Did your Pap smear results come back abnormal? If so, then your gynecologist most likely recommended getting a further evaluation to find out what might be going on. Since abnormal results could mean that there are cancerous or precancerous cells present within the cervix, your OBGYN will want to perform a more in-depth examination to check the health of the cervix. This is known as a colposcopy. Read more
Annual gynecological exams serve a number of purposes. The most important is to diagnose any abnormalities as quickly as possible. The sooner you begin treatment, the better your chances of managing or recovering from a condition will be. By going in for annual exams, you may catch a potentially dangerous disease before it’s too late. Read more
Birth Control Pills are one of the most popular types of contraception. Most girls and women take birth control pills with little to no side effects. In addition to preventing pregnancy, benefits include predictable and often lighter periods. Mittelschmerz, or pain with ovulation, is stopped because "the pill" suppresses ovulation. Ovarian cysts may be prevented. Menstrual migraines are often controlled by taking "the pill" continuously. Acne often improves on "the pill." Read more
We offer and provide annual wellness exams including blood pressure checks. Blood pressure is a standard vital that is taken at each annual wellness visit, but blood pressure checks are also important for women on estrogen containing birth control as well as weight loss medications. Read more
Counseling, Testing, and Treatment
Dr. Schapiro has been on the forefront on BRACA counseling, testing, and treatment. Her segment about breast cancer on CNN is so popular that they have used it in reruns.
Breast and ovarian cancer are scary. We all have a risk of getting cancer. Let our practioners take a careful family history and see if you might be at increased risk and should consider BRACA testing.
What happens during a colposcopy?
You will lie down for this procedure, and a speculum will be used to keep the vaginal walls open. A colposcopy is similar to a Pap smear in that a special solution will be applied to the cervix and vagina, which will help our OBGYN see the cells to detect any changes or problems. Then a special instrument known as a colposcopy will be used to further examine the cervix and vulva.
There are many different birth control options that exist today. Here at Ideal Gynecology, you and your provider can discuss what option is best for you- whether that is a birth control pill, an IUD, a vaginal insert, etc. the list goes on. We are more than happy to help you find a birth control option that best suits your lifestyle and health needs.
What Is Coolsculpting?
After years of working with patients to achieve their health and fitness goals, Dr. Schapiro developed Cool & Fit to focus on treatments that help patients succeed. Cool & Fit aims to help men and women of all ages: from adolescents battling skin issues, to moms looking to shed those last few pounds of pregnancy weight, to working professionals getting ready for a big event, or even aging patients looking to get their spark of youth back while targeting fine lines and wrinkles. After much research, Dr. Schapiro has chosen CoolSculpting and Hydrafacial as the focus of Cool & Fit to help address patients’ concerns and develop a plan for success. Read more
Any number of complications can cause sex to be painful. It can be a problem for a woman at any age. Do not be embarrassed. We understand that this can be difficult to discuss. Your practitioner will take a careful history and do a specialized physical exam. Very often, there are issues that can be addressed and solved.
If you are finished bearing children, you may choose to have an endometrial ablation after we have diagnosed the cause of your heavy and/or irregular bleeding. An endometrial ablation can be conveniently done in the office with a paracervical block and intravenous sedation. If you are having sedation, you can not have anything to eat or drink from midnight the night before your procedure. You will meet with the anesthesiologist in the office before the procedure. You will then go to sleep before a speculum is placed. I will place an appropriately sized speculum and numb your uterus. I will stabilize your cervix with an instrument and then introduce a camera into the uterus. Then, the ablation will be performed. The entire procedure takes only a few minutes. All instruments are then removed and you will have time to recover before going home. Someone will need to bring you to the office, bring you home and care for you for the remainder of the day.
While the definitive diagnosis of endometriosis is surgical, there are medical treatments. Our team will collaborate on diagnosis and treatment of your endometriosis. Endometriosis is often a lifetime challenge and we are here for you.
Irregular and/or heavy periods are a common complaint that our patients seek care for. There are numerous different causes of irregular and/or heavy menstrual cycles. We recommend an ultrasound as the first step in figuring out a possible cause of irregular periods. We provide ultrasound in office, and then one of our providers will meet with you afterwards to discuss the findings.
All of us at Ideal Gynecology understand how upsetting it can be to have difficulty getting pregnant. We will review your history and physical exam. We will check your hormones, your ovarian reserve and test for polycystic ovarian syndrome. We can evaluate your fallopian tubes with an ultrasound procedure called a femvue and we can evaluate your uterine cavity with a sonohysterogram. All of our practitioners are skilled at reviewing a temperature chart, if you have one or can recommend an ovulation predictor kit. We will discuss the timing of intercourse for pregnancy and medical options.
