GYN Services

GYN Specialist of the Astar Medical Group offer a full line of medical services to maintain optimal gynecologic well being throughout the phases of a woman's life, including those in her pre-reproductive years, child-bearing years and menopausal years. Physicians in the practice provide evaluation, diagnosis and treatment of a wide range of gynecological disorders and diseases.

GYN Examination Room

Full Gynecological Exam

A pelvic exam is a way for doctors to look for signs of illness in certain organs in a woman’s body. The word “pelvic” refers to the pelvis. The exam is used to look at a woman’s:

  • Vulva (external genital organs)
  • Uterus (the womb)
  • Cervix (opening from the vagina to the uterus)
  • Fallopian tubes (tubes that carry eggs to the womb)
  • Ovaries (organs that produce eggs)
  • Bladder (the sac that holds urine)
  • Rectum (the chamber that connects the colon to the anus)
  • Breast exam.

Contraceptive counseling and infertility

One of the most important contributions to women’s heath has been the availability of affordable, effective and safe contraception. There are many different forms of birth control available to women today. The decision about which type is best suited for an individual woman depends on many variables, including past medical history, ease of use, incidence of side effects, cost and risks. Our providers are specialists in all forms of contraception and can offer advice as to which option may be the best for you.

Menopausal counseling and treatment

Whoever coined the phrase “Golden Years” likely never had a hot flash. The hormonal changes that occur around menopause can be challenging at times. Recommendations for healthcare screenings, dietary supplementation, exercise regimens and menopause symptom relief change frequently. As experts in women’s health, we look forward to discussing any symptoms that you are experiencing and can provide advice regarding therapies that are available. We can also direct you to health and fitness resources designed for women over 55.

Urinary Incontinence

We believe very strongly it is NOT a normal part of a woman's aging process to develop uncomfortable, troublesome symptoms of incontinence or prolapse. If you’ve been told, "It's something you live with," or "It's a by-product of having kids and/or aging," then you may want to see Dr.A. Starikov.

What is Urogynecology? It is a subspecialty of urology and gynecology. A urogynecologist specializes in treatment of women with pelvic floor disorder. The pelvic floor forms the support for all of the organs and structures in the pelvis. When these structures are damaged or weakened by childbirth, menopause, surgery or heredity, unpleasant symptoms may result. Patients with these disorders often don’t even realize there’s a name for what they have. Of greater concern, many women needing treatment often don’t seek it out because they are embarrassed. Symptoms treated include:

  • Incontinence: bladder or bowel, leakage of urine or feces
  • Pelvic Prolapse: descent of the pelvic organs, dropped uterus, vagina, bladder or rectum
  • Pelvic Discomfort: bladder or urethral discomfort including burning, pelvic muscle or joint pain often misinterpreted as ovary or uterine pain
  • Overactive Bladder: frequent urination, bladder pressure, difficulty holding back a full bladder, urgency incontinence
  • Emptying Disorders: difficulty with urination or moving bowels

Urogynecology Specialists offers a variety of treatments for these disorders, both non-surgical and surgical. Non-surgical treatments of pelvic floor disorders include pelvic exercises, behavioral or dietary changes, medications, biofeedback, acupuncture, electric stimulation, and/or vaginal devices. Surgical procedures often include less invasive options utilizing the da Vinci Surgical System or a highly technical laparoscopic surgery.

Remember, you DON’T have to live with it! Call for an appointment.

Cosmetic Gynecology

Labial Reduction open

What is labial reduction?

Labial reduction surgery, also known as labiaplasty and labial revision, is a surgical procedure in which the labia minora are reduced or re-shaped. Many women seek this procedure for many different reasons. Commonly, the patients complain of embarrassment and self-consciousness due to the size of their labia, especially during sexual intercourse. Other women complain of discomfort during physical activity such as biking and horseback riding or when wearing those ever popular tight pants.

The majority of enlarged labia are congenital but many occur following childbirth or due to other hormonal changes. These changes often rob women of their confidence and self-esteem and surgical correction may be the answer for them.

What is involved in Labial reduction?

This procedure can be performed in an outpatient setting and can often be accomplished with local anesthesia. In fact, the majority of our patients have the procedure done in the office under local anesthesia. The procedure is well tolerated by our clientele and they have achieved more than satisfactory results.

The patient is carefully marked with a surgical marking pen and asked to review the markings in a hand held mirror to be certain that she is happy with the amount and location of the tissue to be removed. She then receives injections of local anesthesia and the appropriate tissue is removed and absorbable sutures are placed at the surgical site.

