Gynecology

General Information

TriLakes OB/GYN, P.C. offers a comprehensive range of gynecologic services. We listen carefully to our patients and provide them with safe, minimally invasive, and up to date treatments. We were the first office in the country to offer Novasure, a 90 second endometrial ablation for the treatment of heavy periods, which has saved many of our patients having to go through a hysterectomy. We were also one of the first offices in the area to offer Essure, permanent birth control without surgery. We are one of few offices that utilize 3D ultrasound for diagnosis of gynecologic disorders.

Pelvic Pain Treatment | Menstrual Problem Treatment | Infertility Treatment | Saranac Lake NY | Potsdam NYOur office is totally electronic, your records and relevant information are immediately available any time you call us. Our nursing staff would know where you stand with your treatment plan, prescriptions, and appointments. We track your pap smears and mammograms so even if you forget, we do not.

In view of our geographic isolation, we made excellent relations with many specialist physicians from teaching hospitals to provide our patients with super specialized care when required. We work closely with infertility IVF physicians and gynecologic oncologists as well as breast surgeons and radiation oncologists.

The following is a brief listing of the some of the most common gynecologic issues and what TriLakes OB/GYN, P.C. offers in terms of diagnosis and treatment.
General Gynecology FAQ

 


 

Pelvic Pain

This is one of the most common complaints. There are multiple causes such as endometriosis, adenomyosis, pelvic inflammatory disease, ovarian cysts, uterine fibroids, ectopic pregnancy and pelvic congestion. At TriLakes OB/GYN we take a comprehensive history, do a thorough examination, including internal high definition ultrasounds, among other office tests, to come up with the right diagnosis and an appropriate treatment.


 

Menstrual Problems

Pelvic Pain Treatment | Menstrual Problem Treatment | Infertility Treatment | Saranac Lake NY | Potsdam NYHeavy and/or painful menstrual periods are frequent problems. The causes include hormonal changes, fibroids, adenomyosis, polyps, and endometrial hyperplasia which is the least common but most important as it can be precancerous.

At TriLakes OB/GYN we study your uterus thoroughly with an internal sonogram to evaluate the endometrial cavity and obtain samples, as required, to allow for safe, effective, but minimally invasive treatments.

Pelvic Pain Treatment | Menstrual Problem Treatment | Infertility Treatment | Saranac Lake NY | Potsdam NYWe offer the Novasure Endometrial Ablation, a simple 2 minute procedure that can control heavy periods without any incisions or recovery. We also offer the latest in minimally invasive procedures such as laparoscopic supracervical hysterectomy (LSH) conserving ovarian and hormonal function as well as minimizing any effect on sexual function.


 

Contraception and ESSURE

Pelvic Pain Treatment | Menstrual Problem Treatment | Infertility Treatment | Saranac Lake NY | Potsdam NYApart from routine contraceptive pills, contraceptive patches, rings and IUD are also available through our office. We are now offering Essure the revolutionary permanent birth control without incisions, without surgical risks, and without recovery.
For more information about Essure call our office.


 

Abnormal Paps and HPV

Human Papiloma Virus (HPV) infections are reaching an epidemic resulting in numerous abnormal pap smears of various grades. We take time to explain to you where you are on the pap scale, your virus status, and your level of risk. We utilize high quality colposcopes for better diagnosis. We adopt expectant management whenever possible or resort to minimally invasive office procedures to protect your long term fertility while keeping you safe.


 

Infertility

Pelvic Pain Treatment | Menstrual Problem Treatment | Infertility Treatment | Saranac Lake NY | Potsdam NYWe provide infertility workup for you and your partner and offer fertility treatments including ovulation induction with oral medications and injectable gonadotrophins. We provide ultrasound monitoring for ovulation tracking for our patients as well as those attending IVF fertility services to save you frequent traveling to your infertility center. In addition, we host a reproductive endocrinology and IVF consultation clinic every month at our office through the Fletcher Allen Hospital, Burlington.

Infertility FAQ

How do I know if I am infertile?

Infertility is defined as the inability to achieve or sustain a pregnancy after one year of cyclic attempts.

What will happen at my first visit with a complaint of infertility?

A review of your medical history will be done along with a discussion for possible reasons and general guidelines in optimizing your chances of becoming pregnant in a cycle on your own. A thorough exam including a pelvic ultrasound to view your internal organs will be performed. More detailed instructions, medications, lab testing for both you and your partner will be performed at a later time as indicated.

What is an IUI and does TriLakes OB/GYN, P.C. provide this service?

Intra Uterine Insemination is when sperm are introduced through a thin tube (catheter) directly into the uterus. At times this may be combined with medication treatment to stimulate ovulation. Our office does not provide this service.

What is IVF and does TriLakes OB/GYN, P.C. provide this service?

In Vitro Fertilization is when eggs and sperm are brought together in a glass dish in a lab to allow the sperm to fertilize the egg. After 2-5 days egg selection is done and the embryo(s) are transferred to the uterus. TriLakes OB/GYN, P.C. involvement in IVF is limited. We assist in referring patients to appropriate facilities for this procedure. We will however provide the service of the ultrasound(s) required by the IVF center.


 

General Gynecology FAQ

How is an abnormal pap smear evaluated?

A colposcopy is required to evaluate an abnormal pap smear. A HPV DNA test may also be required to further test the pap smear that showed the abnormal cells.

How often do I need a check up (breast exam and pap smear)?

A yearly exam is suggested unless your pap smear is abnormal, then it may be more frequent.

At what age should my daughter start to see a gynecologist?

Once she considers becoming sexually active or at age 16.

How will I find out what my test results are?

You will either receive an automated phone call to let you know that your results are ready or a letter will be sent to you by us with your pap smear results. Your mammogram results are reported to you by the radiology department in person at the time of the exam or by mail within a few days after the exam.

My partner says he is Herpes simplex virus (HSV) positive, does this put me at risk?

Yes, it is considered a sexually transmitted infection and can be transmitted even if there is not an active lesion.

What do I do if I forget to take my birth control pill?

Make up the missed pill as soon as it is discovered. You may experience some break through bleeding as a result of the missed pill and be at an increased risk of pregnancy. A condom or an additional form of birth control is recommended.

How long should I have to wait to try to get pregnant once I stop hormone related birth control?

We recommend you have at least one natural menstrual cycle.

Are generic birth control pills as effective as brand names (non-generic)?

Yes

Why do I have to have a physical to refill my birth control pills?

An annual physical and certain tests are necessary to ensure you can continue to take the prescribed medication safely.

I am menopausal, when can I feel safe not using birth control?

When the hormonal lab values indicate menopause combined with the absence of a menstrual cycle for one full year.

What can I do about vaginal dryness?

There are over the counter personal lubricants that can be used. There are also topical vaginal estrogens that can assist in vaginal dryness by improving the health of the vagina.

Am I at risk for osteoporosis just because of menopause?

Yes, the lack of circulating estrogen has an effect on the health and density of the bones.