Wednesday, 25 November 2015 16:11 Written by MIguel Velazquez
What is Endometriosis?

What is Endometriosis?

Endometriosis is a condition in which the glands of the uterus (endometrial glands) and their supportive structures (stroma) are positioned outside of the uterus. This abnormally-located and inflamed endometrial tissue can cause debilitating chronic pelvic pain, infertility, bowel or urinary problems, and adhesions that bind organs together.

We heard that endometriosis grows in various tissues, yet it is not cancer?

Endometriosis can occur in any tissue that accepts endometrium. It can grow into surgical scars, the diaphragm, the lung – in one extreme case, we diagnosed endometriosis of an eye. It's no surprise that this condition was called a "mystery of the century," despite the fact this mystery involves far more than one century of extensive scientific work. It is not cancer, although rarely cancer can develop from it, especially in cases of long-term ovarian endometriotic cysts.

How does it develop?

The main question becomes, what allows the glands, arriving to the pelvis through fallopian tubes along with menstrual flow to adhere and grow and cause symptoms in all these different tissues. While there are many theories, the definitive answer to this question has not been found yet.

What are the treatment options for Endometriosis?

Endometriosis affects women and their families significantly. The emotional and physical aspects of it are at times devastating. When good communication with a patient and/or a couple is established, concerns are faced and addressed, and the healing can begin in earnest. The approach to treatment of endometriosis is complex and often involves holistic options in addition to traditional medical approaches.

Hormonal regimens may be instituted in order to suppress the growth of endometriotic lesions and reduce the formation of new ones, as well as to diminish the mechanism that triggers pain. Such treatment will not eradicate current growths or adhesions, yet, it may delay a need in surgical intervention when successful.

Another option is minimally invasive laparoscopic/endoscopic surgery that focuses on removal of endometriotic growth cysts and adhesions under laparoscopic magnification. This option applies to symptomatic women who consider pregnancy in the near future. It is also highly beneficial in women who experience pain that is unabated by hormonal medications or non-medical approaches.

Wishing you happy and joyful

Holiday Season!

Warmly,
Assia Stepanian

755 Mount Vernon Highway, NE, Suite 240  Atlanta, GA 30328  |  (404) 549-3224  |  www.academiaWomensHealth.com

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Thursday, 23 July 2015 15:16 Written by MIguel Velazquez
Dr. Assia Stepanian

Abnormal Vaginal Bleeding

My Dear Readers,

With this article, it is with great pleasure that I introduce to you my beginning series of editorials to discuss minimally invasive approaches to women's health. We will begin by addressing a condition that I see affecting many women tremendously: abnormal vaginal bleeding. It creates anemia, associated fatigue, and if left unattended, can be life threatening.

What are the main objectives of treatment? Safety and quality of life. If pregnancy is present, urgent attention is needed. For young ladies, the possibility of experiencing a blood clotting disorder, presence of ovarian cysts, or potential hormonal disbalance (along with other concerns) must be taken into consideration. Further in reproductive years, such bleeding can signal uterine fibroids, adenomyosis (glands of the uterus within the muscle of the uterus), uterine polyps, cervical or vaginal problems and overgrowth of the lining of the uterus that can lead to malignancy.

For some, you may not realize the heaviness of your bleeding, so we always check your hemoglobin at the time of annual visits. Initial evaluation for vaginal bleeding (in addition to history and examination) includes a pain free Transvaginal (TV) ultrasound that can be performed during a first visit. This ultrasound results in an abundance of information on the structure of your uterus, the endometrial lining and cervix, and confirms the normal architecture of the ovaries.

From here, it is determined whether or not a biopsy needs to be performed, non-invasive approaches are applicable or minimally invasive procedures or outpatient surgeries must be performed. There are many options in medicine to help you, and they each start with listening to what is happening in your life now, and what course can be taken to move you back to the joys of life easily, freely and fully.

Be brave and believe that everything will be OK.

With much love,www.AcademiaWomensHealth.com

Assia Stepanian

P. S. In my September letter I will be sharing my thoughts on Urinary Incontinence and pelvic organ prolapse.

 

Dr. Assia Stepanian grew up in Moscow, the daughter of two illustrious physicians. In fact, much of her training was supervised by her mother, Dr. Leila Adamyan, the developer of some of the most advanced techniques used today in the practice of Minimally Invasive Gynecologic Surgery.

Dr. Stepanian has authored and coauthored articles, book chapters and classifications in gynecology. She has presented nationally and internationally. Her devotion to women's health was exemplified by her 2001 creation of the first and the leading media resource with the focus of teaching minimally invasive gynecologic surgery worldwide.

 

LOGODr. Stepanian is quite candid about her devotion to her patients. "My focus is always on learning about the total woman," she says. "I spend a great deal of time talking with each patient, and I find that I am both teacher and student. It can be an emotional experience for us both. Our visits invariably end with a warm hug. I am extremely fortunate."

 

755 Mount Vernon Highway, NE | Suite 240 | Atlanta, GA 30328 | (404) 549-3224
Total Managed Care-Offering Options to Support a More Holistic Approach for Women

www.AcademiaWomensHealth.com

 

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