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Jeffrey Jacobs, MD

Board Certified OB-GYN

2857 South Meridian Rd., Ste. 100, Meridian, Idaho

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14 Questions Answered

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QUESTIONS ANSWERED

Can someone have Thermiva treatments after a recent colposcopy?

Asked By:AnonymousANSWERS (1)

Once you are fully healed, it should be fine. Radio frequency is extremely effective and safe. Healing after a cervical biopsy should only take about 1 week. However, your doctor can perform quick exam to insure your fully healed, then perform the treatment. I hope this helps !

Jeffrey Jacobs, MD

Board Certified OB-GYN

I don't think my episiotomy was stitched up properly. Can it be fixed? (Photo)

Asked By:AnonymousANSWERS (1)

I would agree with the other physicians and surgeons. However, if you are thinking about another child in the future, I would strongly discourage surgical repair at this time. There are other noninvasive methods to address these issues by the use of lasers or radiofrequency gyn platforms. I personally recommend radiofrequency treatment. I hope this helps ! Good Luck, Dr.J

Jeffrey Jacobs, MD

Board Certified OB-GYN

Have my stitches dissolved on right labia? (Photo)

Asked By:AnonymousANSWERS (1)

The following is taken from a pelvic surgical atlas. Most Ob/Gyn's have experience with these issues and have seen it many times as a result of birth trauma.

Hematoma - vulvaAs noted in the discussion of pelvic anatomy, the superficial compartment of the anterior perineal triangle communicates with the subfascial space of the lower abdomen below the inguinal ligament. Little tissue is available to tamponade bleeding into this space, even from the low-pressure venous system; thus, a hematoma can extend from the posterior margin of the anterior triangle (at the level of the transverse perineal muscle), anteriorly over the mons to the fusion of fascia at the inguinal ligament.
A hematoma resulting from venous bleeding, although it can form rapidly, stabilizes at the above margins because of the low-pressure nature of the bleeding and may be managed expectantly. On the other hand, a rapidly expanding hematoma that does not stabilize is more likely to be the result of arterial bleeding. In such an instance, an incision medial to the labium majus permits evacuation of the hematoma. If possible, identify and ligate the source of bleeding.

From your brief history and photo, the bleeding sounds stable and was venous in nature. I will caution against surgery. However, you need to be examined and have the suture line inspected immediately.

Jeffrey Jacobs, MD

Board Certified OB-GYN

I am pregnant and considering the ThermiVa procedure. How long after childbirth should I wait to have this procedure?

Asked By:AnonymousANSWERS (1)

You should wait until cleared by your Ob/Gyn. That's at least 6 weeks. You need to have a thorough pelvic exam and screening before starting ANY Thermiva treatment series. But stayed tuned, a newer, improved RF device will soon be available on a limited basis in the US. I hope this helps.

Jeffrey Jacobs, MD

Board Certified OB-GYN

20yr old & never had kids a candidate for Vaginoplasty?

Asked By:AnonymousANSWERS (1)

You sound like a perfect candidate for non invasive vaginal tightening with radio frequency. You would need an exam prior to the treatment of course. I never recommend major cosmetic pelvic surgery until child birth is completed. Pregnancy, c-section, and vaginal birth all change and damage the pelvic tissues and thus can ruin any surgery performed in the pelvis. You can have non invasive radio frequency before and after each pregnancy (as early as 6 weeks postpartum). I hope this helps.....
Dr. J

Jeffrey Jacobs, MD

Board Certified OB-GYN

Still unable to have sex 8 weeks after vaginoplasty.

Asked By:AnonymousANSWERS (1)

I would call your surgeon's office and request a appointment with the surgeon. I am not sure what type of surgeon performed your procedure but an exam by an ob/gyn trained in cosmetic procedures may be warranted. You may need to use serial dilators and pelvic exercises to re-stretch some of the tissues. I hope this helps.

Jeffrey Jacobs, MD

Board Certified OB-GYN

Should ThermiVa perform by doctors only ??

Asked By:AnonymousANSWERS (1)

I was the first to perform this procedure in Idaho. I believe it should only be performed by a physician. Furthermore, although this site is packed with plastic surgeons who claim to be specialists in vulvar and vaginal surgery, I feel only Ob/Gyn's who have had additional cosmetic training should perform these procedures. We have extensive training in the anatomy and procedures involving the vaginal and vulvar region. Although the public doesn't realize this, but labialplasty and vaginal rejuvenation are very similar to the repairs needed to fix birth injury. You need an exam, pregnancy test, and recent pap smear (per the manufacturer's guidelines) prior to this procedure. I hope this helps.

Jeffrey Jacobs, MD

Board Certified OB-GYN

Is throwing up after Coolsculpting normal?

Asked By:AnonymousANSWERS (1)

I would have to agree with Dr. Echavez. I am not a fan of the procedure and have actually seen patients in the ER after treatment. The last time I looked deeply into the procedure, I was under the impression that one should only have one area treated at a time in most cases. The Zeltiq website even cautions about this "Multiple areas can be done at one time in some cases". Finally, make sure you are having the treatment in a trained physicians office. Zeltiq recommends "The coolsculpt procedure is a medical device, and should only be done in a doctor’s office". I hope this helps.

Jeffrey Jacobs, MD

Board Certified OB-GYN

Extra tissue on the vagina opening (Photo)

Asked By:AnonymousANSWERS (1)

It appears to be a piece of the hymen ring. A "remnant" skin flap. Obviously, without examining you it is impossible to say completely. These can be removed in the office in our procedure room with minimal discomfort and local anesthesia. I hope this helps.

Jeffrey Jacobs, MD

Board Certified OB-GYN

Follow-up: Labiaplasty infection? Are the stitches all opening up? (photos)

Asked By:AnonymousANSWERS (1)

I would agree and disagree with the previous post. You do not seem to have a vulvar infection, but could still have a vaginal infection. You need to see a Gyn who could perform cultures. Additionally, I tell patients that the healing process in this surgery is similar to the healing process after repair of birth trauma. SOAKING in Sitz baths three times a day will keep the area clean and sooth the "raw" areas. Good luck.

Jeffrey Jacobs, MD

Board Certified OB-GYN