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Hysterectomy: Laparoscopic or Robotic?

Hysterectomies are the second most common surgery for women of reproductive age in the United States, right behind cesarean sections. When women develop problems from childbirth, invasive cancers, and other issues, performing this surgery to remove the uterus may be an option.

If you need a hysterectomy, Dr. Richard Farnam at Texas Urogynecology and Laser Surgery Center has years of experience performing this procedure safely and with minimally invasive methods. When you have to consider this surgery, we can help you understand your options.

Understanding a hysterectomy

hysterectomy can be partial or supracervical, which is the removal of your uterus, or total, which is the removal of both your uterus and cervix. Some cases call for a radical hysterectomy, which removes your uterus and surrounding tissue, your cervix, and part of your vagina. Women may consider having hysterectomy done for many reasons, including:

  • Chronic pelvic pain
  • Unmanageable vaginal bleeding
  • Uterine, ovarian, or cervical cancer
  • Fibroids or uterine tumors
  • Endometriosis, in which the uterine lining grows outside of the uterine wall
  • Adenomyosis, in which the uterine lining grows into the muscles of the uterus

Hysterectomies are performed either abdominally, where incisions are made into and the uterus removed through the abdomen, or vaginally, where the uterus is removed through the vagina. Either approach can be done in a few different ways. Dr. Farnam is an expert in minimally invasive hysterectomies, which means you can avoid the lengthy downtime, more painful recovery, and severe scarring of traditional, open hysterectomy.

Laparoscopic hysterectomy

This method is so named because of the use of a laparoscope. Your surgeon uses this long, thin, tube-shaped device with a high-resolution camera attached to guide the procedure with precision. Your surgical team views the images from the camera on a larger screen during the procedure to guide the safe removal of your uterus, often in smaller pieces, through small incisions.

Laparoscopic hysterectomy is done with small cuts through your abdomen — the scope is often inserted through a small incision in your belly button — or it can be done vaginally. It is generally an outpatient surgery that has low risks of infection and blood loss compared with traditional, open surgery.

Robotic hysterectomy

With minimally invasive robotic hysterectomy, the instruments used in the surgery are computer-controlled remotely. Your surgeon also uses a laparoscope, which is attached to the robot arms. Dr. Farnam uses the da Vinci®️ Surgical System during robotic surgeries for its excellent precision and control.

Once you’re anesthetized, the three small incisions are made, and laparoscope is inserted through one of them, your surgeon moves to a control area to remotely perform the surgery. The small robotic arms simulate hand movements with increased surgical dexterity.

After either type of surgery, you can expect to take pain medication, and you need to take it easy on stressful activities for a few weeks. Recovery for the laparoscopic procedure is usually within about three weeks and the robotic procedure can take a few weeks to a few months.

If you need a hysterectomy, make an appointment with Dr. Farnam at Texas Urogynecology and Laser Surgery Center to find the best options that fit your specific needs. Call today to schedule a consultation or use our online booking tool.

What You Should Know About Postmenopausal Bleeding

Menopause is when your period stops. You’ve reached menopause once you’ve gone a year without menstruating. This happens naturally, usually after age 45, but can happen as early as your 30’s and as late as your 60’s. though you may experience symptoms and changes related to menopause for several years beforehand, starting as early as your 30s. Menopause can also happen as late as your 60s.

The symptoms that accompany menopause vary for each person and may surprise you. You may assume that because your period stops, you’ll no longer experience bleeding. However, postmenopausal bleeding, unrelated to menstruation, may still occur. If you experience bleeding, it’s important to see your doctor, who can diagnose the cause. 

If you have concerns about bleeding after menopause Dr. Richard Farnam and the team at Texas Urogynecology and Laser Surgery Center are experts in diagnosing and treating women’s health issues.

Should you be concerned?

One change that may place in the leadup to menopause is that your periods become less frequent. Irregular bleeding before menopause, or during “perimenopause,” is normal. However, once your menstrual cycle ends, you shouldn’t be bleeding, even if it’s just spotting.

Postmenopausal bleeding affects 4 to 11% of women. Schedule an appointment with Dr. Farnam if you have notice bleeding, even if it’s not very much. Many underlying conditions can cause postmenopausal bleeding, and though not all of them are serious, some of them are.

