Doctor Rich

Doctor Rich Doctor Rich He is a certified Center of Excellence surgeon and one of only 25 da Vinci Epicenter program directors in the United States.

Texas Urogynecology & Laser Surgery Center provides expert and compassionate gynecology care to women in all stages of their lives and offers comprehensive diagnostic and treatment services for pelvic floor disorders. Dr. Farnam is board certified in both Obstetrics & Gynecology and Female Pelvic Medicine & Reconstructive Surgery (Urogynecology) and is a leader in the field of Minimally Invasive Gynecology and Laser Surgery.

06/06/2026

totally reasonable - right?

06/04/2026

Hysterectomy Recovery: 2 Weeks or 4 Months?

Are you healing "too slow" from surgery? ⏱️ Let’s talk about the surgical recovery bell curve!
When it comes to advanced robotic surgery recovery time, there is a massive spectrum. Everyone has their own completely unique pain journey! 📊 Roughly 80% of women fall into the standard 2 to 3-week recovery window. But there are always outliers!

Some individuals are in the top 10%—taking pain medication for just a single day before feeling great after complex endometriosis surgery. On the other end of the curve, it can take two to three months to fully heal. Neither experience is wrong, and no one should EVER be shamed or made to feel like they are "making it up" because their timeline looks different. 🩹❤️

⚠️ The Danger of Small Incisions: Advanced robotic surgery only leaves behind tiny cosmetic marks, which often makes patients feel overconfident. But remember: it is still major surgery on the inside! Even if you feel incredible after a week, your internal tissues need up to 8 weeks of caution. Don't bend, don't lift heavy objects, and don't try training for a marathon too early! 🏃‍♀️❌

Let's break the silence on post-op comparison traps. Your body, your timeline.

👇 What was your recovery experience like? Share your story below to help another patient feel seen!

06/02/2026

Born with TWO uteruses, TWO cervixes, and TWO va**nas? 🤯 Dr. Rich is breaking down the viral medical reality of Uterus Didelphys! 👇

Can a woman carry a baby in one womb, and then get pregnant in the other a few months later? The answers are wilder than the questions! While carrying babies of different gestations simultaneously is incredibly rare, a dicavitary twin pregnancy (twins in separate uteruses at the same time) is a documented 1-in-a-million phenomenon. Carrying sequential pregnancies years apart is much more common! 🤰✨

But here is the real clinical takeaway that many patients are completely left in the dark about: if you have a double cervix, BOTH of them require routine cervical screenings and care. You can't skip out on protecting your health just because an anatomy is rare! 🛑

Medical education should never feel cold or confusing. Let’s break down the taboos around women's health together. What questions do you have about unique reproductive anatomies? Drop them below! 💬

🌐 Learn more about comprehensive care at farnammd.com (Link in bio!)
🛍️ Outfitted by the best: 🏥✨

05/30/2026

Don't Cancel My Surgeries - Thanks

05/28/2026

The FDA just did something it hasn’t done in over 20 years. They officially reversed course on Hormone Replacement Therapy (HRT)! 🛑

For more than two decades, HRT labels carried a terrifying "blackbox warning" claiming estrogen causes breast cancer, heart disease, and dementia. Because of this, millions of women suffered through menopause entirely unnecessarily.

The problem? That warning was based on a deeply flawed 2002 study focusing on women with an average age of 63 using outdated synthetic hormones.

The science has finally caught up. New data shows women who start HRT within 10 years of menopause (usually under 60) actually:
❤️ Reduce cardiovascular disease by 50%
🧠 Lower Alzheimer’s risk by 35%
🦴 Cut bone fractures by more than half

A 30-year trial analysis of 26,000+ women found NO increased risk of cancer mortality. While HRT requires an individualized medical check (especially for those with history of blood clots or active breast cancer), the conversation has changed.

If you stopped out of fear, it’s time for a new conversation with your OBGYN. 💬

✨Host: Dr. Richard Farnam, MD, pioneer in robotic surgery & patient advocate.
🌐 farnammd.com
🔴 LIKE, SHARE, & FOLLOW. Your questions drive our content!

05/26/2026

What is robotic surgery? 🤖 Let’s pull back the curtain on the operating room! A common myth is that the robot operates entirely on its own. But as you can see here, Dr. Rich is at the console, and my movements translate directly to the robotic hands in real-time. The robot doesn’t make independent decisions; it acts as a high-tech extension of my own hands, giving me a 3D, high-definition view and extreme precision during complex procedures like endometriosis removal or hysterectomies.

