Also known as myomas, fibroids are complex structures that can grow in many different ways. How they develop within the uterus ultimately affects how they impact your health and comfort. Fibroids have the potential to interfere with your menstrual cycle, cause pain during intercourse, and more. They can also present risks during pregnancy.

Fortunately, there are many ways to address symptoms. Contrary to popular belief, invasive surgery isn’t the only solution available. Non surgical fibroid treatment options can manage symptoms and provide relief.

Uterine Fibroid Embolization

Uterine Fibroid Embolization, also known as UFE, is a unique procedure that usually requires minimal downtime. In many cases, it’s an outpatient procedure that requires only moderate sedation. However, exact techniques can vary from case to case.

Either way, the goal of embolization is not to remove the fibroids. Instead, UFE aims to reduce the size of problematic growths. The goal is to provide relief from issues like heavy uterine bleeding and pain. Fibroid embolization can cut off the fibroid’s blood supply, which may prevent future development and spread.

To perform this non surgical fibroid treatment, your doctor will create a small incision in the groin to insert a flexible catheter into an artery on the leg. The catheter is carefully guided to the blood vessels of the uterus. There, your doctor can inject an embolic agent to block the blood flow that feeds the fibroids. This process essentially starves the fibroids and deprives them of the nutrient supply they need to grow.

Slowly but surely, the fibroids shrink by 30 to 50 percent. While results can vary, many women notice their menstrual cycle returning to normal after two to three months.

RELATED: Diagnosis of Fibroids

Fibroid Radiofrequency Ablation

Here’s another non surgical fibroid treatment option that utilizes tiny incisions on the abdomen to gain access to the uterus. Like the previous fibroid embolization technique, this procedure reduces a fibroid’s size rather than removing it. However, fibroid radiofrequency ablation utilizes heat to provide near-instant change.

Using traditional laparoscopic techniques, your doctor will locate the fibroids and attack them with targeted energy. The energy generates heat through a minute needle array. Thanks to the small size of the tools, your doctor can strategically heat the fibroids while sparing the surrounding uterine tissue.

The heat causes the fibroid to shrink immediately. Fibroids continue to decrease in size in the following months as well. Tissue from the growths are reabsorbed into the body, so the recovery process typically doesn’t involve passing anything. Many women will experience relief from symptoms shortly after recovery. However, the most significant benefits usually come three to six months later.

RELATED: Advantages Of Laparoscopic Myomectomy

Fibroid Hormone Therapy Treatment

This non surgical fibroid treatment option targets the hormones that govern your menstrual cycle. There are many approaches to fibroid hormone therapy, and your physician can make recommendations based on your unique needs.

If your most prominent fibroid symptoms are pelvic pressure and heavy bleeding, a progestin-releasing intrauterine device might be a suitable solution. An IUD doesn’t affect the fibroid directly, but it can provide relief from excessive bleeding and pain.

One of the most common non surgical fibroid treatment methods is to use gonadotropin-releasing hormone agonists, also known as GnRHa.

GnRHa medications target the same hormones that trigger your ovaries to produce estrogen and progesterone. However, it has the opposite effect as the body’s natural hormones. The GnRHa works to decrease estrogen and progesterone. This process can stop the menstruation cycle entirely, which will cause the fibroids to shrink over several months. Furthermore, red blood cell counts can slowly recover. 

GnRHa medication is a temporary measure, but hormone therapy can buy time and prepare the fibroids for other treatments.

If your fibroids produce symptoms that interfere with your health and everyday life, contact Dr. Michael Tahery. Urogynecologist serving women in Los Angeles and the surrounding areas, Dr. Tahery is well-versed in the complexities of fibroid treatment. Call us today to schedule an appointment and learn more about your non surgical fibroid treatment options.

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Labiaplasty is a potentially life-changing procedure that can help women feel confident in their bodies. It addresses excess skin and labial tissue, resulting in a more uniform and visually appealing appearance. In many cases, Labiaplasty can also provide benefits that go beyond aesthetics.