You shouldn’t assume the worst just because you experience postmenopausal bleeding, but you should always take it seriously. The sooner you get a diagnosis, the sooner you can get necessary treatment or just peace of mind.

What conditions cause postmenopausal bleeding?

With the changes that come from menopause, any bleeding that happens can be a result of:

  • Polyps: tissue growths that are sometimes precancerous
  • Endometrial Atrophy: thinning of the tissue lining of the uterus, often resulting from a decrease in hormones
  • Endometrial Hyperplasia: when the lining of your uterus is too thick, which can be a side effect of hormone replacement therapy
  • Sexually Transmitted Diseases: chlamydia, gonorrhea, or herpes can cause bleeding
  • Medications: tamoxifen (used in breast cancer treatment) and blood thinners can cause bleeding

    While postmenopausal bleeding usually doesn’t indicate a life-threatening condition, it’s sometimes a sign of uterine or cervical cancer.

    How is postmenopausal bleeding treated?

    Treatments for postmenopausal bleeding depend on the cause. For example, if you have a polyp, Dr. Farnam may recommend surgically removing it, which would prevent the growth from becoming cancerous.

    If you have endometrial hyperplasia, it can be treated with progestins, a synthetic form of the sex hormone progesterone. This balances out the effects of too much estrogen or not enough progesterone, which are common among women who undergo hormone replacement therapy.

    If an STD is causing your postmenopausal bleeding, Dr. Farnam prescribes medication specific to the infection. For example, chlamydia and gonorrhea are both caused by bacteria, so they respond to antibiotics.

    To ensure you stay healthy after menopause, it’s important to treat postmenopausal bleeding as soon as possible. Make an appointment with Dr. Farnam and Texas Urogynecology and Laser Surgery Center to get treated today.

    Vaginal Atrophy: Non-hormonal or Hormonal Treatment?

    While vaginal atrophy may sound hopeless, it’s not. There are several things you can do to offset the thinning, inflammation, and dryness that comes with lowered estrogen, a common occurrence in post-menopausal women and others. 

    Award-winning doctor, Richard Farnam, MD, specializes in robotic gynecologic surgery and women’s pelvic medicine at his Texas Urogynecology & Laser Surgery Center in El Paso, Texas. One of our country’s first board-certified specialists in urogynecology, Dr. Farnam helps patients facing urinary issues and gynecological problems, such as vaginal atrophy, at his state-of-the-art medical center.

    Symptoms, Causes, & Solutions for Vaginal Atrophy

    The main symptoms of vaginal atrophy include itching, dryness, incontinence, decreased sexual desire, and even lowered self-esteem. It can be caused by:

    • Childbirth
    • Autoimmune diseases, such as Sjögren’s syndrome, which attacks our body’s moisture-producing cells
    • Pre-menopausal removal of the ovaries
    • Breastfeeding
    • Radiation or chemotherapy treatments
    • Anti-estrogen medications prescribed for endometriosis, fibroids, or other issues

    Dr. Farnam treats your condition in two ways:

    Hormonal Treatments 

    • Creams and gels applied externally to the skin
    • Skin patches that carry hormones into your system
    • Osphena tablets taken orally, which work like estrogen to thicken vaginal walls
    • Hormones Estrace and Premarin, which you apply directly to your vaginal tissue
    • Vaginal estrogen ring or tablets, which fit right into your vagina

    Nonhormonal Choices

    Many women cannot take estrogen due to certain health conditions, such as estrogen-sensitive cancer or previous blood clots. Dr. Farnam offers a variety of non-hormonal options to improve vaginal atrophy, such as vaginal moisturizers or FemiLift Vaginal Laser Therapy. 

    FemiLift Vaginal Laser Therapy 

    This revolutionary laser increases blood flow within your vaginal walls. The minimally invasive procedure works wonders on stress and urge incontinence and other symptoms of vaginal atrophy.

