Circumcision Overview

Circumcision is removal of the foreskin from the penis. This is a practice that is hotly debated and people feel passionately on both sides. There are definite medical benefits to […] Continue

Circumcision Procedure

Before the circumcision is performed, numbing medicine is used on the penis. The baby is then held down on a special board and the circumcision is performed using a specialized […] Continue


Hysterectomy is surgical removal of the uterus. A total hysterectomy is removal of the uterus and cervix, and a subtotal or partial hysterectomy is removal of the uterus while leaving […] Continue

Birth Control Overview

There are many different contraceptive choices available. There is no perfect birth control; each has its advantages and disadvantages. This is a “big picture” discussion of birth control discussing the […] Continue

How to Quit Smoking

There are many ways to quit smoking. This method is simple, does not use drugs, nicotine replacement, patches, gum, or pills. It is also free. I have had a great […] Continue

Dating A Pregnancy

The due date is 40 weeks from the first day of the last menstrual period. Because the first day of the last menstrual period is sometimes not accurate, the first […] Continue

Emergency Contraception

Emergency contraception is used in a situation where a woman has had unprotected intercourse. It is 80-90% effective if used within 72 hours after unprotected sex. Emergency contraception is also […] Continue


Essure is the trade name for bilateral tubal occlusion. This is a permanent sterilization procedure for women that can be performed in the doctor’s office with minimal or no anesthetic. […] Continue

Medical Treatments of Fibroids

There are several options for treating fibroids medically. Birth control pills, progesterones such as Provera, the Mirena IUD, and Lupron are all in this category. These will not cure the […] Continue

Surgical Treatments of Fibroids

Surgical management of fibroids includes uterine artery embolization, myomectomy, and hysterectomy. Uterine artery embolization is an outpatient procedure that is done by an invasive radiologist to stop the blood flow […] Continue

Bilateral Tubal Ligation

Bilateral Tubal ligation (BTL), also called getting the tubes tied, is a permanent form of birth control for a woman. The BTL has a very low failure rate, less than […] Continue

Pap Smear

The Papanicolaou test, or Pap smear is a test of the cervix looking for precancerous or cancerous cells. It is one of the most successful screening tests available and has […] Continue


LGSIL and HGSIL are designations of abnormal pap smears. They stand for Low (or High) Grade Squmous Intraepithelial Lesion and are often referred to as “low grade pap” or “high […] Continue

LEEP Cone Biopsy

LEEP stands for Loop Electrosurgical Excision Procedure. It is used to treat significant dysplasia and can usually be done in the office. This is done after a colposcopy that confirms […] Continue


HPV stands for human papillomavirus. It is really a family of viruses rather than a single entity. There are over 100 different strains of HPV and new ones are being […] Continue


ASCUS stands for “atypical squamous cells of undetermined significance”. It is a designation given to pap smears when the cells are not frankly abnormal but they are not perfectly normal […] Continue


Colposcopy is simply looking at the cervix with a microscope; it is often combined with biopsies of the cervix. Colposcopy is most commonly done to evaluate the cervix after an […] Continue

Cervical Dysplasia

Cervical Dysplasia is a pre-cancerous change of the cervix. It is not cancer and should never become cancer because there is a simple office procedure to treat dysplasia. Cervical dysplasia […] Continue

Barrier Methods

Condoms, the sponge, the diaphragm, the female condom, and the cervical cap are all examples of barrier methods. These need to be placed and then removed with each sexual encounter. […] Continue