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GYNECOLOGY PROBLEMS

The Eman Al-Janabi MD obstetrics and gynecology practice, serving Brooklyn and Staten Island provides comprehensive OBGYN care to both women and young adolescents with female gynecological problems.
Gynecological related disorders are a common and increased health concern in female adolescents and women. Gynecological disorders range from minor treatable problems to complex reproductive health concerns, sometimes even impacting the ability to conceive in the future. For this reason our practice offers evaluations, diagnosis, treatment and management of all matters reaching out to gynecological related disorders for both women and young adolescents, and we are committed in educating them about their reproductive health. Our compassionate and skilled medical professionals care about patient well-being and provide a comforting and confidential environment for them.
Most women experience common gynecological problems sometime during their lives and these include; vaginitis, ovarian cysts, fibroids, heavy or painful periods, pelvic pain, painful intercourse, vulvodynia, urinary tract infections and vaginal yeast infections.

Vaginitis
Vaginitis is a common gynecological problem amongst women and involves inflammation of the vagina resulting in production of discharge accompanied with itching and pain. ‘Vaginitis’ is a broad term given to various forms of vaginal inflammation such as; Bacterial vaginosis, Candida infections and Trichomoniasis. Vaginitis may occur through sexual contact, allergies, poor hygiene, and hormonal changes. Onset of vaginitis is due to change in the normal balance of vaginal bacteria with menopause also a likely cause for it due to reduced estrogen levels. Bacterial vaginosis usually occurs from overgrowth of Gardnerella bacterium while yeast infections occur from overgrowth of fungal organisms called Candida albicans. Certain substances, such as vaginal sprays or perfumed soaps applied to the vaginal area may also cause an allergic reaction in some women.However, Trichomoniasis is a sexually transmitted infection caused by a parasite called Trichomas vaginalis. Fortunately; gynecologists at our practice are highly skilled in the diagnosis and treatment of vaginitis. Antibiotics may be prescribed to help restore the vaginas natural pH. We further instruct women with knowledgeable information on how to prevent future occurrences of vaginitis.
Ovarian Cysts
Ovarian cysts are particularly common within menstruating women. These cysts are known as ‘functional’ cysts comprising of fluid-filled pockets on or surrounding the ovary and as a result no symptoms are present and usually such cysts disappear without acquiring treatment. However certain cysts may cause discomfort and symptoms of severe pain in the belly followed by fever which calls for medical attention. These include cysts such as; dermoid cysts often containing hair, parts of teeth or bone; and cystadenomas, which is a thick mucus-fluid cyst attached to the ovary. Nonfunctional cysts develop in ovaries of many women due to conditions such as, endometriosis and polycystic ovary syndrome (PCOS). Fortunately, most cysts are benign but in rare cases cancerous cysts may develop overtime. In order to ensure patient well-being, we carry out regular ultrasound scans to identify any growths within the ovaries allowing for an early diagnosis and treatment plan if needed. Common treatment options undertaken at our practice involve the traditional surgical procedure or the more popular laparoscopic surgery. Treatment for an ovarian cyst is determined based on the size and severity of the cyst.
Fibroids
Fibroids are benign growths on the uterus and occur in women in their 30s or 40s. Fibroids do not cause any problems but mild symptoms may occur such as heavier bleeding during a woman’s menstrual cycle (causing anemia), pelvic pain and pressure in the belly. Once onset of menopause occurs symptoms are likely to reduce without treatment. In order to make a diagnosis, we carry out a pelvic exam and ultrasound screenings to determine the size of the growths in the uterus. Blood tests are also essential to identify any hormonal emplacements. We offer treatment dependent on patient health status regarding the severity of fibroids, these include; hysterectomy, myomectomy, or uterine fibroid embolization. Our medical professionals prioritize in informing women about the possibility of not being able to conceive regarding a hysterectomy and the likelihood of re-occurrences of uterine fibroids post-surgery.
Heavy or Painful Periods
Most women and young female adolescents will experience a heavy menstrual cycle sometime during their lives. However, our medical professionals rely on patient descriptions to determine a more than usual heavier period cycle. For a period to be considered heavy, a woman usually bleeds for more than 7 days with the passing of blood clots and engaging in daily activities such as work, exercises or sexual activity becomes challenging. Most often, heavy periods are due to hormone imbalance, ovulation dysfunctions or fibroids. When heavy or painful periods usually interfere with a woman’s quality of life, we recommend a pelvic exam, ultrasound or hysteroscopy to determine the exact cause of abnormal bleeding. We offer women treatment methods based on their reproductive health condition ranging from medications, such as oral contraceptives or certain drugs like ibuprofen, to surgical procedures such as a hysterectomy, ablation and endometrial resection. We highly recommend women monitor their menstrual cycles each month to enable a better guide to any progression or changes within their cycles.We assist women in determining the finest management option and instruct them about their conceiving options for the future.
