General FAQ

Why choose Dr. Daum, M.D.?

Dr. Daum's practice is different from many. He is in solo private practice and does not use nurse practitioners or PA's. Emphasis is placed on one to one contact, education, and physician availability. Dr. Daum, M.D. is progressive and innovative.

During pregnancy ultrasound is done in the office by Dr. Daum, M.D. with assistance one day a week by Vicki, our sonography technician. Sonograms are used liberally to answer questions or sometimes just for fun or reassurance. A sonogram will usually be performed at your first pregnancy visit. Sonograms are routinely photographed and videotaped with DVDs for keepsakes.

When pregnancies are complicated by maternal or fetal special needs a team approach may be helpful, including high risk pregnancy physicians and medical consultants. Management of labor is individualized, and a happy, successful experience is paramount. Whether you choose natural childbirth or epidural anesthesia, he will help you to have a great experience.

Generally three persons are allowed in the delivery room with you, making room for grandmothers and Dad. The choice of who attends your delivery is yours, and when difficult decisions arise, Dr. Daum, M.D. and the nursing staff will help with your needs. For gynecology patients Dr. Daum, M.D. is well versed in all phases of a woman's life.

Contraceptive options, adolescent development, menopause, and when surgery is needed, progressive in surgical techniques. Minimally invasive Laparoscopic and hysteroscopic surgery are his specialties. Treatment of urinary incontinence can be accomplished as day surgery, usually without catheterization. Dr. Daum's laparoscopic hysterectomy patients regularly are able to be comfortably discharged home the same day, Return to normal daily life is much more rapid, with most patients comfortably active within two weeks. Dr. Daum, M.D. has been an innovator and leader in laparoscopic surgery within the Methodist Hospital System.

General FAQ

Is it hard to get an OB/GYN appointment with Dr. Daum, M.D.?

Not usually, Dr. Daum, M.D. tries to see all patients, new and returning, within a few days to a week. Emergency walk-ins can usually be seen the same day.

General FAQ

Should I try the Nuva Ring?

Yes. The Nuva ring is a low dose oral contraceptive contained and dispensed through vaginal absorption from a soft, flexible ring. The ring is inserted and removed easily and is left in place for three weeks. Your period will come during the week the ring is removed. The Nuva ring usage cycle is easy, three weeks in, one week out.

General FAQ

Do I have endometriosis?

Endometriosis is common. The most common symptom of endometriosis is pain. Pain arises from the irritation of pelvic tissues (uterus, rectum, ovaries, tubes, bladder) which arises from the secretion of chemicals from the implants of endometriosis. How does it start? There are genetic predispositions, and possibly some increased risk in redheads.

The most common an most easily understood explanation is that most women have retrograde (back through the tubes) menstruation. This menstrual blood contains living endometrial cells from the inside lining of the uterus. These cells implant and grow in the areas around and behind the uterus. Initially they may appear clear, but eventually take on a blue-black "powder burn" appearance. They make your pelvis sore.

These implants respond to your monthly hormonal changes as the inside of your uterus does. The result is cramp pain, often radiating to the back or to one side. Cysts of endometriosis can occur in the ovary and are called endometriomas. Since the pelvis is sore, intercourse often is painful, especially around your period. Pain often occurs at ovulation as well. Mild endometriosis may be more painful than advanced endometriosis.

Eventually scar tissue forms between the tubes, ovaries, pelvic sidewalls, rectum and uterus. Many times it seems like someone poured glue into the pelvis. At this stage infertility is common. In early stages there seems to be little effect on fertility. Some women are more able to destroy the endometrial cells in the retrograde menstrual blood. These people often do not develop endometriosis.

With others whose immune functioning is different endometriosis may begin to develop in the teen age years.

General FAQ

How should I treat endometriosis?

The answer to that question is totally dependent upon what your goals are. Initially, pain control is most important. Reductions in pain can sometimes be obtained by simply taking noncylic low dose birth control pills. (Skip the inactive last seven pills and have no periods). Endometriosis can be suspected clinically, but can only be diagnosed with laparoscopy.

Endometriosis can also be treated laparoscopically by destroying visible endometriosis with electrical energy (heat), excision, or by laser. Pain is often reduced but microscopic endometriosis is not treated. Endometriosis needs estrogen to grow and remain active. There are hormone treatments which will induce a month by month menopause.

With low estrogen levels you will have hot flashes, but the pain should resolve. Lupron is the most commonly used medication. Unfortunately many women with endometriosis will have recurring pain with the above mentioned conservative treatments. These treatments may be repeated, and may be effective each time.

Eventually, when your family is complete and if pain has returned, many women resort to hysterectomy, probably with removal of the ovaries. That is a dramatic step, but does in most all cases end the pain from endometriosis. Hormone replacement is possible and it is uncommon to have recurrences on reasonable doses of hormone replacement. There is hope. You can be free from pain.

Unfortunately, until the final definitive treatment, it is also likely to be a recurring problem. It is for that reason that I say that endometriosis treatment should be goal oriented, depending upon where you are in your life. It's not OK to have a hysterectomy when you want to have children. It may never be OK with you to have hysterectomy and lose your ovaries.

These are the topics you need to take the time to explore with your gynecologist. Don't accept only one proposal of treatment without considering your other options.

General FAQ

I have an Ovarian Cyst. Do I need to have surgery?

With the exception of cancer of the uterus, cervix, or ovary, most gynecologic surgery is done to improve quality of life. It's your life and your body, and choices as to how and when you proceed should be discussed thoroughly. Your needs and desires should be understood and respected by your gynecologist. 

There are usually multiple ways to approach each particular problem. When surgery is needed, a well informed patient makes the best choices and will be most satisfied with the outcome. Surgical procedures carry risk, and even the best of surgeons will have complications. 

Don't enter into a surgical situation without understanding the risks, and understanding your genuine need. Explore your options, question your gynecologist's experience and results. Searching the web is often helpful, but can sometimes be frightening. 

Your ovarian cyst is very likely benign, but reading about ovarian cancer can scare anyone. The best solution is to talk to your gynecologist, avoid surgery for small problems and when large problems arise, proceed at your own pace. The patients who are most satisfied are those with genuine problems, who chose the best procedure available at the time, and reap the benefits of feeling better. 

The quality of your life can be improved. You can and should be able to enjoy all the days of the month.

Dr. Paul Daum, M.D. Provides Complete OB/GYN Services

from adolescence, to childbirth, through menopause and beyond