Top10MD Blog


 7 months ago    Leave a comments (0)

Urinary incontinence or stress incontinence is a common and often embarrassing issue that no one likes or wants to talk about; if you’re experiencing urinary incontinence, you are not alone. Nearly 25-million people in the United States have the same problem. Men don’t get off, either approximately 10% of men are susceptible to this condition. When urinary incontinence prevents you from going places, participating in sports activities, and enjoying that belly laugh it’s time to do something about it. Common among post-menopausal women it’s not limited to the older generation; urinary incontinence also affects young adults as well, especially new mothers. Many women neglect to inform their doctor, due to the embarrassment of the issue. Beforehand, it seemed as if there was no hope for you outside of surgery, but now, a new device InTone is a treatment that is changing the lives of people everywhere with no surgery.

What Is Urinary Incontinence?

Urinary incontinence is bladder leakage. It happens when we run, jump, and even laugh; this occurs when the muscles that hold urine weaken causing you to urinate when you’re not supposed to. That muscle is a voluntary muscle; which means, you have control over it. The problem occurs when that muscle becomes lack, or you lose total control over it. Your symptoms can be mild meaning you leak occasionally, or they can be severe meaning you are always leaking. It may feel as if you cannot make it to the bathroom in time and if you do, your bladder may never feel empty. If you are experiencing these symptoms, it’s time to get help.

Treatments for Urinary Incontinence

Treatments for urinary incontinence depend on several factors:

  • What type of incontinence you are suffering from
  • Your age
  • Your general health
  • Your mental health

By exercising your pelvic floor with Kegel exercises; these exercises help to strengthen the urinary sphincter and muscles that contribute to control urination; thereby, reducing your stress incontinence.

Bladder training is another method, and there is also medications along with botox or a sacral nerve stimulator. When all else fails, surgery is your best option. If you plan on having children or not through having children, you will need to discuss this with your doctor. If you are finished having children, or you have had a hysterectomy that eventually caused your bladder to drop you may be a candidate for the following non-surgical or surgical procedures:

Non-Surgical Treatment for Urinary Incontinence

Intone– a device developed to stop urinary leakage. Intone is the most effective, nonsurgical treatment available today to prevent urinary leakage. Intone takes you through 12-minutes of voice-guided pelvic floor exercises, visual biofeedback, and muscle stimulation.  Office visits will be required to customize your device to your specific needs. These exercises are completed once daily for six days a week for 90-days in the privacy of your home.

Surgical Procedure Options for Urinary Incontinence

  • Sling Procedure: There is a new mesh that is inserted below the neck of the bladder to support the urethra and stop urine from leaking out.
  • Colposuspension: This procedure lifts the bladder neck and has shown to help patients with stress incontinence.
  • Artificial Sphincter: This procedure involves inserting an artificial sphincter or valve to control the flow of urine from the bladder into the urethra.

What’s My Next Step?

If you’re struggling with incontinence, you don’t have to suffer in silence any longer. You don’t have to be afraid to talk to your doctor about it as there are options for you. Call today, and you will be off to a better quality of life including your ability to laugh without fear.

Dallas Gynecologist and Functional Medicine Specialist Maryann Prewitt, MD is Director and Founder of HealthWellnessMD. Dr. Prewitt is Fellow and Board Certified by the America College of Obstetricians and Gynecologists. Dr. Prewitt holds a Master’s Certification in the da Vinci Surgery System – this minimally invasive technology has revolutionized the way surgery is performed today. Dr. Prewitt has been named 2016 | 2017 Top10MD an honor only 1-in-3 doctors succeeds with this recognition in the United States. Call Dr. Prewitt’s office today and schedule an appointment at 469-619-1066.


