Gyn Care

Bacterial vaginosis is a type of vaginal inflammation caused by the overgrowth of  bacteria naturally found in the vagina, which upsets the natural balance. Women in their reproductive years are most likely to get bacterial vaginosis, but it can affect women of any age.

If you have bacterial vaginosis (BV), prescription Nuvessa can treat your BV with just one dose.

Sometimes biopsies are needed to determine if something is benign or cancerous. Biopsies can usually be taken from any outside surface, or from inside the uterus in the case of abnormal uterine bleeding, without the need for anesthesia or major surgery. We have the equipment to safely and quickly perform most biopsies in the office. If you have abnormal uterine bleeding, have a concerning bump or lesion on the inside or outside of your vagina, and would like to be evaluated for possible biopsy, please call our office for an appointment.

Mirena IUD

The Mirena IUS (Intrauterine System) is an IUD with a progesterone capsule embedded in the IUD. In addition to being 99+% effective at preventing pregnancy, most women experience lighter and less painful periods. The Mirena IUS is effective for 5 years, and is covered by most insurance companies.

Kyleena IUD

Kyleena is a different kind of birth control option. Kyleena is a hormone-releasing IUD (intrauterine device) that prevents pregnancy for up to 5 years. After your healthcare provider places Kyleena, you should make sure that it is in place with a monthly thread check. Within 4 to 6 weeks of placement, you should return for a follow-up visit.

Paraguard IUD

The Paraguard IUD, also known as the "copper IUD", is effective for 10 years. The IUD is placed in the uterus during an office visit, and it is 99+% effective at preventing pregnancy. 

Nexplanon 

NEXPLANON is a small, soft, and flexible birth control implant—it’s just 4 centimeters in length. Your health care provider places it discreetly under the skin on the inside of your upper arm. This means it’s hidden from view. NEXPLANON provides up to 3 years of continuous pregnancy prevention.* That means no more daily, weekly, or monthly dosing routine.

Nuvaring

NuvaRing is a small, flexible vaginal ring used to prevent pregnancy. You put it in for 3 weeks, take it out, then put a new o

Usually, the first step in management of an abnormal PAP smear is a colposcopy. A colposcope is a magnifying scope, similar to a microscope, that allows our physicians to look for abnormalities on the cervix. If needed, biopsies can be obtained during the colposcopy. The physicians at Advocare Premier OB/GYN of South Jersey have been performing colposcopy for many years, and are able to offer this quick and simple procedure in the comfort of the office.

Dr. Grossman was the first physician in South Jersey to perform a "robotic" hysterectomy using the new daVinci S HD Surgical System. daVinci minimally invasive surgical procedures are associated with less bleeding, less pain, shorter hospital stays, and a faster return to normal activities. The daVinci laparoscopic surgical system can be used to treat benign and malignant conditions of the uterus, including heavy bleeding, fibroids, pelvic pain, uterine prolapse, and gynecological cancers. 

Endometriosis occurs when bits of the tissue that lines the uterus (endometrium) grow on other pelvic organs, such as the ovaries or fallopian tubes. Outside the uterus, endometrial tissue thickens and bleeds, just as the normal endometrium does during the menstrual cycle.

• ORILISSA is the only FDAapproved pill specifically proven to relieve moderate to severe endometriosis pain.

ORILISSA was proven to reduce:

1. Painful periods: gynecologists call this dysmenorrhea (DIS-men-uh-REE-uh).
2. Pelvic pain in between periods: gynecologists call this non-menstrual pelvic pain.
3. Pain with sex*: gynecologists call this dyspareunia (DIS-puh-ROO-nee-uh).

*There are 2 different doses of ORILISSA: 150 mg (taken once a day) or 200 mg (taken twice a day). Only the 200 mg dose was proven to work for pain with sex.

Fibroids, also known as "leiomyomas" or "leiomyomata", are common, benign growths of the uterine muscle. Often, fibroids cause no symptoms and can go undetected for many years. Sometimes, fibroids grow larger or are associated with heavy and painful periods that don't respond as well to hormonal treatments. Fibroids can cause bowel and bladder discomfort if they grow large and press on these pelvic structures, and sometimes fibroids can be a cause of recurrent miscarriage, infertility, and painful sexual intercourse. At Premier OB/GYN of South Jersey, we can discuss medical and surgical options for the management of problematic fibroids. 

Our physicians are trained to counsel patients about genetic factors that may increase a patient's risk of developing breast, ovarian, colon, and other cancers and offer BRCA testing.  Knowing your risk can mean early detection and prevention.  

