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Abdominal Myomectomy
The size and location of the incision will depend on the size and number of fibroids you have. The abdominal approach is usually reserved for patients with a large number of fibroids, or very large fibroids. The advantages of the Abdominal myomectomy in this setting is that it allows the surgeon the ability to actually feel the uterus and allows the surgeon to find fibroids deep inside the uterus that may not be visible just by looking. The disadvantages are a longer hospital stay, longer recovery period,greater risk of blood loss, and pain. Patents typically require a 48 to 72 hour hospital stay.
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Colposcopy
A colposcopy is indicated in the setting of an abnormal pap smear. If your pap smear showedatypical cells of undetermined significance(ASCUS) with the presence of human papilloma virus, low grade squamous intraepithelial neoplasia (LSIL), or high grade squamous intraepithelial neoplasia you will be scheduled for a colposcopic examination. A colposcope is used to enlarge the cervix, and vaginal skin and labia if needed, so that your provider can better visualize potentially abnormal areas. A special solution called acetic acid is applied to the cervix which assists in visualizing areas of concern. If an area is identified, a biopsy will be taken to send to a pathologist for more accurate diagnosis. The goal of the procedure is to obtain a tissue sample if abnormal areas are identified because the tissue will aid the pathologist to make a more accurate diagnosis of the type of abnormal cells that exist than a pap smear alone.
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Labial Reduction
Labial hypertrophy is a condition that results in labia majora or labia minora that are enlarged. The size of both labia may be reduced to relieve discomfort with walking, sport activity, sitting or intercourse. The procedure is performed in the operating room under anesthesia. Post-operative care and vaginal hygiene is key to prevent infection. The biggest risk to the procedure is suture (stitches) breakdown, infection, and scarring.
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Intra Uterine Device Placement
An intrauterine device(IUD) is a T-Shaped contraceptive device placed inside the uterus. The procedure is performed in the office. There are two types of IUD’s the paragard IUD (Copper, hormone free) and the Mirena IUD (releases progesterone to the uterine lining daily). The paragard last for 10 years and the Mirena for five years. Both can be removed prior and are a long-term form of reversible contraception. Not all patient’s are optimal candidates for IUD placement, this will be determined at your visit.
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Accepted Insurance
Below is a list of some health insurance plans Orlando Health Physician Associates accepts:
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Billing Information
Paying your bill online with Orlando Health Physician Associates is secure and instantaneous. All credit card information is encrypted and secure according to federal guidelines.
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New Patient Forms
Welcome to Orlando Health Physician Associates! As a first time patient, we have made it easy for you by offering health related forms online. Please select the appropriate form(s), print them out and bring them to your appointment already completed. By offering you this option to print the forms in advance, you will be able to complete them at your own pace and in the comfort of your own home. Please print the forms on white paper only.
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Erin Dench, ARNP, CNM, MSN
7416 Red Bug Lake Rd. Oviedo, FL 32765 Phone: 407.381.7387 Fax: 407.971.0632 Medical Education Georgetown University, MS, Certified Nurse
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Tracy Nielson, Lead CNM, MSN
Biography "As a child, I always dreamed of being a midwife. I consider it a privilege to be part of a mother's birth experience." Medical Education
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Elena Smith, APRN, CPNP, DNP
Elena Smith, APRN, CPNP, DNP, is a certified pediatric nurse practitioner with Orlando Health Physician Associates.
