The Role of Gynecologists and When You Should See One

The Role of Gynecologists and When You Should See One

Nowadays, in the surge of multiple reproductive health issues among women, we must care for ourselves in a way we haven’t before. This should be applied at every stage of our lives, especially as we mature, become mothers, and go through menopause. One of the ways we can do this is to see a board certified gynecologist regularly.

Read on to discover more about the role of gynecologists and when you should see one.

Understanding the Role of a Gynecologist

The top experts on reproductive health are gynecologists. Gynecologists deal with a range of reproductive conditions, such as the vagina, cervix, uterus, ovaries, fallopian tubes, and breasts. 

Once a patient reaches the age of 21, gynecologists typically begin conducting Pap tests, pelvic examinations, and other preventive treatments on them.

See a Gynecologist for Abnormal Periods

Periods should come every 21 to 35 days and last up to 7 days.  Abnormal periods include bleeding too frequently, bleeding in between the periods, bleeding that’s too light or too heavy, and painful periods.

Many things, such as traveling, stress,, taking medicines, and changes in your weight, can affect your period. At the same time, recurring menstruation issues could be a sign that something is wrong. Both uterine fibroids and endometriosis can result in painful pelvic bleeding that occurs more frequently than usual.

As such, you need to see a gynecologist if these issues persist.

See a Gynecologist for Abnormal Bleeding 

While abnormal bleeding is not always an emergency, some underlying issues may be more alarming.

Abnormal bleeding can be caused by hormonal imbalances and not ovulating.  Abnormal bleeding can be caused by medications, including birth control pills.  It can also be a sign of pregnancy, and bleeding during pregnancy can be an emergency. 

Bleeding after menopause can be a sign of uterine cancer and you should always be examined if you have bleeding after menopause.

See a Gynecologist for Pelvic Pain

You should consult a gynecologist if physical activity or social interaction causes pelvic pain.

Pelvic pain can show up as bloating, a heavy feeling, fever, and overall malaise. This can be caused by ovarian cysts, fibroids, and pelvic inflammatory disease or infection. A significant number of women wait until the discomfort is intolerable before heading to the emergency room, where a CT scan or pelvic ultrasound will confirm the presence of an ovarian cyst. But don’t wait until pain is intolerable, make an appointment to see the gynecologist in the office for a private, convenient, and more comfortable exam.

See a Gynecologist for Signs of Menopause

Many menopausal women need counseling from gynecologists about their symptoms. We discuss normal and atypical symptoms as well as the expectations for various life stages.

A woman might need evaluation of her hormones during perimenopause. They gynecologist can help you do this, so that you can better control your symptoms.

See a Gynecologist for Breast Ache or Growth

Do you have breast pain or feel a lump?  You need a breast exam and evaluation to determine if you need an ultrasound or mammogram.

See a Gynecologist for Urinary Problems

Urinary tract infections (UTIs), which are very prevalent in women, can be treated by your doctor. If you are having painful, frequent, or urgent urination, then you need to get checked for a UTI.  Other urinary problems include leaking or incontinence, incomplete emptying of the bladder, and a dropped bladder.

See a Gynecologist for a Well Woman Exam

Gynecologists carry out the annual well-woman examinations.

Depending on your age, risk for gynecologic problems, and the screening parameters that are being used, gynecologist will check your weight, blood pressure, and perform Pap smears, breast exams, and pelvic examinations.

The need for yearly pap testing will be determined by your age,  gyn, medical and surgical history and risk factors for cervical cancer.


Being examined by a board certified gynecologist is the way you can ensure that all is well in your body. After all, gynecologists are the only ones who can help women tackle female-specific issues. With regular consultations, you can optimize and maintain your health.

Are you in need of a certified gynecologist in Forest Hills, NY? Barbara A. Hessel, MD. FACOG is here to help every woman stay on top of their health. Contact our office today!

The Top 8 Common Reasons Why You May Need a Hysterectomy

The Top 8 Common Reasons Why You May Need a Hysterectomy

A hysterectomy is a surgical procedure that involves the removal of the uterus, and sometimes the ovaries and fallopian tubes as well. It is one of the most common gynecological surgeries and is done for a variety of reasons, including uterine fibroids and endometriosis.

While it is major surgery, it can be life-saving for women who have a condition that cannot be adequately managed with other treatments. Here are the top 8 common reasons why you may need a hysterectomy:

1. Uterine Fibroids: Uterine Fibroids are non-cancerous growths that develop in the uterus. They can cause heavy menstrual bleeding, pelvic pain, and even infertility. A hysterectomy can be used to remove the fibroids and alleviate the symptoms associated with them.

2. Endometriosis: Endometriosis occurs when the lining of the uterus (endometrium) grows outside of the uterus. This can cause severe pain, abnormal bleeding, and difficulty getting pregnant. A hysterectomy can help to remove the endometrial tissue and alleviate these symptoms.

3. Adenomyosis: Adenomyosis is a condition where the endometrial tissue grows into the muscular wall of the uterus. This can cause heavy and painful periods, as well as pelvic pain. A hysterectomy is often recommended to remove the affected tissue and alleviate the symptoms.

