Obstetrics and Gynecology

At Westchester Health, our Obstetrics and Gynecology Department consists of board certified physicians who specialize in the management of women’s health, pregnancy and childbirth. Our gynecological surgeons are also highly trained in both minimally invasive and robotic surgery.

Our OB/GYNs are experts in the care of women throughout all stages of their lives, from puberty through their reproductive years, until menopause and beyond.

Our team provides comprehensive obstetrical care that includes both low risk and high risk obstetrical management. We have a dedicated Maternal Fetal Medicine unit on site, available for consultation and management pre-conception and throughout your pregnancy.

The OB/GYN group at Westchester Health provides warm and compassionate care with an emphasis on the individual, forming valuable patient-doctor relationships that last for years, even decades.

Specializing in all aspects of women’s health, our OB/GYNs have extensive experience in their field, using the latest technology and techniques to diagnose and treat all types of conditions, including testing and treatment of STDs, infertility, sexual dysfunction, birth control, hormone replacement, abnormal PAP smears, endometriosis, fibroids, ovarian cysts, HPV vaccinations and more.

Prevention as well as treatment

At Westchester Health, our focus is not only on the evaluation and treatment of health problems but also on preventative care.

In addition to providing the highest quality of obstetric and gynecologic care, our OB/GYNs work closely with other specialists who are part of your healthcare team to coordinate and implement a total treatment plan that is customized for your specific needs to achieve the best possible outcome. We also focus on educating you about lifestyle changes you can make to control, improve or even eradicate your particular condition.

What makes Westchester Health’s Obstetrics and Gynecology Department different?

At Westchester Health, we firmly believe that good treatment starts with good listening. We also believe that the best patient is an informed patient, and that patient education is critical to your long-term health.

From the first time you arrive at our offices, we spend as much time with you as is necessary to make sure you understand your condition, the diagnostic tests we are recommending and all of your treatment options. Throughout your journey with us, we will continue to explain our recommended course of treatment and answer any questions you may have so that you understand what to expect.

Whether you have been with Westchester Health for years or are new to our practice, you quickly recognize that our Obstetrics and Gynecology group truly cares about each and every one of our patients. When you need us, we are here for you.

Always at the forefront of medicine

The world of medicine continues to change and evolve, especially regarding the field of obstetrics and gynecology. As part of Northwell Health, our OB/GYNs participate in its Department of Obstetrics and Gynecology training programs, making sure they are continually up-to-date on the newest breakthrough treatments for our female patients’ healthcare needs.

OB/GYNs are experts at treating a variety of obstetric and gynecological conditions, including:

Amniocentesis

Amniocentesis is a prenatal test that allows your OB/GYN to gather information about your baby's health from a sample of your amniotic fluid, the fluid that surrounds the fetus in the uterus. The most common reason to have an "amnio" is to determine whether a baby has a genetic disorder or a chromosomal abnormality, such as Down syndrome, cystic fibrosis or a neural tube defect (example: spina bifida). Amniocentesis can also determine paternity prior to delivery of the baby.

Contraceptive counseling

One of the most important contributions to women’s health has been the availability of affordable, effective and safe contraception (birth control). There are many different forms of contraception available today, and OB/GYNs are specially trained to offer advice and guidance regarding which birth control option may be the best for you.

High risk pregnancy

A high risk pregnancy is one that potentially threatens the health or life of the mother or her fetus. Risk factors for a high risk pregnancy include high blood pressure, diabetes, HIV, obesity, multiples (twins, triplets, etc.), a very young mother (early teenager) or a mother older than 35. Early and regular prenatal care helps many high risk women have healthy pregnancies and deliveries without complications.

Hormone replacement therapy

During menopause, a woman’s estrogen levels drop dramatically, often causing uncomfortable symptoms such as hot flashes, sweating, irritability and vaginal dryness. Hormone replacement therapy is the most effective treatment for these symptoms and includes estrogen therapy (in the form of a pill, patch or topical cream) and estrogen/progesterone/progestin hormone therapy, known as combination therapy since it combines doses of estrogen and progestin, the synthetic form of progesterone. Because hormone replacement therapy can have potentially serious side effects, including increased risk of stroke, high blood pressure and certain types of cancer, an OB/GYN should always be consulted throughout treatment.

