Danish Siddiqui, MD, FACOG

Well Woman Exam

Between work, family, and home, women seem to be pulled in a million directions. They tend to care for others before themselves. Dr. Siddiqui and his premium OB-GYN practice in Milwaukee and Watertown want to make you a priority again. The well-woman exam is a comprehensive annual checkup that would include a discussion about contraception, a pap smear, a pelvic exam, and a breast exam. These exams are essential as they can catch early signs of cancer or other health problems before they get out of hand. At the time of the appointment, you may also speak with your doctor about other health concerns.

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Menopause

Many women feel anxious about menopause. While menopause does come with some unwelcome symptoms, the good news is that these unpleasant physical and emotional changes after your period ends are manageable. Dr. Siddiqui utilizes an individualized approach to managing different symptoms in a holistic approach using both nonhormonal and natural bioidentical hormone replacement therapy, to help women during menopause.

Hormonal treatment For Menopausal Symptoms

Bio identical and Natural Hormone therapy. Estrogen therapy is the most effective treatment option for relieving menopausal hot flashes. Depending on your personal and family medical history, your doctor may recommend estrogen in the lowest dose and the shortest time frame needed to provide symptom relief for you. If you still have your uterus, you’ll need progestin in addition to estrogen. Estrogen also helps prevent bone loss. Long-term use of hormone therapy may have some cardiovascular and breast cancer risks, but starting hormones around the time of menopause has shown benefits for some women. Dr. Siddiqui will discuss the benefits and risks of hormone therapy and whether it’s a safe choice for you.

Vaginal estrogen. To relieve vaginal dryness, estrogen can be administered directly to the vagina using a vaginal cream, tablet, or ring. This treatment releases just a small amount of estrogen, which is absorbed by the vaginal tissues. It can help relieve vaginal dryness, discomfort with intercourse, and some urinary symptoms.

Non-Hormonal Treatment of Hot Flashes in Menopause

Natural and bio-identical estrogen has been used as a hormonal supplement in the treatment of menopausal symptoms. Estrogen therapy is the most effective treatment for VMS in postmenopausal women. Estrogen therapy, however, is contraindicated for the treatment of VMS in women with a history of breast cancer, CHD, previous venous thromboembolic events, transient ischemic attack, or stroke; unexplained vaginal bleeding; high-risk endometrial cancer; and active liver disease. For this reason, non-hormonal approaches have been considered to treat VMS in postmenopausal women.

Low-dose antidepressants. Certain antidepressants related to the class of drugs called selective serotonin reuptake inhibitors (SSRIs) may decrease menopausal hot flashes. A low-dose antidepressant for management of hot flashes may be useful for women who can’t take estrogen for health reasons or for women who need an antidepressant for a mood disorder.

Gabapentin is approved to treat seizures, but it has also been shown to help reduce hot flashes. This drug is useful in women who can’t use estrogen therapy and in those who also have nighttime hot flashes.

Clonidine, a pill or patch typically used to treat high blood pressure, might provide some relief from hot flashes.

Medications to prevent or treat osteoporosis. Depending on individual needs several medications are available that help reduce bone loss and risk of fractures. Dr. Siddiqui might prescribe Calcium and vitamin D supplements to help strengthen bones.

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Abnormal Uterine Bleeding

Dr. Siddiqui provides expert diagnosis and treatment for bleeding problems. Many women experience heavy menstrual flow but excessive bleeding is not normal.

Abnormal uterine bleeding includes one or more of these symptoms:

• Bleeding that soaks a pad or tampon every hour
• Heavy bleeding that lasts more than a week
• Bleeding between periods
• Bleeding after sex
• Bleeding after menopause (a full year of no periods)

Diagnosis:

To determine the cause of abnormal uterine bleeding, a pelvic exam is required. Dr. Siddiqui may order additional tests, including blood tests, ultrasound of the pelvic organs, or other special pelvic scope exams to view the inside of the uterus. Sometimes a biopsy of the cervix or uterine tissue is required.

