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Dr. James Leo Gildner, M.D.

OB-GYN (Obstetrician-Gynecologist)

Dr. James Gildner is an obstetrician-gynecologist practicing in Springfield, IL. Dr. Gildner specializes in women's health, particularly the female reproductive system, pregnancy and childbirth. As an obstetrician-gynecologist, or OB-GYN, Dr. Gildner can treat a number of health issues related to the vagina, uterus, ovaries, fallopian tubes and breasts. Dr Gildner can also treat women during pregnancy, labor, childbirth and the postpartum period. In this specialty, doctors focus on reproductive care from puberty through adulthood.
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41 years Experience
Dr. James Leo Gildner, M.D.
  • Springfield, IL
  • Southern Il Univ Sch Of Med- Springfield Il
  • Accepting new patients

Do I need to remove ovarian cysts?

If your provider has imaged your cysts with ultrasound and they appear benign or consistent with hormonal cysts from follicles then would recommend just leaving them alone. Some READ MORE
If your provider has imaged your cysts with ultrasound and they appear benign or consistent with hormonal cysts from follicles then would recommend just leaving them alone. Some cysts will have features that require removal but ultrasound would/should see that. Given that menopause is hopefully at least 10 years away you want to save all your ovarian tissue if possible. Again if the cysts look benign on sonogram then removal not necessary and not recommended due to risks of surgery and risks to your ovaries. If having significant pain or cysts progressing then that will have to be discussed further.

Why do I still have pelvic pain after ovarian cyst was drained?

Difficult to know but always possible the cyst was never the cause of the pain to begin with. Not uncommon patients will have pain and at the same time have an ovarian cyst but READ MORE
Difficult to know but always possible the cyst was never the cause of the pain to begin with. Not uncommon patients will have pain and at the same time have an ovarian cyst but the pain is due to something else. If you still have your uterus and are having cycles and per chance the pain cycles with your menstrual cycles that it could be your uterus causing the pain and not the history of ovarian cyst. Also depends what kind of cyst it was. Some type of cysts could recur. Also would depend what imaging(ultrasound especially) you may have had in the meantime as to whether this cyst might have recurred or new cysts or other pathology could be present. Need to make sure pain is not due to gastrointestinal issues or other non gynecologic reasons Certainly something you should discuss with your medical provider.

How do a partial and full hysterectomy differ?

As a general rule, a "partial" hysterectomy involves removal of the uterus, but retains the ovaries, while a "total" hysterectomy removes the uterus, tubes, and ovaries.

What is adenomyosis?

Adenomyosis is a fairly common condition of the uterine muscle that is a nondangerous condition which for lack of better description is a situation where the uterus can be more READ MORE
Adenomyosis is a fairly common condition of the uterine muscle that is a nondangerous condition which for lack of better description is a situation where the uterus can be more 'spongey' than other women. They can have more blood flow and can be more uncomfortable. Periods can be more uncomfortable. May or may not be the cause of painful relations. Chronic birth control pill use can sometime help. Ultrasound can be suspicious for adenomyosis but cannot make that diagnosis. Only way to truly diagnose adenomyosis and treat is hysterectomy but most women don't need that or do that. May or may not become more uncomfortable with time. DIscuss with your provider as he/she may or may not agree with that assessment or be the cause of your symptoms if present. If planning future pregnancy should not be an issue. You can and might want to research more thru site such as Medscape or WebMD or discuss with your provider.

Is fluid on the pelvis bad for you?

Depends on so many factors. Age? How much? Detected on exam or ultrasound? Some fluid in the pelvic can be common for a younger (premenopausal) women but should not be excessive. READ MORE
Depends on so many factors. Age? How much? Detected on exam or ultrasound? Some fluid in the pelvic can be common for a younger (premenopausal) women but should not be excessive. Can rarely be due to a bleeding cyst but would expect pain and other symptoms. Increased fluid in an older woman could be a problem but again depends on how much and what causing. In older women first thing we will check to make sure not related to ovaries. Will require imaging with either ultrasound or CT or MRI. Blood work (CA 125) sometimes done and can be helpful. Good luck!

How successful is in vitro fertilization?

Chance of success really depend on why her your/her providers felt you were not able to achieve a pregnancy. While chance of success usually not high since so many of these patients READ MORE
Chance of success really depend on why her your/her providers felt you were not able to achieve a pregnancy. While chance of success usually not high since so many of these patients have unexplained or unknown reasons for their infertility the Infertility specialist should be able to give you an honest assessment of what they think your chances of success are based on your unique situation. Most clinics should offer a free or reduced rate consult visit to at least give you an hones assessment of your situation and therefore your chances of success in their clinic. Also can/should give you some stats on their success (or lack of success) rate in patients with similar issues. I know this probably does not help much but the best I can do with the limited history information.

