Dr. Rizk's practice focuses on the complex gynecologic conditions that are too often dismissed elsewhere. If you've been told your pain is normal β or that there's nothing to be done β we'd like to offer a second opinion.
Endometriosis is diagnosed when tissue similar to the uterine lining grows outside of the uterus. This misplaced tissue doesn't shed during a menstrual cycle the way healthy endometrial tissue does. The buildup leads to inflammation, scarring, and painful cysts, and can cause reproductive organs to stick together.
Endometriosis can cause severe pelvic pain, bladder and bowel symptoms, and complications with getting pregnant. Its effects can be felt throughout the body, not just the pelvis, and symptoms tend to worsen over time if left untreated.
We offer a range of treatments β from hormone therapy and pain management to laparoscopic excision of endometrial lesions. Dr. Rizk has decades of experience treating endometriosis specifically, and she takes it seriously when other providers have not.
Uterine fibroids are smooth, muscular growths in the wall of the uterus. They develop from normal uterus muscle cells that grow abnormally into benign (non-cancerous) masses.
Most fibroids don't cause symptoms, but larger ones can cause heaviness or pressure in the lower abdomen or pelvis. Many women describe it as a vague discomfort rather than sharp pain. An enlarged uterus can make it hard to lie face down, bend over, or exercise comfortably. Fibroids can also cause heavy bleeding (sometimes enough to cause anemia) or painful periods.
Fibroids are common β up to 50% of women have them by age 50. They typically appear during the reproductive years and are more common, and tend to be larger, in Black women.
Adenomyosis happens when the endometrial tissue that normally lines the uterus grows into the muscular wall of the uterus itself, causing the uterus to enlarge.
Though not harmful, adenomyosis can cause heavy or prolonged menstrual bleeding, severe cramping, pain during intercourse, blood clots passed during periods, and abdominal bloating β all of which can disrupt daily life.
Adenomyosis occurs most often in the later childbearing years and typically resolves after menopause. The exact cause is unknown.
PCOS is a hormonal disorder that causes enlarged ovaries to develop small cysts on their outer edges. It's one of the most common endocrine and metabolic disorders of reproductive-aged women, characterized by a combination of androgen excess and ovarian dysfunction.
People with PCOS can experience irregular periods, increased facial or body hair, and polycystic ovaries that become enlarged and contain many fluid-filled follicles. PCOS is also associated with higher risk of elevated blood sugar, diabetes, obesity, and cardiovascular disease β which is why we treat it as a whole-body condition, not just a menstrual one.
Cervical dysplasia is when abnormal cells develop on the cervix. It's usually detected through a Pap test and is most often caused by the human papillomavirus (HPV). It is not cancer, but if untreated it can lead to cervical cancer. Mild cases may resolve without treatment; severe cases may require surgery.
Signs can include abnormal vaginal discharge, spotting between periods, bleeding after intercourse, painful intercourse, and bleeding during menopause. Early detection is key.
Those who became sexually active at a young age, have had multiple partners, have a weakened immune system, smoke, or have had a sexually transmitted infection.
An ovarian cyst is a fluid-filled sac that forms on or inside one or both ovaries. They can occur more frequently with endometriosis or fibroids and are usually found on ultrasound. Treatment depends on size, appearance, symptoms, and whether you're pre- or post-menopausal.
Most cysts disappear on their own within a few months, but they can cause:
Pelvic masses are any benign or malignant growths originating in the pelvic area. Symptoms depend on size and location and may include pain, pressure, bloating, urinary or bowel changes, decreased appetite, or menstrual abnormalities. A large enough mass may be visible or palpable in the lower abdomen.
Pelvic pain is pain in the lowest part of the abdomen, in the region of the reproductive organs. It can arise from infection, the pelvic bone, or non-reproductive organs like the digestive or urinary tract β but is most often related to gynecologic conditions.
Pelvic pain is never "just in your head," and it rarely has a single cause. We take a careful, thorough history and exam, and build a treatment plan that can range from lifestyle changes and holistic approaches to medication or minimally invasive surgery.
Menopause is the natural end of menstrual cycles, diagnosed after 12 consecutive months without a period. It typically occurs in a woman's 40s or 50s. While it's a normal life transition, the symptoms can significantly affect quality of life β and effective treatments exist.
Dr. Rizk is a member of The Menopause Society and takes an individualized, evidence-based approach β including hormone therapy where appropriate, non-hormonal options, and lifestyle strategies.
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Perimenopause is the transition period leading up to menopause, often beginning in a woman's 40s (sometimes earlier). During this time, hormone levels fluctuate, and cycles may become irregular. It can last anywhere from a few months to several years.
Perimenopause is often dismissed or misdiagnosed as stress or aging. We take it seriously. Whether you need symptom management, hormonal evaluation, or just someone to validate what you're experiencing, we're here for it.
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