Alternatives in Gynecology

Uterine Fibroids Blog — An Expert Speaks Out  

Real Women, Real Stories, Real Answers!  (will open in new window) Uterine Fibroids Blog — An Expert Speaks Out

Often there are many possible approaches to such gynecologic problems as abnormal uterine bleeding, fibroid tumors, endometriosis, ovarian cysts, abnormal pap smears, and other gynecologic problems. It is important for women to understand all of the options that are available to them for diagnosis and treatment.  It is often difficult to sort out what is real and what is "hype" when evaluating your options. What are the advantages and disadvantages of these new procedures when compared to traditional surgery such as hysterectomy?

Topics include:

Causes of abnormal uterine bleeding (menorrhagia and metrorrhagia).  This includes hormonal problems, fibroids (uterine myomas, including types of myomas), adenomyosis, and endometrial polyps.

Rapid diagnosis of abnormal uterine bleeding This includes hysteroscopy and ultrasound for diagnosing endometrial polyps, fibroids, and adenomyosis.

Treatment options for abnormal uterine bleeding and fibroids.  This includes medical treatment, operative hysteroscopy, endometrial ablation, the resectoscope for uterine surgery, myomectomy, hysterectomy and hysterectomy alternatives. 

Myomectomy for the removal of uterine fibroidsClick here to check out Dr. Indman's new comprehensive web site:  All About Myomectomy for the Removal of Uterine Fibroids  NEW information about Robotic Myomectomy!                  (will open in new window)

Uterine artery embolization.  Click here for more informationUterine Fibroid Embolization.  Learn more about a treatment option for some fibroids.


Endometrial Ablation:  Tired of bleeding?  A rapid outpatient treatment of heavy menstrual  bleeding.

Hysterectomy.  Myths and reality about hysterectomy, and the effect of hysterectomy on sexuality are discussed.  Also, different types of hysterectomy are discussed, as well as new procedures. 

Answers about your abnormal pap smear.   Confused about "cervical dysplasia, CIN, ASCUS, carcinoma-in situ, colposcopy?   You won't be after reading this.

Menopausal and perimenopausal bleeding What's normal and what's not.  How is it diagnosed and treated?

Pelvic Pain A practical approach to the causes and diagnosis of pelvic pain.

Although it is impossible to make specific recommendations without an individual consultation, this web site will explore some common gynecological problems and procedures, and attempt to help you in the decision process.  Please remember that it is essential to consult a qualified physician, as it is impossible to make specific medical recommendations over the internet.

A personal note...

Dear Reader,

I have written this site in order to help women learn how advances in gynecology will help them to take control of their lives.  Since introducing office laser surgery in 1982, I have had extensive experience in performing, researching, and teaching hysteroscopy, endometrial ablation and other advanced procedures.  But even more important than advanced technology is taking the time to listen to my patients.  By understanding my patients' symptoms, needs, and concerns, and by having advanced diagnostic and treatment methods right in the office, it is often possible to find the cause of and rapidly solve difficult gynecologic problems.

I am hoping that after reading this site you will have a better understanding of some of the recent advances in gynecology.  And of course, if you would like a personal consultation, I am always happy to see new patients.




My Articles

CBD: Is It Safe to Use During Pregnancy

15th Nov 2018 CBD Is It Safe During Pregnancy

The legalization of medical Marijuana has resulted in the growing demand of the medicinal herbs to many places. This is not because people want to get addicted but because Cannabis has health benefits to the person using it. Other places are also legalizing it for recreational purposes.

What is CBD?

Cannabidiol or CBD Oil is one of the many natural substances that can be found in Cannabis plants. It was discovered in 1940 and was initially believed not to have medical benefits. Unlike other substances, CBD is not psychoactive and does not affect a person’s brain and nervous system. This makes CBD a good option for treating sickness without the side effects of Marijuana or other Cannabis-related products.

Today, CBD health products such as CBD oil are getting popular in the health and wellness industry. A recent study suggested that it can help in chronic and nerve pain and can even alleviate inflammation. It was also discovered that CBD oil has shown to be a good alternative in treating anxiety and depression.

Is It Safe to Use During Pregnancy? 

