Fibroids are non-cancerous tumors that develop from the muscular walls of the uterus, growing over time thanks to a steady supply of blood flow and hormones. The severity of fibroid issues can vary from woman to woman. A big factor that affects whether fibroids cause symptoms is their size. These growths can balloon to eight inches in diameter or more, typically growing over several years after starting their life on a microscopic scale.

Larger fibroids almost always cause trouble. But what about the smaller ones? Do you need surgery for small fibroids?

Do Small Fibroids Cause Pain and Other Problems?

Contrary to popular belief, fibroids don’t have to be massive to cause discomfort and affect your quality of life. There is no such thing as a size threshold that dictates when women should get small fibroids treatment. Whether or not you should seek treatment depends entirely on the symptoms they create.

Fibroids of any size can cause pain and numerous health problems. When these tumors develop inside the uterus, they create unnecessary pressure on the uterine wall. One type of fibroid, submucosal fibroids, alters the uterine lining, resulting in an increased risk for reproductive issues in the future. Fibroids that grow outside the uterus might press onto the spinal nerves, bladder, and rectum. Either way, the result is intense abdominal and pelvic pain that worsens the bigger the tumors get. But that’s not all.

Fibroids, big and small, can also interfere with your health and sexual activity. Common symptoms that arise due to fibroids include:

• Pain during intercourse
• Abdominal distension
• Urination difficulties
• Heavy menstruation bleeding
• Irregular periods
• Constipation

In some cases, fibroids can also impact fertility. The tumors can cause problems for pregnant women by compromising fetal growth and increasing the odds of miscarriage and preterm labor.

Ultimately, it doesn’t matter how big fibroids get. If they’re causing pain or other symptoms, it’s important to seek treatment even if they are small fibroids. 

RELATED: Do Fibroids Affect Pregnancy?

Treatment and Surgery for Small Fibroids

There are many ways to approach small fibroids treatment. Before you discuss those options with your healthcare provider, you must get a diagnosis. Common diagnostic procedures involve non-invasive and minimally invasive techniques. That might include ultrasonography, hysteroscopy, or hysterosonography. Modern 3D and 4D imaging makes it easier for providers to visualize, diagnose, and monitor fibroids.

From there, you can work with your doctor to develop a treatment plan for your unique case. Because fibroids can vary in size and location, recommended treatments depend on your situation.

Women experiencing heavy bleeding can often rely on medications. Contraceptive pills, progestational agents, and Gonadotropin-releasing hormone (GnRH) agonists can address menstruation changes and temporarily shrink fibroids. They prevent the tumors from getting bigger while you continue taking the medication. The same goes for hormone-releasing intrauterine devices.

If the tumors are causing pain, pressure, or fertility problems, surgery for small fibroids may be your best option. In the past, hysterectomies were the go-to solution. However, there are many other surgical procedures available.

Your doctor may recommend uterine artery embolization (UAE). It’s a minimally invasive procedure that involves cutting the blood supply to fibroids through a needle incision in the groin.

Other procedures include myomectomy via laparoscopy or hysteroscopy. The former requires surgeons to cut and remove fibroids through a small incision near the public line. Meanwhile, the latter involves inserting a telescopic instrument through the cervix. The right technique for your case will depend on the size and location of the fibroids.

It doesn’t matter what size your fibroids are. If they’re causing noticeable symptoms and pain that affects your quality of life, you can seek small fibroids treatment with Dr. Michael Tahery. As an experienced urogynecologist and fibroid specialist, Dr. Michael Tahery has the skills and experience to find the right treatment for you. Dr. Tahery has performed over a thousand minimally invasive operations, helping women throughout Los Angeles and the surrounding areas. Contact our office today to schedule a consultation and learn more about your options for small fibroids treatment.

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SYMPTOMS AND DIAGNOSIS OF VAGINA ATROPHY

How can you know if the symptoms you’re experiencing are caused by vaginal atrophy? It’s actually quite common to confuse symptoms of vaginal atrophy with symptoms of a yeast infection. Treatments for yeast infections won’t work for vaginal atrophy because this condition is caused by a lack of estrogen instead of a fungal infection. Of course, it’s always important to rule out a yeast infection with help from a medical provider before assuming that your symptoms are caused by vaginal atrophy. Here’s a look at vaginal atrophy symptoms:

• Vaginal dryness.
• Vaginal burning.
• Burning during urination.
• A sense of urgency during urination.
• Changes in vaginal discharge.
• Genital itching
• Recurrent urinary tract infections (UTIs).
• Light bleeding after intercourse.
• Painful or uncomfortable intercourse.
• Decreased vaginal lubrication during sexual activity.
• Tightening of the vaginal canal.

RELATED: Why Is My Labia Shrinking?

