The doctor can assess whether she has normal development of secondary sex characteristics (the changes that come with puberty). At this young age, menstrual cycles are often irregular for several years. The doctor can offer reassurance that this is common.

The doctor can also monitor weight gain, develop severe acne and also have irregular menstrual cycles, which are possible signs of polycystic ovary syndrome. Treatment during these formative years can potentially prevent weight gain, skin scarring and the complications of diabetes, hypertension and infertility.

For more information, please visit our website’s Adolescent Gynecology page.

In the United States, one out of nine women will have developed breast cancer by the time they reach their 90’s. Although the incidence of breast cancer is rising, the cure rate of early-detected invasive disease (lymph nodes negative for tumor) is excellent (97%). The role of estrogen as a possible risk factor for breast cancer has and continues to be a subject of major concern. Click here to read an article written by Gordon C. Gunn, M.D. Nancy A. Towbin, M.D. Ricarda D. Benz, M.D. Melanie R. Santos, M.D. P.K. Kaliban, PA-C of the Gunn-Towbin Center for Women in Fullerton CA

Your WOW Evaluation Includes:

• Family History
• Personal Medical History
• Cardiovascular Physical Examination
• Current Status of: Smoking, Alcohol Intake, Physical Activity, Medications
• Blood Pressure
• Pulse (to detect any irregularity of the heart rate/rhythm)
• Resting EKG
• Body Mass Index (BMI)
• BodyStat Bioelectrical Impedance Analysis (BIA) measurement of fat, lean body mass and metabolism
• Waist / Hip Circumference Ratio
• Laboratory Testing:
• Fasting Lipoprotein Profile (Total cholesterol, HDL, LDL, VLDL, Triglycerides)
• Cardiovascular Risk Markers (CRP-HS)
• Metabolic Profile for Diabetes, Liver, Kidney, Bone and Electrolytes
• Thyroid Function
• Complete Blood Count (CBC)
• Carotid Artery Doppler Ultrasound Screening for presence of plaque
• Echo and Stress Echocardiograms, when indicated
• Holter Monitoring for evaluation of irregular heart beat, when indicated

Women throughout Southern California have been inspired, empowered and changed by their involvement in the WOW Program. If you would like to know more about how WOW can reduce your risk for heart attack and stroke, and improve your health and sense of well being, please call our care team at 714-447-4800.

Mammogram Screening:

In adolescence, the breast tissue is very dense; however, as women age, the dense breast tissue is infiltrated with fat cells, which allows for greater penetration of the x-rays used in mammograms. Women who have a first-degree relative with breast cancer should have their initial breast mammogram performed at 30 years of age, and then every two years until she is 40. Women without an immediate family history should begin mammogram screening at 35 and then every two years until 40. After 40, the accuracy of the mammogram greatly increases as the amount of fat replacement becomes more significant and mammograms should be performed annually

Self-Breast Examination:

Self-breast examinations should be performed on the last day of each menstrual period during the reproductive years. When a woman ceases menstruating, she is recommended to perform the self-exam on the first day of each calendar month. Remember, when performing self-breast exams, you are looking only for a change that you didn’t notice on previous self-exams (such as an area of thickening, or a small lump, or tenderness). When you do not find anything new or different, you can trust there is generally nothing to find.

Initial screening tests include:

•Family History
•Personal Medical History
•Complete Physical Examination
•Current Status of: Smoking, Alcohol Intake, Physical Activity, Medications
•Blood Pressure
•Pulse (to detect any irregularity of the heart rate)
•Resting EKG
•Body Mass Index (BMI)
•BodyStat Bioelectrical Impedance Analysis (BIA) of fat and lean body mass composition
•Waist / Hip Circumference Ratio
• Laboratory Testing:
•Fasting Lipoprotein Profile (Total cholesterol, HDL, LDL, VLDL, Triglycerides)
•Cardiovascular Risk Markers (CRP-HS)
•Metabolic Profile for Diabetes, Liver, Kidney, Bone and Electrolytes
•Thyroid Function
•Complete Blood Count (CBC)
•Carotid Artery Ultrasound Screening for atherosclerosis and Stroke Risk
•Echo and Stress Echocardiograms, when indicated
•Holter Monitoring for evaluation of irregular heart beat, when indicated

