My Blog

Posts for category: Women's Health Care

By J. Gabriel Guajardo, M.D.
March 19, 2019

If your OBGYN has recommended that you get a sonohysterogram done find out more about this procedure and what to expect.Sonohysterogram is performed when you don't have a menstrual cycle

Are you dealing with abnormal between-cycle bleeding, infertility or repeated miscarriages? While ultrasounds are often the first diagnostic test performed, if an ultrasound has come back normal and you’re still experiencing symptoms, then a gynecologist may recommend getting a sonohysterogram.

What can a sonohysterogram detect?

This procedure still uses an ultrasound to examine the inside of the uterus, but instead of just an ultrasound a saline solution is administered in the uterus beforehand. By injecting this solution inside the uterus we can obtain more details of the uterus that you wouldn’t be able to see with a regular ultrasound alone. A sonohysterogram can often be performed right in your gynecologist’s office and it usually takes about 15 minutes to complete.

When will a sonohysterogram be performed?

For obvious reasons this procedure will be performed when you don’t have your menstrual cycle, since bleeding could make it more difficult to see the uterus. This test isn’t performed on women who are pregnant or could be pregnant, as well as women with pelvic infections.

What should I expect from my procedure?

During the first portion of your treatment we will perform a regular transvaginal ultrasound. Then the solution will be injected into the uterus, and the ultrasound will be performed again.

After your procedure it is normal to experience some slight cramping and spotting, but most women are able to return to their normal activities the very same day as their procedure. But if you are having any symptoms that are concerning, you need to call your OBGYN.

If you are dealing with unusual uterine bleeding or having fertility issues, it’s certainly time to talk to a OBGYN specialist who can help provide you with the answers you need.

By J. Gabriel Guajardo, M.D.
March 06, 2019
Tags: Fibroids  

Affecting over 80 percent of women by the time they reach age 50, fibroids are abnormal uterine growths that can cause great discomfort, heavy periods, and abdominal pain. Luckily, there is a number of treatment options available to the millions of women who suffer from this condition. Read on to learn more about fibroids and how your local OBGYN can help ease your symptoms!

Fibroid Background

As mentioned above fibroids are typically non-cancerous tumors that develop within the uterine line. Although it is officially unclear on what exactly causes them to grow, experts generally agree that fibroid growth is influenced by a few factors, including hormone production, family history, a history of pregnancy, and being overweight.

While some people with fibroids report feeling no effect from their presence, other women report a range of different symptoms, such as:

  • Heavy and extended menstrual flow

  • Trouble conceiving

  • Pelvis and lower back pain

  • Frequent urination

  • Painful intercourse

  • Abdomen swelling

If you suspect that you may have fibroids, schedule an appointment with your local OBGYN to undergo a pelvic exam.

Treatment Options

Once your gynecologist has discovered the presence of fibroids, a specific treatment plan can be crafted specifically for you based on your age, your fibroid size, and the overall status of your health. Some possibilities for mild fibroids include:

  • Acupuncture

  • Yoga

  • Massage

  • Applying heat to the areas that are experiencing cramps

  • Losing weight, if you are overweight

  • Dietary changes, such as avoiding meat and high-calorie foods

For more serious cases, hormone regulating medications such as Lupron will cause your estrogen to drop, and thus cause menstrual cessation and fibroid shrinkage. If a patient’s fibroids are very large, a hysterectomy may even be in order.

Concerned? Give Us a Call!

If you suspect that you may have fibroids, don’t wait for the condition to get worse—contact your local gynecologist to seek relief and boost your health!

By J. Gabriel Guajardo, M.D.
February 14, 2019
Tags: Pap smear  

Why are Pap Smears Necessary?

If you are age 21 or older, you may be asked to get a pap smear. It’s also called a pap test, and it’s a common procedure used to test for cervical cancer in women. It is a routine procedure performed in the office during which cells are collected from your cervix.

Cervical cancer is a serious condition which often has no symptoms initially, until it’s in the later stages. A pap smear is a vital tool in detecting cervical cancer in the early stages, when treatment outcomes are much better. A pap smear can also find changes in your cervical cells which may indicate cancer developing at some point in the future.

When you reach age 21 or older, your doctor may recommend a pap test, usually performed along with a pelvic examination. In some cases, the pap test is combined with an HPV (human papillomavirus) which is a sexually transmitted condition known to cause cervical cancer.

The pap smear recommendations for healthy women are:

  • The first pap smear at age 21
  • A pap smear every 3 years if you are ages 21 to 65
  • A pap smear every 5 years if combined with an HPV test and you are age 30 or older

Having more frequent pap smears may be indicated if you have risk factors, including:

  • An HIV infection
  • An abnormal pap smear showing precancerous cells
  • A history of smoking
  • A weakened immune system due to organ transplant, chemotherapy, or corticosteroid use

To get ready for a pap smear, there are certain guidelines you should follow. Remember to:

  • Avoid having sexual intercourse, using a douche, or any vaginal medications or spermicidal products including foams, creams, or gels for at least 2 days before your test.
  • Avoid scheduling a pap smear during your menstrual period

A pap smear is a necessary part of protecting women’s health. The test is important because it is the only definitive way to diagnose cervical cancer in the early stages. Early diagnosis is critical to early treatment, which can lead to a better outcome for you.

