Published on Dec 5, 2018


ovarian cysts types of ovarian cysts

Ovarian cysts are one of the most common findings in women of reproductive age. The majority of women I see in the office with ovarian cysts complain of a combination of menstrual irregularities, pain with menstruation or intercourse, and abdominal distention.  In some cases, the pain and bleeding is so severe that land a person in the emergency room and at times surgery. Let’s review some common types.

Continue reading “OVARIAN CYSTS”

Fertility Anxiety

Published on Nov 19, 2018


“Why am I not getting pregnant? The first time was so easy.”

How many couples do you know trying to get pregnant and have difficulty? Or have “fertility anxiety”?

On any given day in my practice, I am faced with the seemingly straight forward, yet complex question from women at various stages of their lives; “can I get pregnant?”. Women in their twenties and nervous about their health; those in their thirties worried about the metaphorical clock ticking away; and women in their forties optimistically seeking guidance. Some may have tried a few cycles naturally to get pregnant and others may not be ready yet.

Continue reading “Fertility Anxiety”

Postpartum Recovery

Published on Nov 5, 2018

“I feel great. Can I go home?”
“I feel great. Can I exercise?”
“I feel great. Can I go back to work?”
“I feel great. ….”

Frequently, I hear a variation of this sentence from mothers very soon after childbirth. Too frequently, if you ask me.

It is the symptom of our fastpaced life. We have no time to waste on recovery. We hear, “Be strong. Get back to work. All mothers do it.” Work, family, child, and pretty much anyone else comes first. No matter what a mother has gone through mentally, emotionally, and physically, they are expected to bounce back, quickly. Having gone through an amazing bodily transformation, while supporting another human life; to delivery, which is a nature’s wonder that never seizes to amaze me after all these years. To postpartum, trying to heal and go back to the baseline as soon as possible, the “new normal”.

Continue reading “Postpartum Recovery”

What are Hemorrhoids?

Published on Jul 21, 2016

Hemorrhoids are painful varicose veins in the anal area, which can get inflamed and cause significant pain and discomfort.

Traditional surgical treatment involves excision of the hemorrhoids that can be very painful with a long recovery time. Using radiofrequency and electrocautery, we are able to treat a large number of hemorrhoids, under local anesthesia, as an out-patient procedure.

An office evaluation of the anal area is necessary to qualify for this treatment and rule out other causes of pain and discomfort such as anal fissures, tumors, infection, abscess, polyps or cancer. Once hemorrhoids are identified, in most cases local treatment involving emollients and steroids are sufficient to relieve the pain. However, if the hemorrhoids are recurrent, treatment using these outpatient techniques are employed.

Continue reading “What are Hemorrhoids?”

Can Multivitamins Increase the Risk of Death?

Published on Jun 29, 2016

Yes, you read correctly. Recent studies show multivitamin use in healthy people not only decreases healthiness but also increases the risk of death. The exact conclusion from one study is as follows:

“Most supplements do not prevent chronic disease or death, their use is not justified, and they should be avoided. This message is especially true for the general population with no clear evidence of micronutrient deficiencies, who represent most supplement users in the United States and in other countries.”

Continue reading “Can Multivitamins Increase the Risk of Death?”

Adenomyosis can be Responsible for Heavy Vaginal Bleeding and Pain During a Menstruation Cycle

Published on Jun 23, 2016

One of the most common conditions women complain of is heavy vaginal bleeding and pain during their menstruation cycle. Adenomyosis, or uterine endometriosis, is one of the most prevalent conditions causing these symptoms.

Adenomyosis occurs when the lining of the uterus penetrates the muscle of the uterus and causes the uterus to act as a sponge. As a woman gets closer to having her period, the uterus becomes full of blood and congested and when the period starts, the bleeding pours out of the endometrial lining and the uterus, as if a sponge is being squeezed. The congestion causes fullness and pressure in the lower abdomen and once the bleeding starts, the large amount of blood trying to exit the uterus causes cramping and pressure that can be very severe.

Continue reading “Adenomyosis can be Responsible for Heavy Vaginal Bleeding and Pain During a Menstruation Cycle”