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John Lipman has posted a blog entry: Treating Fibroids Utilizing A Multidisciplinary ApproachUterine fibroids are the most common female pelvic tumor. It affects 1 in every 3 women of childbearing age in this country, and is seen even more frequently (up to 80%) in African-American women. For many women, these tumors will not cause symptoms but merely ride along in the uterus as a passenger....Full Post -
John Lipman answered:What are the possible treatment options for adenomyosis?As with uterine fibroids, there are surgical and non-surgical treatment options. However, whether adenomyosis is diffuse or less commonly focal, its infiltrative nature makes it impossible to surgically remove the adenomyosis. Therefore, the only surgical treatment option for patients suffering with
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John Lipman answered:How is adenomyosis diagnosed?Most commonly adenomyosis is discovered incidentally when the uterus is surgically removed for other reasons. While it can be diagnosed during hysterosalpingography (HSG) where contrast dye is injected in to the uterine cavity or with pelvic ultrasound (US), magnetic resonance imaging (MRI) is the
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John Lipman answered:What is adenomyosis?To understand adenomyosis, one needs to understand the layers of the uterus. There are 3 main layers of the uterus: endometrium, myometrium, and perimetrium. The endometrium is the thin lining of the uterus. It is what sheds with each menstrual cycle resulting in the passage of the menstrual blood.... Full Post -
John Lipman answered:What are the signs and symptoms of adenomyosis?Adenomyosis more commonly diffusely thickens the junctional zone, but can be present in a more focal form (adenomyoma) which can simulate a fibroid, particularly if one only relies on pelvic ultrasound for imaging (vs. MRI). It can cause generalized enlargement of the uterus which (like fibroids)
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John Lipman posted on Vonda Wright, MD’s wall: -
John Lipman answered:What is an Interventional Radiologist?Interventional Radiologists (IRs) are physicians who specialize in minimally invasive, targeted treatments for medical conditions throughout the body. They use x-ray or other imaging (exs. ultrasound, CT, or MRI) to guide a catheter inside the body to the treatment site. Many conditions that once... Full Post -
John Lipman answered:How is a varicocele diagnosed?Varicoceles can present with testicular/scrotal pain or discovered incidentally during an infertility work-up (i.e. varicoceles can lead to diminished/absent sperm counts). Varicoceles can be felt on physical exam or be detected on a scrotal ultrasound. Having the patient bear down (Valsalva)... Full Post -
John Lipman answered:What is a varicocele embolization?Varicocele embolization is a non-surgical procedure performed by an Interventional Radiologist (IR). It is an outpatient procedure performed under local anesthesia, thus avoiding the risks and complications from surgery and general anesthesia. A tiny catheter is placed in to a vein of the right neck or... Full Post -
John Lipman answered:How do I find an Interventional Radiologist in my area?The Society of Interventional Radiology website can find Interventional Radiologists throughout the United States. The website is www.SIRweb.org. By choosing the state that you live in, you will see the cities in that state listed alphabetically. Under each city the individual IRs are listed also ... Full Post -
John Lipman answered:What are varicoceles?A varicocele is a collection of varicose (dilated) and twisted veins in the scrotum. It is most commonly seen in youg men (ages 15-25), and usually involves the veins of the left side of the scrotum (although it can be bilateral).
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John Lipman answered:What are varicose veins and spider veins?Varicose veins are dilated veins that can occur anywhere on the body, but are commonly seen in the legs. Varicose veins often enlarge significantly during pregnancy and with each subsequent pregnancy. Pregnant women may notice varicose veins in the labia and around the buttocks. Varicose veins
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John Lipman answered:Are uterine fibroids serious?Fibroids can cause significant symptoms most notably heavy menstrual bleeding, pelvic pain, and increased urinary frequency. The symptoms in some women can be severe enough to cause them to go to the Emergency Room for treatment. The heavy bleeding can cause profound anemia which can necessitate... Full Post -
John Lipman answered:How are varicoceles treated?While surgical repair is often used to correct a varicocele, recent studies have shown that a non-surgical varicocele embolization procedure results in a lower recurrence rate, and allows the patient to avoid surgery.
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John Lipman answered:What increases my risk of having varicose veins?The following are risk factors for varicose veins:
1. Female sex: Women are several times more likely to suffer with varicose veins. Female hormones relax vein walls which can lead to varicose veins. Hormonal changes during pregnancy and menopause may increase a woman's risk. Taking birth control&n
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