Frequently Asked Questions

If I had a hysterectomy, why do I need a Pap Smear each year?

Human Papilloma Virus, which is more commonly detected, may act as a co-factor in causing premalignant changes in the vaginal lining. If caught early, the disease may be adequately treated with an outpatient laser procedure as opposed to radical surgery.

I've heard hormone replacement therapy with estrogen is "bad for you." Should I be afraid?

With every form of therapy, some risks are involved. We try to weigh your individual benefits and risks in recommending therapy. With the publication of the Women's Health Initiative in the Journal of the American Medical Association in July 2002, many women have stopped hormone replacement therapy "cold turkey." This puts them at risk of rapidly developing further bone loss, possibly leading to an osteoporotic fracture. The drug, Prempro, mentioned in the study appeared to increase the risk of breast cancer; thus that arm of the study was stopped. However, the estrogen-only part of the study is ongoing. An increase in breast cancer in beagle dogs was known when the FDA initially approved Provera years ago. At that time, there didn't appear to be an increased risk for humans. Further studies will define exact risks and benefits. For you, as an individual patient, we try to make a joint decision with you, whether HRT is the best health strategy for you.