Categories of Risk in Pregnancy


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Since 1988, Dr. Keith Reisler has served as an obstetrician and gynecologist in Plano, Texas (TX). Keith Reisler, MD, comes to his work with diverse experience in caring for women with both normal and high risk pregnancies.

A high-risk pregnancy involves one or more factors that may affect the health of the mother, her unborn child, or both. Some potential risk factors relate to the mother’s age, lifestyle, or health status, while others stem from conditions of the pregnancy itself. Women expecting multiple babies are at higher risk, as are those who develop pregnancy-related conditions such as gestational diabetes or preeclampsia.

Women with nongestational diabetes are also more prone to pregnancy complications, and so blood sugar control before pregnancy is essential. Women with kidney, thyroid, or autoimmune disease must also ensure that their conditions are well-controlled and that their pregnancies are closely monitored by an experienced gynecologist. The same holds true for women with HIV/AIDS, who require careful treatment and often a cesarean section to minimize the chances of transmitting the virus to the baby.

Teenage mothers and first-time mothers over the age of 35 are at higher risk as well. Younger mothers are more prone to high blood pressure, anemia, and early labor, while older mothers may have more trouble with labor and are statistically more likely to give birth to a child with a genetic condition.

Women of any age and any health status can reduce the risk to the baby by avoiding cigarettes and alcohol during pregnancy. Both increase the fetus’s chance of birth defects, while alcohol increases the risk of stillbirth and smoking predisposes a woman to preterm labor.

About Pelvic Exams


Dr Keith Reisler pic

Dr Keith Reisler

Dr. Keith Reisler has operated his own ob-gyn practice in Plano, TX, since 1988. Keith Reisler, MD, offers comprehensive women’s care at his clinic, including pelvic exams.

Any woman over the age of 21 should consider having a complete pelvic exam every year. Exams may be done at an earlier age in certain circumstances. Pelvic exams include a look at the vulva, cervix, uterus, fallopian tubes, ovaries, bladder, and rectum, as well as a pap smear to check for cervical cancer. Pap smears may be done less frequently depending on the circumstances.

Although a woman should have a pelvic exam during a routine annual physical, she should also have the exam if she becomes pregnant, suspects she is suffering from an infection, or is experiencing pain in the lower back or pelvic region. Women should attempt not to schedule a pelvic exam when they are having a period. Moreover, in the preceding 48 hours, the patient should not douche, engage in sex, use a tampon, use foam or jelly birth control products, or apply any medications to the vagina.

Laparoscopic Hysterectomy – An Introduction

Keith Reisler, MD, has cared for patients as an obstetrician and gynecologist (OBGYN) for more than 30 years. Experienced in laparoscopic hysterectomy and other minimally invasive procedures, Dr. Keith Reisler shared his knowledge of such therapies in an interview with the Wall Street Journal.

Traditionally, hysterectomy has involved removal of the uterus through an abdominal incision of 6 to 12 inches in length. It is a major abdominal surgery and requires approximately six weeks of recovery time. Recently, however, advancements in medical technology have allowed some surgeons to perform the procedure laparoscopically.

The laparoscopic-assisted vaginal hysterectomy, or LVAH, has now been an option for patients for more than 25 years. It involves the use of a thin surgical tube that allows surgeons to perform part of the procedure intra-abdominally, but with fewer and smaller incisions, while the remainder of the procedure takes place through the vaginal canal. The total laparoscopic hysterectomy, though similar in its use of the laparoscope, is performed entirely intra-abdominally while only the tissue removal takes place transvaginally.

Experts advise patients who may be candidates for laparoscopic hysterectomy to consult with an experienced physician. The procedure is both sensitive and delicate and, as such, requires a skilled hand.

Playing Tennis in the Heat

An accomplished physician with many years of experience in the field of obstetrics and gynecology, Dr. Keith Reisler currently owns and operates his own practice in Plano, Texas. Aside from his work as an OB/GYN, Keith Reisler, MD, has enjoying coaching and playing tennis with his daughters. His twin daughters are now on their way to play college tennis.

