Deborah Wilson, MD and Associates
Outpatient surgeryOffice News

June is the target for the opening of our new minor procedures suite. We will be offering endometrial ablations, operative hysteroscopy, Essure birth control, labial reduction, and other minor procedures in an office setting. These procedures will be performed under light anesthesia administered by an Anesthesiologist.

The advantages are many:

  1. Significant cost savings over the outpatient surgery center.
  2. Simplicity. You can expect to be in and out in less than an hour.
  3. Comfort and familiarity.

EssureWe are excited to be able to offer these in-office procedures that previously necessitated an outpatient surgery center. The Anesthesiologists are the same Anesthesiologists we use in the hospital. They will be supplying all the equipment necessary to ensure your safety and comfort.

Remember that we have Saturday hours from 9 am to 4 pm. Working women are particularly appreciative of the opportunity to be seen on a Saturday. Dr. Wilson and Paula Mazzacano are available for appointments on Saturdays.

We have been offering patients the opportunity to drop in for emergency Gynecologic care for a few months now. If you have an immediate problem, do not hesitate to drop in. You will be seen by a provider as soon as there is an opening. You do not need to be an established patient to take advantage of this.

Viagra Does Help Sexual Dysfunction in Women
Viagra
~ Debra Wickman, MD

Viagra (Sildenafil) has been widely accepted as an agent to treat male erectile dysfunction. Now, it has been shown that some women may also benefit from this medication. Female sexual dysfunction has been divided into four major categories – desire, arousal, orgasm and pain. Over the past few years, there has been slow progress in developing medical interventions for these areas. Decline in ovarian hormone production with aging has a significant effect on the first three categories, and can be improved with administration of appropriate doses of estradiol and testosterone in healthy women. However, many reproductive age (premenopausal) women who take antidepressant medication notice changes in their arousal and orgasm function within the first year of starting the medication – especially the serotonin reuptake inhibitor (SRI) class of drugs.

CoupleOne well-constructed study recently focused on premenopausal women with normal hormone levels, who had developed sexual dysfunction after being prescribed an SRI antidepressant, despite the fact that their depression had been successfully treated with the medication. After taking Viagra, the women experienced a significant improvement in their sexual function compared to the placebo group. Side effects occurred (headache, flushing, upset stomach) but no one withdrew because of serious adverse events.

Other studies over the past year have shown that Viagra improves the clitoral and uterine blood flow in healthy postmenopausal women as well. This is likely the mechanism responsible for the improvement in sexual function seen in the premenopausal age group, and raises the possibility that Viagra may be useful when prescribed along with hormone therapy in properly selected patients.

It is important to make sure that baseline thyroid function and ovarian hormone levels are optimal, and that any underlying relationship issues are addressed as well, before considering any medical intervention.

The Journal of the American Medical AssociationOvarian Cancer Alert

A recent study in the Journal of the American Medical Association shows that women who have ovarian cancer are more likely than those without ovarian cancer to have three specific symptoms with higher frequency prior to diagnosis: abdominal swelling, feeling the urge to urinate and feeling bloated. The study involved 1,709 women who visited a clinic for routine examinations or gynecologic complaints and 128 women with benign or cancerous masses. All were quizzed on whether they felt the symptoms as well as seventeen other symptoms. Forty-three percent of women with ovarian cancer reported those three symptoms up to 20 to 30 times per month. The same symptoms were much less frequent in women who had benign conditions such as irritable bowel syndrome. Study co-author Lynn Mandel,Ph.D., says that a woman who has those symptoms continually for more than three weeks should talk to her doctor, especially if symptom onset is recent.

We recommend pelvic ultrasound for any woman who experiences these symptoms. Generally speaking, ovarian cancer can be detected even in early stages by a pelvic ultrasound.

A pelvic ultrasound is quick, easy, painless, and harmless.

And it can save your life.

Balance Hormone Pellets

Dr. Wilson's office offering hormone pellet therapyMenopausal women have many choices in hormone replacement, but estrogen and testosterone pellets seem to be stealing the show! Let's face it — patches are cumbersome, creams are messy and don't work well, and pills create swings in blood hormone levels on a daily basis.

