News & Updates

  • Dr. Owens is now trained and certified in minimally-invasive Robotic Gynecologic procedures. davincisurgery.com
  • We have moved to a new location in order to serve you better!

Gynecology

Gynecological Services

Surgical Options

Urogynecology


Menopause

Talk about transitions! Menopause does not happen overnight. It is preceded by “Peri-Menopause,” which can last any where from three to 7 years. Perimenopause is a time of hormonal chaos; one day you can be hormonally normal and the next day, not. This is why testing your hormone levels does not always provide you with enough information.

Dr. Owens knows how this transition can change many aspects of your life and is ready to help you navigate the hormonal options available as well as discuss the non-hormonal strategies to get you feeling as good as possible.

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Bone Mineral Density

Bone Mineral Density testing is an invaluable screening tool to determine your risk for spine or hip fractures. We can offer you a quick and painless bone density screening that can be done at the time of your office visit.

Why is your bone density important?

Osteoporosis, or a condition of porous bone, is a disease in which bones become more fragile. Left untreated, osteoporosis can progress silently until a bone breaks. In many cases, early prevention and treatment can make a big difference.

Bone is living, growing tissue constantly being formed and broken down. Early in life, more bone is formed than broken down, allowing the skeleton to grow. By about age 30 your bones are at your lifetime best density. After this peak, bone density stays the same until about age 50 in women and 60 in men. Then, bone breaks down faster than it forms. The resulting bone loss affects both men and women. Bone loss can lead to osteoporosis.

Today, osteoporosis is a major health threat for women. In the United States, 10 million individuals already have the disease and 34 million more have low bone density (osteopenia), placing them at increased risk for osteoporosis and bone fractures.

Osteoporosis is the most common cause of hip fractures, a tragedy that can result in permanent disability, loss of independence or death. A woman's risk of a hip fracture is equal to her combined risk of breast, uterine and ovarian cancer.

According to the National Osteoporosis Foundation the five steps to bone health are:

  1. Eat right: Get your daily recommended amounts of Calcium and Vitamin D.
  2. Exercise: Engage in regular weight-bearing and muscle strengthening exercise.
  3. Maintain a healthy lifestyle: Avoid smoking and excessive alcohol consumption.
  4. Talk to your healthcare provider: Talk to your healthcare provider about bone health.
  5. Get tested: Have a bone density test and take medication when appropriate.

For additional information, please visit these links:

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Hormone Therapy

There is a lot of talk about "natural" products. There are many people who tout the beneficial effects of bio-identical hormones as the answer to all your hormonal problems. What they don’t talk about is that there are also many "natural" or "bioidentical" hormones that are available by prescription, hence covered by your insurance.

The options are infinite. Whatever your choice is for hormone replacement, we support that choice. We are devoted to helping you to find what works for you. If you are a therapy that you wish to continue, we are happy to assist you to continue that therapy.

For additional information, please visit these links:

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Gynecologic Oncology

The most important thing that you need to know about gynecologic cancers is that you don’t have to leave town to get “state-of-the-art” treatment. Dr Owens has years of experience in the surgical treatment of gynecologic cancers and also works closely with the Pacific Oncology Group, whose physicians are specialists in gynecologic oncology.

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Surgical Options

Hysterectomy

Hysterectomy can be accomplished by different approaches, depending on your reasons for the surgery. Abdominal hysterectomies are done less frequently today than in the past. +Less invasive techniques for doing hysterectomy will enable you to have a more rapid recovery, less pain and smaller incisions. If you need a hysterectomy, talk to Dr Owens about Laparoscopic Assisted Vaginal Hysterectomy. Dr. Owens has been in practice in Bakersfield for 30 years and is an experienced surgeon. He has had special training in Laparoscopic Hysterectomy.

For additional information, please visit these links:

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Hysteroscopy, Essure Sterilization

HysteroscopyEssure is a permanent birth control procedure that creates a barrier to fertilization. This less-invasive procedure can even be performed in the doctor's office in less than an hour.

The Essure procedure does not require any cutting into the body. Instead, a doctor inserts small flexible micro-inserts™ through the body’s natural pathways into your fallopian tubes.

Three months after the Essure procedure, a doctor will perform a hysterosalpingogram to confirm that the tubes are blocked and that the results are permanent.

Unlike birth control pills, patches, rings, and some forms of IUDs, Essure does not contain hormones to interfere with your natural menstrual cycle. Your periods should more or less continue in their natural state.

Talk to our office staff  to receive more information about Essure or visit http://www.essure.com/.

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Labioplasty

Labioplasty involves reduction of the labia. The popularity of Vaginal Rejuvenation has risen over the last few years. Women usually request labioplasty surgery for two reasons. Some feel discomfort during sexual intercourse and desire a reduction in the redundant tissue. Sometimes the labia may catch or rub on clothing and cause pain. 

