FW Center for Pelvic Medicine

Dr. Alan Johns has been in the practice of Gynecology since 1978. He has performed over 8,000 laparoscopic surgical procedures.

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  • About Us
    • Alan Johns, MD
    • Christopher Ripperda, MD
    • Crystal Holden, FNP
    • Elizabeth Weaver, WHNP
    • Meet the Staff
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    • Infertility
    • Endometriosis
    • Gynecologic Ultrasound
    • Ultrasound
    • Pelvic Floor Therapy
    • Pessary Insertion and Management
    • Endometrial Ablation
    • Gynecologic Surgery
    • Laparoscopic Surgery
    • Clinical Research
    • Pelvic Pain
    • Menopausal Medicine
      • Menopausal Hormone Therapy
      • MonaLisa Touch
    • Women’s Health Awareness and Prevention
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    • Bladder Disorders
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    • Congenital Anomalies
    • Endometriosis
    • Fibroids
    • Hysterectomy
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    • Incontinence & Prolapse
    • Interstitial Cystitis
    • Leaky Bladder
    • Menopause
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    • Ovarian Cysts
    • Pelvic Pain
    • Urinary and Fecal Incontinence
    • Vulvodynia
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Hormone Therapy for Menopause

Womanhood comes with a lot of struggles from painful menstrual cramps to strenuous menopause symptoms as hot flashes, regular night sweats, vaginal itching, burning, and dryness among many others. Doctors recommend menopausal hormone therapy as a treatment to these bothersome menopausal symptoms while still addressing long-term biological changes such as bone loss that may deter one’s physical abilities.

What is Hormone Therapy for Menopause?

It is a treatment used to augment the woman’s natural hormone levels either as estrogen-progesterone therapy for women who experience menopause naturally during their 50’s or in the form of estrogen-alone treatment for women who have gone through an earlier surgical menopause procedure.

Estrogen therapy

Doctors recommend a low dose of estrogen for women who have undergone the surgical menopause procedure also known as hysterectomy which is the surgical removal of the uterus. Estrogen may be induced in various forms such as a daily pill, gel, spray, vaginal ring and a patch.

Estrogen pill

Pills are the most popular type of medication for menopausal symptoms. Your doctor will give you instructions on how to follow the dosage. Most tablets are taken once a day way long after you have taken your meals.

Estrogen patch

The patch is stamped on the skin of your abdomen. Your doctor will guide you on how long you should have the patch on before replacing with another one.

Topical estrogen

Creams, sprays, and gels take use of entry into the system through the skin. Similarly to the patch, estrogen is absorbed directly into the bloodstream. Depending on the type of topical estrogen the doctor recommends, you will be directed on what part of the body to apply the estrogen treatment.

Vaginal estrogen

Vaginal estrogen is packaged in a vaginal ring, cream or tablets. These treatments are specifically for women struggling with vaginal dryness, pain during intercourse, vaginal itching and burning. Doses should vary depending on the packaging material. For instance, most vaginal rings need replacing after every three months while tablets are used daily for some weeks until changed otherwise.

Progesterone/estrogen/Progestin hormone therapy

It is a combination therapy since it requires both estrogen and progesterone hormones. It is particularly for women who didn’t undergo a hysterectomy. Doctors recommend this treatment for this specific lot of women since progesterone lowers the risk of one contracting cancer of the endometrium. Progesterone is used as a form of birth control but also helps treat menopausal signs such as hot flashes and sweating. Just like the estrogen doses, so does progestin come in various forms.

Oral progestin

These come in pill form. Many doctors prefer treating patients with natural progesterone rather than the synthetic form. Natural progesterone has been scientifically proven to have no adverse effects on lipids and is an excellent option for women with high cholesterol levels.

Contact Fort Worth Center for Pelvic Medicine today to schedule your consultation! We are conveniently located in Fort Worth, TX.

Filed Under: Blog Tagged With: Menopause

Infertility: What Are My Treatment Options?

You’ve always known that you wanted to be a mother, and now you are ready for the next chapter in your life. You and your partner want to welcome a baby into your family. You thought it would happen naturally. You tried for over a year to conceive. You did not become pregnant even though you kept track of your peak times for ovulation. Fortunately, there are treatment options that can help you to become pregnant if you are struggling with infertility issues.

What Could be Causing Your Infertility?

There are various reasons that you may not be able to conceive. You could be dealing with problems with your fallopian tubes. You could be struggling with a problem that revolves around your cervix. Issues with your uterus may be a concern. If you have endometriosis, this can cause scar tissue to build up in your reproductive organs, making conception difficult. The only way to get to the root cause of your infertility is to be fully evaluated by medical professionals. Once you know the cause, you can find the right treatment alternative.

How Can You Treat Your Infertility?

