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Dr. Alfredo Nieves

Gynecology
GA
41 years experience male

Locations

Office

GA

Address

GA
Directions

My office hours

Tuesday: 7:00pm - 10pm
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 32-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Need to be evaluated: If you are not taking bcp, and this is the first time this happens, may want to watch it. If the bleeding is heavy (>8 pad per day) you need to go see... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Go get checked: If does not go away on its own, you need to get evaluated. Could be nothing or something serious, hard to tell without looking at it.
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Are you in pain: If you are not having any pain or painful intercourse, you should be ok. No need to remove it or reposition the iud.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Pelvic floor spasms: You may be experiencing spasms of the pelvic floor, themuscles that hold everything in place. Sometimes they get weak and fatgued and start getting re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Pco: Pco is diagnosed based on hormonal profile and clinical picture rather than by ultasound. You need to have a tsh, fsl/lh, dhea-s, testosterone, 17ohp ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Menses: Normal menstrual cycles are anywhere between 21 & 35 days apart. As long as the menses starts at these intervals you are ok.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Yes: You usually have urgency, frequency, feeling that you don't empty completely and burning with urination. You may or may not have fever and suprapubic ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Anxiety: Anxiety, nerves, anticipation, worrying could give you this butterfly feeling. If having heartburn you may have stomach iiritation. It is best to go s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Stretching : They can dilate/stretch your urethra.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Not uncommon : Not uncommon to skip periods while you are on birth control pills. Keep on taking your pills and if you don't have a period then do a home pregnancy... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Depo provera (medroxyprogesterone): It is not unusual to not have a period for several months after you stop Depo-Provera provera (medroxyprogesterone).
Created for people with ongoing healthcare needs but benefits everyone.
A 69-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Why so many?: Ultrasound should be adequate for evaluation of pelvis. A sonohysterogram should be the test of choice for a post menopausal thickend endometrium. You... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 52-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Hyperplasia: Tamoxifen may stimulate the endometrium to the point of inducing an overgrowth of the lining called hyperplasia. Hyperplasia may lead to endometrial c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Get evaluated: You could have multiple different reasons for pain after intercourse. You may have pelvic floor muscle spasms, vulvodynia, endometriosis, painful blad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Wait 3 months: If you don't have a period for 3 months or more i strongly recommend you go see your gynecologist. If pain is not relieved by taking over the counter ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Get evaluated: Pelvic pain could be cyclic or noncyclic. Could be from Gynecologic origin or from non gyn origin or a combination of conditions. If the pain has last... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Timed intercourse: You may want to continue to try having timed intercourse. You can check your urine using ovulation predictor kit around day 12-16 of your cycle if you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
They may: Cystoadenomas of the ovaries can recurr.
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Pad or tampon: Check and see if you are using a scented pad. You may be sensitive. Use tampon instead.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Endo treatment: The medication Danazol is a weak form of testosterone, still being used for the treatment of endometriosis related pain. Works well but side effects a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Endo: Endometriosis could affect the colon, the appendix, the liver, very rarely, lungs and brain.
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
You could: You have to try and see if your ic symptoms are aggravated by drinking each individual juice. Some people can and some others can't due to individual ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Up to 8 days: As long as you don't bleed more than 8 days and or use >8pads per day you are ok.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Ic: By having your doctor do a urine culture.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
IC pain: With the proper treatment, medications, diet.
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Elavil (amitriptyline): Elavil (amitriptyline) may be used for pain and depression, one of the side effects is somnolence so it helps with sleep problems as well.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Yes: Eventhough is associated with infertility, endometriosis does not mean infertility. Depending of the extent of the endometriosis, mild disease good ch... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Endo: Having family history of ovarian, colon and uterine cancer specially if these are first degree relatives will put you at risk for cancer not for endom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
A lot: Just so you know 650, 000 women udergo hysterectomy every year for some sort of uterine problem.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Chronic pain: Is such that has a duration for more than 3 months.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
No: Both types can be present orally or in the genitals at any given time. Infection can occur while having a fever blister and there direct contact with ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Dysmenorrhea: Pain with menses that is incapacitating, missing school or work, may be secumdary to a condition called endometriosis. In the abscence of any physical... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Not effective: The man secrets seminal fluid during intercourse that will have some sperms which will render you at risk of pregnancy, this is even before ejaculatio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Yes: Endometriosis is a chronic condition for which we do not have a cure but we can treat. If the initial surgery did not remove all the endometriosis the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Yes: The pill does not prevent or treat endometriosis.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Endo: Complications or consequences from endometriosis may include infertility, either because of tubal obstruction or endometriosis within the ovaries that... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
IUd: The procedure is done in the office and is similar to the exam for a pap smear. Speculum is inserted in the vagina and local anesthetic may be injecte... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Neuropathy: Maybe a multidisciplinary or multimodality approach can optimize yor treatment. Physical therapy, maybe acupuncture, proper socks and shoes and maybe ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
EPA il: Yes, Elavil (amitriptyline) can stimulate appetite and some pts have cravings for sweats.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
No: This viral infection does not provide immunity.
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Hypoallergenic : No bleach, no fabric softeners, no dryer sheets, no tub baths just showers, use neutrogena or aveeno (oatmeal) soap over the genitals, no wash clothe,... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Needs to be evaluate: Post menopausal bleeding could be due to overgrowth of the lining(hyperplasia), polyps, fibroids or cancer. This should not be dismissed and needs to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Tubal infertility: You have 2 options, surgery to reconstruct the tubes or invitro fertilization.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Multiple reasons: Any woman that experiences changes in the mendtrual flow, specially, bleeding 8 days or longer, needing more than 8 pads per day, bleeding in between... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old female asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
None: So far no reported health damage or deleterious side effects from repeated ultrasounds, unlike xray or ct scans.
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Not really: There are couple conditions that could explain this sensation of ripping, one vulvodynia and another skin condition called lichen sclerosis. Vaginiti... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Mobic (meloxicam): Like any NSAID long term usage should be monitored by your doctor, checking renal and liver function periodically since these drugs could be toxic on ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Scoliosis: Probably not, you may benefit from physical therapy, back and core strengthening, maybe back brace. If you have bad muscle spasms trigger point inject... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Cycle: Lets say you are on your period, estrogen and Progesterone levels are going to be at it's lowest levels. On the other hand if you were to be mid cycle... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Alfredo Nieves
Gynecology 41 years experience
Dependency: Addiction is a disease/ psychological and behavioral syndrome. Loss of control over drug, compulsive use, continued use despite harm to the user or ot... 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
763
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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