If you have this problem, you can benefit from a labia reduction. Some women have always been this way, whereas others develop the problem after childbirth or as they get older.

The scars are thin and are hidden within natural skin creases. It is very difficult to spot them even when looking for them. Another benefit of the surgery is that sensation during intercourse can be improved, since there is no extra skin in the way.

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Vaginal reconstruction

It is well known that having children naturally can lead to an increased incidence of vaginal relaxation. When this relaxation becomes severe, it is called vaginal prolapse. Many women, especially when younger in age, after having children may begin to experience vaginal relaxation.

Though they may not have any symptoms, such as vaginal pressure or painful intercourse, they do say that they no longer experience the same pleasure they once did with intercourse. Frequently, this is discussed as a lack of sensation during intercourse.

If you are having trouble in this area, you may be a candidate for vaginal reconstruction. Discuss this issue with us if it bothers you.

 

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Endometrial ablation

Does your menstrual cycle last too long or seem abnormally heavy? Do you have trouble bleeding through your clothing? Have you become anemic from too much bleeding? This condition is called menorrhagia or hypermenorrhea.

Hypermenorrhea occurs in 1 out of every 5 women. If you believe that your menstrual flow is excessive, talk to Dr Owens or Laura about your treatment options for your heavy periods.

Endometrial ablation may be the answer. There are several methods of accomplishing endometrial ablation. One is the Hydrothermablation (HTA) which uses hot sterile saline to flush the uterine cavity.

For additional information, please visit these links:

NovaSure

The NovaSure procedure is a fast and simple, one-time treatment. This minimally invasive procedure controls heavy bleeding by using energy to destroy the lining of the uterus. The average treatment time takes about 90 seconds and needs to be performed just once to stop your periods. In some cases your menses may return, but usually will be lighter in amount than you previously experienced. NovaSure can be performed in the hospital or the doctor's office.

Without the side effects of hormones or the risks of hysterectomy, NovaSure has a quick recovery time so you can get back to your life sooner. Most women experience no pain after the procedure, and can return to work and regular activities the next day.

For additional information, please visit these links:

 

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SPARC Urethral Sling

Urethral SlingThe SPARCTM Sling System utilizes a suprapubic approach to treat female urinary stress incontinence due to urethral hypermobility and/or intrinsic sphincter deficiency (ISD).

The sling supports the urethra during increased abdominal pressure (e.g., sneezing, coughing or laughing). The large pores of the mesh promote tissue integration for healing.

The SPARC Sling System provides many benefits:

  • Safe, suprapubic approach minimizes blind needle passage
  • Minimally invasive and time efficient
  • Only one cystoscopy during surgery
  • Mesh is secured through tissue ingrowth rather than sutures
  • Small incision sites in the abdominal skin and vagina

Patients typically experience immediate continence after the procedure.

For additional information, please visit these links:

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Urogynecology

Urodynamic Testing

If you have a problem with urine leakage or blocked urine flow, we may be able to help. One of the tools that may use to evaluate the cause of your symptoms is urodynamic testing.

Problems in the urinary system can be caused by aging, illness, or injury. The muscles in and around your bladder and urethra tend to become weaker with age. Weak bladder muscles may result in your not being able to empty your bladder completely, leaving you at a higher risk for urinary tract infections. Weak muscles of the sphincters and pelvis can lead to urinary incontinence because the sphincter muscles cannot remain tight enough to hold urine in the bladder, or the bladder does not have enough support from the pelvic muscles to stay in its proper position.

Urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests help your doctor or nurse see how well your bladder and sphincter muscles work and can help explain symptoms such as:

  • incontinence
  • frequent urination
  • sudden, strong urges to urinate
  • problems starting a urine stream
  • painful urination
  • problems emptying your bladder completely
  • recurrent urinary tract infections

These tests utilize pressure monitors that record the pressures of the bladder and urethra and help to identify the problem area.

 

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Biofeedback

We are fortunate to be able to offer biofeedback in our office through the services of Audrey Cochran, RN, CS, CCCN.  Audrey has performed this service for many years and is an expert on helping you to find solutions to your problems. But, what is biofeedback?

Biofeedback is a technique in which people are trained to improve their health by learning to control certain internal bodily processes that normally occur involuntarily, such as heart rate blood pressure, muscle tension, and skin temperature. These activities can be measured with electrodes and displayed on a monitor that both the participant and his or her practitioner can see. The monitor provides feedback to the participant about the internal workings of his or her body. This person can then be taught to use this information to gain control over these "involuntary" activities.

Biofeedback is an effective therapy for many conditions, but it is primarily used to treat chronic pain and urinary incontinence.

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