Dr. Scott Gulinson is a certified gynecologist located in Glendale, AZ that provides gynecology to the entire Phoenix, Arizona area. A time for your general healthy well being to be evaluated. We perform full examination of the thyroid, heart lungs, lymph nodes, breast examination, abdominal examination, pelvic examination. We include testing for cervical and vaginal cancer, pap smears, evaluation for vaginal infections, and pelvic evaluation. We generally recommend options for birth control, hormone evaluation and management, urinary symptoms, ovarian/uterine health and test for cholesterol, anemia, thyroid disorders, etc. At appropriate times, you will be referred for mammogram testing and for bone density (DEXA) testing. Contact our gynecology clinic in Glendale, Arizona for more info!
Gynecology/Women's Health Problems
We frequently evaluate and manage in the office visit:
- Birth Control.
Please feel free to inquire with us about the use of all types of birth control from condoms, to hormonal contraception such as OCPs, nuvaring, Ortho-EVRA, depoprovera and Mirena to IUDs such as Paragard copper IUD and Mirena to permanent sterilization with laparoscopy or ESSURE incision-free sterilization.
- Painful Menstruation
During the menstrual cycle powerful hormones called prostaglandins may be released and can cause discomfort. However anatomic abnormalities may also be the culprit for your troubles and you need to know what the cause to help treat the problem is. We can discuss this further in the office and possibly test you through blood tests or ultrasound to confirm whether fibroids, ovarian cysts or endometriosis may be present. Let us begin to help you get your life back!
- Heavy Periods and Menstrual Flow Reduction
Heavy or prolonged menstruation can be treated hormonally with OCPs, IUD or progestins or surgically with endometrial ablation or hysterectomy.
- PCOS/Irregular Menstruation
These are single cell smooth muscle tumors found in the uterus in many women. They are extremely common and usually so small as to be inconsequential. However, depending upon their size and location, fibroids can become quite a nuisance! They may cause abnormal bleeding or pain and pressure and can grow to the size of a cantaloupe or larger! We can help you with a plan to manage or remove your fibroids or your uterus if necessary.
- Urinary Incontinence
Genuine Stress Urinary Incontinence is the loss of urine with coughing and sneezing without a bladder spasm. We can determine if you have this problem with an office based procedure called multichannel urodynamics and if you do, we can perform a minimally invasive outpatient procedure called a "sling" which may well help you become dry again! Why not find out if this can be fixed....we can help!
- Pelvic Organ Prolapse (bladder, rectum, vaginal vault, uterus)
- Menopause and Hormone Replacement
We are specially trained and certified in performing minimally invasive procedures that reduce or eliminate menstrual flow and pelvic pain (Endometrial Ablation, Laparoscopic Hysterectomy) and urinary stress incontinenence (midurethral sling). We can perform incisionless sterilization (ESSURE) and have been doing so since the FDA cleared it's use! Call us now for your evaluation of whether these wonderful minimally invasive procedures are right for you! 602-678-1111
- Colposcopy and management of abnormal pap smears , cervical dysplasia (pre cancer)
- Hysteroscopy Dilation and Curettage
- ESSURE removal with or without hysterectomy
- Endometrial Ablation
Endometrial Ablation procedures are wonderful office procedures that are designed to help reduce or eliminate your menstrual flow. We can do this procedure in the office under sedation. The procedure takes just 15 minutes to perform and the results can be amazing! Are heavy and irregular menstrual cycles interfering with your activities of daily living? This may just be the procedure for you. 45% of patients after an endometrial ablation have complete cessation of their menstrual flow and 65% have a substantial reduction!
- Thermachoice Endometrial Ablation
You may be able to Stop Your Flow NOW!
For more information visit:
GYNECARE THERMACHOICE® III Uterine Balloon Therapy System
Did you know that approximately one in five menstruating women experience debilitating heavy or irregular menstrual flow? Traditionally, treatment for such a condition required medical management with hormone therapy or hysterectomy and in fact one of every three hysterectomies in the U.S is done for abnormal menstrual flow The most common treatment is currently hysterectomy but now there is a much less invasive, outpatient treatment designed to treat the condition with minimal side effects and down time. That is the new ThermaChoice Uterine Balloon Ablation.
As opposed to removing the entire uterus, the hot ablation procedure just destroys the inner lining of the uterus by the use of heat. This can be very effective for the control or dissolution of menstrual flow.
Expectations for the ablation generally are quite good. In the literature, 40% of patients will immediately stop their menstruation all together and the remainder 60% of patients treated with ablation will have a very diminished flow to very light or mild bleeding. In fact, the majority of this group of patients after 6-12 months can expect to have cessation of menstruation as well. There can never be a guarantee that one will not menstruate ever again so endometrial ablation should be thought of as a treatment to significantly reduce the flow and duration and quantity of bleeding during your menstruation...with a significant portion of those treated having cessation of.