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
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      • Menopausal Hormone Therapy
      • MonaLisa Touch
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What Causes Pelvic Pain?

If you are experiencing chronic pelvic pain, you should know that there could be many reasons for it. You could have one or multiple conditions that are causing your pain. It can be a challenge for doctors to identify why their patients have pelvic pain because different conditions produce similar symptoms. The most common symptom in patients who have a pelvic condition is pain that lasts for more than six months. Our doctor will need to evaluate the different symptoms that you have and by process of elimination help you determine the cause of your pelvic pain.

Common Reasons for Pelvic Pain

One of the reasons for this type of pain is urinary tract infections. In the vast majority of cases, a urinary tract infection is caused by some form of bacteria. The bacteria might be found in the kidneys or the bladder. It is more common for women to have urinary tract infections than men. The symptoms of a urinary tract infection include pain in the lower pelvis, pain when you urinate, urinating frequently, or cloudy, bloodied, or foul-smelling urine.

A second condition that causes pelvic pain is pelvic inflammatory disease. This is a condition in which the uterus, ovaries or fallopian tubes become infected. More often than not, this happens in connection with a sexually transmitted disease such as gonorrhea or chlamydia. In addition to pain in the pelvis, you may experience a frequent need to urinate, painful urination, painful ovulation, lower back pain, nausea and fatigue.

Pelvic congestion syndrome is like varicose veins, except that it happens in the veins of your pelvis. As the blood backs up in these veins, they become enlarged, causing pain in the pelvis. The pain is worse when you stand. You might have pain in your lower back as well as your legs.

Some experience pain for psychological reasons. Psychological pain does not mean that the pain is not real. It just means that the physical cause of the pain cannot be identified. Some people are battling with emotional challenges that exhibit themselves as pain. Women who have dealt with sexual abuse or assault frequently experience chronic pelvic pain afterward. This pain is linked to things like depression, anxiety, and stress.

Pelvic injuries are another common source of pelvic pain. Pelvic fractures vary in their intensity. Some are relatively minor injuries, and others can be life-threatening in nature. The reason why pelvic injuries can be life-threatening is because there are many vital structures and major blood vessels and nerves along with parts of the digestive and reproductive system that are protected or travel around the pelvis. Severe pelvic injuries can lead to catastrophic blood loss and may require urgent hospital care. Less severe pelvic injuries may require more conservative treatments.

Receive Expert Care for Your Pelvic Pain

Pelvic pain should not be taken lightly. If you experience pain, talk to our physician at Fort Worth Center for Pelvic Medicine. We will work with you and identify the source of your pain while providing you with the proper treatment plan. Contact our office in Fort Worth to schedule your consultation and get started on a customized treatment plan for your needs.

Filed Under: Blog Tagged With: Pelvic Pain

First-Class Gynecology Services in Fort Worth

Women over the age of 20 in Fort Worth and elsewhere are encouraged to undergo a host of routine medical examinations to ensure their health. Along with seeing your primary care doctor for yearly physicals, you also should visit a gynecologist on a regular basis to monitor your reproductive health. You can stay one step ahead of illnesses that could affect this system by taking advantage of our first-class gynecology services at our office in Fort Worth. Some common services include a pelvic exam, a breast exam, and ultrasound/sonogram testing.

Pelvic Examination

Women age 21 and older are encouraged to undergo yearly pelvic examinations. This service screens you for risks like cancer, cervical abnormalities, and other conditions that could affect your ability to conceive and sustain a healthy pregnancy or your ovulation and menstrual cycle.

This examination typically involves a swab of your cervical cells being taken for testing, a service that is known as a pap smear. Our doctor may also perform a physical exam of your vagina, cervix, and uterus to inspect these organs for defects or signs of illness. This is a very common aspect of gynecology.

Manual Breast Examination

During your yearly gynecological appointment, you also may undergo a manual examination of your breasts. Women are reminded to manually exam their own breasts every month at home. However, you should go through a medical examination of your breasts every year. If you have any suspicious lumps or cysts, we can biopsy the tissue and test it for cancer. You also may first have a mammogram done on your breast tissue.

Ultrasound or Sonogram

Depending on your age and overall gynecological health, our gynecologist may recommend that you have an ultrasound or sonogram performed on your internal reproductive organs. Our doctor may want a closer look at your uterus, fallopian tubes, and ovaries.

These tests can indicate if you have growths or cysts that might need to be removed. They also determine if you have blockages in your tubes that might be preventing you from conceiving or having normal periods. Depending on the findings of these tests, you may have to undergo a procedure to correct the problem. You also could be prescribed medications.

