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


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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.

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.

Becoming a Fellow of the American College of Obstetrics and Gynecology


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American College of Obstetrics and Gynecology

Since 1988, Keith Reisler, MD, has practiced as an ob-gyn in Plano, TX. Board certified by the American Board of Obstetrics and Gynecology, Dr. Keith Reisler also maintains status as a fellow of the American College of Obstetrics and Gynecology.

A fellow of the American College of Obstetrics and Gynecology (FACOG) is an ob-gyn who has completed advanced training and achieved a high level of professional and ethical standing. To become an FACOG, a doctor must have earned both an undergraduate and a four-year medical degree, then successfully undertaken an accredited four-year residency in obstetrics and gynecology. The final steps require a doctor to secure and continue to maintain board certification from a qualifying medical board, such as the American Board of Obstetrics and Gynecology. He or she must also hold an unrestricted medical and surgical license.

Upon meeting these guidelines, a practitioner interested in garnering the FACOG distinction should complete an application and submit it along with proof of his or her credentials. The college may take as long as four months to process the application. Patients who consult with an FACOG can rest assured in the confidence that their doctor will provide the highest level of ob-gyn care possible.

Permanent Birth Control – Essure

Dr Keith Reisler pic

Dr Keith Reisler

An OB/GYN practicing in Plano, TX, Keith Reisler, MD, completed his OB/GYN residency training at the University of Texas Southwestern Medical School. Dr. Keith Reisler provides minimally invasive women’s health treatments like the Essure procedure.

A noninvasive, non-surgical, and non-reversible way for women to prevent pregnancy, the Essure procedure is a highly effective permanent birth control solution. Other birth control strategies may require doctors to make incisions or to use electrical current to sterilize patients. Essure requires neither of these methods. Doctors can perform Essure in roughly 10 minutes without the need to administer general anesthesia.

During the Essure procedure, a physician places flexible inserts into the fallopian tubes. Over time, the body fuses with the inserts, creating a “wall” that stops sperm from fertilizing eggs. Once the inserts have been put in place, it takes about 3-6 months for the wall to fully form. Doctors then confirm the success of Essure, and following this confirmation, women can stop using other methods of birth control without fear of becoming pregnant.