 7 months ago    Leave a comments (0)

Most women desire to have a natural birth, but for those who cannot, a C-section is the next option. Nearly 1-in-3 women have a C-section due to a high-risk pregnancy or other health issues. A caesarean delivery or C-section is a surgical procedure for delivering a baby; they can be planned ahead of time, or due to unforeseen circumstances your surgeon may have to perform one during labor. No one wants to undergo surgery, but the procedure is relatively quick, and because you are under anesthesia, you will not feel any pain. 🙂 

The Upside of C-Sections

  • The good thing is that a C-section is typically shorter than a vaginal delivery. When you deliver vaginally, labor can go for hours and days. A C-section is quick, and when the procedure is scheduled, you know for sure when your baby will arrive helping you to be more prepared.
  • Pain during the birthing process is minimal. You may be uncomfortable but not necessarily in pain. Now that you no longer have to push the baby out, you will not feel the contractions anymore, and there is no need for an episiotomy.
  • A C-section also prevents the vaginal walls from being overstretched, which can affect your sex life afterward.

The Risks of a C-Section

  • With any procedure, there are risks. One risk is an injury from the procedure. The OBGYN may not make a clean-cut which can lead to a scar; because you’ve had an incision your recovery time will be longer.
  • Infection is another risk because when an incision is made it places you at risk for an infection. Bleeding can be another problem if your blood doesn’t clot properly.
  • Some OBGYN’s believe endometriosis can occur which will eventually lead to painful sex.
  • After a C-section, future pregnancies may be challenging, especially if you have a lot of scar tissue.

Despite the high risks of complications, caesarean deliveries are very common these days. It is a good option for those who have high-risk pregnancies or suffer other health conditions. C-sections are typically scheduled in advance. Vaginal delivery complications may happen and cause you to have an emergency C-section. Whatever the case may be, know a board-certified OBGYN will take good care of you and suggest the best method of delivery. No matter what the delivery method is, the important thing is to have a healthy mom and a healthy baby.

Find your OBGYN and schedule a consultation today.


 9 months ago    Leave a comments (0)

When you think about having plastic surgery, you probably think about surgery on the nose, breast, or stomach. Having surgery on the vaginal area is not something that usually comes to mind. Plastic surgery is often about enhancing the look of a body part, rather than the function. With vaginal rejuvenation, surgery is not necessarily meant to make the vagina look pretty; it is used to restore the vagina back to its youth. As you age, the vagina undergoes a lot of wear and tear. Having children can stretch the vaginal area and it can easily lose shape. Vaginal rejuvenation is a way to fix problems with looseness and more.

What Is It?

Vaginal rejuvenation involves two different procedures. The first procedure is vaginoplasty, which focuses on tightening the walls of the vagina The second procedure is labiaplasty, reshaping the outer and inner lips of the vagina. If you have ever seen or experienced childbirth, you know how much the body stretches during a vaginal birth. Having multiple children only stretches the vagina more. Even sexual intercourse can cause some wear and tear over time. When the vagina is stretched, it certainly can change the way sex feels. The stretching of the vaginal lips can leave you feeling embarrassed or insecure with the look and feel of your vagina. If you notice some of these changes in yourself, vaginal rejuvenation can change your life.

Why Vaginal Rejuvenation?

There are many reasons to consider vaginal rejuvenation. Besides the obvious reasons of abnormal vaginal structure, you should also consider vaginal rejuvenation if sex becomes painful or sore. Along with soreness during sex, you also begin to lose sensation. It is not normal to have soreness and pain during bicycle riding and horseback riding either.  Having any procedure has its pros and cons.  Starting with the cons, though rare, you are at risk of bleeding and bladder injury. Initially, sex may take some time to adjust to. Having a tighter vaginal wall will make sex uncomfortable at first, but eventually, it will get better. These cons are not that bad compared to other forms of surgery. The pros include tightening vaginal muscles, we all know what that means… You will feel almost like you did in your youth. The new shape can help you to become more confident with wearing certain clothes, especially tight fitting clothes and swimsuits.

How It Works

The procedure is performed with a laser. The laser is precise and creates fewer risks. Extra skin is typically removed. The procedure can also flatten the top of the vagina, so it doesn’t bulge. Scars are not seen because incisions are made inside the vagina rather than around the outside. The first step is to find a gynecological surgeon that you are comfortable with and trust. The vagina is both a sensitive and precious area. Finding the right board-certified gynecologist can put you at ease and make you feel more confident about having vaginal rejuvenation. Do not let embarrassing vaginal problems get the best of you. It’s time to gain your youth back, to look and feel young again. Vaginal rejuvenation is the first step.


