Dr. Alfredo Nieves

Gynecology
GA
42 years experience male

Locations

Office

GA

Address

GA
Directions

My office hours

Thursday: Closed
Show more

About

Bio

I finished my ob-gyn residency in 1988. Went on to serve the USAF for 4 years. I have been in private and academic practice since 1993. I speciaize in the medical and surgical diagnosis and treatment of chronic pelvic pain. I also specialize in Vaginal pelvic reconstructive surgery for the treatment of vaginal / uterine prolpse and urinary stress incontinence. For the overactive bladder we offer Interstim neurosacral modulation and physical therapy for pelvic floor rehabilitation. I have special interest and expertize in painful vulvar disorders(vulvodynia), pudendal neuralgia, also problematic recurrent vaginal infections.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Gynecology

Urogynecology

Licenses

United States: Georgia

Doctor Q&A

411 Answers
85 Agrees
The number of answers this doctor has agreed with.
A 42-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
IC: As the bladder regenerates and the inflammatory response stabilizes, the ability of the bladder to relax improves. The bladder becomes more flexible a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
IC: There are 3 basic ways of diagnosing ic, history of urgency/frequency, pain with full bladder and on exam pain over the bladder in the abscence of inf... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: For some patients work as long as they stick with diet modification.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
IC: If you are asking if an indewelling catheter in the bladder reliefs the symptoms the answer is no. If intermitent catheterization, specially if medica... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Pain: Pain is an unpleasant sensory and emotional experience associated with actual and potential tissue damage. 40% of patient with chronic pain may have s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: You may have increase preassure inside your head or side effect from medication.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Trigeminal neuralgia: Gabapentin, lyrica, (pregabalin) elavil, Gabitril could be medications that you may want to ask your doctor about.
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Tolerance: You may need higher doses of any opiod.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
No: Not really. The pelvic exam can rule out any masses or major abnormalities. Pcos is diagnosed based on clinical findings and abnormalities in blood wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
BCP: Works in three ways, 1- by inhibiting ovulation, 2-by creating a very thin lining(endometrium), making it difficult for a fertilized egg to implant in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
GC: Get treatment fast and your partner needs to get tx as well. You can go to the local health center and get treated with antibiotics.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Some mild: Mild to moderate cramps during the first couple of days after insertion. Could cause moderate to severe menstrual cramps, irregular bleeding that can ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Safety: Yes it is ok. But remember always consult with the prescribing physician.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
No: Addiction is a separate condition, you may become dependant. Dependence means that you will have withdrawal symptoms if medication is stopped abruptly... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: Endometriosis is the implantation of tissue from the lining of the uterus outside of the uterus that can cause severe pain. Symptoms can present at an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Ic pain: Pain related to ic is better treated with medications like elmiron, (pentosan) hydroxyzine, bladder installations, change in diet, biofeedback, Gabape... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Biopsy endo: Endometriosis may look like many other things especially atypical endometriosis, for which reason a tissue diagnosis is very important to accurately d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
PID vs Endo: Pid is a sexually transmitted disease that causes pain with menses and with intercourse, may block the tubes and cause infertility similar to what end... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Endometriosis: Via a colonoscopy and biopsies of suspicious areas and by doing cystoscopy and biopsies as well. Imaging studies like ct, mri, ultrasound can help wit... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Vaginitis: Only 20% of the women that think that they have yeast infection have yeast. You need to be seen and have a wet prep done by your gyn to determine if y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
BCP : If you have never been sexually active and are less than 21 years of age, you don't need a pap prior to start bcp . On the other hand you need a pelvi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Nipple discharge: Could be secondary to increase activity of the pituitary gland, hypothyroidism, pituitary adenoma(tumor of the gland), medications, chronic stimulatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: No problem with using tampons. Remember to use non scented tampons and change it frequently.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Menstrual calendar: Normal periods come anywhere from 21-35 days apart and should last less than 8 days, and wear less than 8 pads or tampons per day. There should not be... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Vulvodynia: This may ne secundary to a condition called vulvodynia. You need to be evaluated to rule out any underlying infection. Try eliminating bleach, fabric ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
IC: Nuts in general are under the foods that could irritate your bladder. You have to remember that you may need to evaluate to see if you eat nuts and bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Bone density: This test is important to detect thinning of the bones. We all start loosing bone as we age and some women are more prone to loose more bone than what... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: Unusual but could be seen during the menopausal years specially if the patient is taking hormones.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: Most likely there was endometriosis present at the time of hysterectomy that was not removed. In the presence of hormonal stimulation endometriosis co... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Endo pain: Endometriosis related pain could be secondary to proinflammatory substances in the peritoneum. This substances irritate the nerve endings in the pelvi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Endo: The tubes can also be involved with endometriosis and cause tubal obstruction.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Get checked: Periods should last up to 8 days, if your periods are lasting 10 days consistently you need to see your gyn for further evaluation.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Fibroadenoma: This is benign (not cancer) tumor, I am assuming of the breast. Arising from the breast tissue forming a hard, solid mass.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Pelvic pain: This pain that is non menstrual related could be musculskeletal in origin, more of a referred pain. Pain from any organ in the pelvis can radiate pain... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Laparoscopy: I tell my patients that do sit down jobs to return to work in 7-10 days. If you lift heavy objects or your job is physically demanding allow 2-3 weeks... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Ovarian cysts: Hemorrhagic cysts specially if recurrent or persistent needs to be differentiated from endometrioma. This differentiation could be done by serial ultr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yeast?: This could be yeast, needs to be evaluated by your doctor, only 20% of the patients that think they have yeast actually have yeast.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Infection?: The vagina usually doesn't peels of, but the vulva does. Vulvar infections like routine yeast, tines crisis , and allergies to soaps anddetergents are... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
No: Ic is not infectious or transmissible.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Post coital bleeding: This not normal, it may be due to infection, irritation, or even early signs of cancer. This should be evaluated promptly.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old male asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
No big deal: There is not an efficacy superiority between the two. They carry the same side effects, risks and benefits. For some patients is ideal because the reg... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: As with any medication side effects and safety should be weigh against the benefits of the medication treating the patient.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Very unlikely: Cervical cancer is a sexually transmited disease so to speak.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
No: No cure to my knowledge but glucosamine and condroitin are good supplements that help joint pain. Also aloe vera capsules is a good anti-inflammatory.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
NSaids: One of the major side effects of nsaids is gastritis even causing ulcers. They should be taken on a full stomach and stop them if heartburn is present... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
GC: The drug of choice is penicillin in patients that are not allergic. Rocephin (ceftriaxone) or Erythromycin could be used as well.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Tylenol (acetaminophen): More than 4000 mg of tylenol (acetaminophen) a day can be cry harmful to the liver. So taking to many vicodin may cause toxicity to the liver.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Lyrica (pregabalin): Lyrica (pregabalin) is not a narcotic eventhough is a controlled substance. It is an antiseizure medication.
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Yes: We think that more women miscarry without knowing that they were pregnant.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Alfredo Nieves
Gynecology 42 years experience
Multiple causes: The most likely cause is spasms of the pelvic floor muscles. During orgasm this muscles will have rithmic pleasurable contractions. In patients with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

