Dr. Max Izbicki Chicago IL OB/GYN
Dr. Max Izbicki Chicago, Il OB/GYN. He is a member of the American College of Osteopathic Obstetrics and Gynecology, the American Congress of Obstetricians and Gynecologists, and the Association of Advanced Gynecological Laparoscopists. Dr. Izbicki provides comprehensive services and treatment to women with a wide range of obstetric and gynecologic needs including high and low risk pregnancy care, contraception and sterilization, treatment of heavy bleeding and many other conditions. When surgery is needed, Dr. Max Izbicki focuses on minimally invasive options. His care is highly personalized and patient centered.
Dr. Max Izbicki received is medical and surgical training in Michigan through the Michigan State University College of Osteopathic Medicine, and holds a masters degree in public health from the University of Michigan. Dr. Izbicki is also involved in teaching medical students and residents.
Cervical Cancer Screening
As an obstetrician and gynecologist, Dr. Max Izbicki provides cervical cancer screening and comprehensive obstetric and gynecological care. Cervical cancer screening can find changes in the cells of the cervix that could lead to cancer. Screening includes the Pap test and, for some women, testing for human papillomavirus (HPV). A Pap test used to be recommended for most women every year. However, this recommendation has changed in the past few years. Most women do not need to have cervical cancer screening each year. The latest routine cervical cancer screening guide- lines are as follows:
Cervical cancer screening should start at age 21 years.
• Women aged 21–29 years should have a Pap test every 3 years.
• Women aged 30–65 years should have a Pap test and an HPV test (co-testing) every 5 years (preferred). It is acceptable to have a Pap test alone every 3 years.
• Women should stop having cervical cancer screening after age 65 years if they do not have a history of moderate or severe dysplasia or cancer and they have had either three negative Pap test results in a row or two negative co-test results in a row within the past 10 years, with the most recent test performed within the past 5 years.
Why did the guidelines change? Studies over the past decades have found that there is no overall advantage to having yearly Pap tests compared to Pap tests every 3 years. Women who have yearly screening undergo many more follow-up tests for what turns out not to be cancer than women who have 3-year testing. You still should see your health care provider every year for well-woman care and any reproductive health care or information.
For women aged 30–65 years, the combination of a Pap test plus an HPV test can help predict whether dysplasia will be diagnosed in the next few years, even if the Pap test results are normal. If the results of both the HPV test and the Pap test are normal, the chance that mild or moderate dysplasia will develop in the next 4–6 years is very low.
You may be wondering why HPV testing is not recommended for women younger than 30 years. HPV infection is very common in younger women, but it usually goes away on its own. A positive HPV test result in a young woman (showing that she does have one of the cancer-causing HPV types) will most likely become negative without any treatment.
If you have had a hysterectomy, you still may need to have cervical cancer screening. Whether you need to continue to have screening tests depends on why your hysterectomy was needed, whether your cervix was removed, and whether you have a history of moderate or severe dysplasia.
Max Izbicki DO Chicago, Il OB/GYN treats a wide range of gynecological conditions including ovarian cysts. An ovarian cyst is a sac or pouch filled with fluid or other tissue that forms on the ovary. Ovarian cysts are quite common in women during their childbearing years. A woman can develop one cyst or many cysts. Ovarian cysts can vary in size. In most cases, cysts are harmless and go away on their own. In other cases, they may cause problems and need treatment.
There are different types of ovarian cysts. Most cysts are benign (not cancerous). Rarely, a few cysts may turn out to be malignant (cancerous.
Most ovarian cysts are small and do not cause symptoms. Some cysts may cause a dull or sharp ache in the abdomen and pain during certain activities. Larger cysts may cause torsion (twisting) of the ovary that causes pain. Cysts that bleed or rupture (burst) may lead to serious problems requiring prompt treatment.
An ovarian cyst may be found during a routine pelvic exam. If your health care provider finds an enlarged ovary, tests may be recommended to provide more information: Usually a vaginal ultrasound will be ordered. This procedure uses sound waves to create pictures of the internal organs that can be viewed on a screen. For this test, a slender instrument called a transducer is placed in the vagina. The views created by the sound waves show the shape, size, location, and makeup of the cyst. If surgery is needed laparoscopy is usually the preferred approach. In this type of surgery, a laparoscope—a thin tube with a camera—is inserted into the abdomen to view the pelvic organs. Laparoscopy also can be used to treat cysts. Some blood tests may be ordered. If you are past menopause, in addition to an ultrasound exam, you may be given a test that measures the amount of a substance called CA 125 in your blood. An increased CA 125 level may be a sign of ovarian cancer in women past menopause. In premenopausal women, an increased CA 125 level can be caused by many other conditions besides cancer. Therefore, this test is not a good indicator of ovarian cancer in premenopausal women.
Combined hormonal birth control pills may be prescribed to treat some types of ovarian cysts. This treatment will not make cysts you already have go away. But it may reduce the risk that new cysts will form. If your cyst is large or causing symptoms, your health care provider may suggest surgery. The extent and type of surgery that is needed depends on several factors: Size and type of cyst, your age, your symptoms, and your desire to have children. Sometimes, a cyst can be removed without having to remove the ovary. This surgery is called cystectomy. In other cases, one or both of the ovaries may have to be removed. Your doctor may not know which procedure is needed until after the surgery begins.
