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In This Issue
Female Exams & Tests
Ovarian Cancer Month
Swine Flu
Vaginal Atrophy
Office Announcements
Quick Links
 
In the News
 
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Our Offices

 

101 Old Short Hills Rd
Atkins-Kent Building, Suite 410
West Orange NJ 07052
973-736-1100
 
33 Overlook Rd.
MAC Building
Suite 108
Summit, NJ  07901
908-522-4558
 
696 Ave. C 
Bayonne, NJ  07002
201-339-3300
 
 
Physicians
 
Robert J. Rubino,
M.D., F.A.C.O.G.
 
Audrey A. Romero, M.D., F.A.C.O.G.
 
Elizabeth Lucarelli, M.D., F.A.C.O.G.
 
Lisa Abeshaus,
M.D., F.A.C.O.G.
 
Jacqueline Saitta,
M.D., F.A.C.O.G.
 
SEPTEMBER 2009
We hope you enjoyed your summer and are transitioning nicely into early fall.  
 
In this issue, we provide a guide to taking the right precautions, including the appropriate age for necessary female exams and tests, recognizing Ovarian Cancer Month, information on Swine Flu and Vaginal Atrophy.
 
If there is topic you would like covered in our newsletter, please e-mail us at newsletter@rubinoobgyn.com.
 
As always, we will continue to provide topics that are current, informative and important to your good health. 
 
Sincerely,
Robert J. Rubino, MD and Staff
When to see a Doctor: Routine Exams and Tests
It is often unclear at what age women are expected to visit their doctor for preventative exams and tests.  The information provided below is a basic guide, from the first gynecological exam through menopause: 
 
First gynecological exam: the first exam should be administered when a young woman turns 15 or when she becomes sexually active.
 
First Mammogram:  women should have their first mammogram for baseline testing between age 35 and 39. Once a baseline is established, an annual exam should begin at age 40. If there is a family history of breast cancer, a baseline should occur between the ages of 30 and 35 and an annual exam starting at age 35.
 
First Colonoscopy: your first Colon Cancer screening, via a colonoscopy, should be at age 50.  If there is a family history of Colon Cancer, a colonoscopy should be administered at age 40.
 
Bone Density Test: a bone density test should be conducted after menopause, typically one year after your last period. If you are at a higher risk for Osteoporosis, testing should occur earlier.
 
Cholestorol and EKG: cholestorol tests and an EKG should be administered between ages 40 and 45.
 
Pregnancy: your first pregnancy exam typically occurs at 8 weeks of pregnancy. At home tests can be administered prior to those 8 weeks to confirm you are pregnant, best recommended on the first day of your missed period. If you have a medical condition, have had problems with a pregnancy in the past, or are having symptoms such as vaginal bleeding, abdominal pain, or severe nausea and vomiting, you would need to see your OB sooner.

If there are any other tests or questions regarding required testing, please do not hesitate to ask one of our doctors.
Ovarian Cancer Month

September is Ovarian Cancer month, helping to promote awareness and support to this type of cancer.

Ovarian Cancer is one of the most deadly of women's cancers. Each year, approximately 21,500 women will be diagnosed with ovarian cancer. In 2009, approximately 15,500 women will die in the United States from ovarian cancer.
 
Many women don't seek help until the disease has begun to spread, but if detected at its earliest stage, the five-year survival rate is more than 93%. 
 
Recent research suggests that together the four symptoms of: bloating, pelvic or abdominal pain, difficulty eating or feeling full quickly and urinary urgency or frequency may be associated with ovarian cancer.
 
It is important to ensure you are screened for ovarian cancer through annual gynecological exams. If you are experiencing one or all of the symptoms above, contact your doctor immediately for further screening.
 
For more information visit the Ovarian Cancer National Alliance: www.ovariancancer.org
Swine Flu - Awareness and Precautions
The Swine Flu, otherwise known as 2009 H1N1, is a new influenza virus causing illness in people.
 
First detected in the U.S. in April 2009, this new virus is spreading from person-to-person worldwide, in much the same way that regular seasonal influenza viruses spread.  Just as with other flu viruses, most people who have become ill with this new virus have recovered without requiring medical treatment.

Originally referred to as "swine flu" due to laboratory tests that showed similar genes to influenza viruses that normally occur in pigs (swine) in North America, further study has shown that this new virus is very different from what normally circulates in North American pigs. 
 
Standard precautions include:
  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
  • Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.
  • Avoid touching your eyes, nose or mouth. Germs spread this way.
  • Try to avoid close contact with sick people.
  • If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone and keeping away from others as much as possible to keep from making others sick.
In addition, it is important to follow public health advice regarding school closures, avoiding crowds and other social distancing measures. 
 
The government will issue Swine Flu vaccines through the Health and Human Services Department who will determine how and when to distribute the vaccine. We will supply more information as it is available.
 
The Rubino OB/GYN Group will continue to provide the standard flu shot to our pregnant patients, starting in October.
 
For more information on Swine Flu, visit the Center for Disease Control website: www.CDC.com 
Vaginal Atrophy
If you are experiencing painful intercourse or frequent night time trips to the bathroom, you might have vaginal atrophy.
 
Vaginal Atrophy is shrinking and or drying of the vaginal internal portion of the vagina known as the "mucosa" due to a decline in estrogen levels.  Vaginal atrophy occurs most often after menopause, but can also develop during breast-feeding or when your body's estrogen production declines.
 
Millions of women have this condition,  estimated at more than half of menopausal women, and it significantly impacts their lives. Some women refrain or abstain from intercourse because of the pain from dryness during sexual relations. Additionally, many women believe multiple night time trips to the bathroom are a normal part of the aging process, and cannot be avoided.  

With moderate to severe vaginal atrophy, you may experience the following vaginal and urinary signs and symptoms:  vaginal dryness, vaginal burning, watery vaginal discharge , burning with urination, urgency with urination, more urinary tract infections, urinary incontinence, light bleeding after intercourse, discomfort with intercourse, shortening and tightening of the vaginal canal.
 
The good news is a local estrogen cream can often eliminate or greatly reduce these conditions.  Many patients are surprised how much better they feel after a month of therapy.  Restored intimacy with a spouse has immeasurable benefits and less night time voiding is a quality of life improvement associated with less orthopedic trauma from falling. 
 
If you think you might be effected by this condition, speak to your doctor for a simple and effective treatment.
Office Announcements
Flu Shots for Pregnant Patients
The Rubino OB/GYN Group will continue to provide the regular flu vaccine to pregnant patients, starting the month of October. Please schedule an appointment. Once the Swine Flu vaccine is available, we will pass the information on to our patients.
 
Dr. Saitta - Convenient Appointments
Dr. Saitta continues to offer convenient extended and evening hours in all three office locations in West Orange, Summit and Bayonne. 
 
Dr. Lucarelli on Maternity Leave
Dr. Lucarelli will be on maternity leave August 4th through October 31st. In her absense, her appointments will be covered by our team of doctors. The Rubino Group staff wishes her well!
 
Save Time With Our Online Appointments, Consultations and Personal Health Records
The popularity of our online office has reached new heights! To schedule online appointments, consultations or view your personal health records at your convenience, just visit the home page of www.rubinoobgyn.com. You can also call 973-736-1100 now to schedule an appointment at any of our three locations. 

"Important Announcements" on Our Website
You can find important new developments and time-sensitive announcements (such as office closings) right on the upper right hand portion of our home page.