Who is a candidate for labial reduction?

Any patient who is considered a favorable surgical candidate as determined by a thorough consultation and pre-operative evaluation that has enlarged or thickened labia minora, may be considered for treatment. We also consider it necessary to address the psychological component involved in these cases. We want to be confident that the patient will be happy with her decision in the future and that she is not getting pressure from outside sources such as boyfriends.

When can I return to full activity?

Every case is different; therefore, pre-op and post-op instructions may vary but, in general, patients can return to normal daily activity in a matter of days. We ask patients to avoid exercise, strenuous activity, and intercourse for at least 4 weeks but additional healing time may required in some patients.

Are there complications to labial reduction?

As with any surgical procedure, there is a risk for adverse outcomes. Most complications are minor but major complications may occur. The more common issues are bruising, redness, swelling, and pain. These tend to be temporary and generally resolve very quickly. Other complications include hematoma, incisional separation and infection. Full recovery can be expected with all of these issues.

More long-term consequences may be pain at the incision line, scarring, and skin edge irregularity but these tend to be uncommon.

Will labial reduction or revision affect my sexuality?

Possibly. It may improve when your sexual self-esteem has been restored. The labia tissue are not involved in the sexual response so the ability to achieve sexual satisfaction or orgasm should not be affected.

G-spot Injection open

What is the G spot?

The G spot is composed of erectile tissue that swells during sexual arousal much like the erectile tissue of the penis. It is responsible for providing women the ability to have orgasm with penetration rather than just by external stimulation.

Where is the G Spot?

The G spot is an area about 2 inches into the anterior (front) of the vagina. If you place 2 fingers just inside your vagina (palm up) and press your vaginal tissue toward your skin, and with the other hand, press down on the skin just above your pubic bone, you will likely find an area of increased sensitivity. This is the area where the G Spot can be found. It is often recessed behind the pubic bone making stimulation by the penis (at least while in missionary position) unlikely for most women.

What function does my G spot play in my sexuality?

The G spot allows a woman to have a more intense, satisfying orgasm. It is likely that increasing sexual pleasure may also improve a woman's desire for sex. However, it must be clear that many factors play a role in female libido and this procedure may not correct many of these issues.

How can I improve my ability to achieve orgasm?

Is seems likely that a more prominent G spot could allow for more direct stimulation leading to enhanced pleasure. This can be accomplished with dermal fillers in as many as 80-90 % of patients. The filler is injected directly into the vaginal tissues with a small needle with minimal discomfort. The procedure is performed in the office and can be done in 10 minutes or less. Products used by Aesthetic Specialists include restylane, Perlane, and Radiesse.

The Mystery of the G it real?

The G-spot is named after Ernst Gräfenberg, a German gynecologist who in 1950 proposed that a sensitive point on the vaginal wall could provoke particularly intense orgasms in some women, which differ from normal orgasms caused by clitoral stimulation. Finding the G spot has become a quest for some and a disappointment to many.

Its existence has been widely questioned by scientists and non-scientists alike. Many women have found it impossible to locate, leading them to doubt their own sexuality or to question the actual existence of this pleasure point.

Recently, Emmanuele Jannini, of the University of L’Aquila, claims to be the first to find anatomical evidence for the existence of that nebulous pleasure point called the G spot. Some women assert that stimulation of the G spot triggers more powerful orgasms which originate in the vagina. His research suggests that not all women have the G spot which would explain why some women can achieve these orgasms and, some, actually ejaculate.

Dr. Jannini has found ultrasonic differences between women who can have vaginal orgasms and those who cannot. He found that the tissue between the vagina and urethra was thicker in former group.

How long does the procedure take?

It is an office procedure and may take as little as 5 minutes.

How Long will the results last?

Depending on the product used, the injection may be effective from 2 months to 1.5 years.

How much does G spot injection cost?

This depends on how much product is needed to bring the g G spot into a more favorable position. It will generally require 1 vial but, on occasion, may require 2 vials.

Photo of Doctor

We deliver your family, from our skilled hands to your loving arms. Sharing the joy of new life is our job. Our practice is dedicated to the Healthcare of Women and provides complete Obstetrical and Gynecologic services.

With Dr. Starikov’s easy-going personality and genuine listening skills, he immediately puts patients at ease. Dr. Starikov is also dedicated to providing patients with the highest standard of OB/GYN care in a friendly and caring office environment.
Dr. Albert Starikov

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