Saranac Lake-  TriLakes OBGYN
Saranac Lake-  TriLakes OBGYN
Saranac Lake-  TriLakes OBGYN
Obstetrics | Gynecology | Saranac Lake
Essure | TVT Surgery | Saranac Lake
TriLakes OB GYN Saranac Lake
Obstetrician - Gynecologist Saranac Lake | Dr. Waguih Kirollos, M.D.
OB GYN Saranac Lake
Gynecology Exam Saranac Lake
TriLakes OB GYN | Billing and Insurance
TriLakes OB GYN | Billing and Insurance
Laser Hair Removal | Pap Smears | Saranac Lake
TriLakes OB GYN: 2249 State Route 86 | Suite 4 | Saranac Lake, NY 12983 | Tel: 518-891-5077
TriLakes OB GYN: 2249 State Route 86 | Suite 4 | Saranac Lake, NY 12983 | Tel: 518-891-5077
   
 
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Laser Hair Removal | Pap Smears | Saranac Lake
 
General Gynecology:

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.
 
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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.
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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.
 
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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.
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Urinary Incontinence:

How do I know what type of Urinary Incontience that I have?
The different types of incontinence can present with the same symptoms. For example, patients with genuine stress incontinence may present with frequency urgency which are typically symptoms of overactive bladder and patients with overactive bladder may present with stress incontinence. At TriLakes Ob/Gyn we conduct up to date bladder tests that differentiate what type of incontinence you have and therefore we can provide a successful treatment right from the start.
 
Is it necessary to go through the non-surgical treatment prior to the surgical treatment?
Depending on your symptoms and urodynamic test findings, some patients may have severe weakness of their pelvic floor supports so that nothing but surgical repair would help. In other patients the findings may reflect mild problem that can well be treated without surgery.
 
How many treatments will I need for biofeedback?
Biofeedback is a series of treatments done on a weekly basis for a total of six weeks.
 
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Will my stress incontinence get worse as I get older?
Usually yes, especially after menopause.
 
How effective is TVT and TVTO?
So far success rate is above 90% after 7 years of surgery.
 
How long do I stay in hospital following TVT or TVTO?
Overnight.
 
When can I go back to my normal activities following TVT or TVTO?
You may go back to your normal activities within one week. The surgery is performed without stitches and the TVT tape sticks immediately inside you. You still have to avoid heavy lifting and straining as well as sexual intercourse for one month.
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Infertility

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. This service may be obtained through our office if your medical history warrants the need.
 
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.
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Obstetrics

Can I paint while I am pregnant?
You may paint as long as you are in a well ventilated area.
 
Can I use a tanning bed or a hot tub?
No, the temperature is too hot for the fetus.
 
When can I find out the sex of the baby?
Usually if the fetus is cooperative the radiologist will be able to tell you the sex of the fetus at your 20 week ultrasound.
 
I had a previous c-section, can I have a vaginal birth with this pregnancy?
Adirondack Medical Center does not participate in vaginal birth after c-section (VBAC), therefore we no longer allow this type of delivery.
 
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Who do I contact if the office is closed?
Adirondack Medical Center at 891-4141 or the OB department at 897-2361. If your situation is an emergency please call 911.
 
Can I dye my hair or get a perm while pregnant?
This is not recommended.
 
Can I have a flu vaccine while I’m pregnant?
Yes. Pregnant women are advised to be vaccinated against seasonal and novel flu virus.
 
My job requires a PPD test, can I get this while I’m pregnant?
Yes.
 
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IPL/VPL Aesthetics and Hair Removal Treatments:

McCue Energist ULTRA™ Variable Pulsed Light System
The McCue Energist ULTRA™ System is the most advanced hair removal & skin treatment products available. Utilizing state-of-the-art Variable Pulsed Light (VPL™) technology, the ULTRA™ System can be set-up to ensure the optimal parameters to provide a safe, fast and effective treatment for every individual.
 