    Dr. Farnam or our nurse practitioner, Vilma Bohlmann, MSN-FNP-C, apply this painless laser directly into your vagina. In just three sessions spread across a three-month period, patients experience:

    • An increase in collagen production
    • Improvement in stress incontinence
    • More sexual feeling in the area
    • Less painful intercourse
    • Better lubrication

    Further advice for vaginal dryness

    If your condition is mild, Dr. Farnam may suggest water-based vaginal moisturizers or over-the-counter lubricants. Natural products, such as vitamin E suppositories and aloe vera, even coconut or olive oil, can add moisture.

    Use it or lose it

    Women who remain sexually active can maintain good blood flow and muscle tone in the area. It’s also important to avoid products that may increase dryness, such as:

    • Hot bubble baths
    • Scented soaps
    • Lotions
    • Douches

    Your hormonal life cycle

    Throughout your life, your body undergoes myriad of hormonal changes, primarily related to estrogen.

    During puberty, estrogen levels increase and vaginal walls thicken. The area’s pH levels change as well, making the area more susceptible to infection.

    In childbirth, estrogen also increases. 

    After menopause, your circulating estrogen levels greatly drop, causing a decrease in collagen and elastin, which may result in vaginal atrophy.

    We’re here to help

    Up to 40% of postmenopausal women suffer from issues related to vaginal atrophy, although only around one-third of them discuss the condition with their doctor. There’s no one-size-fits-all solution when it comes to diagnosing and treating women’s health concerns. If you suffer from dryness or pain due to vaginal atrophy or other gynecological condition, Dr. Farnam or our Nurse Practitioner at Texas Urogynecology & Laser Surgery Center gladly discuss your concerns. Speak up and call today.

    How Botox Can Help the Fight Against Pelvic Pain

    Chronic pelvic pain stems from a range of conditions, alone or in combination, and can make your life difficult because of the ongoing and sometimes unknown reasons behind pain that lasts for six months or longer. A common result of the various causes behind pelvic pain is muscle spasms and cramps. Because of this, help for chronic pelvic pain comes from an unexpected source. Botox® is not only a cosmetic treatment. Originally developed to treat issues with eye muscles, it’s become an effective treatment for pelvic pain caused by contracted muscles.

    Reasons for pelvic pain

    Often, even the site of pelvic pain is difficult to define. You may feel a general sense of discomfort or pain in your lower abdomen without a focal point for these sensations. The experience can range from dull ache to sharp pain, or it may feel like pressure originating deep within you. Sensations can be constant or intermittent. It may also manifest as painful intercourse or urination.

    Though sometimes a single cause may be the culprit, many women have a combination of disorders causing pelvic pain. Some of the more common contributors include:

    • Chronic pelvic inflammatory disease: scarring that results from long-term infections
    • Endometriosis: uterine wall tissue growing outside the uterus, throughout your pelvis
    • Uterine fibroids: non-cancerous growths within uterine walls
    • Irritable bowel syndrome: the bloating, constipation, and diarrhea from IBS can contribute to pelvic pain
    • Musculoskeletal issues: disorders of the bones, muscles, joints, and connective tissue in the pelvis
    • Ovarian remnants: tissue remaining in the body after hysterectomy
    • Painful bladder syndrome: pain originating with the bladder
    • Pelvic congestion syndrome: varicose veins in your bladder, which may contribute to pelvic pain

    How Botox works

    Derived from the same toxin that causes botulism, Botox is perhaps best known for its use in relaxing the muscles that cause worry lines and crow’s feet. However, it was originally used to stop irregular muscle movements around the eyes, which would interfere with patients’ vision.

    The botulinum toxin is a paralytic neurotoxin. When purified and enormously diluted, it can influence muscle tissue to relax around the site of its injection. When other treatment methods for chronic pelvic pain don’t produce adequate results, a series of Botox injections may provide relief.

    Regardless of the cause of the muscle contractions causing your pelvic pain, these muscles return to a relaxed state after Botox injection. With this relaxation, any pelvic pain resulting from contraction should be eased. Although this doesn’t cure the underlying reasons for your pain, it does offer extended relief when it’s effective.

    Though the use of Botox for pelvic pain is promising, a range of treatments may work for you. Contact Dr. Farnam and the team at Texas Urogynecology & Laser Surgery Center to learn more about your options. Call the office directly or use the Request Appointment button on the website. It’s time to break free from chronic pelvic pain.

    Does Endometriosis Cause Infertility?

