Jane Ellise Javier, MD

15/06/2026

Smaller incisions, faster recovery, and expert care.
Your journey to better women's health just got closer. Laparoscopic surgery for ovarian cysts, myoma, hysterectomy, and ectopic pregnancy is now available at Antipolo Doctors Hospital. 😊✨️
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08/06/2026

🎙️ POGScast Episode 15 | Hysteroscopy: Gaano ito kaepektibo sa pagsilip sa lining ng matres?

May abnormal bleeding ba? Nahihirapang mabuntis? O may nakitang pagbabago sa loob ng matres na kailangang masuri nang mas mabuti?

Sa episode na ito ng POGScast, alamin kung paano ginagamit ang hysteroscopy upang direktang masilip ang loob ng matres, matukoy ang posibleng sanhi ng mga sintomas, at makatulong sa tamang diagnosis at paggamot. 🩺✨

Samahan tayo sa isang makabuluhang talakayan kasama ang ating mga eksperto habang sinasagot nila ang mga karaniwang tanong tungkol sa hysteroscopy—kung kailan ito ginagawa, paano ito isinasagawa, at anu-ano ang mga benepisyo nito para sa kalusugan ng kababaihan.

📅 Martes, June 9
🕗 8:00 PM
📍 POGS YouTube Channel

Mag-subscribe at i-click ang notification bell para hindi mahuli sa usapan! 🔔

03/06/2026

01/06/2026

CLINIC ADVISORY:
No clinic tomorrow at Taytay Doctors Multispecialty Hospital 10am-12pm.
You may follow up or book your consult at Ortigas Hospital and Healthcare Center (OHHC) rm 4007 1-3pm

Thank you!

27/05/2026

RATING OUR COMPLEX GYNECOLOGIC SURGERY CASES/REFERRALS TO ADVANCED PELVIC SURGERY (APS) 🥰🥲
Part 1: PELVOABDOMINAL MASS/BIG MYOMAS

There are surgeries that challenge you technically… and then there are surgeries that remind you just how unpredictable the human body can be.
This is a case of a patient with a uterine myoma so huge that it had already grown around 20 times larger than the normal uterus. It occupied almost the entire abdomen and made the surgery especially difficult — not just because of the size, but because we were doing everything we could to safely remove it while preserving the uterus.

For those unfamiliar, uterine myomas (also called fibroids) are non-cancerous growths arising from the muscle of the uterus. They are actually very common in women, especially during the reproductive years. Some women never even know they have them, while others experience symptoms like heavy bleeding, prolonged periods, pelvic pressure, bloating, frequent urination, constipation, or an abdomen that seems to be “getting bigger.”

One of the most common questions people ask is:
“Can myoma become cancer?”
In the vast majority of cases, no — myomas are benign. But when they become very large, they can still cause major problems and sometimes make surgery much more complicated.

Another common question is:
“Can the uterus still be saved?”
The answer depends on the size, location, blood supply, and number of myomas. In this case, retaining the uterus was challenging, but carefully planned surgery made it possible.

Cases like this are a reminder of why regular check-ups matter. Many women ignore symptoms for years, thinking the heavy bleeding or abdominal enlargement is “normal,” until the myoma has already reached an extreme size.

26/05/2026

🩸 **UPDATED ACOG GUIDELINES: A New Standard of Care for Postmenopausal Bleeding (PMB)** 🩸

Have you heard about the major shift in how we evaluate postmenopausal bleeding? In April 2026, the American College of Obstetricians and Gynecologists (ACOG) released a vital update that changes the way we approach patient safety and diagnostics.

Here is what healthcare professionals and patients need to know:

🔄 The Big Change: Moving Beyond the "4mm Rule"

⛔️The Old Way:
For years, a transvaginal ultrasound showing an endometrial thickness (lining) of 4mm or less was considered the "all-clear" signal to safely skip a biopsy.

✅️The New Way: Relying only on ultrasound can falsely reassure patients. Recent data shows that a worrying 5% to 12% of endometrial cancers were being missed using the ultrasound-only approach.

✨️The Current Standard: ACOG now recommends a dual approach—combining both a transvaginal ultrasound and an endometrial tissue biopsy for the initial evaluation of most patients experiencing PMB, regardless of what the ultrasound thickness says.

🔬 Why Sample Even if the Lining is < 4mm?

