Effective 5/31 Swan Urogynecology is no longer contracted with Amerigroup

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gynecology

Swan Urogynecology • Nashville, TN

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General Gynecology Conditions & Issues Treated

Surgical Procedures Performed

  • Robotic Assisted Hysterectomy
  • Vaginal Hysterectomy
  • Salpingo-oophorectomy
  • Sacrocolpopexy
  • High Uterosacral Ligament Suspension
  • Cystocele Repair
  • Rectocele Repair
  • Sling
  • Hysteroscopy
  • Endometrial Ablation
  • Laparoscopic Tubal Ligation
  • Diagnostic Laparoscopy
  • Myomectomy
  • Vaginal Mesh Removal / Revision
  • Interstim Placement / Removal
  • Cystoscopy
  • Sphincteroplasty
  • Rectovaginal Fistula Repair
  • Vesovaginal Fistula Repair
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More about specific Gynecologic Issues Treated

Chronic Pelvic Pain

Chronic pelvic pain is a general condition or symptom that is characterized as pain in your lower abdomen (below the belly button and between the hips) that lasts 6 months or longer. This disorder can have many causes, and may actually be a symptom of another underlying medical condition.


The most common sources of chronic pelvic pain are:

  • Endometriosis — Tissue that is supposed to be found only inside the uterus grows outside the uterus. Every month, this tissue responds to the monthly menstrual cycle by thickening and breaking down each month, but because it is outside the uterus it cannot leave the body through the vagina (like what normally happens during menstruation). Instead, it remains in the abdomen, which may develop into painful cysts or scar tissue.
  • Chronic pelvic inflammatory disease — This can develop when a long-term infection of the pelvic organs (usually sexually transmitted) goes untreated.
  • Fibroids — These smooth muscle tumors in the uterus are noncancerous, but may cause pain and pressure if they become too large.
  • Crohn’s Disease or Irritable bowel syndrome (IBS) — Symptoms such as bloating, constipation, or diarrhea can cause pelvic pain and pressure.
  • Painful bladder syndrome (interstitial cystitis)
  • Undiagnosed cysts or tumors in the pelvic organs


Though it can be difficult to pinpoint the cause of pelvic pain in certain cases, the disorder can be effectively managed with the right treatment.

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Dysfunctional Bleeding

Dysfunctional uterine bleeding is abnormal bleeding from the vagina due to fluctuating hormonal cycles. This condition is generally more prevalent among teenagers and women approaching menopause, though it can potentially afflict a woman at any time during her reproductive years.



Signs that you may be suffering from dysfunctional bleeding include:

  • Bleeding or spotting between periods
  • Irregular periods
  • Menstrual cycles are shorter than 21 days or longer than 35 days
  • Unusually heavy bleeding (such as having to change tampons or sanitary napkins once an hour for several hours in a row)
  • Bleeding that lasts longer than 7 days


Fortunately, this condition can be easily treated with birth control pills, hormone therapy, or anti-inflammatory drugs like ibuprofen.

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Recurrent Urinary Tract Infections (UTIs)

Urinary tract infections (UTIs) can occur when bacteria enters and proliferates in the bladder or kidneys. Though both men and women can get UTIs, it is generally much more common in women. The signs of a UTI include:

  • Pain or discomfort during urination
  • Bloody or cloudy urine
  • The urge to urinate even when your bladder is empty
  • Pain in your lower back (kidneys) or pain in the pelvic region (bladder)


Your risk for developing a UTI can be aggravated by a variety of factors and activities. The most common risk factor for women is sexual intercourse, which can push bacteria up the urethra. Barrier birth control methods such as diaphragms and cervical caps can also promote bladder infections, since it can push against the urethra and prevent proper voiding. Improper bowel hygiene may also increase the chances of contracting a UTI.


Treatment usually involves a short course of antibiotics, though this can be problematic with recurrent or chronic UTIs. In rare cases, frequent antibiotic use can lead to growth of bacteria that are resistant to certain types of antibiotics.

  • Urinating when you feel the urge, especially after intercourse
  • Refrain from using a diaphragm, cervical cap, or spermicide for birth control
  • Take supplements that support urinary tract health such as hibiscus, cranberry, or uva ursi
  • Practice proper hygiene by wiping front to back or washing with soap and water afterwards
  • Drink plenty of water
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