Services

Obstetrics

Obstetrics

ob·stet·rics

Obstetrics is the field of study concentrated on pregnancy, childbirth, and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN).

At Women’s Healthcare Associates of Redding, we provide comprehensive obstetrics care from preconception to postpartum. Our staff is fully trained and experienced to help patients through each step of their pregnancy by providing the utmost quality of care and addressing any of your concerns along the way. Our facilities are also fully equipped with the most advanced equipment to help make your pregnancy as simple and efficient as we can.

We understand the importance of this time of your life, and strive to make the experience as comfortable and rewarding as possible. We invite women and their partners to make an appointment with one of our doctors if they are thinking about becoming pregnant, to discuss any preparations you can take, and to also determine if there are any potential risks involved with your medical, sexual and family history. We also provide instructions on prenatal care at this time and discuss the options available if fertility is an issue.

During your pregnancy, we recommend seeing your doctor once a month up until the 28th week of pregnancy. After that, the appointments become more frequent as the pregnancy progresses, with weekly visits recommended after 36 weeks. We will perform the necessary blood tests, ultrasounds and other tests with you at the designated times throughout your pregnancy in order to ensure the healthy development of your baby.

We are proud to offer the latest imaging technology to help patients actually see the progress of their baby through 3D and 4D images. 3D and 4D ultrasounds are obtained in the same way as traditional ultrasound images, but allow patients to see detailed images of their child’s facial structures and determine their gender. You can also view your child’s movement in real time with 4D images.

We also offer postpartum care for women to help manage their new lifestyle and maintain their health along the way. We are happy to answer any questions or concerns you may have about your new baby and can continue to see you regularly after childbirth.

We offer a wide range of obstetric services for pregnant women or those looking to become pregnant.

Some of these services include:

  • Amniocentesis
  • Deliveries (Vaginal and Cesarean)
  • Fetal Testing
  • High-Risk Pregnancy
  • Miscarriage Management
  • Multiples
  • Postpartum Care and Breastfeeding Support
  • Prenatal Care
  • Preterm Labor
  • Ultrasound (3D/4D)
Gynecology

Gynecology

gy·ne·col·o·gy

Gynecology is the medical practice dealing with the health of the female reproductive systems (vagina, uterus and ovaries) and the breasts. Literally, outside medicine, it means “the science of women”.

We are devoted to providing the full range of gynecologic services

We provide comprehensive gynecologic care to women of all ages. As a full-service practice, we strive to develop long-lasting relationships with our patients to help guide them through the major stages of their reproductive life, along with providing routine care to prevent and treat a wide range of conditions. Our doctors and nurse are fully trained and experienced to handle many gynecologic conditions and treat each patient with the personalized care they deserve for their individual issues. Many of our patients have been with us since early adulthood – from their first gynecological exam, to pregnancy, menopause and more. We find that many women are more comfortable working with the same doctor throughout these important life stages. Our doctors provide effective, nurturing care for all patients at each one of their visits. Each patient is given individualized attention and will have all of their questions and concerns answered by one of our experienced doctors or nurses. Many of our teenage patients have never received gynecologic care before, and may be anxious or nervous about their first visit. We take extra time to speak with these patients before their exam and explain what is involved in gynecologic care. We will gladly answer any questions they may have and do anything we can to ease their anxiety.

Routine Care and Screening

Routine gynecologic care is the most effective protection against disease, infection and other abnormalities. Yearly pelvic exams are recommended for all women who are sexually active or over the age of 18. When performed with Pap smears, these exams can help screen for signs of HPV, cervical cancer and many other conditions. Early detection and treatment can help prevent permanent damage and are often the best protection against any gynecologic problems. Regular screenings are especially important as women age, since they become more susceptible to cervical cancer, breast cancer, osteoporosis and more. We provide extensive screening procedures for women of all ages to help detect any problems as soon as possible. More frequent screenings are usually recommended for our older patients to ensure early detection. Our doctors will also educate patients on how to keep themselves healthy at home, by performing breast self-exams and using effective birth control.

Please call us today to schedule an appointment and learn more about our gynecologic services. We look forward to treating each and every patient with personalized care tailored to your individual needs.