While it was once a niche procedure, Labiaplasty is more widespread than ever. It’s now, reportedly, among the top five most popular cosmetic procedures in the United States.

With interest at an all-time high, women are starting to wonder:

Does insurance cover Labiaplasty and Vaginal Rejuvenation?

Coverage can vary based on the details of your policy and your condition. Like other procedures that tiptoe the line between cosmetic and medically necessary, Labiaplasty and vaginal rejuvenation coverage also depends on the reasons for getting it.

Cosmetic Reasons for Labiaplasty & Vaginal Rejuvenation

For most women, the cosmetic reasons for Labiaplasty and vaginal rejuvenation are the biggest draw. Labial Hypertrophy and other aesthetic concerns can be a significant source of embarrassment or self-consciousness in women. Asymmetry can impact self-confidence during intimate moments. Meanwhile, protruding tissue often prevents women from wearing tight-fitting clothing.

Vaginal aesthetics are complex and heavily nuanced. There are no “standard” vaginal sizes, and every woman is different. When it comes to cosmetic reasons for getting Labiaplasty and vaginal rejuvenation, the goal depends on a woman’s unique needs.

Labiaplasty can reduce the size of the lips, take care of discoloration, and more. Because excess tissue is removed, many women also experience increased sensitivity. Surgeons can utilize one of many surgical techniques to achieve the desires look. They can also pair it with other procedures like clitoral hood reduction.

Does insurance cover Labiaplasty for cosmetic reasons?

Insurance companies do not provide coverage for cosmetic procedures. Cosmetic surgery is defined as the act of reshaping or improving “normal” biological structures. It’s done for physical enhancement and self-esteem. As a result, insurance providers don’t deem these procedures as medically necessary. Those looking to invest in Labia Reduction solely for anything other than medical reasons will need to pay out of pocket.

RELATED: Recovery After Labiaplasty Surgery

Medical Reasons for Labiaplasty & Vaginal Rejuvenation

Labiaplasty or vaginal rejuvenation is primarily classified as a form of cosmetic plastic surgery. However, surgeons can recommend the procedure to address benign or malignant tumors of the labia and vulva. For example, it’s a standard treatment for vulvar cancer.

Precancerous lesions, extensive condyloma, or other lesions of the vulva involving the labia that can not be treated medically are also indications for partial or complete labiaplasty.

These medical issues do not require to be life-threatening, but they can significantly impact one’s health.

RELATED: Will Labiaplasty Affect Sensation?

Labiaplasty in Los Angeles

Will your insurance cover Labiaplasty and vaginal rejuvenation? Turn to the offices of Dr. Tahery to learn more about your options. 

No matter your reasoning for getting this procedure, Dr. Michael Tahery is here to provide the expert care you deserve. As a urogynecologist specializing in women’s health and urology, Dr. Tahery is well-versed in Labiaplasty and other available treatments.

To get more information about this procedure, call our offices today and schedule your consultation

The post Will Insurance Cover Labiaplasty? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

A standard menstrual cycle can range from 21 to 35 days. Meanwhile, the period itself lasts four to seven days. Every woman’s biological process is different. However, most women know what to expect and when.

If things do not proceed as expected, it’s a cause for concern. Abnormal Uterine Bleeding includes everything from unusually light or heavy menstrual cycles and unorthodox timeframes to missing periods and unexpected pain.

Due to your menstrual cycle’s impact, there are many potential explanations for irregularities. Some are benign and easily remedied. However, others are far more pressing. Here are four of the most common causes for irregular periods.

Perimenopause

Perimenopause is a transitional period that can start several years before the last period. During this time, the body goes through many significant changes. While the effects aren’t as noticeable as menopause itself, perimenopause can influence the menstrual cycle. It turns once-regular periods into unpredictable occurrences.

