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". Dr. Kochenburger is only one of a handful of solo private practice obstetrician gynecologist that remain in the greater East Bay area. He offers concierge type service, and is present at around 90% of his patient's births and deliveries.

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!

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!

Saturday, November 13, 2010

Basic nutrition in pregnancy--Nutrition 101

It is generally reccomended that our expectant Moms gain a total of about 25-30 pounds during pregnancy--especially if one is petite or otherwise ideal weight.  If one has a "little bit extra" in the weight department,
a minimal 10-20 pound gain is probably just fine.  Expectant Moms who are weighing in the low 200s and above probably don't really need to gain any weight.  Try not to miss any meals and aim for small "large snacklike meals" more frequently.
          It is highly reccomended to take at least 800 micrograms of extra folic acid each day--this can be procured in a standard prenatal vitamin or a good multivitamin.  Various studies have touted extra Omega 3 fatty acids to possibly positively benefit fetal brain development.  Flaxseed oil capsules are a particularly good source of Omega 3s and are don't entail any risk of heavy metal exposure that one could experience with "Fish oil" capsules.  At minimum, Omega 3s are probably good for one's cardiac health!   I have not seen any studies showing the use of extra Vitamin D in pregnancy;  Vitamin D has "been the rage" lately in the nutritional world.
      Most of use "run dry" and don't drink enough liquids--we all need to hydrate ourselves exhuberantly.
In the latter 2nd trimester and 3rd trimester of pregnancy, inadequate hydration can lead to lots of "false labor pains"/uterine irritability/Braxton-Hicks uterine contractions as well as increased risk of kidney stones, colds/flu, urinary infections etc.  Ideally, one's urine should be clear or just a "slight tinge of yellow".  Best of Health and Happiness!      DR. K.