    When you receive a diagnosis of endometriosis, you may be scared and wonder about its impact on your gynecologic health and fertility. It’s important that you have a doctor you can trust to provide you with information and quality treatment. At Texas Urogynecology & Laser Surgery Center in El Paso, Texas, we can answer your questions and offer treatment options to help relieve your symptoms.

    Dr. Richard Farnam is a top urogynecologist and surgeon who has many years of experience treating patients with endometriosis. He takes the time to listen to you, learn about your symptoms, and address your concerns. Dr. Farnam uses the latest techniques to provide you with symptom relief and treat the underlying condition.

    What is endometriosis?

    Endometriosis is a medical condition in which tissue from the lining of your uterus (womb) appears in other organs of your body. Typically, this tissue is found in your pelvic region, such as your ovaries and fallopian tubes. However, it can grow in other areas of your body as well.

    What are the symptoms of endometriosis?

    The symptoms of endometriosis vary from woman to woman but often include:

    • Pelvic pain, usually during your period
    • Heavy periods
    • Abdominal pain
    • Pain during sex or afterward
    • Spotting between periods
    • Fatigue
    • Digestive problems
    • Constipation or diarrhea

    Some women with endometriosis don’t have any symptoms at all. Endometriosis most often affects women in their 30s and 40s, but women of all ages can be diagnosed with this condition.

    Can endometriosis cause infertility?

    Endometriosis can cause fertility problems, although many women with endometriosis are able to conceive without any problems. About 50% of women with endometriosis have infertility issues. However, many of those women are able to conceive once they’ve received treatment for their endometriosis. 

    What are the treatments for endometriosis?

    Endometriosis can’t be cured, but a number of treatment options can help relieve your symptoms. Prescription and over-the-counter pain relievers can ease any pain that you’re experiencing. Hormone therapy treats endometriosis symptoms but doesn’t address the underlying condition, and thus can’t resolve fertility issues. 

    If endometriosis is causing severe pain and fertility problems, surgery is often necessary to remove the abnormal tissue. Ablation is sometimes used to remove this tissue, but the procedure isn’t always effective and often results in symptoms returning after a brief respite.

    Dr. Farnam uses high-tech laparoscopic laser excision to completely remove any tissue that’s causing problems, relieving your symptoms while also treating your infertility. This minimally invasive procedure takes less time and is less risky than traditional surgery, resulting in a quicker recovery time.

    Endometriosis may sound like a scary diagnosis, but with the right medical support you can find relief for your symptoms and treatment to address any fertility issues. You don’t have to go through this alone.

    Call to make an appointment with Dr. Farnam at Texas Urogynecology & Laser Surgery Center today!

    Is Urinary Incontinence Normal?

    The title of this blog asks whether urinary incontinence is normal, and our answer is this: It’s common, which may make it seem “normal.” That said, we certainly don’t believe that it’s a new normal and something you have to live with. The fact is that urinary incontinence can have a serious impact on your quality of life. The good news is that we offer several innovative procedures that can put an end to involuntary leakage.

    At Texas Urogynecology & Laser Surgery CenterDr. Richard Farnam is a female pelvic medicine and robotic gynecologic surgeon whose expertise in solving urinary incontinence and other gynecologic conditions is recognized around the world. Using the latest techniques available, our team is able to help women in El Paso, Texas, and beyond, regain control of their lives.

    If you’re struggling with urinary incontinence, here’s a look at why the condition develops, and what we can do about it.

    The origins of urinary incontinence in women

    Thanks to anatomy and biology, urinary incontinence affects twice as many women as men, in the forms of stress incontinence and urge incontinence. The reason for the disparity lies in several different areas.

    To start, childbirth is one of the more common culprits behind urinary incontinence as accommodating and delivering a baby can weaken the supportive tissues inside the pelvic region.

    Additionally, the loss of estrogen after menopause can lead to incontinence as your support tissues aren’t receiving the resources they once did. During your reproductive years, your estrogen levels ensured that your pelvic tissues were healthy and strong in order to facilitate intercourse and delivery. Once you pass through to your nonreproductive years, these resources decrease dramatically, which can create problems with urinary incontinence. To put some numbers to it, 4 out of 10 women over the age of 65 experience problems with urinary incontinence.

