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
  • Services
    • 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
  • Conditions
    • Adhesions
    • Bladder Disorders
    • Breast Cancer
    • Congenital Anomalies
    • Endometriosis
    • Fibroids
    • Hysterectomy
    • Infertility
    • Incontinence & Prolapse
    • Interstitial Cystitis
    • Leaky Bladder
    • Menopause
    • Osteoporosis
    • Ovarian Cysts
    • Pelvic Pain
    • Urinary and Fecal Incontinence
    • Vulvodynia
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Why Not All Women’s Clinics in Fort Worth are Created Equal

When looking for women’s clinics in Fort Worth, it is important to remember that some medical facilities offer higher quality services. Females have special health care requirements that are different from what males need. A woman needs specialized medical care throughout her lifetime for a variety of issues. In some cases, females may need medical attention for sensitive issues that include treatment for sexually transmitted diseases or for life-threatening cancerous conditions. A good women’s clinic will have medical experts who have extensive training in female medical problems. When a woman visits our women’s clinic, it is possible to receive these types of services:

  • Breast cancer physical examinations and mammograms 
  • Pap tests to find cervical cancer cells
  • Prenatal care during pregnancy
  • Urine and blood tests for STDs 
  • Menstrual problems 
  • Pelvic examinations to find tumors or other abnormalities 
  • Birth control information and prescriptions for supplies
  • Fertility issues that make it difficult to get pregnant
  • Pregnancy urine tests
  • Treatment for kidney and bladder infections
  • Medical and psychological counseling after a rape occurs

What Types of Services are Offered? 

When you schedule an appointment with our medical clinic for women, make sure to inform our receptionist about your reason for a visit. You should bring along your insurance card from an employer or your private insurance company so that we can collect the medical fees. You may need to make a co-payment before or after your appointment, so make sure to bring along your debit card, checkbook or credit card. Depending on the type of medical service that you need, you might talk to a registered nurse, general physician or a gynecologist. If you are pregnant, then you should arrange an appointment with an obstetrician to plan your child’s delivery. During your visit, you may need a physical examination that requires disrobing before you put on a hospital gown and recline on a special examination table. For some examinations, you are directed to place your feet in metal stirrups so that a physician can collect samples for the Pap smear. You may also need to provide a urine sample for testing for a variety of health issues that include pregnancy, infections from bacteria or STDs. For a breast examination, the physician will check your breasts manually to find lumps or other issues. When you need a mammogram, each breast is placed between special devices to collect an image of the body part to find abnormalities. 

Help with a Variety of Health Issues

Our women’s clinics in Fort Worth are also concerned about medical issues that occur in both genders, including:

  • Diabetes mellitus 
  • Obesity 
  • Drug addiction
  • High blood pressure
  • Vision abnormalities 
  • Arthritis 
  • Dementia conditions
  • Hearing abnormalities 
  • Nutritional deficiencies 
  • Cancer
  • Heart disease
  • Thyroid disorders
  • Anemia 
  • Mood disorders

Contact Us Today to Find Out More

The medical experts at women’s clinics can help you with a variety of health problems to improve the quality of your life. To learn more, we warmly invite you to reach out and make an appointment with our team at Fort Worth Center for Pelvic Medicine. At our convenient locations in Fort Worth, our caring and knowledgeable staff will be happy to answer any questions you may have. Contact us today to set up your consultation!

Filed Under: Blog Tagged With: Fort Worth, Women's Clinics

Menopause? Consider Hormone Therapy in Fort Worth

You’ve tried to prepare yourself for the physical changes that happen to a woman with aging. You were ready for the wrinkles and the gray hair. Menopause is a different story. The symptoms hit you hard. You had hoped that your healthy lifestyle would help you to cruise through this phase in your life. Unfortunately, nothing you did up until now has made a difference. As you reach this point in life when your menstrual cycle is going to stop forever, you are going through a change in hormone levels. Estrogen and progesterone levels are specifically affected during menopause. A decrease in these essential hormones does much more than mark a close to monthly periods. It can have a negative impact on you in many ways. Hormone therapy in Fort Worth can help you to find relief.

What are Common Signs That You are Experiencing Menopause?

