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Posts for category: HealthCare

By J. Gabriel Guajardo, M.D.
March 02, 2018
Category: HealthCare

Coming in to see your OBGYN once a year is an important part of every woman’s health. Even if you aren’t experiencing symptoms these examinations could preventCervical Biopsy, Endometrial Biopsy, Uterine Biopsy and Colposcopy issues from happening and can allow your doctor to detect problems early on when problems are often much easier to treat. If we detect any suspicious growths or other symptoms during your pelvic examination then we may recommend getting a biopsy. There are different diagnostic biopsies that we may recommend depending on the symptoms and issues you are experiencing.

Cervical Biopsy

This biopsy is often performed if a Pap test or other diagnostic test detected abnormal cells in the cervix. In some cases, if you’ve been diagnosed with human papillomavirus (HPV) you may also require a cervical biopsy since some types of HPV can cause cervical cancer. A cervical biopsy may also help determine if the abnormal cells are potentially precancerous.

There are a few different ways that a cervical biopsy can be performed. Of course, no matter what technique is used, a cervical biopsy will need to remove a sample of the abnormal tissue for testing. Cervical biopsies are performed by a punch, cone or endocervical curettage method.

Endometrial Biopsy

Just like a cervical biopsy removes a sample of tissue from the cervix, this specific biopsy will remove a sample from the endometrium (the lining of the uterus). This biopsy may also be one way that your gynecologist can check hormone levels that can affect the health of your endometrium. This type of biopsy may also be recommended if you are experiencing irregular, heavy or long-term bleeding and aren’t sure of the cause.

Colposcopy

This procedure is a great way for your OBGYN to check the health of your cervix, vagina, and vulva to look for any signs or symptoms of the disease. Just like with a cervical biopsy, a colposcopy may be recommended if your Pap test came back abnormal. During your colposcopy, a small sample of tissue will be removed and examined. This diagnostic procedure is a great way to detect and diagnose certain issues such as cervicitis (inflammation of the cervix), precancerous tissue or genital warts.

If you have questions about your upcoming biopsy or if you are experiencing any symptoms or changes then it’s time you visited an OBGYN who can help you.

By J. Gabriel Guajardo, M.D.
January 02, 2018
Category: HealthCare
Tags: Pregnancy   HIV  

Finding out that you’re pregnant can be exciting news; however, if you’ve also been diagnosed with HIV then you may be feeling more concerned about whatHIV, Pregnancy this means for your pregnancy, the health of your child and your health. Of course, it will provide some relief to know that HIV-positive women can give birth to an HIV-negative baby. The most important thing you can do for you and your child is to visit your OBGYN right away for care as well as turn to other doctors who are providing you with your HIV treatments.

In most cases, the medications used to treat your HIV should be safe to use throughout the course of your pregnancy. Of course, there are some instances in which women may need to change the antiretroviral medications they take. This is why it’s important to talk to your medical team as soon as possible after finding out you are pregnant.

It’s imperative that you continue taking your HIV medication throughout the course of your pregnancy just as you had been prior to your pregnancy. Taking your medication at the same time everyday is also important to your health and the health of your child to make sure that they do not contract the virus.

If you haven’t already started taking HIV medication it’s necessary to get on a medication schedule right away. Women with HIV who start taking their antiretroviral drugs right away during their pregnancy will have a lesser amount of the virus in their blood when it comes time for their delivery.

You will want to work with your HIV doctor and your obstetrician to discuss the best ways to manage your HIV while pregnant to reduce the likelihood of passing HIV onto your child. This first consultation should be scheduled right away. From there, your obstetrician will decide how often you should come in for routine monitoring and care. During these routine visits, an ultrasound will often be used to see how the fetus is developing.

When it comes to your birth plan, this is something you should discuss as soon as possible with your OBGYN. It is possible for women with HIV to deliver their baby vaginally, but the safest and best method for delivery will depend on how low or high the viral count is at time of delivery. Based on the viral load at around 34 to 36 weeks, your OBGYN will be able to determine if a vaginal delivery is possible or whether you will need to undergo a cesarean section prior to going into labor.

Along the way, you may have questions or concerns about your pregnancy and managing your HIV. When you do, make sure that you have an OBGYN that you trust to provide you with the caring and compassionate care that you need to have a smooth and stress-free pregnancy.

By J. Gabriel Guajardo, M.D.
November 13, 2017
Category: HealthCare
Tags: Cervicitis  

Have you been diagnosed with cervicitis? If so, chances are pretty good that you have questions about this condition. This condition, which causesCervicitis inflammation of the cervix, is surprisingly common. There are many reasons why someone might develop cervicitis:

  • A sexually transmitted disease (e.g. gonorrhea; genital herpes)
  • Allergies (e.g. latex)
  • Injury to the cervix
  • Irritation (e.g. from diaphragm)
  • A bacterial or hormonal imbalance
  • Cancer (Rare)

Some women may have cervicitis but never even know that they have it. Some women with cervicitis may experience abdominal pain, yellow or gray discharge, vaginal itching and bleeding, painful urination or pain during sex.

What puts you at risk for cervicitis? While any woman can develop this condition you are more at risk for developing this inflammatory problem if you have multiple sexual partners, have sex without a condom or if you’ve had cervicitis in the past.

A simple swab test of the cervix is often all that’s needed to diagnose this problem. If you’ve been diagnosed with cervicitis, or if you suspect that you might have it, this is something that needs to be treated right away. Cervicitis can actually spread to other areas such as the fallopian tubes or uterus.

Cervicitis will often get worse if left untreated and can lead to other more serious complications such as infertility and pelvic inflammatory disease (PID). If you are pregnant, this condition could also put your unborn baby at risk. This is why it’s so important that you visit your OBGYN if you notice any symptoms or changes in your vaginal health that have you concerned.

Luckily, cervicitis can easily be treated with antibiotics such as doxycycline or azithromycin. Before medication is prescribed your OBGYN will also test for any sexually transmitted infections that may be causing this infection. If a sexually transmitted disease is also detected then we will need to treat that infection accordingly with further medication.

If you are pregnant, doxycycline will not be prescribed. In this situation, you will most likely be prescribed azithromycin or a cephalosporin. Again, the medicine your gynecologist decides to prescribe will be based on the cause of your cervicitis.

If in doubt, turn to your OBGYN to address all of your questions and concerns regarding cervicitis or the symptoms you are experiencing.