Pregnancy can be a difficult time for the mother as it is usually accompanied by sickness and unpleasant symptoms. Nausea, chronic pain, and migraines usually occur during this time. Some mothers also suffer anxiety and depression during and after giving birth. However, taking medicines to help them is not a viable option as it might have adverse effects to both the mother and the child.

This is where CBD comes in. CBD was shown in clinical studies to be useful in managing common conditions that a person suffers during pregnancy. It has been tested to be effective in treating anxiety, nausea, and vomiting among others. A couple of studies also suggested that it can help women with contractions. With its non-psychoactive traits, CBD can be a good option in providing relief to all pregnant women.

The viable option of consuming CBD during pregnancy is in the form of oil. Whether it’s a capsule, tinctures, or lotion, these are the best ways of using the product. Today, there are many legal products that are available online and in stores.

CBD’s FDA Status

The only hindrance to these is the current status of CBD products to the health industry. It is still classified as Schedule 1 which means that it is not regulated and FDA-approved. Despite the number of clinical benefits with CBD, the lack of government regulation is preventing healthcare professionals in recommending CBD during pregnancy.

The lack of FDA approval will also mean less clinical trials for all CBD products. This will play a big factor with regard to the use of CBD to pregnant women. CBD may not have the effects on pregnancy, but it is still recommended to consult health professionals before using the drug. 

CBD products can be of great help to people who need medications including pregnant women. However, the usage of these products has been limited because of its current status in the health industry. Therefore, it is up to the individual to decide and take the risk in using CBD.

Can Cannabis Relieve Period Cramps?

12th Nov 2018 Cannabis Relieve Period Cramps

Medical cannabis has gained traction, popularity and support in recent years for being a much healthier alternative to conventional painkillers. Numerous accounts of patients praising its ability to relieve pain effectively without subjecting the user to exposure to addiction and side effects have been released in recent years, fanning the flames of people increasing interest in the use of CBD oil as a pain releiver oil.

One particular area of interest is the use of weed in relieving period pains. Recently, more and more people are looking into the answer to the question: does cannabis have an effect on period cramps? Can marijuana relieve women of pains felt during menstruation?

The scientific curiosity attached to this inquiry stems from history as it was discovered that in the 1890's, a physician by the name of Joshua Reynolds actually prescribed then-Queen of England, Queen Victoria, with cannabis to relieve her cramps. Despite the long-standing existence of cannabis in the practice of medicine and pain relief, only little documentation and evidence has been provided for its use and effects in contemporary medical records.

However, more and more bodies of government have begun to look into the use of marijuana as a treatment for period cramps. One good example is the instance in New Jersey, USA where the state has begun to seriously consider approving menstrual cramps as a condition under which medical marijuana can be legally prescribed and used.

Efforts to spread the word about cannabis use in the treatment of period cramps among women have been spearheaded by products produced and distributed by well-known personality Whoopi Goldberg and Maya Elisabeth. Aiming to cater to a completely female audience, the comedian and actor, alongside the known maker and producer of edibles, Maya Elisabeth, under the brand "Whoopi & Maya", introduced their line of medical marijuana products to the market. This healthcare line includes cannabis-induced products such as edibles and salves, all aimed towards helping women through period pain and menstrual cramps.

In an interview with the press, Whoopi Goldberg spoke about the lack of attention received by this niche (women experiencing period pain) which is made up of half the population.

Lack of attention, research and production concerning the use of medical marijuana for the reduction and alleviation of period pain has been attributed to an imbalance and perhaps even an inaccuracy in the conducted surveys. Typically, surveys made to assess marijuana usage among the population display a bias towards men – stating that more men use marijuana products and that women are not as interested or invested in using cannabis products as their male counterparts. These misconceptions have led companies and product producers to steer clear of a market that they believe to be unprofitable. However, more and more stories and articles are coming out, supporting the opposite ideas of these findings. Public awareness is on the rise, and with it, more knowledge will spark among people. Hopefully, the availability of medical cannabis to help women alleviate period pain will eventually increase.

How Can CBD Oil Help Cure Endometriosis?

