Gynecologist in San Antonio, TX
The medical needs of every woman will change throughout her lifetime, based on her various reproductive stages. Providing care from puberty to menopause and beyond, our team at the OB/GYN offices of Vincenzo Sabella are dedicated to keeping you healthy for life.
Dr. Sabella offers the full range of gynecological services, including:
- Bone density scans
- Breast examination
- Contraception and family planning
- Evaluation for urinary incontinence
- Infertility evaluation
- Menopause symptom management
- Pap smears
- Pelvic examinations
- Reproductive organ cancer screenings
- Sexually transmitted disease (STD) screenings, including pelvic inflammatory disease (PID) and the human papillomavirus (HPV)
- Evaluation for urinary incontinence and bladder problems
- Weight management: full-range approach, including diet and medication
- Well-woman annual exams
A well-respected and sought-after reproductive surgeon, Dr. Sabella is experienced in a wide range of gynecological treatments, including:
- Bioidentical hormone therapy
- Colposcopy (device that allows a magnified view of the cervix, vagina, and vulva)
- Endometriosis treatment
- Hysteroscopy (camera inserted into the vagina to examine the uterus)
- Robotic-assisted surgeries
- Tubal ligation reversals
- Uterine fibroid treatment
- Vaginal prolapse repair
- Vaginal rejuvenation
At Dr. Vincenzo Sabella’s office, we take time to understand your needs and we listen to your concerns. We also understand the importance of annual exams for the early identification of potential gynecological problems.
At the medical office of Vincenzo Sabella, we often get questions about our gynecological services. Please take a look to see if your question is answered here.
Certain medications can indeed reduce the effectiveness of birth control pills. That is because they slightly reduce the hormone amounts absorbed by the system.
Among the suspect antibiotics are those in the penicillin family, including penicillin, amoxicillin, and ampicillin, as well as the antibiotics tetracycline, doxycycline, and erythromycin. Certain epilepsy drugs, tranquilizers, barbiturates, anti-inflammatories, and laxatives may also reduce the effectiveness of oral contraceptives.
Also called a tubal pregnancy, an ectopic pregnancy develops outside of the uterus. It usually occurs in the fallopian tube, but it can occur anywhere in the immediate area. A fetus cannot survive outside of the uterus.
Due to the restricted area in the fallopian tube, fetal growth cannot occur normally. As a result, the fetus may burst through the fallopian tube and cause internal bleeding. This is a medical emergency. If not treated promptly, ectopic pregnancy can result in the death of the mother.
Once diagnosed, there are treatment options for an ectopic pregnancy. Regardless of what type of treatment you and your physician choose, some form of treatment must be undertaken promptly.
If your ectopic pregnancy meets certain criteria, your physician may recommend treatment with methotrexate. This medicine is frequently used to treat cancer and arthritis, because it stops cells from dividing. When treating an ectopic pregnancy, methotrexate is given in doses much lower than those used to treat cancer, and therefore has few side effects.
The physician will give you an injection of methotrexate, then follow your hormone levels closely to be certain that the pregnancy resolves. If the levels do not decrease appropriately, you may need a second injection or surgery.
If you do not meet the criteria for use of methotrexate, your physician may recommend surgery.
Two surgical approaches can be used, depending on the seriousness of the situation. The first option is known as laparoscopy. With laparoscopy, a small incision is made in or around your navel (belly button), and a small light is inserted into your abdomen. The fallopian tube can then be examined.
If necessary, your physician will make a few small incisions lower on your abdomen through which he or she can insert instruments and either remove the ectopic pregnancy or remove the entire fallopian tube. (You have two fallopian tubes, so one would remain.)
The second surgical option, although very uncommon in our practice, is known as a laparotomy. This involves making a large incision lower on the abdomen and removing the ectopic pregnancy or the fallopian tube. If the ectopic pregnancy has already ruptured (burst through the fallopian tube), this will be the quickest way to remove the fallopian tube and stop the bleeding.
If you suspect an ectopic pregnancy, it is important that you contact your doctor immediately.
Are you seeking a qualified and caring gynecologist? Dr. Vincenzo Sabella and his team are ready to take care of you right here in San Antonio, Texas. Call us at (210) 614-1000 today or use our convenient and secure appointment request form to schedule an appointment with Dr. Sabella.