If hormones are contributing to your infertility problems, we may be able to prescribe hormone replacement therapy or fertility drugs to restore balance. If there is an issue with your fallopian tubes, uterus, or cervix, surgery may be the best solution. When these measures are not effective, you may be a candidate for intrauterine insemination in which semen is inserted in your uterus. You may be able to try in vitro fertilization, in which embryos are inserted into your uterus. In some cases, you may need to use sperm or eggs that have been donated. You may go through a series of treatments before you finally have the ability to become pregnant.

Discuss Your Treatment Options with Our Team Today

The most important thing you can do is seek help when you are having problems becoming pregnant. We can help you explore testing and treatment options. To learn more or to schedule a consultation, contact us at the Fort Worth Center for Pelvic Medicine. We proudly serve the Fort Worth, Texas area.

Filed Under: Blog Tagged With: Infertility

Telltale Symptoms of Menopause

A natural part of aging for any woman is the gradual transition into older adulthood, which comes with a variety of changes in hormone levels. In particular, estrogen and progesterone levels change, greatly affecting many of the sexual hormones. Not only will sexual changes happen for these women, but also they will notice a wide variety of symptoms across most of their body systems, some of which may not be very pleasant. We’re talking about perimenopause and menopause.

Menopause is officially defined as the time when a woman has not had a menstrual period for 12 months. As you can imagine, it can be difficult for women to know when they are entering this period. Therefore, it is vital to recognize the many symptoms of this stage so that you can get help if you need it and so that you can give yourself grace and understanding.

The first changes that you will most likely notice are those that affect your menstrual cycle. It may become irregular or may be heavier or lighter than usual. Your vagina may also feel dry and inelastic.

The next most severe change that most women in menopause note is hot flashes. These flashes normally last for less than 10 minutes at a time and may cause flushed skin and sweating.

Changes in sleep patterns can be very disruptive to women in this stage of life. You may find that it is nearly impossible to get to sleep at night or that you wake up for no reason.

Mood imbalances that are far different from any experienced in other stages of life may also afflict women in menopause. While some mood changes may seem to mimic those seen during PMS, they are usually stronger and more disruptive.

Of course, other changes may happen around the rest of your body. Your hair may begin to thin on your head and even on the rest of your body, meaning that you no longer have to shave your legs as frequently. Your skin will also begin to change faster than it ever has before, becoming thinner and less elastic and most likely becoming dryer as well.

Be sure to talk to our team at Fort Worth Center for Pelvic Medicine if you feel that your menopause symptoms are decreasing your quality of life. Contact us today for a consultation in Fort Worth, TX.

Filed Under: Blog Tagged With: Menopause

Experiencing Vaginal Dryness? Explore Your Options In Houston, TX

Vaginal dryness may occur naturally or may have appeared seemingly out of the blue. It often occurs as a part of menopause as your hormones fluctuate. It may also occur as a result of a medication you are on, such as birth control pills. Some women deal with it after pregnancy or at other times when estrogen levels fall dramatically. While it may be a normal part of the aging process, it is not something with which you have to live. Today, there are numerous treatments for vaginal dryness in Houston, TX.

Over-the-Counter Treatments

The first place to start with concerns to vaginal dryness is often with over-the-counter treatments. Sometimes, all you need is a lubricant that can make sexual intercourse more comfortable. Some natural supplements also seem to help certain women and can be obtained at many drugstores. These include vitamin E, vitamin D, and maca. Always use supplements under the supervision of your practitioner.

Laser Treatments

Laser treatments can be used inside your vagina to remodel the vaginal walls, improve atrophied tissues, improve muscular tone, and improve vaginal lubrication. Taken together, all of these changes can make intercourse more pleasurable and can help you feel more youthful once again. You can talk to someone on our team to learn more about the procedure.

Hormone Replacement Therapy

When over-the-counter treatments do not work to improve vaginal dryness and symptoms are bad enough, your practitioner may recommend hormonal treatments. These can be taken in several ways, such as by mouth or topically. Low-dose vaginal estrogen creams are quite popular and can be used without much risk of side effects. Some practitioners choose estrogen rings instead, which can be placed into the vagina and are just as effective as creams in improving vaginal dryness. Vaginal DHEA is another option that often provides deeper healing in the vaginal walls and may also be good for vaginal atrophy.

MonaLisa Touch®

The Mona Lisa Touch is another treatment for vaginal dryness. This treatment comes in a series of sessions and works to reverse the effects of aging and menopause. To learn more, please contact our office to speak with one of our team members.

Once you experience vaginal dryness, you quickly realize how uncomfortable it is. Thankfully, there are several options available in Houston, TX to help you feel better and more like yourself. If you are ready to experience a better sex life despite changes in your hormones, contact our office today to explore your options. Fort Worth Center for Pelvic Medicine proudly serves the Houston, TX area with an office in Fort Worth.

