Storing your baby's lifesaving cordblood stem cells provides you with the
peace of mind and a powerful medical resource used to treat many severe illnesses for your child and loved ones. Discover today why they're the most trusted and most reliable cord blood bank in the industry.
Cord blood is the blood that remains in the umbilical cord and placenta
following birth and is routinely discarded. Now a process called cord blood banking allows you to have your baby's cord blood saved for potential medical uses.
Your baby's cord blood is a rich source of stem cells, which are genetically unique to your baby and family. Collecting the cord blood poses no risk to your baby and collections can take place after vaginal or cesarean births The collection procedure, which takes only a few minutes, is simple, safe and painless.

For mor information, please visit them at: http://www.cordblood.com
You can now enjoy listening to your unborn baby's heartbeat in the privacy of your own home, as early as 10-12 weeks into your pregnancy.
Using the same technology as your doctor, you can have the comfort and reassurance of knowing your baby is happy and thriving. Also, you can record and download up to 32 seconds of Doppler sound to save on your computer.
This truly is a product that no expecting mother should be without, for it offers a level of involvement and comfort that every woman wants and deserves to have with their baby. For only $10.00 per week with a secured deposit on MasterCard or Visa, you you can avoid many possible worries or fears about your baby's well being and start enjoying the indescribable bond a Fetal Heartbeat Doppler will bring between you, your baby, and your family.
Ask your doctor for more exciting details!
You can be free of heavy bleeding with a new treatment that averages only 90 seconds.
Introducing the NovaSure System, a new minimally invasive option that provides patients and physicians with a quick, simple and effective alternative to hysterectomy for the treatment of excessive menstrual bleeding, while avoiding the potential side effects and long-term risks of drug therapy.

If you suffer from excessive menstrual bleeding (menorrhagia) their site will answer many of your questions about menorrhagia, describe treatment options that are available, and demonstrate how NovaSure patients have Resolved their bleeding and Restored their lives. Learn more about the NovaSure treatment.

The NovaSure System is a new and effective endometrial ablation technology that is quick, simple, safe and complete.

For more information please visit their website at: www.novacept.com
71-87% of the time Chronic Pelvic Pain is linked to endrometriosis. When you register at EndoKnow.com you'll get your personalized Doctor Discussion Guide to help you talk to your doctor about your symptoms. You'll also learn more about endometriosis and its treatment options. And there's even a printable Pain diary that will help you record your symptoms. www.endoknow.com
Ultrasound
We use ultrasound or sonography in almost every aspect of our practice of Obstetrics and Gynecology. Most commonly, ultrasound is used to identify early pregnancy, and to rule out more serious problems. Later, it is used to exam the fetus in all stages of development. Examination of the fetal anatomy, position of the fetus, placenta and measurement of the fetal size are very common. Fetal well-being is also confirmed by evidence of normal amniotic fluid, fetal movement and fetal breathing movements. Also the number of babies is also pretty exciting (I still remember seeing my first set of triplets on ultrasound. Their mom was pretty excited also.)

Ultrasound is also very important for gynecology as well. We use ultrasound to examine the uterus, tubes, and ovaries, as well as the whole pelvic region. We can visualize the interior of the uterus, looking for fibroids, polyps and thickening of the lining of the uterus which we call the endometrium. Cysts of the ovaries are easily examined for size, character, and relationship to other structures in the pelvis. One of the most important uses for ultrasound in the pelvis is the ability to exclude ectopic pregnancy when a women has pain and bleeding in early pregnancy.
Infertility Testing and Treatment
There are many areas of fertility testing that can be accomplished very simply before going further with more involved treatment. We confirm ovulation, test cervical mucous, check for tubal patency, and check for endometrial or uterine problems before we go further to ovulation induction (fertility drugs), or insemination. The male factor is evaluated by a very simple semen analysis, done at the laboratory. We can do cup or intrauterine inseminations as necessary.

One site for extensive information regarting infertility charting is Fertility Friend. They can provide a detailed ovulation chart as the example here:

Additionally, they provide free interactive BBT charts, advanced ovulation detector, help pinpoint your fertile days, increase your chances of conception, and you can receive a "Trying to Conceive Journal."

Visit them at www.fertilityfriend.com
Cancer Screening
The pap smear is still the most important cancer screening test and we encourage every woman to have regular paps. Endometrial biopsy is done in the office to rule out cancer of the uterus, and is used in conjunction with ultrasound to evaluate the endometrium. Ultrasound of the ovaries is not a screening test for cancer of the ovary, but it is very good for reassuring us that the ovaries are small and normal. The mammogram should be done at ages 35, 40 and then every 2 years after age 40, and yearly after age 50.
Menopausal Issues
Approaching menopause can be a very difficult time for many women. Hormonal changes, added health risks, and changes in her physical body make this time extremely stressful. We will try to make this time as pleasant as possible with the information that you may be looking for and counsel that fits your situation. Not every woman wants hormones, or should even be on hormones, but you need to have the information. Bone density screening, mammography, and general health screening is very important at this stage of life.
Adolescent Health
This is also a stage of life that can be rather difficult for a woman and her family. So many very important decisions are being made at this stage of life, and information and counsel are so important. Laura, our nurse practioner, has a special interest in adolescent woman's health.
Bladder Rehabilitation and Incontinence Therapy
The one service that our office provides of which we can be the most proud is the pelvic floor training or bladder rehabilitation service. This also utilizes biofeedback to accomplish amazing results without surgery. This service is headed by Audrey Cochran, who is certainly the foremost authority in bladder incontinence training in the southern SanJoaquin valley. It is not easy work, but for a motivated individual results can be dramatic. There are, of course, cases where surgical treatment is necessary, but surgery is still the last resort. Audrey teaches classes at CSUB, Bakersfield College, and in the community and is well known in the community for her care and interest in women's health care issues in later life.