    Lastly, a woman’s urethra is shorter than a male’s, which means there’s less muscle to control the flow of urine.

    Putting an end to urinary incontinence

    If you’ve tried everything from Kegel exercises to pessaries, to no avail, we’re here to help. Dr. Farnam has extensive experience with two innovative surgical techniques that successfully resolve urinary incontinence in women.

    The first technique is called the Burch procedure, and it’s designed to remedy stress incontinence. The goal of the procedure is to provide stronger pressure points for your bladder, which Dr. Farnam accomplishes by attaching the organ to a ligament near your pubic bone. The Burch procedure not only helps better suspend your bladder, it also stabilizes your urethra.

    The second option is a urinary incontinence sling, which boasts a 95% success rate. Dr. Farnam places the sling under the neck of your bladder to provide your urethra with the support it needs to function properly. There are two types of slings — a midurethral or natural tissue sling — and he places either one during a minimally invasive procedure that takes about 15 minutes.

    To determine which procedure is best for you, Dr. Farnam performs a comprehensive evaluation of your problem and recommends the procedure with the best chance of successfully helping you regain control over your urinary tract.

    To get back to a normal life free from urinary incontinence, call 915-533-5600 or schedule a consultation.

    Myths and Facts About Uterine Fibroids

    There are a lot of misconceptions surrounding uterine fibroids, which is why we’ve taken it upon ourselves to share the facts. Around 80% of women may develop fibroids by the time they turn 50. The problem is few women know the signs or understand what fibroids mean for their health.

    Our team at Texas Urogynecology & Laser Surgery Center, created this guide to teach you the facts about uterine fibroids. Here’s what you need to know!

    Myth #1: Fibroids are cancer

    Fact: Fibroids are benign or noncancerous growths. They are sometimes called tumors — a term often associated with cancer. However, tumors are masses of abnormal tissue and, in most cases, aren’t cancerous. 

    Fibroids vary in size. You may have a fibroid as small as a grain of rice, or your fibroid could grow to the size of a grapefruit. They can also grow in or on either side of your uterine wall.

    Myth #2: A hysterectomy is the only way to treat fibroids

    Fact: Depending on the size or number of your fibroids, you may not need to have treatment. If you don’t have disruptive symptoms, our doctors may recommend waiting and watching the fibroids. 

    However, if your fibroids are interfering with your health and wellness, we offer a wide range of minimally invasive treatment options. A few examples include robotic surgery and laparoscopic myomectomies. In severe cases, a hysterectomy may be your best treatment option.

    Myth #3: Uterine fibroids always cause infertility

    Fact: Uterine fibroids can make pregnancy more complicated, but not impossible. For example, a fibroid could block one of your fallopian tubes or change the shape of your cervix. If you want to have children, our doctors can provide treatment to remove your fibroids and preserve your fertility.

    Myth #4: Fibroids only impact women in their 30s and 40s

    Fact: Your risk of developing uterine fibroids increases with age and peaks in your 30s and 40s. But you can develop fibroids at any point during your reproductive years. Young women in their teens and 20s can get fibroids as well as women in their 50s or older. Your risk of fibroids decreases as you approach and reach menopause as your estrogen and progesterone levels drop.

    Myth #5: Fibroids always cause painful symptoms

    Fact: Most of the time, fibroids don’t cause any symptoms. In fact, the number of women with fibroids may be grossly underestimated because so many women go undiagnosed. 

    What are the symptoms of uterine fibroids?

    When fibroids do cause symptoms, they’re typically painful and disruptive. Some of the common signs of fibroids include:

    • Heavy menstrual bleeding
    • Pelvic pain and severe menstrual cramping
    • Pelvic pressure or feeling of fullness
    • Pain during sex
    • Constipation
    • Frequent urination
    • Abdominal swelling
    • Difficulty getting pregnant

    Many reproductive health problems can cause similar symptoms. If you have any of these warning signs, it’s critical to schedule an exam for an accurate diagnosis. Our doctors can use a variety of diagnostic tools such as ultrasounds, MRIs, and hysteroscopy to identify the condition causing your symptoms.

    How are fibroids treated?

