Welcome!

Dr. Kochenburger is Alameda's Only Minimally Invasive Gynecologic Surgeon!

Since 1993, Harvard-educated, Board Certified Obstetrician/Gynecologist, Dr Richard Kochenburger, has enthusiastically served the women's health needs of East Bay women.


With daily office hours and a cheerful, holistic/prevention-oriented approach, Dr. Kochenburger and Nurse Practitioner Ms. Azam Moore provide attentive, compassionate care. Every attempt is made to provide personalized, "old fashioned" service in a "partnership model".


Whether expecting the birth of a child, requiring an annual PAP smear, discussing family planning or a related women's health concern, Dr. Kochenburger, Ms. Moore and our friendly staff would love to meet you!

Tuesday, July 1, 2014

U.S. News Top Doctor Three Years Running!



Congrats to Dr. Kochenburger a US News Top Doctor for 2014!

As a U.S. News Top Doctor, Dr. Kochenburger has earned recognition as one of the nation’s top physicians in Obstetrics and Gynecology. Developed in cooperation with Castle Connolly, U.S. News Top Doctors provides consumers access to a database of physicians who are nominated by their peers in the medical profession for practicing excellent patient care.

Wednesday, July 24, 2013

Dr. Kochenburger is the Patients' Choice!

Did you know that Dr. Kochenburger has won the Patients' Choice Awards FIVE years in a row? That's right, since 2008, Dr. K has been the go-to OB/GYN in Alameda, CA. Find out more about the Patients' Choice Awards on the PatientsChoice.org. And feel free to vote for Dr. K for 2013 right here.

Dr. Kochenburger Patients Choice Awards

Tuesday, January 1, 2013

Two Years in a Row!

Dr. Kochenburger was named as one of top doctors in the U.S. for 2013!

Dr. Kochenburger Top OB GYN in Alameda


We are proud to announce that once again U.S.News & World Report has named Dr. Kochenburger one of their "Top Doctors"! Dr. Kochenburger has once again been named as the top Obstetrician-Gynecologist in Alameda, CA. Congratulations Dr. K!

Saturday, August 11, 2012

Dr. Kochenburger Named One of Top Doctors of 2012


We are proud to announce that U.S.News & World Report has named Dr. Kochenburger one of their "Top Doctors of 2012"! Dr. K is the top Obstetrician-Gynecologist recommended in Alameda, CA and  is part of a select group of other Top Doctors chosen to represent the Bay Area.

Tuesday, October 4, 2011

Managing excessive nausea in early pregnancy

Virtually all expectant women experience marked fatigue in the first trimester of pregnancy--I believe that it's nature's way of trying to make our Moms "slow down a bit and give themselves some TLC".  IN CONTRAST, only approximately 33% of women experience consider appreciable nausea; a fraction of these experience considerable vomiting. When vomiting is consistent and extreme, it's known as "Hyperemesis Gravidarum".
               What are ways to ameliorate nausea/vomiting in early pregnancy? Various dietary adjustments can be tried such as bland foods (toast, crackers, 7 UP, white rice, mashed potatoes) or ginger/ginger ale/ginger tea. I knew 1 pregnant Obstetrician who benefitted awhile from butter,salty mashed potatoes and another friend who did well with hot,spicy chili! Vitamin B6 taken several times per day (capsules, B-Natal, Preggie Pops) can help some women. Lemon water and/or Raspberry Leaf can help others. Treatment from a licensed accupuncturist is definately well proven. There is also a "nausea accupressure point" on the inner wrist--located 2 fingerbreaths down from the wrist crease.  There's a bunch of prescription medications we could try such as metoclopromide (Reglan), Compazine, Phenergan, Zofran etc.  The worst nausea and vomiting usually resolves by 11-13 weeks of pregnancy. Taking nitetime antacids (i.e. TUMs, Rolaids etc) can also neutralize nitetime stomach acid and lower morning nausea.
           Although a nuisance, pregnancy-associated nausea is usually a comforting sign that "all is well with the pregnancy"!

Thursday, January 6, 2011

The various faces of menopause

The average age of achieving full menopause is 50 1/2 years.  Usually menopause (absence of periods, hot flashes, nite sweats, dysphoria,vaginal dryness, changes in libido etc.) is a gradual process evolving over 1-2 years rather than an abrupt event.  There is a subset of women who actually begin having very frequent (2-3 times per month) annoying periods, spotting etc.  Most women begin skipping months and their periods basically "fade out".  Contrary to common views, the majority of women do not experience hot flashes nor excessive perspiration/nite sweats (vasomotor symptoms).
               The once widespread use of hormone replacement therapy is controversial and rarely used.  There are numerous herbal supplements and phytoestrogens/soy extracts useful for treatment of vasomotor symptoms, mood changes, and libido issues.  Over-the-counter vaginal moisturizers/prescription estrogen cream can treat vaginal dryness. Vitamin D supplements, extra dietary calcium and various prescription meds can enhance bone strength.  Check out the American College of Obstetrics and Gynecology Website
for information on various Women's Health topics.

Wednesday, December 15, 2010

Hysterectomy--A slowly dying operation

Up until about 20 years ago, it seemed like "everyone was getting a hysterectomy"!  Indeed, about 1-in-every-4 women ended-up with this operation (which is still performed about 600,000 times/year in the US).  Thanks to new medications and technological advances, this major operation is in continued decline.  We now have finely-tuned hormone therapies, the Mirena IUD, brand new drugs such as Lysteda and CAM therapies such as accupuncture, and various endometrial ablation devices--all of these can eliminate or drastically curtail troublesome menstrual bleeding.  If uterine fibroids (myomas) are causing pain, discomfort or bleeding, they can be shrunken/eliminated by minor procedures such as uterine fibroid embolization, operative hysteroscopy or myomectomy.  There are medications (such as RU-486) which are now being studied to assess their ability to shrink fibroids.
               Thanks to adavances in small incision "minimally invasive surgery", when hysterectomy is the solution, we can often perform it via laparoscopy with resulting rapid recovery and minimal discomfort.  It's always imperative for a patient to be a "knowledgable consumer" and explore all treatment options before consenting to a traditional hysterectomy.  Happy Holidays!