Procedure
Description: Method in which to evaluate an
abnormal pap smear
What To Expect: The
cervix and vagina is cleansed with vinegar. The cervix, vagina, and
vulva are inspected with the colposcope and small biopsies are
performed if indicated. The entire visit takes no more than 1/2 hour.
You will be asked to sign a consent form before the
procedure.
Preprocedure: There
may be a little cramping during the procedure if a biopsy is done,
therefore one to two Ibuprofen (Advil, etc.) may be taken 1/2 to 1 hour
before. Also please make sure you are not menstruating the day of the
procedure.
Postprocedure: You may have
some slight brown,clumpy discharge for up to 24 hours afterwards. A
mini pad is all that is needed. If
a biopsy is done, then it is advised not to have sexual intercourse for
5 days afterwards in order to give the tissues time to heal. I
will inform you of the results within 7 to 10
days.
Natural
Hormones
Symptoms of menopause and
perimenopause can be alleviated very effectively with natural or
bioidentical hormone therapy. Dr.
Enzenbacher has devoted her practice to working with women through the
transition of menopause, a state that most women will be in for 1/3 to
1/2 of their lifetime. She has years of experience with hormone testing
and replacement with bioidentical
hormones.
Sexual
Function
As we age, many women feel a change
in their sexual function in terms of sexual desire, arousal and/or
orgasm. Dr. Enzenbacher belongs to the International Society
for the Study of Female Sexual Health. She takes a sexual
history and addresses concerns and issues a woman may
articulate. Dr. Enzenbacher also educates her patients about
'normal' female sexual function and sexuality. There
can be a hormonal component, such as a deficiency in DHEA and or
Testosterone. These levels are tested via blood work if indicated. Dr.
Enzenbacher evaluates and offers solutions for women who have
compromised sexual function. This can include educational material in
the form of handouts, suggestions for instructional and erotic reading,
references for resources such as women's sexuality web sites, on-line
shopping,therapists, and hormone/vitamin
supplementation.
Alternatives to
Hysterectomy
There
are exciting new alternatives to hysterectomy for women who experience
excessive bleeding during their menstrual cycle. This condition is
called menorrhagia and often occurs in the peri-menopausal (ages 40 to
55). It can also be due to fibroids in the uterus, or
adenomyosis (endometriosis in the muscle of the uterus) There
is a procedure called endometrial ablation which can now be performed
in the office. The procedure uses a freezing technique to eliminate the
endometrial lining. The results are a very light menses or no menses at
all. However the woman maintains her hormones, cervix and uterus!
Please visit the web site at Her Option.com to learn about this
exciting new technique, which I offer in my
office.
