Dr. Christina Sebestyen - OB/GYN in Austin, Texas  
Frequently Asked Questions
Frequently Asked Questions

Procedure Description:

What To Expect:
Tension-Free Support For Incontinence

The Choice to End Urine Leakage

GYNECARE TVT, is a product used in a minimally invasive procedure, that is appropriate for some women with stress urinary incontinence. The procedure can be performed under local anesthesia and takes only about 30 minutes to complete. The recovery period following the procedure is short, and patients experience few complications and minimal scarring after surgery and it's covered by most insurance plans.?

GYNECARE TVT is a doctor-applied ribbon-like strip that stops urine leakage the way your body was designed to -- by supporting your urethra. You can get back to your routine quickly and during the recovery time there will be very little interference with your daily activities. It's also clinically proven: 98% of women who participated in a study begun seven years ago are still dry, or experience significantly less leakage. Of those, 81.3% remained dry and an additional 16.3% remained significantly improved. Worldwid

What can I expect during surgery?

The procedure is short - it usually takes just 30 minutes. The GYNECARE TVT procedure can be performed under local, regional or general anesthesia. You will be comfortable and may be asleep during the procedure.

After your anesthesia takes effect, your surgeon will insert the mesh tape through a small incision. Then your surgeon will "weave" the tape beneath the urethra and pull the tape up through 2 tiny incisions in the skin's surface just above the pubic bone or near the inner creases of the thighs.

Your surgeon may evaluate whether the tape is providing adequate support by asking you to cough. So, even before you leave the operating room, the surgeon can determine if the procedure is likely to be successful.

At the end of the procedure, your surgeon will "snip" the tape, just under the skin's surface, and close the 2 tiny incisions. Unlike other procedures, no sutures or anchors are necessary.

What does recovery involve?

You may be able to go home as early as a few hours after your procedure and return to a relatively normal schedule of activities quickly. You may need ibuprofen (eg, MotrinĀ®). Avoiding heavy lifting and intercourse for 4 to 6 weeks is advised.

Procedure Description:

What To Expect:
About the NovaSure Procedure
The NovaSure procedure is a quick, safe, simple, one-time endometrial ablation treatment. This minimally invasive procedure controls heavy bleeding by using energy to remove the lining of the uterus. The average treatment time is about 90 seconds 1, and only needs to be performed once to lighten or stop your periods. No pretreatment drugs are required and NovaSure can be performed in the hospital or in your doctor's office.

Without the side effects of hormones or the risks of hysterectomy, NovaSure has a quick recovery time so you can get back to your life sooner. Most women experience no pain after the procedure, and can return to work and regular activities the next day.

NovaSure reduces bleeding and much more
With more than 500,000 patients treated to date2, NovaSure is proven safe and successful. A clinical trial has shown that more than 9 out of 10 women return to normal or lower than normal bleeding levels following treatments with NovaSure3. For some women, their p

What can I expect from the NovaSure procedure?
More women are choosing NovaSure because it has been shown to be safe, simple, and successful. Find a physician in your area who offers NovaSure.

NovaSure uses radio frequency (RF) energy to permanently remove the lining (endometrium) of the uterus, which reduces, or eliminates, future bleeding. Here's a look at what happens during the procedure to help you know what to expect:

Your doctor will slightly dilate the cervix and insert a slender wand through the cervix into the uterus.

The doctor then extends the triangular mesh array through the wand where it expands to conform to the dimensions of the uterine cavity.

RF energy is then delivered into the uterus for approximately 90 seconds.

The triangular mesh array slowly retracts and the wand is gently removed from the uterus.

How will I feel afterwards?
As with any endometrial ablation method, you may experience some post-operative uterine cramping and discomfort shortly after the procedure. This can generally be treated with a mild pain medication such as ibuprofen. Some patients may experience nausea and vomiting as a result of anesthesia. Watery and/or bloody discharge is also common for several weeks after any endometrial ablation.

Are there any post-procedure complications?
For any endometrial ablation procedure, commonly reported post-operative events include the following:

Cramping/pelvic pain. Post-treatment cramping can range from mild to severe. This cramping will typically last a few hours and rarely continues beyond the first day following the procedure
Nausea and vomiting have been reported in patients immediately following the procedure and can be managed with medication
Vaginal discharge
Vaginal bleeding/spotting
Are there any adverse effects associated with NovaSure Endometrial Ablation?
As with al

What is a doula?

Giving birth to a baby is so much more than a physical phenomenon; it engages parents-to-be in a transformational experience, a key life event full of emotion and meaning. A doula who accompanies a woman in labor mothers the mother, taking care of her emotional needs throughout childbirth. A doula also provides support and suggestions for partners that can enhance their experiences of birth. A postpartum doula continues that valuable emotional support and guidance, helping a family make a smooth transition into new family dynamics.

Jessica Atkins
Birth Doula

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Karina Bolger
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Birth Doula

Ryka George
Birth Doula
Postpartum Doula

Jessica Christine Guffey
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Cindy Hodges
Birth Doula
Postpartum Doula

Sally Leissner
Birth Doula

Brenda Marlin-Reed
Birth Doula

Dawn Martin
Birth Doula

Majbritt Rayas
Birth Doula

Alycia Schwartz
Birth Doula

Laura Smith
Birth Doula

Susan Steffes
Birth Doula

Charlotte Sternkind-Del Toro
Birth Doula

Monika Stone
Birth Doula

Natasha Triplett
Birth Doula

Giselle E. Whitwell
Birth Doula

Title for your plan:

Birth Plan
Birth Preferences
Our wishes for Childbirth
My wishes for Childbirth
Regarding Labor and Birth

First name:
Middle name:
Last name:
Name of primary healthcare provider (if a doctor, please include 'Dr.'):
Name of Hospital/Center where you plan to deliver:
Your due date:
Coach (you might want to just write 'my husband,' or 'my coach):
Your other support staff
How would you like to refer to your baby? (My baby, the babies, my son, etc.)



I would prefer to avoid an enema and/or shaving of pubic hair. (Note - this is no longer standard procedure at many hospitals.)
I would like to be free to walk around during labor.
I wish to be able to move around and change position at will throughout labor.
I would like to be able to have fluids by mouth throughout the first stage of labor.
I will be bringing my own music to play during labor.
I would like the environment to be kept as quiet as possible.
I would like the lights in the room to be kept low during my labor.
I would prefer to keep the number of vaginal exams to a minimum.
I do not want an IV unless I become dehydrated.
I would like to wear contact lenses or glasses at all times when conscious.



I do not wish to have continuous fetal monitoring unless it is required by the condition of the baby.
I do not want an internal monitor unless the baby has shown some sign of distress.