Who are gynecologists?
Gynecologists are doctors who study the functions and conditions affecting the female reproductive system—breasts, uterus, fallopian tubes, and ovaries. Women visit them first after puberty and last when they experience menopause. Gynecologists also recommend annual checkups.
A licensed gynecologist in the U.S. has an undergraduate degree, followed by four years of medical school and four years of residency, concentrating on obstetrics and gynecology. The American Board of Gynecologists (ABOG) conducts written examinations and offers board certification to gynecologists. In addition, some specialists also undergo fellowship in a specific specialty.
Specializations in gynecology
The advanced specialization is a three-year course, and the subspecialties include gynecologic oncology, maternal-fetal medicine, female pelvic medicine and reproductive surgery, and reproductive endocrinology and infertility. Let's understand them in detail:
- Maternal-fetal medicine deeply understands high-risk pregnancies and how to handle them successfully. Some conditions that make pregnancies high-risk include gestational diabetes, gestational high blood pressure, premature labor, and clotting disorders.
- Reproductive endocrinology focuses on the causes of infertility in women and ways to treat them. They help women conceive by performing assisted reproduction procedures like embryo transfer, in vitro fertilization, intrafallopian gamete transfer, and zygote intrafallopian transfer.
- Gynecologic oncology deals with malignant tumors found in the female reproductive system, which include cervical, ovarian, uterine, and vulvar cancer.
- Female pelvic medicine and reproductive surgery focus on the pelvic floor — the connective tissue and muscle below a woman's pelvis. The pelvic floor weakens because of pregnancy, old age, and certain medical conditions — urinary tract disorders, vaginal infections, urinary or fecal incontinence, bladder pain, overactive bladder, and pelvic organ prolapse.
Conditions that gynecologists treat
Gynecologists have expertise in solving all types of problems related to women's reproductive health, including discomfort in your pelvis, vagina, vulva, or uterus. They can diagnose and treat infertility, pregnancy, menopausal issues, and painful menstruation caused by polycystic ovary syndrome, ovarian cysts, fibroids, endometriosis, pelvic inflammatory abscesses, and ulcers in the vagina or vulva.
They diagnose and treat congenital abnormalities in the female reproductive tract, premalignant conditions such as cervical dysplasia and endometrial hyperplasia, and tumors found in breasts, ovaries, uterus, and vagina. They also manage urinary bladder-related issues in women, such as fecal and urinary incontinence. Gynecologists have deep knowledge about issues around family planning, such as ways to prevent pregnancy (contraception), sterilization, and termination of pregnancy.
In addition, some gynecologists may also treat diabetes, asthma, cardiovascular disease, thyroid, osteoporosis, personality disorders, and depression, and even help women dealing with sexual assault and domestic violence.
Standard diagnostic tests that gynecologists perform
Some standard diagnostic tests that gynecologists commonly perform at the practice include a pap smear, colposcopy, ultrasound scanning, endometrial biopsy, and hysteroscopy.
A pap smear is a procedure where specialists use a speculum to collect cells from the cervix. It is used for both screening and diagnosing cervical cancer. It helps prevent cervical cancer from developing and improves the survival rate in patients with early detection.
The doctor recommends a colposcopy if the pap smear test results are abnormal. In this procedure, gynecologists insert an instrument called a colposcope into the cervix that scraps a tissue sample for testing. A colposcopy examines the tissues of the cervix, vulva, and vagina to check for diseases.
Ultrasound scanning is a non-diagnostic imaging procedure that helps view the female reproductive organs and check for abnormalities. Hysteroscopy is another non-invasive technique to study the inner lining of the uterus, where an instrument called a hysteroscope(a narrow telescope with a light and camera) is used. When a hysteroscope passes into the uterus through the vagina, it sends images of the uterine walls onto the monitor.
Endometrial biopsy is an invasive procedure where specialists collect a tissue sample from the inner lining of the uterus to view under a microscope to check for abnormalities or variations in hormone levels.
Signs you need to visit a gynecologist near you
While some gynecologic problems may not have severe symptoms, they may indicate a serious underlying health issue. It is advisable to see a gynecologist if you experience the following symptoms-
- If you have a new or unusual breast swelling. Breast swellings can be expected before periods or during pregnancy. However, rapid swelling and discoloration may indicate inflammatory breast cancer.
- If you experience excessive growth of facial or chest hair. It may indicate elevated male hormone (androgen) levels and can be a polycystic ovary syndrome (PCOS) symptom. Other symptoms like adult acne, obesity, and irregular menstruation may also be present.
- If you have acute pelvic pain. It may be caused due to the presence of an ovarian cyst, endometriosis, or pelvic inflammatory disease (PID).
- If you have extremely painful periods. Most women experience cramps, abdominal bloating, sore breasts, and headaches during their periods. However, if the pain persists for long periods, it can be a sign of endometriosis.
- If you have an unpleasant vaginal odor that lasts for an extended period. It may indicate the growth of bacteria or a vaginal infection.
- If you find bumps or blisters on your labia. A bump may be an ingrown hair, but it could also be a genital wart or a lesion accompanying genital herpes. Your gynecologist will be able to determine if you have a minor problem or a severe condition.
When should girls have their first gynecologist visit?