When you are entering menopause, your period may begin by being erratic. It may be shorter or longer than it used to be. You’ll notice it stops happening regularly. Eventually, it will completely stop. Go without menstruation for a year, and you are officially in menopause. You may struggle with weight gain as your metabolism stops moving as quickly as it once did. Dramatic mood swings are to be expected. Fatigue is common. You may also have difficulty sleeping. Hot flashes can make you miserable. Vaginal changes are common as well. The tissues of your vagina will thin out, making them more prone to mild tears and irritation. Lack of lubrication is another problem. Your interest in sexual intimacy is likely to disappear. When you are going through all of these symptoms, you may think there is something seriously wrong with you. You may just need to get your hormone levels back up to where they should be.

Hormone Therapy Can Target Low Hormone Levels

If menopause is the reason you are having troublesome symptoms, hormone therapy could resolve the problem. You may also require some type of vaginal rejuvenation treatment like MonaLisa Touch. The first step in getting started is making an appointment with our expert at Fort Worth Center for Pelvic Medicine. You need to be open about the symptoms you have been experiencing. Let us know how long you have been feeling the way you do. If your blood test proves that your hormone levels are not where they should be, we will discuss your hormone therapy options. Contact us today to book your consultation at our office in Fort Worth.

Filed Under: Blog Tagged With: Fort Worth, Hormone Therapy

What Can a Transvaginal Ultrasound in Fort Worth Reveal?

Nowadays, there are more methods than ever to detect potential health problems. A transvaginal ultrasound here in Fort Worth can help you detect and diagnose many potential health problems. It is safe and effective for women who are pregnant as well as those who have other gynecological concerns.

What is a Transvaginal Ultrasound?

Like any ultrasound, a transvaginal one uses sound waves in order to create images. In this type of ultrasound, a probe is inserted a few inches into the vagina. By doing this, your cervix, vagina, fallopian tubes, and uterus can all be examined. The images captured are then examined for any abnormalities.

Who Needs a Transvaginal Ultrasound?

There are many cases in which this type of examination may be recommended for you. For pregnant women, it can be used to monitor the heartbeat of the baby, examine the placenta, or diagnose a potential miscarriage. This type of ultrasound can even be used to diagnose an early pregnancy. If you are not pregnant, you may still need this type of exam. Examples of when this may occur include:

  • Abnormal bleeding
  • Pelvic pain
  • Infertility
  • Cyst check
  • Abnormal pelvic exam
  • Ectopic pregnancy

Many health issues can be revealed using this method. Common ones include:

  • Placenta previa
  • Miscarriage
  • Ectopic pregnancy
  • Fibroids
  • Cysts
  • Pelvic infection
  • Cancer in the reproductive organs

What to Expect with a Transvaginal Ultrasound

All in all, this is considered to be a very comfortable procedure here in Fort Worth. There is very little special preparation required by you prior to the test. The ultrasound probe is inserted and then rotated in order to get accurate images. While you may feel slight pressure, the process is no more uncomfortable than a Pap smear. How long the exam will take can vary. Typically speaking, it takes anywhere from 30 to 60 minutes to complete.

This procedure is considered very safe. Due to the fact that no radiation is used, it is safe for both the baby and the mother when a pregnant woman has one done. Approximately 24 hours after your appointment, results should be in. Assuming that clear pictures were gotten, a diagnosis can be made, if necessary.

Get In Touch with Us for More Information

If you would like to learn more about having a transvaginal ultrasound, feel free to make an appointment with Fort Worth Center for Pelvic Medicine. At our convenient location in Fort Worth, TX, our caring and knowledgeable staff will be pleased to answer any questions about this process and any other treatment such as the MonaLisa Touch. Contact us today to set up your consultation – we look forward to speaking with you!

Filed Under: Blog Tagged With: Fort Worth, Ultrasound

All About Infertility

Trying to Have Children?

For many men and women, the topic of infertility can be a difficult one. It may be difficult to admit to yourself, let alone your partner, that you or they may be infertile. However, if you have been trying to have children with your partner without success for a long duration, then you or they may suffer from infertility. While the process of becoming pregnant may seem easy, the actual biological process is a lot more difficult than you might realize.

