September 27, 2021

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2 min read

Endometriosis is a condition that affects most women. The disorder occurs when tissue similar to the uterus lining grows outside the uterine cavity. Each case is different depending on the patient. The endometrial tissue may grow on your bowel, ovaries, and the tissues lining your pelvis in some cases. The condition is usually associated with a painful experience, so it is always advisable to see a specialist doctor when you have this disorder. An excellent place to start is University Reproductive Associates, where you can have one-on-one interactions with Dr. Michael Cho M.D., on your treatment options.

What Are Some of the Possible Causes?

The possible cause for endometriosis is not known yet. However, specialists have derived several possible theories to explain how the condition happens. Highlighted below are some of the possible causes of the condition:

  • Embryonic cell transformation.
  • Surgical scar implantation.
  • Retrograde menstruation.
  • Endometrial cell transport.
  • Immune system disorder.
  • Transformation of peritoneal cells.

All these are possible theories of what may be causing your endometriosis condition. It is recommended to see an expert to diagnose your condition and administer the necessary treatment. Your doctor will likely administer treatment depending on the possible cause of the condition.

Which Symptoms Should You Not Ignore?

Doctors and patients alike often brush off the symptoms of endometriosis. However, it is advisable not to ignore some of the symptoms that may present themselves. Some of the symptoms that you should not ignore include:

  • Painful periods
  • Painful sex
  • Heavy periods
  • Nausea and fatigue
  • Infertility
  • Discomfort with bowel movement

It would be best if you watched out for these symptoms and did not ignore them. This is because they might be a signal of an underlying issue that requires urgent medical attention. If your wound is not treated in time, it will likely never heal throughout your reproductive life.

What Are the Stages of Endometriosis?

Endometriosis has four main stages evolving from mild to severe. The stages are as follows:

·       Minimal- At this stage, the condition is mired by small lesions and endometrial implants on the ovary.

·       Mild- You will likely have light lesions and shallow implants along the pelvic lining and on the ovary at this stage.

·       Moderate- This stage involves deep implants surrounding your pelvic lining and ovary. More lesions will also be visible at this stage.

·       Severe- This stage of the condition involves deep implants on both your pelvic lining and ovaries. You may also have lesions on the bowels and fallopian tubes.

Your doctor is likely to assess the stage of your condition before suggesting treatment.

Contact an Endometriosis Specialist Today

 Endometriosis is a condition that most women relate to painful ordeals. The pain can be mild at times, and other times it can be severe depending on your condition. You are also likely to develop fertility problems if the condition is not treated early enough since it will interfere with your reproductive system. Therefore, it is … Read More...

2 min read

Many gynecological operations are now minimally invasive, thanks to advancements in medicine and science. Darin Swainston, MD, FACOG, is an expert in robotic-assisted gynecological surgery in the Summerlin and Las Vegas areas. He provides his patients with optimal comfort and ease of recovery while also improving cosmesis. Schedule a consultation with Las Vegas minimally invasive surgery specialist Dr. Swainston through mobile or book online to find out more.

What Exactly Is Robotic-Assisted Gynecological Surgery (RAGS)?

During a robotic-assisted operation, Dr. Swainston employs a video-equipped surgical robot with extraordinary accuracy to accomplish the surgery with one minimal cut instead of one enormous incision.

Regardless of the scale of the cuts, the operator could see very comprehensive, high-resolution images of the surgical site utilizing a computer or bedside console. Consequently, patients benefit from higher accuracy, a lesser danger of blood loss, and a shorter recovery period.

What Robotic-Assisted Surgical Procedures Does Dr. Darin Swainston Offer?

For optimal patient safety and comfort, Dr. Darin Swainston conducts the following robotic-assisted surgeries:

  • Myomectomy – surgical elimination of uterine fibroids
  • Hysterectomy – Elimination of the uterus and, in some cases, the cervix
  • Suspension of the uterosacral vaginal vault – Treatment of vaginal and uterine prolapse
  • Endometriosis resection – Elimination of endometriosis implants while conserving the fallopian tubes, uterus, and ovaries
  • Adhesiolysis – elimination of scar tissue surrounding reproductive organs
  • Ovarian Cystectomy – Elimination of tumors/ ovarian cysts, either entirely or partially
  • Abdominal Sacrocolpopexy – Rehabilitation of ligaments, muscles, and tissues that sustain the vaginal organs

What Are The Dangers Of Robotic-Assisted Surgeries?

