Frequently Asked Questions (FAQ), Medical Articles and Tips

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Second and Third Trimester Bleedingby Emily L. Balanky, MD
There are a variety of reasons for bleeding during the second and third trimesters of pregnancy, some of which are relatively harmless, and some with more serious implications to mom and baby. Any bleeding should be addressed with your obstetrician. More…

Breastfeedingby Sayra Sievert, MD
Evidence continues to mount demonstrating that breastfeeding is extremely beneficial for both mother and baby's health. The American College of Obstetricians and Gynecologist recommends that breast feeding be continued through approximately 6 months of age and is the preferred method of feeding for infants. More…

Colposcopyby Cameron Greene, MD
A colposcopy is a minor office procedure where the cervix, vagina, or vulvar areas are visualized with a special instrument called a colposcope. In its simplest terms, it is analogous to looking at a freckle or mole on the skin with a magnifying glass. More…

Cord Banking Basics – A website…
The Institute of Medicine (IOM) recommends that all pregnant patients be provided with a “balanced perspective” on all umbilical cord blood options. This web site was created to ensure that all expectant parents have a source of unbiased information so that they can make an informed decision to save, donate, or discard their babies' stem cells.

Every expectant parent deserves to know the power of the stem cells contained in their baby’s umbilical cord. http://cordbankingbasics.com/nfobgyn

da Vinci Surgery – Robotics – by William L. Cody, MD
The da Vinci Robotic Surgical System is available thru North Florida Obstetrics and Gynecology Associates, PA.  We have a number of physicians who have been certified by Intuitive Surgical to provide this latest technology to our patients. More…

Lack of Sexual Desire - Decreased libidoby Pat Connor, MD
Defined as a lack of sexual desire that causes a woman personal distress, HYPOACTIVE SEXUAL DESIRE DISORDER, or decreased libido, is a common (yet not often discussed) medical problem among women today. More…

Diet and Pregnancyby Leandro Rodriguez, MD
Good nutrition is important for the healthy development of your baby. The focus on a healthy diet should start even before the pregnancy since overweight mothers have more pregnancy complications. More…

Endometrial Ablationby John Bordelon, MD
Do heavy periods affect your life?  If so, you're definitely not alone.  It's estimated that excessive menstrual bleeding affects one out every five women. More…

Endometriosisby Leandro Rodriguez, MD
Endometriosis is a condition in which tissue similar to the cells of the lining of the uterus (endometrium) grows in other areas of the body. This abnormal growth can cause pelvic pain, irregular bleeding, and infertility. The most commonly affected areas are the ovaries, bowel, or the lining of the pelvis. More…

Fibroidsby Mary Ellen Wechter, MD, MPH
Uterine leiomyomata, or fibroids, are benign (non-cancerous) tumors of uterine muscle. Fibroids cause heavy menstrual bleeding (periods) and pelvic pressure as well as painful periods and painful intercourse. Some women experience a negative effect on fertility or childbearing, including recurrent miscarriages. More…

First Trimester Screenby Paul Rebenack, M.D.
There are many screening tests that may be offered to someone considering pregnancy, or who is already pregnant. The test may be offered due to your prior immunizations, race, ethnicity or age. The First Trimester Screen is for the detection of 3 chromosomal abnormalities. More…

Human Papilloma Virus (HPV)by Leonardo Rodriguez, MD
Genital human papilloma virus (HPV) is the most common sexually transmitted infection. It is estimated that at least three out of four people who are sexually active will get an HPV infection during their lifetime.  There are more than 100 HPV types. More…

IUD (IntraUterine Device)by Frank E. Trogolo, M.D.
The intrauterine device (IUD) is a form of birth control that is inserted in the uterus and left in place to prevent pregnancy. There are several types of IUD's but only 2 approved for use in the USA, one with hormones (Mirena) and one with copper (ParaGard). They are both T-shaped, >99% effective, easily reversible and well tolerated. More…

LEEP (Loop Electrosurgical Excision Procedure)by Cameron Greene, MD
If your pap smear results are abnormal, your provider may suggest an in-office procedure performed under local anesthesia called a LEEP (Loop Electrosurgical Excision Procedure.) This can provide diagnosis and/or treatment of cervical cellular problems. More…

Misoprostol Use for Miscarriage and Induction of Labor – by David O. Pizarro-Lopez, MD
Misoprostol is a synthetic E1 prostaglandin (PGE1) developed and approved originally for the prevention of gastric ulcers. It has been use by OBGYN's for decades for treatment of miscarriage and induction of labor.  It can be administered orally (by mouth), vaginally or sublingually (placed underneath the tongue) at various doses determined by your physician. More…

Painful Menstrual Periodsby Leonardo Rodriguez, MD
More than half of women have some pain for 1-2 days each month during their periods. Sometimes, this pain is severe and interferes with normal activities. The pain is usually located in the lower abdomen but it can also radiate to the lower back and/or thighs. More…

Pap_Smearsby Elizabeth Morgan Walsh, MD
Pap smears are a critical part of a woman's health care and should be initiated at age 21. Cervical cancer incidence has decreased greater than 50% due to the widespread use of pap smears. More…

PCOS - Polycystic Ovarian Syndromeby B. Veeren Chithriki, MD
PCOS stands for Polycystic Ovarian Syndrome. This sounds ominous but is actually a very common disorder affecting 1:20 women. Like many conditions, there are variations in presentation and severity. More…

Permanent Sterilization In-Officeby Pat Conner, MD
Currently, there are two devices which have been approved by the U.S. Food and Drug Administration for hysteroscopic tubal sterilization. The ESSURE (microinsert system) was approved by the FDA in 2002; the ADIANA (bipolar radiofrequency and silicone insert) system was approved in July, 2009. More…

Pelvic Organ / Vaginal Prolapseby Steve Goldwasser, MD
Vaginal prolapse is a lack of support for the pelvic structures (Uterus, intestines, bladder, rectum) that results in a hernia or bulging of these organs into the vagina. Women with this problem often have the sensation of pressure in the pelvis or "something falling out of me." More…

The Postpartum State by Cam Greene, MD
It is difficult, if not impossible, to set down any hard and fast rules concerning what to do and what not to do when you go home from the hospital.  Individuals differ, just as their home and their responsibilities do.  However, here is some general information you should know. More…

Urinary Incontinenceby Steve Goldwasser, MD
Urinary (yer-ih-nair-e) incontinence (in-kon-tih-nens) is not being able to control when and where you urinate. People often call this "having an accident," "wetting yourself," Urinary Incontinence is not a normal part of aging as many people believe. It is a condition that can be treated, cured, or at least improved. More…

What is a Miscarriage?by David O. Pizarro-Lopez, MD
Miscarriage is when a pregnancy ends before a woman has been pregnant for 20 weeks. (A normal pregnancy lasts about 40 weeks.) The uterus, also called the "womb," is the part of a woman's body where a baby grows. A "fetus" is what a baby is called while it is growing inside you. Miscarriage occurs in an estimated 30% of all early (1st Trimester) pregnancies. More…

What To Do Before Getting Pregnantby Leandro Rodriguez, MD
Many times pregnancy happens spontaneously, without previous planning and premeditation. In most cases, when the mother is in good health, this does not have any serious consequences for the development of the fetus and maternal health. Nevertheless, the optimal situation would be that one in which the prospective mother can anticipate the timeframe during which she would like to embark in this very exciting stage in her life. More…

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