8th Nov 2018 CBD-Oil-Help-Cure-Endometriosis

CBD or Cannabidiol is a substance found in Cannabis and is proven to have a lot of benefits in treating numerous medical conditions. CBD oil, a mixture of Cannabinoid and carrier oil, is used in treating various medical problems such as managing chronic pain, cognitive disorders, seizures, and chronic inflammation.

CBD oil is excellent in reducing and relieving the intensity of pain because of its numbing effect. People experience different levels of pain and depending on what level of pain you are experiencing, CBD may help to completely get rid of the pain. If you plan to test it to cure your Endometriosis, buying wholesale cbd oil will save you some bucks.

As mentioned earlier, CBD oil aids in the treatment of chronic inflammation which includes endometriosis, a common health condition that affects about 10% of women around the world. Many women are affected by this disease, but there are only little facts known about endometriosis and how it can be treated.

Endometriosis is a painful condition where the endometrial tissue lines the uterus mistakenly and grows outside the uterus. These endometrial tissues can develop in the fallopian tubes, ovaries, and other parts of the abdomen. Endometrial tissues also respond to the hormones that circulate in the body like the way it responds to the uterus every month as the uterus builds up, breaks down, and then sheds lining. Endometriosis causes the tissue and blood shed to be trapped in the body which leads to excruciating pain and triggering inflammation.

Women around the world who are suffering from endometriosis, menstrual cramps, and similar conditions use CBD Oil and hemp extract in treating these conditions. Surprisingly, this method of using Cannabis for treatment has already been used for over a millennium.

According to recent studies, the use of CBD oil can aid in hormonal imbalances. Scientists are also positive that CBD oil helps in the functioning of the reproductive system of females.

The following explains how CBD aids in treating Endometriosis:

CBD Stops Cell Multiplication

The body has a means to prevent the growth of abnormal cells and destroys them. However, people with endometriosis are impaired with this function. With CBD oil, the cannabinoid receptors are activated, destroying the abnormal cells and preventing them from multiplying.

CBD Helps Prevent Cell Migration

CBD can stop tissues from migrating outside the uterus by blocking the activation of the receptors of the migrating cells.

CBD Relieves Painful Nerves

Endocannabinoids regulate the nerve growth and molecules like cannabinoids interfere with the supply of nerves to body organs by preventing the activation of their receptor that results in the numbing of the nerves.

The use of CBD is like using an Advil but without side effects. Taking CBD oil is like an alternative to a pain killer. The only difference is that it has no side effects.

CBD Calms an Overly Active Immune System

A large number of the body’s endocannabinoid receptors is located in the macrophages (immune system’s killer cells). When these receptors are activated, they stop the macrophages from releasing cytokines (inflammatory proteins).

People who have endometriosis are hypersensitive to inflammatory toxins, but with the help of CBD molecules, CB2 receptors activate, releasing large anti-inflammatory properties.

Having an alternative treatment that heals more than one condition with little to no side effect is actually a great help. CBD dosages benefit many women affected by endometriosis and other conditions. Nevertheless, always remember that before you make any changes in your treatment, be sure to consult your physician.

Does CBD Oil Relieve Menopause Problems?

7th Nov 2018 CBD_For_Menopause

The industry of medical marijuana has exploded in the U.S. and Canada in recent years. In fact, more and more people are now informed by the health benefits they can get from this medicinal plant. Just a few months ago, the United States’ Food and Drug Administration (FDA) has approved the use of a cannabidiol (CBD) products for the treatment of epilepsy.

What is Cannabidiol (CBD)? 

According to Joy Organics wholesale CBD oil, Cannabidiol (CBD) is just one of the many substances that can be found in marijuana. However, compared to other substances, CBD does not make a person high. A number of researches has also suggested that CBD can provide other health benefits such as treating depression, anxiety, and some menopausal problems.  

Does CBD Oil Relieve Menopause Problems?

A CBD oil-based product has been formulated to treat a variety of ailments to an individual including different types of menopausal problems. How does CBD oil relieve menopause problems? Let’s find out below.

How Does CBD Oil Relieve Menopause Problems?

CBD oil can help control mood swings.

The constant mood swings of a woman during her menopausal stage can be irritating to others. The reason for these mood changes is the lower estrogen level during menopause that makes the brain overactive. The use of CBD oil can reduce the overactivity of the brain, reducing a woman’s mood swings.

