expert type icon EXPERT

Dr. Karen L. Patrusky

OB-GYN (Obstetrician-Gynecologist)

Dr. Karen Patrusky is an obstretrician-gynecologist practicing in Englewood, New Jersey. Dr. Patrusky specializes in women's health, particularly the female reproductive system, pregnancy and childbirth. As an obstretrician-gynecologist, or OB-GYN, Dr. Patrusky can treat a number of health issues related to the vagina, uterus, ovaries, fallopian tubes and breasts. Dr Patrusky can also treat women during pregnancy, labor, childbirth and the postpartum period. In this specialty, doctors focus on reproductive care from puberty through adulthood.
Dr. Karen L. Patrusky
  • Englewood, NJ
  • MD at Icahn School of Medicine at Mount Sinai
  • Accepting new patients

Are sexual lubricant gels safe?

As long as you are not allergic to any of the ingredients lubricants are usually safe to use. Some lubricants may impede sperm motility and therefore should not be used if you READ MORE
As long as you are not allergic to any of the ingredients lubricants are usually safe to use. Some lubricants may impede sperm motility and therefore should not be used if you are trying to conceive.

What are the best kind of foods to have during menopause?

Eating a healthy, well-balanced diet is always the best option. Lean proteins, fruits, vegetable and whole grains are excellent food choices and precessed foods that are high in READ MORE
Eating a healthy, well-balanced diet is always the best option. Lean proteins, fruits, vegetable and whole grains are excellent food choices and precessed foods that are high in fat should be avoided. Menopause can trigger can slow a woman's metabolism so eating right and exercising is best to maintain an ideal BMI. Spicy foods and alcohol can trigger a hot flash in some women. Soy products and yams, in moderation, can help ease hot flashes in some women.

What can I do about my facial hair growth?

Excess hair growth may be genetic and is more prevalent in certain ethnicities. Sometimes an excess in some hormones or an imbalance in hormones can result in excess facial hair READ MORE
Excess hair growth may be genetic and is more prevalent in certain ethnicities. Sometimes an excess in some hormones or an imbalance in hormones can result in excess facial hair growth. the first step is to be evaluated by your doctor. Sometimes hormone levels can be checked. Then, based on those findings in combination with your physical and health history sometimes this can be treated with medication. In some women, modifying facial hygiene behaviors, and adding dipilatories or hair removal procedures are satisfactory.

Is there a special diet I should give my daughter while she's on her period?

A health well balanced diet devoid of processed foods and chemicals is always the best option.

Can fibroids cause issues in pregnancy?

The size and location of a fibroid is important in understanding how the fibroid may impact a pregnancy. Most fibroids are incidental findings. Other times fibroids can cause READ MORE
The size and location of a fibroid is important in understanding how the fibroid may impact a pregnancy. Most fibroids are incidental findings. Other times fibroids can cause pain, they can compete for blood flow with the pregnancy, fibroids can bleed and they can cause increased chance of premature contractions. There are numerous other conditions that fibroids can cause during a pregnancy. If the fibroid is removed prior to pregnancy it may weaken the uterine muscle. Often times a fibroid removal before conceiving will mandate delivery by a cesarean section.

Do I have genital warts or herpes

The best way to confirm a diagnosis is by having the lesion evaluated by a health care professional. HPV and HSV are both a viruses that can effect the genital area. Certain READ MORE
The best way to confirm a diagnosis is by having the lesion evaluated by a health care professional. HPV and HSV are both a viruses that can effect the genital area. Certain strains of the HPV can cause genital warts which look like bumps and are typically not painful. These can be excised or certain medications can be used to rid them. HSV is a virus that resides in a nerve that can erupt on the skin surface. When this occurs a painful ulcer(s) is noted. This can be treated with a medication to either treat a flare or can be used to suppress frequent occurrences. Both of these viruses are contagious. Both of these viruses are sexually transmitted. Neither of these viruses can be cured but luckily they can both be effectively managed.

Does metformin increase my chances of getting pregnant?

For women who experience anovulation, a condition that occurs with PCOS and is often accompanied by insulin resistance. In these instances metformin can regulate ovarian function READ MORE
For women who experience anovulation, a condition that occurs with PCOS and is often accompanied by insulin resistance. In these instances metformin can regulate ovarian function which can increase fertility.

Miscarriage

If a woman has a desired pregnancy, there should be 100% certainty before interrupting the pregnancy. As long as maternal health is not in danger, another ultrasound in a week READ MORE
If a woman has a desired pregnancy, there should be 100% certainty before interrupting the pregnancy. As long as maternal health is not in danger, another ultrasound in a week to confirm a non viable pregnancy is reasonable

Does I-pill affect the period cycle?

