Gynecology in Jacksonville, Florida

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Trogolo Obstetrics and Gynecology in Jacksonville is committed to providing only the highest level of care. Dr. Trogolo is a Board Certified physician who has worked for over 15 years in obstetrics and gynecology, utilizing the newest techniques and equipment available in the field of obstetrics and gynecology. Dr. Trogolo follows standards set by the American College of Obstetrics and Gynecology (ACOG) in an effort to always provide the safest, most effective treatment options available to his patients.

Gynecological services we offer include:

Annual Well Women’s Exam

Every woman should take at least one well-woman exam per year. It’s a preventative measure rather than being an intervention. During this exam, the doctor will check your overall physical condition as well as to measure your blood pressure, examine your pelvic and breasts, and administer a pap smear.

Breast Exams

Breast exams are often used as an early detection method for breast cancer. The doctor will examine your breast tissue for any visual or physical changes. Every woman should have a clinical breast exam at least once a year. Most breast exams are performed along with mammography.

Contraceptive Counseling

Contraceptive counseling is an excellent solution for women who want to develop a strategy to prevent unintended pregnancy. Every women’s health specialist will assist their patients by introducing them with various approaches to contraceptive measures and finding the one strategy that suits their patients the most.

Nexplanon

Nexplanon is a birth control implant foreseen to prevent pregnancy. It’s hormone-based, highly effective, and is usually inserted into a woman’s arm. The benefits of these implants include lighter periods and lighter PMS symptoms. Nexplanon is considered to be a long-term method because it prevents pregnancy for up to three years.

Endometrial Biopsy

Endometrial biopsy is a relatively simple procedure used to obtain a tissue sample from the lining of the uterus. Subsequently, the tissue is then examined in the lab to identify the presence of suspicious cells. This particular procedure is usually recommended for women who struggle with excessive menstrual bleeding and bleeding after menopause.

Menopause Evaluation and Treatment

Tests are usually not needed to identify menopause as signs and symptoms are usually enough to tell a woman that she’s entering menopause. However, under certain circumstances, your gynecologist will recommend a blood test to check for FSH and TSH levels. Treatments include hormone therapy, vaginal estrogen, low-dose antidepressants, gabapentin, clonidine, and treatments for osteoporosis.

Management of Fibroids

The presence of fibroids is identified with a regular pelvic exam. If your gynecologist identifies the presence of fibroids, they will order both an ultrasound (if confirmation is needed) and lab tests in order to identify potential causes. Other imaging tests include hysteroscopy, hysterosonography, MRI, and hysterosalpingography.

Pelvic Organ Prolapse Management and Treatment

As far as non-surgical management of pelvic organ prolapse goes, pelvic muscle exercises (PME) and pessaries (vaginal support devices) are the two main methods for patients who struggle with this condition. According to the Agency for HealthCare Policy, these methods should be attempted before surgery is considered.

Management of Abnormal Pap smear

In cases of abnormal Pap smear, colposcopy, endocervical curettage, and cervical biopsy are all important tools for evaluation. Out of the three, colposcopy is also beneficial for assessing HPV changes and dysplasia. In some cases, endometrial sampling is also collected for further study.

Vaginal and Vulvar disorders

Numerous conditions can affect your vagina and vulva. Some of them cause slight discomfort, while others can cause serious issues if left untreated. Some of these conditions include vulvodynia, psoriasis, bacterial vaginosis, eczema, and candida. The vast majority of these conditions are treatable and easily detectable in the early stages.

Cervical Cancer Screening

CCS is a process that aims to detect abnormal tissue in the cervix before it escalates and turns into cancerous tissue. There are two types of CCS – Pap test and HPV test. Both tests are done by collecting cells from the surface of your cervix. Pap test looks for precancers (cell changes on the cervix) whereas the HPV test looks for the human papillomavirus that causes these changes.

Gynecological Ultrasounds

Gynecological ultrasound is a painless procedure and a diagnostic method that allows your gynecologist to inspect the position, size, and structure of your cervix. If you’re experiencing abnormal vaginal bleeding or pain in your cervix, the gynecological ultrasound is something you should undergo before your condition worsens.

Intrauterine Devices (IUD)

An intrauterine device is a small birth control device that is inserted into a woman’s uterus in order to prevent pregnancy. It’s a rather popular contraceptive method because it’s effective and has a trivial failure rate. Contrary to popular misconception, IUD devices do NOT cause infertility, nor do they make it harder for a woman to conceive.

Colposcopy

Colposcopy is a procedure usually recommended if a Pap test reveals any abnormalities. It is done with an instrument called colposcope, and if your gynecologist finds any suspicious areas of cells during an exam, they will take a sample and send it for biopsy.

Infertility Evaluation

Infertility evaluation is usually done with women who haven’t been able to conceive after a year of regular sexual intercourse, and women who are 35 years of age and older and have not become pregnant after six months of trying without using any birth control. Irregular menstrual cycles could also be an early sign of infertility.

Minimally Invasive Surgery

Minimally invasive surgery allows your gynecologist to use various techniques to reduce the number and size of incisions. This form of surgery is usually considered to be much safer than open surgery. The benefits include smaller incisions and fewer traumas to the tissues, nerves, and muscles

In-office Procedures – coming soon

In-office procedures include treatments for heavy bleeding, precancerous conditions, removal of polyps inside the uterus, treatments for miscarriage, hysteroscopy, sonohysterography, and more. In-office procedures are beneficial because they avoid hospital co-pays from your insurance. We will provide you with a comfortable and safe setting in case you need a small-scale procedure.

Abnormal Bleeding Evaluation and Management

Abnormal bleeding can occur due to various reasons, and it’s quite a common condition. Pain is not a common symptom unless it’s tied with the passage of large blood clots. The diagnosis includes a thorough review of your medical history, a physical exam, and appropriate laboratory studies.

Genetic Cancer Screening

This particular method looks for specific variants in one’s genes that might indicate inheritance of a family member’s genes based on cancer susceptibility predisposing. In simpler terms, this test can detect specific and heritable gene mutations that may increase the risk of certain types of cancer.

Our Services

Gynecology

Our team uses the newest technology and equipment available in order to provide the safest, most effective treatment options possible.

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Obstetrics

Dr. Trogolo and his staff are committed to helping women achieve the healthiest pregnancy possible and providing access to the latest advances in obstetrical care available.

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