These and other first-class gynecology services are available at Fort Worth Center for Pelvic Medicine. You can ask for them to ensure that you are in the best reproductive health. We proudly offer the popular MonaLisa Touch® treatment as well. Contact us today to schedule a gynecology appointment at our office in Fort Worth!

Filed Under: Blog Tagged With: Fort Worth, Gynecology

Pain During Intercourse? Consider MonaLisa Touch Treatments!

The last thing you want is discomfort during intercourse. It makes it very difficult to enjoy those intimate moments when you are in pain. It can also put a strain on your relationship with your partner. You are not alone. Many women experience vaginal discomfort. It can be due to the toll that childbirth takes on your body. You may experience a lack of lubrication, irritation, and pain during intercourse as you get older and your reproductive hormones begin to drop. Wear and tear over time can also cause your vaginal tissues to be painful. Regardless of why you are uncomfortable, consider MonaLisa Touch® treatments to bring you the relief that you deserve.

How Can MonaLisa Touch® Make a Difference for You?

This non-invasive treatment involves the use of a laser that gently heats the tissue of your vagina. As the tissues are heated at a carefully controlled temperature, collagen production is stimulated, making your tissue more elastic. It will also improve your circulation and promote the development of healthy cells. Your vaginal tissues will be rejuvenated. You will have enhanced lubrication and sensitivity. You can say goodbye to irritation and pain during intercourse.

Why Consider MonaLisa Touch® Treatments?

This popular treatment can make a difference when over-the-counter products, lubricants and prescription ointments have not offered you relief. You don’t need to live in discomfort. If you want to have the freedom that comes with healthy vaginal tissue, think about the MonaLisa Touch®. It’s a short treatment that can be performed right here in the comfort of our office. You won’t have downtime. You’ll be able to get back to your busy schedule once you have experienced the benefits of this treatment. You’ll soon notice an improvement when you are intimate with your partner and the pain is gone.

When to Consider the MonaLisa Touch®

If you have noticed vaginal changes as you approach menopause, the MonaLisa Touch® could be the answer for you. Think about this treatment if you have experienced discomfort since you had children. You owe it to yourself to experience the difference that such an easy treatment can make for you.

Learn More Today

It’s time to put your pain and irritation behind you. The MonaLisa Touch® can help you improve your well-being. Make an appointment with our specialist to discuss your vaginal discomfort. If it is determined that this treatment could improve your symptoms, you can learn more about it at Fort Worth Center for Pelvic Medicine. This innovative treatment allows you to have relief in an area that is so sensitive. When you have improved lubrication, healthy circulation and rejuvenated tissue, you won’t believe the difference it can make. Contact our office in Ft. Worth to find out what the MonaLisa Touch® can do for you.

Filed Under: Blog Tagged With: MonaLisa Touch®

Is MonaLisa Touch Right for Me?

There are many disheartening changes that women can experience as part of the natural aging process. Among all of these, however, vaginal atrophy is likely the most problematic. As natural estrogen production starts to decline, it can create painful itching, irritation and pain, particularly during intercourse. Fortunately, MonaLisa Touch® is capable of restoring functionality and health to the vagina while stimulating the increased production of collagen for rebuilding and supporting the vaginal walls. This short, simple treatment can have a remarkable effect on both a woman’s physical comfort and her overall confidence.

How to Know if MonaLisa Touch® Is Right for You

If you’re entering peri-menopause or menopause and have been struggling with painful intercourse, vagina laxity, itchiness or pain in the vaginal region, MonaLisa Touch® could be right for you. This is a non-invasive treatment that does not require any anesthesia or downtime. In fact, most women experience little more than the sensation of light vibration during their treatment.

The ease and comfort of this treatment makes it perfect for women who want a low-risk and easy solution to this all-too-common, age-related issue. Moreover, when compared to more conventional pharmaceutical treatments or invasive, surgical procedures, MonaLisa Touch® is capable of producing truly impressive results with the least amount of hassle. While there’s no exclusion criteria for MonaLisa Touch®, women should be in good general health before undergoing treatment sessions.

Treatment Results

Numerous women who have sought vaginal restoration via MonaLisa Touch® have reported a significant decrease in vaginal burning, dryness, itching and irritation. Patients can also expect to experience far less discomfort during intercourse, along with fewer urinary tract infections.

The treatment works by stimulating the vaginal mucosa to increase blood flow, expedite collagen production and rejuvenate the surrounding muscles and tissues. Best of all, MonaLisa Touch® is capable of producing immediate results and extended benefits. This treatment will not only tighten, tone and restore the vagina, but it can additionally result in marked increases in collagen production that can last for months. Treatment sessions can be safely repeated for extended or enhanced benefits.