    In some cases, you can manage fibroids with over-the-counter painkillers and hormonal contraception methods. For example, birth control pills and shots have been known to be effective. In other cases, you may need surgery to remove the growths. Some of the available procedures include:

    • Myomectomy – fibroid removal
    • Myolysis – minimally invasive procedure to destroy fibroids with an electric current or freezing 
    • Uterine fibroid embolization – a procedure to block or damage the blood vessel feeding the fibroid
    • Hysterectomy – uterus removal

    If you’re concerned about fibroids, contact us to make an appointment. Our goal is to restore your reproductive health. Don’t wait to reach out.

    Dealing with an Infertility Diagnosis: Know Your Options

    Receiving an infertility diagnosis might feel like the end of the world — but it’s not. With advanced technologies, innovations in medical care, and the help of a fertility expert, you may very well be able to conceive. 

    Dr. Richard Farnam of Texas Urogynecology & Laser Surgery Center explains infertility and your treatment options. 

    What is infertility?

    Infertility is defined as the inability to conceive a child after trying for one year or longer, without using any form of contraception. If you’re having trouble conceiving, Dr. Farnam first asks you about your sexual habits and makes recommendations to help you better your chances of becoming pregnant.

    If the inability to conceive persists, Dr. Farnam may order fertility evaluation tests. If your test results indicate that you’re infertile, Dr. Farnam guides you through your options and recommends the best course of treatment. 

    Infertility treatment options

    Infertility treatment depends largely on the cause, and whether the male partner or the female partner is infertile. Other factors that affect your treatment options include your age and your partner’s age, how long you’ve been infertile, and personal preferences for treatment. 

    Your treatment options for infertility include: 

    Lifestyle counseling: Many lifestyle factors affect your ability to conceive, including alcohol and substance use, diet, medications, exercise, and frequency and timing of intercourse. Dr. Farnam can help you understand which lifestyle changes may help you conceive.

    Medications for men: Some medications may improve sperm count or quality in men, improving your chances of conception. 

    Surgery for men: If the male partner in the relationship has a sperm blockage, a reversal surgery may solve infertility. Another common surgery is for a varicocele, a condition where the veins in the scrotum become inflamed. 

    Sperm retrieval: When ejaculation is the problem, sperm retrieval might be the most effective way to beat infertility. 

    Medications for women: Many women become infertile due to ovulation disorders. Ovulation-inducing medications can increase your chances of conceiving. 

    Intrauterine insemination: This procedure involves placing healthy sperm directly into the uterus during ovulation. 

    Surgery for women: Some women experience infertility due to uterine issues, such as endometriosis, fibroids, polyps, and scar tissue. Surgery for these conditions can sometimes restore fertility. 

    In vitro fertilization: The most effective and well-known treatment for infertility, in vitro fertilization involves egg stimulation, egg retrieval, fertilization of the eggs in a lab, and an embryo transfer. 

    If you’ve received an infertility diagnosis, Dr. Farnam is here to guide you through it and help you determine the best course of treatment. To learn more or to set up a consultation, call Texas Urogynecology & Laser Surgery Center today.

    What Causes Chronic Pelvic Pain?

    Do you suffer from chronic pelvic pain? This condition can be hard to diagnose. Medically, it’s often described simply as chronic, non-cyclic pain in the pelvic region, meaning it’s not tied to the menstrual cycle. Finding a doctor who will take your pain seriously and work with you to find the root cause is the first step towards pain-free living.

    At Texas Urogynecology and Laser Surgery Center in El Paso, Texas, Dr. Richard Farnam can help diagnose the cause of your chronic pelvic pain and provide a personalized plan to treat your underlying condition.

    What causes chronic pelvic pain?

    Chronic pain in the pelvis can happen at any age. If it isn’t tied to the cycle of ovulation and menstruation, one or more of the following conditions could be the cause: 

    Sexually transmitted diseases

    STDs like chlamydia and gonorrhea are a common cause of pelvic pain, but they can also be the easiest to rule out with testing. If you think there is even the slightest chance you may have an STD, get tested right away so you can set your mind at ease.

    Interstitial Cystitis 

    If you have ongoing issues with UTIs or bladder infections, you may have cystitis. Cystitis can cause pelvic pain that is intermittent and chronic, even if you aren’t having trouble urinating. A urologist can help you find ways to manage cystitis.

