

A healthy mother means a good pregnancy and a thriving baby. At Premiere OBGYN in Pembroke Pines, FL, our five gynecologists provide the regular visits, check-ups, and counseling you need for your best delivery. Learn more about the importance of prenatal care here.

Prioritize health

Studies over the past century show that prenatal care ensures better patient outcomes, says the Centers for Disease Control (CDC). Why? Your obstetrical team counsels you on nutrition, exercise, vitamins, and your baby's development, while also detecting potential complications through careful testing, examination, and monitoring. The Office on Women's Health says that without prenatal care, mothers are three times as likely to have birth complications and have low birth weight infants.

All the providers at Premiere OBGYN in Pembroke Pines, FL, encourage mothers—and potential mothers—to be informed on their GU health. They provide compassionate counseling on the entire birth process from conception to delivery and beyond.

Your first prenatal visit and beyond

It includes a pelvic examination and determination of when your baby is due. Your physician will review your medical, surgical, and obstetrical history and order lab tests such as a Complete Blood Count (CBC), urinalysis, and measles titer.

Until 28 weeks, you'll see your provider once a month. After that, until your due date, you and your baby will be monitored more closely. Your doctor will measure and track your weight, vital signs, and uterine size, listen to your baby's heartbeat, and evaluate the position of your placenta. Ultrasonic examination measures your baby's size and can tell you if you are carrying a boy, girl, or twins!

Remember, if you are 35 or older, you carry a high risk of pregnancy and birth complications. So, your doctor at Premiere OBGYN will likely schedule you for more frequent office visits and lab work.

As delivery approaches

You will discuss your labor and delivery options, medications, and anesthetics. The doctor will examine your cervix to determine if it is thinning out and preparing for the birth of your baby.

Healthy and informed

At Premiere OBGYN, we love taking care of Pembroke-area pregnant mothers and their babies. We want you to be well-monitored, prepared and cared for so that you have the best possible birth experience. Call us if you are thinking of becoming pregnant or think you already are: (954) 961-9993.

By Premiere OBGYN
March 05, 2020
Category: Women's Health
Tags: IUDs  

When it comes to birth control, there are seemingly endless options to consider, from pills to sponges to even surgeries. One increasingly popular form of contraception is found in Intrauterine devices, better known as IUDs. With minimal side effects, a high effectiveness rate, and no daily upkeep required, this could be the birth control solution that you've been looking for.

Available from Premiere OBGYN in Pembroke Pines, FL, read on to learn more about this convenient and worry-free form of birth control:

What its an IUD?

An IUD is a small, t-shaped implement made from plastic and placed in the uterus by your obstetrician at our Pembroke Pines office. The device works by blocking sperm, either with copper, which serves as a spermicide, or hormones, from fertilizing your eggs after intercourse.

How long does an IUD last?

An IUD is a long-acting contraceptive, effective for up to a decade without the need for removal or replacement.

What are the advantages of an IUD?

Unlike birth control pills, there is no daily maintenance required with an IUD. Once it is inserted by a specialist at our Pembroke Pines office, there is nothing you need to do. You won't be able to feel your IUD and it won't affect your intimacy experiences. There is a very slight chance your partner may feel the tips of the IUD's strings, but it shouldn't be uncomfortable or bothersome. From an effectiveness standpoint, an IUD is one of the most reliable forms of birth control, with a failure rate of under one percent.

Additionally, an IUD is easily removable by a specialist at our Pembroke Pines office, so if you decide that you'd like to try and become pregnant, you will have a little delay in doing so.

What are the risks or side effects of an IUD?

Most users will have no issues with their IUD, but there may be a minor chance of the device becoming expelled from the body, in which case it can be easily placed back in by one of our Pembroke Pines specialists. If you opt for a non-hormonal IUD, you may also experience increased period flow or light spotting between cycles.

If you are searching for the birth control option that best fits your lifestyle, call Premiere OBGYN in Pembroke Pines, FL, at 954-961-9993 today to learn more.

By Premiere OBGYN
December 03, 2019
Category: Women's Health
Tags: Fibroids  

A common, painful and frustrating gynecological condition is uterine fibroids. Benign growths stemming from either the internal or external Fibroidsuterine walls, fibroids are fully treatable. At Premiere OBGYN in Pembroke Pines, FL, your 5 board-certified physicians help women feel better and regain normal reproductive and sexual function.
 

How uterine fibroids happen?

Also called leiomyomas, uterine fibroids are vascularized growths of varying sizes, shapes and locations within the female reproductive tract. While most fibroids are located within or right on the uterus, some fibroids may invade the cervix and ovaries.

The American College of Obstetricians and Gynecologists report that fibroids typically grow in women of child-bearing years--30 to 40 years of age--and for some reason, African-American women seem more prone to them than do their Caucasian counterparts. Causes of fibroids remain something of a mystery; however, some researchers suspect that alcohol usage and hypertension may contribute to their development.
 

Symptoms of fibroids

For some women, fibroids cause few to no symptoms. Other women, however, feel very ill, exhibiting:

  • Pain with sex
  • Lower back pain
  • Abdominal bloating
  • Difficulty urinating
  • Constipation
  • Infertility
  • Miscarriages
  • Anemia
  • Menstrual pain
  • Heavy periods

Fibroid symptoms may escalate depending on their size and location and how quickly they grow.
 

Diagnosis and treatment

At Premiere OBGYN in Pembroke Pines, FL, your OB/GYN doctor will examine you and note your symptoms. Ultrasound imaging and/or a hysteroscope examination helps visualize fibroids, along with their location and size. Laparoscopy is a mild surgical procedure that introduces a lighted scope through a small abdominal incision so the doctor may discover fibroids on the outside of the uterus.

With a definitive diagnosis, your doctor will formulate a care plan suited to your needs and projected outcomes. Common treatments are:

  • Birth control pills
  • IUDs (intrauterine devices) which release progestin
  • Myomectomy, or surgical removal of fibroids
  • MRI-guided surgery
  • Hysterectomy (a last resort solution for very large fibroids)

 

Find out more

If you suspect you have fibroids, please contact Premiere OBGYN for an evaluation. You can reduce or even eliminate your symptoms. Call (954) 961-9993 today.





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