Additional Information:

http://kidney.niddk.nih.gov/kudiseases/pubs/bladdercontrol/index.htm

http://www.niddk.nih.gov/health/urolog/pubs/uiwomen/uiwomen.htm

http://www.niddk.nih.gov/health/urolog/pubs/uichild/uichild.htm

http://www.simonfoundation.org http://www.incontinet.com/home.htm

http://www.seekwellness.com/incontinence/prostate_cancer.htm

http://www.mybladder.com

http://www.drdonnica.com/radio/00003375.htm

http://www.ucsf.edu/wcc

http://www.oxytrol.com
Hydrothermablation

For many women, excessive menstrual bleeding due to fibroids and other gynecologic disorders is a problem that causes them to miss as much as a month of work a year. During a new exciting procedure, hydrothermablation or HTA, doctors first use a scope to see the problem, then they use the same sheath to cleanse the body. To look inside a woman's uterus with a hystroscope is a relatively simple, extremely safe procedure and the only difference with the HTA part of the procedure is that in addition to looking inside of the uterus, a fluid is circulated through it. In the past, more traditional procedures such as a hysterectomy or a laser, which focused on clearing the uterine lining, were used but these procedures were associated with a certain degree of risk. That's why until now, many women shied away. With this procedure, a new confidence washes over patients as sterile saline fills the uterine cavity. It's room temperature in the beginning, then slowly warmed until it reaches ablation level, the heat continues for 10 minutes. Then cool saline is released to flush out the heated fluid. The ovaries continue to function after the procedure, a woman continues to ovulate, that's why women of childbearing age can take advantage of HTA. But it is not recommended for women who still want to have children. For more information come by our office or feel free to visit the Boston Scientific Corp. website at: http://htasystem.com/

Finally, women and their partners considering permanent birth control have a new option. It's called Essure. Unlike tubal ligation and vasectomy, there are no incisions or punctures to the body. Essure takes about 35 minutes, does not require general anesthesia, and provides birth control without hormones. Best of all, you should be on your way about 45 minutes after the procedure. A non-incisional approach to permanent birth control, Essure is a new method of permanent birth control developed by Conceptus. Because it is intended to permanently prevent pregnancy, it is similar to other permanent birth control procedures such as vasectomy or tubal ligation ("having your tubes tied"). All of these procedures are intended to prevent pregnancy for the rest of your life. For more information, feel free to visit the Essure website at: www.essure.com

PapSure® is the only in-office, direct visual screening exam cleared by the U.S. Food and Drug Administration (FDA) for all women recommended for a pelvic exam and a Pap smear. PapSure® is a simple visual exam that is performed in addition to your Pap smear. First, your cervix is washed with a mild vinegar solution. Then, your physician examines your cervix visually using a small, disposable blue light and a magnifying optic. The blue light is designed to cause abnormal tissue to appear bright white, helping your physician to better detect possibly harmful abnormalities. For more information, come by our office or feel free to visit the PapSure website at: http://www.papsure.com/

MicroSort is the only scientifically verifiable method of pre-conception gender selection. It is showing positive results after more than 350 pregnancies. For couples today who are considering options for having a family, especially those with chromosome-linked concerns, MicroSort gender selection is of serious interest. As the science continues to imporve, we expect that MicroSort will become a routine part of family planning.

The Genetics & IVF Institute is offering couples the ability to increase the chance of having a child of the desired gender to reduce the probability of X-linked diseases or for family balancing. Utilizing new flow cytometric separation technology, the X (female) or Y (male) chromosome-bearing sperm can be sorted and the enriched fraction of sorted sperm used to achieve pregnancy. For more information, come by our office or feel free to visit the MicroSort website at: http://www.microsort.net/
Bone Density Measurement
Osteoporosis is a major health risk for women at all ages. There are many risk factors that can increase a women's risk of hip, leg or spine fracture. These are family history, use of steroids, cigarette smoking, small body type and weight and thyroid disease. Every woman should be screened in the early menopause for bone density changes. We use a very easy, accurate and safe method for estimation of bone density by use of ultrasound transmission through the heal. This method just takes a few minutes to accomplish, and the results are available immediately.
Female Urinary Control

SPARC Female Sling System for Stress Urinary Incontinence
The SPARC™ Female Sling System is a minimally invasive procedure designed to correct stress urinary incontinence (SUI) in women. The innovative SPARC™ system uses a superior (from the top) surgical approach to placing a sling for the treatment of female stress incontinence. The SPARC™ system technique employs thin, curved stainless steel needles advanced through two tiny incisions above the pubic bone to a vaginal incision below the urethra.

For more information: http://www.acticon.com/patients/index.asp?PageID=328&ProductID=20
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