Diagnostic Tests

We are equipped to perform some necessary tests in-office that takes much of the hassle out of medical testing for our patients. Our staff is fully trained and experienced to perform ultrasounds, sonograms, urodynamics and more at our office. We provide many gynecologic services that help keep our patients as healthy as possible through regular care and screenings. Some of the services we provide include:

  • Annual Exam & Preventive Health
  • Pap Smears / HPV Testing
  • Breast Exams and Screenings
  • Cancer (cervix, uterus and ovary) Diagnosis
  • Infertility Evaluation and Treatments
  • Birth Control (Full range of contraceptive counseling and options including Mirena® IUD and IMPLANON® placement for birth control)
  • Endometriosis / Pelvic Pain Diagnosis
  • Sexual Dysfunction Diagnosis
  • Ovarian Cysts
  • Premenstrual Syndromes
  • Vaginal Infection Testing and Treatment

 

VAGINAL INFECTIONS

Vaginal infections are extremely common among women and account for more than 10 million doctor’s visits each year. These infections are often caused by irritation from certain substances and can cause discomfort, discharge and vaginal odor.

Many of these infections can be both treated and prevented by practicing proper hygiene in the vaginal area. Some infections may require corticosteroid cream or antibiotics. Your doctor will prescribe the best treatment method for you depending on your individual condition.

FEMALE INCONTINENCE

Incontinence, or the accidental release of urine, can be an embarrassing condition and may affect your daily life. Although this condition is not serious or harmful, many women are eager to find an effective treatment for this troubling condition. Fortunately, most cases of urinary incontinence can be effectively treated through simple home methods.

Your doctor will speak with you about the many different types of lifestyle changes that can help treat incontinence. Daily Kegel exercises can strengthen the pelvic muscles that close off the urethra, while diet and exercise can help patients control accidents. It may also be helpful to develop a urination schedule and to train your bladder. More severe cases of incontinence may require more advanced treatment such as medication or surgery.

ENDOMETRIOSIS

Endometriosis is a medical condition in which the uterine lining (endometrium) moves out of the uterus and into other parts of the pelvic area such as the ovaries, bowels or behind the uterus. It is generally not a serious or harmful condition, but can be painful and may interfere with your daily life by causing symptoms such as painful menstrual cramps, heavy and/or long menstrual periods, chronic back and pelvic pain, infertility and more.

Although endometriosis cannot be cured, symptoms can be managed through several different treatment options, including pain medication, hormone therapy, conservative surgery or a hysterectomy. Your doctor will discuss these options with you to decide which treatment would be best for you.

PELVIC PROLAPSE

Pelvic prolapse occurs when one or more pelvic organs drops from its normal location and pushes against the walls of the vagina, causing feelings of fullness, pulled muscles and incontinence. This condition commonly occurs when the muscles in the area are weakened from childbirth or surgery.

Home remedies such as Kegel exercises, avoiding heavy lifting and pessary devices may relieve symptoms of pelvic prolapse, and some cases may be repaired on their own. However, pelvic prolapse often requires surgery to correct the moved organs and alleviate symptoms. Surgery varies depending on which organ is affected but may include repairing the bladder or urethra, closing the vagina or a hysterectomy.

POLYCYSTIC OVARY SYNDROME

Polycystic ovary syndrome (PCOS) is a common condition that involves enlarged ovaries that may contain many cysts and produce high levels of male hormones. This condition affects one in every ten women in the US and is the leading cause of infertility in women. It also causes symptoms such as an irregular or missing menstrual period, excess body hair, acne and obesity.

Although there is no cure for PCOS, there are several treatment options available to help relieve symptoms and prevent permanent damage. Depending on the severity of your condition and your overall health, your doctor may recommend birth control pills, diabetes medication, fertility medication, or lifestyle changes such as diet and exercise. Surgery to induce ovulation may be required for severe cases.

MENOPAUSAL TREATMENT

Many women going through menopause suffer from a wide range of symptoms including irregular bleeding, hot flashes, insomnia, night sweats, fatigue, depression and more. There are several treatments available to help relieve these symptoms, and our doctors can work with you to help you decide which option is best for you. Menopausal symptoms can be treated with hormone replacement therapy such as bio identical hormone, which supplies the body with estrogen and progesterone as the levels of these hormones dramatically drop during menopause. Patients can also seek treatment for their individual symptoms and should maintain an active and healthy lifestyle to help feel their best.

SEXUALLY TRANSMITTED INFECTIONS (STI)

Most sexually transmitted infections (STIs) do no cause any symptoms, especially in women, making it hard for some patients to know they have even been infected. Anyone with multiple sexual partners should undergo regular STD testing, even if they are having protected sex.

