Archive for the ‘Colposcopy’ Category|Fibroadenoma in a young patientTuesday, July 24th, 2012 Upon her breast evaluation by Marisa Hamrah, the Nurse Practitioner in our office, Jennie asked if genetic screening, as recommended by her breast specialist, could be performed. Although Marisa does perform BRACA testing (genetic screening for cancer when family history indicates breast, ovarian and colon cancer exist), she hesitated to recommend it for Jennie- as Jennie is only 18 years of age. It was Jennie who noticed the first breast lump a year ago and has since followed up with Marisa for her regular follow up appointments. Jennie is an example of an informed patient who is aware of the consequences of NOT performing self breast exams and failing to see a gynecologist regularly. Because she is diligent and smart enough to care about and take charge of her own health, Jennie will continue to monitor the progress of her benign breast disease so that it does not lead to something worse down the road. Marisa Hamrah has been with Anthony Quartell, MD & Associates for more than five years and is a Board Certified Nurse Practitioner (NP) who specializes in Women’s Health. Anthony C. Quartell, MD & Associates serves Essex, Union, Morris, Passaic, Hudson, Sussex and surrounding areas. Posted in Colposcopy, gynecological problem, obstetrical, surgery | No Comments » Increased sexual interests are characteristic of middle adolescence.Monday, July 23rd, 2012 The middle adolescence period, beginning at approximately age 14 years of age and ending around age 18, comes with rapid physical growth, reproductive systems maturity and subsequently an increased interest in sexual behaviors. Along with this interest and as a result of increased sexual activity, more and more adolescent boys and girls are contracting one of the following sexually transmitted diseases (std): Human Papillomavirus (HPV), Chlamydia Trachomatis, Trichomonas Vaginalis, Herpes Simplex Virus Type 2, Neisseria Gonorrhoeae (Gonorrhea). The signs and symptoms vary therefore; it is important that adolescents with any questions or concerns contact a gynecologist as soon as possible. Our Nurse Practitioner, Marisa Hamrah is a board certified Nurse Practitioner with a specialty in Women’s Health. As an intelligent, caring and open minded young female Nurse Practitioner, Marisa understands the concerns her young female patients have when they come for their appointments for check ups or evaluations. Always ready to answer any question and/or educate her young patients, Marisa goes above and beyond to make sure that these young women are aware of the ways they can protect themselves or be treated should they become infected, so that they are able to go on to live healthy and happy long lives. Anthony C. Quartell, MD & Associates serves Essex, Union, Morris, Passaic and surrounding areas. Posted in Colposcopy, gynecological problem, obstetrical, surgery, urinary problem | No Comments » Patients are pleased with our Nurse PractitionerTuesday, June 12th, 2012 When Jill first came to see our NP (Nurse Practitioner), Marisa Hamrah, she was hesitant about seeing a NP versus Dr. Anthony Quartell since he came so highly recommended to her by her mom’s friends and co-workers. Because she would have had to wait a little longer to see Dr. Quartell and she had limited availability, she agreed to see Marisa. After the visit, she thanked Marisa for the great care she received and stated the following ” I was so nervous to have my gynecological exam to begin with but you made me feel so comfortable. Since we are around the same age and you have young children I felt that you could relate to me and my issues and it made the whole experience go so pleasantly and smoothly.” Jill is now a regular patient of Marisa’s and has even referred two of her girlfriends to Marisa. Marisa is a licensed Nurse Practitioner and is able to perform exams and procedures in the state of New Jersey. She works closely with Dr. Anthony Quartell in the office and at Saint Barnabas Medical Center where she is in the middle of acquiring full Surgical Assistant privileges. Anthony C. Quartell, MD & Associates serves Livingston, N.J., West Orange, N.J., Verona, N.J., East Hanover, N.J. and surrounding areas of northern New Jersey. Posted in Colposcopy, gynecological problem, obstetrical, surgery, urinary problem | No Comments » Are you at Risk for Cervical Cancer?Monday, May 2nd, 2011 Some symptoms or risk factors that may indicate a risk for dysplasia (a cervical disorder resulting from the change in normal cells on the cervix to abnormal cells. These abnormal cells, if left untreated, could turn into cancer cells) or cervical cancer include the following: genital warts, having more than one sexual partner or a partner who has had more than one partner), smoking, having sex at a young age. Should a female experience any of these risk factors, she should seek an appoinment with a gynecologist for evaluation. Often treated with success, dysplasia is usually easily diagnosed and treated. Anthony C. Quartell, MD & Associates serves the areas of Livingston, N.J., West Orange, N.J., Millburn, N.J., the Caldwells, N.J and surrounding areas. Posted in Colposcopy, gynecological problem | No Comments » What is a colposcopy and why is it recommended?Monday, January 10th, 2011 When a pap test and /or HPV test indicates that the cells on the female’s