Is MonaLisa Touch® Right for Me?

MonaLisa Touch® is largely used for correcting age-related wear of the vaginal tissues, decreased collagen and other structural changes that result from waning estrogen production. However, extreme vaginal laxity or looseness of the vagina is often the result of a traumatic event such as childbirth. For instances of severe vaginal laxity, the effectiveness of this treatment is determined on a case-by-case basis. For moderate laxity caused by age-related loosening of the mucosal tissues, this treatment may be able to help women reach their goals by stimulating and strengthening their vaginal muscles.

MonaLisa Touch® has helped many women reclaim their sense of feminine wellness, and it is provided with expertise right here in our office at Fort Worth Center for Pelvic Medicine. Contact our office in Fort Worth today to find out if this popular treatment is right for you.

Filed Under: Blog Tagged With: MonaLisa Touch®

MonaLisa Touch for Minimizing Vaginal Dryness

You’ve experienced bouts of vaginal dryness in the past, but you never thought much of it. However, that has all changed due to the misery you are experiencing now. It all started as you began to experience symptoms of menopause. You expected mood swings, night sweats, and hot flashes. You weren’t prepared for vaginal changes. You are so dry now that you feel irritated all of the time. You can’t enjoy moments of intimacy anymore. You’ve tried different products that are supposed to restore moisture, but they haven’t worked effectively. It’s time to explore other choices. The MonaLisa Touch® could be the answer.

What’s the Secret Behind the MonaLisa Touch®?

The MonaLisa Touch® is a gentle laser therapy that is used to rejuvenate your delicate vaginal tissues. The laser uses a low-level of heat that is enough to trigger collagen production. It also causes the tissue of the vagina to thicken. Healthy tissue is regenerated, blood circulation is stimulated, and improved lubrication will result. You’ll experience relief from your irritation. If your intense dryness has caused bouts of urinary incontinence, this problem should be resolved as well. If you have been feeling miserable and are looking for an answer, the MonaLisa Touch® can help you to put your discomfort behind you.

Why are You Experiencing Vaginal Dryness?

If you have had one or more children, vaginal dryness can result. The tissues of your vagina are extremely delicate and can become damaged with minor tears. As menopause gets closer, your reproductive system is getting ready to shut down. Your estrogen and progesterone levels are going to drop. For some women, this change may not even be noticeable. For others, it is extreme. These hormonal changes cause your vaginal tissue to become thinner and get in the way of lubrication. When your body isn’t doing what it should anymore, the MonaLisa Touch® can help to restore balance.

Take Charge of Your Vaginal Dryness Today

You shouldn’t have to live in discomfort or pain. Vaginal dryness can make you feel awful. You owe it to yourself to come in for an appointment at Fort Worth Center for Pelvic Medicine to discuss your problems. A series of short, in-office laser treatments could do you a world of good. Our office is conveniently located in Fort Worth. Contact us today to schedule a consultation for the MonaLisa Touch®!

Filed Under: Blog Tagged With: MonaLisa Touch®

Benefits of Pelvic Floor Therapy

There are a lot of misconceptions about pelvic physical therapy. The truth is that a lot of people have never even heard of pelvic floor therapy before. For individuals who need this form of therapy, the exercises and routines that they go through are an essential part of their medical care. Pelvic floor therapy can be beneficial for men, women, and in some cases even children.

One of the misconceptions that people have about pelvic floor therapy is that it is only something that women use as a result of childbirth. However, when you talk to therapists and doctors who work with this procedure, they will tell you that only a small percentage of the patients who they treat are postpartum women. The symptoms that these people experience range from urinary incontinence to pelvic pain as well as penile or testicular pain.

Pelvic floor strengthening and pelvic floor therapy are not for everyone. Another misconception is that if a person has some sort of incontinence, then the first thing they need is pelvic floor therapy. And while this therapy might work in a lot of cases, usually when a person has urinary incontinence, it means that their entire urinary system is experiencing some dysfunction.

If a person has an irritated pelvic floor or if their pelvic floor is shortened, it may be hard for them to hold back urine. In order to get better, we may include pelvic floor strengthening exercises as well as exercises to increase the flexibility of your pelvic floor.

Massage therapy might be included in pelvic floor treatments. This is because when the muscles in your pelvic floor are tight or when they have been pushed beyond their limits, they need to be relaxed as a way of alleviating tension. Massage techniques can do that, and they can make your muscles more receptive to other techniques that are used during the massage therapy procedure.

