Annual Gynecological Examinations

We are devoted to providing the full range of gynecologic services. Our providers and staff are concerned with the health care needs of all women throughout their life cycle. Having a regular gynecological exam is a key part of your health care maintenance. We provide a full range of gynecologic care including routine exams, preconceptual counseling, pap smear evaluation, STD screening, birth control counseling, the evaluation of abnormal menstrual cycles, PMS treatment, and menopause care.

Contraceptive Management
-Birth Control Pills
-Injectable Birth Control
-Transdermal Birth Control
-IUD (with and without hormones)
-Permanent Birth Control

HPV Vaccinations
The FDA has recently approved Gardasil, a vaccination for HPV for all female patients aged 9 through 26 regardless of their HPV status.

Sexually Transmitted Disease Screening
HPV, chlamydia, and herpes are the most common sexually transmitted diseases today. HPV (human papilloma virus), chlamydia, and gonorrhea can be screened at the time of pap smear. Syphilis, HIV, and less common potentially sexually transmitted diseases (hepatitis B and C) must be screened by blood testing. 

Consent is required for HIV testing. All results are kept in the strictest confidence in compliance with federal statutes. Herpes testing is easiest if a sore is present, but tests for antibodies (immunity) are available, and can tell us if you have ever come into contact with the virus. Call the office for testing or if you have specific concerns.

Management of the Menopause
Menopause is something that all women have to look forward to. It is a process, a transition, not a switch that turns on one day. There are many issues facing a woman during this time. Hot flashes, abnormal bleeding, sexual changes, ostepoprosis prevention and treatment, hormone replacement, sleep disturbances are among the most troublesome. 

Sounds like a laundry list of problems, but for many people it is also a time of liberation. No more periods, PMS, children gone from home, a time to rediscover or reinvent your relationship one on one with your significant other. Dr. Daum is well versed in dealing with all the issues you might face during your transition. He has spoken locally about the treatment and prevention of osteoprosis. 

Such controversial issues as hormone replacement are discussed and a mutually acceptable solution will be found. Use of herbal supplements may well fit into your own individual plan for your transition to the best third of your life. Call and make an appointment to discuss these and other issues.

Evaluation of Abnormal Bleeding
Abnormal periods usually can be divided into hormonal causes and structural problems. Hormonal causes are common in teens and perimenopausal women. These problems occur in women with a normal uterus and can usually be managed with correction of the underlying hormonal problem. This may mean periodic hormone supplements, or perhaps the use of birth control pills. 

Hormonal problems may be a one time problem, or may require recurring treatment. Women with structural uterine problems will usually be detected by examnination or by sonography. The most common problems are uterine fibroids and polyps within the lining of the uterus. Treatment of these problems depends on the goals of the individual woman. Hysteroscopy can remove polyps and some uterine fibroids. 

Either laparoscopic or open abdominal surgery can remove fibroids deep in the muscle of the uterus. If childbearing is complete and a final solution is desired, laparoscopic supracervial hysterectomy can be performed with minimal pain. Hospital time is either day surgery or one night stay. Return to work is within 2 weeks. Sex can be resumed at 2 weeks as well. This new innovation in hysterectomy should be offered to all women requiring hysterectomy. 

Uterine Artery Embolization is a procedure perfomed by the Radiologist. In this procedure very 12pt spheres are injected into the uterine arteries to attempt to starve the fibroids of blood flow. Reduction in size of fibroids is accomplished. Symptoms improve, but new fibroids may grow until menopause. Pregnancy is possible after this procedure, but would be considered high risk. 

Endometrial ablation is a procedure which attempts to destroy the bleeding part of the uterus. The procedure is performed in day surgery through the vagina. Success is somewhat variable but most women will either have no more periods or have their bleeding reduced to a few days of pantyliners. Treatment of abnormal bleeding needs to be individualized, and thoroughly evaluated before deciding which option is right for you. We offer and are experienced at all options for treatment.

If you need Annual Gynecological Examinations contact Mansfield Miracles, Paul Daum, MD today at (817) 477-0200


Patient Education

Am I in Labor?

Labor at term is about trying to decide if it is time to go to the hospital. If it is timed properly, it will prevent frustrating visits to the hospital which result in going back home. Many women have described a  contraction as "The baby balls up". What is really... Read More

Hereditary Cancer Syndrome Screening Information

Anyone can be at increased risk for cancer based on their family history. This is especially true for certain types of cancers such as: breast, ovary, colon, endometrium (uterine), pancreas, and melanoma. The more unusual the timing of the cancer (early age onset) or prevalence within a family, the higher... Read More

Influenza

Pregnant women are more likely to get seriously ill from the flu. Get your flu shot.   You should get vaccinated as soon as you finish the first trimester. (12 weeks). You will not get the flu from a flu shot. Any side effects you get are generally limited to soreness... Read More

What's with the NEW Pap Smear Guidelines?

With the advancement of DNA technology, it has been determined that 99% of cervical cancers are caused by Human Papilloma Virus (HPV). There are many subtypes of HPV, and a small number have been detected in cervical cancers. These subtypes are called  high risk HPV subltypes. The highest risk types are types 16... Read More

Pregnant! What not to eat.

You have probably heard that there are foods that should be avoided during pregnancy. Most of the restrictions are directed at avoiding mercury which has gotten concentrated in fish. The fish to be avoided are the predatory fish from the ocean, and include tuna, shark, mackerel, and salmon. In fact, most fish should... Read More

American College of ObGYN Patient Information Website

The American College of ObGYN (ACOG) is the governing body for ObGYN doctors in America. They have created a very informative and helpful patient information page that covers a wide variety of topics for patients. If you have any questions about women's health, this website is a great resource. If... Read More

Insurance

Major Insurance Providers Accepted

Aetna
Anthem Blue Cross Blue Shield
Blue Cross Blue Shield
Choice Care
Cigna
Geo Blue
United Healthcare
United Health One
US Health Group

If you are ready for compassionate and quality care

in a friendly, comfortable environment, make an appointment!