Filed Under: Blog Tagged With: Houston, TX, Vaginal Dryness

Finding Fort Worth Doctor Who is Board-Certified in Gynecology

As a woman, you know that gynecology is important when it comes to women’s health issues. As you search for a doctor in Fort Worth, you want to place yourself in the hands of one of the best that the area has to offer. A good place to start is by looking at board-certification. When a gynecologist is board-certified, it means that the doctor has gone beyond the standard level of expectations. There are minimum requirements that must be met in every state for a doctor to become licensed in order to practice medicine. When a doctor chooses to become board-certified, it requires additional education. In addition, a board exam must be passed at the end in order to meet all requirements. When you choose a doctor in Fort Worth who is board-certified in gynecology, it can give you peace of mind.

How to Find Out if a Gynecologist is Board-Certified

When you review the list of gynecologists in Fort Worth, you can go to websites online that allow you to check a doctor’s certification. Otherwise, try the gynecologist’s website. There is usually a page devoted to the doctor that will list all of the doctor’s credentials.

Making Sure Your Gynecologist is a Good Fit

You’re going to see your gynecologist at least once a year, perhaps more if there are any concerns or you are pregnant. The gynecologist is going to be focusing on the most intimate parts of your body and everything gynecology-related. You want someone who makes you feel comfortable during each visit. That is understandable, as you are discussing sensitive topics.

Experience the Benefits of a Board-Certified Gynecologist

You should be happy to know that our board-certified gynecologists at Fort Worth Center for Pelvic Medicine are caring, compassionate, professional, and truly experienced. You’ll work together to address health issues that are unique to a woman, focusing on your reproductive health. Our first-class gynecology services can help you as you make sure that everything is on track. If there is a problem, our doctor will make sure you get the attention that you need. Contact us today to schedule an appointment at our office in Fort Worth!

Filed Under: Blog Tagged With: Fort Worth, Gynecology

Choosing a Gynecologist in Fort Worth

A gynecologist is an essential part of a woman’s healthcare team. You can’t only rely on your primary doctor. You need a doctor who focuses on matters that affect the female reproductive system. It’s going to affect your overall health in many ways through the years. Your body will go through significant changes, from puberty until menopause. Our experienced gynecologist in Fort Worth will help you to understand what is going on in your body, help you when issues arise, and continue to monitor you over the years to make sure that everything is on track.

When to Visit a Gynecologist

Your journey with a gynecologist should begin after you have reached puberty. If you are sexually active in your teen years or you have experienced some type of problem that is a concern, you should find a gynecologist who can evaluate you and give you recommendations for your health. Otherwise, expect to begin annual visits when you are eighteen.

Our gynecologist will be able to get a baseline about your reproductive system and make sure that everything is on the right track. If you are interested in birth control, a doctor who focuses on women’s health issues will be able to review all of your alternatives in order to find the right solution for you. A physical exam and various tests will be performed to make sure you are not suffering from any type of infections or abnormal cells that affect the female reproductive system. If all is well, you will continue to come back for yearly visits.

A Partner in Healthcare When You are Pregnant

Our gynecologist is here for you when you are pregnant. This is the doctor you should turn to when you need to confirm your pregnancy. From that point on, you will come in for monthly visits. These visits are important to monitor your health and check the progress of the baby developing inside of you. As you near the end of your pregnancy, you will come in more frequently.

Turn to Our Gynecologist for Menopause Symptoms

As you get older, your body may go through the most significant changes of all as your reproductive system prepares to shut down. If you are experiencing symptoms of menopause that are turning your life upside down, it is time to visit our office.

Schedule a Consultation

Our gynecologist at Fort Worth Center for Pelvis Medicine is at the ready to help you! Contact us today to schedule a consultation at our office, conveniently located in Fort Worth.

Filed Under: Blog Tagged With: Fort Worth, gynecologist

How Can I Benefit From Pelvic Medicine?

Pelvic medicine is a subspecialty of gynecology that has the possibility of changing many parts of your life. Whether you deal with incontinence, constipation, pelvic pain, genital prolapse or some other related problem, we can help you at our state-of-the-aft clinic with a variety of in-office treatments and resources. With these treatments, we can help you feel more like yourself, improve your quality of life and stop some of the common problems associated with aging in the pelvis.

Just because you cannot see your body aging internally, it is certainly happening just as it does on your skin. When you age, your body can no longer heal itself as quickly as it once did, and a variety of tissues and muscles begin to break down. Plus, hormonal changes and life occurrences, such as pregnancy and childbirth, can take a real toll on the pelvis. Because of this, the benefits of pelvic medicine are quite impressive indeed.

We offer a variety of treatments to improve the health and comfort levels of your pelvis. One of our most popular treatments for these concerns is pelvic floor therapy, which is an excellent way to strengthen weak muscles that are causing sexual dissatisfaction and incontinence. While your exact treatment will be modeled on your unique needs, we generally use a combination of therapies for optimal results.

