General Practitioners

• Osteoporosis
  We now have our second state-of-the-art bone densitometer that measures bone density at the hip and the spine in three minutes. We intend to stay on the cutting edge of osteoporosis screening and treatment. We have a new Densitometer, keeping with our philosophy of providing the best technology available to our patients. We have been providing bone density testing to our patients since 2001.
• Emergency Care
  If you have a gynecologic emergency, one of our physicians is available 24 hours a day, every day of the year to care for all of our established patients. After office hours or on weekends, call our office number and follow the instructions you will be given. The phone number is (310) 451-8144. Our exchange will notify us. We recommend Saint John's Hospital (20th at Santa Monica Blvd.) or Santa Monica Hospital (1245 16th St.) emergency rooms for our patients who need immediate and critical care. Inform the emergency room that you are one of our patients, and the hospital will contact us.
• Urinary Incontinence
  As the baby grows, the enlarging uterus causes pressure on the bladder below it. This extra stress on the bladder makes it easier for any additional exertion, such as laughing, sneezing or exercising, to push urine out of the bladder. This is why women who are pregnant often have mild urinary incontinence during pregnancy. During a first pregnancy, more than one-third of women develop temporary stress incontinence. During subsequent pregnancies, more than three quarters develop this problem. However, most of the women who have incontinence during pregnancy return to full continence after delivery as the tissues of the birth canal heal. Only about 5% of these women still have stress incontinence a year after the delivery.
• Immunizations
  This is a three injection series of a viral particle (not a live virus) that immunizes women to the 4 most common strains of the HPV (human papilloma virus), which is responsible for 80% of all cervical cancers and genital warts. It is very safe. I gave it to my own daughter and would recommend it for most young women because 70% of all women are exposed to this virus by age 30! The immunization is recommended starting at age 10 so that it will be completed long before exposure occurs. Most pediatricians offer this as well.

Gynecologists

• Gynecology
  Dr. Rosenman teaches fellows (advanced graduates of Gynecology residencies) surgical techniques in the operating room every week as well as the evaluation and treatment of complicated patients with incontinence and pelvic floor prolapse weekly in her office. She has expertise in reconstructive surgeries that preserve the uterus as well as additional training and expertise in female sexual dysfunction. She also has expertise in advanced laparoscopic and hysteroscopic surgery.
• Female Infertility
• Obstetrics
  Please try to be on time for your appointments. Punctuality helps us to see our patients at their scheduled appointment time. We consider your time and ours very valuable and make every effort to keep our office running on time. Since we do not practice obstetrics, emergencies rarely take us away from regularly scheduled appointments.
• Endometriosis
  Under Dr. Rodi's direction, we offer the highest level of infertility services. Every medical treatment currently available is offered to maximize the opportunities to conceive a healthy child. The services include initial work-up, In-Vitro Fertilization, GIFT, and egg donation, and reproductive surgery for conditions such as endometriosis and fibroids. Dr. Rodi is assisted during infertility evaluation and treatment by our expertly trained nurse practitioners. To meet your needs, sonograms and inseminations may be scheduled after 7:30 AM Monday-Friday, and Saturday and Sunday if necessary. Our office provides special assistance to schedule IVF procedures.
• Pelvic Pain
• Pregnancy
• Labor and Delivery
  The connection between incontinence and childbirth has been assumed for a long time. When gynecologists see women for problems of incontinence, we are not surprised to find the most severe problems often in those women who had many children or who delivered large babies. Recently doctors started working out the details of these relationships and are looking for the specific reasons why some women go on to develop incontinence and other women never have this problem.

Internists

• Urology
  In 1991 Drs. Amy Rosenman and Leslie Kaplan developed the Pacific Continence Center to combine the best of urogynecology and urology for the treatment of patients with bladder problems. Dr Rosenman combines the facilities available in her gynecology office with the extra offerings of the Pacific Continence Center to give all patients state of the art care.
• Nephrology
• Ovarian Cancer
  After menopause it is less likely to have ovulation related cysts. Still, benign cysts are more common than cancer of the ovary even in older patients. The likelihood of getting ovarian cancer in our lifetime is 1.7%. At age 60 this is only 1 of every 1500 women.
• Cervical Cancer
• Colon Cancer
  The recommendation at this time is to take the lowest dose needed to treat the symptoms for the shortest time frame. That said, it is still not clear if some women might benefit from long-term use of hormones to prevent heart disease, and bone loss, colon cancer, and possibly dementia. The jury is still out.
• Endoscopy
  Dr. Rosenman is certified by the Accreditation Council of Gynecologic Endoscopy for both laparoscopic and hysteroscopic surgery. Dr. Rosenman is a founder and attending physician at the Pacific Continence Center. She has been certified as a Menopause Clinician by the North American Menopause Society.
• Interstitial Cystitis
  Pain with intercourse (dyspareunia). The most common cause of this pain with penile penetration is estrogen deficiency leading to thinning and loss of elasticity of the vagina and vulva. There are inflammatory conditions such as vulvar vestibulitis or vulvodynia. These are conditions that merit discussion with your physician, as there are treatments available. Vaginal infection, possibly yeast or a nonspecific vaginosis can also cause pain and can be treated. Interstitial cystitis, an inflammatory painful bladder condition is treatable. Other causes include endometriosis and scarring from prior vaginal surgery, radiation, or childbirth injury. It is important to remember that these conditions have solutions. Even if they cannot be cured these conditions can be treated and your quality of life greatly improved.

