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Women's Health

  • Many women experience some form of abnormal uterine bleeding throughout their lifetime.

    Abnormal uterine bleeding can be described as bleeding or spotting between periods, bleeding after intercourse, heavy bleeding during your period, menstrual cycles that are longer than 35 days or shorter than 21 days, periods that last longer than 8 days, or bleeding after menopause. These are all scenarios where it is important to be evaluated by an Ob/GYN. 

    Abnormal bleeding can occur at any age, but it is more common to have irregular bleeding when a woman first gets her period or when a woman nears menopause. There are many causes of abnormal bleeding. The most common causes are problems with ovulation, uterine polyps, fibroids, endometriosis/adenomyosis, bleeding disorders, medications, pregnancy or miscarriage, and certain forms of uterine cancer.  

    Most causes of abnormal bleeding can be easily diagnosed by an Ob/GYN. It can be helpful to track your menstrual cycle before seeing your doctor. Based on the symptoms that a patient is having an ob/GYN will do a physical exam. They may do a pregnancy test, cultures, or bloodwork. 

    If there is a concern for a structural abnormality an imaging study such as a pelvic ultrasound may be done. If there is a concern for uterine cancer if may be necessary to have a biopsy taken from the endometrium, which is the lining of the uterus. Depending on the cause of the bleeding, it may be treated with medication. This includes hormonal birth control such as the pill or an IUD. 

    If there is a polyp or a fibroid inside the uterine cavity this may require surgery. If medication does not control the abnormal bleeding, endometrial ablation may be discussed. This is an outpatient procedure that destroys the endometrial lining of the uterus and reduces heavy menstrual bleeding. In some cases, if medication or ablation are unsuccessful a hysterectomy may be needed. 

    If there is any concern that a patient is experiencing abnormal uterine bleeding they should contact their ob/GYN.

    If you have any questions or would like to make an appointment with Dr. Sarah Schmitz call 716.656.4077.


  • All year long, Western New Yorkers have one thing on our mind. I hear it time and time again as I sit down and talk to my patients on a daily basis. 

    “WHEN WILL SUMMER BE HERE?”

    The first moment the sun shows up and we feel the warmth, albeit only 50 degrees and sunny, we let our skin show. Now as the summer days are long, and the sun is bright, we stay outdoors as long as we can. We are so grateful to finally have warmth on our bodies that we forget about sun safety.

    The Centers for Disease Control and Prevention (CDC) along with the National Institute for Occupational Safety and Health (NIOSH) provide wonderful reminders to keep our skin safe while still enjoying those warm and kind sun rays.

    They remind us first and foremost that ultraviolet (UV) rays are part of sunlight that is an invisible type of radiation. UVA and UVB cause aging and damage to the skin cells and are the most dangerous and cancer-causing types of sun rays. We also know that skin cancer is the most common form of cancer in the United States. The most common types of skin cancers include basal cell carcinoma, squamous cell carcinoma, and melanoma.

    In order to protect our patients and ourselves, there are several things we can do to minimize our risk of skin damage. They include regular and routine use of broad-spectrum SPF 15 or greater sunscreen even when in the shade. Remember to reapply if you stay out in the sun for more than two hours and after swimming, sweating, or toweling off. Wear clothing made from tightly woven cloth with SPF protection when possible, stay in the shade, wear a wide-brimmed hat, and sunglasses that preferably block UVA and UVB rays. 

    Lastly, if you do get too much sun, by accident of course, here are some simple tips to help your body recover: stay hydrated to prevent fluid loss, comfort skin burns with cool baths or clothes, take over-the-counter Tylenol or ibuprofen for fever or headaches, and remain out of the sun until you are feeling better.

    Katherine Sumner, PA-C is accepting new patients at 1091 Main Street, Suite 301, Buffalo. For more information on health safety or if you are worried about damage to your skin, call our office at 716.248.1420 to schedule an appointment.


  • It has been a very challenging few months. Due to COVID-19, many women had to delay their annual exams and screenings such as PAP smears and mammograms. 

    The primary purpose of the annual exam and screening is to catch a disease as early as possible and address it in a timely fashion. While waiting for a month or two is not usually a problem, delaying your healthcare visit for a more extended period could be a problem. 

    Even more pressing issues like seeing a doctor for a problem or renewing medications have been delayed because of the COVID-19 crisis. As you probably know, the Coronavirus pandemic forced us to stop all non-urgent surgeries in NY State and nationwide. Even though we restarted performing same-day procedures recently, the majority of elective surgeries are still on hold.

    What are elective surgeries? Elective surgeries are planned operations that are scheduled weeks or months in advance. Delaying surgical treatment is negatively impacting patients by prolonging symptoms, decreasing quality of life, and sometimes could make surgery more difficult.

    At General Physician PC, your safety and well-being are our primary priorities. We don't want you to delay your care. Rest assured that at all our offices, we have implemented robust procedures to ensure a safe and clean environment. We have changed our routine significantly by incorporating an initial screening upon entrance to the office, eliminating the need to wait in the waiting area, utilizing extreme sanitary measures to clean exam rooms as well as full mask regimen. All these changes are necessary to ensure patient safety in our offices. 

    We understand, however, that some people may still be concerned about coming to the office. We now offer telemedicine visits so you can talk to your doctor via phone or video. This type of appointment is an excellent way to discuss your concerns with your doctor, renew or change medication, follow up on chronic issues, and get all of your questions answered. If the problem is more challenging and requires a physical examination, we would recommend you schedule an in-person visit with your doctor.

    We are happy to see a definitive decline in the number of COVID-19 cases in NY State. With these positive changes, it is an excellent time to start thinking about your routine health again and take care of yourself.

    For more information or to make an appointment with Dr. Kirakosyan please call 716-656-4077.

    Armen Kirakosyan, MD, FACOG, FPMRS, FACS 
    https://www.gppconline.com/armen-kirakosyan-md
    Women's Health, Urogynecology 
    https://www.gppconline.com/specialties/medical-specialties/urogynecology


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