Your pelvis is the center of your body. It controls your movement, it controls your power and it plays a role in your flexibility. When your pelvis is not working correctly or when your pelvic floor is not functioning properly, it is going to affect just about every aspect of your life.

Pelvic floor therapy at Fort Worth Center for Pelvic Medicine is an excellent way for you to get facets of your life back that pelvic floor disorders may have caused you to lose. We are proud to offer this and many other specialized services, such as MonaLisa Touch® treatment. Contact us today to schedule a consultation at our office in Fort Worth.

Filed Under: Blog Tagged With: Pelvic floor therapy

Improve Your Quality of Life with MonaLisa Touch Treatments

As you enter menopause, you may start to experience a wide variety of unwanted symptoms and side effects. Some of the most common symptoms include vaginal pain, inflammation, dryness, itching and burning in the vagina. You may also experience some mild urinary incontinence. All of these problems occur because the tissues in the vagina begin to change over time. This can drastically affect your quality of life. Luckily, you can do something about your problems by undergoing MonaLisa Touch® treatments at our office.

MonaLisa Touch® is a revolutionary treatment that uses a special CO2 laser to reverse the signs of menopause. The special MonaLisa Touch® device will be gently inserted into your vagina at the start of the treatment session. The device will then send mild pulses of laser energy to your damaged tissues. This laser energy will help rejuvenate your vaginal tissues by stimulating the production of collagen. Once the tissues start making more collagen, the negative side effects that you have been experiencing should go away.

Since the MonaLisa Touch® device only sends small pulses of laser energy to your body, you will not feel any serious discomfort during the treatment session. You will only experience a mild vibrating sensation every time the MonaLisa Touch® device is activated. This is an extremely safe procedure that has almost no risks. The entire session doesn’t take very long, and you will be able to return home immediately after the treatment concludes.

You will notice some results from the MonaLisa Touch® treatment almost immediately, but your results will only continue to improve over time. The collagen rejuvenation process triggered by the CO2 laser energy will typically last for months. You will notice the best results once this time has passed. While each individual case is different, most women will require three MonaLisa Touch® treatments to get the best results. Once you have finished your treatment regimen, you can come in once a year for a maintenance treatment session.

MonaLisa Touch® may be just what you have been looking for to improve your vaginal health and overall quality of life. During a consultation at Fort Worth Center for Pelvic Medicine in Fort Worth, you can learn more about this innovative treatment. Contact us today to schedule an appointment and get started!

Filed Under: Blog Tagged With: MonaLisa Touch®

Common Causes of Pelvic Pain

There are a lot of different health issues that could lead you to experience pain in your pelvis. In fact, you could be experiencing pain in your pelvis as a result of multiple conditions that are affecting you at the same time. Pelvic pain may stem from urinary problems, reproductive issues or problems with your digestive system. Many people battle with pelvic pain because of an issue with their musculoskeletal system. Either their bones, their muscles or the ligaments in their pelvic floor are damaged or are not functioning properly. There are a lot of nerves in your pelvis. If these nerves become irritated, they can result in some very serious and painful issues.

Some of the reasons why women may experience this pain include ectopic pregnancy, endometriosis, ovarian cancer, as well as pelvic inflammatory disease. Both men and women may experience pelvic pain in connection with appendicitis, colon cancer, diverticulitis, kidney stones and a whole host of other ailments.

If your pain develops rapidly and it is severe, this may be a sign that you are experiencing a medical emergency. In these cases, it is best for you to seek medical attention rapidly. It is also good to pay attention to new pelvic pain or pain that increases in intensity over time. Pelvic pain that affects your quality of life should not be ignored, but it should be discussed with a qualified medical professional.

Another common reason why both men and women experience pelvic pain is as a result of irritable bowel syndrome, also known as IBS. Irritable bowel syndrome produces cramps that are extremely painful in the pelvic and abdominal region. In addition to this pain, you might have constipation or diarrhea. IBS is a disease that fluctuates when it comes to its symptoms. You may have a period of time with no pain, and then the symptoms will recur.

Pelvic inflammatory disease is an infection and is usually connected to sexually transmitted diseases, like gonorrhea. Signs of pelvic inflammatory disease include pain that travels to the abdomen as well as abnormal discharge or pain during urination.

Another common cause of pelvic pain is urinary tract infections. In addition to pain in the pelvis, you may experience painful urination, a frequent urge to urinate and lower back pain. If not addressed quickly, this condition can result in kidney damage.

