The Importance of Preventive Care with Gynecological Exams

 

Preventive care is an essential aspect of women's health, and regular gynecological exams are a critical part of preventive care. As the leading gynecologist in Toronto, Dr David Gerber emphasizes the importance of preventive care with gynecological exams. In this article, we will explore what preventive care is, the importance of preventive care with gynecological exams, and what you can expect during your visit with Dr David Gerber.

 

Are Vaginal Ultrasounds Painful: Things to Know?

Dr David Gerber, a leading labiaplasty (labia reduction surgery) surgeon in Toronto, Canada, working at Meridia Medical, shares that an ultrasound is a way of looking at the pelvic area by using sound waves to see the organs. These sound waves are harmless and safe.

o   We do ultrasounds of the pelvic area to look at the uterus, ovaries and other areas nearby. An ultrasound can check an early pregnancy, or for cysts or tumours of the ovary or for things in the uterus like a thicker lining, polyps of the lining, cancer and fibroids. It is also used to help monitor changes during fertility treatments or to see if your tubes are open so that you can get pregnant.

o   There are 2 ways to look at this area: either by inserting a thin “probe”, like a thin candle, into the vagina or looking through the lower tummy skin. The vaginal way is very helpful and accurate to look at this area and is the better and preferred way unless it cannot be used.

 

·        Is it painful at the start?  There can be discomfort and even surprise at the very beginning when first inserted. Then as it is slowly inserted further, there can also be discomfort or an unfamiliar sensation that can be startling.

o   If you are more sensitive, or if there is also a tender or painful area at the entrance such as Vestibulodynia or vaginismus (pain at the entrance of the vagina or painful muscles spasm inside) or from a smaller or narrow entrance especially if you are in menopause, this can obviously cause the ultrasound to be more uncomfortable or painful, even if inserted very carefully and slowly.

 

·        Is it painful once inside? Once inside and the exam starts, there can be pressure, side to side movement to see the ovaries and back and forth movement (small in and out like movements) to see the uterus and bladder. There can also be deep pressure when looking for the ovaries. These movements are normal and necessary to see everything with the small sensor at the tip of the probe.

o   Most find these movements okay and not worrying but it is not uncommon, especially if you are more sensitive, or depending on when you period or ovulation occurs, or if in menopause when the vaginal lining is thin, or if you have endometriosis or larger fibroids or sensitive ovaries due to cysts or endometriosis, that you may feel more pressure, discomfort or even pain when the probe is moved.

o   This discomfort or occasionally pain, can even linger for a while. This is common, normal and does not mean that something is wrong or that the ultrasound was done incorrectly or harshly. We can do the ultrasound the same way every time, even on the same patient and she may feel increased discomfort or pain sometimes only and not at other times.

o   Discomfort and pain during an ultrasound is well known and reported often in medical journals. Once again, it does not mean something is wrong or went wrong during the ultrasound.

·        How long does it take? We do ultrasounds as part of the consultation, before, during, or after procedures. The vaginal ultrasound only takes a few minutes because we are focused on certain areas we are treating.

·        Making it easier: Dr David Gerber and his team at Meridia, have a full illustrated consent process so that you know everything and allow us to do the ultrasound beforehand. They use state of the art chairs that are super comfortable during the ultrasound. A nurse is there all the time to help you and check-in on you. And the team at Meridia warms the gel! You are in control all the time and can tell us if you want us to pause for a while or stop at any time.

 

·        How do we do? Our ultrasound results: We did an anonymous survey of 1748 patients, which was managed by data experts at arm’s length from clinic staff to ensure accuracy.  1183 had ultrasounds.

o   99.6% said adequate information was given about the ultrasound examination.

o   99.1% said the ultrasound was the same or better compared to what they had elsewhere.

o   100% said they understood the ultrasound would be inserted into the vagina.

o   99.1% said they would have another ultrasound here.

o   97.3% said that it was explained that ultrasounds can be uncomfortable or painful at times.

o   99.8% said it was tolerable, uncomfortable or somewhat painful.

If you are in need of an ultrasound in the pelvic area, Dr David Gerber and his team at Meridia Medical in Toronto, Canada, are here to help. As a leading labiaplasty surgeon, Dr Gerber has extensive experience performing ultrasounds to check for cysts, tumors, or other abnormalities in the uterus, ovaries, and surrounding areas. While some discomfort or pain is common during the procedure, Dr Gerber and his team work to make it as comfortable as possible with state-of-the-art equipment, warm gel, and a nurse present throughout the exam. With a high satisfaction rate among patients, you can trust that Dr Gerber and his team will provide you with the information and care you need during your ultrasound. Don't hesitate to schedule an appointment today.

Who Needs Labia Plasty Surgery?

Labia plasty surgery, also known as labiaplasty, is a surgical procedure that reduces the size of the labia minora, the inner lips of the vulva. While it is a relatively simple procedure, it can have a profound impact on a woman's self-confidence and quality of life. Dr David Gerber is a Toronto-based leading labiaplasty surgeon who has been performing labia reduction surgery for many years.

