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Marc L. Chaiken, M.D. & Associates 410-730-6673 Comprehensive Gynecology Compassionate, Personalized & Caring Minimally Invasive Treatments Nonsurgical Alternatives

Patient Information

Regular care is vital to a woman’s health. We’ve worked hard to make it easy to get an appointment, refill prescriptions, and contact our staff. And with the option of downloading many of our forms ahead of time, we save you time spent in the waiting room.

Contact

Address: Marc L. Chaiken, M.D. & Associates
11055 Little Patuxent Parkway, Suite 106
Columbia, MD 21044
Phone: 410.730.6673
Fax: 410.730.8226
Answering Service: 800.723.7497
Email: [email protected]

Appointment Policy

Office visits are by appointment only. Appointments can be made by calling 410.730.6673.

Our office hours are:

Monday and Tuesday: 9:00 AM to 7:30 PM

Wednesday through Friday: 9:00 AM to 5:00 PM

If you prefer to be seen by a female professional, please let us know and we will schedule your appointment with our certified nurse practitioner, Alyssa Larimore, or our certified physician assistant, Diane Gaspar.

Before You Arrive

For your convenience, we have provided a variety of patient forms that can be downloaded and filled out in advance. Please bring your completed forms with you at the time of your next appointment.

Patient Forms

Get Adobe ReaderPatient forms are in Adobe Reader format. Download the free Adobe Acrobat Reader if you don't already have it installed on your machine.

Directions

Our office is conveniently located in Columbia, MD, near Howard County General Hospital.

From I-95:

Take I-95 toward Columbia (located about halfway between Baltimore and Washington, DC). At Exit 38, take Rte. 32 West toward Columbia and travel 5.7 miles. Take Exit 17 to Cedar Lane and follow Cedar Lane for 2.2 miles. Turn right at Little Patuxent Parkway, travel past Howard County General Hospital.  Turn right at the next entranceway at Central Maryland Oncology Building #11065. We are located at 11055 Little Patuxent Parkway, suite 106 (directly behind the pink office building).

From I-70:

Take I-70 East toward Columbia. At Exit 87, take Rte. 29 South to Columbia/Washington. At Exit 20, take Little Patuxent Parkway West 1 mile to right on Governor Warfield Parkway. Travel .8 miles on Governor Warfield Parkway and turn right onto Little Patuxent Parkway. Go .8 miles past Howard County Community College. Turn left at the entranceway to Central Maryland Oncology Building #11065. We are located at 11055 Little Patuxent Parkway, suite 106 (directly behind the pink office building).

Hospital Affiliations

Dr. Chaiken is affiliated with the following hospitals:

Insurance

Marc L. Chaiken, M.D. & Associates accepts most major insurance plans. To verify participation, please contact our office at 410.730.6673.

Prescription Refills

We will gladly refill prescriptions during regular office hours. Please contact our office with your name, medication, and dosage, and the name, phone number and fax number of your pharmacy. Please allow 36 to 48 hours for prescriptions to be called into the pharmacy.

Emergencies

Our on-call physician can be reached after hours by calling our 24-hour answering service at 800.723.7497. Prescription refills and general medical questions are not considered emergencies and should be addressed during regular office hours.

In case of a life-threatening emergency, please call 911 or go to the nearest emergency room.

Commonly Asked Questions

Are my periods abnormal or too heavy?

Your periods are abnormal or too heavy and require investigation and/or treatment if they:

  • Last longer than 7 days or you are bleeding unpredictably between normal periods
  • Require double protection in the form of simultaneous pads and tampons
  • You pass large clots (e.g. quarter size)
  • Bleed through your protection, soiling clothing or bed linens
  • Cause you to avoid activities, stay home from work or school, not leave the house, or stay near the bathroom
  • Interfere with your life
  • Lead to chronic blood loss and anemia

Any periods or episodes of bleeding (regardless of their duration or magnitude) that occur after you are in menopause are potentially dangerous and must be evaluated thoroughly to rule out malignancy.

Is there treatment other than hysterectomy for heavy bleeding that medicines won’t stop?

Medical therapy, including new drugs and new ways of administering hormonal treatment, can often control abnormal uterine bleeding. While hysterectomy was for many years the only option for women with failure of medical therapy, many new options exist that are minimally invasive and require only days instead of weeks of recuperation. Fibroid tumors inside the uterine lining can often be removed hysteroscopically and endometrial ablation offers a way to gently alter the lining in order to reduce bleeding or stop it all together.  When hysterectomy is needed or elected, it can usually be performed in a minimally invasive manner via the vaginal or laparoscopic route.

