Our clinic provides comprehensive women’s services including:

Annual exams, Pap smear testing, STD screening, contraception, pre-pregnancy counseling, basic infertility diagnosis and treatments, menopause, hormone replacement therapy, osteoporosis treatment, female prolapse, incontinence, pelvic ultrasound, 3D 4D pregnancy ultrasound, hysteroscopy, laparoscopy, endometrial ablation, laparoscopic tubal reversal and hysterectomy.

Natural Family Planning


This method of birth control is available. Please make an appointment to discuss the specific directions.

Hysterectomy / Endometrial Ablation

The term hysterectomy refers to removal of the uterus. There are many different types of hysterectomy depending on how much of the uterus is removed and what methods are used to remove it.

A total hysterectomy means that the entire uterine body and cervix are removed, and does not specify whether the ovaries are removed or not. An oopherectomy is a procedure done to remove an ovary. A supracervical hysterectomy means that the body of the uterus is removed, but the cervix is still left in place. This type of procedure may be done if it is too difficult to remove the cervix due to adhesions in the pelvis or body shape. Women with supracervical hysterectomies have a slight risk of future menstrual bleeding and need continued pap smears to screen for the presence of cervical cancer.

Different methods are used to remove a uterus depending on many factors, including physician training, patient body shape, the number of prior vaginal deliveries, the number of prior pelvic surgeries, as well as the medical reason that the hysterectomy is to be performed. Each has its own benefits and risks including operative risks, hospital stay and recovery times. Some of the different procedures are:

Endometrial ablation is a minimally invasive procedure to treat increased menstrual bleeding that does not involve removal of the uterus. It does not require overnight admission to the hospital and at times can be performed in the clinic. There are different techniques available to ablate the endometrium. The goal is a decrease in the amount or frequency of bleeding, and at times it is reduced to rare episodes of spotting. The effect may be temporary in some patients, so age does play a role in deciding if this technique is appropriate.

Contraception

Preventing pregnancy can be achieved by many ways, both hormonal and non-hormonal. Some types can prevent sexual infections while others offer no protection. Some types are permanent and others are temporary. Some hormonal types can have non-contraceptive benefits such as regulating the menstrual cycle, offering fewer or lighter periods, as well as reducing the risk of ovary and endometrial cancer. Each has its own success rate and side effect profile. Some of the options are described here:

Condoms - This type is the only one that can protect against some sexual infections. Their use is limited by the fact that it is difficult for every person to use them correctly every time.

Diaphragm - This device is a non-hormonal barrier that must be fitted in a physician’s office and must be used correctly each time in order to prevent pregnancy. Our office currently does not offer fitting of this device.

Oral contraceptive pill - This popular hormonal medication has many non-contraceptive benefits and can be used under a physician’s direction to limit the number of periods that you have in a year. It must be used each day and may cause side effects. There are generic and non-generic formulations of this prescription medication.

Birth control patch - This skin patch is very similar to the hormonal pill, but it only has to be applied and removed once each week. It requires a prescription and may have some specific concerns that need to be discussed with a physician. Orthoevra

Vaginal ring - This thin flexible ring is also similar to the pill and patch. It requires a prescription and contains hormones that are absorbed vaginally, but only has to be removed and replaced once in a month. NuvaRing

Contraceptive injection - This hormonal method is administered in a physician’s office every 3months. It can have side effects including irregular menses, but may also cause fewer, lighter menses. DepoProvera

Implantable rod - This is a relatively new method of hormonal contraception that is similar to a flexible toothpick that is inserted under the skin of the inside arm at an office visit. It lasts for 3years, but can be removed sooner if pregnancy is desired. This device can cause side effects including menstrual irregularities. A similar type of device was used many years ago, but was discontinued. Implanon USA

Intrauterine device - This method of contraception has been around for many years. Older versions did cause serious problems and were discontinued long ago. Now, newer versions have been developed with many improvements. Two major devices are now available, one hormonal and one non-hormonal. Each has its own benefits. One type can be place and lasts for 5years, the other 10years. Either can be removed early if pregnancy is desired. One type causes shorter and lighter menses; in fact some women only have a few days of spotting each month. Their effectiveness rates can be the highest of all methods. Mirena or ParaGard

Permanent sterilization - No contraceptive method besides abstinence is 100% effective, but these techniques can provide high rates for long periods of time. Male sterilization is overall less risky over time, because if a pregnancy occurs after female sterilization, an ectopic pregnancy can result. There are different techniques of achieving female sterilization, each of which is non-hormonal and permanent.

Tubal ligation - This can be performed during a cesarean section, the day after a vaginal delivery or in the outpatient surgical setting by a laparoscopic procedure (camera placed into the abdomen).

Essure - This procedure is performed either in the office or in the outpatient surgical setting and requires no surgical scars. A hysteroscope (camera placed into the uterus) through the vagina, where the fallopian tubes are blocked with a spring-like device. Essure

Pregnancy

Our office offers pre-conceptual counseling and prenatal care for normal and high risk pregnancies. We perform prenatal diagnostic ultrasounds in the office.

Please see the physician for recommendations of common medications used in pregnancy as well as travel guidelines.

Pregnancy is a special time for you and your family. Please take the time to educate yourself and ask questions from people with experience as well as expertise. Here are some topics and links to good information.

Recommendations


Books:

Learning:

Products:

bebeaulait.com

 

Alternative to Motherhood

Unintended pregnancy is common, and women deal with the situation differently. One important alternative to motherhood is adoption. Feel free to ask Dr. Bradford how adoption has affected his life. Here are some links to adoption agencies:

Female Prolapse


Some women experience pelvic organ prolapse after childbirth while others do not. It is a condition that has many factors that contribute to the cause including pregnancy, childbirth and genetic factors. The condition is similar to a hernia found in other parts of the body. It is important to be examined by an experienced physician to determine where exactly the buldge is coming from. Therapy for this condition can range from wearing a medical support device, having surgery, or careful watching of the condition without treatment. There are a variety of surgical techniques available for this condition that each have their own risks and benefits.

Urinary Incontinence

Leakage of urine is a very common problem in women, but it is not normal. Women have a much shorter urethra than men, which predisposes them to leak urine more easily. There are different types of urinary incontinence which are treated differently. A detailed history and physical exam by an experienced physician can help determine if medicine or surgery is appropriate to treat the condition.

Teens

Your concerns and needs are special, and our office is sensitive to that. Please go to the link at ACOG where there is a section just for you.

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