- Osteoporosis
- ColonoscopyA complete history and physical examination will usually determine the etiology of acute pelvic pain. When the pain is of a chronic duration (mostly described as occurring for 6 months or longer), more intensive evaluation is usually needed. This may include laboratory testing as well as radiographic imaging (such as an ultrasound) and even diagnostic procedures (laparoscopy, colonoscopy, and cystoscopy). Determining the etiology behind chronic pelvic pain can be a very challenging endeavor. Having a good relationship with your gynecologist with allow him / her to develop the best plan of management for you.
- Constipation
- Urinary IncontinencePelvic organ prolapsed, a type of pelvic floor disorder, can affect many women. In fact, about 1/3 of all women can be affected by this condition in their lifetime. The pelvic floor consists of a group of muscles supporting the pelvic area. This structure is important in keeping the uterus, vagina, bladder, small bowel and rectum in its proper orientation. When there is a disruption or injury to this support, such as through childbirth, relaxation or prolapse of these structures occurs. Common symptoms resulting from such injuries include urinary incontinence (mostly with “stress” events such as coughing or sneezing), difficulty with bowel movements, low back pain, pressure or fullness in the pelvic area, painful sexual intercourse, the sensation of something “falling out” vaginally and even irregular vaginal bleeding.
- ImmunizationsRoutine and sometimes specific testing is recommended to women who are sexually active. Increasing testing sensitivity and even prevention vaccinations are routinely recommended to certain individuals. Dr. Fong and his staff offer comprehensive screening and Human Papilloma Virus / HPV vaccinations to females who fit the recommended criteria supported by the American College of Obstetricians and Gynecologists. Other commonly screened STD’s are Chlamydia, gonorrhea, herpes, HIV, syphilis, and Hepatitis.
- GynecologyVaginal discharge is one of the three most common presenting complaints in gynecology. The most common causes of lower genital tract inflammation are due to vulvovaginal candidiasis (yeast infections), bacterial vaginosis, trichomonal infections, bacterial vaginitis and chemical vulvovaginitis. Fortunately, a gynecologist can easily diagnose these conditions with a history, physical examination and office laboratory tests which usually include a saline wet mount of the discharge and a measurement of the vaginal acidity (pH level). Other conditions that may present with an abnormal vaginal discharge include sexually transmitted infections (such as herpes, Chlamydia, gonorrhea) and retained foreign bodies. A gynecologist is specially trained to diagnose and manage any conditions pertaining to the pelvic organs.
- Female Infertility
- ObstetricsIn the practice of obstetrics and gynecology, more so than any other specialty of medicine, the bond between patient and doctor is a very personal one. You want a doctor whose care is guided by experience and knowledge and who understands that compassion.
- EndometriosisEndometriosis is a benign condition in which endometrial glands (cells lining the uterine cavity) are found in extra-uterine locations. It is estimated that 10-20% of all reproductive aged women are affected by this condition that can range from having no symptoms to causing severe debilitating pain. Unfortunately, nothing about endometriosis is simple. This condition usually presents itself with chronic pelvic pain (either constant or intermittent), dyspareunia (pain with sexual intercourse), dysmenorrhea (painful menstrual cramps) and infertility.
- Pelvic Pain
- PregnancyUnfortunately, not all pregnancies are uncomplicated. Prematurity affects 15% of all births born in the United States. When special care is needed, you should feel comfortable that your entire healthcare team is ready and prepared. This team can consist of your primary healthcare provider, such as an Obstetrician or Midwife, Maternal-Fetal Medicine specialists, Neonatologist, Pediatrician, Anesthesiologist, and even Critical Care specialists. Even when perfect prenatal care is provided, unforeseen or even expected complications may occur. It is important to know that Dr. Fong is not only properly trained and experienced in handling such situations, but that he has the proper ancillary staff and services to accommodate your needs.
- Labor and Delivery
- Kidney StonesPelvic pain can be caused by a multitude of reasons. It can be related to the female reproductive organs (vagina, cervix, uterus, ovaries and fallopian tubes), gastrointestinal in nature (appendicitis, constipation, diverticulitis), from the urinary tract (bladder infections, kidney stones), musculoskeletal in origin (hernias, pelvic fractures, nerve injuries) or even referred or psychogenic. A gynecologist is specially trained to evaluate women with this condition, whether it is acute or chronic in nature.
- Cervical CancerNothing you can do to protect your heath is more important than routine gynecologic visits. A complete health history, pelvic exam, Pap smear for the early detection of cervical cancer, mammogram and laboratory tests are part of our annual well-woman exam. We’ll teach you about breast health, heart health, gynecologic issues, menopause and osteoporosis.
- UltrasoundBasic infertility evaluation consists of testing both partners, of which male factor infertility can be the cause 40% of the time. Semen analysis is usually the only test needed to evaluate the reproductive ability of the man. Women need to undergo a few timed laboratory tests to determine if there is an underlying endocrine condition which may be affecting her fertility and monthly ovulation. Other tests for the woman should include evaluation of the female pelvic organs for structural or obstructive abnormalities usually in the form of a pelvic examination, ultrasound, hysterosalpingography, hysteroscopy and/or laparoscopy, as well as culture testing for infections.
- Minimally Invasive SurgeryThe standard test to diagnose this condition is to obtain tissue samples confirming endometrial tissue outside of the uterine cavity, usually done via laparoscopy. Since this condition is very common, minimally invasive surgery with laparoscopy is often not needed to begin treatment for this condition. Both medical and surgical options are used and often successful in treating endometriosis. Management plans should be based on the patient’s desires and needs with the medical expertise of her gynecologist
- Laparoscopy
- Laparoscopic SurgeryWe take a conservative approach, providing you with alternative options and patient education. If there’s a way to avoid costly procedures, you’ll be the first to know. If surgery or advanced medical care is recommended, we offer the most up-to-date technology for diagnosis and treatment, including minimally invasive Laparoscopic surgery, laser surgery and hysteroscopy.
- Back Pain