Yes, the I pill can impact a woman's cycle. It's best to use this as an emergency and not as a means of contraception.

My daughter got her first period earlier than normal. Can this have an impact on her health?

No. There should be no repercussions to this young girl for starting her menstruation at age 10 as long as she is otherwise healthy.

What is the best way to deal with my menstraul cramps?

If menstrual cramps are severe then it is best to have a visit with a health care professional to make certain there is nothing serious going on. A pelvic exam, sometimes accompanied READ MORE
If menstrual cramps are severe then it is best to have a visit with a health care professional to make certain there is nothing serious going on. A pelvic exam, sometimes accompanied by an ultrasound, can confirm normal anatomy. Once this has been assessed, conditions such as endometriosis, ovarian cyst, fibroids, etc. have been excluded then an over the counter pain reliever can be tried. If this is not effective and the patient desires and has no known contraindications then oral contraceptive pills can also help ease menstrual cramps.

Vaginal delivery after cesarean

Not all doctors are comfortable with a vaginal birth after a cesarean. There is a risk of uterine rupture. The candidate for a vaginal trial of labor after cesarean section should READ MORE
Not all doctors are comfortable with a vaginal birth after a cesarean. There is a risk of uterine rupture. The candidate for a vaginal trial of labor after cesarean section should be chosen wisely so that mother and child are safe.

Is it risky to delay my conception with PCOD?

A woman's age is a significant factor that can impact her fertility. A woman's fertility is reduced as she gets older. At 32 years of age and a diagnosis of PCOD, there are compounding READ MORE
A woman's age is a significant factor that can impact her fertility. A woman's fertility is reduced as she gets older. At 32 years of age and a diagnosis of PCOD, there are compounding factors that may make pregnancy more difficult to achieve naturally.

How to treat swollen feet in pregnancy?

First and foremost make certain that you are not demonstrating any renal or cardiovascular conditions that can otherwise impact your health. If not, then swelling of the lower READ MORE
First and foremost make certain that you are not demonstrating any renal or cardiovascular conditions that can otherwise impact your health. If not, then swelling of the lower extremities is not uncommon. Wearing support stockings may be helpful to reduce swelling during the daytime. At night, keeping the legs propped or elevated with a pillow, so that the legs are above the level of the heart, may also help in reducing swelling of the legs.

I recently experienced an ectopic pregnancy. How did this happen?

An ectopic pregnancy is when the fertilized egg, embryo, implants into the fallopian tube instead of the uterine lining. When caught early this can sometimes be treated with a READ MORE
An ectopic pregnancy is when the fertilized egg, embryo, implants into the fallopian tube instead of the uterine lining. When caught early this can sometimes be treated with a medication called Methotrexate along with close supervision. Sometimes ectopic pregnancies require surgery which entails opening the tube and removing the ectopic or removing the tube along with the ectopic. The decision which procedure to perform is determined at surgery based on the amount of bleeding, the size of the ectopic, if there is any tube to salvaged and the woman's reproductive plans in the future. Often times ectopic pregnancies occur without an obvious cause. Women who have had pelvic infection, prior surgery in the lower abdomen or pelvis and previous ectopic pregnancies have a higher risk.

What if I miss a week straight of birth control pills?

Back up contraception s a must! You will most likely get a bleed after missing your pills for a week. Count this bleed as your period and Sunday start a new pack of pills (discard READ MORE
Back up contraception s a must! You will most likely get a bleed after missing your pills for a week. Count this bleed as your period and Sunday start a new pack of pills (discard the old pack to avoid any confusion), Use additional protection until you complete this new pack. Remember, ta only condoms will protect against an STI.

I have a pus-filled boil in a very sensitive and embarrassing area. What should I do?

Sitting in a war bathtub or placing a warm compress on the area may help this boil to resolve. If it is very tender, if it is associated with a fever or if there is a large are READ MORE
Sitting in a war bathtub or placing a warm compress on the area may help this boil to resolve. If it is very tender, if it is associated with a fever or if there is a large are f surrounding redness then it is advisable to see a health care professional. This "boil" may need to be drained and it may require antibiotics to treat an infection.

I was diagnosed with inflammed pelvic disease that caused blockages. Will I ever be able to concieve?

Blocked fallopian tubes are diagnosed with either a SHG or HSG. If both tubes are blocked, then options to promote fertility would be surgery to reduce and remove scar tissue or READ MORE
Blocked fallopian tubes are diagnosed with either a SHG or HSG. If both tubes are blocked, then options to promote fertility would be surgery to reduce and remove scar tissue or to undergo IVF because this bypasses the tubes. In a woman who conceives with a history of PID or blocked tubes, she needs to be monitored early in the pregnancy to rule out an ectopic pregnancy.