There are many factors that contribute as to whether or not you are able to conceive. For one, a man needs to have a healthy sperm count in order to increase the chances of conceiving. However, the woman also needs to have a healthy number of eggs, and healthy eggs in general, for the sperm to attach to in the first place. A woman’s Fallopian tubes also need to be unlocked in order for the sperm to reach the egg. It’s also up to the sperm cell itself to be up to the job of fertilizing the egg once it reaches it. Not all sperm cells are healthy enough to do that. Yet the egg itself also needs to be healthy enough to become fertilized in the first place. Essentially, both the man and woman need to have a good number and quality of eggs and sperm cells in order for a child to be conceived. This article will discuss other factors about infertility and some steps you can take to help your fertility.

Getting Tested

If you believe that yourself or your partner may be infertile, then you can have a test performed to determine just that. Embryos will be removed to determine the state of their health and count. Sperm cells will also be examined to determine their health. If either of you is found to be infertile, you can be given a few options to help promote fertility as well as be given options to still have children.

Treatment Options

For women who are infertile due to structural problems in their reproductive system, you may opt for a surgical procedure that can get rid of the problem of your eggs not being able to be fertilized by sperm cells. You may also want to consider in vitro fertilization or Advanced Reproductive Technologies (ART.) In vitro fertilization involves the process of removing a series of embryos from the body and mixing them with sperm cells in a petri dish. Once the egg has been fertilized, it is replaced within the woman’s uterus. This allows the baby to be developed naturally within the body while still bypassing the Fallopian tubes.

Contact Us Today for Further Information

For more information on infertility and what you can do about it, we warmly invite you to reach out and make an appointment with Fort Worth Center for Pelvic Medicine! At our convenient location in Fort Worth, TX, our friendly team of experienced professionals will be happy to explain your options for infertility as well as the benefits of such treatments as the MonaLisa Touch. Contact us today to set up your consultation – we look forward to speaking with you!

Filed Under: Blog Tagged With: advanced reproductive technologies, Fort Worth, in vitro, Infertility, infertility treatment

What to Do If You Have an Ovarian Cyst

An ovarian cyst is a fluid-filled growth within the ovary; this fluid can be watery or viscous. In premenopausal women, cysts are generally normal, for they develop during a woman’s menstrual cycle. Cysts that occur during a woman’s menstrual cycle are called functional cysts and are normal. A woman who has passed through menopause by definition no longer ovulates and thus does not produce functional cysts. If she has an ovarian cyst, something is wrong.

Types of Cysts

There are several different kinds of cysts that are not related to the menstrual cycle. For example, a condition called endometriosis causes when the lining of the uterus grows outside it. This lining can form cysts called endometriomas that attach themselves to the outside of the ovary. Dermoid cysts form from embryonic cells and can thus contain tissues like hair or skin. These are usually not cancerous. Cystadenomas, like endometriomas, form on the ovary’s exterior. They are typically filled with a viscous or watery fluid. While they are generally benign, cystadenomas and dermoid cysts can grow large enough to force the ovary out of position. Cysts can sometimes become cancerous, particularly in older women.

What are the Symptoms?

A small ovarian cyst generally won’t cause symptoms and may even go away on its own. Larger cysts can cause abdominal discomfort, bloating, and pressure. The discomfort can be intermittent, and it can be dull or acute. A woman should notify her doctor if she knows she has a cyst and develops any of the following symptoms, as they may be indicators that the cyst has ruptured:

  • Severe and sudden abdominal pain
  • Weakness, faintness, or dizziness
  • Pain accompanied by vomiting and fever
  • Rapid breathing

How is an Ovarian Cyst Treated?

Treatment will depend on the type and size of the cyst. If the cyst is small and not causing any problems, the doctor may simply prescribe pain medication to keep the patient comfortable, and they may prescribe birth control pills to prevent the formation of new cysts. They will monitor the patient to see if the cyst eventually goes away. If the patient has a large cyst that causes discomfort or pain, looks suspicious on the ultrasound, and/or hasn’t gone away after several menstrual cycles, the doctor will remove it.

Contact Us for Further Information

To learn more about dealing with an ovarian cyst, we welcome you to reach out and make an appointment with Fort Worth Center for Pelvic Medicine. At our convenient location in Fort Worth, TX, our caring and devoted team of professionals will explain what to do if you have a cyst and answer any questions you may have. We will also be happy to explain the myriad benefits of treatments such as the MonaLisa Touch®. Contact us today to set up your consultation – we look forward to speaking with you!