4
Recommendations
765
Thank you notes
Jul 9, 2012
GREAT RESPONSES AND KNOWLEDGEABLE. GREAT BENEFIT TO PATIENTS.
HealthTap member
Mar 28, 2017
Very knowledgeable on endometriosis and adenomyosis. Also on IC. I highly recommend him.
HealthTap member
Mar 30, 2015
Dr. Nieves is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
This made me feel good. Thanks! Thank you Dr. Nieces for truly easing my concern in this matter. Your time and knowledge are extremely valuable and I am deeply appreciative of your generosity to help ...Read More
HealthTap member
Thanks for your quick reply! Thank you i need to get off doctor said it was make my heart go too fast also making my breath goes to my slow
HealthTap member
This was very helpful. Thanks! Thank you - you have given me comfort and hope! I will try the kits as you suggest. Emily

Education & Training

Medical/Graduate school

Universidad Central Del Este
Graduated 1981MD

Medical/Graduate school

Universidad Central del Este
Graduated 1981MD

Residency

MAYAGUEZ MEDICAL CENTER

Awards

Teacher of the year UTCOM OBGYN RESIDENCY
Outstanding finishing resident in lalaroscopy
Top Gynecologist, First Place, Georgia - Fall
2014

Affiliations

Munson Army Hospital, Ft Leavenworth, KS
Society of Laparoscopic Surgeons - Member
AAGL
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