Before entering perimenopause, hormonal fluctuations are relatively stable. Estrogen and progesterone levels rise and fall consistently with a woman’s cycle.

But during perimenopause, things become unpredictable. Hormones become more turbulent, which leads to irregular periods. Many women experience heavy menstrual cycles of varying lengths. Some also encounter sporadic timing that’s not consistent with their regular cycles.

On top of all that, perimenopause can cause additional symptoms. Some of the most common include hot flashes, mood changes, vaginal dryness, and sleeping difficulties.

RELATED: Are you experiencing perimenopause symptoms?

Polycystic ovary syndrome (PCOS)

PCOS is a hormonal disorder that can affect women of reproductive age. The exact cause of PCOS is unknown. However, research shows that genetics, insulin resistance, and inflammation come into play.

Women with PCOS produce higher levels of androgen, the “male hormone.” The excess androgen disrupts the menstrual cycle, resulting in irregular periods. It causes infrequency while also making it difficult for women to get pregnant.

Furthermore, the condition causes tiny fluid-filled sacs to develop in the ovaries. The sacs contain immature eggs that never reach maturity to trigger ovulation.

The condition causes a slew of symptoms. In addition to missed periods, it often causes heavy menstrual cycles due to the buildup of the uterine lining. Some women can also suffer from excessive hair growth, male pattern baldness, and acne.

Fibroids

Uterine fibroids are more common than most think. Approximately 70 percent of women in Los Angeles and beyond have fibroids.

Generally, fibroids are non-cancerous growths. There’s less than one percent chance of malignancy. Nonetheless, these tumors can cause several issues. The severity of a fibroid depends on its location and size. They can be less than an inch in diameter. However, some are capable of growing closer to the size of a grapefruit.

In addition to causing irregular periods, fibroids can cause lower back pain, leg pain, and discomfort during sex. Larger fibroids can also complicate pregnancies and impact fetal growth.

Endometriosis

Endometriosis is another widespread condition. This one affects approximately one out of every ten women. It can cause debilitating menstrual cramps and gastrointestinal pain. In many cases, it’s also to blame for heavy menstrual cycles and bleeding between periods.

The exact symptoms can vary from one woman to the next. It all depends on its severity and spread.

This health condition revolves around the endometrium, which is the tissue that lines the uterus and sheds with a regular period. When endometriosis occurs, that lining starts to develop outside the uterine cavity. It can grow around the fallopian tubes, on the intestines, and around other organs in the lower digestive tract.

Misplaced endometrium can wreak havoc on the body in many different ways. While there’s no permanent cure for endometriosis, it is manageable with some professional guidance.

RELATED: Endometriosis Diet: What To Eat and What to Avoid

If you’re experiencing irregular periods, seeking professional care is paramount. While not all causes are severe, heavy menstrual cycles, unusual timing, and unexpected pain could be a sign of trouble. The only way to know for sure is to visit a urogynecologist like Dr. Tahery.

Give the offices of Dr. Michael Tahery a call to schedule a consultation today. Dr. Tahery is a urogynecologist with more than 20 years of experience providing women’s health and wellness services to the Los Angeles area.

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Even worse, women are told that an active sex life will cause their vagina to stretch and become repulsively loose. The labia, in particular, is presumed to take the brunt of it. However, this notion is incorrect. Having sex doesn’t cause an elongated labia, and it also doesn’t mean that your vaginal canal becomes wider or looser with more use. While no permanent changes take place, you may notice some adjustments during or after sex.

During intercourse, there’s increased blood flow to the genitals. In some cases, this may cause the labia to become engorged. It doesn’t create an elongated labia. When the genitals become lubricated and pelvic muscles relax, it may give the illusion that your vaginal canal is widening, but it’s the body’s natural response to being aroused that sparks this change. When you’re no longer aroused, your body will return to its pre-intercourse state, and you won’t experience an elongated labia. Bear in mind that there are some conditions that could make your labia look different after sex. Also, some women may have weak or damaged pelvic floor muscles due to childbirth that may result in permanent laxity. 