I had an operation and still have steri-strips on my incision. What should I do?

After 3 or 4 days, remove the strips. This can be made easier when they are moist after a shower or bath.

When should my clips come out?

If your abdominal incision has metal clips, you should call the office for an appointment with the nurse to remove them on post-operative days 5 to 7.

How much vaginal bleeding is too much after surgery?

A bloody discharge for several weeks is quite normal after gynecologic procedures and surgery, such as hysteroscopy, D&C, LEEP conization, and hysterectomy. Heavy bleeding or bleeding with clots is not normal and you should call for a follow-up appointment. After laparoscopy, there may also be bleeding for several days because of cervical and endometrial manipulation during the surgery. After endometrial ablation, there is often a watery discharge that may last for several weeks.

Is douching OK? Is it necessary?

Douching is not necessary and may even lead to infection by destroying the normal vaginal chemistry. Douching can actually encourage vaginal infection by destroying the normal vaginal environment. If one must douche, plain water is best. If you feel you have an infection, a dilute betadeine douche may be helpful.

What should I do if I think I have a vaginal infection?

Try some over-the-counter yeast medication such as Monistat. If that fails to cure the problem, call for an office visit since it may be a bacterial or other type of infection or a more resistant type of yeast. If possible, do not insert any vaginal medications the evening prior to your appointment.

What can I do for my profuse vaginal bleeding with my period?

Take ibuprofen 800 mg every 8 hours and a cold capsule containing pseudoephedrine, such as Sudafed. Continue taking the medicine and call us for an appointment.

What can I take for my severe menstrual cramping pain?

Motrin or Advil (ibuprofen) in a dose up to 800 mg every 8 hours is often helpful. Do not exceed 2400 mg per day. Taking Aleve twice a day is another option. If you do not get adequate relief from these remedies or feel that the problem is getting worse, you should address it at an office visit. If narcotic analgesics are needed to control the pain, there is usually an underlying medical problem that needs to be addressed.

Is menopausal hormone replacement therapy safe?

While hot flashes, vaginal dryness, mood swings, sleep disturbances, and forgetfulness are quite common and normal symptoms of women going through menopause, they do not happen to everyone, nor are they of the same degree of intensity. Sometimes symptoms last only several months and sometimes they persist for decades. Because they are a "normal part of life" some women elect to gut it out without therapy.

On the other hand, symptoms can often be quite severe and disruptive. When hot flashes lead to insomnia, or vaginal irritation and dryness interfere with the ability to participate and enjoy sexual intercourse, therapy is often a very viable option.

Although hormone replacement therapy (HRT) with the female hormones of estrogen (and progesterone if one has a uterus) is most effective, there are a number of alternative therapies that can be tried for those individuals who are fearful of HRT or cannot take them because of medical contraindications. Alternative therapies include prescription drugs and soy-based products (Remifemin, etc.), which are available over the counter.

Dr. Chaiken believes that the risks of Hormone Replacement Therapy (HRT=Estrogen and Progesterone) and Estrogen Replacement Therapy (ERT=Estrogen alone) circulated in the lay media and widely assumed to be true are grossly exaggerated. At the same time, we feel that the benefits of systemic and local HRT or ERT have been similarly minimized and ignored.

For those who are considering replacement hormone therapy, you may be shocked and surprised to learn that many of the "facts" you thought you knew about ERT and HRT may be false.

For example:

  • ERT does not increase your risk of heart attack or breast cancer.
    In actuality, prolonged use of ERT may decrease your risk of breast cancer.
  • HRT taken within 10 years of the onset of menopause does not increase your risk of heart attack. Instead, it probably reduces it by about 45 percent.
  • HRT and ERT decrease your rate of osteoporotic fracture by 33 percent.
  • HRT and ERT decrease your rate of colorectal cancer by 30 percent.
  • HRT might slightly increase your risk of breast cancer, but only to the modest extent that obesity does as well.
  • We share this data with you not to coerce you to take these hormones, but to offer you the opportunity to select or reject them based upon science and fact, rather than ill-defined fear, rumors or superstition.

Welcome

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GYN Care

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