cervix have become “abnormal” , there is the possibility that these cells could lead to cervical cancer if the changes do not go away on their own. In this case, the physician may recommend that a Colposcopy be performed in order to allow the physician to see more clearly the problem. During the procedure, a speculum will be used to spread apart the vaginal walls to make it easier to see inside the vagina and the cervix. The colposcope, which is a magnifying device, is placed just outside the entrance to the vagina. If the Doctor sees abnormal areas, he may biopsy the area, by removing a peice of the abnormal tissue with a special device. A scraping of the cells may be necessary since the cells from the canal of the cervix may be difficult to see. This scraping is referred to as endocervical curettage or ECC. When the results come back to the physician from the lab, the results will be discussed with the patient by the physician. At that time, the physician may recommend further treatment, monitoring or testing, if necessary. It is important to be examined regularly in order to test for any changes in a female’s cervical cells. Anthony C. Quartell, MD or his nurse practitioner Marisa Hamrah of Anthony C. Quartell, MD & Associates are available for appointment. Anthony C. Quartell, MD & Associates serves Livingston,N.J., and surrounding northern New Jersey and Tri-State areas. Tags: Colposcopy Dysplasia and Cervical CancerTuesday, December 14th, 2010 It is possible for many types of cervical disorders, such as cervical dysplasia, to develop into cancer or it has the potential to make a woman develop cancer. One type of cervical disorder is referred to as dysplasia, which occurs when there are changes in the cells on the surface of the cervix. The cervix is the lower, narrow part of the uterus which opens into the vagina. Sometimes when the cells move from the bottom layer of the cervix, they can become abnormal during the shedding process. The abnormal cells can turn into cancer cells if they are not detected and treated. Some risk factors for dysplasia and the potential subsequent development of cancer include the occurence of genital warts, having more than one sexual partner, having sex the first time at a young age and smoking. A pap test or HPV test performed with a yearly exam would be one way of detecting the abnormal cells or dysplasia, which could ultimately prevent cancer. Our Nurse Practitioner, Marisa Hamrah, is a warm and caring professional who works closely with Dr. Anthony C. Quartell and is available for appointments. Please contact the office of Anthony C. Quartell,MD & Associates located in Livingston,N.J. Anthony C. Quartell,MD & Associates serves patients from the Tri-State area. Tags: cervical cancer, dysplasia HPV (Human Papillomavirus) is a common virus…Friday, December 10th, 2010 Abnormal cells may develop on the cervix if a woman is not able to fight off an infection with a high risk form of HPV or Human Papillomavirus. These cells could possibly develop into cervical cancer if they are not detected and treated early enough. Through the Pap Test , a physician or nurse practitioner will collect samples of a patient’s cells during an exam and subsequently any abnormal changes will be detected and ultimately treated if found early. The physician may perform a Colposcopy which helps him to look more closely at the cervix. A biopsy may be taken for analysis and if the cells are diseased and this is detected early enough, they can be removed before cancer develops at all. However, since sometimes the pap test fails to find abnormal cells that may need treatment, a HPV test will be performed. This can be done at the same time as a Pap Test and because it uses advanced, molecular technology, it can detect diseased cells that the Pap could not. Patients with concerns should contact the office of Anthony C. Quartell,MD & Associates through the website www.quartellmd.com or call the office at 973-716-9600. For your convenience our Nurse Practitioner Marisa Hamrah is also available for appointments. Anthony C.Quartell, MD & Associates serves Livingston, N.J., West Orange, N.J. , Millburn,N.J. and surrounding areas. Tags: HPV, Human Papillomovirus Pap Test Results and ColposcopyFriday, December 3rd, 2010 When pap test results show changes that could possibly lead to cancer a colposcopy may be necessary. With the help of the colposcopy procedure which uses a special magnifying device called the colposcope , the view of the cervix is enlarged by up to 60 times so that the physician can find problems not seen by the eye alone. Sometimes when cells on the cervix, which grow all the time, move to the surface, it is possible for abnormal changes to occur. The changes are found through the pap test normally done with a woman’s regular health check. Should the pap test show these changes or abnormal cell growths which could ultimately lead to cancer, a colposcopy may be performed. The colposcopy could also be used to assess genital warts, cervicitis, benign growths, polyps, pain or bleeding. For concerns patients should contact Anthony C. Quartell, M.D. & Associates for an appointment. Anthony C. Quartell, M.D.& Associates serves Livingston, N.J., Millburn,N.J., Florham Park, N.J., East Hanover,N.J., West Orange,N.J. West Caldwell, N.J., and surrounding areas. Tags: pap tests |
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