Initial screening tests should be performed at the age of 18 and be repeated at least every two to five years, depending on age and test results. By implementing lifestyle changes and indicated medical treatments now available, the future risk of coronary artery disease and stroke due to atherosclerosis can be significantly reduced and probably prevented.

Learn more about your health and opportunities for prevention of this disease by enrolling in the WOW Program at the Gunn Towbin Center of Gynecology.

The two most common types of urinary incontinence are “stress incontinence” and “urge incontinence”. Stress incontinence is accidental urine leakage that occurs during physical activities that cause a sudden pressure (or “stress”) on the bladder such as laughing, lifting, coughing, or sneezing. Urge incontinence is urine leakage that occurs before a woman has a chance to get to the bathroom in response to urge to urinate. Women with this type of leakage may also experience frequent urges to urinate, the inability to suppress the urge and frequent nighttime waking to urinate.

Treatment for urinary incontinence varies on the type and severity of incontinence. The first step in treating the problem is determining an accurate diagnosis.

• Stress incontinence can be effectively treated with pelvic floor exercises, devices that “block” the loss of urine, or surgery.
• Urge incontinence is commonly treated with medication, biofeedback, or electrical stimulation to the nerves that control the bladder.

There is a wide variety of non-surgical and surgical treatment options available for all kinds of urinary incontinence. Contact Gunn Towbin Center for Women in Fullerton California today at 888-721-0555 to set up an appointment for evaluation and discuss effective treatment options that are right for you.

You will receive an overall assessment of your current health, an outlined diet, exercise and lifestyle program and re-evaluation after the 12-week period is completed.

Make this year the healthiest ever. Call to enroll in The 12-Week Healthy Heart Program and enjoy the benefits of a healthy, happy future. To learn more click here to download the brochure.

CONSULTATION & TREATMENT

• Abnormal Pap Smear
• Abnormal Uterine Bleeding
• Bio-Identical Hormones
• Blood Pressure Management
• Cholesterol Management
• Breast Disease
• Endometriosis
• Family Planning
• Infertility
• Menopause
• Nutrition and Weight Management
• Office Hysteroscopy
• PMS/Depression/Anxiety
• Pediatric/Adolescent Gynecology
• Pelvic Pain
• Preconception Counseling
• Osteoporosis
• Urinary Incontinence

SURGERY

• Comprehensive Gynecologic Surgery
• Private Outpatient Surgery Center
• Minimally Invasive Surgery
• Bladder Incontinence Surgery
• Endometrial Ablation
• Pelvic Reconstruction

ULTRASOUND BODY SCAN

• Abdominal
• Abdominal Aneurysm
• Breast
• Carotid/Femoral Artery
• Kidney/Bladder
• Pelvic
• Thyroid

 LABORATORY EVALUATIONS

• Diabetes Screening
• Heart & Stroke Risk
• Menopause & Hormones
• Metabolic Profile
• STD Screening
• Thyroid Disease

 TESTING

• Bone Density (DEXA)
• Body Composition Profile
• Echocardiogram (EKG)
• Holter Monitoring
• Echocardiogram

Consider this: 50% of American women die as a result of a heart attack or stroke. Heart attacks and strokes are preventable, according to new medical evidence. Many women underestimate their personal risk level. By participating in the WOW Program at Gunn Towbin Center in Fullerton California you will gain an understanding of your risk, increase your awareness for heart disease, and be empowered with healthy solutions.

Be proactive! Prevent disease! Contact Us today! (888) 721-0555 or visit our website