CBD oil promotes good sleep.

Entering the menopausal stage, it is normal for a woman to have difficulties in falling asleep. However, a 2016 case study showed that CBD oil can be helpful in treating sleep disturbances that are associated with menopause. A person can take the CBD oil earlier in the day to acquire a good and restful sleep.

CBD oil can help in controlling weight.

When you hit the menopausal stage, it is much more difficult to lose weight. Hormonal changes and inactive lifestyle can lead to weight gain and can even cause health problems. CBD can help in trimming the person’s body fat and can regulate a person’s overeating habit.

CBD oil can ease bone loss problems.

With lower estrogen level, the bone’s strength and density are affected during the menopausal stage. However, some research indicated that CBD interacts with a cannabinoid receptor that plays an important role in bone density loss. Thus, CBD has the ability to reduce the rate of bone density loss to a woman in her menopausal stage.

CBD oil can help treat menopause pain.

It is normal for a woman in a menopausal stage to have pain all over the body. With the bone density loss, lack of sleep, and anxiety, the pain will be felt regularly. But with the use of CBD oil, it elevates the endocannabinoid anadamide, reducing the sensitivity of the pain throughout the body.

As time goes by, researchers will discover more and more health benefits from CBD and other substances that are derived from marijuana. CBD oil, for instance, is already of great help to people dealing with their menopausal problems. Just remember the legality that goes with taking these kinds of medicines.

Benefits of Taking Probiotics

21st Sep 2018 Probiotics Source: Gasett

What does a probiotic do for you? Probiotics are live microorganisms that can be consumed through fermented foods or supplements. In addition, they are often called "good" or "helpful" bacteria because they maintain a healthy gut. You can get probiotics from food supplements and some foods like yogurt. Studies have shown that the balance or unevenness of microorganisms in your digestive system is related to overall health. Probiotics encourage a healthy equilibrium of gut microorganisms and have been connected to a lot of benefits to the body.

Balance the Good Bacteria

Taking probiotics can help your digestive system balance. When you take antibiotics, probiotics will restore the good bacteria that you lose in your body.  When taken in adequate quantity, these live microorganisms can help repair gut health.

Prevents and Treats Diarrhea

One of the best probiotic therapeutic benefits is the treatment of diarrhea. A microorganism such as a lactobacillus has been proven over the years to cure diarrhea in children and adults. Since diarrhea is sometimes a side effect of taking antibiotics, then some people would suffer from it. Recent studies show that probiotics may prevent antibiotic-associated diarrhea (AAD) via restoration of the gut microflora. Also, probiotics can also help treat diarrhea that is not related to antibiotic use.

Aids in Weight Loss

Probiotics can help break down fiber that the body cannot absorb turning it into a beneficial fatty acid. Certain studies show that normal-weight people have different stomach bacteria than overweight or obese human beings. Therefore, probiotics probably play an important part in weight regulation. The other way that probiotics can aid weight loss is by preventing the intake of dietary fat in the intestines. Excreting the fat into the body wastes rather than storing it in the body is a good way to lose weight.

Boosts your Immune System

A study conducted in 2011 shows that probiotics may limit epithelial damage induced by enteroinvasive pathogens, and promote restoration. In addition, some probiotics have been shown to help with the creation of antibodies. There are also studies that mention probiotics decreases the possibility of respiratory diseases. Probiotics such as Lactobacillus Crispatus can also lessen the risk of urinary tract infections (UTI) most especially in women. 

Decreases the Risk of  Skin Allergies

Though more research is needed, there are certain cases that link probiotics to reduced severity of eczema. One research shows that infants fed with probiotic-supplemented milk have improved their eczema condition than those who did not. Also, a study conducted shows that women who took probiotics during their pregnancy have a lower risk of having children with skin allergies and eczema. Therefore, these live microorganisms may lessen inflammatory diseases.

The benefits of taking probiotics vary from one person to one another. Thus, this is one reason why you should include probiotic supplements and foods in your diet. Many studies show that probiotics may balance the good bacteria, prevent and treat diarrhea, help in losing weight, enhance your immunity, and reduce skin allergies. You may contact your doctor to learn more about probiotics.



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