Evelyn Lyles, MD

 Michelle LeBlanc, MD

 James Theofrastous, MD

 Nancy Howden, MD

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Women's Health Newsletter

The physicians & staff of Western Carolina Women’s Specialty Center are dedicated to improving the health care & quality of life of women throughout the region. The quarterly “Women’s Health Care Update” is designed to address various health care concerns which commonly affect the lives of women who are referred to us for evaluation & care.

Given the rapid advances in women’s health care today, we hope to provide the  physicians & other health care providers who care for women with information which addresses current ideas about such issues as hormonal therapy, adolescent gynecology, breast cancer diagnosis & treatment,  incontinence, & pelvic organ prolapse.

We hope that this information is useful to you.

Here are our newsletters to date:

Spring 2007- click here to view in a separate window

Topics: Breast Medicine- "Breast Asymmetry in the Adolescent"

                Contraception- "Implanon- A New Implant"

                Pelvic Support & Incontinence- "Urinary Incontinence & Exercise"

Autumn 2006- click here to view in a separate window

Topics: Breast Medicine- "The Breast Cancer STAR Trial"

                Gynecology- "HPV Vaccine to Prevent Cervical Cancer"

                Pelvic Support & Incontinence- "What is a Urogynecologist?"

Spring 2006- click here to view in a separate window

    Topics: Breast Medicine- "Digital Mammography"

                Adolescent Medicine- "Endometriosis"

                Pelvic Support & Incontinence- "Minimally Invasive Surgery for Incontinence"

Autumn 2005-  click here to view in a separate window

    Topics- Breast Medicine- "Beyond Tamoxifen: Aromatase Inhibitors"

                Adolescent Medicine- "Depo-Provera for Contraception"

                Pelvic Support & Incontinence- "Biofeedback Therapy for Incontinence"

Summer 2005- click here to view in a separate window

                            Introducing Dr Nancy Howden!

Spring 2005- click here to view in a separate window

    Topics: Contraceptive Medicine- "Progesterone-containing IUD"

                Gynecologic Medicine- "Supracervical Hysterectomy- What are the Benefits?"

                Pelvic Support & Incontinence- "Uretrhal Collagen Injections for Incontinence"

Winter 2004- click here to view in a separate window

    Topics- Breast Medicine- "Stereotactic Breast Biopsy"

                Adolescent Medicine- "Pap Smear Screening in Teenagers"

                Pelvic Support & Incontinence- "Risk Factors"

Autumn 2004-  click here to view in a separate window

    Topics- Breast Medicine- "Evaluation of an Abnormal Mammogram"

                Menopausal Medicine- "Ultrasound Sonohysterogram"

                Pelvic Support & Incontinence- "Pelvic Muscle Exercises"

Summer 2004- click here to view in a separate window

    Topics: Breast Medicine- "Breast Ultrasound"

                Menopausal Medicine- "Estrogen Therapy"

                Pelvic Support & Incontinence- "Tension-Free Vaginal Sling for Incontinence"

Spring 2004      click here to view in a separate window

    Topics: Breast Medicine- "Sentinel Node Biopsy"

                Menopausal Medicine- "Hormonal Medicine"

                Pelvic Support & Incontinence- "Overactive Bladder"