Gynecologic Recommendations for Women and Girls Under 21


American College of Obstetrics and Gynecology pic

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


Uterine Fibroids pic

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.