If you are suffering with hot flashes, night sweats, insomnia, vaginal dryness, lack of sex drive, fatigue, aches and pains, poor memory and concentration, moodiness or depression, you are a candidate for hormone replacement. You have many options, but for the woman who wants to feel truly young again, pellets are the most popular choice.

For more information on Balance Hormone Pellets, click onto http://www.drwilsonobgyn.com/hormone_therapy/index.html

PelletFrequently asked questions:

Q. How do I know when I need more pellets?

A. Generally speaking, you will feel the pellets wearing off. You will begin to experience hot flashes, night sweats, loss of libido, and insomnia. We encourage you to come in for a blood draw when you notice these symptoms. Even if it is not time for your next blood draw, you are welcome to make an early appointment to check your levels.
Q. When you report my levels to me, you give me numbers. I don't know what these numbers mean. What should I be looking for?
A. The range of normal for estradiol is wide. Generally, just after the pellets are inserted, the level of estradiol can be as high as 300. It then gradually drifts down, and we encourage additional estradiol pellets when the level drops below 100. Testosterone levels can be as high as 200 just after the pellets are inserted, and we recommend more pellets when the levels drop to below 50.

This being said, it is important to remember that women are individuals, and what is a perfect level for one woman may be inadequate for another. Some women feel best when their estradiol levels are at 300, and others feel best at 100. We will work with you to establish the best levels for you.
FDA ApprovedQ. My friend who lives back east asked her doctor about hormone pellets, and he told her that he doesn't use them because they are not FDA approved and because the levels vary too much. Is this true?
A. Estradiol and Testosterone are FDA approved in many, many different forms. So the drugs contained in the pellets are approved, but the delivery system is not. What this means is that the companies who produce the pellets have not gone through the expense of doing the research to gain FDA approval for this particular delivery system. There are many examples in medicine of this approach.
The levels of estradiol and testosterone do vary in a woman using the pellets, but in a normal reproductive women's cycle the levels also vary tremendously throughout the month. Women do not tend to notice these fluctuations. They only notice when the estradiol and testosterone levels drop and menopausal symptoms resume.
Skintique MD — Dr. Wilson and Associate's Very Own Skin Care Department!
~ Lori-Anne Gordon

Visit us on-line at www.skintiquemd.com or call 480.860.9383
We have a new treatment called the Skintique Signature. This treatment focuses on not only the face, but the neck and décolleté as well! This is an amazing anti-aging treatment that uses only the patented LHA medical grade La Roche Posay products. LHA is a new molecule that is attracted and absorbed into the lipid envelope each of our cells are in to help regenerate and repair skin. Extremely exfoliating, and hydrating. It includes an anti-aging eye treatment, micro-peel, pressure point massage for all areas treated with an arm/hand massage included. The price is $125.00 for a 45-minute treatment. This is perfect for in-between IPL or laser sessions, and is also a great next step for our clients who have completed the 6 LHA peels.

Think you all know what an amazing sun screen the La Roche Posay Anthelios is...well we just received the brand new, long awaited SPF 60! It completely absorbs into the skin, it does not feel like traditional sun screen at all. Great for people that don't like the greasy texture of sun screens. It also is chock full of powerful anti-aging complexes, and the best part is that it only needs to be re-applied after 5 hours!!!! All other sun screens need to be re-applied every couple of hours to maintain their efficacy. It is water resistant and tested even for sensitive skin! Please come in and pick up some in our office!

IPL Before and AfterThe last thing I want to tell you is that we decided to run our previous special for the IPL/Photo Facial at $150.00 (instead of $200.00) for another month!! This price will be good through the end of June! This special was so successful last time and we are proud to offer it again to our special newsletter clients!

Please feel free to take a menu of Skintique services the next time you are in Dr. Wilson's office. We also offer laser hair removal and a number of other delicious spa treatments!

For those of you who are new to Skintique, we are located at 10752 N. 89th Place #102 in Scottsdale, right around the corner from Dr. Wilson's main office.

Stay beautiful inside and out!