The consequences of anesthesia or surgery are conceivable, and the danger varies widely depending on the technique and individual. A comprehensive review of the patient’s health history is required to eliminate probable difficulties.

Some hazards reduce with robotic-assisted surgery, such as wound infection, blood loss, pneumonia, and blood clots in the legs. Recovery also involves reduced discomfort and a shorter recovery time.

How Many Additional Consultations Are Needed?

Because of the quick recovery time following non-invasive surgery, most patients return for one or two follow-up visits at predetermined intervals after the treatment.

Who Can Have Robotic-Assisted Gynecologic Surgeries?

Patients who have a problem addressed with robotic-assisted surgery and are in good enough health to tolerate surgery are typically good candidates. In some situations, obesity or old age could exclude an individual from undergoing surgery. Nevertheless, this is not limited to robotic-assisted surgery; it extends to robotic-assisted and conventional surgical modalities.

Reviews & Testimonials

Darin Swainston, MD, FACOG, is always grateful for input from his loyal patients. To date, he has obtained 327 reviews with a rating of 4.91 out of 5 stars. To see what other patients are saying about the practice, visit the clinic’s website.

Dr. Swainston and his team offer a broad spectrum of innovative procedures and sophisticated technology to enhance and protect excellent health across every stage of a woman’s life. Explore the benefits of minimally invasive surgery by calling the office of Darin Swainston, MD, FACOG, or use the online … Read More...

2 min read

Did you know that 50% of people aged 50 and older have varicose veins? While the condition is more common in women than men, anyone can still develop and suffer from it if they have a risk factor. So if you have varicose veins, the last thing you should focus your thoughts on is how unsightly they look. Receiving treatment for varicose veins in the Upper East Side should be your top priority. Here are a few facts about varicose veins that the Upper East Side Cardiology would like you to know:

  1. Causes of Varicose Veins

The circulatory system composes the arteries and capillaries, which collect blood from the heart and distribute it to other body parts. On the other hand, veins transport blood back to the heart. Since the veins in your legs are working against the gravitational pull, it makes sense that they would get overworked. This might lead to pooling in the veins, which may cause varicose veins. With time, the veins in your legs may weaken or rupture.

  1. Varicose Veins Differ From Spider Veins

As is expected, not all veins appear or function similarly, which makes it easier to confuse spider veins with varicose veins. The former appear red or purple and are usually thinner and flatter. On the other hand, varicose veins are blue and may protrude out on the legs. So when going for treatment for either condition, it is essential to know which types of veins affect you.

  1. Varicose Veins May Occur in Any Part of Your Body

While it is common to get varicose veins in the legs, they can still pop up in other body parts. You may see them on the legs due to gravitational pull, but they can still appear on the face or neck.  So if you see big and protruded veins popping out of your legs, arms, neck, or face, see a vein specialist immediately.

  1. Your Lifestyle Can be a Risk Factor for Varicose Veins

While genetics can significantly determine your risk for varicose veins, your lifestyle can also aggravate them. To prevent varicose veins from affecting your circulatory system functions, consider maintaining a healthy weight. If it helps, engage in physical exercise. And if you spend too much time sitting or standing for more extended periods or wearing high heels, consider alternating to flats or engaging in physical exercises. Finally, avoid any clothing that puts pressure on your waist or thighs.

  1. Varicose Veins Might Cause Pain or Otherwise

Even though some people may seek treatment for varicose veins for esthetic purposes, some sufferers may not experience any pain due to the veins. However, symptoms like inflammation, fatigue, itchiness, aching legs, or heaviness can make you qualify for vein specialist intervention.

A Vein Specialist Can Help

Whether you want vein treatment for cosmetic or medical purposes, understanding the facts about them can help you get the medical intervention you need. To find out if you qualify for a varicose vein diagnosis or treatment, schedule a consultation with … Read More...

3 min read

Signs of mental illness often manifest as depression associated with a feeling of sadness, sleep disorders, irritability, restlessness, and loss of energy or appetite. People with mental disorders need to seek psychiatric help before things escalate into bigger problems. Often, the first thing is to talk to someone close to you and open up about how you feel. The next step is to speak to your doctor, who may refer you to a professional to help deal with your situation. The team at Americas TMS Center handles Irvine psychiatry cases by helping individuals overcome conditions associated with mental illness. Here are the cases that may necessitate a visit to a psychiatrist.


