An Overview of High-Risk Pregnancies


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High-Risk Pregnancies

Keith Reisler, MD, has served patients in and around Plano, TX, as a private practice obstetrician and gynecologist since 1988. In this position, Keith Reisler, MD, provides a number of medical services, from annual Pap smears to support with both routine and high-risk pregnancies.

High-risk pregnancy is a term used to describe any pregnancy that poses a higher than average threat to the well-being of the mother, child, or both. In some cases, a routine pregnancy may develop into a high-risk pregnancy over time. In other scenarios, a woman may be a candidate for a high-risk pregnancy due to a variety of factors.

Existing health conditions are one of the most common influencing factors when it comes to high-risk pregnancies. High blood pressure, diabetes, and HIV are all health conditions that can complicate the delivery process. Similarly, obesity has been linked to a number of birth complications, including a 15 percent increase in a child’s likelihood for heart problems at birth.

Additional factors that may result in a high-risk pregnancy include the age of the mother and the number of expected births. Teens and women over the age of 35 are at elevated risk for gestational high blood pressure, among other conditions, while twins and higher order multiples often lead to premature labor. In fact, over 50 percent of twins and in excess of 90 percent of triples are born at less than 37 weeks.

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.

Permanent Birth Control – Essure

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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

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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.

Membership in the American College of Obstetricians and Gynecologists

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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.

Low-Dose Aspirin and Heparin Therapy for Recurrent Miscarriages


What is Hysteroscopy?


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Board certified by the American Board of Obstetrics and Gynecology, Keith Reisler, MD, has practiced medicine for over 30 years. Specializing in women’s health, Dr. Keith Reisler of Plano, TX, completed his Obstetrics and Gynecology residency training at the University of Texas Southwestern Medical School-Parkland Hospital, and is currently a private practitioner. He is trained in a minimally invasive procedure called hysteroscopy.

A hysteroscopy is a surgical procedure without an incision that allows a clinician to examine the interior of a patient’s uterus. With the use of glycine or normal saline, the uterus is filled and a lighted instrument called a hysteroscope is inserted into the uterus via the vagina and cervix. With minimal invasion, the procedure allows for a surgeon or gynecologist to view and perform medical treatments inside the uterus.

A hysteroscopy may be used to treat abnormal vaginal bleeding via surgical removal of damaged tissue or cauterization with an electric current or laser. Additionally, the procedure allows for a clinician to determine the cause of severe blood loss due to uterine fibroids. Another advantage of a hysteroscopy is the ability for a gynecologist to administer treatment involving medications with significant side effects based on a conclusive diagnosis.

Done on an outpatient basis, a hysteroscopy takes up to 45 minutes and requires either spinal or general anesthesia. In preparation for the procedure, patients are requested to fast and abstain from ingesting any solid food or liquid drinks for up to eight hours before the exam.