As you can see, the reasons for pelvic pain are very diverse. We have only scratched the surface on some common causes of pelvic pain. If you are experiencing pain in this region, speak to our specialist at Fort Worth Center for Pelvic Medicine, as this can help you identify its source. From there, we can create a customized treatment plan for you. We are proud to offer a variety of services ranging from MonaLisa Touch® treatment to infertility treatment. Contact us today to book an appointment at our office in Fort Worth.

Filed Under: Blog Tagged With: Pelvic Pain

How Do Infertility Treatments Work?

Some women can get pregnant on the first attempt. For others, it’s not that simple. If you’ve been trying to get pregnant for quite some time now without success, we may recommend that you begin the process of infertility treatments. Since there are different routes that can be taken depending on your specific situation, it can be confusing to navigate the treatment process. Don’t give up hope. Dr. Johns and his team of professionals at Fort Worth Center for Pelvic Medicine are here to help you every step of the way.

In the early stages of infertility treatment, you may undergo non-invasive treatments depending on the source of the infertility. There are some common options that fall into this category. Those with endometriosis may be able to conceive after laparoscopic surgery to remove the excess tissue from the lining of the uterus.

If these treatments are unsuccessful after a certain period of time, Dr. Johns may refer you to another medical professional. Advanced Reproductive Technology (ART) could help you conceive a child. In-Vitro Fertilization is another treatment that may work for you. With this treatment, an egg is fertilized in a lab and then the embryo is placed directly into the woman’s cervix.

If you no longer produce eggs, you may opt to combine your partner’s sperm with a donor egg; if neither the egg nor sperm is viable, a donor embryo may be implanted directly into the uterus. If you are unable to carry a child, gestational surrogacy is another option in which your embryo or a donor embryo is carried to term by another woman.

Each of these infertility treatments varies in success rate, as well as benefits and drawbacks. Honest conversations with your partner, your OB/GYN and our fertility specialist can help you better understand your options and arrive at a treatment plan that makes sense for your individual situation.

Have you and your partner been trying to conceive for quite some time to no avail? If so, you are not alone. Many couples struggle in this area. Make an appointment at Fort Worth Center for Pelvic Medicine to learn about your options regarding infertility treatments. We are proud to offer a variety of services at our office in Fort Worth ranging from MonaLisa Touch® to gynecological ultrasounds. Contact us today to schedule a consultation to learn more!

Filed Under: Blog Tagged With: Infertility

Advantages of Laparoscopic Surgery

Laparoscopic surgery is low-risk and minimally-invasive. It is designed to help our doctor or medical professional get a clear view of what is going on inside the organs in the abdomen. The procedure is less invasive than traditional surgery because only tiny incisions are made.

Laparoscopy uses an instrument called a laparoscope to give a clear picture of the abdominal organs. This instrument is very long and very thin. It is equipped with a powerful intense light. At the tip of this instrument, there is a camera that is able to capture imagery in high resolution.

The procedure begins with a small incision being made in the abdominal wall. The camera is then inserted into this incision. As the instrument moves around through the abdomen, it is able to capture images as well as send these images to a video monitor, where our medical professional is reviewing them.

One of the primary benefits of laparoscopic surgery is that it allows our medical professional to have a clear idea of what is going on inside your body without needing to open you up for surgery. The same tool that is used to capture images of your abdomen can also be used to take biopsy samples.

Most people will have this procedure performed as a way of diagnosing why they are experiencing pain in their abdomen or in their pelvic region. This procedure is usually recommended when other non-invasive procedures are not yielding the necessary results.

There are some cases where non-invasive scans do not produce the results that are needed. This is when a laparoscope will be used. Or it could be that some of these non-invasive procedures did identify a potential problem. Still, a biopsy may be needed in order to make a definitive diagnosis.

Our medical professional can use a laparoscope to examine a wide range of organs, including the:

· Appendix

· Liver

· Pancreas

· Bowels

· Stomach

· Pelvis

· Reproductive organs

When our medical professionals are able to observe the functioning of these organs or these parts of your body in real time, they can see if you have an abdominal tumor; determine if there is suspicious fluid in your abdominal cavity; identify signs of liver disease; see whether or not a particular treatment is effective; and identify how far a particular cancer has progressed.

Laparoscopic surgery allows doctors to have a clear image of what is going on inside a patient. The information gathered during the procedure can have a powerful impact on your health.

During a consultation at Fort Worth Center for Pelvic Medicine, you can learn more about laparoscopic surgery and whether or not it may be useful in your particular situation. Contact us today to book an appointment at our office in Fort Worth.

Filed Under: Blog Tagged With: Laparoscopic Surgery

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