Dr. Rehder has a special interest in gynecologic surgery. This is partly because she has experienced so much surgery personally. Dr. Rehder needed laparoscopy surgery for painful periods and infertility in her mid- twenties. She went on to have three children. She has been through the experience of hysterectomy, prolapse repair, incontinence surgery and jokingly comments that she has had almost every gynecologic surgery known to women! However difficult these experiences were, they have given her a true compassion for those who have to go through surgery. She also has a real passion for doing surgery the right way and with a gentle approach to the body. Dr. Rehder has taken time to cultivate many relationships in the operating room with anesthesia personnel, nurses and OR techs. All of this makes for a peaceful and organized working atmosphere. Dr. Rehder currently operates at West Penn Hospital, UPMC Shadyside Hospital, and UPMC Passavant so that she can meet the needs of all of her patients despite many different types of health insurance. She has trained her nurse practitioner, Ann Hodgin, and her physician assistant, Amber Cvetich to assist her in the operating room; thus our patients can be sure they will meet at least two familiar and friendly faces the day they come for surgery. Dr. Rehder also offers to say a prayer for each of her patients the day of surgery before going into the operating room. Many of our patients say that this really meant a lot to them. We would love to have the opportunity to work with you if you need a surgical procedure.
Common Surgery For Patients 50 and Up
- Hysterectomy – abdominal or vaginal
- Vaginal prolapse repair
- Bladder repair
- Incontinence surgery – minimally invasive
- Dilation and curettage with hysteroscopy
As you get older, your body slowly ceases to produce estrogen and progesterone. These two hormones thicken the lining of the uterus each month before your period. These hormones also protect the body from developing uterine cancer and osteoporosis. The decrease in hormones is responsible for many symptoms of menopause such as hot flashes, insomnia, depression, vaginal dryness, and low sex drive. Since these hormones are valuable to our health, many women choose to replace them through a pill, patch, or cream. Estrogen by itself helps to relieve menopause symptoms and prevent osteoporosis. When taken with progesterone, the combination therapy prevents growth of the uterine lining to help prevent cancer of the uterus. Since there are some risks associated with Hormone Replacement Therapy, it is important to take the lowest dosage possible and reevaluate your therapy each year. Your doctor can help you decide which, if any, type of Hormone Replacement Therapy is right for you.
Menopause is diagnosed when a menstrual period has been absent for 12 months. However the entire process takes several years and begins when the ovaries start producing less estrogen. This stage is known as perimenopause. During perimenopause many women suffer from all the same symptoms as a woman who is fully into her menopause. Dr. Rehder is experienced in treating perimenopause with hormone therapy to ease your transition into menopause. All of this can be done without increasing your risk for cancer in the future. In fact hormone therapy has been shown to decrease the risk of uterine cancer by preventing an unhealthy buildup of uterine lining. Please feel free to make an appointment for treatment of perimenopause even if you are still having some menstrual periods.
Bio-identical Hormone Replacement Therapy
A more natural method of treatment, called bioidentical hormone replacement therapy (BHRT), is becoming increasingly popular among doctors and patients alike. Unlike synthetic hormones, bioidentical hormones are made to have the identical molecular structure of the hormones made by your own body, so your body can metabolize them as it was designed to do, minimizing side effects. Additionally, as opposed to the general, mass-produced synthetic hormones, bioidentical hormones are individually matched to each woman's specific hormonal needs. Although bioidentical hormone replacement therapy is not FDA approved, many of the hormones used have been individually approved. This treatment has been used in clinical trials for over 20 years and is considered a generally safe procedure that offers women more specialized, effective treatment for their troubling menopause symptoms. Dr. Rehder has many years of experience working with compounding pharmacies to prepare individualized prescriptions for hormone therapy. She can help you to choose whether bioidentical hormone therapy is right for you.
Bleeding After Menopause
A woman is considered to be in menopause if she has gone over a year without a period or if her blood tests show that she is menopause. If she has any bleeding or even vaginal spotting after menopause she should make an appointment for testing. Bleeding after menopause can be an early sign of cancer of the uterus. Fortunately 9 out 10 women who bleed after menopause are found to have a benign problem that can be treated with simple medication or a D&C to remove polyps from the uterus. However we still insist that all women who bleed after the menopause make an appointment to be seen for testing. Your testing may include pelvic exam, pelvic sonogram, biopsy of the uterine lining in the office, or D&C. The testing recommended for you will depend upon your age, general health, and other factors.