Our Services

Dr. Anita Spirek offers comprehensive gynecological care, infertility treatment, gynecological urology and surgical gynecology. Dr. Spirek also performs many minimally invasive procedures.

Dr. Spirek and the staff are experts in women’s health care from routine check-ups to emergency procedures. Anita Spirek, MD, is unique in the type of care she offers… she listens and works with you to help you regain your health and keep you healthy. Dr. Spirek has privileges at Georgetown Community Hospital.

WELL WOMAN CARE
A yearly examination will include a physical exam to include breast and pelvic exam, a pap smear if needed, and possible blood work.  If you have Medicare, check with them regarding how often they will cover a pap smear, usually every two years, although your doctor may still want to see you yearly for a breast and pelvic exam.

GYNECOLOGICAL HEALTH CONDITIONS
Anita Spirek MD, PLLC helps our gynecology patients identify and treat a wide range of health conditions and concerns. Certain health concerns might be identified during a routine annual wellness exam or the patient may notice or experience an abnormality.

Our gynecology care services include (but are not limited to) the following:

  • ABNORMAL BLEEDING
  • UTERINE FIBROIDS
  • POLYCYSTIC OVARIAN SYNDROME
  • VAGINITIS
  • VULVAR DISEASE
  • PREMENSTRUAL SYNDROME
  • PELVIC PAIN
  • VAGINAL ATROPHY
  • ENDOMETRIOSIS
  • CONTRACEPTION
  • MENOPAUSE

ABNORMAL PAP SMEARS/HPV

A pap smear is a screening test to detect pre-cancerous cells in the cervix. Positive findings result in the pap smear being referred as abnormal. Women are recommended to get pap smears to aid in the early detection of cervical cancer.

HPV (Human Papilloma Virus) is a very common infection that is passed person to person. Some types of HPV cause cells on or around the cervix to become abnormal. In some cases, these cells may progress to become pre-cancerous. A pap test is the best way to detect these cell changes.

MENOPAUSE MANAGEMENT/HORMONE REPLACEMENT THERAPY

As a woman ages, the levels of estrogen and progesterone produced by the ovaries start to decline. When the supply of eggs is finally exhausted, ovulation stops. The levels of estrogen and progesterone eventually drop so low that menstruation stops. A woman knows she has passed menopause when she has no periods for 12 months.
The lack of estrogen can bring on symptoms such as hot flashes and vaginal dryness. It can also increase the risk of osteoporosis (bone loss). Because of this, women may choose to take hormone replacement therapy to restore estrogen after menopause.

Before making a decision about HRT, talk to your doctor about what may work best for you, considering your personal needs and family and medical history.

OVARIAN CYSTS

Ovarian cysts are very common in women during reproductive years. Although most cysts at this time are harmless, your doctor will want to keep track of the growth of any cyst to be sure that it does not persist or cause symptoms. Your doctor will work with you to monitor its progress and determine the best course of treatment. 

INFERTILITY

Infertility is generally defined as not being able to get pregnant after at least one year of actively trying.
Most young healthy women shouldn’t worry about infertility unless they’ve been trying to get pregnant for at least a year. At this point, women should talk to their doctors about a fertility workup.

Some health issues, and age also increase the risk of fertility problems. So women with the following issues should speak to their doctors as soon as possible:

  • irregular periods or no menstrual periods
  • painful periods
  • endometriosis
  • pelvic inflammatory disease
  • more than one miscarriage

No matter how old you are, it’s always a good idea to talk to a doctor before you start trying to get pregnant. Doctors can help you prepare your body for a healthy baby. They can also answer questions on fertility and give tips on conceiving.

ENDOMETRIOSIS

Endometriosis is a common cause of pelvic pain. Normally, during the menstrual cycle tissue builds up and breaks down within the uterus. In endometriosis, endometrial tissue (tissue from the lining of the uterus) is found outside the uterus. During the menstrual cycle this tissue builds up and breaks down in the same way but there is no way for it to leave the body. These areas bleed internally, causing irritation, inflammation, and scarring.
Women with endometriosis have symptoms ranging from mild to severe, although some women have no symptoms at all.

Symptoms can include menstrual cramps, pain during intercourse, low back pain, constipation, pain with bowel movements, and infertility.

