High Risk Obstetrics Care: Although most women can expect a normal and uncomplicated pregnancy, some women begin pregnancy with an illness or may develop problems as the pregnancy advances. A high risk pregnancy is one in which the doctor recognizes a greater chance for complications for the mother, baby, or both. Our physicians are highly trained and experienced in providing care for women with complicated pregnancies throughout their prenatal care and delivery. For these women we provide: Pre-pregnancy counseling & Outpatient education and management of many high risk conditions.
Laparoscopy: This technique has revolutionized the way we treat many conditions. We can use this method to help us determine the reason for pelvic pain, the extent of endometriosis and also perform procedures without extensive surgical incisions. This leads to better cosmetic results, a more rapid recovery, less pain, and shorter hospital stays. The most commonly performed laparoscopic procedures are for diagnosis and management of pelvic pain, endometriosis, removal of uterus (hysterectomy), and female sterilization.
Ultrasound: Thanks to ultrasound technology, new moms-and-dads-to-be can take a peek at the new baby long before birth. More importantly, an ultrasound makes it easier for your doctor to monitor your baby’s growth and development.
Pelvic Reconstructive Surgery: We understand that a patient's quality of life is severely affected by problems in their pelvic muscle support-- i.e. uterine, bladder and rectal prolapse. We recognize that patients don't have to live with this and we offer conservative management options, i.e. pessary, and surgical options, involving pelvic reconstructive surgery, in hopes of improving our patient's quality of life.
Cancer Screening and Treatment: Screening and preventive counseling for cancer is a part of every routine annual examination we provide. We recommend and provide screening examinations for gynecological cancers that affect women.
Urogynecology: We know how embarrassing the problem of urinary incontinence can be. Fortunately, in many cases, it can be corrected with either medical or surgical therapy. Advances in surgical technique have allowed patients to undergo minimally invasive surgery requiring a much shorter hospital stay with significantly reduced postoperative discomfort.
Reproductive Problems: Having a baby doesn’t always “come naturally”. Many times the problem can be identified and corrected. We provide comprehensive endocrine and infertility evaluation and recommendations for treatment.
Atrophic Vaginitis: Vaginal dryness, burning and being constantly bothered are a result of atrophic vaginitis, which is often not spoken about because some consider it a natural consequence during menopause and after childbirth. Thanks to innovative laser techniques, this problem can now be prevented and resolved in a safe and painless way.
Dyspareunia: pain during sexual intercourse. An atrophic vagina is thin, fragile, lacks elasticity and above all is dry and unlubricated. This causes pain during sexual intercourse with a series of negative consequences regarding the couple’s relationship which lead to a lack of sexual desire and uneasy feelings during intimate moments with your partner.
Dyspareunia can also be caused by pain in the perineal region caused by scarring of the episiotomy or after a laceration from a spontaneous delivery.
Urinary Incontinence: There are various types and levels: from stress(laughing or coughing, lifting weight), urgency (involuntary loss of urine due to lack of control of the urination stimulus by the brain), mixed (incontinence from a combination of stress and urinary imperiosity) or from reflux (occurs when the bladder is so full that the internal pressure is greater than that of the urethra).
Routine Obstetrical Care
High Risk Obstetrical Care
Hospital Deliveries with Epidurals
Postpartum Mood Disturbance: Postpartum depression affects between 10% and 15% of women after delivery. We work not only with treatment after the baby is born but also identify risk factors and try to intervene during pregnancy. We use behavioral interventions and targeted psychotherapy techniques to help you feel like you again.
MAT Services: Medication Assisted Treatment (MAT) for persons diagnosed with opioid-use disorder is the use of medications, in combination with counseling and behavioral therapies, to provide a whole-patient approach to the treatment of substance abuse disorders.
Individual Counseling: Are you feeling anxious or stressed, and do you find it difficult to relax? Did you lose someone important in your life and now struggle to remove the grief? Is depression keeping you down, and is it difficult to find the motivation to “get out of it”? A significant personal trauma such as a divorce or a job loss can also be a great challenge. These are some emotional states and personal circumstances that you may find difficult to navigate individually – and your situation may be entirely different. We want to help you find the breakthrough you are looking for using evidenced based psychotherapy.
Rejuvenation for Women
O - Shot
The O- Shot Can help: Decreased libido (sex drive,) Stress urinary incontinence, Decreased ability to orgasm, Urge urinary incontinence, Lichen sclerosus, Lichen planus, Postpartum fecal incontinence, Chronic pain from trauma from child birth (episiotomy scars,) Chronic pain from mesh.
The newest innovation for vaginal health.
Healthcare for Any Age
I wanted to share the good news. We now have a toll free number that anyone can use to get support for a family experiencing baby loss 24/7. The number is 1-844-4BabyLoss. Understanding about the depth of despair, healing light, information, and hope to grieving families facing the darkness after the loss of a precious baby, no matter size or age, and to all who are touched by such tragic losses.
Help in finding support groups, understanding, compassionate care, guidance, resources, networking links, excellent standards of bereavement care, literature to help you, and so much more.
Nashville chapter of BirthNetwork and ImprovingBirth.org
Biopsy studies show that when platelet-rich plasma (PRP) is injected, then stem cells multiply and grow new younger tissue. In the same way PRP regenerates the skin of the face, it appears PRP regenerates healthy vaginal tissue. So, using this same technology, the O-Shot ® procedure works by using PRP to stimulate stem cells to grow healthier vaginal tissue. And, the whole procedure for processing the blood and injecting the growth factors takes less than 10 minutes in the doctor's office!
First the doctor or nurse applies a numbing cream to the vagina and the arm. Then blood is drawn from the arm in the same was as with any blood test. Then, using a centrifuge and a special method, platelet rich plasma is isolated the resultant growth factors. The whole process takes about 10 minutes and can be done there in the room with the patient. Then, using a very thin needle, the growth factors are injected the clitoris and into the upper vagina into an area most important for the sexual response, the O-Spot. Because these areas have been numbed with the anesthetic cream, the woman feels little or no pain.