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Gynecological Care

Women of all ages look to an Obstetrician/Gynecologist at various stages of their lives – from childhood to adolescence, adulthood to the menopausal years. Isn’t it comforting to know there is an OB/GYN practice that will see you through each stage of your life?

Robert Wood Johnson OB/GYN Group Hamilton offers a full spectrum of gynecologic care with the expertise of Board Certified OB/GYN general physicians and specialists. Our gynecologic services are designed to prevent, detect and diagnose gynecologic conditions, and provide follow-up care. These services include:

Preventive Medicine and Annual Exams
Early detection is key. The importance of an annual gynecologic exam is most evident especially when the incidence of both breast and cervical cancer continue to rise. By scheduling an annual gyn exam and an annual mammogram (age dependent), women take a proactive stand against the disease. Not only does an annual exam help maintain a healthy lifestyle, it also provides comfort and reassurance and establishes a basis to compare future test results.

Contraceptive Management
With so many options, our OB/GYNs can help eliminate the confusion of which contraception to use. We provide various methods of contraception as well as counsel patients on natural methods.

Medical Procedures
Whether undergoing a surgical or laparoscopic procedure, you can rest assured that the latest, state-of-the-art equipment and technologies are utilized to insure the highest quality of care. Our experienced medical staff performs the following gynecological procedures:

Colposcopy is a procedure typically performed after an abnormal pap smear test. A speculum (an instrument used to hold open the birth canal in order to view and examine the cervix) will be inserted into the vagina and opened slightly. The cervix is then swabbed with a chemical solution (acetic acid) to remove the mucus that covers the surface and help highlight abnormal areas. The colposcope is then positioned at the opening of the vagina and the area is thoroughly examined. Photographs may be taken.

Endometrial Ablation is an alternative procedure to a hysterectomy. This procedure is for women who suffer from heavy or prolonged periods. The procedure involves removing the lining of the uterus (endometrium), which is the source for bleeding. This procedure uses hysteroscopy to visualize the uterine cavity.

Hysteroscopy is a gynecologic procedure that uses a hysteroscope to look inside the uterus. This procedure can help evaluate abnormal bleeding, infertility, fibroid tumors, polyps, and displaced IUDS.

Hysterectomy is a very common operation. The uterus may be completely removed, partially removed, or may be removed with the tubes and ovaries. A supracervical hysterectomy is removal of just the upper portion of the uterus, leaving the cervix intact. A total hysterectomy is removal of the entire uterus and the cervix. A radical hysterectomy is the removal of the uterus, the tissue on both sides of the cervix (parametrium), and the upper part of the vagina. A hysterectomy may be done through an abdominal incision (abdominal hysterectomy) or through a vaginal incision (vaginal hysterectomy). Common indicators for this surgery are cancer, uterine fibroids, abnormal bleeding, and endometriosis. Our highly trained gynecologic surgeons can discuss the best option for you.

A laparoscopy is a procedure used by physicians to explore the abdomen and reproductive organs. It may be used in cases of infertility, tubal sterilization, ectopic pregnancies, and pelvic pain. It also can be used to diagnose endometriosis, fibroids, and ovarian cysts. A medical instrument called a laproscope is attached to a video monitor and allows the physician to examine the abdomen without a large abdominal incision. This procedure is typically associated with less pain and faster recovery.

Laparoscopy Assisted Vaginal Hysterectomy uses a laparoscope to visualize the pelvic organs and to assist in the hysterectomy procedure. This enables the physician to perform part of the surgery through a small incision.

Loop electrosurgical excision procedure (LEEP) is an outpatient procedure used to remove pre-cancerous cells in the cervix. The instrument is a fine metal loop that has an electrical current passing through the loop, and is used to cut the tissue. The electrical current allows for the tissue to be excised and helps reduce the bleeding.

Myomectomy is the surgical removal of fibroids from the uterine muscle without hysterectomy.

Operative Hysteroscopy is the use of a hysteroscope to remove uterine adhesions called synechiae, polyps or fibroids.

Tubal ligation, also known as "tying the tubes", is a form of sterilization. One or two small incisions are made in the abdomen at the navel and a laparoscope is inserted. Using instruments that are inserted through these incisions, the tubes (fallopian tubes) are coagulated (burned) or sealed shut with a small clip placed on the tube. The patient is able to return home a few hours after the procedure. Tubal ligation can be performed immediately after childbirth through a small incision near the navel or during a cesarean section.

The Essure procedure, is a new, minimally invasive method of permanent birth control. RWJ Hamilton is the only area hospital offering this procedure. Unlike tubal ligation, Essure requires no incisions, burning, or tying, and the entire procedure takes 35 minutes. Most patients may return home in as little as 45 minutes following the procedure and resume normal activities within 24 hours. Essure may be recommended for patients who could face risks through other procedures, including obese women or those who have had past abdominal surgery.

Specialists
RWJ OB/GYN Group Hamilton is the leader in comprehensive care. We work closely with specialists trained in Female Pelvic Medicine & Reconstructive Surgery and Gynecologic Oncology. We offer direct access to highly trained specialists in the fields of Urogynecology and Gynecologic Oncology.

At Robert Wood Johnson OB/GYN Group Hamilton, we feel it is important for a practice to be an extension of your family – and that a practice should be there through all of these stages of a woman’s health.

 

 

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