Archive for the ‘Uncategorized’ Category« Older Entries |A woman’s menstrual cycles and menopauseMonday, March 7th, 2011 In most women, menopause begins around age 52, however; this varies among women, as some may start earlier or later. At this time, the menstrual periods will stop, the ovaries produce less estrogen and also less progesterone is produced as well. As women get closer to this time, during perimenopause, changes in hormone levels may affect ovulation which could cause the menstrual periods to shorten or become longer. Also, bleeding may be lighter or even heavier or miss a month here and there altogether. The perimenopausal stage could last up to 10 years. During menopause, the ovaries, which are two glands located on either side of the uterus stop functioning. These glands hold the eggs that are released at the time of ovulation, and are responsible for producing hormones, such as estrogen. Once a patient has stopped bleeding for a year, she is considered to be post menopausal. Should there be concerns regarding the perimenopausal, menopausal or post menopausal stages and what to expect during each stage, or how to treat problems such as hot flashes, vaginal dryness or abnormal bleeding, please contact your obstetrician gynecologist for an appointment. Anthony C. Quartell, MD & Associates serves Livingston, N.J., Millburn, N.J., West Orange, N.J., the Caldwells and surrounding areas. Tags: menopause Three types of Laparoscopic HysterectomyMonday, February 28th, 2011 Laparoscopic surgery involves the use of a slender lighted tube and camera, which is inserted through a small incision into the abdomen so that the surgeon is able to see more clearly. Other tiny incisions are made as well, providing an opening for the instruments. Depending on the patient’s specific reason for surgery, the physician will decide which of three types of laparoscopic hysterectomy surgery would be best in order to acheive optimal results. A total laparoscopic hysterectomy involves several small inscisions to be made allowing for the laparoscope and other instruments necessary to remove the uterus and cervix. If the cervix is not removed and left in place, the surgery would be called a laparoscopic supracervical hysterectomy. A LAVH, Laparoscopically assisted vaginal hysterectomy involves removing the uterus, possibly the ovaries, tubes and cervix through the vagina, with the guidance of a laparoscope. Finally, there is the Robot-assisted laparoscopic hysterectomy, which uses a robot attached to the laparoscopic instruments in order to remove the uterus and possibly other organs. There are currently a limited number of Obstetrician Gynecologists who have the ability to perform the surgery using the robot, however; more and more physicians are being taught to use the robot. Anthony C. Quartell, M.D. has been one of the few obstetrician gynecologists located in New Jersey, to perform this surgery during the last few years. Anthony C. Quartell,M.D. and Associates serves the Northern New Jersey areas of Essex County, Morris County, Passaic County and surrounding areas. Tags: cervical cancer, hysterectomy, uterine fibroid Congratulations on your pregnancy!Friday, February 18th, 2011 Congratulations on your pregnancy! You obtained the results of your pregnancy test and scheduled your first appointment with your obstetrician gynecologist and you have some questions and perhaps even some fears beginning to creep in. What should you do? The best thing to do is maintain a normal well balanced diet full of nutrition, maintain your normal exercise habits and refrain from drinking alcohol or smoking cigarettes. Basically, take care of yourself. If you have a history of any medical conditions, make sure to let your obstetrician gynecologist know. They will most likely take a very detailed medical history at your obstetrical visit. At the office of Anthony C. Quartell, MD & Associates, our patients are cared for by a large, caring staff comprised of our nurse practitioner Marisa, two Registered Nurses, Marion and Kelly, and four medical assistants, Shellon, Verushka, Sherry, and Jessica. Anthony C. Quartell, MD and Associates serves Livingston, N.J., Short Hills ,N.J., Millburn, N.J. West Orange, N.J., Florham Park, N.J., East Hanover, N.J. and surrounding areas. Tags: obstetrical Laparoscopic Supracervical HysterectomyMonday, February 14th, 2011 Leaving the cervix intact, during a laparoscopic supracervical hysterectomy a laparoscope, which is essentially a lighted telescope, is used by the surgeon to remove the top part of the uterus, where the fibroids are usually located. Once this is removed, a morcellator enables the surgeon to cut up large sections of the uterus in order to remove them through the tiny incisions made by the surgeon. Because this procedure is substantially less invasive than the traditional open surgery, a hospital stay is usually reduced to less than 24 hours and recovery time takes about one week. Dr. Anthony Quartell is a board certified obstetrician and gynecologist, who has been in practice for 35 years and has performed more than 500 laparoscopic and robotic laparoscopic hysterectomies and myomectomies. As the Director of Minimally Invasive Gynecologic Surgery at Saint Barnabas Medical Center in Livingston, N.J., he is a recognized leader in his field, as he has been performing these surgeries for approximately five years and has been influential in teaching other physicians how to perform these procedures. He is certified in Advanced Operative Laparoscopy by the American Council of Gynecologic Endoscopy and in 2010 he was appointed to the Clinical Advisory Board for the American Institute for Minimally Invasive Surgery. Anthony C. Quartell, MD & Associates serves the northern New Jersey areas of Essex County, Morris County and surrounding counties. Tags: hysterectomy, uterine fibroid Genital Herpes is a viral infection spread through sexual contact.Thursday, October 14th, 2010 Genital herpes, which is a sexually transmitted disease or STD, is contracted most often through sexual activity. Sores and blisters appear around the genitals or the lips. The disease is spread though direct contact with these sores or breaks in the