Marquee Notice ATTENTION: Our practice is strictly focused on gynecological problems. We do not offer pregnancy testing, confirmation, or prenatal care.

Frequently Asked Questions

Appointments and Insurance

Dr. Shoman accepts most major insurance plans, including Aetna, UnitedHealthcare and Blue Cross Blue Shield. Our staff will verify your coverage before your visit.

Most major plans also cover medically necessary gynecologic surgery, including laparoscopic and robotic procedures, and we verify your benefits before your procedure.

That depends on your insurance plan. Some plans require a referral for specialist visits, while others let you schedule directly. Please check with your insurance provider before booking.

We have two offices in New Jersey:

  • Hoboken: 104 Hudson St, Suite 2C, Hoboken, NJ 07030. Serving patients from Jersey City, Weehawken, Union City, Manhattan and Brooklyn.
  • Monday – Friday: 8:00 AM – 5:00 PM 
  • Saturday: 9:00 AM – 3:00 PM
  • Hasbrouck Heights: 777 Terrace Ave, Suite 302, Hasbrouck Heights, NJ 07604. Serving patients from Hackensack, Lodi, Wallington, Little Ferry and Ridgefield.
  • Monday – Saturday: 9:00 AM – 5:00 PMPhone: 201-342-7002 | Fax: 201-342-7055 | Email: info@hackensackcmigs.com

To book, call either office or request an appointment online.

No. Our practice is strictly focused on gynecological problems. We do not offer pregnancy testing, confirmation or prenatal care.

Please bring:

  • Any recent imaging, such as ultrasound, MRI or CT scans
  • Operative reports from any prior surgeries
  • A timeline of your symptoms
  • A list of your questions and concerns

At your visit, you can expect a detailed medical evaluation, a clear explanation of the findings, a personalized treatment plan, and a discussion of both surgical and nonsurgical options.

Medically necessary gynecologic surgery is typically covered by most major insurance plans, though coverage varies. Our staff will verify your benefits and tell you about any out of pocket costs in advance.

We care for women and adolescents aged 12 and older.

You can use the MyChart patient portal. It lets you:

  • See your test results
  • Request prescription refills
  • Schedule and manage appointments
  • Message your healthcare providers directly

Surgery and Recovery

Yes. Most minimally invasive procedures are outpatient, and most patients go home the same day. More complex cases may need a short stay.

Operating time ranges from 20 to 30 minutes for a diagnostic laparoscopy to 1 to 3 hours for a hysterectomy or extensive endometriosis excision. Your total time at the facility, including preparation and recovery, is typically 4 to 6 hours. You can’t drive yourself home, so please arrange a ride in advance.

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It depends on your procedure, and Dr. Shoman’s instructions for you always come first. As a general guide after minimally invasive surgery:

  • Work: Many patients return to desk work within one to two weeks. Physically demanding jobs need more time, and Dr. Shoman may recommend waiting 4 to 6 weeks if your job involves heavy lifting.
  • Exercise: Light walking is encouraged early on. Full exercise clearance usually comes around three to four weeks. Don’t lift anything heavier than a gallon of milk until Dr. Shoman clears you.
  • Driving: You can’t drive on the day of surgery. Wait until you are off the stronger pain medicine.
  • Sex: After keyhole ovarian cyst removal, often around two weeks, and a little longer after open surgery. After a hysterectomy, sex is generally paused for six weeks.

 

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It depends on how it is done.

  • Keyhole (laparoscopic) or robotic surgery: This is the gentlest option and the one we use whenever we safely can. It works through a few tiny incisions, and many women go home the same day or after one night.
  • Open surgery: A very large cyst, or any concern about cancer, may need open surgery through a single larger incision. Healing takes longer.

Whenever it is safe, we remove only the cyst (a cystectomy) and leave your healthy ovary in place to protect your hormones and fertility.

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  • After keyhole surgery: Most women are back to gentle everyday life within a week or two. The deeper healing settles over about four to six weeks.
  • After open surgery: Plan on six to eight weeks of taking it easy, and up to twelve weeks before everything feels fully healed.

Short, easy walks in the first week help more than rest alone.

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Most of what you feel afterward is your body healing, and it fades. Common side effects include:

  • Tiredness for a few days to a couple of weeks
  • Bloating and gas, mostly from the air used during keyhole surgery
  • Mild nausea or lightheadedness from the anesthesia, usually gone within a day
  • A scratchy throat from the breathing tube
  • Sluggish, slightly constipated bowels
  • Light spotting and a change in your next cycle or two

Call us for a fever, pain that is getting worse instead of better, heavy bleeding, or anything oozing from an incision.

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Usually only a little, and mostly when the cyst was large. You lose the weight of the cyst and any fluid it held, and you may look less bloated once the swelling eases. This is not weight loss surgery, though. It does not affect body fat.

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Many women get their first period about four to six weeks after surgery. It may be heavier, lighter or crampier than usual while your hormones settle. Because keeping the ovary means you keep ovulating, your cycle usually returns to its normal pattern within one or two cycles.

If your periods stay irregular or painful well beyond that, mention it at your follow up visit. We can check for conditions such as endometriosis or PMOS.

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It depends on the type of surgery:

  • Hysteroscopic myomectomy: Most women return to normal daily activities the next day and to work within 1 to 2 days.
  • Laparoscopic or robotic myomectomy: Most women return to desk work within 1 to 2 weeks, moderate exercise at weeks 3 to 4, and full strenuous activity by weeks 4 to 6, with Dr. Shoman’s clearance.
  • Open myomectomy: Plan on 4 to 6 weeks before desk work and 6 to 8 weeks before full activity.