RELATED: Facts And Myths About A Loose Vagina

Thrush, allergies, and STIs can prompt changes to the vagina, but it won’t give rise to an elongated labia but can contribute to discoloration. Some symptoms you might experience include swelling, itching, discomfort, and reddening. Moreover, if your Bartholin ducts are blocked, you may get cysts, which can make the labia swollen. Contrary to popular belief, this doesn’t mean that you have an elongated labia. 

RELATED: Labiaplasty in Los Angeles

Regardless of what your labia looks like, the key is your comfort and how you want your body to look like, dressed or naked. Every woman has unique genitalia, making it impossible to determine what an “average” labia looks like. If you’re dissatisfied with the way that your labia looks or want to reduce vulvar pain or discomfort, labiaplasty is a viable option. Dr. Tahery performs labiaplasty procedures designed to make you more confident and comfortable in your skin. To discuss your options, book an appointment at either our Glendale or Los Angeles office.

The post Does Sex Cause Elongated Labia? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

To reverse these adverse effects of childbirth, the mommy makeover was introduced. In essence, a mommy makeover refers to a set of cosmetic procedures designed to help women get their pre-baby body back. Most commonly, this involves a bladder tuck, vaginal muscle repair, and labiaplasty. These surgeries can be performed either individually or in conjunction to produce optimal results. Not every woman has the same needs, so it’s essential to target specific areas that have changed due to childbirth.

RELATED: Ok, I had my baby. Now, what is going to happen to my body

As more women notice drastic shifts in the appearance of their vagina, they’re opting for vaginal rejuvenation surgery which is a combination of the three and more. In addition to changing the size, shape, and look of the vagina, vaginal looseness can also impact a woman’s sexual gratification. Fortunately, vaginal rejuvenation surgery hones in on problem areas and, in turn, improves the function, feel, and look of the vagina.

It’s important to note that other factors can also give rise to vaginal laxity. For instance, weight gain during pregnancy. Depending on how much weight is gained, it can cause the labia to become looser and sag. For many women, this leads to decreased confidence and comfort. No matter what’s responsible for these significant and permanent changes, vaginal rejuvenation surgery can aid in tightening female genitalia. Labiaplasty, which is a form of vaginal rejuvenation surgery, is another viable solution.

RELATED: Vaginal Tightening in Los Angeles

Better known as aesthetic vaginal surgery, labiaplasty reduces or reshapes the lips of the vagina. For women who are anatomically displeased with their vagina, labiaplasty has proven a godsend. The labia, specifically, is modified, which influences the clitoris, vaginal opening, and overall outward appearance of the vagina. As cosmetic procedures like vaginal rejuvenation and labiaplasty are becoming more popular, women are uncovering the many benefits of these enhancing surgeries. What’s more, they’re slowly becoming normal components of the mommy makeover.

RELATED: What is the difference between Vaginal Rejuvenation and Labiaplasty?

As a urogynecologist, Dr. Tahery has spent years perfecting and designing techniques in vaginal surgery. With his vast expertise, he ensures that patients receive the care and results that they deserve. Thanks to Dr. Tahery, women experience life-changing transformations that allow them to feel happier and more confident. Dr. Tahery performs many of these procedures in his surgical centers designed and set up especially for this type of operation. To learn more about mommy makeovers, the advantages of these surgeries, and what procedures might be right for you, book an appointment with Dr. Tahery at our Glendale or Los Angeles office.

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Vaginal Looseness

In addition to being uncomfortable, vaginal laxity is also anatomically unsettling. Many women experience tears and laxity during vaginal delivery. This is also known as looseness of the vagina. With the vaginal canal widening a considerable amount while in labor, the vagina usually does not return to its pre-childbirth state. Most women notice the vaginal looseness during sex, with exercise, and pressure in the pelvic area with standing up.  

