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Posts for category: Obstetrics Gynecology

By Serenity Gynecology & Functional Medicine
February 20, 2020
Tags: Gynecologist  

Dr. Miriam Torres of Serenity Gynecology & Functional Medicine in Grapevine, TX, provides patients with much needed gynecological medical care. A gynecologist has a very important role in supplying women with the medical care they need.

Here are a few important services Dr. Torres provides patients:

Annual Exams: An annual exam is key to ensuring good health. The most important reason for an annual gynecological exam is to diagnose abnormalities in their early stages to begin treatment as soon as possible.

Pap Smear: This is sometimes called a cervical smear and is a routine in-office screening done using a tool called a spatula. The procedure takes a few minutes and is meant to test for pre-­cancerous conditions.

Contraception: Also known as birth control, the importance of your Grapevine gynecologist is to help educate patients with different contraceptive options:

  • Intrauterine devices (IUD): This is an efficient removable birth control placed in the uterus.
  • Hormonal Birth Control: There are many hormonal birth control methods-- patches, implants, injections and pills-- that prevent fertilization.
  • Barrier Methods: Barrier methods include condoms, diaphragms and sponges that prevent sperm from entering the uterus.

Sexually transmitted diseases (STI): STI screening detects sexually transmitted diseases and is not usually a part of regular medical checkups, which means it's important to set up a separate appointment with your doctor.

Apart from checkups and tests, your gynecologist plays an important role in diagnosing and treating various illnesses, including:

  • Pelvic pain
  • Ovarian cysts
  • Uterine fibroids
  • Endometriosis
  • Menstrual disorders
  • Urinary tract infection
  • Polycystic ovarian syndrome (PCOS)
  • Vaginal skin disorders
  • Post-menopausal issues
  • Infertility
  • Pelvic floor disorders
  • Pre-cancerous lesions
  • Sexually transmitted diseases

There are several reasons to visit your gynecologist. Dr. Torres plays a key role in helping patients maintain a healthy life. If you'd like to know more of what she has to offer at her Grapevine, TX, office, Serenity Gynecology & Functional Medicine, then give her a call at (817) 280-9616 today.

By Serenity Gynecology & Functional Medicine
February 12, 2020
Tags: IUD  

More women in the US than ever before have an IUD, or intrauterine device. IUDs have become a popular birth control method for women because of its “set it and forget it” approach. If you’ve been hearing your girlfriend talking about how much they love their IUD it may have you thinking whether or not this is the right option for you. An OBGYN can answer all of your questions and help you make an informed decision about your family planning needs.

Here’s what you should know about getting an IUD and what to expect when you want it removed,

There are different kinds of IUDs

Your gynecologist will discuss the different options during your consultation. There are a variety of different hormonal (progestin-releasing) IUDs on the market; however, if you experience negative effects from hormonal birth control then non-hormonal birth control such as the Paragard (copper) IUD may be the best option for you.

This copper IUD will prevent pregnancy as soon as it’s placed and it can last up to 10 years. The average lifespan of a hormonal IUD is 3-5 years.

The IUD placement procedure is fast

To get an IUD your gynecologist will place a speculum into the vagina where they will then insert the IUD into the opening of your cervix where it will remain in the uterus. The simple procedure is performed right in your gynecologist’s office and it only takes a couple of minutes to place. You may be instructed to take an over-the-counter pain reliever prior to reduce cramping and a local numbing medication may also be applied to the cervix prior to the insertion.

Every woman will respond differently to getting an IUD. Some women may be able to return to work the very same day while others may need to take some time off. It’s best to err on the side of caution and maybe take the day off work so you can manage any symptoms you may have and just take it easy.

The IUD can be removed anytime

If you decide you do want to get pregnant or you no longer need birth control then you will want to discuss this with your gynecologist. The IUD removal process is simple and involves pulling the thread of the device so it collapses and slides right out. It’s important that you don’t try and remove the IUD on your own; it should always be removed by a qualified medical professional.

Have questions about getting an IUD? Want to find out whether this is the best birth control method for you? Then schedule an appointment with your gynecologist today.

By Serenity Gynecology & Functional Medicine
January 30, 2020
Tags: Genetic Testing  

Finding out you’re pregnant is one of the most exciting moments for soon-to-be-parents. Throughout the course of your pregnancy you will want to have an OBGYN that you trust to guide you through the process and to provide you with the care and treatment you need to ensure a healthy pregnancy for both you and the baby. You will most likely be offered prenatal genetic testing during the first or second trimester of your pregnancy. If so, it’s important to understand more about genetic testing and why it’s done.

What is prenatal genetic testing?

These genetic tests are conducted during pregnancy to screen for certain birth defects and other fetal conditions. It is recommended that all pregnant women go through certain prenatal genetic testing, regardless of age or other risk factors. Of course, your obstetrician may recommend additional genetic testing if there are certain risk factors present.

What are the different kinds of prenatal genetic tests?

Here are the prenatal genetic tests that your OBGYN may offer or recommend:

First Trimester Screening

This screening involves both an ultrasound and blood test to check for certain birth defects including trisomy 18 (Edward’s syndrome), trisomy 13, neural tube defects and Down syndrome (trisomy 21). Even though these abnormalities increase with the mother’s age, it’s recommended that every pregnant women get this testing. This is usually the first set of prenatal genetic testing you’ll receive after you find out you’re pregnant.

Chorionic Villus Sampling

Chorionic Villus Sampling (CVS) is a prenatal test that detects genetic disorders, birth defects and other problems that may occur early on in the pregnancy. This procedure is usually performed within the first 10-12 weeks of a woman’s pregnancy at your OBGYN’s office. This testing can be performed as either a transabdominal CVS or transcervical CVS.


