Complete obstetric and gynecologic services are offered at Hygeia Gynecology. This includes attention to Breast and Bone Health, menstrual function, adolescent gynecology, peri- and post-menopausal syndrome, sexual well-being and nutritional status. With over 30 years in the tri-state area and with her long-standing professional and personal relationships with specialists in the fields of Cardiology, Cardiothoracic Surgery, Plastic Surgery, Pediatrics, Urology, Internal Medicine and Dentistry, Dr. Ashton is able to easily refer her patients to over a dozen top local and regional experts when necessary. These associations, at centers such as Columbia-Presbyterian Medical Center, New York University Medical Center, Albert Einstein/Montefiore Medical Center, St.Luke's-Roosevelt Hospital Center and Brigham-Women's Medical Center in Boston, in addition to the local Englewood Hospital and Medical Center, Hackensack University Medical Center and Valley Hospital of New Jersey, enable Dr. Ashton's patients to have access to the country's top doctors not only at her hospital, but at many hospitals.
Screening Sonogram
This transvaginal ultrasound can be useful to image the uterus, ovaries and lower pelvis. It can monitor ovarian activity, size of fibroids, and follow the lining of the inside of the uterus.
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Genetic Testing for the Breast and Ovarian Cancer Mutation
This consultation reviews your individual risk factors for Breast and Ovarian Cancer, reviews your family history, explains the nature and value of this simple blood test, and how to use the resulting information to reduce your risk and the risk to your immediate female relatives.
PCOS Testing and Management
This common hormonal imbalance affects approximately 10-15% of the female population. It can produce menstrual irregularity, acne, excess body hair, and even difficulty conceiving. Treatment centers around hormonal management, nutritional and behavioral modification, and if necessary, medications to increase fertility. Testing is by bloodwork, possibly pelvic ultrasound and physical examination.
Bone Density Testing (DEXA)
This simple and non-invasive testing evaluates the bone density in the hip, spine and wrist. By evaluating the risk for osteoporosis, behavioral and drug therapy can be initiated.
Bladder Installation Therapy
This therapy is for the chronic and painful condition known as Interstitial Cystitis or IC. A combination of liquid medication is injected into the bladder, providing temporary but effective relief of pain and urinary frequency.
Nutritional Consultation
Do you think you eat well but are always trying to be healthier or lose a few pounds? Do you have a chronic medical condition that requires special dietary features? Arrange for an on-site, individualized nutritional plan with a certified nutritionist.
For any potential surgical candidate, patients are extensively counseled regarding the risks, benefits and alternatives to surgical treatment. Often times, patients may be advised against surgery.
Uterine Surgery
Many options for uterine surgery are offered including abdominal and vaginal surgery for uterine pain and fibroid tumors. This includes Abdominal Myomectomy, Abdominal Hysterectomy and Vaginal Hysteroscopic Myomectomy. For certain select patients, referral can be made for Robotic or Total Laparoscopic Hysterectomy. For some patients who suffer from fibroids of the uterus, surgery can be performed via a vaginal approach, removing the fibroid but leaving the uterus and no scars. This procedure, known as a Hysteroscopic Myomectomy, is performed as a same-day procedure and does not require an over-night hospital stay.
Ovarian Surgery
Surgery for ovarian cysts is performed via an open-abdominal or minimally-invasive laparoscopic approach. In addition, surgery for prophylactic removal of the ovaries for those women who have tested positive for the BRCA mutation is offered.
Surgery on the Cervix
This includes both the LEEP procedure, as well as the Cold Knife Cone Biopsy and is indicated for certain women with cervical dysplasia.
Hymenal Stenosis
Many teens experience pain and difficulty inserting tampons. This can be due to very common conditions of the hymenal anatomy and can be easily corrected with a simple surgical procedure.
Labiaplasty
Some women have excessive skin tissue on the labia resulting in pain, difficulty with hygiene or poor cosmesis. This procedure reduces this excess skin.
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Perineoplasty
After the birth of baby, the tissue at and around the opening to the vagina becomes stretched which can result in pain or dissatisfaction with intimacy. This procedure removes the excess loose skin, largely restoring the anatomy to its before-baby condition.
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Concierge Services
Sick of dealing with answering services and receptionists? Frustrated by the inability to reach a doctor when you need one? Call anytime for questions about ANY aspect of your health. If the issue does not relate to gynecology, your doctor will recommend the proper physician, treatment center or course of action. House calls, monthly e-mailed newsletters and 24-hour cell-phone access to your physician are also included in concierge services.
House-Calls
If you are too busy to wait in a medical office, or are concerned for your comfort and privacy, arrange for a house call. Also helpful for an elderly, injured or disabled relative, the house call can be arranged according to your convenience.