Filed Under: Blog Tagged With: Fort Worth, MonaLisa Touch®, ovarian cyst, Ovarian Cysts

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

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

The Importance of Getting an Annual Gynecology Exam in Fort Worth

Going to the OB/GYN is important to your overall health. Many think this visit is just to receive a pap smear or for when something specific is wrong. You may wonder why you should bother making that yearly trek to the gynecologist. There are actually a lot of reasons why it’s still a wise idea. Let’s look at the importance of getting an annual gynecology exam in Fort Worth.

Birth Control

Birth control is a very personal issue for most women, and there are many reasons for women to pursue various options. Your choice of birth control methods is likely to evolve and change over time. Therefore, taking time to assess your current needs, any side effects you may be experiencing and your general health regularly is a good idea. Our gynecologist can help you navigate and address these issues at your yearly exam.

STI Screening

Sexually transmitted infections, STIs, are conditions that are spread through sexual contact. People who have multiple sexual partners are at risk for such conditions as chlamydia, gonorrhea and HIV. Regular screening for such conditions, also known as sexually transmitted diseases or STDs, is recommended for those who aren’t monogamous with their sexual partner or whose partner may not be monogamous.

Menopause

If you’re age 40 or older, you may have special concerns not experienced when you were younger. Many stages of development come with their own unique gynecologically-related issues. The onset of menopause and the years before reaching it are heavily influenced by changes in your hormonal levels that can affect you in various and unexpected ways. Our OB/GYN can help you to understand these changes and provide you with options for dealing with them.

General Physical Health

It’s recommended that young women have their first gynecology exam between the ages of 13 and 15, most certainly at least by the time they’re sexually active. This allows them to get to know and become comfortable with the doctor, as well as their bodies. Not all gynecological services begin at this age, but it does start the opportunity for the relationship to develop. Feeling comfortable enough to ask questions is imperative to your overall health.

There are many more reasons you should consider getting an annual gynecology exam at Fort Worth Center for Pelvic Medicine. Schedule yours sooner rather than later, especially if you are experiencing problems related to your female health. Contact us today to book your appointment at our office in Fort Worth!

Filed Under: Blog Tagged With: Annual Gynecology Exam, Fort Worth

Find Specialized Infertility Treatments in Fort Worth

It can take up to a year for the average, healthy woman under 35 to conceive. After the age of 35, a pregnancy is certainly possible, but it may take even longer. At-home methods of conception, such as using a calendar to track the woman’s monthly cycle or using an ovulation detection kit, are a great place to start, but are not always effective. If you and your partner have been trying to have a baby and have not had any luck, it may be time to seek out infertility treatments in Fort Worth to make sure nothing is amiss.

Understanding Infertility

One of the most important aspects to keep in mind while you’re trying to conceive is that most healthy people are not completely infertile. Women may have gynecological issues and still be able to conceive with help. Men may have a low sperm count that can be overcome with IUI or IVF. Unless there is an anatomical issue, there are usually treatments you can use to raise your odds of conception.

The Testing Phase

Before you can begin treatments for infertility, we will need to run tests to help narrow down the cause. Both partners will need to be tested. For men, a sperm sample may be all that is needed. For women, blood tests, a pelvic exam and an ultrasound are standard procedure. Blood work will reveal any hormonal issues that might be preventing conception, while a pelvic exam and an ultrasound can help rule out any physical abnormalities. Something as small as a benign polyp on the uterine wall can stymie your efforts to get pregnant, so it’s best to be thorough. From there, we can come up with a specialized infertility treatment for you.

Getting Started

Infertility treatments can help you to get the family you’ve always wanted. If you have been trying for a year or more and are under 35 or you have been trying for six months or more and are over 35, schedule a consultation with us at the Fort Worth Center for Pelvic Medicine. We look forward to helping you achieve the family of your dreams. Contact us today to schedule a consultation at our office in Fort Worth!

Filed Under: Blog Tagged With: Fort Worth, Infertility

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Fort Worth, TX - 76104
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