In hot climates such as that of Texas, it is important to bring the proper equipment to a tennis match and follow simple health guidelines. First and foremost, you must stay hydrated. Drink plenty of fluids throughout the day, and be sure to take frequent water breaks throughout your tennis session. You may also consider adding some salt to your diet, which can ward off cramps.

Pre-match meals should be high in carbohydrates, moderate in protein and low in fat. Examples are pasta, bread, fresh fruit, granola bars, energy bars and sports drinks. Pre-match meals should be eaten 3-4 hours prior to competition and pre-game snacks 1-2 hours prior. It is important to consume 17 to 20 oz of fluid within 2 hours pre-match and avoid caffeinated beverages especially right before and after match play. Waiting to consume fluid until you fell thirsty during match play is too late.

In terms of equipment, light-colored clothing made of a breathable material can have a significant impact on body temperature. If you tend to sweat a lot, bring an extra shirt for when your first shirt becomes saturated in sweat. Many tennis players also choose to wear a hat or visor, which keeps their head cool and prevents sunburn.

Identifying and Treating Ovarian Cysts


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An OBGYN physician practicing in Plano, TX, Dr. Keith Reisler offers a full range of services, including annual pap smears and abnormal menstrual bleeding. Keith Reisler MD, also diagnoses and treats women who have developed ovarian cysts. A relatively common health issue, cysts in the ovaries are experienced by most women once or more in their life.

Typically symptomless, ovarian cysts are often revealed during a routine pelvic exam and involve fluid-filled sacs test can form on one of the ovaries when the follicle, or egg sac, fails to dissolve after breaking open and allowing the egg out at the completion of a cycle. The sac can reseal and refill with fluid, which results in a corpus luteum cyst.

The majority of ovarian cysts are benign and simply go away untreated after a period of a few weeks. In cases of recurrent ovarian cysts, oral contraceptives are often effective in preventing new cysts and in minimizing the chances of ovarian cancer. Small cysts that persist can be removed surgically through laparoscopy, while large cysts require a laparotomy or large abdominal incision and removal.

Gynecologic Recommendations for Women and Girls Under 21


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American College of Obstetrics and Gynecology

A diplomate of the American Board of Obstetrics and Gynecology, Keith Reisler, MD, provides comprehensive women’s care in Plano, TX. At his clinical practice, Dr. Keith Reisler examines patients of all ages.

According to the American Congress of Obstetricians and Gynecologists (ACOG), girls should schedule their first ob-gyn visit between the ages of 13 and 15. In this visit, patients can establish relationships with their doctors and discuss issues relating to development, the menstrual cycle, and body image.

If needed, the physician may discuss the HPV vaccine and contraception. Following the initial visit, ACOG recommends yearly visits through age 21.

According to ACOG, women and girls under 21 who are sexually active should receive screenings for the sexually transmitted infection chlamydia. Because no more than two girls per million test positive for cervical cancer every year, ACOG does not recommend Pap smears for patients between the ages of 15 and 20. Breast cancer is also rare in this population, prompting ACOG not to recommend breast exams for girls under 20 years of age.

Using a Hysteroscope to Remove Fibroid Tumors in the Uterus


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Uterine Fibroids

A residency-trained OB-GYN, Dr. Keith Reisler stays up-to-date as a professional by being part of organizations like the American College of Obstetrics and Gynecology. Keith Reisler, MD, uses technologies like the hysteroscope to carry out minimally invasive treatment of fibroid tumors at his Plano, TX-based private medical office.

Fibroid tumors can grow in the uterus and cause problems like pain, abnormal bleeding, and difficulties becoming pregnant. Surgery, one option available to women with fibroid tumors, can excise fibroids without harming healthy uterine tissue, meaning patients can go on to have children.

In the past, doctors performed uterine fibroid surgery via a lengthy incision, but thanks to developments in surgical technology, that’s no longer necessarily the case. Instead, surgeons can leverage the hysteroscope, a long, thin instrument, to gain access to the uterus and remove the fibroids through the cervix. In this case, surgeons do not make any incision at all.

A prime benefit of hysteroscopic treatment is reduced recovery time, with most patients going home a few hours after the procedure and recovering entirely within a couple days.