Neurologists

• Multiple Sclerosis
  This is defined as a delay or absence of orgasm following sufficient stimulation. This may be life long or new onset. Causes include a fear of losing control or being vulnerable, lack of trust of others, or fear of intimacy. New onset disorders are frequently associated with medication, especially the SSRI (serotonin reuptake inhibitors), sedatives, alcohol, neurologic diseases such as Parkinsons, stroke, or multiple sclerosis, or nerve damage.

Psychiatrists

• Mental Health
  Rachel is a middle school English teacher with a love for both teaching and writing. She has also been a community health educator and outpatient mental health program coordinator at Bellvue Hospital in New York. Rachel brings the patient's perspective and point of view to this book, insuring that the medicine is comprehensible to the lay person and that the anxieties often raised by medical problems are clearly addressed.
• Anxiety

Endocrinologist

• Endocrinology
  Dr. Ingrid A. Rodi is a gynecologist with fellowship training in Endocrinology and Infertility. In addition to board certification in Obstetrics and Gynecology she is subspecialty certified in Reproductive Endocrinology and Infertility. She is a Fellow of the American College of Obstetricians and Gynecologists. She is an Associate Clinical Professor of OB-GYN at the UCLA School of Medicine and is actively involved in the teaching of residents and fellows. Dr. Rodi is the Past President of the Pacific Coast Reproductive Society and is a member of the American Society for Reproductive Medicine, the Society for Assisted Reproductive Technologies, the Society of Reproductive Surgeons and the Society of Reproductive Endocrinology. Dr. Rodi has been chosen for Best Doctors in America and Top Doctors.

Radiologist

• Ultrasound
  There are other cysts that may form in the ovary. Among the most confusing and interesting is the Dermoid Cyst. This is where an ovarian “egg” cell forms a cyst containing hair and possibly a tooth or other bodily tissues. These are almost always benign with a cancer rate of 1/1000. Dermoid cysts are fairly typical in appearance on ultrasound or X-Ray and easily removed by minimally invasive means with a laparoscope.
• MRI
  While prolapse never leads to serious medical illness, it can make some women's lives uncomfortable or even miserable. Surgical repair of prolapse can be performed through abdominal incisions, incisions high up inside the vagina or, more recently, through small incisions in the navel and lower abdomen through which a laparoscope and small instruments are placed. It is common for more than one supporting structure of the pelvis to develop weakness or tears, so it's not uncommon to find more than one area is in need of repair. The surgical repair of prolapse is undergoing a re-evaluation. MRI has recently been used to better define the specific areas of damage to muscles and supporting tissues that often lead to prolapse and incontinence.
• X-Rays

Surgeons

• Minimally Invasive Surgery
  Dr. Rosenman has served as a reviewer for the Journal of the American Association of Gynecologic Laparoscopists (Now known as the Journal of Minimally Invasive Surgery ) as well as Obstetrics and Gynecology, American Journal of Obstetrics and Gynecology, and the Journal of gynecologic Techniques.
• Robotic Surgery
  Under Dr. Rosenman's direction we help women regain continence in a caring, convenient setting. State-of-the-art evaluation and treatment is available for incontinence and prolapse (dropped bladder). We offer specialized urodynamic testing at our Pacific Continence Center. Our methods of diagnosis and treatment allow us to design effective treatment plans for even the most persistent and hard-to-treat cases. We offer a myriad of treatment modalities - medications, non-invasive methods, and, if needed, surgery, all based on a conservative philosophy. Minimally invasive procedures are available as well as a new Robotic Surgery program for certain prolapse patients (More about Urogynecology Services )
• Hysterectomy
  Many gynecologists feel the best way to treat a falling uterus is to remove it, with a surgery called a hysterectomy, and then attach the apex of the vagina to healthy portions of the ligaments up inside the body. Other gynecologists, on the other hand, feel that hysterectomy is a major operation and should only be done if there is a condition of the uterus that requires it. Along those lines, there has been some debate among gynecologists regarding the need for hysterectomy to treat uterine prolapse.
• Endometrial Ablation
  If a hysterectomy has been recommended for bleeding, there are other ways to treat heavy uterine or menstrual bleeding such as birth control pills, a progestin containing IUD known as Mirena, or endometrial ablation. Ablation is an outpatient procedure that destroys the uterine lining ending the heavy bleeding. More details of these options are found in the section on problem periods.
• Laparoscopy
• Reconstructive Surgery
  Vaginal rejuvenation. These procedures are frequently not covered by insurance and are not related to the anatomy or function of the vagina but only appearance. Whereas reconstructive surgery can result in better appearance, rejuvenation surgery does not necessarily result in better function.

Plastic Surgeons

• Plastic Surgery
• Laparoscopic Surgery
  Laparoscopic surgery requires minimal, ½ inch incisions through the navel and lower abdomen. The benefit of this type of surgery is that patients usually have less pain, a short hospital stay (less than a day), and a return to all but strenuous activity in 10-14 days.

Dermatologists

• Acne Treatment
• Cyst

Physical Therapists

• Physical Therapy