An ultrasound only measures thickness, but it cannot see the cellular level. Performing endometrial sampling even on a thin lining (< 4mm) offers critical advantages:

✅️ Catches Aggressive Cancers: High-grade, aggressive malignancies (like Type 2 endometrial cancers) often present with a deceptively thin or normal-looking lining.
✅️ Eliminates False Reassurance: It ensures that early-stage cellular changes or pre-cancers aren't overlooked simply because they haven't thickened the tissue yet.

🔎 Diagnostic Tools: Hysteroscopy-Guided Biopsy vs. Pipelle & D&C

When sampling is required, how we collect the tissue matters.
Here is why a Hysteroscopy-Guided Biopsy is the gold standard compared to older methods:

⭕️vs. Pipelle (Blind Office Biopsy): A standard Pipelle is a blind procedure that only samples a small percentage of the uterine cavity. It can easily miss localized abnormalities like polyps or small, focal cancerous lesions. Hysteroscopy provides direct visualization, allowing us to see and biopsy the exact problem area.

⭕️vs. Traditional D&C: While a D&C clears out more tissue, it is still largely a blind scraping procedure that carries the risks of general anesthesia or operating room costs. Hysteroscopy allows for an accurate, targeted, and less invasive look under direct sight.

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✨️The Bottom Line: Postmenopausal bleeding is never something to ignore, and a thin ultrasound reading is no longer a definitive green light. Early, comprehensive detection saves lives.

26/05/2026

East Avenue MIAGS Fellows and Resident rotator represent!😊🙌😂
Yung napunta na kami sa Rizal area para mag MIAGS. Sobrang aliw ng OR na to 😊😆
Thank you Doc Lexie and KV! 🥰

26/05/2026

Another successful Total Laparoscopic Hysterectomy with Bilateral Salpingo-oophorectomy done together with the Minimally Invasive and Advanced Gynecologic Surgery (MIAGS) team. 💚

This patient was initially scheduled for surgery because of endometrial hyperplasia, but during the procedure, we unexpectedly found multiple myomas that were not seen on ultrasound, making the uterus much more enlarged than anticipated. Despite the added challenge, the surgery was completed successfully through a minimally invasive laparoscopic approach.

One of the biggest advantages of laparoscopic surgery is faster recovery for patients — smaller incisions, less pain, less blood loss, and shorter hospital stay. By the next day, our patient was already ambulatory, comfortable with minimal pain, and ready for discharge.✨️

The operating room is never just about talent. It’s about preparation, teamwork, staying calm under pressure, and trusting the people beside you. Always grateful to work with a team that shares the same commitment to safe and compassionate patient care. 🥰😊

🏥 Ortigas Hospital and Healthcare Center
OBGYN/Minimally Invasive Advanced Gynecologic Surgeon: Jane Ellise Javier, MD
Anesthesiologist: Dr Marilet Caluag
OB/MIGS Assist: Dr Lexie Martinez
OB 2nd Assist: OBJCon Dr Kaye Octavio
Scrub and Circulating Nurses: Maam Jas and Sir Reggie

14/05/2026

Heavy, prolonged, or irregular bleeding is never something to ignore.

Sometimes, the cause may be polyps, submucous myoma (fibroids), or a thickened endometrium — conditions that hysteroscopy can diagnose and treat with precision, often without major surgery.

Hysteroscopy allows us to directly see what’s happening inside the uterus, helping patients get accurate diagnosis, targeted treatment, faster recovery, and better outcomes.

If your bleeding feels unusual, excessive, or keeps coming back, don’t wait for it to worsen. Early consult can make all the difference. 🤍

— Dr. Jane Ellise Javier
OBGYN • Minimally Invasive Gynecologic Surgeon

14/05/2026

Heavy, prolonged, or irregular bleeding is never something to ignore.

Sometimes, the cause may be polyps, submucous myoma (fibroids), or a thickened endometrium — conditions that hysteroscopy can diagnose and treat with precision, often without major surgery.

Hysteroscopy allows us to directly see what’s happening inside the uterus, helping patients get accurate diagnosis, targeted treatment, faster recovery, and better outcomes.

If your bleeding feels unusual, excessive, or keeps coming back, don’t wait for it to worsen. Early consult can make all the difference. 🤍

— Dr. Jane Ellise Javier
OBGYN • Minimally Invasive Gynecologic Surgeon