 11 months ago    Leave a comments (0)

Back in the good old days, life was different for women. Childbirth was a game of heads and tails if the mother was going to survive, PMS was considered by others as an imaginary problem or women were crazy, and menopause was just another stage of life that every woman had to endure. Thanks to advancements in medicine and science, women don’t have to accept the results of hormone imbalances.

Women across the country now have an improved quality of life thanks to hormone replacement therapy. There’s no need to have to endure the struggles of menopause if the remedy is simple, just replacing your missing hormones.

Estrogen Pellet Therapy

The most important hormone for women is estrogen. Without proper levels of estrogen, woman are at risk for serious health consequences such as osteoporosis, heart disease, colon cancer, impaired vision, premature ovary failure, Alzheimer’s disease, Parkinson’s disease, diabetes and tooth loss.

Estrogen receptors are located throughout the body and brain when estrogen levels are low, or our body is not manufacturing estrogen such as when you have a hysterectomy the symptoms of hormonal imbalance such as moodiness, bone loss, loss of skin elasticity, and cognitive functions decline. Working with a physician than understands the consequences of low estrogen can help women avoid the trouble hormone imbalances can cause.

Testosterone Pellet Therapy

The testosterone hormone provides a woman with muscle tone and mass, mental clarity, and libido. When testosterone is low, women often complain of brain fog, weight gain, and even with regular exercise, poor muscle tone. Low testosterone can also be dangerous to a woman’s overall health. When a woman lacks testosterone, she can suffer from anxiety, insomnia, anger, sadness, and depression. Without hormone therapy, the imbalance of testosterone can lead to osteoporosis, muscle atrophy, and muscle and joint pain.

Bio-Identical Hormone Pellet Therapy

Hormone deficiency can have severe effects on the brain, muscles, bones, heart, and metabolism. Without balanced testosterone and estrogen levels, women suffer more than need be. To gain back your vitality, to avoid or prevent the pains of menopause, and to stay healthy for the long-term bioidentical hormone therapy can be your best friend.

Dallas Gynecologist and Functional Medicine Specialist Maryann Prewitt, MD is Director and Founder of HealthWellnessMD. Dr. Prewitt is Fellow and Board Certified by the America College of Obstetricians and Gynecologists. Dr. Prewitt holds a Master’s Certification in the da Vinci Surgery System – this minimally invasive technology has revolutionized the way surgery is performed today. Dr. Prewitt has been named 2016 | 2017 Top10MD an honor only 1 in 3 doctors in the United States succeeds with this recognition. Call Dr. Prewitt’s office today and schedule an appointment at 469-619-1066.


 1 year ago    Leave a comments (0)

Surgeries that some consider routine can still sometimes cause serious complications. No matter how straightforward you think your surgery might be, you still want to be in the absolute best surgical hands.

Today, your surgeon and hospital are especially important for procedures that are new or complex or even routine. You should be concerned and research but your surgeon and the hospital for that matter as most errors happen in a hospital setting according to John Hopkins report in May noting the third leading cause of death is medical errors. In your search for the best surgeon one indicator is how often your surgeon performs the procedure you’re seeking. For example, a study by researchers at New Hampshire’s Dartmouth-Hitchcock Medical Center of people undergoing surgery for pancreatic cancer found that annual death rates were nearly four times higher for those treated by surgeons who performed the fewest operations.

With that being said, how should you choose a surgeon, someone with whom you’ll be sharing some of your most personal information and entrusting with life-and-death decisions? Communication with your surgeon is essential.

Ask your prospective surgeon these questions before going under…

Are you board certified, and is your certification current?

  • Look for a surgeon who has the necessary board certification(s), necessary training, and has maintained their certification(s) in the specialty they are practicing.

Is this surgery necessary?

  • Avoiding surgery entirely is the only sure way to avoid a surgical complication; understanding the effectiveness of the surgery and having exhausted alternatives you then need to compare the results of your alternatives with the possible risks of the surgery. 

What are your success, failure, and complication rates?