4. Uterine Prolapse: Uterine prolapse occurs when the muscles and ligaments that support the uterus become weak or stretched, causing it to slip down into the vagina. A hysterectomy can be used to remove the uterus and restore its normal position.

5. Uterine Cancer: Uterine cancer is the most common type of gynecologic cancer. A hysterectomy is often recommended to remove the cancerous tissue and reduce the risk of recurrence.

6. Severe Pelvic Inflammatory Disease (PID): Severe pelvic inflammatory disease (PID) is an infection of the reproductive organs, and it can lead to scarring, infertility, and chronic pelvic pain. Symptoms of PID may include fever, pain during intercourse, and abnormal vaginal discharge. If PID is left untreated, it can lead to serious complications

7. Endometrial Hyperplasia: Endometrial hyperplasia is a condition in which the endometrium, the inner lining of the uterus, becomes abnormally thick. This can lead to a variety of symptoms, including abnormal vaginal bleeding, severe pelvic inflammatory disease (PID), and infertility.

8. Abnormal Bleeding: Abnormal bleeding is one of the most common symptoms of endometrial hyperplasia. Bleeding may be heavier or longer than usual, and it may occur between periods or after menopause. If the bleeding is heavy enough to cause anemia, it’s important to seek medical attention.

What Are the Methods in Performing Hysterectomy

A hysterectomy is a surgical procedure in which the uterus and other reproductive organs are removed. It is an important treatment option for women suffering from various conditions, such as uterine cancer. There are several methods for performing a hysterectomy, and the best option for a patient will depend on their individual situation.

Abdominal Hysterectomy

The most common type of hysterectomy is abdominal hysterectomy. This hysterectomy is performed by making a single incision in the abdominal wall and then removing the uterus through this incision. Abdominal hysterectomy is typically used for women who have a large uterus or have a condition that makes it difficult to perform a vaginal or laparoscopic hysterectomy.

Laparoscopic Hysterectomy

Another option is a laparoscopic hysterectomy, in which several small incisions are made in the abdomen and the uterus is removed through these incisions. Laparoscopic hysterectomies typically require a shorter hospital stay and shorter recovery time than abdominal hysterectomies.

Vaginal Hysterectomy

In some cases, a vaginal hysterectomy may be an option. During this procedure, the uterus is removed through the vagina without making any incisions. This type of hysterectomy is usually only recommended for women who have a uterus that has not grown too large.

No matter which type of hysterectomy is chosen, it is important for patients to talk to their doctor about all of the risks and benefits of each method. A patient’s individual situation and medical history will help determine which type of hysterectomy is the best option.


Hysterectomies may sometimes be necessary to treat a range of medical conditions. Although it’s a major procedure, you may find that the potential benefits outweigh the risks when your doctor has carefully gone through the options with you. In the end, a hysterectomy might just be the best way to get you back to your happy, healthy self. So if you’re experiencing any of the top 8 common reasons why you may need a hysterectomy, don’t be afraid to talk to your doctor about it—there may be a much simpler solution than you think!
Are you looking for a certified gynecologist in Forest Hills, NY? If so, Barbara A. Hessel, MD. FACOG is your best option. We understand the importance of finding a trusted and knowledgeable gynecologist. That’s why we provide our patients with the highest level of care and attention, ensuring that all of their needs are met. With our extensive experience, we are well-versed in all aspects of gynecology, including obstetrics, infertility, menopause, and adolescent gynecology. We also offer a full range of gynecological procedures, such as hysterectomies, endometrial ablation, and laparoscopic sterilization. Plus, we provide treatments for gynecological conditions, including endometriosis, fibroids, and pelvic pain. Let us provide you with all of your gynecological needs. Schedule an appointment with us today!

What’s Office Hysteroscopy? 

What’s Office Hysteroscopy? 

Office hysteroscopy is a minimally invasive procedure used to examine the inside of the uterus. This procedure is performed in the gynecologist’s office, making it more convenient for patients compared to a traditional hysteroscopy, which is done in the operating room.


I utilize the latest technology for in office Hysteroscopy – the Endosee® Advance System

During the procedure, a thin, lighted tube called a hysteroscope is inserted through the cervix and into the uterus. The hysteroscope has a camera attached to it, which allows us to view the inside of the uterus on a monitor. We can detect any abnormalities such as fibroid tumors, polyps, or adhesions, and perform a biopsy. 


The procedure is done under oral anesthesia and patients can expect to experience some cramping during the procedure.  Most patients can resume their normal activities the same day.


Office hysteroscopy can also be used as a diagnostic tool in cases of abnormal bleeding or infertility. If a problem is detected during the procedure, it may be possible to treat it at the same time using specialized instruments passed through the hysteroscope.


The procedure has high diagnostic value and is known for providing detailed information and high accuracy. The best part is that the procedure is done without much pain, low risk, and with a quick recovery time.


It is important to note that office hysteroscopy might  not be recommended for everyone.  