Pelvic Pain
Pelvic pain is highly common in women and organs in the pelvis area, such as the bowel, bladder, uterus and ovaries, are usually the cause for it. Pelvic pain maybe caused in association to pregnancy, such as an ectopic pregnancy or a miscarriage, or to due to gynecological related disorders. These include; ovulation occurring mid-cycle, menstrual cramping (dysmenorrhea), pelvic inflammatory disease, rupture of ovarian cyst, fibroid degeneration, endometriosis or a sexually transmitted infection (chlamydia or gonorrhea).Severity of symptoms requires medical attention and our practice provides a skilled team of medical professionals to determine pelvic pain by performing a physical pelvic exam, ultrasound, blood and urine tests, vaginal cultures to test for STI, laparoscopy or a hysteroscopy. We offer treatment for both chronic and acute pelvic pain depending on the cause and intensity of pain. Medications, including antibiotics may be prescribed while pain radiating from other organs requires surgical treatment.
Painful Intercourse
Painful sexual intercourse is a common complaint among women and young adolescents. Painful intercourse can be occasional or long-term impacting a woman’s sexual life. Common symptoms include; ache during or after intercourse, pain upon penetration, or pain inserting tampon. A number of conditions can cause painful intercourse resulting from vaginal yeast infections where the vaginal tissue may become irritated immediately after sex. Insufficient lubrication due to hormonal changes may also initiate pain during intercourse with a decrease in lubrication evident with onset of menopause causing dryness. More serious medical conditions may also cause painful intercourse such as, pelvic inflammatory disease or ovarian cysts.Both physical and psychological reasons attribute to experiencing painful intercourse for women. Our practice provides a strictly confidential environment with a skillful and experienced gynecologist to diagnose and treat women experiencing painful intercourse. We offer exceptional management methods for women to have quality sexual relationship.
Vulvodynia
Both women and young female adolescents experience Vulvodynia. Vulvodynia is pain experienced in the opening of the vagina not specific to one area but in the vulva, labia and clitoris. As of yet, no underlying cause has been associated to vulvodynia. Women report symptoms of burning, aching or throbbing sensations during various activities such as, exercise, intercourse or even when they aren’t engaged in any activities. Vulvar pain can interfere with a woman’s quality of life and obstetrics and gynecologist specialists at our practice offer self-care treatment options to help relieve symptoms. We encourage women to avoid utilizing potential irritants (perfumed soaps, creams), avoid activities that put pressure on vulva like horse-riding or bicycling. Since every woman’s condition varies, we offer treatment plans reliant on each condition, allowing women to discuss all aspects of their problems in a stress-free surrounding.
Urinary Tract Infections
Urinary tract infections (UTI) are highly common amongst women and young female adolescents with repeated occurrences of UTI common. A UTI involves infection in the urethra, bladder or kidneys and usually occurs when bacteria from the digestive tract attach to the urethra and continue to grow. Symptoms include; frequent urination with a burning sensation, intense urge to urinate with very little urine passed and discomfort around the pubic bone in women. Our practice is equipped with the finest medical techniques to diagnose women with UTI. A urinalysis, cystoscopy and a renal ultrasound are required to determine UTI diagnosis. Treatment for UTI involves taking anti-bacterial medication. We provide treatment dependent on the patient’s medical condition and promote methods of preventing UTI by encouraging women to take certain supplements and avoiding poor hygiene.
Vaginal Yeast Infections
Women and young female adolescents experience vaginal yeast infections sometime during their lifetime. Vaginal yeast infections are not a serious health concern and treatment is relatively easy. Yeast is a fungus that resides in the vagina and most often overgrowth of Candida albicans, a type of yeast, may result in developing a yeast infection. Yeast infections may occur from poor hygiene, applying irritant substances or wearing tight-fitting clothing.Production of discharge accompanied with itching and pain are common symptoms of a yeast infection. Vaginal yeast infections can develop during pregnancy and can be treated without treatment. A vaginal exam is essential to allow us to make a diagnosis. We prescribe antibiotics to help restore the vaginas natural pH. We further instruct women with methods of preventing future occurrences of yeast infections.