My Blog

By James A. Scales, MD
August 14, 2018
Category: OBGYN Care
Tags: HPV   Screening  

Find out what screenings are available to check for HPV and HPV-related disease.

 

The human papillomavirus (HPV) is a virus that affects millions of Americans most often during the late teen years and early 20s. With the rise of HPV infections over the years it’s now more important than every for women to get routine screenings to check for HPV-related diseases such as cervical cancer. This is yet another reason why young women should visit their OBGYN at least once a year for routine checkups.

What are the symptoms of HPV?

Some types of HPV cause genital warts, a cluster of small bumps that appear in the genital area. They often appear weeks or months after being exposed to the virus. Genital warts may go away on their own without treatment or they may get worse; however, genital warts aren’t usually cancerous.

Unfortunately, most people will never know that they HPV because the viral infection usually does not cause symptoms. The body will often just shed the infection after a couple of years; however, there are certain HPV infections that can affect the cells and lead to cervical cancer.

What goes into getting an HPV screening?

There are two types of tests that your gynecologist can perform during your next visit to look for warning signs of HPV. The most common test is a Pap smear, which involves collecting cells from the cervix to check for changes or abnormalities. If pre-cancerous lesions are present or if cervical cancer is found early enough, treatment is very successful.

A Pap smear is performed right in your gynecologist’s office and it only takes a couple of minutes to collect the cells necessary for analysis. It’s important that you talk with your gynecologist about getting a cervical cancer screening and how often you should get screened. Women who’ve had abnormal Pap smear results in the past may need to be screened more regularly than women who’ve never had abnormal results. Your age will also dictate how often you should be screened.

HPV co-testing can be performed at the same time as the Pap smear. The only difference is that when the cells are collected the test will check for the presence of the virus rather than detecting changes in the cervical cells.

What does the HPV vaccine protect against?

According to the CDC, approximately 32,500 men and women are diagnosed with HPV-related cancers. By getting the HPV vaccine you could prevent cancer from happening to you. This vaccine could also prevent the need for HPV testing every year. Since it can be difficult to screen for certain cancers caused by HPV (particularly cancer of the rectum or throat), getting vaccinated could protect your teenager from these cancers in the future.

Do you have questions about getting the HPV vaccine for you or your teenager? Need to schedule your annual gynecological checkup? If so, turn to your OBGYN today and ask whether an HPV vaccine is a good option for your health.

By James A. Scales, MD
August 09, 2018
Category: Birth Control
Tags: IUD   Birth Control   Contraception  

Birth Control MethodsLet us help you choose the right birth control to fit your lifestyle.

Choosing birth control is a very personal decision and one that can sometimes feel rather confusing. After all, there are so many different options out there that you may not be sure which one is the best approach for your sexual health. This is where our Texarkana, TX, OBGYN, Dr. James Scales, comes in. We are happy to talk to you about your birth control options and answer any questions you might have.

Birth control can be divided into five different categories:

  • Hormonal options
  • Barrier methods
  • Intrauterine device (IUD)
  • Natural methods
  • Emergency contraception

Hormonal Options

This includes everything from birth control pills, patches, implants, and the ring. Hormonal birth control can contain estrogen or progestin-only (also referred to as the minipill). There are many different birth control pill options and our gynecologist in Texarkana would be happy to help you determine the best one for you.

Barrier Methods

This includes condoms, diaphragms, and cervical caps. Condoms are also the only birth control method that also protects against STDs. This is why it’s important that you use a condom even if you are using other birth control methods because it is the only thing that can prevent the spread of STDs. Condoms, diaphragms, and cervical caps can be found at your local drugstore and don’t require a prescription.

Intrauterine Device

An IUD, is a very small device that is placed into the uterus where it will stay anywhere from 3-10 years. This is a great option for women who don’t want to worry about taking a pill at the same time every day or who aren’t looking to get pregnant for a few years. Of course, if you do change your mind and want to get pregnant, our doctor can remove the IUD at any time.

The two types of IUDs are copper or hormonal, and the one that’s right for you will depend on your specific birth control needs and lifestyle. Since there are no hormones within the copper IUD, women do not experience the side effects that they can with hormonal birth control.

Natural Methods and Emergency Contraception

Natural methods include abstinence or the rhythm method, in which you track your fertile and infertile times of the month to prevent pregnancy. Emergency contraception shouldn’t be used as a regular birth control method but can be taken to prevent pregnancy within the first three days after unprotected sex.

If you want to talk to our Texarkana, TX, OB/GYN about the best birth control option for you don’t hesitate to give our office a call today to schedule a consultation with us. We know choosing the best birth control method for you is a personal decision; let us help make the decision easier.

By James A. Scales, MD
August 01, 2018
Category: OBGYN Care

Do you deal with ovarian cysts often? Wondering if this is the cause of your abdominal pain?

All women will experience abdominal pain at some point during their lifetime. Most of the time it’s due to menstruation; however, there are other causes that could be to blame for your abdominal pain. When this happens it can be a bit unsettling, especially if you’ve never experienced abdominal pain before; however, your OBGYN is here to tell you whether your pain could be due to ovarian cysts.

Ovarian cysts are very common, affecting most women during their childbearing years. Most of the time they are completely harmless (it is very rare that an ovarian cyst is cancerous).

Often, ovarian cysts develop and you don’t even know they are there; however, some women experience a sharp or dull pain in the abdomen when an ovarian cyst is present. If the cyst becomes large enough it could cause the ovary to twist, which can cause sudden but intermittent pain on one side. If the cyst bursts, this can result in sudden and severe pain.

If your gynecologist suspects that your symptoms could be due to ovarian cysts the best way to diagnose these cysts is through a pelvic exam or by performing an ultrasound. The ultrasound will allow your doctor to examine the abdomen in detail to see if cysts are present.