ABNORMAL BLEEDING

Irregular menstrual periods can result in abnormal uterine bleeding. This bleeding lasts longer than the normal cycle or occurs outside the cycle. Contributing factors may include weight changes, heavy exercise, stress, illness, or side effects of certain medications.
Irregular bleeding is not uncommon the first three months on new hormone therapy (birth control pills, HRT). If you are postmenopausal (no bleeding in one year) and have any menstrual bleeding, please call your physician.

Some medical tests that your physician may also use are endometrial biopsy, ultrasound, hysteroscopy, and/or laparoscopy.

STI TESTING AND TREATMENT

Sexually transmitted infection (STI’s) are among the most common infectious diseases. Unfortunately many STI’s have no symptoms, especially in women. Chlamydia and Gonorrhea, can spread from the vagina to the uterus and fallopian tubes causing PID- pelvic inflammatory disease. The scarring left by PID can lead to infertility or ectopic pregnancies (a pregnancy outside the uterus). HPV can cause cervical cancer and other cancers of the genital organs. Undiagnosed STDs can be passed from mother to baby before and during delivery. We offer discrete confidential screening for all types of STD’s including HIV, Herpes, Hepatitis B, Hepatitis C, Gonorrhea, and Chlamydia, Syphilis and HPV.

VAGINAL INFECTIONS

Vaginal infections are the most common gynecologic disorder and are usually caused when the normal vaginal flora that are found in the vagina become imbalanced. The key to successful treatment is accurate diagnosis of what is causing the infection. Therefore, before you use any over the counter medication such as a treatment for vaginal yeast infection you should be sure it is the right drug to treat the problem. If you have any doubt, you should consult your doctor.

PREMENSTRUAL SYNDROME

Premenstrual syndrome (PMS) is a term used to describe the symptoms many women experience one to two weeks before the beginning of their period. Physical symptoms such as breast tenderness, headaches, bloating, and food cravings, accompanied by mood swings, depression, and anxiety are the classic signs. All PMS symptoms typically disappear when menstruation begins.

PELVIC PAIN

Pelvic pain can have many different causes. It can be caused by a gynecological condition such as endometriosis, uterine fibroids, ovarian cysts, and pelvic adhesions. It can also be the result of an intestinal, urinary, or muscular problem. It is important to consult your physician if you are experiencing undiagnosed pelvic pain to determine the cause and any following treatment necessary.

GYNECOLOGY PROCEDURES
Our in-office procedures include:

MONALISA TOUCH

Monalisa ThumbnailLaser treatment for symptoms of vaginal atrophy. MonaLisa Touch is a medical laser that delivers controlled energy to the vaginal tissue to revitalize the cells in the vaginal mucosa (vaginal tissue) so that these cells make more collagen, an essential ingredient in vaginal cell health. MonaLisa touch implements CO2 laser energy that is delivered via side-firing probe inserted into the vaginal canal. A two-part pulse targets surface (epithelial) tissue and deep (lamina propria) tissue to promite vaginal mucosal revitalization.

COLPOSCOPY

Colposcopy is an office procedure used in the evaluation of an abnormal pap smear or cervical lesion. A speculum is placed in the vagina, and the physician uses a magnifying scope to examine the cervix and upper vagina. Tissue biopsy samples may be obtained at this time to guide further management. It is normal to experience light vaginal bleeding and brown discharge for several days following the procedure.

LEEP (LOOP ELECTROSURGICAL EXCISION PROCEDURE)

If you’ve had a Pap test and cervical biopsies come back showing dysplasia, a LEEP may be recommended as treatment for these cells. Dysplasia is not cancer, but can lead to cervical cancer if not treated. In this in-office surgical procedure your cervix will be numbed with a local anesthetic. Then an electric current is directed through a thin wire loop which is used to remove the thin layer of cervix containing the area of abnormality. You may feel mild cramping for a few days after the procedure and you will have a vaginal discharge sometimes for up to 2-3 weeks.

ENDOMETRIAL BIOPSY

This test takes a tissue sample from the lining of your uterus (the endometrium) to evaluate it for problems that might explain unusual bleeding. A thin tube is inserted through the cervix into the uterus during a pelvic exam. A small amount of tissue is removed and sent to the lab for analysis. It is normal to experience cramping during the procedure and some light bleeding for several days.

ULTRASOUND

Ultrasound can be very helpful in diagnosis a whole host of gynecologic disorders. It is a relatively non-invasive method of viewing the reproductive organs in the pelvis to determine the nature and extent of structural abnormalities present. Many gynecologic disorders do not show early symptoms and ultrasound can often diagnose problems well before a patient may know a problem exists.