Minimally Invasive Hysterectomies

Did you know that 66% of hysterectomies in the United States are still performed through a large abdominal incision? Minimally invasive surgery is certainly the trend in this area, but it has not permeated other parts of the country, particularly rural areas. It is our goal to change these statistics by educating the public and teaching interested physicians how to perform this procedure. You can help by talking about your experience to friends and family wherever they may live. Remember:

  1. A minimally invasive hysterectomy can be performed despite uterine enlargement.
  2. A minimally invasive hysterectomy can be safely performed despite prior surgery, including multiple prior cesarean sections.
  3. There are actually very few contraindications to a minimally invasive hysterectomy.
Maria MenounosMaking A Difference

NBC - Making a DifferenceWatch the video of Dr. Wilson recently featured on NBC Nightly News "Making a Difference".

Read the blog written by the reporter, Maria Menounos.

How Are You Making A Difference?

Volunteering for a cause you believe in can transform your world. You will meet interesting people, fill empty hours, and make new friends while saving lives. Whether you choose to transport pets to and from foster homes, play with pets at adoption events, become a "foster family", or assist with coordination efforts, we have an opportunity for you. Contact Stacy or Susy for information on how you can help animals. Log onto www.circlel.org for more information.

We are holding a volunteer orientation for Circle L Ranch on June 16th at the office (8997 E. Desert Cove, Scottsdale) at 6:30 pm. RSVP to stacymantle@gmail.com. Find out how you can make a difference!

After all, it takes a pack to save a pet!

Dogs Available for Adoption
Sophia is a 1 year old Pug/Chihuahua mix. Sophia is spayed and up to date on immunizations. Friendly and energetic, she loves people and other dogs. Sophia was rescued from the euthanasia list at the shelter and would love to have a forever home. Sophia
Ed is a 2 year old neutered male Chihuahua. Ed is a little shy, but very friendly when you get to know him. Quiet and sweet, he gets along with other dogs and any human. Ed was rescued from the euthanasia list at the shelter and would be a perfect dog for a retired person or an apartment dweller. Ed could be left at home during the day with no problem. Ed
Guy is a 3 year old male poodle who was rescued from the euthanasia list at the shelter. He was ematiated when we got him, and he is slowly putting on weight. He is negative for tick fever and valley fever, so we can conclude that he was starved. Guy is up to date on his vaccinations, quiet, and friendly towards other dogs. Guy has an old fracture of his back leg. He doesn't use it much except to balance, but gets around very well as a 3-legged dog. Guy would like to have a quiet home and could easily be an apartment dog. Guy will weigh about 15 lbs when he reaches is optimal weight. Guy
Blanca is a 7 year old spayed Cockapoo who is quiet and friendly. Blanca was a breeder dog but those days are over for her. Blanca gets along with other dogs and loves people. She especially loves her snacks. She is up to date on vaccinations. She would be suitable for an apartment dweller — not much exercise is needed. Blanca
Bertha is a 1 year old spayed Chihuahua/Min Pin mix. She is friendly and energetic but not overly so. She loves other dogs and gets along well with people too. Bertha would like a home with a few other dogs her size. She is up to date on vaccinations.

If you are interested in any of the above dogs, please e-mail circlelranch@gmail.com.

Bertha
Andrew

Atlas

SouSou

Tilly
Pekingese [Mix]
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Shar Pei [Mix]
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Pekingese
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Pit Bull Terrier [Mix]
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Andrew
Atlas SouSou Tilly
Red MeiLing Blondie
Pekingese
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Pekingese
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Pekingese
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Red
MeiLing Blondie

Visit Circle Mountain Rescue on-line at PetFinder.com to learn more about these dogs and other adoptable pets!
Cats Available for Adoption

Bella Donna is a sweet mama who even took in two abandoned kittens as her own. Sociable and beautiful, she'll be a wonderful addition to your home!

Her kittens will all be up for adoption as well!

Blacks Calico
Greys
Hunter 1 Orange
Bike & Run | Saturday, May 23rd
Prescott, Arizona

Saturday, May 23rd