What makes this System special?
Traditionally, most cosmetic procedures have been associated with lasers. As technology has progressed, research has shown that Intense Pulsed Light units, and in particular Variable Pulsed Light (VPL™) Systems, are regularly producing better results than the laser systems originally available. Pulsed Light units are non-laser, emitting light across a broad range of wavelengths that are preferentially absorbed by the appropriate structure in the skin. The ULTRA™ System is designed such that each light pulse comprises a number of rapid shorter pulses. These ‘variable pulses’ ensure more controlled absorption by the appropriate structures whilst minimizing heating of the surrounding skin. This means that a greater range of hair and skin types can be safely and effectively treated than was previously possible.
 
How does it work?
Depending upon the treatment being carried out, light emitted from the ULTRA™ System is preferentially absorbed by the specific structure in the skin. For hair removal, the melanin in the hair absorbs this light and is heated to a temperature that permanently inhibits the hairs’ growth. For skin treatments, various structures can absorb the light and help repair the damage caused by ageing and the sun.
 
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What conditions can be treated?
The ULTRA™ System has been designed to provide both safe and effective hair removal and skin treatments. Hair Removal: Unwanted hair can be removed from most parts of the body, including legs, chin, upper lip, bikini line, underarm, back and chest. Skin Treatments: Many skin complaints caused by ageing and sun damage can be successfully treated using the yellow light produced by the ULTRA™ System. These include: port wine stains, hemangiomas, facial & leg telangiectasis, rosacea, melasma, angiomas, poikiloderma of Civatte, leg & facial veins, venous malformations, warts, scars and striae
 
Is there anything I need to do prior to, or after, treatment?
It is advisable to stay out of the sun, and away from tanning beds, for at least 6 weeks prior to any treatment to ensure that your skin is as close as possible to its natural colour. You must ensure that all cosmetics are removed from the treatment area with a good cleanser and then allow the skin to settle. As the skin may be slightly more sensitive post-treatment it is recommended to use skin products developed for sensitive skin and again avoid the sun or tanning beds.
 
When will I see results?
Dependent upon the treatment performed and the area treated, results will be noticed after a series of treatments over a period of months. This is due to the body’s natural hair growth cycles and skin renewal. There is no "magic wand" that will make everything perfect, but a good skincare regimen that is devised in conjunction with your therapist will ensure the optimum results that you desire.
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Surgical Procedures

I have discussed and agreed to proceed with surgery as suggested. What can I expect next?
You will receive a letter in the mail containing all your surgery information and associated appointments. There will be an appointment scheduled in our office approximately one week before the surgery with Mary Rooks CNM for a comprehensive medical update and exam. There will also be an appointment scheduled in the hospital for Pre-Admission Testing (PAT ). You will need to go to Out-Patient registration prior to the appointment. Please bring the letter from our office as the doctors order for the Pre-Admission Testing appointment.
 
I had an appointment with PAT and I do not remember what they told me about taking my medications the day of surgery can you tell me?
Any questions regarding specific directions given to you through the PAT department are referred to them. Please feel free to call their direct line at 897-2231. You may have received their phone mail, please leave a short message including your name and phone number. They will call you back as soon as possible.
 
How do I know what time my surgery is scheduled for?
The final OR schedule does not come out until the day before your scheduled surgery. You will be required to phone the hospital at 897-2409 between the hours of 1pm & 5 pm to inquire regarding arrival information.
 
How late can I eat before my surgery?
Ideally we prefer that you do not eat or drink after midnight the night before your scheduled surgery. If this is not possible because of specific medical concerns, you can eat a light meal up to 7 hours before you are instructed to arrive at the hospital. If your surgery is scheduled in the afternoon you may have clear fluids, in other words liquids that you can see through like water, apple juice, plain tea or coffee, no added milk or cream, up to 3 hours before you are to arrive at the hospital. We prefer that you avoid carbonated beverages like sodas as these may distend the bowel.
 
How many visitors may I have in the ASU department?
Hospital policy states there are only allowed to have two family members in attendance within the department. All others will be directed to go to the main waiting area at the hospital. There are no children allowed in ASU as visitors.
 
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