As a uro-gynecologist, Dr Tahery specializes in identifying damages to the vaginal structure and repairing them. Dr. Tahery has designed outpatient procedures to restore vaginal appearance and function under local anesthesia, that are minimally invasive with minimal down time. 

Stress Incontinence

Described as the unintentional loss of urine, stress incontinence involves leaking urine in response to sometimes even minimal physical activity. Laughing, sneezing, and coughing are prime examples. Not only urine loss and odor can be embarrassing, but it prevents women from being physically and sexually active in fear of urine loss. Vaginal rejuvenation procedures have proven wildly effective in remedying this issue. Dr Tahery designs individual treatment plans that are well tolerated, minimally invasive, and effective. 

RELATED: Postpartum Urinary Incontinence

Bloated, Gas, Constipation, and, Hemorrhoids

One of the most common complaints in women is abdomen bloating, gas, constipation, and hemorrhoids. Weakness in the wall between the vagina and rectum results in entrapment of stool. Inability to empty the stool results in gas, abdominal bloating, pressure in the rectum and vagina, and hemorrhoids. This is also called “outlet obstruction”. Identifying and repairing the weakness in most cases can resolve these most bothersome issues. 

Dry Vaginal Tissue

One of the most common physical changes in perimenopause and menopause is vaginal dryness. Vaginal rejuvenation surgery is touted as an effective treatment for this symptom of menopause. Vaginal dryness can make it difficult and painful to have sex, and it can also make women more susceptible to infection. Laser and radiofrequency vaginal rejuvenation procedures are effective in treating dryness, increasing the blood flow to the vagina, and restoring natural lubrication.

RELATED: Menopause and Bio-identical Hormones

To discuss your options and procedures recommended by Dr Tahery, book your personal appointment at either our Los Angeles or Glendale office. You can also explore before and after gallery to see the possibilities of  vaginal rejuvenation.

The post When Do You Need Vaginal Rejuvenation? appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

Menopausal symptoms

Hot flushes are common complaints in menopausal women. They accompany late-night sweats and rush of heat. Hot flushes disrupt sleep and prevent a good night rest. Hormonal therapy is the solution to this problem. Safe and effective for most women under proper supervision hormonal therapy eliminates hot flushes, restores sleep cycles, and allows for an uninterrupted night of sleep. Dr. Tahery is an expert in hormone replacement therapy and specializes in Bioidentical hormone therapy.

RELATED: ” I am not myself right before my period”

Bid Farewell To Late-Night Snacking

Though we’ve all been guilty of it, eating late in the evening can wreak havoc on your sleep cycle. Consuming food right before bed can prevent the release of melatonin, which is a hormone that regulates sleep. To curb your late-night cravings, opt for water instead. For optimal results, eat your last meal four hours before going to bed. Not only will you fall asleep quicker, but you’ll also notice a shift in the quality of your sleep.

Try Sleeping Aids

There are countless supplements, teas, and over-the-counter medications that are designed to help individuals get to sleep. While certain remedies may work for some, they may be less effective for others. It’s for this reason why it’s essential to find something that works for you.

Dr. Tahery has created Soothe to calm the nerves and improve sleep. It enhances sleep quality by increasing levels of dopamine, serotonin, and GABA. In essence, it promotes immune and nervous system health and works wonders in treating insomnia and other sleeping disorders.

RELATED: Why am I always exhausted?

Limit Caffeine Intake

Coffee addicts and tea lovers alike know how difficult it can be to cut back on caffeine consumption. While there’s nothing wrong with a cup of joe or tea throughout the day, be mindful of how much you’re drinking. If you rely on that midday cuppa to get you through the afternoon, try another alternative. Bananas, spinach, watermelon, and nuts can energize you greatly, and they won’t keep you up at night either. Moreover, some people turn to decaf options when they’re weaning off caffeine.