According to guidelines provided by the American College of Obstetricians and Gynecologists (ACOG), young girls should have their first OB-GYN visit between the ages of 13 and 15. In the United States, the average age around when girls get their first period or menstrual cycle is 12 years and nine months. Therefore, girls should have their first visit as early as 13.
According to the North American Society for Pediatric and Adolescent Gynecology, girls turning 21 must also get annual pap tests to screen for cervical cancer, regardless of sexual activity.
What to expect at your first gynecology appointment
The first gynecologic visit helps girls address their developmental concerns, understand their reproductive system, and establish relationships with their gynecologist. It may not necessarily involve tests or a pelvic exam.
Gynecologists understand that people can feel nervous; thus, they ensure patients are at ease and comfortable asking personal questions. Women have different health concerns at various developmental stages in their lives. You can speak to your gynecologist regarding sexuality and sexual activity, vaginal and oral sex, irregular periods, birth control, emotional issues, mental health problems, and physical changes to the body.
If you have problems such as excessive acne, abnormal bleeding, period pain, or pain during urination or intercourse, a gynecologist will likely conduct a pelvic exam or external genital exam. It lasts only a few minutes and is part of a regular checkup where your gynecologist checks your vulva, vagina, cervix, ovaries, uterus, rectum, and pelvis for visible abnormalities.
Your gynecologist may also recommend further diagnostic tests if deemed necessary. Besides identifying diseases, a general exam includes recording a patient's height, weight, and blood pressure. Your gynecologist may also discuss essential vaccines you may need for tetanus, HPV, and influenza.
How to take care of your gynecological health?
Before you book an appointment with a gynecologist near you, it is advisable to take some preventative care. Here are some ways to maintain and improve your gynecological health at home:
- Maintain proper hygiene - Caring for your body begins with good hygiene practices. When cleaning your intimate areas, avoid using harsh soaps, as your vagina has a natural self-cleaning system. Opt for breathable underwear instead of tight-fitting options to prevent excess moisture, which can encourage the growth of harmful bacteria.
- Prioritize safe sex - Protecting your reproductive health also involves practicing safe sex. There are over 20 different types of sexually transmitted infections that could impact your health and overall well-being. Be open and honest with your partner about sexual health, and consider consulting a gynecologist for personalized advice on maintaining reproductive health in your intimate relationships.
- Focus on diet and exercise - Your overall health plays a significant role in ensuring your reproductive system stays healthy. Eating a nutritious diet and including foods like yogurt, which promotes good bacteria, can help support vaginal health. Regular exercise can also alleviate missed or heavy periods and reduce pelvic discomfort.
- Perform breast self-exams - While many gynecological concerns require professional evaluation, you can monitor your health by performing monthly self-examinations of your breasts. Check the entire breast area, including the nipples and underarms, for any unusual lumps or changes. If you notice anything abnormal, promptly visit your gynecologist for further assessment.
Finding the best gynecologists in San Antonio, Texas
Since gynecologists take care of your reproductive needs from the moment you hit puberty, it is essential to find an expert who is qualified and experienced to care for all your needs. Zocdoc helps you connect with the best gynecologist near you in a few clicks to aid you in this process.
Zocdoc allows you to filter gynecologists based on your condition, location, appointment date and time, and medical insurance. Once you enter the details, Zocdoc will immediately filter through its database and present options matching your requirements. If your insurance plan is not listed on Zocdoc, you can try uploading a photo of your medical insurance card (note that this feature is not available for vision or dental plans). Zocdoc will scan the image to identify and display your likely insurance plan. Our service team can assist you if you encounter any issues uploading your card.
All gynecologists on Zocdoc have a profile page containing essential information such as their education, training, work experience, certifications, licenses, affiliations, and accreditations. The profile also includes ratings and verified reviews from previous patients that aid in making an informed decision. If you have any questions about the process, you can refer to the Zocdoc patient help center.
If you have a particular gender or language preference, you can use advanced filters like language, gender, hospital affiliation, and whether or not they treat children. Book an in-person or online appointment after finding the right gynecologist near you in San Antonio.
All bookings on Zocdoc are fast, free, and secure!
Gynecology statistics for San Antonio, Texas
U.S. Bureau of Labor Statistics report stated that about 910 licensed obstetricians and gynecologists were practicing in Texas in May 2023. The number was the fifth-highest in the whole U.S., but the location quotient for Texas (around 0.51) was much lower than the national average.
According to the 2022 Texas STD Surveillance Report published by the Texas Department of State Health Services, the number of sexually transmitted diseases has been steadily increasing since 2013. San Antonio comes under Bexar County. In 2022, there were nearly 156,131 reported cases of chlamydia in Texas, and about 12,305 belonged to Bexar County.
Reported syphilis cases were around 25,991 in Texas, of which approximately 2,602 were from Bexar County. The corresponding numbers for gonorrhea were high, with about 62,174 patients in Texas and nearly 5,983 in Bexar County.
Sources
Medical News Today
WebMD[1]
Healthline[1]
U.S. Bureau of Labor Statistics
Texas Department of State Health Services
American College of Obstetricians and Gynecologists
Nemours KidsHealth
Michigan Medicine
Healthline[2]
Houston Methodist
WebMD[2]
Doral Health & Wellness