    Endometriosis

    Every month, your uterus grows endometrial cells in preparation for possible pregnancy then sheds them during your period. If these cells grow outside the uterus, the body will try to shed them, but they can get stuck and start binding tissues together elsewhere in the pelvis. This causes pain and scarring. 

    Dr. Farnam can remove errant endometrial tissue using a laparoscopic laser treatment.

    Uterine fibroids

    Fibroid tumors grow in the uterus and can cause both pelvic pain and infertility. This condition can lead many women to get a hysterectomy, but there are alternative solutions. 

    Dr. Farnam can remove fibroids with a non-invasive procedure using Acessa, a method that sends radiofrequency energy to eliminate fibroids without damaging healthy uterine tissue.

    Ovarian cysts

    Cysts can grow on your ovaries, then burst, which causes intense pain on one side or the other. Dr. Farnam uses the robotics-assisted da Vinci® Surgical System to remove ovarian cysts with laparoscopic surgery, using only a tiny incision to access your ovaries.

    Pelvic organ prolapse

    Your pelvic floor is supposed to support all the pelvic organs, including the uterus, bladder, and rectum. If it fails, your organs prolapse and may cause extreme pressure and pain in the pelvic cradle. Dr. Farnam can repair your pelvic floor quickly using the da Vinci® sacrocolpopexy procedure.

    Let us help you

    Our team at Texas Urogynecology and Laser Surgery Center is here to help you and other clients in the El Paso, Texas, area find the right solution for your needs. If you’re ready to get answers about the cause of your chronic pelvic pain, call us at 915-533-5600 today. 

    Living With Endometriosis

    If you are one of the approximately one in ten women who suffer from endometriosis, you may be familiar with the constant cycle of pain, abnormal bleeding, or infertility struggles that plague many women with the condition.

    For many years, endometriosis was understudied and under-diagnosed. Today, you can seek a diagnosis and treatment for this common condition from Dr. Robert Farnam at the Texas Urogynecology & Laser Surgery Center, located in beautiful El Paso, Texas. Dr. Farnam provides expert care and minimally invasive options for treating endometriosis patients.

    What causes endometriosis?

    Most women of reproductive age have a regular menstrual cycle, which includes buildup of the endometrial lining of the uterus. When there is no conception, this lining sloughs off during your period. For some women, tissue that mimics endometrial tissue can grow outside the uterus, such as on and around the uterine cavity, on the surface of the ovaries or fallopian tubes, or on the bowels or bladder.

    Certain demographics of women are more likely to be at risk for endometriosis. Your risk is increased if you:

    • Are a white woman
    • Have a first-degree relative (mother, sister, daughter) with endometriosis
    • Are giving or gave birth for the first time after age 30
    • Have what a medical professional would describe as an “abnormal” uterus

    If any of these higher levels of risk apply to you, and you have symptoms associated with endometriosis, Dr. Farnam can help rule this condition in or out as a cause.

    Side effects of endometriosis

    The rogue endometrial tissue can cause adhesions, and even spread to other parts of the body and grow around other tissues. The tissue has no way to leave the body, and so it stays and continues to grow and bind to the tissues around it.  

    Common symptoms of endometriosis include painful periods, urination, bowel movements or sexual interaction; constipation or diarrhea; fatigue and / or heavy or irregular menstrual periods. Women with endometriosis may also find themselves having difficulty conceiving.

    Treatments for endometriosis

    While over the counter medications are often prescribed to treat the pain and bloating associated with endometriosis, they don’t address the cause. Hormone medications like certain kinds of hormonal birth control can slow the growth of endometrial tissue, but won’t correct existing damage.

    At Texas Urogynecology & Laser Surgery Center, Dr. Farnam offers minimally invasive options like laparoscopic laser excision to treat endometriosis. This laser surgery takes advantage of advanced techniques to remove abnormal endometrial tissue from the pelvic area.

    This safe procedure can be performed in our office in El Paso, Texas, to help relieve pain and other symptoms. It may also be used as part of a treatment plan to restore or enhance fertility. This procedure may help you become pregnant.


    To learn more about endometriosis treatment options, call our office at 915-229-5204.