Create A Soothing Environment

A dimly lit, cool bedroom bodes well for a great night’s sleep. Don’t underestimate the power that temperate and mood lighting can have on your sleep. If it’s too warm, you’re bound to get uncomfortable, which often leads to incessant tossing and turning. If it’s too cold, you may end up tensing your body in an attempt to stay warm. With that said, it’s important to find your sweet spot. Once you have, adding a night light or candle to the room will create a serene atmosphere.

The post Why is Sleep Important and 5 Tips For Better Sleep appeared first on Best Uro-Gynecologist Los Angeles, OB/GYN Glendale | Dr. Michael Tahery.

In order to maximize the use of hormone replacement therapy and to also make it safe, we, as scientists, are constantly working on discovering the benefits and risks of using HRT. Even though a lot of myths about hormone replacement therapy have been debunked, some of them are still very common and may discourage women from using hormones that can drastically improve their lives. The following are some of the most common myths about hormone replacement therapy I have come across in my patients over the past 25 years.

Hormone Replacement Therapy  Increases Risk of  Cancer and Disease

In balance, hormones decrease the risk of cancer and other diseases in women who use them. Studies show HRT reduces the risk of colorectal cancer significantly (by 1/3), reduces the risk of bone loss and osteoporosis, reduces the risk of heart attacks (number 1 killer of women after menopause), and contributes significantly to the quality of life. The most common concern women have is the possibility of a rise in the risk of breast cancer. The relationship between the use of hormone replacement therapy and the risk of breast cancer is still a controversial topic. In many large studies, Hormone replacement therapy has shown to minimally (by <1%) increase the risk of developing breast cancer, and other hormone associated cancers. There is sufficient evidence to support a slight increase ( <1%)  in the risk of breast cancer with long-term estrogen and progestin substitution (longer than 5 years). Breast cancer is also very well studied and cure rates are very high if detected early. Also, the lifetime risk of breast cancer in a woman without HRT is 1 in 8. Therefore regular self-exam, evaluation by Dr. Tahery, and yearly mammogram, and if needed breast ultrasound is important with or without HRT.  women at high risk for certain cancers may require closer and more regular evaluation as recommended by Dr. Tahery.

Bio-Identical Hormones

In terms of molecular and functioning, bioidentical hormone replacement are no different from the hormones produced by the body. Therefore likely they are better tolerated by the body than other forms. We compound both female and male hormones in a cream form. Experience has shown that cream applied to the skin provides gradual absorption and better tolerance by the body. Bioidentical hormones absorbed through the skin do not increase the risk of blood clots, heart attacks, and strokes.

Hormone Replacement Therapy is Illegal

HRT has always been legal and is designed to make up for hormonal deficiencies. So it has a healing role. Huge numbers of postmenopausal or “hormonal women” benefit from HRT. Therefore, there is no reason why it should be illegal. You can buy and use HRT without legal concerns. 

Hormone Replacement Therapy is Good for Only 5 Years

There is no scientific evidence on the basis of which it is necessary to stop therapy after 5 years. Every woman is different and for each woman, HRT must be arranged individually. The risk of unwanted complications may be related to the length of time HRT is used. Scientific studies do not provide conclusive findings in this respect but some studies say that while the risk of developing breast cancer does not increase noticeably during the first 5 years of using HRT, it slightly begins to increase with longer therapy. 

There is a lot of controversy surrounding HRT. However, the benefits of using it may be much greater than the possible risks. We believe that each and every woman is different and HRT requires a personalized approach in order to get the most of it. 

Dr. Tahery is a big supporter of hormone replacement therapy in women during transition years of perimenopause to menopause. Based on his years of experience he believes HRT is essential to health after menopause under expert guidance. 

If HRT is of interest to you, Dr. Tahery looks forward to speaking with you about how it can enhance your life.

The post Myths About Hormone Replacement Therapy 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.

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