Fibroids are a tumor, or over growth, of uterine muscle, often with the consistency of a rubber ball. Fibroids can be big or small. They can be in the lining of the uterus, in the uterine muscle or hanging on a stock. Some women never have any fibroids. Other women have anywhere from one to well over 20. A small fibroid in the lining of the uterus can cause pain, heavy bleeding and difficulty getting pregnant while a fibroid the size of a baseball or even a grapefruit might not cause any problems at all. Often large fibroids cause pelvic pressure and many women with a large mass of fibroid tissue have to run to the restroom frequently because the fibroid is pressing on the bladder. The largest uterus Dr. Schapiro has removed weighed 11 pounds! She is skilled in both traditional and robotic hysterectomies and myomectomies. You can see her videos on YouTube. Read more
We offer GYN exams for adolescent patients. Pap smears are not recommended until age 21, however we do see adolescent patients in office for birth control consults, STD testing, and overall education on the female body.
What Are Gynecology Ultrasounds?
Even if you’ve never had an ultrasound before chances are good that you know what it is. This painless, non-invasive test is one of the best ways for our OBGYNs to be able to see inside the vagina and abdomen to make sure that everything is healthy and that there aren’t any issues. Read more
What Are HydraFacials?
Whether you are dealing with acne-prone skin or you want to smooth away fine lines and wrinkles, there is one simple, non-invasive treatment that can improve the appearance of your skin while also hydrating, nourishing, soothing and cleansing. Here at Ideal Gynecology, we offer HydraFacial, a refreshing skin treatment that only takes about 30 minutes to perform but helps rid the skin of impurities while targeting certain problem areas. Read more
Abnormal pap smears can be frightening. There are many different causes and types of abnormal pap smear results. We are here to discuss the abnormal result as well as provide various treatment options if they are necessary. See the section on Colposcopy & LEEP for further information.
There is too much to say about menopause to put in this space. Every woman experiences menopause in her own way and our team is here to discuss your symptoms from hot flashes to low energy to loss of sex drive. Not all symptoms are actually menopause and we will do some blood tests to check that and make sure you have the best treatment for your issues. Diet and exercise are still the key to the healthiest menopausal years. Read more
There is too much to say about menopause to put in this space. Every woman experiences menopause in her own way and our team is here to discuss your symptoms from hot flashes to low energy to loss of sex drive. Not all symptoms are actually menopause and we will do some blood tests to check that and make sure you have the best treatment for your issues. Diet and exercise are still the key to the healthiest menopausal years.
Myomectomy means removing fibroids without removing the uterus. For fibroids within the uterine cavity, this can often be done with a hysteroscope, using the cervix to enter the uterus. A hysteroscopic myomectomy is an outpatient procedure and does not involve any incisions. Fibroids in the body of the uterus can be removed by traditional or minimally invasive methods. Dr. Schapiro is an expert in both traditional and robotic myomectomies and will be happy to discuss which of these options is best for you. Read more
As women age and go through menopause, their estrogen levels decrease. This places women at a greater risk for bone loss and fracture. Osteoporosis literally means porous bone and is a disease in which the quality of the bone is reduced. We recommend DEXA bone density scans every 2-5 years starting at menopause, and can refer you to a bone health specialist if needed.
A pap smear is a screening for cervical cancer. Recommendations are to start pap smears at age 21 regardless of sexual activity. During a pap smear, the provider will place a speculum in the vagina in order to visualize the cervix, and then use a spatula and brush-like tool to gently “scrape” or brush cervical cells from the cervix. The cells are then sent off to a lab and examined under a microscope to check for any cervical cell abnormalities.
Pelvic and breast exams are vital to a woman’s overall health and well-being. We offer and provide a breast and pelvic exam at every annual wellness exam. The breast exam is completed to check for any lumps, bumps, or areas of tenderness which could be an early sign of something more serious. A pelvic exam is done to visualize the inside of the vagina as well as the cervix.
Preconception counseling is imperative for women prior to trying to conceive. During preconceptioncounseling, the provider will educate and promote as well as conduct a risk assessment in order to reduce the changes of poor pregnancy and delivery outcomes. At a preconception visit, we will discuss your OB/GYN, family, medical, and surgical history, possibly perform a physical exam, as well as labs/blood work.
We routinely offer a full panels of STD testing at each annual wellness exam. However, if you are concerned that you may have been exposed to an STD or have symptoms of an STD, we can provide testing at any time. We offer a vaginal culture which includes gonorrhea, chlamydia, and trichomonas. We also offer blood work done in office that includes HIV, Hepatitis B & C, Herpes, and Syphilis. Based on the results, we can then determine the best treatment option for you.
Why Should I Get My Annual Wellness Exams?
Just as you should visit your dentist for regular cleanings twice a year and you should see your regular doctor for an annual checkup, the same rules apply when seeing a gynecologist. Even if you aren’t dealing with symptoms you should still visit your gynecologist once a year for your annual wellness checkup. It’s one of the best ways to maintain good health and to detect problems early on. Read more