Amniocentesis allows your obstetrician to collect amniotic fluid, which can provide important insight into the health of your baby. Amniocentesis can check for fetal infections, can test your baby’s lungs, and check for genetic disorders such as Down syndrome. If amniocentesis is being performed for strictly genetic purposes then this is often performed between 15 to 20 weeks.

There are many reasons a woman or couple may choose to get genetic amniocentesis including advanced maternal age, positive results on other prenatal screenings or unusual ultrasound findings.

Cystic Fibrosis Carrier Screening

Cystic fibrosis (CF) is one of the most common and dangerous genetic disorders. Since cystic fibrosis is inherited a simple blood test can be performed to see if you are a carrier for CF. Testing positive on the carrier test does not necessarily mean that you will have a child with CF.

AFP + Screening

Alpha-fetoprotein (AFP) is a blood test that checks the levels of AFP (a protein produced by the baby’s liver) for signs of a birth defect, Down syndrome or neural tube defects. This test is usually offered between 15 and 20 weeks and is most often recommended in pregnant women over 35, as well as women with diabetes.

Your OBGYN is here to make sure that all of your questions and concerns about you and your baby’s health are addressed during your pregnancy, so if you have any questions about genetic testing your doctor would be happy to sit down with you and discuss these testing options.

By Serenity Gynecology & Functional Medicine
January 15, 2020
Tags: Breast Exams   Mammogram  

Every two minutes a woman is diagnosed with breast cancer in the US, making breast cancer one of the most common cancers to affect American women. Your OBGYN believes in the importance of self-breast exams and getting regular checkups, which not only can detect issues early on but also could end up saving your life. Furthermore, by performing regular self-breast exams you get to understand how your breasts should look and feel so that you know right away when something feels amiss.

First and foremost, you should get used to performing a breast exam on yourself once a month. The best time to perform these exams is a few days after your period ends so your breasts will be less sore and swollen. Most breasts will feel lumpy; this should not be a cause for concern (this is completely normal).

If you notice a new lump or you notice any changes in the texture or shape of your breast then you should also make an appointment with your doctor. You should also seek medical attention if you notice soreness, redness, swelling, or dimpling of the skin. Once a year during your annual women’s checkup, your gynecologist will also perform a simple, noninvasive breast exam.

Women between the ages of 45 and 54 should also be getting a routine mammogram once a year along with their annual gynecological visit. Women over 55 years old should still get mammograms but may only need to get one once every other year. Those at an increased risk for developing breast cancer may need to visit their doctor before age 45 and more often for screenings.

Along with performing a breast examination your annual wellness checkup with an OBGYN is extremely important and shouldn’t be missed. While most women associate this annual gynecological exam with Pap smears, the visit involves so much more for your health. From adolescence until older adulthood, all women should visit their gynecologist for an annual examination to help prevent problems and detect issues early on when they are easily treatable.

During your annual checkup a gynecologist can:

  • Screen for and help prevent sexually transmitted infections
  • Detect and treat vaginal infections
  • Determine the cause of pelvic pain and irregular bleeding
  • Treat menstrual problems
  • Discuss birth control options
  • Determine breast changes

Many women will experience problems at some point during their lifetime, whether it’s a simple urinary tract infection, unexplained abdominal pain, or breast cancer. When problems arise it’s important that you have a gynecologist that you trust to provide you with the compassionate, understanding and delicate care you need. If it’s been more than a year since your annual OBGYN checkup, call your gynecologist today.

By Serenity Gynecology & Functional Medicine
December 27, 2019
Tags: Menopause  

Serenity Gynecology & Functional Medicine of Grapevine, TX, provides patients with women's healthcare. Of the many services, Dr. Miriam Torres provides patients with information about menopause to help women better understand their bodies and ne.

Here are some FAQs about menopause:

What is menopause?

This is when a woman can no longer become pregnant, and naturally stop producing periods as a result. This is a natural occurrence that happens to women between the ages of 45 and 55.

What causes menopause?

Menopause is a natural change in the body's sex hormones due to age. During this time, the ovaries stop producing as much estrogen and eggs are no longer released each month.

Sometimes, certain treatments, underlying medical issues, and surgical procedures can bring about menopause, these include:

  • Removing the ovaries (oophorectomy)
  • Some breast cancer treatments
  • Chemotherapy
  • Radiotherapy
  • Down's syndrome
  • Addison's disease

What are the symptoms of menopause?

To properly understand menopausal women's healthcare, you must have a better idea of what to expect. Symptoms may occur several months or even years before the menstrual cycle fully stops, but this varies from one woman to another. Common symptoms include:

  • Hot flushes
  • Night sweats
  • Vaginal dryness
  • Discomfort during sex
  • Difficulty sleeping
  • Anxiety
  • Reduced sex drive
  • Problems with memory
  • Problems concentrating

When should you visit your Grapevine gynecologist?

If you experience the symptoms mentioned above before the age of 45 and/or the symptoms disturb your everyday life, then you may need to speak with your doctor about undergoing a blood test to measure your hormone levels.

What are some treatments for menopausal symptoms?

  • Hormone replacement therapy (HRT) through tablets, skin patches, gels, and implants to replace estrogen
  • There are medicines to help treat vaginal dryness, such as vaginal oestrogen creams, lubricants, or moisturizers
  • Cognitive Behavioral Therapy (CBT) can help with mood swings and anxiety
  • Maintaining a healthy, balanced diet and exercising regularly

If you would like to speak with your doctor about menopause and women's healthcare in general, don't hesitate to contact Serenity Gynecology & Functional Medicine in Grapevine, TX, today by dialing (817) 280-9616.