In this article, we will explore the benefits of labia plasty surgery as explained by Dr Gerber.

 

Dr David Gerber: Why is Labiaplasty Rising in Popularity?

 

Intimate beautification: Is labiaplasty for you?

Vaginal labia can be found in a variety of shapes and sizes. In particular, the inner labia can vary from being near-invisible to overflowing and bountiful. A procedure known as labiaplasty can reduce the size of the inner lips for those who would prefer them smaller.

Recently, labiaplasty surgery has seen a spike in demand with more and more women of all ages seeking the procedure. Dr David Gerber, a world-renowned specialist in labaiplasty, has seen a steady growth in his practice with each passing year. It is well known that cosmetic surgery trends often follow fashion trends. However, Dr. Gerber attributes this to other factors, such as changes in norms, attitudes, and self-esteem.  

 

The Facts About Labia Reduction Surgery

Labia minora surgery can be a daunting, complex topic. If you’re thinking about undergoing labia reduction surgery, it’s important that you understand the potential risks and benefits of this procedure.

In this article renowned labiaplasty surgeon from Toronto Dr David Gerber, who has performed minimally invasive gynecologic surgery for over 15 years, will share some information to help you understand the different types of labia reduction surgery and give you basic information about why to have this surgery.

 

Colposcopy: An Introduction and What to Expect From Your Procedure

 

Colposcopy is a medical procedure that provides detailed visual analysis of the cervix, vagina, and vulva. This procedure helps your doctor diagnose cervical cancer and precancerous conditions such as atypical adenosis or dysplastic changes. Therefore, colposcopic examination is essential in the early detection of these conditions.

At Meridia Gynecology, Dr David Gerber uses the most up to date colposcopes and viewing system so that you can see what we are doing and participate if you wish. A Colposcope is nothing more than a sophisticated microscope that we look through to see abnormal areas using high magnification. This helps see areas which may need treatment or removal at some time.

 

What is colposcopy?

Colposcopy is a procedure that involves a health-care provider using a magnifying lens to examine the genital area. It is used to evaluate abnormal cell growth on the cervix, vulva, or vagina. It may also be used to detect the presence of certain conditions, such as Candidiasis or Endometriosis. Cervical colposcopy is a low-risk, outpatient procedure performed to identify abnormalities of the cervix, including abnormal cell growth. It can also be used to diagnose and screen for other conditions, such as endometriosis and genital warts. Cervical colposcopy is often used to diagnose some types of abnormal cell growth on the cervix, such as dysplasia (precancerous cells), endocervical infections, and cervical cancer. Endocervical inflammation, infection, or cancer is enlarged and has an abnormal appearance.

 

How does colposcopy work?

During a cervical colposcopy, Toronto gynecologist Dr David Gerber uses a special device and a magnifying lens to examine the inside of your body. A colposcope works like an endoscope, but it’s used to examine the cervix. A colposcope looks like a microscope with a light at the tip. It allows your doctor to see the tissues inside your body clearly. Colposcopy works by using a colposcope to look at the cervix and nearby tissues on a high magnification. Your doctor will then use a device called a colposcope to view the cervix and nearby tissues on a high magnification. To examine the cervix, your doctor will place a speculum into your vagina and place a colposcope on your lower abdomen. Your doctor will then gently move the colposcope around to examine the cervix.

 

What does colposcopy test for?

When labiaplasty surgeon Dr David Gerber performs colposcopy, he checks for cancerous cells or cells that could become cancerous if left untreated (also known as cervical dysplasia). It is important that your provider checks your cervix, vagina, and external genitals (vulva) for these cells. Additionally, colposcopies can detect genital warts and polyps, both of which are noncancerous growths.

 

Your provider may recommend a colposcopy to evaluate other symptoms, such as abnormal vaginal bleeding or vulvar itching. Some women get screened for cervical cancer using a Pap test. If you get Pap tests every year, you don’t need to be screened for abnormal cell growth. If you are unsure if you should be screened for abnormal cell growth, your doctor can help you decide.

 

What to expect during colposcopy?

A colposcopy can be performed in a medical office or clinic. It usually takes between 10 and 20 minutes to complete the procedure. After your procedure, you should be able to go home the same day.

The Management of Gynaecological Emergencies

 

The term gynaecological emergency refers to a condition that involves the female reproductive system and threatens the life, sexual function, and fertility of the woman. Gynaecological emergencies often present as acute abdomens, abnormal vaginal bleeding, or a combination of both, and are often related to pregnancy complications, pelvic inflammatory disease (PID) or contraception issues.

It is common for hospitals in developed countries to have emergency gynecology units that treat acute gynecological problems, such as pelvic pain, severe menorrhagia, vulvar problems, acute pelvic inflammation, hyperemesis gravidarum, and post-gynecology surgical complications quickly. A leading Gynecology surgeon, Dr. David Gerber has vast knowledge and experience in minimally invasive surgery, colposcopy, labiaplasty, labia reduction and emergency gynecology. He has been a gynecologist since 1997. He is a member of the Society of Obstetricians and Gynecologists of Canada.