It’s not necessary to experience all symptoms to be diagnosed with vaginal atrophy. In many cases, women only experience the symptoms of burning, dryness, and itching. A pelvic exam is generally needed to confirm a diagnosis of vaginal atrophy. During your examination, your healthcare provider will be looking for signs of swelling, redness, vulvar lesions, lacerations near the vaginal opening, sparse pubic hair, narrowing of the vagina, and other telltale signs that you’re in a state of decreasing estrogen levels. Urine and fluid analysis may also be used.

VAGINAL ATROPHY TREATMENT

Many women never talk to their care providers about vaginal atrophy because they assume that nothing can be done to mitigate the age-related effects of diminishing estrogen levels. In reality, there are several treatment options available to help restore comfort and function. Speaking to your care provider as soon as you notice symptoms of vaginal atrophy is important because early treatment can prevent your vaginal atrophy from worsening. Vaginal dryness increases as the body goes without estrogen. This means that your condition is likely to get worse with time. In some cases, atrophy becomes so severe that the vaginal opening narrows dramatically. Trying to correct atrophy one significant symptoms are present can be much more challenging than treating early symptoms. Next, take a look at the three most common treatments for vaginal atrophy.

Hormone Therapy

A number of different hormonal therapies are available for treating vaginal atrophy. Topical estrogen is available in creams, rings, tablets, and suppositories. Hormone replacement therapy (HRT) is another option. Your care provider will discuss the pros and cons of various hormonal therapies based on your age, symptoms, and health history.

Laser Treatment

Laser treatments or vaginal rejuvenation for reducing vaginal dryness are becoming increasingly popular among women seeking non-hormonal treatments for atrophy. Lasers stimulate circulation, cellular activity, and healing that help to restore vaginal tissue to original levels. This non-invasive, surgery-free option triggers vaginal tissue’s self-healing, self-restorative properties.

RELATED: Frequently Asked Questions About Labia Majoras Puffing

Lifestyle Changes

Lifestyle changes shouldn’t be underestimated when talking about vaginal atrophy treatment options. There are many things women can do to reverse vaginal atrophy symptoms without medical intervention. Here are some tips:

• Kegel exercises performed on a regular basis can help to prevent the thinning and shrinking of vaginal tissue. Kegels can be especially effective for women suffering from urinary symptoms associated with the condition. These simple exercises involve repetitive tightening and loosening of pelvic floor muscles.
• Frequent sex can help to prevent vaginal atrophy. Regular sexual activity helps to keep vaginal tissue healthy by increasing blood flow to the vagina.
• Quitting smoking can help to resolve vaginal atrophy. Cigarette smoking restricts blood circulation to the vagina. In addition, smoking reduces the effects of the body’s estrogen levels.
• Regular exercise can be helpful for keeping blood flow in the genital area high.

If you’re struggling with symptoms of vaginal atrophy, reach out to the offices of Dr. Tahery to learn about vaginal atrophy treatment options that can help you feel like yourself again. Located in Los Angeles, Dr. Michael Tahery is a board-certified OB/GYN and female hormone specialist offering patients more than two decades of experience. Our office can address your unique needs to help you develop a vaginal atrophy treatment plan that allows you to live without pain and discomfort. Call today to schedule an appointment!

The post What Are The Vaginal Atrophy Treatment Options? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

There are many different reasons for seeking vaginal rejuvenation. In some cases, patients simply seek to enhance the appearance of the labia, clitoris, or vaginal opening. Other patients are motivated by desires to treat incontinence, improve vaginal tightness, strengthen weak vaginal/pelvic muscles, correct painful intercourse, or increase lubrication. What’s the next step if you’ve decided that it’s time to consider vaginal rejuvenation? One of the first questions you might have has to do with vaginal rejuvenation cost. Take a look at the factors that might influence vaginal rejuvenation cost in Los Angeles.

DOES INSURANCE COVER VAGINAL REJUVENATION?

Vaginal rejuvenation cost is generally not covered by most insurance plans. The reason for the lack of coverage is because vaginal rejuvenation is categorized as a cosmetic procedure. As a result, your insurer is likely to consider this to be an elective procedure that is not “medically necessary.” However, exceptions exist. Your insurance may cover vaginal rejuvenation if you’re correcting childbirth injuries or trauma. It’s always worth reviewing your plan with Dr. Tahery to determine if any part of your procedure can be covered by insurance.

FACTORS AFFECTING THE COST OF  VAGINAL REJUVENATION

A number of factors go into vaginal rejuvenation cost in Los Angeles. It’s nearly impossible to get a “generic” estimate when searching online for this very reason. The best way to get an accurate estimate of what you can expect to pay is to book a consultation. However, the following vaginal rejuvenation cost factors are universal.

Number of Sessions Required

While surgical vaginal rejuvenation options typically only require one treatment, some nonsurgical rejuvenation therapies may require several sessions. Factors that influence how many sessions are needed include the severity of the issue, a patient’s level of laxity, and a patient’s desired results. A plan for the number of sessions needed to achieve a specific goal will be created prior to starting treatment.