Some of our patients come in with undiagnosed pelvic pain. This discomfort can lead to them not having a very high quality of life because they cannot do some of their favorite activities. Fortunately, pelvic medicine can be used to address this.

Pelvic medicine can change your life if you have long struggled with discomfort or laxity in the area or if you have chronic constipation or stress incontinence that has increased with age. At Fort Worth Center for Pelvic Medicine, we offer cutting-edge treatments in a warm and caring environment to ensure that you can feel more like yourself and can enjoy your wonderful life once again. Contact us today to schedule a consultation at our office in Fort Worth!

Filed Under: Blog Tagged With: Pelvic Medicine

Seeing Our Gynecologist in Fort Worth for Your Feminine Needs

A woman’s most important relationship is likely not the one you’d think of right away. It’s actually her relationship with her gynecologist. A caring trusted gynecologist is the best friend a woman can have. Our Fort Worth gynecologist is there for patients of all ages from teenagers to postmenopausal women and beyond.

During the early years of womanhood, menstruation begins as puberty onsets. A young girl may have many questions at this time of her life and her mother may not know all the right answers, or she may be too embarrassed to answer honestly. A trusted gynecologist can address any concerns of the young lady including pain control during that time of the month. They can answer these concerns privately without the young woman’s mother present so the girl can ask freely and openly. Their privacy is protected.

As women grow into their childbearing years, a gynecologist is, once again, her main focal point. Whether she is searching for birth control, a doctor to address concerns relating to getting pregnant, or to address common problems such as urinary tract infections or sexually transmitted diseases, a caring, nonjudgmental doctor is irreplaceable. Our Fort Worth gynecologists speak openly and frankly while thoroughly addressing any and all questions and concerns their patients have, and your confidence and privacy are critical.

A consultation with our team is the best way to begin your relationship with a gynecologist. A complete medical history will likely be taken, as well as height, weight and any other pertinent information the patient would like to offer.

As women age out of the childbearing age and menopause and perimenopause onset, problems may develop from decreasing levels of estrogen. This can cause vaginal dryness, loss of skin elasticity, and loss of sexual desire. Our team in Fort Worth is committing to providing you with relief when dealing with these frustrating issues.

If you feel it is time for you to visit a gynecologist, contact us today at the Fort Worth Center for Pelvic Medicine. Our team in Ft. Worth, TX, is here to support you and answer questions about your concerns regarding your feminine wellness.

Filed Under: Blog Tagged With: Fort Worth, Fort Worth Gynecologist, gynecologist

What is Pelvic Floor Therapy?

Sometimes we experience health issues we don’t know how to talk about. It can be difficult or embarrassing, but it’s important to take care of yourself. Do you feel like you are regularly experiencing discomfort in your pelvic area? Do you feel like you’re constantly running to the bathroom, and sometimes it’s too late? If your answer is yes, you may be dealing with a problem known as pelvic floor dysfunction, which involves weakness in the pelvic floor muscles. If this sounds like you, you may want to consider pursuing pelvic floor therapy.

Pelvic floor therapy can benefit a variety of issues you may be experiencing. It can help you if you are experiencing pain in your pelvic region, urgent and/or frequent urination, or urinary or fecal incontinence. Pain in the pelvic region includes pain in your:

  • Abdominals
  • Buttocks
  • Pelvic floor
  • Rectum
  • Tailbone
  • Vagina

These muscles can be affected by surgery, trauma, disuse, or prolapse. This can cause them to be weak, tight, or spastic, likely causing you to experience a great deal of discomfort.

Thankfully, there are some ways that you can get help in this area and strengthen your pelvic floor muscles. Pelvic floor therapy can be used for those with weakness in these areas, and it may also help you feel relaxed. During a consultation, a member of our team will learn more about you and your goals to determine the right treatment plan for you.

Treatment sessions happen in the comfort of our office, and we pride ourselves in taking every measure necessary to make sure you are comfortable and relaxed. While pelvic floor therapy requires effort on your part to perform exercises, you are able to enjoy one of our oversized chairs during treatment. Sessions typically involve a variety of techniques and exercises, and our team will help you learn exercises you can perform at home. They will also help ensure your pelvic therapy sessions are as unique as you are to ensure you’re getting the right help that you want and need!

If you believe that you could benefit from pelvic floor therapy, contact us today at Fort Worth Center for Pelvic Medicine to schedule your consultation. Our team at our office in Fort Worth is here to help you feel regain control and your best again. Contact us today!

Filed Under: Blog Tagged With: Pelvic floor therapy

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1250 8th Avenue Suite 330,
Fort Worth, TX - 76104
817-923-5559
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Granbury, TX - 76049
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