The Center provides a nationally and internationally standard of excellence in the care of menstrual disorders. Dr. Wortman has been an important innovator in gynecology since the 1980s. He has invented procedures such as hysteroscopic endomyometrial resection and reoperative hysteroscopic surgery for endometrial ablation failures. Dr. Wortman server on the Editorial Board of the Journal of Minimally Invasive Gynecology and is the Medical Director of the Center for Menstrual Disorders and Reproductive Choice.
At the Center’s offices we also offer the option of virtually any office-based gynecologic procedure to be performed with Intravenous Sedation or with Monitored Anesthesia Care. Dr. Wortman works with Dr. Stefan Lucas, a Board Certified Anesthesiologist who provides anesthesia care for our patients.
Why is this important?
Many so-called “office procedures” –simply put—are painful. You may have heard of some of these procedures but here’s a sampling.
- Insertion of an Intrauterine Device (IUD)
- LEEP (loop electrosurgical excision procedure)
- Diagnostic hysteroscopy
- Cervical biopsy
- Endometrial biopsy
- D and C
- Removal an endometrial polyp (polypectomy)
- Endometrial ablation
- Hysteroscopic myomectomy
Although many women do fine with having these procedures performed with the use of “local anesthesia” or oral medications, the truth is that most women find these procedures uncomfortable and even painful.
Why doesn’t my own doctor use anesthesia or intravenous sedation in an office-setting?
The simple fact is that gynecology offices in New York State can offer these services only if they are accredited for office-based surgery. Our office has been accredited since 2008 by the Accreditation Association for Ambulatory Health Care (AAAHC). Accreditations are performed every 3 years and provides the public with the reassurance that an important standard of care has been achieved and maintained.
If you would like to learn more about having your office-based procedure performed at the Center, please contact our office.
Why are we the only ones performing Ultrasound Guided Reoperative Hysteroscopy Surgery (UGRHS) for endometrial ablation failure?
So why are you the only one? It’s a question I often get asked from women across the country and abroad.
Let me try and explain this complex issue and why you don’t find this procedure readily available around the country—at least not yet. Continue reading “Why Are We The Only Ones?”
Women know of many gynecologic procedures. Many women have heard of terms such as colposcopy, endometrial biopsy, hysterectomy, tubal ligation and others. But most are not familiar with the term “hysteroscopy.” In this brief section we’ll attempt to explain hysteroscopy and how it can benefit women who might be dealing with such issues as abnormal menstrual bleeding, uterine (endometrial) polyps or certain types of fibroids. Hysteroscopy is also often used in the diagnosis of infertility.
Hysteroscopy—sometimes referred to as “Diagnostic Hysteroscopy” and is a test in which a thin “lit” telescope is placed inside the uterus to look within the uterine cavity. The information that is provided by hysteroscopy is enormous.
Here are some of benefits of hysteroscopy Continue reading “HYSTEROSCOPY – What is it?”
Our Nurse Practitioner Amy Daggett “weighs in”
My relationship with food is a double edged sword. Although I find comfort in creating delicious entrees and desserts, I lacked the will power needed to make healthy food choices. We live in a society where foods with low nutritional values are inexpensive and readily available whereas healthier choices are costly and require preparation. After years of losing this battle, at age 53 I found myself obese and depressed.
Continue reading “Setting An Example For A Healthy Lifestyle”
Here are some things to consider
An endometrial biopsy (EB) is often done on women who are undergoing evaluation of abnormal periods or for an infertility issue.
An EB involves the passage of a small instrument into the cervix at which point the lining is randomly scraped and the specimen which is obtained is submitted to lab for analysis. The endometrial biopsy is a screening test for abnormalities such as endometrial hyperplasia (a pre-cancerous condition of the uterus) and endometrial cancer.
Continue reading “Been Told That You Need An Endometrial Biopsy?”