Phone: 305-596-3744
Fax: 305-596-3676
The Association of Minimally
Invasive Gynecologic Surgeons
...dedicated to healthy lifestyles and safe, state-of-the-art surgery
for women of all ages.
The Association is dedicated to safe, state-of-the-
art, innovative surgeries and healthy lifestyles for
women of all ages. In a nurturing environment,
the physicians and staff strive to promote a part-
nership in your healthcare and make every effort
to bridge the sterile science of diseases with your
emotional, physical, and spiritual needs. Every-
one is confronted with difficult healthcare deci-
sions at one time or another. You’ll want your
physician and staff to have the knowledge, experi-
ence, and sensitivity to guide you safely through
the decision-making process.
The Association for Minimally Invasive Gyneco-
logic Surgeons provides comprehensive gyneco-
logic office and surgical healthcare. The physi-
cians are certified in laparoscopy and hys-
teroscopy and are experts in advanced gyneco-
logic surgery. Doctors Pietro and Whitted are na-
tional speakers, trainers, and researchers in ad-
vanced surgical techniques. In addition, Doctors
Pietro and Whitted are Certified Menopause Clini-
cians who educate, train, and research the sci-
ence of menopause. Finally, they are certified in
advanced colposcopy
Doctors Whitted and Pietro offer expert care in the
following areas:
If you need surgery, the Doctors perform most
gynecologic surgeries with minimally invasive
techniques to reduce hospitalization, recovery,
scarring, discomfort and absence from work in
most cases.
...affects millions, costs billions. preventable and treatable.
Osteoporosis, a potentially painful and
crippling disease, affects 23 million Ameri-
can women, 75% of whom don’t even
know that they have it. While some bone
loss can be expected as part of the normal
aging process, osteoporosis occurs when
bone loss is so severe it causes bones to
become porous, brittle, and likely to break.
Half of all women past menopause have or
are at high risk of developing osteoporosis.
Osteoporosis is often called the “silent dis-
ease,” because it doesn’t produce symp-
toms until a fracture occurs. The bones
most likely to break are the hip, spine, and
forearm. One in three post-menopausal
women will experience an osteoporosis-
related fracture. In fact, a woman’s risk of
hip fracture alone, the most painful and
debilitating of fractures, equals her com-
bined risk of developing breast, uterine,
and ovarian cancer. 50% of hip fracture
survivors require assisted living, 20% die
within one year after fracture.
The related costs of osteoporosis exceeds
$14 billion annually. The personal conse-
quences of untreated osteoporosis may be
loss of independence, pain, deformity, dis-
ability——-even death.
Paul A. Pietro MD
R. Wayne Whitted MD, MPH
Marina Santana MMS, PA
Janet Levick, Office Administrator
8740 North Kendall Drive
Suite 101
Miami, Florida 33176-2212
Abnormal Paps (HPV) Fibroids (Leiomyoma)
Abnormal Menstrual Cycles Loss of Urine
Bladder Prolapse Menopause
Chronic Pelvic Pain Ovarian cysts
Endometriosis Rectocele
Ectopic Pregnancy Uterine Prolapse
Family Planning Vaginal Prolapse
***Evaluation and Diagnosis of Gynecologic Cancers
Association of Minimally
Invasive Gynecologic Surgeons
dedicated to healthy lifestyles and safe, state-of-the-art, innovative surgery for women of all ages
Am I at risk of having osteoporosis?
Your chances of developing osteoporosis are greater
if you are female and answer “yes” to any of the fol-
lowing questions:
Are Your…?
Light skin
Thin or small framed
Approaching or past menopause
Milk intolerant or have a low calcium intake
A cigarette smoker or drink alcohol in excess
Taking thyroid or steroid medication
Do you have…?
A family history of osteoporosis
Chronic intestinal disorders
A sedentary lifestyle
The Good News!
Today, doctors are better equipped to detect and
treat bone loss in its earliest stages. This can help
prevent the disease or lessen its impact. Also, sev-
eral drug therapies now available have been shown
to be effective in slowing down or reversing the
bone-loss process.
The diagnosis and treatment of osteoporosis should
begin first with a measurement of your current bone
Measuring Bone Density with ultra-, reliable, and conven-
There are several ways to measure bone density, most
of which involve the use of x-ray radiation. X-ray based
methods usually take a bone density measurement of
your hip, spine, forearm or heel.
The ultrasound heel bone densitometer uses radiation-
free ultrasound technology to estimate the bone density.
The heel site is used because it contains a high per-
centage of the kind of bone most affected by osteoporo-
During the ultrasound exam, two soft rubber pads come
in contact with your heel. These pads send and receive
high-frequency sound waves through the heel bone.
The test is performed in a seated position with your
bare foot placed and comfortably secured in the ultra-
sound unit. Socks or stockings must be removed for
the sake of accuracy. The entire procedure takes 1
Preparing for an Ultrasound
Bone Density Test
Wear socks, anklets or knee-high stockings.
Panty hose will have to be removed.
Remove ankle bracelets or other ankle or feet
jewelry. This interferes with the test.
Inform your operator if you have an open sore
or cut on either foot.
Osteoporosis prevention and
Fortunately, there are steps you can take to pre-
vent the development of osteoporosis. Even if
you already have the disease, these measures,
along with therapies your doctor may prescribe
Make calcium-rich foods a regular part of your
diet Total calcium intake/day = 1500 mgs.
If you don’t eat adequate calcium then con-
sider calcium and vitamin D supplements.
Exercise regularly. Walking, jogging, or other
weight-bearing exercises are beneficial.
Don’t smoke.
Reduce your intake of soft drinks and coffee.
Drink alcoholic beverages in moderation.
Be informed about osteoporosis pharmaceuti-
cals used for prevention and treatment.
Bisphosphonates (Actonel, Fosomax)
SERMS (Raloxifene)
Miacalcin Nasal Spray
Hormone Replacement therapy
PTH Injectable
Calcium rich foods include:
Milk (1 glass) 350 mg
Yogurt 1 cup 290 mg
Cheese (1 slice) 350 mg
Ice Cream (1/2 cup) 93 mg
Fortified Orange Juice 350 mg
Soy beans 1 cup 175 mg
Bread 1 slice 25 mg
Broccoli 1/2 cup 38 mg
Normal Bone Osteoporosis