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Health and Wellness Magazine • 57 What if my ultrasound shows uterine fibroids? As many as three out of every four women will develop uterine fibroids during their childbearing years. Most fibroids, or leio- myoma, regress after menopause and do not need treatment. Indications for treatment can include pain, constipation, urinary symptoms, abnormal bleeding, rapid change in size, or inability to evaluate the ovaries by exam or ultrasound. First line treatments for fibroids are contraceptive pills and hormone-containing intrauterine devices. The minimally- invasive surgical option of endometrial ablation (destruction) of the uterine lining can be considered if the fibroids are small. Uterine artery embolization, or blocking of the uterine vessels, has very strict criteria for its application, but in the correct patient population can decrease fibroid size by about two- thirds. Surgical removal of just the f i b r o i d s ( m y o m e c t o m y ) a n d surgical removal of the uterus (hysterectomy) are other options. If a surgical option is chosen, a minimally-invasive approach performed by an experienced laparoscopist is best, according to the American Association of Gynecologic Laparoscopists. Many laparoscopic surgeries can be performed with the assistance of a robot, which has been shown clinically to decrease length of hospital stay, decrease blood loss at the time of surgery, and decrease the use of pain medications after surgery. Most patients require a few-hour or overnight stay after laparoscopic robotic surgery, and many patients can return to work after a couple of weeks of recovery. Seek a board-certified obstetrician and gynecologist for more help with treatment options. Dr. Kathleen Tate storkdr.com Aurora, Southeast Denver Welcome to Greenwood Pediatrics Nationally recognized as a Superior Performing Medical Group Practice Greenwood Pediatrics offers: Parker Office 16830 Northgate Drive, Suite 150 Parker, Colorado 80134 303-805-7879 Southeast Office 9094 East Mineral Avenue, Suite 100 Centennial, Colorado 80112 303-694-3200 Southwest Office 10901 West Toller Drive, Suite 101 Littleton, Colorado 80127 303-973-3200 Visit us on the web at www.greenwoodpediatrics.com Infants, Children and Adolescents • A focus on each family's relationship with one primary doctor, supplemented by visits with one other physician and one nurse practitioner on the care team • The personalized care of a small office supported by the convenience of a larger practice: Saturday morning office hours, a physician on call 24 hours a day • Dedicated triage nurse to answer phone calls from parents and provide advice during the office day • Award-winning website to provide up-to-the-minute information and advice to parents • Privileges at five area hospitals to care for newborns and children • Board certified neonatologist on staff • Certified lactation consultant on staff • Active teachers of medical, nursing and physician assistant students and residents • Three convenient locations in the South Metro area • Extended evening office hours and Winter Sunday hours