  • Not all surgeons are willing to be upfront with this information, but a good surgeon will.

What is your experience with this surgery?

  • Ask your surgeon how many of these procedures he or she has performed and compare that number with other surgeons performing the same procedure. The best surgeon is not necessarily the busiest surgeon; it’s about avoiding the surgeon who has not performed the procedure as much or as often or as well.

What’s the hospital’s infection rate?

  • Seventeen states now make that information public, and many hospitals report their rates voluntarily. Kudos to them! After asking these questions and others relating to your needs, likes, and dislikes, do your homework and make your choice. Your final decision could be one of the most important you’ll make for you and your family.

To locate a Top10MD Surgeon you can trust visit and schedule your appointment today.


 1 year ago    Leave a comments (0)

Did someone just say yeast infection? Ugh, talk about a dump on your day. Unfortunately, as a woman, we all have experienced a yeast infection at some point, and they are no fun. You’ve tried everything from douches, garlic, tea tree oil and even cranberry juice. Suddenly, you come across the use of yogurt. Yes, yogurt! Yogurt has been shown to cure yeast infections in women.

Yeast infections are due to the overgrowth of a yeast fungus that lives in the vagina and continues to develop if not treated. Lactobacillus fights to keep yeast under control, but when it is not able to keep up, it causes a yeast infection to develop.

If you feel like you are experiencing a yeast infection, here are a few symptoms to look out for:

  • Severe vaginal itching
  • Vaginal discharge – usually thick, odorless, white and clumpy
  • Red, irritated skin around the labia
  • Pain in vagina during intercourse
  • Pain when urinating

Does yogurt really help to cure yeast infections?

Yogurt is one of the most common “do-it-yourself” cures. Lactobacillus acidophilus, which is found in a healthy vagina, is also in yogurt. Surprised, huh? Some women use yogurt to treat the yeast infection by injecting it into the vagina.

How do I get it up there?

Here are two ways that we have found that women apply it:

  1. Get a plastic tampon applicator, put yogurt into it and freeze it. This is handy for soothing the burning sensation and fighting the fungus in the same process.
  2. Don’t feel like using a tampon? A syringe – with no needle – works just as well. All you have to do is squirt it up there.

Regardless of what method you decide to use, be sure that you are using unflavored, plain yogurt with no added sugar.

When all else prevails, go to your Top10MD Gynecologistfor treatment and learn more about recurrent yeast infections.


 1 year ago    Leave a comments (0)

The World Health Organization has released safe sex guidelines for those who are returning from Zika-affected areas. The report recommends doubling the abstinence time from having sex; the initially suggested four weeks to eight weeks. Scientists have come to this conclusion from finding that the Zika Virus lingers longer in blood and other bodily fluids than previously thought. To ensure your partner’s safety and the safety of a potential pregnancy, seriously consider the following recommendations.

What You Should Know About Zika

  • If you and your partner are trying to get pregnant, it’s crucial that you consider delaying pregnancy until the recommended abstinence time has passed.
  • If the male partner in a couple is planning pregnancy has symptoms of the Zika Virus, the period of abstinence is increased to six months.
  • Evidence points to male semen as the source of transmission between partners. It is important to practice safe sex by using a condom if your partner is currently pregnant or abstain from sex altogether for the remainder of the pregnancy.
  • Tests are still inconclusive as to how long the Zika Virus stays in the saliva.
  • For those living in Zika zones, it is important to continue your use of insect repellents such as DEET, covering up, and stay inside as much as possible.

Healthcare professionals are more concerned than ever about Zika Virus link to an epidemic of brain defects known as microcephaly. The Zika virus has now hit 52 countries to date according to the World Health Organization.

To learn more about Zika and how it can affect your unborn child, visit ZIKA or our blog.


 1 year ago    Leave a comments (0)

Gynecologist and Functional Medicine Specialist Dr. MaryAnn Prewitt now offers the newest clinically proven and FDA-cleared technology in reducing stubborn fat in just 25 minutes – SculpSure! When you check yourself in the mirror, are you happy with your body? No matter how hard we work at the gym or how careful we are with what we eat those fat deposits just won’t go away. In fact, 89% of us feel bothered by excess weight in a specific area on our body, wishing and hoping fat would just disappear.

