Advanced gynecology is the specialized treatment of the most common and complex conditions affecting women of all ages. I have over 30 years of experience in gynecologic services both surgical and non-surgical. Our advanced services include optimization of hormones throughout the span of a woman’s life, pre-menstrual disorder, peri and post-menopausal concerns; treatment of dysfunctional bleeding, pelvic pain and relaxation, family planning, including contraception and fertility; sexual wellness, urinary incontinence and many others.
I invest in continuing education, equipment and training for myself and my staff. We listen and adjust care for each patient’s needs. I am happy to say with our flexible scheduling process and my experienced and caring Nurse Practitioner, we have shortened wait times for appointments. Patients receive the most up-to-date and advanced management possible in a caring and respectful environment.
Our intent is a long-term relationship centered on preventative me...
We have been taking care of men for more than 25 years in family planning, hormone therapy, laser skin and body treatments and prp therapy. With our flexible scheduling process, men's appointments may be scheduled for early morning and late afternoon. You can even call or email our Men's Director, David for discreet information before scheduling. Email David.
Testosterone is very important in the physiology of numerous organ systems of the body. The serum testosterone concentration declines as part of the process of aging and even the slightest change can have a very big impact on a man's overall health and well-being.
With low testosterone levels (sometimes referred to as Andropause or Low T) you may experien...
Besides pain or irregular bleeding, there are other symptoms many women have that are linked to certain gynecologic conditions.
Difficulty urinating or having bowel movements
Infertility (cannot get pregnant/miscarriages)
Feeling of pressure on your bladder or rectum
Slipping or dropping of your vagina or uterus
Feeling heaviness or pressure in your pelvis
Constant abdominal pressure
Swelling or bloating
Urgent need to urinate
Recurrent urinary tract infections
Pain while standing or walking
Talk to us. Please review our website, www.stefanieaschultismd.com for informative and engaging information for your health and well-being for both women and men. It is also easy to schedule appointments by requesting online as well as personal attention by telephone. Your health is important. Make the most of it.
Cancer is a disease that happens when cells in our bodies grow out of control. Cancer mostly starts in one place and can spread to other parts of the body. We name types of cancer after the body part it started from. Cancer that starts in the cervix is called cervical cancer. The cervix is the part of the reproductive system that connects the vagina (birth canal) to the uterus (the womb).
How do you get cervical cancer?
Cervical cancer is almost always caused by human papillomavirus (HPV). HPV is a common virus that can be passed from person to person through sexual contact. There are many types of HPV. Some types can cause changes to a woman’s cervix which can lead to cancer. HPV is very common – most people get it at some point in their lives! HPV does not have symptoms and can go away on its own. But if HPV does not go away, it can cause cancer.
Who can get cervical cancer?
Any woman can get cervical cancer but women over 30 are at risk the most. There are cert...
Childbirth, menopause, certain skin conditions (vulvar dystrophy, lichen sclerosis), cancer treatment, and aging can cause thinning of the vagina (vaginal atrophy).
Vaginal atrophy can lead to vaginal dryness, painful sex (dyspareunia), vaginal irritation, vaginal burning, and skin discoloration of the vulva with age spots or brown spots. Other symptoms such as urinary incontinence have been successfully treated with laser therapy.
If you cannot use traditional hormone therapies, you don’t respond to estrogen treatment, or if a history of breast cancer has made it difficult for you to use other therapy methods, the Juliet™ Laser may be the answer for you.
The laser energy painlessly stimulates collagen production in the vaginal muscles and tissues to tighten and revitalize the area. It is a drug-free, non-hormonal office treatment with no down...
About 4 in 10 women have problems with sex at some point during their lives. Pain during sex may be a sign of a gynecologic problem, such as ovarian cysts or endometriosis. It may also be caused by problems with sexual response, such as a lack of desire (the feeling of wanting to have sex) or a lack of arousal (the physical and emotional changes that occur in the body as a result of sexual stimulation).
What causes sexual problems in women?
Some common causes of sexual problems in women include the following:
Hormonal changes - such as during pregnancy, perimenopause, or menopause
Cancer treatments and their side effects
Some illnesses and medications
Relationship problems with your partner
Past negative experiences
Depression, anxiety, or stress
What types of sexual problems affect women?
“Female sexual dysfunction” is a general term for a problem with sex. The problem can be a lack of interest in sex. It also can be a lack of response to sexual activity. Sexual problems fall into fo...
In addition to vaccination, regular screening and treatment of pre-cancerous lesions protects from cancer.
The uterine cervix is the lowest portion of a woman's uterus (womb), connecting the uterus with the vagina.
Cervical cancer occurs when the cells of the cervix grow abnormally and invade other tissues and organs of the body. When it is invasive, this cancer affects the deeper tissues of the cervix and may have spread to other parts of the body (metastasis), most notably the lungs, liver, bladder, vagina, and rectum.
However, cervical cancer is slow-growing, so its progression through precancerous changes provides opportunities for prevention, early detection, and treatment. Better means of detection have meant a decline in cervical cancer in the U.S. over the decades.
Most women diagnosed with precancerous changes in the cervix are in their 20s and 30s, but the average age of women when they are diagnosed with cervical cancer is the mid 50s...
Gynecologic cancers involve all of the female reproductive system, including the cervix, ovaries, fallopian tubes, uterus, vulva, and vagina. All women are at risk for these cancers.
According to the Centers for Disease Control, eac
h year in the United States, approximately 89,000 women are diagnosed with gynecological cancers, and over 29,000 die from them. Each gynecological cancer has different signs and symptoms, as well as different risk factors. Risk increases with age.
Infection of the cervix with human papillomavirus (HPV) is almost always the cause of cervical cancer. Women who do not regularly have tests to detect HPV or abnormal cells in the cervix are at increased risk of cervical cancer.
There are three types of ovarian cancer in adults, including: ovarian epithelial cancer, which begins in the tissue covering the ovary, lining of the fallopian tube, or the peritoneum; ovarian germ cell tumors, which start in the egg or germ cells; and...