As an OBGYN in Reno, Dr. Rafael specializes in Women’s Health. Gynecologists are trained to identify, evaluate, and treat diseases of the reproductive tract, uterus, fallopian tubes, ovaries, cervix, vagina, breasts and urinary tract.
Gynecologists often act as a woman’s primary care physician. They perform annual exams, Pap smears, ultrasounds, order laboratory studies, mammograms and will treat common medical conditions such as thyroid disease, hypertension, hyperlipidemia, and diabetes mellitus type ll. The will refer to their colleagues colonoscopies and medical conditions they do not feel comfortable treating. They will offer counsel regarding diet, exercise, anxiety and depression and they are authorities in hormonal dysfunction treating the perimenopausal, menopause and the postmenopausal woman.
Gynecologists are trained surgeons, and specialize in surgery of the female reproductive tract such as hysterectomy. They also perform surgery for urinary incontinence. Gynecologists perform repairs of the pelvic floor such as cystocele and rectocele repairs and perform surgery for pelvic floor prolapse.
Surgery of the cervix includes colposcopy, endocervical biopsy, and cervical biopsy and Loop Electrical Excision for premalignant cervical disease. Surgeries of the fallopian tubes are often performed utilizing the laparoscope to lyse adhesions, cauterize the fallopian tubes for sterilization, or remove ectopic pregnancies, or open fallopian tubes for reasons of infertility. The laparoscope can be utilized to remove ovarian cysts, laser and excise pelvic endometriosis, and even assist in removing the uterus.
For abnormal, heavy bleeding conservative surgery can be performed to cauterize the inner lining of the uterus with endometrial ablation such as the Novasure Procedure or hydrothermablation. An endometrial biopsy should be performed first in order to make sure there is no hyperplasia or malignancy of the inner lining of the uterus.
Although trained in DaVinci Robotic surgery, Dr. Rafael believes that the DaVinci Robotic surgery is best reserved for Cancer Surgery, and ethically he believes surgery for extensive cancer is best performed by a trained Gynecological Oncologist.
As a longtime doctor in Reno, NV, Dr. Rafael knows the advantages of having a Gynecologist perform your surgery. One advantage of having a Gynecologist perform your surgery, rather than an Obstetrician/Gynecologist, is that the patient’s exam will not be interrupted by the physician having to run out of the office to perform a delivery. The Gynecologist can focus just on your visit and your surgery. Contact Dr. Rafael today for any questions you have or if you are looking for a physician in Reno.