SculpSure is a breakthrough light-based body contouring procedure created to reduce areas of stubborn fat in your problem areas such as the stomach or love handles. “This process of body sculpting is a major game changer,” says Dr. Prewitt of HealthWellnessMD. “Without surgery or recovery time, the patient sees quicker results.” With CoolSculpting, there is pulling, sucking and cooling of fat between two plates. In the SculpSure method, there is no suction or pulling of tissue. The device simply lays flat on top of the tissue while energy causes damage to the fat cells by penetrating the tissue. From here, your body’s immune system kicks in to clear away those damaged cells and the treated area shrinks. At most, patients feel a deep warming sensation – it’s virtually painless.

The whole process takes only 25 minutes, less than half the amount of time it takes for a single cycle of Coolsculpting. In addition, you can address up to four problem areas in one treatment. With four separate applicator heads, your physician can adjust the placement depending on where you need the fat reduced. The process is safe for the skin too. Regardless of whether you are fair or very dark skinned, the skin remains unaffected by the treatment.

After the treatment, up to 24% of the fat cells are destroyed and will not regenerate. You can immediately get back to your day, celebrating the results you will soon see. Most patients see results as early as six weeks after the procedure. Every patient is different so customized plans are the best choice although many can see excellent results after two treatments. Your provider can help create a treatment plan that is right for you.

Curious to see how it works? “The Real Housewives of Beverly Hills” star Kyle Richards gives a glimpse into the process of SculpSure.

Dallas Functional Medicine Specialist and Gynecologist Maryann Prewitt, MD is Director and Founder of HealthWellnessMD. Dr. Prewitt is a Board Certified Fellow, America College of Obstetricians and Gynecologists. Dr. Prewitt holds a Master’s Certification in the da Vinci Surgery System-this minimally invasive technology revolutionized the way surgery is performed today. Call Dr. Prewitt’s office today and schedule an appointment at 469-619-1066.


 1 year ago    Leave a comments (0)



 2 years ago    Leave a comments (0)

Pregnancy can take a significant toll on a woman’s body. A Mommy Makeover is a personalized combination of procedures that is designed to reverse changes to your body caused by pregnancy. Dr. Y. Anthony Nakamura can perform a personalized Mommy Makeover to help you achieve the body contours and tone that you desire. Your custom makeover typically includes a combination of the following procedures: a tummy tuck, liposuction, and a breast lift.

The term ‘Mommy Makeover’ may differ in meaning from surgeon to surgeon, but ultimately it is a combination of breast and body procedures to help a woman regain the confidence of having children.

The effects on the breasts during and after pregnancy may include:

  • Asymmetrical breasts
  • Widening of the areolas
  • Drooping of the breast
  • Loss of breast volume

Due to these changes in a woman’s breast, candidates for mommy makeovers may desire breast lift, reduction, augmentation or a combination of procedures.

The effects on the abdominal area may include:

  • Love handles
  • Stretch marks
  • Excess skin
  • Widening of abdominal muscles causing a “pooch”
  • Drooping of the pubic region

As for the abdomen, most candidates desire a tummy tuck with muscle tightening; this can also include liposuction to the love handles and even the inner and outer thighs.

Benefits of a mommy makeover procedure include the ability to create balance in a woman’s overall look, one recovery, and often a significant reduction in cost because many practices offer multi-procedure discounts. Regain your confidence and reset your body with a Mommy Makeover – contact your board certified plastic surgeon to set up a consultation.

Dr. Y. Anthony Nakamura is a Texas Plastic Surgeon and Board Certified by the American Board of Plastic Surgery. Dr. Nakamura is Medical Director of Accent on You. With over 25 years of plastic surgery knowledge, Dr. Nakamura takes a personal approach to every patient while continuing to provide excellent care. Dr. Nakamura has been named 2015-2016 Top10MD an honor only 1-in-3 doctor’s in the United States succeed with this recognition. To schedule your appointment contact Dr. Nakamura at 817-417-7200.


DallasFort Worth