Our Services

WE ARE ACCEPTING NEW PATIENTS!

Our Services and Procedures

At Embrace, your optimal health is our goal. We provide an array of standard and advanced procedures for women at our practice, and also partner with qualified providers to offer the best options available.

COMMON AREAS WE ADDRESS

Annual physical exams
Birth control options
Menopausal symptoms – hot flashes, night sweats, unable to sleep at night, irritability
Abnormal bleeding
Polycystic Ovarian Syndrome
Pelvic Prolapse (Dropped Bladder) – leaking
Urinary tract and vaginal infections
Abdominal and/or pelvic pain
Ovarian cysts
Thyroid issues
Weight loss
Fatigue

SPECIALTY SERVICES

Endometrial Ablations
For treatment of:

  • Abnormal bleeding

Endometrial Ablations

Abnormal bleeding affects many women today. In the past the only surgical treatment for bleeding was either an abdominal or vaginal hysterectomy. Fortunately we now have much more to offer patients.

If it is determined that a surgical rather than a medical treatment for bleeding is needed, then endometrial ablation may be the procedure for you.

Endometrial biopsy
For treatment of:

  • Abnormal bleeding, Infertility issues

Endometrial Biopsy

The endometrial biopsy is a medical office procedure that is used to remove a sample of the lining of the uterus. The tissue subsequently undergoes a histologic evaluation which is supplied to Dr. Marden to aid in a diagnosis of symptoms which can include abnormal bleeding and infertility issues.

An endometrial biopsy involves inserting a thin, flexible tube through the cervix and into the uterus. The tube is used to gently scrape a small amount of tissue from the endometrium and then remove the tissue samples for evaluation.

Colposcopy
For treatment of:

  • Abdominal and/or pelvic pain, Abnormal bleeding

Colposcopy

If you have had a Pap smear that resulted in abnormal results, the next step is usually a colposcopy.

Colposcopy is a simple, 10- to 15-minute procedure that is painless and is performed in our office. You are positioned on the examination table like you are for a Pap smear, and an acetic acid (such as common table vinegar) is placed on the cervix.

Dr. Marden will use a colposcope — a large, electric microscope that is positioned approximately 30 cm from the vagina — to view your cervix. A bright light on the end of the colposcope lets Dr. Marden clearly see the cervix so he is able to select the best area for a biopsy. If abnormal areas are identified, a sample of the cervical cells is taken and submitted to a laboratory for evaluation.

Intrauterine Device (IUD)
For treatment of:

  • Birth control options

Intrauterine Device (IUD)

Dr. Marden will discuss the pros and cons of these options with you so that you can determine the best birth control method for your situation.

ParaGard is an intrauterine device (IUD) for birth control that does not contain synthetic sex hormones. The ParaGard IUD is made of flexible plastic and copper, crafted into the shape of a small “T.” It is a little over an inch long, with fine copper wire wrapped around the stem and arms. ParaGard does not contain latex. The IUD must be placed inside the uterus by a doctor, where it may remain for up to ten years. ParaGard starts working as soon as it is inserted into the uterus. The IUD works continuously, without having to take a pill.

Visit www.paragard.com for more information.

Mirena is an intrauterine (IUD) contraceptive that delivers small amounts of hormone directly to the uterus. Made of soft, flexible plastic, it is put in place by your healthcare provider during an office visit. Mirena is birth control that lasts as long as you want, for up to 5 years, and is also approved to treat heavy periods in women who choose intrauterine contraception. Mirena works continuously, without having to take a pill.

Skyla is a hormone releasing IUD that is highly effective in preventing pregnancy for up to three years.  It is a small flexible plastic t-shaped device that is placed in the uterus by your doctor in his office.

LEEP Procedure
For treatment of:

  • Abdominal and/or pelvic pain, Abnormal bleeding, Polycystic Ovarian Syndrome

LEEP Procedure

If you have an abnormal Pap test result, Dr. Marden may suggest that you have a LEEP, or loop electrosurgical excision procedure, as part of the evaluation or for treatment.

The LEEP procedure takes about 20-30 minutes and is performed in our office. It is much like a normal pelvic exam. A colposcope will be used to guide Dr. Marden to the abnormal area. LEEP is then used to remove the area containing abnormal cells from your cervix so that the tissue sample may be sent for evaluation.

