Obstetrics and Gynecology
Bio-Identical Hormone Pellet Therapy Men and Women
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Covington - Mandeville for over 30 Years
Obstetrics, Gynecology, Vaginal Rejuvenation, O-Shot®, Priapus P-Shot® Robotic Surgery, Hormone Pellet and PRP Therapy & Laser Skin Revitalization for Women and Men in Covington | Mandeville area near New Orleans, LA
If you would like more information on the services we provide or to schedule an appointment with Dr. Schultis or Dr. Landry in Covington, please call our 985-898-1940 for Dr. Schultis and 985-892-1111 for Dr. Landry and visit our new websites.
Most asked questions by our obgyn patients.
Abnormal Uterine Bleeding General Information
There are many different causes for abnormal bleeding in women. The typical menstrual cycle in adults is approximately 21 to 35 days. There can be more variability in the first 10 years after the period starts and the 10 years before menopause (average age of menopause in the US is 51.5 years). Common causes for abnormal bleeding include hormonal irregularities, concurrent medical conditions such as thyroid disorders, structural abnormalities (fibroids and polyps), the use of certain medications, infection, pregnancy, and neoplasm. The typical work-up for abnormal bleeding includes a complete history and physical. At that time, it can be determined whether labwork, ultrasound, or a biopsy needs to be done.
Should I get the HPV vaccine?
Gardasil, the HPV vaccine, protects against certain strains that cause cervical cancer and genital warts. HPV has infected around 20 million people in the U.S., with more than six million new cases occurring annually.
There are more than 100 types of HPV. About 60 cause common skin warts (plantar, hand); around 40 affect the genital tissues and are sexually transmitted. Only a few genital types can cause cancer.
Gardasil is effective against four types of HPV, including the two that cause 90% of all genital warts. The other two strains cause 70% of cervical cancer cases.
The FDA approved Gardasil for females and males ages 9-26 years old, because inoculating them before they're sexually active ensures that they’re protected before HPV transmission or exposure.
Although the vaccine may protect women older than 26, it hasn’t been sanctioned by the FDA. Why not? Older, sexually active women may have already acquired one (or all) of the four HPV strains the vaccine protects against, thus reducing its effectiveness.
Condoms can't offer complete protection because they don’t cover all skin areas that may harbor the virus.
What does a routine Pap smear show? What other tests should I ask for?
Pap tests, usually part of a regular pelvic exam, find abnormal cervical cells that may become cancerous or indicate the presence of cancer. Through regular Pap tests, cervical cancer can be prevented or detected at a very early stage. When the cancer is confined to the cervix, the five-year survival rate is more than 90%.
Contraception Choices General Information
Traditional oral contraceptive pills that are taken daily and result in a monthly period. Very low doses are available for patients who would like to limit the amount of hormones they take.
Contraceptive pills that are taken daily, but result in a period every three months.
Contraceptive patch that is worn on a weekly basis. Normal monthly periods are experienced.
Contraceptive ring which is worn vaginally for 21 days. The patient can expect to have a monthly period.
Contraceptive arm implant, which is a 4cm progesterone based rod that is placed in the patient’s arm. This method is approved to provide contraception for 3 years and the most common side effect is irregular vaginal bleeding.
Contraceptive Intrauterine Device, a progesterone based IUD that is approved for 5 years of contraception and that is commonly used to treat patients with heavy bleeding.
Contraceptive Intrauterine Device, a non-hormonal device which can be used for up to 10 years.
Contraceptive Diaphragm, a soft latex or silicone dome with a spring molded into the rim that acts as a cervical barrier.
Permanent Sterilization options including laparoscopic tubal ligation