[et_pb_section fb_built=”1″ fullwidth=”on” _builder_version=”3.22″][et_pb_fullwidth_header title=”GYN Services” admin_label=”GYN Services” _builder_version=”4.9.10″ background_color=”#6c66aa” background_color_gradient_direction=”20deg” hover_enabled=”0″ text_shadow_style=”preset1″ button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” use_background_color_gradient=”on” background_color_gradient_start=”#6c66aa” background_color_gradient_end=”#a896b3″ sticky_enabled=”0″][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=”1″ disabled_on=”on|on|on” _builder_version=”3.22″ disabled=”on”][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Genetic Testing” _builder_version=”4.0.11″]<\/p>\n
We have moved into an era of \u201cprecision medicine\u201d a term used for basing recommendations and treatment for patients on the basis of genetic risks.<\/p>\n
Hereditary cancer risk occurs when an altered gene is passed down from parent to child.\u00a0 In these scenarios, there are usually family members that will have a history of similar types of cancer related to an abnormal gene.\u00a0 A given patient\u2019s cancer risk will determine the options for medical management including greater surveillance well as medication and in some cases surgery.<\/p>\n
In the field of gynecology, we are especially concerned regarding hereditary risks for uterine, ovarian, breast and colon cancer as an individual with abnormal genes, may be at risk for all of these conditions.<\/p>\n
Following a screening, a patient may be advised to undergo a multi-gene panel.\u00a0 The results of the panel, if positive, should be discussed with a genetic counselor followed by further management by medical providers who will counsel the patient regarding treatment recommendations.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Heavy Bleeding” _builder_version=”4.0.11″]<\/p>\n
Many women experience heavy periods and the associated symptoms such as anemia, fatigue, disruption of their daily routines, restricted activities due to heavy flow, and an overall diminished quality life.\u00a0 It is most important for women experiencing these symptoms to seek evaluation and treatment. As clinical medicine has progressed, we now have many treatment options that do not include hysterectomy, for women with heavy bleeding.\u00a0 The best first step is an evaluation by a trained gynecologist that will include an exam, screening for cervical cancer, ultrasound, and in some patients, a biopsy of the uterine lining to exclude cancer.<\/p>\n
Once the patient has been evaluated and the cause of heavy bleeding is diagnosed, treatment options that are appropriate to the cause will be offered.\u00a0 Women may opt for hormonal management and many have opted for a Mirena IUD, a device that emits hormones that prevent a build-up of the uterine lining. Mirena is FDA approved for both contraception and heavy menstrual bleeding.\u00a0 Patients who do not wish to use hormones may be candidates for in-office ablation, a procedure during which the uterine lining is ablated, or burned over 1-2 minutes. There is a very high patient satisfaction rate with this procedure given that 70-80% of the patients will either have no period or a very light period after ablation.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row disabled_on=”on|on|on” _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” disabled=”on”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Teen Health” _builder_version=”4.0.11″]<\/p>\n
There is a growing awareness for the needs of young women including contraception, prevention of cervical cancer with vaccines, screening for healthy relationships, awareness and screening for sexually transmitted infections, and treatment of painful\/heavy periods.\u00a0 The usual age of onset of the period is age 11-12. If the periods do not regulate, i.e., come monthly, with manageable flow, evaluation by a gynecologist is advised. In many cases, regulation of themeless with hormonal contraception will allow a young woman to return to her activities related to academics, sports, hobbies and social life, unhindered by abnormal periods.<\/p>\n
[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”3.22″ background_color=”rgba(236,240,241,0.75)” custom_margin=”0px||0px|” locked=”off”][et_pb_row _builder_version=”3.25″ background_size=”initial” background_position=”top_left” background_repeat=”repeat”][et_pb_column type=”4_4″ _builder_version=”3.25″ custom_padding=”|||” custom_padding__hover=”|||”][et_pb_text admin_label=”Gynecologic Care & Services” _builder_version=”3.27.4″]<\/p>\n
Every woman benefits from a\u00a0yearly visit (Well woman exam) to a gynecologist who is experience in unique issues we face over the decades including hormonal changes, weight issues, PMS, heavy bleeding, pelvic pain, vaginal infections, abnormal pap tests, PCOS, urinary incontinence, contraception, prolapse, changes in sexual response, infertility and menopausal treatment. Dr. Chorness, an experienced gynecologist,\u00a0incorporates the latest scientific literature and current treatment guidelines to safely and effectively evaluate and treat patients in a personal and relaxed setting.\u00a0 She has also been among the first, and continues to offer procedure in the office for the convenience of her patients, such an endometrial ablation for heavy bleeding.<\/p>\n
[\/et_pb_text][et_pb_text admin_label=”Personalized…” _builder_version=”4.9.10″ locked=”off”]Our practice provides a number of medical services designed to help you maintain good health throughout your life, all in a comfortable, private environment. We offer routine visits, breast cancer screening, and coordination of care with specialists. We also work with a registered dietitian, Adele Freeman, to provide lifestyle counseling, weight management, smoking cessation, and diabetes education.<\/p>\n