Advanced Treatments and Technology

At Modern Women’s Health, we stay on the cutting edge of the industry’s most advanced treatments, techniques, and technology in order to offer the very best to our patients. 

Abnormal Pap Smear 

When you get an abnormal Pap smear result, it’s important to take the next step — usually a colposcopy — in order to determine what that abnormality means.

A colposcopy is a test that allows the doctor to get a better view of the cervix.

It’s important not to panic and automatically be concerned about cervical cancer, as lesser abnormalities indicate mild dysplasia (abnormal cells that are not cancer).  

Adenomyosis

Adenomyosis is a condition that develops when the endometrial tissue grows into the muscular wall of the uterus and still continues to thicken and bleed during each menstrual cycle. This condition is often addressed with medical therapy, but if medical therapy fails and your family is complete, removing your uterus (hysterectomy, which can be performed with robotic assisted laparoscopy) may be needed. This does not mean that your ovaries have to be removed. Some patients with adenomyosis will also have endometriosis outside the uterus. There are a variety of medical options that can treat adenomyosis and endometriosis.

Anxiety and Depression

Our focus is on overall wellness, and mental health is a very big part of that. If you’re feeling depressed or anxious, please speak with us. There can be many underlying factors causing your emotional state.  A thorough assessment will be done and will include mental health screening questionnaires, and often labs. We can initiate treatment which can include improving gut health, stress reduction, exercise, medication, supplements, and sometimes a referral to a psychiatrist or therapist.


Breast Pain, Lump, or Change in Breast

If you’re experiencing a lump in your breast or pain in the area, it’s important to get checked. Breast changes can be common, especially around your cycle; however, a breast lump that is not resolving can be a cyst, benign tumor, or a cancerous tumor. If you develop a new breast lump, skin changes, tenderness, or nipple discharge, then an appointment is recommended for a clinical breast exam to be done. Depending on your symptoms, age, and association with your cycle, we may have you follow up in 4-6 weeks for a re-check, or we may order a mammogram or ultrasound. (A WWE is not appropriate, as that is a yearly preventative visit.)

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Endometriosis

Endometriosis is a painful condition in which the tissue that should be on the inside of the uterus is on the outside. This can be very painful and cause a host of problems, but we can diagnose it with a pelvic exam or a laparoscopy. There are many treatment options for endometriosis, both surgical and non-surgical. 

Polyps

Endometrial or uterine polyps are typically benign growths that develop in the inner lining of the uterus. They are a common cause of abnormal bleeding and can cause abnormal or heavy bleeding. These polyps can be detected with an endometrial biopsy or ultrasound, and can be removed surgically.

Modern Women's Health Gynecology & Aesthetics

Fibroids

Fibroids are non-cancerous growths in the uterus that can affect up to 80% of women. They can cause heavy or prolonged menstrual bleeding, pain in the lower abdomen and back, painful intercourse, and frequent urination, and impacted pregnancy.

Symptoms of fibroids can often be managed with medication; however, surgery may be needed. This can be done via hysteroscopy if the fibroid is submucosal (in the cavity of the uterus), but otherwise, can be treated with Acessa™ laparoscopic fibroid ablation, da Vinci® laparoscopic fibroid removal, open myomectomy, or hysterectomy. Some patients may benefit from uterine fibroid embolization. These treatment options depend on fibroid type (location), fibroid size, your age, and your fertility plans.

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Hormone Imbalance

A hormonal imbalance can cause a variety of symptoms. During your visit, we will conduct a thorough assessment of your symptoms and order appropriate blood work to begin helping you feel better. This evaluation may include a pelvic exam, ultrasound, and more. Because hormones can affect so many parts of you, it’s important to get checked.

Labial Enlargement

When you’re unhappy with the appearance or comfort level of your labia, it can have a negative impact on your self-image and esteem. Dr. Jukes offers surgical labiaplasty, as well as non-surgical vaginal rejuvenation options such as AVIVA™ and Votiva FormaV™ to improve the appearance and feel of your labia. 

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Lichen Sclerosus & Other Vulvar Conditions

Lichen sclerosus is a frustrating condition that causes itching and thin, white patches of skin — usually in the vaginal area.

Topical steroids are usually the first mode of attack against this issue, but platelet-rich plasma (PRP) and the MonaLisa Touch® laser can also be used.

Regular well woman exams and self-care are also important to identify lichen sclerosus, as well as other vulvar conditions such as lichen planus, infections, and other conditions of the vulva.