Ultrasounds
For treatment of:

  • Annual physical exams,  Birth control options, Abnormal bleeding, Abdominal and/or pelvic pain

Ultrasounds

Gynecological ultrasound imaging is useful to help detect and diagnose any fertility or reproductive issues as well as provide additional informationto resolve issues of pelvic pain and abnormal vaginal bleeding.

A typical pelvic sonogram requires fewer than 30 minutes. However, the length of time may vary greatly depending on how easily the necessary information is obtained and on the complexity of the findings.

Laser Vaginal Rejuvenation
For treatment of:

  • Vaginal laxity

Laser Vaginal Rejuvenation

Laser vaginal rejuvenation comprises a number of procedures designed to improve the appearance and structure of the vagina, labia, and other genital structures.

TVT
For treatment of:

  • Pelvic Prolapse

TVT

TVT, tension free trans-vaginal tape, is a minimally invasive surgical procedure for definitive treatment of female stress incontinence that combines the use of a safe material, polypropylene mesh tape, with a traditional incontinence procedure called “the sling” to support the urethra. The mesh tape loosely supports the middle of the urethra and provides support only when needed, without the tension associated with traditional sling procedure. It creates a “new” hammock for the urethra.

This simple outpatient procedure is done with local anesthesia, takes approximately 20 minutes and only requires two 1/3 inch incisions.

Hysterectomy
For treatment of:

  • Birth control options, Menopausal symptoms, Abnormal bleeding, Polycystic Ovarian Syndrome, Abdominal and/or pelvic pain, Ovarian cysts

Hysterectomy

A hysterectomy is the surgical removal of the uterus.

Dr. Marden was the first surgeon to perform a laparoscopic single-incision hysterectomy at Wellmont Bristol Regional Medical Center. In November 2010, he became one of the first surgeons to perform da Vinci Robotic Surgery at WBRMC.

This procedure is performed using the da Vinci Surgical System . It is a breakthrough surgical platform that enables gynecologists to operate with unmatched precision, vision and control. By overcoming the limitations of both traditional open and laparoscopic surgery, da Vinci is revolutionizing gynecologic surgery for women.

da Vinci Hysterectomy offers several potential benefits over traditional approaches, including:

• Significantly less pain
• Minimal blood loss and need for transfusion
• Fewer complications
• Shorter hospital stay
• Quicker recovery and return to normal activities
• Small incisions for minimal scarring
• Better outcomes and patient satisfaction, in many cases

To learn more about da Vinci Surgery, visit www.davincisurgery.com.

For hysterectomy information and support, visit www.hystersisters.com.

HORMONE MANAGEMENT

Bio-Identical Hormone Replacement Therapy

Hormones are an important part of the endocrine system in our bodies and when they become deficient, excessive or unbalanced, health problems and even cancer may occur.

Symptoms of hormone imbalance include:
• Moodiness
• Fatigue
• Loss of libido, or sexual enjoyment
• Hot flashes
• Dryness
• Thinning hair
• Heavy or painful periods
• Insomnia
• Depression or Anxiety
• Foggy thinking

If you are experiencing these symptoms, if your sense of well-being is affected or if you’re concerned about cardiovascular disease or osteoporosis, you should consider natural hormone replacement therapy. Many of our patients who have tried natural hormone replacement therapy have noticed a dramatic improvement.

Dr. Marden understands that each person experiences hormone imbalances differently and will work with you to design a customized plan to regain hormone and health balance.

We work with an excellent local compounding pharmacy, who will custom-make your hormones in a strength and form that is right for you. Bioidentical hormones are available in topical creams and gels (transdermal application), capsules, suppositories, long lasting pellets, and sublingual troches (lozenges).

BEAUTY AND BODY

Real Age Test

The Embrace philosophy is all about holistic health. Dr. Marden uses the RealAge test created by Drs. Mehmet Oz and Michael Roizen as an overall health assessment and as a way to help you make changes that will enhance your health and vitality.

Take the challenge and find out your RealAge!

Visit www.realage.com to take the test today. Print out the results and bring them to your appointment with Dr. Marden.

Vitamins & Supplements

Dr. Marden selects vitamins and supplements that utilize the same potencies and ultra high-quality ingredients used in clinical research studies.

We offer comprehensive multivitamins to unique formulations that target cardiovascular health, cognitive health, hormone modulation, weight management, and much more.

