Dr. Schlafstein provides expert care for women through the pivotal stages of life—from childbearing to menopause—offering solutions for a wide range of gynecological conditions. His extensive experience allows him to manage both routine and complex issues with the latest treatment options.
Below are the specialized services offered by Dr. Schlafstein:
Urinary incontinence—the involuntary leakage of urine—can range from a minor nuisance to a distressing and disabling condition. It may lead to infections and, in severe cases, become a primary reason for nursing home admission in older adults.
In women, there are two primary types of urinary incontinence:
Diagnosis includes a detailed medical history, physical examination and specialized testing such as urodynamics, which helps differentiate between GSUI and OAB to determine the most effective treatment plan.
Laparoscopic surgery is a modern, minimally invasive approach that eliminates the need for large abdominal incisions. Instead, three to four small incisions are made, allowing the insertion of a tiny camera (laparoscope) and surgical instruments.
Many gynecological procedures can be performed laparoscopically, including:
Benefits of laparoscopic surgery include:
Pelvic organ prolapse (vaginal herniation) occurs when the pelvic muscles weaken, leading to the displacement of organs. Common causes include menopause, childbirth, previous surgeries, chronic constipation, heavy lifting, and certain medical conditions.
Types of prolapse:
Additional symptoms may include:
Surgical repair aims to restore normal function and anatomy, similar to hernia repairs in other parts of the body.
Bio-identical hormones are plant-derived compounds that mimic the body's natural hormones, offering a personalized approach to menopause management. These can be prescribed in pill or cream form, with dosing adjusted based on symptoms and specialized salivary testing.
Compounded at select pharmacies, these hormones help manage:
Our office can provide a list of compounding pharmacies for your convenience.
While menopause marks the end of reproductive years, we see it as the beginning of a new chapter. Every woman’s journey is unique, and our goal is to tailor treatment to individual needs. Beyond common symptoms, menopause-related health changes can impact long-term well-being. We take a comprehensive approach to evaluation and treatment, ensuring that every woman transitions into this stage with confidence and optimal health.
For women with overactive bladder (OAB), Urgent PC Neuromodulation is an innovative, non-invasive treatment based on acupuncture principles. Electrical impulses stimulate the tibial nerve, relaxing the overactive bladder nerves. Some patients even find the sessions relaxing!
Urodynamic testing helps evaluate bladder function in women experiencing urinary leakage or difficulty holding urine. This 20–30-minute in-office test provides critical insights into bladder control and helps tailor treatment plans—especially for those considering bladder-related surgery.
Vulvar Vestibulitis is a chronic inflammatory condition causing pain, irritation, and redness around the vaginal opening. Symptoms may include:
While medical therapy may help, some cases require surgical intervention to provide relief. Research is ongoing to determine the exact cause of this condition.
For patients with severe OAB, Botox injections into the bladder can help relax muscles and reduce symptoms. This outpatient procedure, performed under light anesthesia, typically lasts six to nine months before requiring a repeat treatment.
Botox may help with:
Dr. Schlafstein provides personalized, expert care for women at all stages of life. Whether you’re seeking treatment for incontinence, menopause symptoms, or advanced gynecological procedures, our office is here to help.