Treatment

Uterine bleeding treatment depends on the cause of the bleeding as well as the woman’s age and family planning goals. Most bleeding problems can be treated with medications. Observation over time is also a treatment option if no serious cause is determined.

If abnormal uterine bleeding continues despite medication therapy or a woman’s health is at risk, special interventions including surgery may be required to correct the bleeding.

Medications: Hormones and/or nonsteroidal anti-inflammatory medications may be used for women experiencing abnormal uterine bleeding from a hormonal imbalance, uterine fibroids, or endometriosis. Hormone medications come in a variety of forms: pill, patch, cream, or injectable

Surgery: If surgical intervention is required Dr. Siddiqui specializes in minimally invasive techniques to treat abnormal bleeding. There are several minimally invasive procedures available to treat abnormal uterine bleeding. These procedures lead to faster recovery with fewer complications.

• Hysteroscopy. A procedure where Dr. Siddiqui removes atypical structures in your uterus, like fibroids and polyps.
• Robotic Myomectomy. Da Vinci Robot is utilized to remove the fibroids while keeping your uterus intact and preserving your ability to get pregnant and have children.
• Endometrial ablation. Destroys your uterus lining through the use of a laser, heat, electricity, microwave energy or freezing. You shouldn’t have this procedure if you want to get pregnant and have children.
• Robot assisted laparoscopic Hysterectomy or Vaginal Hysterectomy. Removes your uterus utilizing the minimally invasive gynecologic procedures.

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Ovarian Cysts

Diagnosis:

Ovarian cysts are fluid-filled sacs that are attached to an ovary. They are very common and often go away without treatment. However, a ruptured ovarian cyst is a medical emergency that requires immediate emergency care.

Are you living with ovarian cyst pain or discomfort? Dr.Siddiqui specializes in the diagnosis and treatment of ovarian cysts in Milwaukee and Watertown.

The use of fertility drugs can increase the risk of developing ovarian cysts. Other causes of ovarian cysts include endometriosis and polycystic ovary syndrome (PCOS).

Symptoms

When ovarian cysts do cause symptoms, they can include:

• Abdominal pain (may be dull or sharp)
• Bleeding
• Bloating
• Feeling as if you need to urinate or pass a bowel movement
• Nausea and vomiting
• Pain during intercourse

Ovarian cysts are rarely cancerous.

Treatment

Your treatment options depend on the type of cyst, its size, and whether it is causing pain or other issues. Common treatments include:

• Birth control pills. These medications can help stop the formation of new cysts, but do not treat existing ones.
• Monitoring. Most cysts go away without treatment. If a cyst isn’t causing pain or other symptoms, your doctor may recommend checking it with an ultrasound every few months until it is gone.
• Surgery. Cysts are removed surgically if they cause pain, continue to grow, or don’t go away over time. Doctors can usually remove the cyst through a small incision in the abdomen without removing the rest of the ovary. If the cyst could be cancerous or very large, one or both ovaries may need to be removed.

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Uterine Fibroids

Uterine fibroids are growths on the wall of the uterus. They are usually noncancerous (benign) but can cause uncomfortable symptoms.

If you’re living with fibroids, Dr. Siddiqui can help you understand your options for fibroid removal in Milwaukee and the Watertown area. He provides personalized, convenient, and efficient service with state-of-the-art technology

Symptoms:

Uterine fibroids can cause bothersome and uncomfortable symptoms, including:

• Bloating
• Frequent urination
• Heavy menstrual bleeding
• Pain, including pain during sex

Treatment:

Fibroid removal can improve quality of life by relieving symptoms. Fibroids can be removed if they cause:

• Bleeding between periods
• Heavy menstrual bleeding that interferes with activity
• Infertility
• Significant pain

The most common methods of fibroid removal are as follows:

• Removal of certain kinds of fibroids found within the cavity of the uterus can be performed using a hysteroscope.
• Hysterectomy is the surgical removal of the entire uterus. A woman can’t have children after a hysterectomy. Techniques include robotic assisted laparoscopic hysterectomy (via a few tiny incisions in the belly), abdominal hysterectomy (via an incision in the belly), and vaginal hysterectomy (via small incisions in the vagina). This surgery is always performed in an operating room.
• Myomectomy is the surgical removal of fibroids. Dr. Siddiqui removes the fibroids through an incision in the abdomen using robotic-assisted laparoscopy. The procedure is performed in an operating room. You will go home the same day or spend a few days in the hospital, depending on the extent of the procedure.
• Uterine fibroid embolization shrinks fibroids by blocking blood flow to them.