By J. Gabriel Guajardo, M.D.
December 07, 2018
Tags: Pap smear  

The Importance of a Pap Smear

A pap smear, also known as a Pap test or cervical smear, is a routine procedure done at your gynecologist’s office to detect any irregularities in and on the cervix. The name comes from an abbreviation of the inventor’s name, Greek doctor Georgios Papanikolaou, and this test has been performed since 1923. It is currently the most common form of cervical screening in the United States.

What Are Pap Smears?

Pap smears are procedures done in-office and are performed by a doctor on an exam table. The vaginal opening is expanded with a tool called a speculum, and cells are then collected from the outside of the cervix using a tool called a spatula, which is very different from the one you may have in your kitchen. This procedure only takes a few minutes, and is very important for female health. Some patients report mild cramping during or immediately after the test, but it is usually very brief.

The collected cells are transferred to a glass slide and are examined under a microscope. The reason for this test is to identify any pre-cancerous conditions, most of which are caused by the human papillomavirus (HPV). These results can usually be used to diagnose other cervical problems and can take a week or two to come back.

A Pap smear is recommended for women to get every three years starting at age 21 until 65, barring any pre-existing conditions or any atypical results; those cases may call for more frequent testing. Regular Pap smears can reduce fatalities caused by cervical cancer very significantly, granted that patients with abnormal results follow their doctors’ treatment recommendations.

Be sure to stay up to date with your Pap smears and call your gynecologist with any questions!

By J. Gabriel Guajardo, M.D.
October 02, 2018
Tags: Pap Smears   Gynecologist   Mammograms  

Visiting a gynecologist such as Dr. J. Gabriel Guajardo in Brownsville, TX, on a regular basis can be lifesaving. Below is an overview of why these checkups are so important.

Routine Checkups:

An annual examination is an essential part of a woman's routine care. This checkup will include:Gynecologist

  • Early detection, screening, and treatment of various health issues, such as STD's
  • HPV screenings
  • Mammograms
  • Bone density scans
  • Blood tests
  • Pap smears

Evaluation of Uterine Fibroids

Women develop fibroids or myomas in the wall of their uterus. These benign tumors develop over time and the majority of women usually exhibit no symptoms. During an annual examination, a doctor can outline the best strategy to deal with these issues. Some solutions include:

  • Laparoscopic myomectomy
  • Robotic myomectomy
  • Hysteroscopic resection (aka hysterectomy)

Symptoms of fibroids include:

  • Heavy bleeding
  • Painful menstrual periods
  • Difficulty with intercourse
  • Pelvic pain
  • Bloating
  • Pregnancy loss, but this is rare

Contraception

Understanding the variety of contraceptive methods available helps women make better decisions for their health. Your Brownsville gynecologists can help you by:

  • Providing up to date information on reversible and permanent contraception.
  • Telling you about different hormonal methods such as birth control pills, patches, rings, and intrauterine devices.
  • Discussing tubal ligation and tubal occlusion with women who do not want any (or any more) children.

Your Doctor Also Provides These Additional Services:

1. Ambulatory Services:

  • Infertility Evaluation & Management
  • Urinary Incontinence
  • Abnormal uterine bleeding
  • Premenstrual Syndrome
  • Perimenopausal Transition

2. Surgery:

  • Laparoscopy
  • Hysteroscopy
  • Endometrial ablation
  • Sling Placement
  • Essure
  • D & C
  • Hysterectomy
  • Myomectomy
  • Ovarian Cystectomy
  • Pelvic Reconstructive Surgery

3. In-Office Procedures:

  • Colposcopy
  • LEEP
  • Intrauterine Device Placement
  • Sonohysterography
  • Amniocentesis
  • Implanon
  • Vaccines
  • Endometrial ablation
  • Nexplanon Insertion and Removal
  • Artificial Insemination

4. Pregnancy:

  • Routine laboratory testing
  • Traditional ultrasound services
  • Extensive genetic counseling
  • Amniocentesis testing
  • Management of high-risk pregnancies, including Cervical Insufficiency, Placental Problems, Multiple Gestational Pregnancies, Prior Preterm Delivery, Recurrent Miscarriages, Advanced Maternal Age, Pre-existing Diabetes, Gestational Diabetes and High Blood Pressure (Chronic Hypertension or Preeclampsia)

For more information on gynecological care, contact Dr. J. Gabriel Guajardo's Brownsville office by calling (956) 404-0598 today!