Patient Questionnaire

• Does your cycle cause you undue emotional stress?
• Does your cycle last longer than seven days?
• Do you use more than three pads or tampons per day?
• Do you feel the need to double up on your protection?
• Do you become fatigued due to heavy bleeding?
• Does your heavy bleeding affect your social, athletic, or sexual activities?
• Do you miss work due to your cycle?
• Do you pass clots during your cycle?
• Do you avoid leaving your home for fear of accidents?
• Do you avoid wearing light colors during your cycle?
• Have medications (birth control pills) failed to help your heavy bleeding?

If you answered "yes" to one or more of these questions you should consider learning more about a one time treatment for heavy bleeding that is safe, non-surgical and may be performed right here in our office.

Click here to learn more about HerOption® in-office cryoablation therapy used to treat heavy periods.
Click here to learn more about Novasure®, a one-time in-office procedure that uses electrical current to treat heavy periods.

• Does incontinence cause you undue emotional stress?
• Do you ever lose urine when you laugh, cough, sneeze or exercise?
• Do you ever have a sudden, uncontrollable urge to urinate?
• Do you urinate more than 8 times per day?
• Are you awakened from sleep to urinate?
• Is your abdomen tender or is it painful to urinate?
• Do you often get urinary tract infections?

If you answered "yes" to one or more of these questions, you should schedule an appointment with Dr. Swan to discuss the treatment that is right for you. There are many options available for incontinence including non-surgical solutions which can be tried before surgery is ever considered. If surgery becomes the necessary treatment, you can click here to learn more about the various surgical treatments for incontinence.

Click here to view a video of the Miniarc® Single Incision Sling System.

• Do you want any more children?
• Would you be interested in a permanent birth control that does not affect your hormones?
• Do you want to stop worrying about unplanned pregnancy?
• Do you want to stop managing your temporary birth control methods?
• Do you want to avoid the incision, scarring or risks of other birth control procedures?

If you answered "yes" to one or more of these questions you should contact Dr. Swan for an appointment to discuss a safe, in-office sterilization procedure.

Click here to learn about about the Essure procedure.
Click here to learn more about the Adiana procedure.