If you are diagnosed with an STD, we will provide the most effective treatment available to help minimize any symptoms and prevent permanent damage. Unfortunately, most STIs cannot be cured, but can instead be managed through medications. It is important to practice safe sex and get tested often in order to protect yourself against STIs.

Urogynecology

Urogynecology

uro·gy·ne·col·o·gy

Urogynecology is a sub-specialty of Gynecology, and in some countries is also known as Female Pelvic Medicine and Reconstructive Surgery. A urogynecologist manages clinical problems associated with dysfunction of the pelvic floor and bladder. Pelvic floor disorders affect the bladder, reproductive organs, and bowels.

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The Secret You Share

With an estimated 20 to 25 million other women in the U.S. You are not alone.

You might be like Jennifer, a 47 year old North State dental hygienist, who vividly remembers the morning that her routine Pilates work-out with her friends was cut short unexpectedly by a familiar problem.

I was wearing a new pink leotard in honor of Breast Cancer Awareness week. In the middle of strenuous exercise I felt dampness that just wouldn’t stop. The light color of the garment did nothing to hide my embarrassing episode as I hurried to the locker room. Thank goodness I was among my closest (and very supportive) friends. It was still almost a year before I felt comfortable returning to the gym.

Jennifer

Dental Hygienist

Conditions We Treat at Asuriti:

  • Urinary incontinence (accidental leakage of urine)
  • Fecal incontinence (accidental leakage of gas or stool)
  • Pelvic organ prolapse (dropped pelvic organs)
  • Interstitial cystitis (bladder wall inflammation)
  • Urinary tract disorders
  • Recurrent or multiple urinary tract/bladder infections
  • Urinary retention (difficulty emptying the bladder)

 

You may recognize Jennifer’s problem as urinary incontinence (UI), which may be caused by many different but related conditions. What you may not know is just how common UI really is, especially in women over age 40. Uncontrolled leaking of urine is one of the top five most common chronic medical condition affecting women of all ages. Americans spend at least 2 billion dollars a year on protective garments such as pads and diapers. Many women (and unfortunately, some healthcare providers) have been taught to think that leakage of urine after having children or as a woman ages is normal. UI is common, but that does not mean it is normal.

Leaking is Never Normal

If you are like Jennifer, it may be a relief to know that yours is a secret we understand all about. But even more importantly, you need to know that you can find lasting help at Asuriti. We care for many women just like you who have experienced the embarrassment, inconvenience, and discomfort caused by urinary incontinence or other types of voiding dysfunction. You can find out about the range of effective treatments that can dramatically improve the quality of your life.

You can live a life free from worry about your bladder.

Here at Asuriti, we provide expert evaluation and treatment under the direction of the only fellowship-trained and board-certified Urogynecologist practicing in the North State, Dr. Richard Mooney.

 

Select Procedures at Asuriti:

CYSTOSCOPY

When you have a urinary problem, a cystoscope may be used to see inside your bladder and urethra. The urethra is the tube that carries urine from the bladder to the outside of the body.
The cystoscope has lenses like a telescope or microscope. These lenses allow your doctor to focus on the inner surfaces of the urinary tract.

The cystoscope is as thin as a pencil and has a light at the tip. The procedure is usually not painful and lasts only a few minutes.

At Asuriti, we may perform cystoscopy to evaluate any of the following conditions:

  • Frequent urinary tract infections
  • Blood in your urine (hematuria)
  • Loss of bladder control (incontinence) or overactive bladder
  • Unusual cells found in urine sample
  • Need for a bladder catheter
  • Painful urination, chronic pelvic pain, or interstitial cystitis
  • Urinary blockage such as stricture or narrowing of the urinary tract
  • Stone in the urinary tract
  • Unusual growth, polyp, tumor or cancer
  • Preparation for surgery
URODYNAMIC TESTING

Urodynamic testing is an office procedure to test and evaluate the function and responses of your bladder. This is testing performed in order to determine the exact cause(s) of abnormal urinary symptoms.

Who will perform the testing?

At Asuriti, urodynamic testing is performed by a nurse with specialized training, in a private and sensitive environment. The results of the testing are carefully reviewed by Dr. Mooney and used to help guide treatment recommendations.

What do I need to do to prepare for the testing?

You will receive instructions regarding preparation for the test. In particular, if you are taking any
anticholinergic medication such as Detrol, Ditropan, Sanctura, or Vesicare, please stop one week prior to the test.

How is the testing performed?