Is lower back pain a sign of pregnancy?

It can be but a better way to find out would be a home preg test. If you already have a positive preg test then low back pain could be a sign of pregnancy but usually in women READ MORE
It can be but a better way to find out would be a home preg test. If you already have a positive preg test then low back pain could be a sign of pregnancy but usually in women much farther along as their uterus grows. Severe back or abdominal pain would not be a normal sign of pregnancy and would require a thorough evaluation to look for possible complications of pregnancy or health issues not related to pregnancy.

Is the Depo shot more effective than the pill?

Both are very reliable and probably the only way Depo could be considered more reliable is that you don't have to rely on taking a pill daily since by missing one could result READ MORE
Both are very reliable and probably the only way Depo could be considered more reliable is that you don't have to rely on taking a pill daily since by missing one could result in failure. So from a theoretical standpoint they are both about of equal reliability by pills would result in more user failures. Only downside to Depo is that some patients feel it makes them gain weight.

Is vaginal discharge a sign of an infection?

Not necessarily. Could be normal and if that is the case should tend to fluctuate with your cycles or your hormones. Increased itching or odor could imply either a yeast infection READ MORE
Not necessarily. Could be normal and if that is the case should tend to fluctuate with your cycles or your hormones. Increased itching or odor could imply either a yeast infection or bacterial vaginosis. Pain or unusual bleeding could be a cause for concern and would necessitate a visit to your gyn provider.

What causes pelvic pain at night?

Very difficult if not impossible to know without physical examination and possible ultrasound imaging of your pelvis. 1st step would be to determine if the pain is indeed gynecologic READ MORE
Very difficult if not impossible to know without physical examination and possible ultrasound imaging of your pelvis. 1st step would be to determine if the pain is indeed gynecologic or some other cause such as bowels or bladder or other pelvic issues. If pain tends to cycle with your menstrual cycles (if uterus still present and still having regular cycles) then could be a uterine cause such as fibroids or polyps or adenomyosis or endometriosis. If pain cycling between her menstrual periods could then be ovarian such as endometriosis. Pelvic ultrasound would probably be helpful as as well as a thorough pelvic exam. Uncertain how long this is been going but highly recommend be seen for evaluation.

What is the difference between an OB-GYN and a Perinatologist?

A perinatologist is an OBGYN who has had additional training known as a fellowship and specializes in the management of high risk pregnancies. They generally do not perform gyn READ MORE
A perinatologist is an OBGYN who has had additional training known as a fellowship and specializes in the management of high risk pregnancies. They generally do not perform gyn surgery and do not see patients in the office for annual exams or manage routine pregnancies. They will either consult for your OB provider if your pregnancy is high risk or manage and deliver your pregnancy especially if significantly high risk or premature.

Is it safe to have sex in the 7th month of pregnancy?

As long as your pregnancy has gone well most OB providers do not restrict sexual relations while pregnant. As your abdomen increases in size you may have to make some adjustments READ MORE
As long as your pregnancy has gone well most OB providers do not restrict sexual relations while pregnant. As your abdomen increases in size you may have to make some adjustments to keep relations as comfortable as possible. Feel free to reach out to your OB provider to see if they have any specific recommendations as we are used to answering these questions from our patients.

Are tampons safe?

As a general rule tampons are very safe. Just make sure to change on a regular basis as per manufacturer's instructions. Years ago some patients developed an illness know as Toxic READ MORE
As a general rule tampons are very safe. Just make sure to change on a regular basis as per manufacturer's instructions. Years ago some patients developed an illness know as Toxic Shock Syndrome which could be serious. At the time it was felt to be due to a certain type of tampon that is no longer available. In the last 20 years I have seen no cases of Toxic Shock even in patients that left their tampons in for days if not weeks (not advisable). Patients of all reproductive ages seem to do fine with tampons although there are occasional patients who have trouble placing or removing. If that is the case just check with your gyn health care provider.

Fever

Yeast infections should not cause a fever, even low-grade. Without being able to do a thorough physical exam and reviewing all your labs and X-rays, it will be impossible to know READ MORE
Yeast infections should not cause a fever, even low-grade. Without being able to do a thorough physical exam and reviewing all your labs and X-rays, it will be impossible to know what the cause might be. Would discuss with your healthcare provider to see what he/she thinks the reason might be. Could still be gyn-related and, if suspicious, would definitely pursue further. If any chance of pelvic/tubal infection, that needs to be addressed, the sooner the better.