Type of  Vaginal Rejuvenation Procedure

Vaginal rejuvenation can look very different from patient to patient. While one patient may only require a single procedure, another may find that pairing procedures is a good strategy for getting the best results. The most common procedures included in vaginal rejuvenation are labiaplasty, vaginal tightening, clitoral hood reduction, genital bleaching, labia puffing, hymenoplasty, and vaginoplasty. Each procedure results in a different vaginal rejuvenation cost based on its complexity, the need for anesthesia, and more. When you speak with a doctor about your options, you’ll discuss complementary procedures that can help to produce more dramatic, longer-lasting results.

RELATED: Frequently Asked Questions About Labia Majora Puffing

Hospital or Surgical Center

In general, procedures performed as an outpatient in a surgical center are less costly than in a hospital. Dr. Tahery has designed surgical centers that are fully certified to perform cosmetic and gynecological procedures which significantly reduce the cost to patients. 

General Anesthesia vs. Local 

Dr. Tahery is an expert in performing cosmetic and gynecological procedures under local anesthesia. This eliminates the cost and risk of general anesthesia and helps with faster recovery and shorter downtime.

The Patient’s Individual Circumstances

You don’t need to be reminded that your body is unique. That’s why your vaginal rejuvenation will be a unique procedure that is tailored to meet your needs. The personalization of each procedure and technique used will ultimately adjust your vaginal rejuvenation cost. In fact, the cost for the same procedure is often different between two patients.

RELATED: Recovery After Labiaplasty Surgery

The Patient’s Goals

What do you want to achieve with vaginal rejuvenation? This question is always the priority when creating a treatment plan. Generally, patients aiming for more dramatic results will pay more for their procedures. The complexity of the procedure(s) chosen to help you meet your goals will also determine costs. Surgical options are typically more expensive than nonsurgical laser options.

If you’d like to get a personalized assessment for vaginal rejuvenation cost in Los Angeles, it’s time to move forward with Dr. Michael Tahery of L.A. Women’s Health & Wellness. A board-certified OB/GYN and urogynecologist specializing in women’s health needs in Southern California, Dr. Tahery has decades of experience performing vaginal rejuvenation procedures. Call today to book a consultation for vaginal rejuvenation in Los Angeles.

The post Vaginal Rejuvenation Cost | What To Know appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Signs you might need perineoplasty:

• The presence of unsightly scars after rupture or sewing of the perineum
• Difficulty emptying the bowels or prolapse of the reproductive organ
• Dissatisfaction during sexual intercourse
• Recurrent vaginal infections
• Pain during intercourse
• Soreness when touching the perineum or wearing tight underwear
• Pathological scar lesions
• Weakness or sagging of the perineum

RELATED:  Why Is My Labia Shrinking

The Procedure

Perineoplasty is performed using minimally invasive surgical techniques that allow faster healing and less visible scars. The perineum is anesthetized locally but it is also possible to perform the procedure under general anesthesia. During the operation, the excess skin is removed and the deeper muscle layers are repaired, then the edges of the wound are brought back together with sutures. Perineoplasty is an outpatient procedure and usually lasts from 30 minutes to an hour. After a few hours of observation by the doctor, the patient can leave the clinic.

After Perineoplasty

Perineoplasty is an outpatient procedure and the patient usually leaves the clinic just a few hours after its completion. In the first days after surgery, it is possible to feel pressure and pain and also burning in the surgical areas. For a week or two after the procedure, the perineum may be swollen. The skin usually heals without complications, and there are no scars. For approximately 6 weeks after perineoplasty, patients should refrain from sexual activity in order to allow for proper healing.

Contraindications 

• Pregnancy
• Active vaginal infection
• Abnormal pap smear results
• Cancer
• Vascular blemishes
• Coagulation disorders

RELATED: Your Hymen Repair Questions Answered

Before Perineoplasty

Perineal plastic surgery is preceded by a preoperative visit during which the doctor obtains medical history and performs an examination to find out what your goals are. Some testing may be required and it varies based on your age and medical history. It is possible to perform multiple corrective procedures at the same time. 

During this visit, Dr. Tahery will explain to you the alternative treatment options and risks and benefits. This is also an opportunity for you to ask all your questions before scheduling your surgery. 

You need to limit smoking (to 3 cigarettes a day) or give up prior to the operation. No fasting is required if the operation is performed under local anesthesia. If general anesthesia is used, 8-hour fasting is required. 

Dr. Michael Tahery with practices in Los Angeles and Glendale provides the best possible care during the whole process, from your first consultation until you are healed. To schedule a consultation with Dr. Tahery or to learn more about perineoplasty, please contact us.

The post What is Perineoplasty? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.