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Chronic Pelvic Pain

It is estimated that one in three women suffer from some kind of chronic pelvic pain. Pelvic pain can affect women at any age, or during any stage of life.

Dr. Siddiqui is dedicated to helping women experiencing pelvic pain and are looking for answers. We are committed to finding the cause of your pain, then treating it and restoring your quality of life.

Conditions

Pelvic pain can be caused by many different conditions, and often more than one.

Common causes of pelvic pain include:

• Bowel disorders such as irritable bowel syndrome, rectal prolapse, or incontinence
• Endometriosis
• Interstitial cystitis, or painful bladder syndrome
• Pain in the vulva or vestibule
• Painful intercourse and vaginismus
• Pelvic inflammatory disease
• Post-cancer treatment disorders due to chemotherapy, breast reconstruction
• Postpartum issues such as abdominal separation or scar tissue
• Post-surgical treatment disorders for cancers of the ovaries, cervix, uterus or colon
• Trauma

Diagnosis:

We begin by taking a thorough medical history of each patient, coupled with a physical exam and imaging techniques.

For many women, the source of their pelvic pain is complex and not immediately obvious. We work with patients to analyze the cause of the problem in depth.

Treatment:

In addition to traditional medicinal and surgical treatments, Dr. Siddiqui offers:

• Physical therapy
• Psychology
• Naturalistic approaches such as acupuncture
• Customized medication regimens

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Female Sexual Wellness

Your sexual wellness has an impact on your overall quality of life. Sexual-wellness issues affect both men and women and range from erectile dysfunction to vaginal atrophy. Nearly 1:2 of women experience sexual distress. Unfortunately, many individuals feel uncomfortable bringing up problems regarding their sexual wellness with their physicians. Only 10% of women present their complaints to their providers. Many healthcare providers are also uncomfortable asking their patients about sexual wellness. This may be due to a variety of reasons, including a lack of adequate knowledge and training in diagnosis and management, inadequate clinical time to address the issue, and an underestimation of the prevalence.

At RemedNow Health Care in Milwaukee, Thiensville and Watertown, Dr. Siddiqui will do a comprehensive evaluation of your presenting complaint and provide an integrated personalized treatment option ranging from hormonal replacement therapy, compounded bioidentical hormones, vaginal laser, PRF O and G shots, vaginal laser and Emsella.

Conditions we treat:

• Vaginal dryness
• Decreased desire and libido
• Difficulty in achieving orgasm
• Virginal and pelvic pain during intercourse

Female Sexual Wellness Program options include:

• Bioidentical hormones replacement
• Low Libido and Arousal treatment
• O and G shot
• Diva Vaginal laser
• Emsella

What are the Benefits of Female Sexual Wellness Programs?

Changes in sexual desire, performance, and behavior are all-natural occurrences that both men and women can face. Women may struggle with low libido and poor lubrication resulting in painful intercourse, or urinary incontinence which leaves them avoiding intercourse altogether.

Not only can these issues be frustrating but can also hinder intimate relationships.

Research shows a holistic approach including integrative, functional, and regenerative practices provides the best results. This approach coupled with state-of-the-art regenerative procedures may even eliminate the need for some common over-the-counter medications taken today.

Don’t let these issues continue to stand in the way of the best experience for you and your partner. It’s time to treat your sexual health with the same amount of concern as you do your body. Reawaken your sex drive and talk to us today about the benefits of a Sexual Wellness Program.

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Frequently Asked Questions

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