Gynecology Specialist

VitalityMDs

Healthcare Clinic & Gynecology located in Scottsdale, AZ

From annual gynecology checkups to diagnosing and treating gynecologic disorders, women can look to VitalityMDs in Scottsdale, Arizona, for high-quality care. The experienced providers offer friendly and compassionate gynecology care for women of all ages to put them at ease during their women’s health appointments. To learn more, call the office or schedule an appointment online today.

Gynecology Q & A

What is gynecologic care?

Gynecologic care focuses on the female reproductive system. It covers a wide range of issues, including pregnancy, childbirth, family planning, menstruation, hormone disorders and menopause treatment, sexually transmitted infections, and gynecologic disorders. 

Women’s health care doctors can diagnose and treat problems leading to painful sexual intercourse, urinary tract infections, or leaky bladders. VitalityMDs also provides vaginal rejuvenation.

Who needs to see a gynecologist or women’s health doctor?

Females should schedule their first gynecology appointment when they first become sexually active or between the ages of 13 and 15. 

Young teenagers won’t always require a pelvic exam at their first appointment, but they can receive information about their menstrual cycle and women’s health needs.

You should start getting annual women’s exams when you become sexually active or around the age of 21. If you have an abnormal Pap smear, pain in your vaginal area, or experience irregular periods, you may need to schedule more frequent appointments.

When should I schedule a gynecology appointment? 

In addition to an annual exam, you should schedule a gynecology appointment if you  experience any of the following symptoms:

  • Painful urination or urgency
  • Painful or uncomfortable intercourse
  • Irregular menstrual periods
  • Bleeding after intercourse
  • Pressure or pelvic pain
  • Vaginal discharge with an unpleasant odor
  • Changes to genitals, including lumps or sores

You should also book a consultation if you need contraceptives. VitalityMDs offers several options, including long-acting birth control like intrauterine devices (IUDs), which eliminate the need to take a pill.

An IUD is a small, T-shaped device your provider places inside your uterus. It helps prevent sperm from reaching eggs, so you can avoid becoming pregnant. 

IUDs often last 3-10 years. If you’d like to become pregnant during that time, your doctor simply removes the device. The IUDs available at VitalityMDs include Bayer products – Mirena®, Kyleena®, and Skyla®.

What is vaginal rejuvenation?

Vaginal rejuvenation at VitalityMDs refers to a variety of procedures designed to improve the quality of life for women experiencing changes to their sex drive and genitalia as a result of aging or hormone fluctuations. Vaginal rejuvenation can help:

 

  • Restore lubrication
  • Improve vaginal laxity
  • Improve urinary incontinence
  • Increase erotic sensation

 


 

The caring and experienced team at VitalityMDs provides a wide range of gynecologic services to women over age 20.

 

Abnormal Uterine Bleeding

 

Abnormal uterine bleeding (AUB) is a significant problem that affects adolescents, reproductive age women, and peri- and post-menopausal women.

One third of all visits to the gynecologist are due to abnormal uterine bleeding. Among adolescents, AUB is the most frequent cause of urgent admissions to the hospitals.

AUB affects 50 percent of all women with the majority occurring in the years just after periods start or just before and after menopause. Of the 600,000 hysterectomies performed each year, more than half are due to AUB. Yet four out of five women with AUB have no anatomic or pathological condition and can be treated without a hysterectomy approximately 80 percent of the time.

AUB can be managed medically or surgically. Medical therapy is especially important if the woman desires future fertility.

 

Endometriosis

 

Endometriosis can be a painful and potentially dangerous problem for women. Pelvic pain is the most common symptom of endometriosis. The pain usually starts before a period and then continues until the bleeding has stopped.

Women may also have the following symptoms:

  • Painful periods
  • Pain in the lower abdomen before and after menstruation
  • Cramps 1 or 2 weeks around menstruation
  • Heavy menstrual bleeding or bleeding between periods
  • Pain with intercourse
  • Infertility
  • Discomfort with bowel movements
  • Lower back pain that may occur anytime during the menstrual cycle
  • Pain with urination

For women with endometriosis, the uterine lining tissue of the uterus grows outside of the uterus for reasons that are unknown. The mis-placed tissue, which is outside of the uterus, responds to the hormones produced by the ovaries by thickening and bleeding with every menstrual cycle.