Menopause & Perimenopause Symptoms

The symptoms of menopause and perimenopause include hot flashes, lowered sex drive, fatigue, tender breasts, vaginal dryness, mood swings, and much more. We often treat these symptoms with hormone therapy, and our MonaLisa Touch laser can help with vaginal dryness as well. We also offer vaginal rejuvenation such as the O-Shot® and Votiva to address sexual concerns. Many patients benefit from a comprehensive approach with attention to diet, exercise, and nutraceuticals, in addition to evaluating their potential need for hormonal therapy. Some patients are not candidates for hormones, but there are many other ways to manage the symptoms of menopause.

Painful Periods 

Painful periods (dysmenorrhea) can include severe cramping, and may or may not include heavy bleeding. Very uncomfortable periods can also be caused by endometriosis, fibroids, or other conditions (see above). 

Medical therapy is always the preferred initial option and may include birth control pills, ibuprofen/NSAIDs, hormonal birth control, or other medications. If medical therapy fails, then a pelvic ultrasound and exam are often used to evaluate prior to a diagnostic laparoscopy. Diagnostic laparoscopy is usually done with the da Vinci platform to evaluate and treat conditions such as endometriosis.

Painful periods may not always have an underlying cause. Constipation and heavy periods can cause menstrual cramps. Other causes include endometriosis and fibroids.

Post-Menopausal Bleeding

Any bleeding from the vagina after not having a period for 12 consecutive months (in the absence of being on birth control) should be evaluated. Post-menopausal bleeding can have many causes including vaginal atrophy, taking hormone replacement incorrectly, and polyps. However, other causes do include ovarian and uterine cancer. At your appointment, we will determine if an ultrasound and endometrial biopsy are indicated. Treatment will be provided based on the cause. 

Sexual Dysfunction

Sexual dysfunction can include things like painful intercourse, low sex drive, orgasm dysfunction, and dryness. We offer a wide variety of minimally invasive treatments for outstanding vaginal rejuvenation, including Votiva FormaV, MonaLisa Touch, AVIVA, Biote®, labiaplasty, BTL Emsella, and the O-Shot. The right procedure for you will depend on your personal goals. 

Thyroid Issues

More than 27 million Americans have some kind of thyroid disorder, which can cause issues such as fatigue, trouble keeping your weight in balance, dry skin and hair, depression, and much more.

Depending on your specific symptoms, we may recommend iodine with zinc and selenium combined with a low-inflammatory diet plan and an overall decrease in stress. 

Urinary Incontinence

If you suffer from urinary incontinence, we can help you get your life back. Many of our feminine wellness treatments address urinary incontinence by strengthening the pelvic floor. First we will need to assess the type of urinary incontinence you have, then we can determine the best treatment option for you. Treatment options include in-office pelvic floor therapy for bladder retraining, as well as additional vaginal rejuvenation techniques such as Votiva FormaV, the O-Shot, BTL Emsella, VTone, Morpheus8V, and if appropriate, support of vaginal tissue with hormones.

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UTIs

Urinary tract infections (UTIs) are a common but very painful problem. We can prescribe antibiotics to rid your body of a UTI, or if you suffer from them continuously, we can check to see if you have a more chronic condition. We can also help educate you on ways to prevent getting these infections.

Vaginal Dryness

Vaginal dryness is a very uncomfortable condition and can lead to frustrating problems such as itching and pain during intercourse.

If you are a candidate, hormonal therapy works well for this condition. 

Vaginitis

Vaginitis can occur with yeast overgrowth, bacterial overgrowth, or with infections such as trichomonas.  Accurate diagnosis is important. An exam will be done, and sometimes a culture is sent and/or sample evaluated under the microscope at your visit. Then a treatment will be recommended.

Vulvodynia

Vulvodynia is a condition that may be caused by inflammation, damage to the nerves of the vulva, or many other factors. It is a very painful condition that feels like burning, stinging, irritation, and rawness. Although no one treatment works for everyone, we offer a variety of treatments at Modern Women’s Health to address the symptoms of vulvodynia.

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Why Choose Modern Women’s Health?

If you’re looking for patient-centric medical treatment in a compassionate, confidential, and comfortable atmosphere, Modern Women’s Health is the perfect place for you. Founder Dr. Lisa Jukes is a board-certified gynecologist who has established one of the top gynecology and women’s practices in Texas, providing overall wellness for women and a 360-degree view of each unique patient’s health. Modern Women’s Health is more than just a clinic where you get your annual well exam. We take care of all aspects of our patients’ health — all the way from adolescence through menopause. 

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