I am 8 months pregnant and had some spotting. Could this mean anything abnormal?

The spotting may or may not be important. Reassuring reasons could be from cervical irritation such as after a cervical check in the office or possibly even after sexual activity. READ MORE
The spotting may or may not be important. Reassuring reasons could be from cervical irritation such as after a cervical check in the office or possibly even after sexual activity. Could sometimes be due to vaginal irritation such as a yeast infection. Could also be a sign of something not reassuring such as a placental issue but that is usually accompanied by pain and chronic bleeding. Need to make sure having good fetal motion. If having contractions or any concern regarding presence or level of fetal motion need to let OB provider know. Depending on the reason for the bleeding if you have a negative blood type that would need to be addressed as well. All things considered I would let your OB provider know regarding the spotting so they can help you figure out if further evaluation is needed or can be followed.

What are the risks of high blood pressure in the sixth month of pregnancy?

Tough to answer without more detailed info. Hypertension during pregnancy can be a significant risk.All pregnancies with elevated BPs are high risk it just a matter of how risky. READ MORE
Tough to answer without more detailed info. Hypertension during pregnancy can be a significant risk.All pregnancies with elevated BPs are high risk it just a matter of how risky. If she had elevated BPs prior to pregnancy and not that much increased over what she had in the past then will need to followed closely and make sure baby grows and a normal pace and she has frequent visits especially in the last 2 months. She is at higher risk of developing preeclampsia which can also be a significant problem depending on when it develops and how severe it is. Discuss the signs and symptoms with your provider. Bottom line hers is a high risk pregnancy just hard to know how much of a risk without more and detailed information.

Can a massage after pregnancy help me gain strength faster?

there could be many reasons that you could be feeling more tired/ feeling run down after your delivery but would depend on several factors such as route of delivery, difficulty READ MORE
there could be many reasons that you could be feeling more tired/ feeling run down after your delivery but would depend on several factors such as route of delivery, difficulty of labor, sleep patterns etc. When you ask about strength it would depend on what part of your body you are referring too. Are you worried about certain muscle groups or just overall sense of energy. A massage will certainly help promote relaxation and decrease strength which will help in overall sense of well being whereas if you have concerns with specific muscle groups you might need to discuss with your provider to see if you might benefit from physical therapy. Since postpartum moms are generally healthy young women you should recover with time. Delivery (no matter which route) is an extremely physically demanding process and can take time to recover but as long as your blood counts are normal (not anemic) and no other issues (thyroid for example) you should be fine. Also sleep deprivation does not help.

I masturbated and I am now suffering from urine incontinence. Are the two related?

Most likely they are not related unless per chance you injured something inside the vagina which is not likely and if that was the case you would have seen bleeding. Not uncommon READ MORE
Most likely they are not related unless per chance you injured something inside the vagina which is not likely and if that was the case you would have seen bleeding. Not uncommon for women to develop some level of incontinence as they get older especially if they have had children and more likely if those deliveries were vaginal. If concerned that you might have injured something then have your GYN provider check.

Is watery discharge a sign of pregnancy?

Certainly, your discharge can change with pregnancy as a result of hormonal influences or other changes such as increased blood flow to the vaginal area, but can also be a negative READ MORE
Certainly, your discharge can change with pregnancy as a result of hormonal influences or other changes such as increased blood flow to the vaginal area, but can also be a negative sign depending where in the pregnancy you are. For example, once a pregnancy is into the second trimester or later, a change in discharge, especially if it has a watery consistency, will need to be evaluated to make sure it's not amniotic fluid. Make sure to consult with your provider.

What are ways to deal with menopause?

You are going to have to be more specific regarding what of her health issues you are concerned with but a few thoughts. 1. Different patients mean different things when referring READ MORE
You are going to have to be more specific regarding what of her health issues you are concerned with but a few thoughts.

1. Different patients mean different things when referring to starting menopause. By definition menopause if the total cessation periods while perimenopause is the typical year or so preceding menopause. Symptoms are different and treatments (if needed) are different.

2. Specific symptoms? Hot spells,night sweats, sleep disruption, libido issues, atrophy or dryness issues etc. There are so many symptoms with different treatment options that a detailed discussion is just not possible in this forum. I would suggest she speak to her health care provider and determine what is perimenopause/menopause related and what might be an indicator of some other health issue.