Advances in Gynecology

We provide extensive experience in the diagnosis and treatment of the following common gynecological conditions

  • Ovarian Cysts
  • Cervical Dysplasia or precancer
  • Human Papillomavirus HPV/
HPV vaccine
  • Uterine fibroids
  • Endometriosis
  • Dysmenorrhea/Pelvic pain
  • Dysfunctional Uterine Bleeding
  • Polycystic Ovarian Syndrome
  • Premenstrual Syndrome
  • Special needs of teenage patients

Increasingly, we are giving more focus to the following gynecological conditions that are more difficult to diagnose and treat as well as procedures that fall under the new term, regenerative gynecology, which help to restore vaginal function anatomy, and appearance:

  • Vulvodynia
    This is a condition affecting the vulva causing significant pain, burning, discomfort and stinging in the vulva around the vaginal opening. There is no evident cause for vulvodynia but is thought to be initially triggered by an infection in the vagina causing inflammation and hypersensitivity of the nerve endings. There is no single therapy that works for all patients. Usually, a combination of treatments will be necessary including medication, local steroid and anesthetic creams, as well as pelvic floor rehabilitation. Surgery can be used as a last resort.

  • Vaginismus
    This is a condition where involuntary muscle spasms at the entrance of the vagina occur during sexual relations that impede intercourse by causing great pain. This can often lead to psychological distress for the patient. Gradual dilatation and relaxation techniques can be used to treat this condition with great success. Medical treatments are also now available.
  • Female sexual dysfunction
    These include hypoactive sexual desire disorder, lack of arousal, and anorgasmia.

  • Genitourinary Syndrome of the Menopause (GSM)
    This is a term that is used to describe the changes that occur in the vulva, vagina and urinary system in menopausal women due to estrogen deficiency and can cause significant dryness, pain with intercourse and frequent urinary track infections. It is easy to identify and can be treated very effectively with medication or the new energy based devices (laser or radiofrequency) as well as bio stimulation techniques.

  • Vaginal relaxation and rejuvenation (restoration of vaginal anatomy appearance and function)
    Vaginal childbirth can cause stretching and relaxation of both the inside of the vagina as well as the vaginal opening. Although this is a normal finding, it can be associated with mild urinary incontinence and can interfere with sexual satisfaction for some patients and their partners. In addition, Increasingly, women are concerned about the appearance of their external genitalia and are requesting treatments to restore the original appearance and function of the vulva and vagina.

    Available treatments include pelvic floor rehabilitation, laser surgery and EBD (Energy Based Device) treatments which deliver heat to the tissues that tighten and remodel the internal and external tissues, as well as the new bio stimulatory treatments using microinjection techniques into the tissues local anesthesia.