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

Having your baby at Methodist Mansfield

Methodist Mansfield is a great place to have your baby. Dr. Daum delivered the first baby at Methodist Mansfield on December 26th, 2006. Since that day the hospital has grown, but retains the small hospital feeling that many women enjoy. The NICU is now considered a level III A nursery,... 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

Mirena IUD

Mirena IUD's are plastic devices that fit inside your uterus and provide contraception. They have several advantages. First they are very effective with greater than 99% prevention of pregnancy.  The stem of the Mirena contains levonorgestrel, a part of many popular birth control pills. Second, once inserted, they are almost... Read More

Essure Tubal Sterilization

There has been a good bit of advertising recently about the Essure method of tubal sterilization. Essure is not new, and has been on the market for a number of years. The Essure method of sterilization  requires placement of a device in each tubal opening, where it opens into the... Read More

Abnormal Pap Smear - Now What?

Many women will have an abnormal pap smear result at some point in their life. If you have had an abnormal pap smear, you will generally need to have a follow up pap smear within 6 months.  Potential results of a follow up pap smear are: - Your follow up pap smear... 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


Major Insurance Providers Accepted

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

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