This tissue which is outside of the uterus is unable to bleed through the cervix and into the vagina and out of the body. This endometrial flow or blood flow is then trapped in the tissues and may cause inflammation and pain to whatever tissue it is growing on. Adhesions or scar tissue may form and cause organs to connect. This also causes pain. Endometriosis can even cause the fallopian tubes to close, which is a dangerous problem because it can lead to infertility.

 

Ovarian Cysts

 

Ovarian cysts are very common in women. They are fluid filled sacs that are in the ovary. For example, whenever a woman ovulates, she forms a cyst on or in one of her ovaries. Most cysts are benign or are not cancerous and do not cause pain. Less than 5% of the time they can cause pain. They can be felt on pelvic exam, but most are diagnosed by ultrasound.

Ovarian cysts most often occur with each ovulation. This is when an egg in the ovary is being prepared to ovulate and be released into the fallopian tube. This occurs every month in most women. When pregnancy does not occur, the cyst opens and drains or ruptures and a woman has her period. The whole cycle starts over again the next month.

Occasionally the ovulation cyst does not rupture, or the hormones are thrown off or abnormal signals occur, and the cyst does not rupture and drain. This can persist and even grow. Sometimes the cysts do not disturb the normal menstrual cycle and the woman does not know she has a cyst. Most of the time it goes away on its own with no pain or problems occurring.

If you have symptoms such as bloating, needing to urinate more often, pelvic pressure or pain, or abnormal (unusual) vaginal bleeding; or if you think you have a cyst, make an appointment to see one of our providers. These can be signs of a cyst or other serious problem.

 

Fibroids

 

Fibroids occur in 50-70% of women so are fairly common. Fibroids are also called myomas and leiomyomas. They’re usually benign and are made up of the uterine wall that starts growing in a ball for unknown reasons. Most of the time they remain small and cause no problems.

Unfortunately, many times they cause pain, interfere with work and the ability to care for your family or day-to-day responsibilities.

Where do fibroids grow?

Fibroids occur in the uterine wall. Depending on the size of the fibroid and the location determines what course of treatment a woman will undergo to alleviate the problem.

How can I tell if I have fibroids?

An ultrasound is the most accurate way to diagnose fibroids and their size, as well as their location. All this information is critical to know when determining a course of treatment. Without this complete information, the best treatment, whether treatment will be helpful, and any further tests that need to be done for optimal care; are not possible.

Are fibroids cancerous?

Fibroids are benign from the beginning and remain benign as we believe now. There are fibroid type cancers called leiomyosarcomas which start off as a cancer and look like a fibroid, but they were never a fibroid.

 

Painful or Heavy Periods

 

Some discomfort and blood loss accompany a woman’s monthly period. However, when the pain or the level of blood loss is excessive and interferes with daily life and activities, you are wise to find out if something else may be exacerbating these symptoms.

The three most common causes of heavy bleeding or pain during periods for women are:

  1. Hormone Imbalance
  2. Polyps and Fibroids
  3. Endometriosis

The most widely cited studies indicate over 10 million women experience menorrhagia, bleeding so heavily during their periods they must put their lives on hold. Significant advances have been made in the treatment of heavy bleeding that don’t involve major surgery and can give women their lives back during this time of the month.

 

Urinary Incontinence

 

Everyone has had a leaky bladder at some time in their life. Whether it’s from laughing too hard, waiting too long to go to the bathroom or stress related activities such as coughing, sneezing or working out. When someone has leaking when coughing, sneezing or exercising it is considered stress incontinence (SI).

Pregnancy and child delivery can weaken the pelvic floor and strain muscles that control the bladder. While it’s not uncommon to leak urine, effective treatments exist if it’s become a problem you’d like to correct.

 

Pelvic Pain

 

Too many women go about their everyday lives suffering with uterine, vaginal and pelvic pain without doing something about it. Not because they don’t want a solution. Many women will have pain and are told by their doctors that it’s normal, and there isn’t anything that can be done about it. This is NOT always the case.

A few of the more common problems causing women pelvic pain are:

  • Bladder problems, pain and frequent UTIs
  • Pain with intercourse
  • Ovarian cyst problems
  • Painful cramps
  • Chronic pain with having babies

Most of the time women suffer in silence because they don’t know there are conservative options and aren’t aware that there are options besides a hysterectomy. Too often women have surgery because they are told that is the only option. For women experiencing pelvic pain, there are many options to correct the problem besides surgery. The caring and experienced team at VitalityMDs provides a wide range of gynecologic services to women. Schedule your appointment today by calling the practice or using the online booking feature