A small catheter (soft tube) will be inserted into the bladder through the urethra (where the urine exits the body). This is usually painless. Another small catheter is placed into the vagina as well to record abdominal pressures. Your nurse will then fill your bladder with sterile water to see how your bladder responds to filling. She will monitor your bladder on a viewing screen and ask what sensations you experience. At some point, you will be asked to urinate. We understand that it is difficult to perform naturally under these circumstances, but we hope to observe your normal urinary patterns.

You may have some slight burning the first few urinations after the procedure. This is normal and should not be cause for alarm.

Results are usually discussed with you in detail at a follow-up appointment.

If you have any questions about the procedure or experience any symptoms you are concerned about, please call our office at 530-246-4455 to speak to one of our knowledgeable staff.

PERCUTANEOUS TIBIAL NEUROMODULATION

 

Learn more about this procedure here.

SACRAL NEUROMODULATION

Learn more about this procedure here.

 

PESSARY

A pessary is a rubber device that fits into the vagina to help support pelvic organs that are sagging into or out of the vagina. This includes a dropped uterus (womb), vagina, bladder (cystocele), or rectum (rectocele). The pessary provides support for the dropped organ(s), helps with discomfort from uncomfortable bulge, and may even help with stress urinary incontinence (leaking urine with cough, strain, or exercise). Wearing a pessary can also help pregnant women with incontinence. A pessary is a non-surgical option for treating pelvic floor dysfunction.

What pessary is right for me?

There are numerous types, sizes, and shapes of pessaries. The pessary that is recommended for you will determine on the type and severity of your particular condition. At Asuriti, you can be assured of expert pessary evaluation. A pessary needs to be fit precisely, and the right size can only be determined by an exam and fitting. It may take a few pessary fittings to find the right fit. Once the right size is found, you will probably need to have it checked every couple months. Sometimes the size or shape of the pessary will have to be changed.

How do I take care of my pessary?

It is important that you follow your doctor’s specific instructions about caring for your pessary. Every pessary needs to be removed periodically and cleaned for safest use. Most pessaries can be worn for many days to weeks at a time before they have to be taken out and cleaned. Pessaries can be cleaned with ordinary soap and water.

You may be able to take out, clean, and reinsert your pessary yourself. Sometimes though, your doctor may want you to come into the office so this can be done for you by a provider. Be sure to keep your check-up appointments and clean the pessary as your doctor tells you.

Does the pessary cause any side effects?

It is common that the pessary may cause more vaginal discharge than usual. Occasionally the vaginal discharge may also develop an odor. Certain vaginal gels can help with these side effects.
Vaginal irritation is another possible side effect. Women who are past menopause may need to use estrogen cream to treat and prevent the vaginal irritation.

Can the pessary get lost or fall out?

The pessary cannot go anywhere else in the body because the vagina is a closed tube. The pessary can fall out of the vagina if you strain or lift something; this usually means that your pessary is too small. Check with your doctor if your pessary keeps falling out.

What else should I know?

Be sure to tell your doctor promptly if you have any discomfort with the pessary, you have vaginal bleeding, or if you have trouble urinating or having a bowel movement.

URETHRAL BULKING PROCEDURE

Urethral bulking is a procedure used to treat urinary incontinence by injecting material around the urethra. This may help increase the thickness of the wall of the urethra so that it can seal tightly when you are holding back urine.

How is this procedure done?

A cystoscope (instrument with a fiberoptic camera) is used to see the inside of the urethra. Usually this is done in the office under local anesthesia. A needle is guided through the cystoscope into the urethra.

The bulking material is then gently injected into the wall of the urethra in several places.

How long does the procedure take?

This procedure is performed in the office and usually takes less than 30 minutes to complete.

Would this be a good procedure for me?

The best treatment depends on the exact nature and cause of urinary incontinence. Good candidates may be:

  • Women whose urinary incontinence is due mainly to a weakness in the sphincter muscle surrounding the urethra.
  • Women who are not fit enough for surgery and anesthesia.
  • Women who haven’t completed their family yet.
  • Women for whom conventional surgery for urinary incontinence has not been successful.

At Asuriti, we will do a thorough evaluation to understand your problem fully and then recommend treatment options that are most likely to help you. Remember that the success of any surgical procedure for urinary incontinence depends on the experience and skill of the surgeon. At Asuriti, you can be confident in receiving experienced care from North State’s only board-certified Urogynecologist.

mdt_logo_white

The Medtronic website has a wealth of information on many of these procedures.

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