Post Menopausal Bleeding
Dr. Max Izbicki Chicago Il OB/GYN treats abnormal uterine bleeding including post menopausal and perimenopausal bleeding. Menopause is defined as the absence of menstrual periods for 1 year. The average age of menopause is 51 years, but the normal range is 45 years to 55 years. The years leading up to this point are called perimenopause. This phase can last for up to 10 years. During perimenopause, shifts in hormone levels can affect ovulation and cause changes in the menstrual cycle. During a normal menstrual cycle, the levels of the hormones estrogen and progesterone increase and decrease in a regular pattern. Ovulation occurs in the middle of the cycle, and menstruation occurs about 2 weeks later. During perimenopause, hormone levels may not follow this regular pattern. As a result, you may have irregular bleeding or spotting. Some months, your period may be longer and heavier. Other months, it may be shorter and lighter. The number of days between periods may increase or decrease. You may begin to skip periods.
A good rule to follow is to tell your health care provider if you notice any of the following changes in your monthly cycle: Very heavy bleeding, bleeding that lasts longer than normal, bleeding that occurs more often than every 3 weeks, bleeding that occurs after sex or between periods. Common causes include polyps, noncancerous growths that develop from tissue similar to the tissue that lines the uterus. They may cause irregular or heavy bleeding. Polyps also can grow on the cervix or inside the cervical canal. These polyps may cause bleeding after sex. Endometrial hyperplasia is another common cause. In this condition, the lining of the uterus thickens. It can cause irregular or heavy bleeding. Endometrial hyperplasia most often is caused by excess estrogen without enough progesterone. In some cases, the cells of the lining become abnormal. This condition, called atypical hyperplasia, can lead to cancer of the uterus. When endometrial hyperplasia is diagnosed and treated early, endometrial cancer often can be prevented. Bleeding is the most common sign of endometrial cancer in women after menopause.
To diagnose the cause of abnormal perimenopausal bleeding or bleeding after menopause, your health care provider will review your personal and family health history. You will have a physical exam. You also may have other tests. An ultrasound is performed to examine the thickness of the endometrial lining. An endometrial biopsy is often performed. Using a thin tube, a small amount of tissue is taken from the lining of the uterus. The sample is sent to a lab where it is looked at under a microscope. Finally a hysterocopy, where a camera is placed in the uterus may be needed. Some of these tests can be done in your health care provider’s office. Others may be done at a hospital or surgical center. Treatment for abnormal perimenopausal bleeding or bleeding after menopause depends on its cause. The treatments are highly effective range from medication to surgery.
Possible Reasons for Bleeding During Early Pregnancy
Chicago Il OB/GYN Dr. Max Izbicki treats a wide range of obstetric and gynecologic conditions. Focusing much of his work in the realm of prenatal care and obstetrics, Max Izbicki DO sees patients with bleeding during early pregnancy. In fact, many expectant mothers will experience some form of bleeding during early pregnancies. More than one quarter of pregnant women bleed within the first 12 weeks. This occurrence does not always indicate the presence of a problem, particularly when it happens during the first eight to ten weeks. There are a number of reasons why expectant women may experience early bleeding. One of the earliest signs of pregnancy may be, in fact, bleeding. Within the first two weeks of conception, many women notice spotting that they assume is a light period. However, this can be a sign that a fertilized egg has successfully implanted in the uterus. Women can experience implantation bleeding for a brief period of few hours, or as long as several days. Extrauterine pregnancies are a rare occurrence that can also cause bleeding during early pregnancy. Accounting for two percent of all pregnancies, it occurs when the fertilized egg fails to implant inside the uterus. With this type of pregnancy, implantation will typically happen inside the fallopian tube instead. As a result, women can experience cramping and bleeding.When women bleed early in their pregnancies, they may assume that they are experiencing a miscarriage, however, this is not necessarily the case. Other signs of a miscarriage are continued heavy bleeding, cramping and passage of tissues. If seen for bleeding during early pregnancy your doctor will preform a wide range of tests including a pelvic ultrasound. In many cases doctors are able to give their patients reassurance.
Methods of Tubal Litigation
Dr. Max Izbicki in Chicago, Il, is an obstetrician and gynecologist who provides care to women throughout pregnancy, delivery, and the postpartum experience. He offers all forms of contraception and specializes in female sterilization, in addition to many other treatments. Tubal ligation is a surgical operation designed to stop eggs from being fertilized by sperm by blocking their passage to the fallopian tubes. This procedure is done through a small incision if performed immediately following a delivery, or through two or more very small incisions via laparoscopy (a small camera) if not done close to the time of childbirth. Dr. Izbicki also offers hysteroscopic (a camera placed in the uterus) sterilization, which is the placement of tubal implants and does not involve incisions, to certain patients. Both procedures are considered permanent forms of birth control, and are commonly referred to as “having your tubes tied.” Currently, the best procedure to accomplish female sterilizaiton is to completely remove both tube, which offers a number of advantages, and Dr. Izbicki performs this procedure through the same small incisions described above.