In many cases heavy periods are annoying and inconveniencing for women. In other cases heavy periods can be debilitating, interfere with work and social activities, and can lead to other medical problems such as anemia. The physicians at Premier Obstetrics and Gynecology of South Jersey, LLC can discuss your heavy menstrual cycles with you, evaluate the possible causes of heavy bleeding, and suggest options for treatment of your heavy bleeding. If you require minimally invasive surgical management of your heavy periods, our physicians can discuss procedures that can be completed in the comfort and privacy of our office. 

Novasure® Endomentrial Ablation

NovaSure endometrial ablation is a quick, safe, and simple procedure to lighten or stop your periods, without the side effects of hormones or the risks of hysterectomy. No pills. No hormonal side effects.

HPV refers to a family of viruses, some strains of which can affect the cervix and eventually lead to cervical cancer. Other strains may cause genital warts, or warts in other parts of the body, but have no effect on the cervix. Current recommendations are for women over the age of 30 to have high risk HPV testing along with their annual PAP tests.

The currently available HPV vaccine, Gardasil, protects against four types of HPV virus, including two high risk strains that are responsible for most cervical cancer cases in our country. Gardasil is given as a series of three injections, and is available for girls and young women between the ages of 9 and 26. Please visit www.gardasil.com for more information about this vaccine.

We offer minimally invasive procedures when possible. Laparoscopy involves placing a skinny camera through a small (usually less than 1/2 inch) incision in the abdomen, and performing surgery through similarly small incisions. Laparoscopic surgery usually results in shorter hospital stays, fewer complications, and a quicker return to normal activities. Our office can schedule either "traditional" laparoscopic procedures, as well as the most advanced daVinci laparoscopic procedures. We offer surgical consultations and second opinions. 

Our physicians keep up to date with the latest research about hormone replacement therapy (HRT), for treatment of menopausal symptoms. If hormonal medications are not right for you, we can discuss alternatives to traditional HRT, in order to help you with your hot flashes, night sweats, and to minimize or prevent bone loss.

For women that experience vaginal burning, itching or painful intercourse, MonaLisa Touch is a minimally invasive procedure that uses C02 fractional laser technology to reverse vaginal atrophy and laxity, often caused by hormonal changes in pre- and post-menopausal women. The laser is inserted into the vagina and laser pulses stimulate new collagen production in the vaginal wall. Laser vaginal revitalization naturally increases blood flow and lubrication to help improve the natural function of the vagina.

Oral contraceptives are known also as the Pill, OCs, BCs, BC tablets, or birth control pills. This medicine usually contains two types of hormones, estrogens and progestins and, when taken properly, prevents pregnancy. It works by stopping a woman's egg from fully developing each month. The egg can no longer accept a sperm and fertilization is prevented. Although oral contraceptives have other effects that help prevent a pregnancy from occurring, this is the main action.

Test A Pap test, often referred to as a Pap smear, involves obtaining a sample of cells from your cervix (the bottom-most part of your uterus), and looking for abnormal changes that may one day lead to cervical cancer. You should have your first Pap test within three years of having sexual intercourse, or at the age of 21, whichever comes first.

Do you have "PMS" symptoms around the time of your period? Symptoms may include angry and irritable moods, crying spells, insomnia, breast tenderness and bloating, among other things. The physicians at Advocare Premier OB/GYN of South Jersey evaluate your symptoms and recommend treatment options that best suit your needs.

Advocare Premier OB/GYN of South Jersey, values the relationships we form with our patients over the course of many years. Routine annual visits include pelvic and breast exams, PAP smears, testing for sexually transmitted diseases, contraception counseling and family planning. If you are due, we will refer you for mammography or bone density testing.

• Most vaginal yeast infections are caused by the organism Candida albicans.
• Yeast infections are very common and affect up to 75% of women at some point in their lifetime.
• The main symptom of a vaginal yeast infection is itching, but burning, discharge, and pain with urination or intercourse can also occur.
• Treatment involves topical or oral antifungal medications.
• It is possible for a woman to transmit a yeast infection to a male sex partner, even though yeast infection is not considered to be a true sexually-transmitted disease (STD) because it can occur in women who are not sexually active.
• Treatment of yeast infection in men, like in women, involves antifungal medications.
• Keeping the vaginal area dry and avoiding irritating chemicals can help prevent yeast infections in women. Consuming foods with probiotics also may help.