If you plan to get pregnant, Dr. Shoman typically

recommends waiting 3 to 6 months after a laparoscopic myomectomy so the uterine wall can heal.

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Yes. If your ovaries are removed, you will have an immediate hormonal shift into surgical menopause. If your ovaries are preserved, they keep producing hormones normally, and a hysterectomy alone will not cause surgical menopause.

Removing the ovaries is a separate decision from the hysterectomy itself. Healthy ovaries are usually left in place unless there is a medical reason to remove them.

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Yes. Dr. Shoman evaluates cases involving fibroids, endometriosis and complex pelvic conditions. He understands both traditional and minimally invasive surgical options, so you get a complete picture of what is available to you.

Many insurance plans cover second opinion consultations, particularly before major procedures like a hysterectomy. A second opinion visit usually takes longer than a standard visit because we review your prior records and imaging in detail. Please bring your imaging results, operative reports and a timeline of your symptoms.

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Conditions

bowel movements or urination, heavy or irregular bleeding, fatigue, bloating, and difficulty getting pregnant.

Diagnosis is based on:

  • A review of your symptoms and medical history
  • A pelvic exam
  • Imaging, such as a transvaginal ultrasound or an MRI
  • When needed, a diagnostic laparoscopy with biopsy, which is the gold standard for confirmation

No single blood test confirms endometriosis. An ultrasound can show some signs, such as ovarian cysts, but it cannot find every case, especially small surface lesions. See a specialist if you have severe or persistent pelvic pain, especially if it disrupts your daily life or standard treatments have not helped.

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Yes. Endometriosis can persist or keep growing after a hysterectomy. This is more likely if disease outside the uterus was not fully treated during the original surgery, or if the ovaries were kept.

Removing the ovaries takes away the main hormonal driver and greatly reduces the chance of symptoms continuing, but it does not guarantee they will stop in every case.

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A phantom period means feeling the signs of a period, such as cramping, bloating, sore breasts, fatigue and mood changes, without any bleeding. It is an everyday term rather than a medical diagnosis, but the symptoms are real.

There is usually a cause, such as:

  • A skipped ovulation
  • Hormonal birth control or a hormonal IUD
  • Perimenopause
  • Stress or thyroid changes
  • PMOS or endometriosis
  • Early pregnancy

 

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Usually a few hours to about a week. How long depends on the cause:

  • Ovulation: often a day or two
  • Stress: several days
  • Birth control, PMOS or perimenopause: often several days, and may come back each month
  • Endometriosis: can last across much of the cycle

See a gynecologist if symptoms last longer than a full cycle, return every month for no clear reason, or keep getting worse.

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Some women do report symptoms like a period after a hysterectomy, especially if the ovaries were left in place. The ovaries can keep cycling through hormonal changes even without a uterus.

If the pain returns or persists after a hysterectomy, especially if it follows a monthly pattern, see a specialist. It can be a sign of endometriosis that was left behind.

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Most ovarian cysts do not. The vast majority are functional cysts, which are harmless and do not affect fertility. Pathological cysts, mainly endometriomas, are the ones most strongly linked to fertility problems.

If you are trying to get pregnant:

  • Small, simple cyst: Monitoring is usually best.
  • Large or pathological cyst: Dr. Shoman may recommend removing it first. He performs a laparoscopic cystectomy designed to protect healthy ovarian tissue.

 

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They carry different risks.

  • Ovarian cyst: A fluid filled sac on the ovary. Most are functional and go away on their own. A cyst that bursts and causes severe pain, heavy internal bleeding, fever or signs of shock is a medical emergency.
  • Fibroid: A solid, noncancerous growth in or on the wall of the uterus. Fibroids more often affect quality of life through heavy bleeding, pain or fertility problems. Small fibroids without symptoms may simply be monitored.

A proper diagnosis is what tells you how serious your own case is.

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Not completely. A healthy diet and exercise can slow growth and help manage symptoms, but they will not make established fibroids disappear. There is limited evidence that vitamin D may help reduce fibroid size, but it is not a cure on its own, so talk to your doctor before taking supplements.

For small fibroids without symptoms, a healthy lifestyle may be enough to keep them manageable. Large or severely symptomatic fibroids usually need a procedure, such as uterine fibroid embolization or a myomectomy.

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Not all fibroids affect fertility, but some can. The risk is higher with large or numerous fibroids, or fibroids in certain parts of the uterus. They can:

  • Block the fallopian tubes
  • Change the shape of the uterine cavity, which makes implantation harder
  • Change blood flow to the uterus

Fibroids that distort the uterine cavity can also increase the risk of miscarriage. If you are having trouble getting pregnant, a consultation can show whether your fibroids are a factor.

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Doctors grade uterine prolapse in four stages:

  • Stage I: The uterus drops into the upper vagina. Many women have no symptoms or only mild pelvic heaviness.
  • Stage II: The prolapse reaches the vaginal opening, often causing bulging, pressure and changes in urination.
  • Stage III: The prolapse extends beyond the vaginal opening.
  • Stage IV: The uterus is completely outside the vaginal opening.

Mild to moderate prolapse can often be treated without surgery, with pelvic floor physiotherapy, a pessary (a removable support device) and lifestyle changes. Surgery is more commonly recommended at Stages III and IV.

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Yes. In May 2026, an international consensus published in The Lancet renamed polycystic ovary syndrome to polyendocrine metabolic ovarian syndrome, or PMOS. The old name was misleading: most people with the condition do not have true ovarian cysts. It also suggested a purely gynecologic problem, when the condition affects hormonal, metabolic, reproductive, skin and mental health together.

If you have already been diagnosed with PCOS, that diagnosis stands. You do not need repeat testing or a new evaluation. Your medical records and insurance coding may still say PCOS during the transition.

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