Dr. Fletcher has been trained in two medical specialties.
Having studied Obstetrics & Gynecology, Dr. Fletcher has been trained to provide comprehensive care for the reproductive system in women. Obstetrics is the term for women's care during the prenatal and pregnant states, while gynecology covers care for general women's health in a non-pregnant state.
Obstetrics & gynecology is a medical and surgical specialty focused on the care of the reproductive system in women in both the pregnant and non-pregnant states – obstetrics and gynecology, respectively. Although they are recognized as two separate fields of medicine, many physicians specialize in both areas to provide comprehensive care for women. When a physician specializes in both fields, they are referred to as an OBGYN or OB/GYN; the specialty is commonly abbreviated as OB/GYN, OBGYN or Obs & Gyn, among other variations.
As an OBGYN, these physicians are trained to provide pre- and post-natal care for pregnant women. This includes regular checkups and examinations to ensure healthy gestation and development of the baby, as well as looking after the health of the mother; this also includes tests for the transfer of hereditary disease from the mother to the child. During obstetric exams, tests like complete blood counts, sexually transmitted disease screenings, pap smears, amniotic fluid tests, and iron and glucose tests will be performed. Often times, the OBGYN will be present at childbirth, and will likely be the physician performing the delivery.
Gynecologic duties of an OBGYN include caring for women who are not pregnant, seeing patients for regular exams and the treatment of various gynecological diseases, disorders and complications. These physicians often perform annual preventive screenings that include a general physical examination, pelvic exam, breast exam, pap smear and a review of vaccinations, among others deemed necessary. OBGYNs are also trained to perform surgical procedures such as hysterectomies, tubal ligations (getting “tubes tied”), laparoscopies and cystoscopies, among others.
Learn more about obstetrics & gynecology at MD.com.
Having studied Reproductive Endocrinology, Dr. Fletcher has been trained to provide care that is focused on the hormonal aspects of fertility and reproduction. Dr. Fletcher is trained to deal with issues such as infertility, menstrual disorders, sexual dysfunction, menopause and hormonal imbalances, among other complications that relate to reproduction.
Reproductive endocrinology is a specialized field of medicine that is considered a surgical subspecialty of obstetrics and gynecology, although it provides care for both women and men. The main focus of this specialty is to diagnose and treat infertility in both sexes, assisting those experiencing difficulty with conception. Reproductive endocrinologists study the hormonal impact on reproduction, helping couples to overcome these and related obstacles.
Reproductive endocrinologists have been trained to treat reproductive disorders in both women and men. Women may face a variety of reproductive disorders including ovarian cysts, fallopian tube disease, pelvic inflammatory disease (PID), sexually transmitted diseases (STDs), uterine leiomyomas, endometriosis, congenital anomalies, female infertility, cervical erosion, vaginismus and menopause, among others. Men, on the other hand, may experience prostate disorders, priapism, hydrocele, erectile dysfunction (known as ED or impotence) that may subsequently affect fertility.
The earlier a patient consults with a reproductive endocrinologist, the higher the chance of success with regard to conception and reproduction. These physicians will work with both sexes to identify any contributing factors that may be affecting fertility. After diagnosing or identifying complications, the endocrinologist can craft a personalized treatment plan that may help the couple to conceive. In some cases, reproductive endocrinologists may resort to in vitro fertilization (IVF), where eggs from the female are harvested and inseminated with sperm outside the body before the embryos are placed back inside the uterus to achieve pregnancy.
Learn more about reproductive endocrinology at MD.com.