Overall, office hysteroscopy is a safe and effective way for us  to examine the inside of the uterus and detect any abnormalities. It is also a great option for patients who want a convenient, minimally invasive procedure with a quick recovery time. If you have any concerns or are experiencing symptoms such as abnormal bleeding or infertility, be sure to make an appointment to discuss if an office hysteroscopy is right for you. 


Navigating the world of women’s healthcare without a reliable, experienced guide is often overwhelming and frightening.

Working with Dr. Barbara Hessel is an entirely different experience. By encouraging you to take an active role in your own health and wellness and offering you an individualized care plan, it’s the level of treatment you deserve.

Follow Dr Hessel on Facebook , Twitter and Instagram.

Family Planning

Family planning is about birth control. The method you choose depends on your health, frequency of sexual activity and whether you want children. When choosing among birth control methods, you should consider:

  • Availability – Can you use it without a prescription or office visit?
  • Cost – Can you afford it?
  • Effectiveness – How well will it help you prevent pregnancy? You should choose the most effective method that meets your other criteria.
  • Partnership – Your partner’s support or lack of support may affect your choice of birth control.
  • Permanence – Do you want long-term birth control? Permanent sterilization? Tubal ligation (tubes tied) is considered permanent for women. Vasectomy is considered permanent for men. Essure® is a very popular minimally invasive method for permanent sterilization. Ask Dr. Hessel about it.
  • Prevention – Many birth control methods offer no protection against sexually transmitted diseases (STDs). Condoms and dental dams are the best choices for preventing STDs.

Come in for contraceptive counseling to discuss any of the following options with Dr. Hessel:

  • Oral medication (pills)
  • Patch
  • Nuvaring®
  • Depo-Provera shots
  • IUDs – copperT, Mirena® and Skyla®
  • Diaphragm
  • Sponges, condoms and spermicides that are easily available over the counter but may not provide the best protection

When you want contraceptive  counseling that’s highly personalized to you as an individual, call Barbara Hessel, MD, FACOG, at 718.275.7200 or 347.943.4371 from Manhattan, Queens (Rego Park, Kew Gardens, Forest Hills, Middle Village), Brooklyn and Long Island in Queens County, NY. You can also use our online Request an Appointment form. Enjoy the most attentive care you’ve ever had.

Pelvic Pain

Pelvic Pain

Chronic pelvic pain can make life miserable, and it’s one of the most challenging women’s health issues for doctors to diagnose and treat effectively. With the ongoing discomfort, abnormal bleeding, painful intercourse and other problems that can accompany it, pelvic pain can be frustrating and tough to deal with for any woman. Fortunately, with the help of a well-qualified, dedicated physician like Dr. Hessel, you do not have to accept pelvic pain as part of life.

Here you’ll find a highly personal approach to resolving chronic pelvic pain and treating the spectrum of underlying conditions, including:

  • Endometriosis – An extremely common cause of pelvic pain, endometriosis occurs when the tissue that lines the uterus (the endometrium) grows outside the uterus and into the pelvic region and abdomen.
  • Uterine fibroids – These noncancerous growths can develop inside or outside of the uterus. They can be addressed with myomectomy surgery for fibroid removal.
  • Pelvic adhesions – After surgery (or serious infection) in the abdomen or pelvic region, scar tissue can adhere to organs and cause them to “stick” to other organs (for instance, the ovaries and the fallopian tubes).
  • Ovarian cysts – These affect women of all ages but are most common during childbearing years. They are usually harmless, benign, fluid-filled sacs that form outside of any disease process and many disappear on their own.

No matter what’s causing your pelvic pain, you can take comfort with Dr. Hessel. As a fellow of the American College of Obstetricians and Gynecologists and an award-winning gynecologic surgeon, she has the expertise that inspires confidence – and the compassion that matters when you’re dealing with this intensely personal issue. Your treatment plan may include medications and other nonsurgical options. You may also benefit from a laparoscopic procedure to address the cause of your pelvic pain.

Laparoscopy is a minimally invasive surgical technique that requires only tiny incisions. For most women, laparoscopic surgery offers a remarkably quick, comfortable recovery. It’s extremely effective in treating many gynecologic conditions.

Dr. Hessel has extensive experience with these techniques and performs them at some of the finest facilities in our area. If laparoscopy is right for you, she’ll make sure you know exactly what to expect and give you complete answers to all your questions and concerns. Your comfort and well-being matter, especially when you need any kind of surgical care to resolve your pelvic pain.

Don’t live with painful periods

Don’t live with painful periods

We’ve all been there—painful period cramps send us running to the medicine cabinet in search of something to take the pain away. For the majority of women, the pain is mild and only lasts a day or two. For others, severe, life-stopping cramping can start up to a week before a period even begins and bring everyday activities to a grinding halt.  For these women, painful periods that are characterized by backache, and extreme cramping that comes and goes is known as dysmenorrhea.  No, I didn’t sneeze, but it’s pronounced “dis-men-uh-ree-uh”. It just means, basically, an abnormally painful period. (more…)