SONOHYSTEROGRAM

A sonohysterogram (SHG) is an ultrasound procedure used to better visualize the inside of the uterus and endometrium.  Most often it is used to view fibroids and polyps. A sonohystogram takes around 30 minutes. A catheter is inserted through the cervix, and a small inflated balloon holds it in place.  Saline is injected into the uterus and ultrasound pictures are then obtained.

HYSTEROSALPINGOGRAM

A hysterosalpingogram (HSG) is an x-ray examination of the uterus and fallopian tubes that helps to evaluate the structure and the shape of the uterus, as well as to determine the openness of the fallopian tubes. A contrast dye is inserted through a catheter into the cervix, and then begins to fill the uterus while images are being taken. This test is scheduled by our office nurses, and is done in the outpatient radiology department of the hospital. If your doctor orders this test, please call our office on the day that your cycle BEGINS, so that we may have adequate time to schedule it for you.

ENDOMETRIAL ABLATION

Thermal uterine ablation is a minimally invasive in-office procedure performed along with a hysteroscopy that is an alternative to hysterectomy for excessive menstrual bleeding. Your physician will recommend the procedure that is best suited for you. Most women will have reduced menstrual flow following endometrial ablation, and up to half will stop having periods. This procedure is performed either in-office or outpatient at the hospital depending on your insurance.

ESSURE

The Essure procedure is an in-office method of permanent birth control for women in which micro-inserts are placed within the fallopian tubes by catheter and hysteroscopy. The micro-inserts produce eventual occlusion of the fallopian tubes (usually in three months) by causing the in-growth of tissue. It does not involve any incisions into the body.

CONTRACEPTION:
Anita Spirek MD, PLLC offers a full spectrum of contraception (birth control).  We offer the following birth control options:

ORAL CONTRACEPTION

More than 60 million women take the pill worldwide and it is the most popular form of contraception in the United States. Most pills contain estrogen and progestin and work by preventing ovulation, used correctly it is 99% effective in preventing pregnancy. Pills available today are a much lower dose than the original birth control pill of the 1960’s and have fewer side effects.

Side Effects
There are some minor side effects associated with the birth control pill.

These include: breakthrough bleeding (bleeding between periods), nausea, headaches, and breast tenderness. Many of these side effects decrease during the first three months of usage.

Not all women are good candidates for the birth control pill. You should not take the pill if you are over 35 and smoke. You should not take the pill if you begin getting SEVERE migraine headaches after starting the birth control pill. Women who have a history of blood clots or stroke, have heart disease, or high blood pressure, have had breast cancer, have liver problems, have kidney problems or have active gallbladder disease should not take the pill.

NUVA RING

Nuva Ring is a flexible vaginal ring containing estrogen and progestin that is inserted into the vagina and stays in place for three weeks at a time. It is then removed for a week which is when your period will occur. Nuva Ring provides birth control in the same way the oral Birth Control pill does. It is 99% effective in preventing pregnancy.

INTRAUTERINE DEVICE

An IUD is a small, T-shaped piece of plastic that is inserted into the uterus by your doctor. The effectiveness is about 99%. Once the IUD is inserted, it offers protection for 5 to 10 years depending on the IUD used. A Mirena IUD is a hormone containing IUD which has the added benefit of less menstrual flow and cramping. Paragard is a hormone free IUD. The most common side effects of Paragard are heavier menstrual cycles and cramping.

NEXPLANON/IMPLANON IMPLANT

Implanon is a flexible plastic rod the size of a matchstick that is put under the skin of your arm in an in-office procedure. It is more than 99% effective. It is a progestin only form of birth control that can be left in your body for up to three years.

DEPO-PROVERA

Depo-Provera is an injectable progestin form of contraception that protects you against pregnancy for a full three months.  It is a a good alternative for birth control for patients who cannot remember to take a pill. It is over 99% effective.

TUBAL LIGATION

Tubal ligation is a permanent form of female sterilization in which the fallopian tubes are blocked or cut in order to prevent fertilization. This is an outpatient surgical procedure done in the hospital.

ESSURE PERMANENT BIRTH CONTROL PROCEDURE

The Essure procedure is a method of permanent birth control for women in which micro-inserts are placed within the fallopian tubes by catheter and hysteroscopy. The micro-inserts produce eventual occlusion of the fallopian tubes (usually in three months) by causing the in-growth of tissue. It does not involve any incisions into the body. It is performed in the office and is 99.80% effective.

 

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