HPV vaccination

There are very few cancers that scientists have discovered a vaccine for, but those caused by human papillomavirus (HPV) fall within that category. Providing almost 100% protection from HPV types 6, 11, 16 and 18 if all three doses are taken at the correct intervals and before a person is exposed to one of the HPV infections, the HPV vaccine can prevent cervical, vaginal and vulvar cancers in women; penile cancer in men; and anal cancer, cancer of the back of the throat and genital warts in both men and women. It is highly recommended for boys and girls as early as 9 years old (before they become sexually active and are exposed to HPV) and up to 26 years old.

Minimally invasive laparoscopic and robotic surgery

Laparoscopy (surgery performed through one or more small incisions, using small surgical instruments and tiny cameras) was one of the first types of minimally invasive surgery. Another type is robotic surgery, which provides a magnified 3-D view of the surgical site and helps the surgeon operate with precision, flexibility and control. Gynecological surgery is often performed using one of these two methods.

PAP smears

A PAP smear, also called a PAP test, is a very effective way to screen for cervical cancer. A mildly uncomfortable but not painful procedure, a PAP smear tests for the presence of precancerous or cancerous cells on the cervix, the opening of the uterus. For women aged 21-65, we generally recommend having a PAP smear every 3 years, since detecting cervical cancer early gives women a much greater chance at a cure. If you have ever had an abnormal PAP smear, these guidelines may differ for you and we recommend annual clinical pelvic exams.

Testing and treatment of STDs

Anyone who has had unprotected sex is at risk of acquiring an STD (sexually transmitted disease) and should be tested right away (and treated, if necessary). Signs of STDs include sores or bumps on and around your genitals, thighs or buttocks, discharge from your vagina or penis, burning when urinating, frequent urination, itching, pain, irritation and/or swelling in your penis, vagina, vulva or anus, flu-like symptoms such as fever, body aches, swollen glands and feeling tired. Having an STD makes you more likely to get other STDs, such as HIV, which is why it’s important to get tested and treated.

Uterine fibroids

Uterine fibroids are non-cancerous growths of the uterus that often appear during a woman’s childbearing years. They can range in size from seeds to bulky masses that can distort and enlarge the uterus, and a woman can have a single fibroid or multiple ones. Often, there are no symptoms but for women who do have symptoms, the most common ones include heavy menstrual bleeding, menstrual periods lasting more than a week, pelvic pressure or pain, frequent urination, difficulty emptying the bladder, constipation, and back or leg pain. Fibroids usually shrink when a woman goes through menopause. Depending on a woman’s symptoms, treatment options include both medicine and surgery.

Vaginal and vulvar disorders

Many women think that vulvar itching, burning and vaginal discharge automatically signal that they have a yeast infection. However, more than two dozen diseases can cause genital itching, burning, irritation, rawness, throbbing, urinary frequency, urinary urgency and pain during sex. These include: cystitis, candidiasis (yeast infections), vaginitis, pelvic floor dysfunction, human papiloma virus infection (HPV), herpes and vulvar cancer. Effective treatment depends on the specific condition.

Additional OB/GYN conditions treated/services offered:

  • Bioidentical hormone therapy
  • BRCA gene testing
  • Colposcopy
  • Genetic screening and testing
  • Endometriosis
  • Infertility treatment and counseling
  • In-office 4D ultrasounds
  • In-office uterine ablations
  • Irregular periods
  • IUD placements
  • LEEP (Loop Electrosurgical Excision Procedure)
  • Low risk obstetrics/pregnancy
  • Management of abnormal pap smears
  • Perinatology consultation
  • Robotic surgery
  • Sexual dysfunction

 

To learn more, please read our blogs on these subjects.

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