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Ablation Education, Anterior and Posterior Repair Education, Hymen Repair Education, Labiaplasty Education, Perineoplasty Education, Robotic Surgery Education, Sterilization, Vaginal Rejuvenation, Vaginal Rejuvenation Education

The Top GYN Procedures: Dr. Litrel Explains Cosmetic GYN & GYN Terms

Have you ever wondered what the difference between vaginoplasty and labiaplasty is but have been to embarrassed to ask? Never fear, here’s a list of cosmetic and GYN glossary terms in plain English, broken down by surgery type. Vaginoplasty: Tightening of the entire vaginal canal from the opening to the cervix (or the apex of the vagina, if hysterectomy was performed). Hymenoplasty: Restoration of the hymen to restore anatomic state, which can be done at the time of vaginoplasty, if patient desires. Cosmetic GYN Surgery on the External Genitalia Labiaplasty: Reshaping the labia minora or inner lips for improvement in appearance and to diminish labial irritation with clothing and during sex. Clitoral Hoodectomy: Removal of excess skin covering the clitoris to create a better appearance and to help with clitoral orgasm. Perineoplasty: Reshaping the external opening to the vagina for a smaller, more youthful appearance. This is performed during vaginoplasty or can be done without vaginoplasty, if vaginal tightening is not desired. Labia Majora Reduction: Reshaping the labia majora or outer lips for a better appearance. Learn more! Download our FREE Vaginal Rejuvenation eBook. Female Reconstructive And Reparative Surgery (Usually Covered By Medical Insurance) Anterior Repair: Repair of cystocele or bulging of bladder using natural tissue or biological graft or synthetic material. Posterior Repair: Repair of rectocele or bulging of rectum using natural tissue or biological graft. Enterocele Repair: Repair of enterocele or the sagging of the top of the vagina using natural tissue or biological graft or synthetic material. Incontinence Repair: Repair of leakage of urine using native tissue, biological graft or synthetic material. Endometrial Ablation: Outpatient or in-office procedure to diminish or eliminate menstrual bleeding without changing hormone status. Hysterectomy: Removal of uterus to stop periods and pelvic pain associated with menses and sexual intercourse (pelvic pain with thrusting motions). Or, to remove tumors or pathology once childbearing is complete. During this procedure, removal of fallopian tubes (or salpingectomy) is strongly recommended to decrease the risk of future cancer. Oophorectomy: Removal of ovary or ovaries for pelvic pain associated with sex or menses or is chronic or for cyst or mass. These are the organs that secrete hormones so removal of both will result in surgical menopause. Removal of one ovary will not affect hormones. Removal of one ovary is recommended once a woman is in menopause if hysterectomy is performed to decrease risk of cancer. If a woman has significant chronic pain on one side of her pelvis during her cycles or sex or chronic, removal of that ovary is considered. Enterolysis: Minimally invasive (laparascopic or robotic) removal of internal adhesions of bowel to pelvic organs that cause pelvic pain with sex, menses, bowel movements or is chronic in nature. Removal/Fulgurtion of Endometriosis: Minimally invasive (laparoscopic or robotic) removal and destruction of endometriosis lesions that cause painful menses or pain with sex or is chronic. Salpingectomy: Removal of tubes for sterilization. Note: Tubal ligation without removal of tubes is not recommended because tubal removal will decrease future cancer risks but tubal ligation will not. Make an Appointment Today Still have questions? schedule an appointment online or call us at 770.721.6060.