How are ovarian cysts treated?

Most of the time your doctor will just monitor your condition and tell you to come back in if the pain gets worse or changes. Sometimes you’ll come back in for repeat imaging tests to see if the cyst has gotten larger. Most of the time these cysts will just go away on their own after a month or two.

However, if the cyst is very large or if it’s causing severe pain and other symptoms then it may need to be removed. This is something your OBGYN will discuss with you. A cystectomy is a minimally invasive surgery that is done laparoscopically, in which a small incision is made in the abdomen and performed through a very small fiber-optic instrument that boasts smaller incisions that traditional surgery and a faster recovery time.

If you are dealing with unexplained and persistent abdominal pain it’s important that you have a gynecologist you can turn to for answers. It’s always best to get a medical opinion if you are concerned about any new pain or discomfort. A doctor will be able to determine if it’s an ovarian cyst (or something else) and help you create an effective treatment plan that will manage your pain.

By James A. Scales, MD
July 16, 2018
Category: Pregnancy Care
Tags: OBGYN   Pregnancy  

Congratulations! You just found out you are going to have a baby. Now what? First and foremost, it is important that you and your unborn child get the proper care you both need over the next 9 months.

Your OBGYN will be an invaluable part of your medical team, as they will be able to not only provide you with a host of good advice for a healthy pregnancy, but also they can check for health issues in both you and your unborn child that could potentially cause further and more serious complications. Turning to an OBGYN regularly is vitally important for a healthy, complication-free pregnancy.

Of course, there are also some wonderful milestones to enjoy throughout the course of your pregnancy. Here are some things to look forward to before getting to meet the new addition to your family,

Baby’s First Ultrasound

Once you find out you’re pregnant, it’s important that you visit your OBGYN to confirm the pregnancy, determine your due date and to schedule your very first ultrasound. This first ultrasound can occur as early as between 6 weeks and 9 weeks and it allows your obstetrician to check your baby’s size and heart rate, while also checking the health of the placenta and umbilical cord. This is an exciting moment for parents, as they often get to hear their baby’s heartbeat for the first time.

The End of the First Trimester

We know that saying goodbye to the first trimester is high on most pregnant women’s lists. This is because most miscarriages occur during the first trimester. This is usually around the time that expectant mothers want to announce their pregnancy to family members and friends. Plus, if you were fighting terrible morning sickness during your first trimester you may be relieved to hear that a lot of these symptoms may lessen or go away completely once you reach the second trimester.

Feeling Your Baby Kick

Most expectant mothers can’t even describe how incredible it is to experience their baby kicking for the first time. Your baby’s kick may feel more like a flutter or tickle while other women may feel a nudging sensation. At some point, you may even see an indent of an arm or leg as your stomach expands and the baby grows.

Your Child’s Gender Reveal

While some parents don’t want to know whether they are having a boy or girl until that moment in the delivery room, some couples can’t wait to find out and share the news. In fact, gender reveal parties have become a popular trend today and once you find out whether you are having a little boy or girl you may just feel that exciting urge to start decorating the baby room.

Your Due Date

This is the moment you’ve been waiting for: your baby’s expected birth date. While most babies won’t show up right on schedule, you may be experiencing some warning signs that labor is soon on the way and you’ll soon get to welcome your baby into the world.

By James A. Scales, MD
July 02, 2018
Category: OBGYN Care
Tags: Menopause  

Usually around the time that women reach their late 40s or early 50s, they may notice changes occurring in their body. This is because the reproductive hormones, estrogen and progesterone, are no longer being produced within the body. This transitional phase is known as menopause and while some women may go through menopause without any symptoms or issues, some women deal with a variety of unpleasant and even severe symptoms such as hot flashes, mood swings, and joint pain.

While hot flashes are the most common complaint when it comes to menopause symptoms, there are a variety of issues that women can experience including:

  • Muscle/joint pain
  • Irritability, depression, and anxiety
  • Insomnia
  • Vaginal infections
  • Loss of sex drive
  • Sexual pain
  • Vaginal dryness
  • Urinary incontinence or leakage
  • Night sweats
  • Poor concentration and memory (“mental fog”)

If you are a middle-aged woman who hasn’t had a period in over one year and is dealing with these issues, you could be facing menopause. Of course, it’s important that you have an OBGYN that you can turn to if symptoms become too challenging to handle on your own. While a gynecologist can certainly recommend a variety of lifestyle modifications and simple ways to alleviate symptoms, sometimes more aggressive treatment is necessary.

Certain lifestyle modifications may include exercising regularly, getting enough sleep each night or avoiding alcohol to help with depression, anxiety, and mood swings. Your gynecologist can prescribe a lubricant to help with vaginal dryness and discomfort. Physical therapy or certain medical treatments may be prescribed to improve the function of the pelvic floor to reduce urinary leakage and incontinence.

Many menopausal women dealing with menopausal symptoms can experience relief through hormone replacement therapy (HRT). Since the body is no longer producing estrogen and progesterone, HRT will serve to restore those hormones back into the body to reduce common symptoms such as hot flashes. Furthermore, HRT has been shown to reduce bone loss caused by osteoporosis, which is common in women post-menopause. Plus, HRT is also known to reduce common symptoms such as hot flashes and vaginal dryness and pain.

There are a few different ways in which HRT can be administered. Estrogen can come in the form of a gel, cream, spray, patch, or pill. Of course, systemic estrogen has been proven to be the most effective way to target symptoms of menopause.

Women dealing with severe hot flashes or other menopausal symptoms, women who are prone to osteoporosis or fractures, and women who experience menopause before the age of 40 may want to consider getting hormone replacement therapy.





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