Monmouth Ask The Doctor March-April 2019

QUESTION: How does The Mona Lisa Touch counteract vaginal dryness? V aginal dryness is extremely common during menopause. It’s just one of a collection of symptoms known as the the size of the vagina. The Mona Lisa Touch is a new therapy for the treatment of vaginal dryness that is non hormonal, non medication and non surgical using a gentle laser. Dr. Simigiannis is one of the leading gynecologists in the nation using this new procedure.

genitourinary syndrome of menopause (GSM) that involves changes to the vulvovaginal area, as well as to the urethra and bladder. These changes can lead to vaginal dryness, pain with intercourse, urinary urgency, and sometimes more frequent bladder infections.

Dr. Helen Simigiannis, MD, FACOG

For more information feel free to contact: Dr. Helen Simigiannis, MD, FACOG Antheia Gynecology 375 US Highway 130, Suite 103 East Windsor, NJ 08520 Next to the Americana Diner 609.448.7800 www.antheiagyn.com

These body changes and symptoms are commonly associated with decreased estrogen. However, decreased estrogen is not the only cause of vaginal dryness. It is important to stop using soap and powder on the vulva, stop using fabric softeners and anticling products on your underwear, and avoid wearing panty liners and pads. Vaginal moisturizers and lubricants may help. Persistent vaginal dryness and painful intercourse should be evaluated by your healthcare provider. If it is determined to be a symptom of menopause, vaginal dryness can be treated with low-dose vaginal estrogen, or the oral selective estrogen-receptor modulator ospemifene can be used. The Mona Lisa Touch is a new therapy for the treatment of vaginal dryness that is non hormonal, non medication and non surgical that has been FDA-approved using a gentle laser. Regular sexual activity can help preserve vaginal function by increasing blood flow to the genital region and helping maintain

Adolescent & Routine Gynecology Menopause

Urinary Incontinence Endometrial Ablation Birth Control

“HATE” Shopping for Shoes? Here are some tips to make it easier We spend an average of 50-75% of our day with our feet in shoegear. Doesn’t it make sense to wear the right shoes? But what exactly does that mean? Keep reading for some common sense tips that few people know about. 1. Comfort AND Support are both equally important. Many of my patients come in wearing those fur-lined boots and those rubber clogs because they are “comfortable”. But they are terrible in terms of support for your feet. Stay away from the temptation! 2. There are 3 main parts to the shoe that most people can relate to. The heel counter is just above the sole. Take a finger on each side and squeeze the heel counter …if it squeezes too much or not at all, then put the shoe back on the shelf. Next, bisect the shoe in half lengthwise , and twist it from one side of the imaginary bisection to the other. There

shouldn’t be too much twist or too much rigidity either. Finally, hold the shoe like a “V” from palm to palm. If the toebox bends to the laces, stay away. If it doesn’t bend at all, also stay away from this type of shoe. 3. Go shoe shopping after early afternoon, when your feet have had some time walking around and swelling just a little bit from the day’s activities. 4. Your correct shoe size is one finger width longer than your longest toe. 5. Don’t be afraid of trying on wide shoes, they may actually feel better! A Step Up Podiatry

Dr. Sanjay Gandhi, DPM

Our Specialty Services For Adults, Children & Seniors Bunions Children Corns & Callouses Diabetic Foot Care Flatfeet Fungus HammerToeTreatment Heel Pain InGrownToeNails Plantar FasciitisTreatment Plantar Warts Orthotics and Surgery

215 Gordons Corner Road, Suite 2A Manalapan, NJ 07726

Complete Family Foot & Ankle Care

ASTEPUPPODIATRY.COM • 732-446-7136

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MARCH/APRIL 2019