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Hymen Repair

Hymen Repair Hymen Repair Hymen repair (hymenoplasty) is the cosmetic repair, restoration, or construction of a woman’s hymen, and is often requested by women for physical, psychological, or cultural reasons. Restoration of the hymen is also known as hymenoplasty. Request A Free Consultation What is a Hymen? The hymen consists of human tissue which resembles an oval rubber washer that partially or completely covers the vaginal opening. This ring-shaped membrane can be thin and flexible or thick and rigid. It begins to form while the female is still in the womb, usually beginning in about the fourth month of pregnancy. Contrary to what many believe, except in rare cases, the hymen is not an impenetrable seal. If this were the case, there would be no portal for menstrual flow or healthy, normal vaginal discharge to leave the body. Also, the first rupture of the hymen, regardless of the method, doesn’t always draw blood, and is not always painful. Read Hymen Repair Articles https://youtu.be/Gdr2YGgSnOE Watch as Dr. Litrel performs a hymen repair. Throughout history, the hymen has served as undeniable, positive proof of a woman’s purity and innocence. Even to this day, in many cultures, an intact hymen still indicates virginity, especially if there is the presence of blood upon first penile penetration. Hymen Injury Clinically speaking, however, a torn or damaged hymen is not irrefutable confirmation of virginity loss by sexual activity. Depending on its rigidity, hymen injury can be caused by normal everyday activities such as strenuous athletics, horseback or bicycle riding, a simple gynecological examination with speculum or gloved finger insertion, or masturbation. Even placing a tampon into the vagina may rupture it. In some cases, a hymen may not be present at all, as approximately 1 in 1,000 women are born without one. Learn the many reasons women choose hymen repair. What Happens During Hymen Repair? Hymen repair is usually a simple outpatient procedure that can be done in our clinic under local anesthesia. Any torn skin around the edges of the hymen is gently and neatly cut away, after which the remaining tissue is stitched together, leaving a small opening. This restores the hymenal ring to a normal size and shape. If there is not enough skin to restore the hymen, or if a hymen is nonexistent, the surgeon may create one, using either some of the body’s own thin vaginal skin (vaginal mucosa) or a synthetic tissue. A small blood supply may be added, either artificial or the patient’s own taken from a piece of vaginal flap, thus simulating the traditional bleeding upon subsequent penetration. Learn more! Download our FREE Vaginal Rejuvenation eBook. What is the Recovery Time? The surgery can be expected to take anywhere from one to two hours depending on the amount of repair needed. Though this is a clinical procedure with no hospital stay necessary, and women may return to work the next day, strenuous activity and heavy lifting should be avoided. During the first 48 to 72 hours, there may be some slight bleeding, but this is perfectly normal. Full healing takes approximately six weeks. There will be no visible signs of surgery and it will be impossible to tell the difference between a natural hymen and a reconstructed one. At this time, the reconstruction process will be complete, and all the sensations associated with first time sex may be experienced. Request More Information Complications There are rarely complications. However, the doctor should be contacted if the patient experiences any of the following symptoms: Dizziness Pain beyond moderate discomfort after three days Unusual or foul-smelling discharge Intense itching Abnormal bleeding Inflammation Why Choose Cherokee Women’s Health for Hymen Repair? Our board-certified, double accredited OB/GYN surgeons have over 35 combined years experience performing vaginal rejuvenation so they know a woman’s body inside and out. They are also certified in Female Pelvic Medicine and Reconstructive Surgery (FPMRS), a highly coveted accreditation which requires years of training while meeting strict requirements set forth by the American Board of Medicine (ABMS). Depending on why you might request hymenoplasty, this may be a delicate subject to discuss. Rest assured that our doctors are familiar with the many reasons patients ask for this procedure, and fully understand your discomfort and shyness in regard to this subject. It’s your body. We want to help make you as comfortable and confident with it as possible. To learn more about hymenoplasty or to schedule an an appointment with one of our doctors, please call 770.721.6060. Hymen Repair Articles Hymen repair (hymenoplasty) is the cosmetic repair, restoration, or construction of a woman’s hymen, and is often requested by women for physical, psychological, or cultural reasons. Restoration of the hymen is also known as hymenoplasty. What is a Hymen? The hymen consists of human tissue which resembles an oval rubber washer that partially or completely covers the vaginal opening. This ring-shaped membrane can be thin and flexible or thick and rigid. It begins to form while the female is still in the womb, usually beginning in about the fourth month of pregnancy. Contrary to what many believe, except in rare cases, the hymen is not an impenetrable seal. If this were the case, there would be no portal for menstrual flow or healthy, normal vaginal discharge to leave the body. Also, the first rupture of the hymen, regardless of the method, doesn’t always draw blood, and is not always painful. Watch as Dr. Litrel performs a hymen repair. Throughout history, the hymen has served as undeniable, positive proof of a woman’s purity and innocence. Even to this day, in many cultures, an intact hymen still indicates virginity, especially if there is the presence of blood upon first penile penetration. Hymen Injury Clinically speaking, however, a torn or damaged hymen is not irrefutable confirmation of virginity loss by sexual activity. Depending on its rigidity, hymen injury can be caused by normal everyday activities such as strenuous athletics, horseback or bicycle riding, a simple gynecological examination with speculum or gloved finger insertion, or masturbation. Even placing a tampon into the vagina may

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Home Pregnancy Tests – What You Need to Know

When you are trying to get pregnant, waiting to find out can be excruciating. Wouldn’t it be great if there were something that could tell you “Yes, you are pregnant” the moment you conceive? Well, unfortunately these things do not exist, so we rely on the home pregnancy test. These days, home pregnancy tests are extremely accurate, as long as you understand how they work and when to take them. How Does a Home Pregnancy Test Work? Home pregnancy tests are designed to detect Human Chorionic Gonadotropin (hCG), also known as the pregnancy hormone. The hormone is excreted as soon as the fertilized egg implants into your uterus, and your levels of this hormone double approximately every 48 hours from then on. Yet, they really are not high enough to detect in your urine until at least two weeks after conception. Just to give you an idea of what the levels are like each week and how they increase, here is a guideline of hCG levels in weeks from your last menstrual period (LMP) : 3 weeks LMP: 5 – 50 mIU/ml 4 weeks LMP: 5 – 426 mIU/ml 5 weeks LMP: 18 – 7,340 mIU/ml 6 weeks LMP: 1,080 – 56,500 mIU/ml 7 – 8 weeks LMP: 7, 650 – 229,000 mIU/ml Non-pregnant females: <5.0 mIU/ml Postmenopausal females: <9.5 mIU/ml Remember that this is just a general guideline. As every women’s pregnancy is different, their levels of hCG can rise differently as well. When to Take a Pregnancy Test In order to get the most accurate result from an at home pregnancy test, read the instructions and follow them precisely. Many times they will tell you to take it first thing in the morning, as this is when your urine is most concentrated. As far as when into your cycle should you take a test, your hCG levels should be high enough to get an accurate result when you expect your period to start. False Negative Pregnancy Test Now that you have a better understanding how pregnancy tests work, I think you can figure out why false negatives are so common. In fact, it isn’t really even a false negative; it just means that your levels of hCG were too low at the time for the test to detect. So, if you think that you are pregnant and get a negative result, just try again a few days later. As each brand of pregnancy test is different, and they each have a different calibration for detecting hCG  levels – some are more sensitive than others. The more sensitive ones would be able to give you a positive test earlier, and some brands even claim to detect pregnancy before your missed period. Positive Pregnancy Test It is extremely rare to get a false positive result on a pregnancy test, but it can happen. But usually, no matter how faint the line, plus sign, words, etc. may be, if you can see it at all, then it is likely a positive pregnancy test result. This would be the time to call your obstetrician or midwife and set up your initial prenatal appointment.

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