OB-GYN Guru - Social media fueled magazine for Washington D.C. Suburbs

Dr. Jack P. Ayoub was born and raised in Chantilly, Virginia. After completing his residency as a chief resident, he joined a group practice. Dr. Ayoub gained valuable experience practicing with both physicians and midwives; delivering thousands of babies and obtaining extensive surgical experience over the last few years. However, he understands the desire of women to be seen and delivered by the same physician.Virginia Obstetrics & Gynecology was started to provide the type of care that women deserve.

Dr. Ayoub enjoys spending time with family and friends. His care and compassion for his wife and three children is evident in his practice.

All opinions from Guru experts are based on available and presented information. The expressed opinions are not a substitute for medical or psychological care and should not be viewed as such.

Permanent Birth Control

31 March 2011

JACK P AYOUB, MD

Section: Ask Northern Virginia Gurus -

OB-GYN Guru

Most families come to a point in their lives when they feel they are done having children and need to not only consider the types of birth control methods available but also how they fit within their lifestyle. Certain permanent solutions, such as vasectomies may not offer the most reliable form of contraception. Tubal ligations have unacceptable failure rates and potential for side effects related to surgery.

Less permanent options include forms of hormonal contraception (oral contraceptive, patch, ring, or an IUD). While the pill and its counterparts can be a perfectly good solution for some, many do not want to remain on hormones throughout their 30s and 40s due to blood pressure, heart disease or lifestyle concerns (such as smoking or obesity). Women say they want to feel liberated and free of the constraints of an unplanned pregnancy. Even though fertility does decline in a woman's late 30s and 40, nearly half of the pregnancies in women over the age of 40 are accidental. Having to remember birth control is cumbersome and may even be a “mood changer.”

How Often Does a woman need a Pap Smear?

28 December 2010

I AM TEAM

Section: Ask Northern Virginia Gurus -

OB-GYN Guru

Q: How Often Does a woman need a Pap Smear?

Dr. Ayoub: The best answer is that the recommendations are changing rapidly and to make sure you get to know your OB/GYN and stay current on the most recent recommendations.

A synopsis of the current guidelines are as follows:

1- 1st pap smear age 21, not before even if sexually active.

2- Paps should be done every 2 years from age 21-29 as long as none are abnormal. If they are abnormal then they are needed yearly.

3- After age 30, if PAP/HPV is negative or 3 consecutive normal pap smears then every 3 years is recommended.

4- Last pap 65 or 70 years old as long as 3 consecutive normal paps.

Exceptions to above recommendations needing paps yearly are women who are immunosuppressed ie. HIV or have been treated for precancerous cells/lesions in the past.

Remember, a pap does not equal an annual exam! An annual is needed every year to assure that there are no abnormalities or problems in the reproductive tract ie. pelvic and breast exam to rule out gynecologic cancer and/or breast cancer.

Dr. Ayoub

OB-GYN Guru: Spotting with IUD

31 August 2010

Question from a Reader

Section: Ask Northern Virginia Gurus -

OB-GYN Guru

Question: I got the new IUD with the trace of hormone. However, I am constantly spotting. Is this normal?

Dr. Ayoub: My answer to the questions is most likely the individual obtained or had the progesterone “Mirena” IUD placed. This has a small amount of progesterone that acts mostly locally on the cervical mucosa to help assure sperm are impenetrable to the uterus/fallopian tubes. Although not the only factor that progesterone has on the reproductive tract or woman’s body, the IUD in general does cause irregular spotting likely decreasing in frequency and quantity the longer the IUD is in place.