Gynecology

At some point, most women have faced a health issue that they don’t feel comfortable discussing with friends or even doctors. They might be embarrassed or just unsure if it’s something that can even be treated. Read on for information that can help you feel confident to discuss issues with your caregiver.

While some women have symptom-free endometriosis, where the tissue lining the inside of the uterus grows outside of the uterus, most women struggle with pain – painful periods, pain in the low back, pain during or after sex and/or pain during bowel movements or urination. The pain is caused by the tissue growing outside of the uterus but still acting as it would normally, breaking down and bleeding during your monthly cycle yet lacking a way to leave the body; the endometrial tissue can eventually create cysts or scar tissue.

Vaginitis is a broad term that refers to an infection or inflammation of the vagina. If you’re experiencing itching, burning during urination, discharge with unusual odor or discomfort during sex, you may have vaginitis. Yeast infections, for example, are one type of vaginitis. The causes of vaginitis vary, including an imbalance in vaginal bacteria, a viral infection, reduced estrogen levels after menopause, irritation from lotions or clothing, sexual contact or another type of infection.

“I’ve heard of fibroids and am wondering if I have them…how do I know if I have fibroids?” Benign lumps that grow on the uterus, fibroids can be as small as a seed or as large as a grapefruit. As many as 20 percent of women experience fibroids – typically between the ages of 30 to 50 – which may be caused by hormonal or genetic factors.

Most organizations today – including Clinic Sofia – encourage women to receive an annual mammogram starting at age 40. We are always happy to discuss the benefits and risks of an annual screening – the best tool for detecting breast abnormalities – as well as the procedure itself.

When patients visit Dr. Jewelia Wagner, many of them ask about Pap smear guidelines, wondering how often they need to get one. “The guidelines on Pap smears changed recently, so it’s no wonder there are a lot of questions on this topic,” she said. “I’m happy to report that most patients no longer need an annual pap, however, we still want to see you every year to make sure everything else is going well and to offer assistance with any issues.” A screening for cervical cancer, a Pap smear involves collecting cells from the opening f the cervix, which are then examined under a microscope.