Subdermal Contraceptive Implant (Nexplanon)
The Nexplanon is an etonogestrel implant that is used for long term contraception. It is a flexible plastic rod that is approximately 1.5 inches in length (about the size of a match) and is inserted just under the skin in the upper arm. It slowly releases progestin into the body to give contraceptive benefits for 3 years. This is easily inserted in the office with a small amount of local anesthetic.
What are polyps?
Polyps are abnormal growths of tissue on a mucous membrane. The most common polyps experienced by women are the cervical variety. These cervical polyps occur in women over the age of 20 and are finger-shaped, red growths found on the cervix. Though we do not yet know the cause of cervical polyps, some studies suggests that it may be from infection or a long-term inflammation, an abnormal response to an increase in estrogen, or a mass of blood vessels in the cervical canal. Polyps can be removed during a pelvic exam, but unless they cause bleeding, discomfort, or have an unusual appearance, they need not be removed.
What happens in a hysterectomy?
With hysterectomies, the uterus can be removed using any of the following methods:
- A small incision, about two inches long, just at or above the pubic hairline. This method is sometimes referred to as a mini-laparotomy or “mini-lap.”
- An incision in the vagina.
- A large incision made in the lower abdomen.
- A procedure called laparoscopy. Laparoscopy is the least invasive of all the methods listed. A laparoscope, a small surgical viewing instrument, is inserted through a small incision to gauge the size and position of the uterus. When combined with surgery, it can remove the uterus through an incision in the abdomen (laparoscopic assisted hysterectomy) or vagina (laparoscopic assisted vaginal hysterectomy).
The ovaries can be removed at this time as well. The decision to remove or leave the ovaries is based on what is best for you and your health, which your physician will help you determine.
What I can do to stop morning sickness?
“Morning sickness,” or nausea and vomiting (NVP), affects up to 80 percent of pregnant women and generally subsides after 16 weeks. Studies have found that some 20 percent of women experience “morning sickness” throughout their entire pregnancy. Herbal remedies, such as vitamin B6 and ginger, as well as acupressure have been used safely with some success. If symptoms make it difficult to perform daily activities, please consult with your physician to find the best remedy for you. Some simple strategies that can assist with easing symptoms include:
- Try eating small portions every one to two hours. Wait 20 to 30 minutes after eating to have something to drink. Studies have found that eating and drinking separately can ease nausea.
- Eat what you can tolerate. There are supplements available if you are unable to consume a full meal such as protein bars, pudding, and liquid supplements.
- Drink at least eight glasses of fluids daily in small amounts. Ice chips and popsicles are easy to tolerate and an option to get those fluids. For your electrolyte balance, sport drinks may help.
- Try not to swallow excess saliva. Studies show that saliva increases symptoms of nausea and vomiting.
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