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.

Becoming a Fellow of the American College of Obstetrics and Gynecology


 American College of Obstetrics and Gynecology pic

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.

What Happens in Menopause

Menopause pic


As the head of a private gynecological and obstetrical practice in Plano, TX, Dr. Keith Reisler draws on an in-depth knowledge of the female reproductive cycle. Keith Reisler, MD, uses this knowledge to provide thorough care and hormone replacement therapy to patients in menopause.

Menopause occurs after a woman has experienced her last menstrual period. This means that her ovaries have released their last egg and have stopped producing both estrogen and progesterone. The process typically happens around the age of 51, although the normal range is age 40 to age 55.

Menopause occurs after a period known as perimenopause, or transition. This period consists of the several years leading up to the woman’s last period. During this time, levels of estrogen and progesterone production slow down dramatically. As a result, the woman may experience such symptoms as hot flashes, trouble sleeping, and mood fluctuations.

Medical science defines the end of perimenopause, and thus the beginning of menopause, as one year after a woman’s last menstrual period. About this time, some symptoms may cease to be troublesome. However each woman is unique and some may continue to have bothersome symptoms requiring hormone replacement therapy. Through a woman’s remaining years, patient and doctor must be vigilant against heart disease, osteoporosis, and other conditions that a drop in estrogen may exacerbate.

About the Hysteroscopic Resection of Uterine Fibroids


Uterine Fibroids pic

Uterine Fibroids

Based in Plano, TX, Keith Reisler, MD, has almost 30 years of experience as an ob-gyn and is regularly recognized as one of the best doctors in America. In addition to offering comprehensive ob-gyn services, Dr. Keith Reisler has specialized training in minimally invasive procedures, such as the hysteroscopic resection of uterine fibroids.

Hysteroscopic resection is most often used for fibroids located under the inner wall of the uterus that have grown into its inner cavity. The procedure is performed via the patient’s birth canal and involves no external cuts. Many patients are able to go home the same day, with little to no pain from the procedure.

Unlike laparoscopic procedures, which often require several incisions and may keep patients in the hospital overnight or longer, hysteroscopic procedures are performed with a small camera that has a surgical loop attached to its end. In addition to a quick recovery time, hysteroscopic resection maintains the integrity and function of the patient’s uterus so she can still become pregnant and have a normal pregnancy. However, the procedure is not without side effects, and light bleeding for up to four to six weeks is normal.

Membership in the American College of Obstetricians and Gynecologists

American College of Obstetricians and Gynecologists pic

American College of Obstetricians and Gynecologists

An obstetrician and gynecologist with a private practice in Plano, TX, Dr. Keith Reisler completed his residency at the University of Texas Southwestern Medical School. Keith Reisler, MD, also serves as a fellow of the American College of Obstetricians and Gynecologists (ACOG).

Dedicated to improving women’s health throughout the world, ACOG was established in 1951. The nonprofit organization focuses on educational resources and programs, while its companion organization, the American Congress of Obstetricians and Gynecologists, focuses on advocacy, practice, and research. With nearly 60,000 members, ACOG is open to everyone in the field of women’s health, from medical students to allied educational affiliates.

ACOG membership is divided into categories based on specialty and experience. ACOG fellows are board-certified ob-gyns with current, unrestricted licenses to practice. Fellow membership applications and qualifications are reviewed by the organization’s executive board, a process that can take up to four months.