Many people suffer from depression which is caused by environmental factors or lifestyle choices. Most often, it is accompanied by a feeling of sadness and hopefulness. It is not easy to find a way out all by yourself, hence seeking professional help.


Trauma can happen to anyone and is typically caused by shocking and frightening events that can change your life or how you handle situations. Typically it can be due to losing a loved one and being unable to overcome the grief. The consequences can be devastating, leading to depression, post-traumatic stress disorder, anxiety, and other mental disorders. However, you can seek help from a professional who will help you control your inner feelings and go back to your everyday life.

Drug abuse

Most people suffering from drug addiction end up experiencing a relapse due to withdrawal symptoms they experience when they attempt to quit substance abuse. If you have a drug problem and are struggling to overcome it, you can get help from a psychiatrist who applies different treatment options. They may prescribe antidepressants or even therapy for people involved with substance abuse. Because it is a serious problem, it can affect your mental health and lead to anxiety or depression. It can also affect your relationships at home, work, or school, leading to underperformance and a decline in productivity.

Consultation and treatment

During a consultation, the specialist makes the initial diagnosis to ascertain the root cause of the problem. If the problems are serious, they will treat the symptoms and recommend long-term therapy to prevent a relapse. Before the treatment starts, there are preparatory meetings where you will have a one-on-one with the specialist and express your expectations. The treatment program can be prolonged depending on your recovery. It is essential to note that recovery differs amongst individuals, and for some, it can take many months. However, the sessions do not require hospitalization; even so, you will need the participation of your loved ones for the treatment to be effective.

If you experience any of these signs, it is essential to visit a psychiatrist for diagnosis and treatment. Psychiatrists have the right training and tools to evaluate mental illnesses and prescribe medication. The objective of the treatment is to enable you to overcome the symptoms and improve your overall health. Schedule an appointment with … Read More...

2 min read

Finding ways to deal with chronic pain has become easier, thanks to Houston epidural injections, which provide relief from pain for up to months. Pain that persists for extended periods can make you less productive by getting in the way of your day-to-day activities. This may result from medical conditions, including spinal stenosis, herniated discs, sciatica, and degenerative disc disease. In most cases, over-the-counter medications such as ibuprofen may not effectively treat chronic pain as they should not be taken for a long time. However, other treatment options like epidural steroid injections can help relieve pain and improve your quality of life.

What is an epidural injection?

This minimally invasive procedure involves using corticosteroids such as methylprednisolone, triamcinolone, and dexamethasone to offer relief from chronic pain. It may also include a combination with other agents such as local anesthesia, including lidocaine and bupivacaine. An epidural steroid injection is precisely guided into the space between the vertebra and the protective dura sac around the spinal nerves (epidural space). When delivered effectively, epidural injections minimize inflammation by eliminating the substances responsible for swelling.

How do you prepare for an epidural injection?

An initial consultation with your doctor should be the first step for anyone considering an epidural injection. Here, you may need to write down a list of your current medications and those you have taken in the recent past. These may include antibiotics and blood-thinning drugs such as aspirin and dietary supplements. Your doctor may recommend that you stop using these medications to reduce complications during the procedure, such as bleeding. You can also ask your doctor all the questions you may have about the procedure to clear any uncertainties. Your doctor may also discuss with you the risks involves that include:

  • Water retention
  • Anxiety
  • Sleeping problems
  • Infection
  • Nerve damage
  • Bleeding

A step-to-step process for epidural injections

This procedure is usually scheduled for the morning hours. You may need to sign consent forms before proceeding with treatment. You will change from your regular clothes to a hospital gown for better access to the injection site during the procedure. If feelings of anxiety overtake you, your specialist may recommend sedation to keep you calm during treatment.

Using betadine, the doctor cleans your skin’s surface and then marks it before locating the proper vertebral needle level using a fluoroscopic x-ray.

A local anesthetic is used before treatment to numb the treatment area and make you comfortable during the procedure. Patients remain conscious so that they can communicate with the doctor.

Fluoroscopy provides your doctor with live images as he guides the needle into the epidural space. Most patients report a feeling of pressure rather than pain during the process. After ensuring the needle is correctly positioned, the doctor administers the corticosteroid medications or local anesthesia mixture. Some types of epidural steroid injections include using a contrast dye to check the spread of the administered contents. The doctor monitors you for the next 30 minutes in a recovery room, and you may need to … Read More...

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