DTLA Gynecology

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Offering convenient and compassionate gynecologic services to the Los Angeles area.

10/30/2026

If you've had a hysterectomy, how do you know you are in menopause?

Without periods to track, it can be difficult to know exactly when menopause happens. But here's the thing: we don't always need to know.a

If your ovaries were preserved, they can continue producing hormones after a hysterectomy. Rather than focusing on an exact menopause date or hormone levels, we can focus on your symptoms and whether treatment would be helpful.

Menopause care isn't just about a number or a lab result. It's about how you're feeling.

10/29/2026

Hearing you need a colposcopy (NOT colonoscopy) can be scary. It doesn't mean you have cervical cancer though. We are just checking to see if you need anything done to prevent cervical cancer.

Yes, a cervical biopsy can hurt so if you have concerns, talk to your provider ahead of time. I have a device that does a biopsy in a non painful way, but every office is different.

Cervical cancer can be prevented so don't let the fear of getting a colposcopy and possible biopsy stop you from taking care of your health.

10/23/2026

Hormonal birth control is supposed to make you bleed less but here is why Nexplanon can still have irregular bleeding.

Nexplanon changes the structure of tiny blood vessels in the uterine lining, along with local inflammatory factors and enzymes causing blood vessels to be more fragile. This can lead to unpredictable bleeding and spotting.

This doesn't mean it's not working, but it can be bothersome.

10/22/2026

Both GLP-1's and birth control pills are extremely common. Certain GLP 1 medications (Tirzepatides) can initially affect the absorption of the birth control pill in your gut which decreases the amount of hormone in your blood. However it is not completely clear how much this affects the rate of ovulation suppression. It seems very plausible it will decrease the efficacy of the hormonal contraceptive pill, but it's not a guarantee.

It's best not to take chances when it comes to pregnancy prevention so that is why there is a recommendation to use a backup method for 4 weeks. However, it's important you talk to your prescribing provider about what is the best option for you specifically as this is not a blanket recommendation for ALL GLP-1's and ALL hormonal contraception.

10/21/2026

Whether you have cycle related cramps, migraines, mood issues or other symptoms, talk to your healthcare provider about all your symptoms, not just some.

If you have both cramps and menstrual migraines, new migraine medications like Symbravo combine a triptan (rizatriptan) with an NSAID (meloxicam) and the meloxicam will incidentally help with cramps.

This doesn't mean everyone with migraines or cramps should be on it. But it's a reminder that period symptoms can interfere with daily life and shouldn't so make sure you know all your options instead of suffering.

10/18/2026

For most patients, symptoms and menstrual history give the best information about menopause and perimenopause.

However, don't forget that you should still be seeing your primary care physician for routine health checks as things like thyroid issues and anemia can cause similar symptoms.

You can be in perimenopause AND have other health issues so don't forget to take care of ALL of you.

10/14/2026

The best birth control pill? There isn't one.

There are many different birth control pills with different hormones, doses and placebo days.

The reason is to limit certain side effects but that doesn't mean there is one pill that is "best."

The right pill for you takes into account the reasons you are on it (i.e. contraception, acne, painful periods, PMDD, etc), your medical history (i.e. migraines, smoking, age etc), your preferences, cost and access and often other factors.

It's not a popularity contest when it comes to the right pill but what is the right pill for YOU. Sometimes it takes some trial and error and sometimes it turns out your best option is not the pill at all.

Address

1127 Wilshire Boulevard #1202
Los Angeles, CA
90017

Telephone

+12134761600

Website

http://www.dtlagynecology.com/

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