Wednesday, November 24, 2021

What is Menopause?

With over 30 years of experience, Dr Keith Reisler provides women in Plano, TX with care specific to them. Areas of concern for Keith Reisler MD include pregnancy and menopause.

Menopause refers to the time period when the levels of estrogen and progesterone, hormones controlling many aspects of a woman’s bodily functions, are significantly lower than earlier in life. The exact age a woman begins menopause varies, because the premenopausal, transitional period, begins between 45 and 55 years old. The transitional period lasts between seven and 14 years, and during this time, estrogen and progesterone production fluctuate. Menopause formally begins at least 12 months after a woman’s last period.

Menopause symptoms vary between individuals, and they manifest unpredictably, so a woman may experience symptoms at different severities, and at random times. The most noticeable change is a change in the menstrual cycle, where periods no longer occur periodically, and their flow is greater or lesser than normal. Some women may also experience hot flashes, a sudden feeling of heat in the upper or whole body, that may also result in sweating and shivering. Combined, menopausal symptoms may cause a reduction in sleep quality that a doctor can address with medication or lifestyle changes.

Wednesday, November 17, 2021

An Overview of a Hysteroscopic Resection


Serving women in Plano, TX, Dr Keith Reisler has decades of experience meeting their specific needs. In addition to his work in pregnancy care and menopause Keith Reisler MD performs a procedure called a hysteroscopic resection. A hysteroscopic resection is a minimally-invasive surgical procedure with benefits absent from other surgeries that fulfill the same purpose.

A hysteroscopic resection, also called a Transcervical Resection of Fibroids (TCRF), is a procedure where the surgeon removes fibroids, growths inside the uterus. An instrument called a hysteroscope removes the fibroids gradually. Inserted into the body through the cervix and offering a visual of the uterus via an attached camera, a TCRF is minimally-invasive because no surgical incisions occur.

To prepare for the TCRF, the patient will undergo an ultrasound, to locate the fibroid. If it is large, the surgeon will remove it in two separate surgeries, spaced between six and eight weeks apart. Performed while under general anesthesia, the patient usually experiences little to no pain and an average recovery time of one or two days.