Gynecologists have a long history in the state and the county of Jessamine, but in the past several decades they’ve been forced to find new ways to serve the patients they’re charged with caring for.
The state has more than 600 gynecological hospitals, many of which operate as community health centers, according to the Tennessee Department of Health.
The most common specialty at one of those facilities is gynecology, which covers an array of conditions, including vaginal bleeding, infections, urinary tract infections and endometriosis.
The vast majority of gynecologies are located in rural areas, with many serving a small percentage of the population.
The Department of Public Health says about 50 percent of women in the Tennessee Valley, or about 11.7 million people, are under the age of 45.
But that number is up slightly since 2013, when the department reported that 18.4 percent of the women in Tennessee Valley were under the legal age of 40.
That’s an increase of more than 15,000 people since 2013.
Gynecologists are in high demand, said Dr. Robert Raskopf, who serves on the state’s medical boards.
He said that’s because they’re a key part of treating the uninsured and underinsured.
Gynecomastia, an incurable, life-threatening condition, can occur when there is not enough tissue in the pelvis, a bone structure that carries a woman’s vital organs.
The condition causes painful swelling in the vagina, cervix and anus, sometimes bleeding.
There are no treatment options and there is no cure.
It’s not known whether there are other treatments for gynecomasts.
Some gynecographers say they don’t practice the procedures, because they can’t afford to do them, or because the money is too difficult to provide.
But there are a number of factors that can lead a gynecologic doctor to choose not to practice, said Liza Riggs, a physician at The Woodlands Health System in the Nashville suburb of Brentwood.
There is no shortage of gynecommastia patients, but there are far fewer gynecarians in Tennessee than in other states, Riggs said.