skin and can enter the membranes of the vagina, urinary opening, cervix , penis or anus. Some symptoms include sores, blisters and even swelling, however; many people who contract the disease show no symptoms at all. During oral sex, the disease can come in contact with a cold sore around the mouth area and pass to a partner’s genitals or vice versa. After up to ten days post infection, it is possible to notice swollen glands, fever, chills, musche aches, fatigue, and nausea and /or possibly sores with stinging or burning with urination. It is important that patients are examined for proper diagnosis so that a medication can be recommended. Please call Anthony C. Quartell, MD & Associates. Our Nurse Practitioner, Marisa, or one of our physicians are available during the week for an appointment. Posted in Uncategorized | No Comments » Pain during intercourse is fairly common…Thursday, September 30th, 2010 Referred to as “dyspareunia”, pain during intercourse is experienced by nearly 2 out of 3 women. Since painful sex can have emotional consequences as well as physical ones, it is a good idea to obtain treatment in order to enjoy a healthy sex life. During sex a woman could feel pain in the vulva (the outside of the genital area) , at the opening of the vagina (vulvar pain), within the vagina( vaginal pain), or deep inside (can be in lower back, pelvic region, uterus and bladder). Each of these types of pain have different causes. It is important to find the cause in order to properly evaluate whether you need medication, surgery or counseling for treatment. A pelvic exam could give clues about the causes of deep pain, which could be indicative of a necessary surgery. On the other hand, your symptoms may be caused by an infection warranting only a prescription for medication. It is important to see a physician to look into the causes so that you can be treated as soon as possible. Call Anthony C. Quartell, MD & Associates for an appointment. Posted in Uncategorized | No Comments » Are Birth Control Pills right for you?Tuesday, September 28th, 2010 As a type of hormonal birth control, the oral contraceptives (or birth control pills), are easy to use and a very effective form of birth control. If used correctly, fewer than 1 in 100 will get pregnant over 1 year. However, there is a 3% chance ( 3 in 100) of becoming pregnant when a pill is missed or not absorbed. Although it does not prevent against sexually transmitted diseases, it is a safe and convenient way to prevent pregancy. There are two types of birth control pills: combination birth control pills (containing the hormones estrogen and progestin) and progestin-only pills. Discussion with a physician or nurse practitioner will result in determining which type of pill is best for a patient. Although there are risks for patients who are over 35 or smoke and have certain health problems or a family history of certain health problems, there are also many benefits for the right candidate besides preventing pregnancy. Call Anthony C. Quartell, MD & Associates for an appointment. Posted in Uncategorized | No Comments » There are treatments for vaginitisMonday, September 27th, 2010 As many as one third of women may experience symptoms of vaginitis over the course of their lifetimes. Even though a woman’s vagina has a normal discharge which is usually clear, cloudy or a whitish color, a healthy vagina does keep a balance of many organisms, such as bacteria and yeast. However, several factors can upset the normal balance, such as antibiotics, STDs, changes in the body’s normal hormone levels and other factors, allowing either yeast or bacteria to increase and result in a vaginits, such as a yeast infection, bacterial vaginitis, trichomonas vaginitis or atrophic vaginitis. It is important to contact a physician at the first sign of abnormal discharge or symptoms, as it is easy to think it is one type of infection when it could actually be another, warranting a different type of treatment. Call Anthony C. Quartell, MD & Associates for an appoinment. Posted in Uncategorized | 1 Comment » Get HPV testing with your next pap smear…Friday, September 24th, 2010 The HPV test in addition to having a pap increases the ability to identify women with abnormal cells that can lead to cancer as well as determine if they are at increased risk. The HPV test uses advanced technology to detect the genetic (DNA) code of HPV. HPV is a very common virus and can hide in the cervical cells for years without experiencing symptoms or detection. Patients could possibly have had the virus for a long time (even decades) and never know it. Many times women are able to fight off the virus before it causes problems, however; when a genital HPV infection does not go away it can cause changes to the cervical cells and consequently lead to the development of precancerous or cancerous cervical growths. Detecting these risk factors early enough, through the combination of Pap and HPV testing, can protect women from developing cervical cancer as they are presented with effective options for treatment. Call Anthony C. Quartell, MD & Associates for an appointment. Posted in Uncategorized | No Comments » Is Hereditary Cancer testing right for you?Tuesday, September 21st, 2010 BRACA analysis testing, which is done through our office and Myriad Genetic Laboratories, may be recommended for patients who are more at risk due to various factors. Patients with someone in the family who have had breast cancer before age 50, or ovarian cancer at any age, male breast cancer at any age, bilateral breast cancer, both breast and ovarian cancer, a relative with a BRCA mutation, a relative of Ashkenazi/Eastern European Jewish descent or breast cancer after age 50, could be more at risk of developing certain types of cancer than the general population. Women who carry a BRCA1 or BRCA2 mutation have an 87% lifetime risk of developing breast cancer, and a 27-44% lifetime risk of developing ovarian cancer. Patients who have concerns or questions regarding this very important issue are urged to contact Anthony C. Quartell,MD & Associates for an appointment. Posted in Uncategorized | No Comments » |
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