ZWave

The ZWave Pro Radial Pulse treatment is an effective method by which to treat cellulite. The Zimmer ZWave transmits powerful soundwaves into the tissue. The body responds to those waves with increased metabolic activity. The end result is an improvement in the appearance of cellulite and other body-contouring procedures.

CARDIAC CARE

CIMT

According to the American Heart Association, 50% of men and 64% of women who die suddenly of Coronary Vascular Disease have no previous symptoms. Early detection is crucial for proper treatment for sustained recovery.

There is an approach that detects meaningful disease and allows for monitoring of efforts to address hardening of the arteries. It is noninvasive, takes about 15 minutes and is covered by most insurance companies.

It will tell you whether you are forming plaque, the lesion that is present in almost all heart attacks and strokes. And it is used in research to assess the effects of treatments offered to treat vascular disease of the heart, brain and other organs.

This approach is called Carotid Intima Media Thickness scanning. We offer it to determine which patients need more proactive measures to PREVENT heart attack and stroke. We use Vasolabs, a provider whose commitment to consistent process gives me the confidence to rely on their results in making treatment recommendations. It is an enhancement of carotid duplex that provides more information that affects efforts to slow or regress atherosclerosis (hardening of the arteries).

Visit vasolabs.com for more information.

Cardiac Risk Assessment

Cardiovascular disease refers to a number of conditions related to the heart or blood vessels. These include hypertension (high blood pressure), coronary artery atherosclerosis (build-up of fatty deposits in blood vessels supplying the heart), cerebrovascular atherosclerosis (build up of fatty deposits in blood vessels supplying the brain) and peripheral vascular disease (blockage of large blood vessels in the legs or arms), to name a few.

Such conditions, if not properly treated, may lead to a cardiovascular event such as acute heart failure, myocardial infarction (heart attack), angina (chest pain), thrombosis (abnormal blood clot in a blood vessel) or cerebrovascular accident (stroke). Other factors such as smoking, obesity and family history can contribute to the risk of a cardiovascular event.

We have joined with Boston Heart Diagnostics to provide a Cardiac Risk Assessment. Boston Heart Diagnostics uses proprietary blood tests, available only from them such as the Boston Heart HDL Map, the Cholesterol Balance test, Advanced Risk Markers, Genetic Tests, as well as the metabolism of glucose (sugar) in your body, all of which may affect your heart health. Your Boston Heart Cardiac Risk Assessment results in a personalized treatment plan that is tailored just for you. With a Boston Heart Cardiac Risk Assessment, you have taken an important step toward prevention — and improving your heart health!

SEXUAL HEALTH

HISwave  for Men
For treatment of:

  • Erectile dysfunction, Decreased libido, Peyronie’s Disease, Sexual performance issues

HISwave for Men

 

For treatment of:

  • Erectile dysfunction
  • Decreased libido
  • Peyronie’s Disease
  • Sexual performance issues

The HISwave is a proven protocol for men that improves sexual performance, treats ED and keeps the penis healthy. The HISwave will benefit any man seeking to enhance his sexual pleasure and performance. Through a collaborative effort with Dr. Tom Rogers of Performance Medicine, Dr. Marden is pleased to be able to offer this revolutionary service to help men overcome erectile dysfunction and live healthier sexual lives.

FemiLift – for women
For treatment of:

  • Vaginal laxity, Vaginal atrophy, Decreased libido, Painful intercourse, Bladder leakage

FemiLift

Over the course of a woman’s life, the effects of childbirth, weight fluctuations and the aging process can stretch the skin, loosen the muscles and damage the collagen of the vaginal wall. This can lead to several uncomfortable symptoms such as: vaginal laxity, vaginal atrophy, involuntary bladder leakage, dryness and discomfort or pain during intercourse. Traditionally, these symptoms could not be effectively treated without invasive methods or surgery. FemiLift™ now makes it possible to quickly and easily stimulate the vaginal area to “heal” itself without any incisions or downtime.

HERwave for Women

Shockwave therapy that has been shown to increase blood flow. This therapy has been used for males to treat for sexual function and may help with female sexual function.

YES, WE ARE ACCEPTING NEW PATIENTS!

We are a forward-thinking practice focused on your health care, rather than disease care. In both your annual checkups and symptom-prompted visits, Dr. Marden will work in partnership with you to determine the best combination of science, research, traditional therapy and current, innovative treatments.