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Mrs. Michelle Lee Billish, PAC is in Seattle, WA specializing in obstetrics & gynecology and gynecology. Mrs. Michelle Lee Billish, PAC is affiliated with Providence, Swedish Medical Center, The Polyclinic, Optum and Swedish First Hill Campus.
Hysterectomy (Uterus Removal)
A hysterectomy is an extremely common surgery performed to remove the uterus. Sometimes the fallopian tubes, ovaries, or cervix will be removed as well. A woman who has had a hysterectomy will no longer have periods and cannot get pregnant.
There are a variety of reasons that women have hysterectomies, including:
It is important to note that having any of these conditions does not necessarily mean that a hysterectomy is necessary. There are other available treatment options in most cases.
Although the uterus is responsible for a period, it is the ovaries that control the hormonal changes that women go through every month. So if a woman has a hysterectomy but keeps her ovaries, she might still experience hormonal swings every month even if she no longer has a period. Alternately, if a younger woman has a hysterectomy where her ovaries as removed, she will essentially be in immediate menopause.
A hysterectomy can be performed traditionally through one large cut in the abdomen, laparoscopically using tiny incisions and small tools, or through the vagina. Full recovery may take four to six weeks. After a hysterectomy, patients might experience sexual changes such as vaginal dryness or a change in libido. It is common to experience strong emotions after a hysterectomy, including both grief and relief. If a patient's ovaries were removed, they may be at higher risk for certain diseases, such as heart disease and osteoporosis. Taking hormonal birth control might reduce this risk.
Hysteroscopy
A hysteroscopy is a diagnostic procedure performed to examine the inside of the uterus. A thin tube with a camera and light at the end, called a hysteroscope, is inserted through the vagina. It allows the physician to view the cervix and uterine walls. Sometimes, gas or liquid is used to expand the uterus and allow a better view. If necessary, tiny instruments can also be passed through the tube and used for certain procedures, such as taking a biopsy or removing a polyp.
Hysteroscopy is often done to figure out the cause of abnormal menstrual bleeding. However, it can also be used to:
If surgery is necessary, hysteroscopy is often used along with laparoscopy, a kind of surgery performed through small incisions in the abdomen. Tiny tools are passed through the incisions, and the hysteroscope guides the doctors while surgery is performed.
Pessary
A pessary is a device that is inserted into the vagina to relieve symptoms associated with mild to moderate pelvic organ prolapse, a condition in which the womb, bladder, or rectum bulges into the vaginal canal. This device is made of either rubber or plastic and is a safe, nonsurgical way to provide support for prolapsed organs.
Pessaries come in different shapes and sizes, and finding the right one can take some trial and error. Before a pessary fitting, patients will be examined and evaluated based on prolapse-related symptoms they may be experiencing, which may include discomfort, urine leakage when sneezing or coughing, and trouble keeping tampons in.
The following tips can help guide the process of finding the right fit:
The device should be kept clean to avoid issues like vaginal odor, discharge, or irritation. To clean a pessary, it must be taken out and washed with soap and water. Healthcare providers will instruct patients on how to remove and reinsert the device. If patients are unable to do this on their own, they will need to get it done at the doctor's office at least once every two months.
She is certified by the Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant and has a state license in Washington.
Board Certification: Board Certification: National Commission on Certification of Physician Assistants, Physician Assistant
Licensed In: Washington
Mrs. Michelle Lee Billish, PAC is associated with these hospitals and organizations:
Mrs. Michelle Lee Billish, PAC appears to accept the following insurance providers: Aetna PPO, CIGNA PPO and Medicare.
According to our sources, Mrs. Michelle Lee Billish, PAC accepts the following insurance providers:
Mrs. Michelle Lee Billish, PAC has a high overall rating with an average of 4.41 out of 5 stars based on 283 ratings. We collect ratings and reviews of Mrs. Michelle Lee Billish, PAC from all over the web to help you find the right in Seattle, WA.
These charts describe general payments received by Mrs. Michelle Lee Billish, PAC. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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Ms. Michelle Billish is a specialist in gynecology. These areas are among Ms. Billish's clinical interests: cystocele (bladder prolapse), hysterosalpingography, and dysfunctional uterine bleeding. Patient reviews placed her at an average of 4.5 stars (out of 5). She is an in-network provider for several insurance carriers, including Cigna, Aetna, and CIGNA Plans. Ms. Billish's hospital/clinic affiliations include The Polyclinic, Providence, and Optum. She has an open panel in Seattle, WA according to Optum.