The biggest win for you? The robot arms work through small incisions. Instead of a large open scar, these keyhole openings mean less pain, less blood loss, and a much faster recovery time so you can get back to feeling like yourself sooner. 🩺✨

✨About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to providing transparent, expert-level medical education for women everywhere.

🔴Don't forget to LIKE, SUBSCRIBE, and COMMENT below. Your questions drive our content—if you're thinking it, a thousand other people are too!

05/23/2026

When Family Practice Tries to Explain Surgery to You 🙃

05/21/2026

James Van Der Beek’s Diagnosis: The 1 Thing That Could Have Prevented It 💔

James Van Der Beek’s public battle with stage 3 colon cancer is a heartbreaking but necessary wake-up call for all of us. 💔 Colon cancer is one of the most preventable cancers in existence, yet it still takes thousands of lives every single year. Why? Because people are avoiding the simple screenings that catch it before it even turns into cancer.

Most colon cancers start out as tiny, benign polyps. If we catch them early during a routine screening, they can be removed on the spot before they ever pose a threat.

In my latest video (Link in Bio! 🔗), I’m breaking down everything you need to know:
👉 Why the current US guidelines recommend starting screenings at age 45.
👉 The absolute truth about the dreaded colonoscopy prep (and why it's worth it).
👉 What it actually feels like under anesthesia (Hint: you feel absolutely nothing).
👉 Non-invasive, home stool-based DNA test alternatives.

Don't let fear-mongering keep you from a simple procedure that could save your life. Watch the full breakdown on my YouTube channel now!

🌐 Connect: https://farnammd.com/
🔴 Drop your health questions in the comments below! Like, share, and save this to remind someone you love to get checked.

05/19/2026

"The best intimacy of my life in my 50s!" ✨ Can a simple pelvic laser treatment solve bladder urgency, frequent discomfort, and painful aging signs?

Dr. Rich is joined by Dr. Leila Zafaranchi, MD, to blow the lid off women's health options after menopause. A third of a woman’s life is spent post-menopause, yet millions are told to just "live with" sudden leaks, midnight bathroom runs, and frustrating intimacy issues.

In this video, we discuss:
🔬 The extreme safety of superficial medical lasers (only microns deep!).
🛑 Why traditional hormone creams don't always fix severe bladder urgency.
💡 Real patient stories: Going from constant discomfort to "life-changing" relief.
⚖️ The insurance double standard: Why are male pills fully covered while women’s pelvic advancements are ignored?

Your health shouldn't be a luxury. Watch the full breakdown to discover the hormone-free alternative transforming modern wellness!

🔴 DON'T FORGET to hit that link in our bio to watch the full episode on YouTube. Drop your questions below—if you are wondering about it, thousands of other women are too! 👇

🌐 Connect with us: farnammd.com

✨ About Your Host: Dr. Richard Farnam, MD, is a pioneer in robotic surgery and patient advocacy, dedicated to providing transparent, expert-level medical education for women everywhere.

05/16/2026

Will a hysterectomy ruin your s3x life? It’s one of the most common, unspoken fears women have before surgery. In our latest video, Dr. Rich breaks down the real medical evidence regarding intimacy after a hysterectomy—and the truth is incredibly reassuring. ✨

Data from tens of thousands of patients shows that a hysterectomy for benign conditions (like fibroids, severe bleeding, and endometriosis) does NOT worsen s3xual function. In fact, because the surgery eliminates chronic pelvic pain and heavy bleeding, many women report their s3x lives actually get much better!

But there is a catch: proper healing is everything. Dr. Rich explains the anatomy of the "va**nal cuff" (where the uterus is removed and the top of the va**na is sutured closed). To prevent severe complications like a wound breakdown, most surgeons mandate a strict 8-week waiting period before any s3xual activity.

We also dive into factors that slow down your body's recovery timeline, including:
🚬 Cigarette smoking
🩸 Poorly controlled diabetes
💊 Certain autoimmune medications

Knowledge is power! Drop your recovery questions below, share this with a sister who needs to hear it, and head to our link in bio to watch the full breakdown with real patient stories!

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4501 N. Mesa Street
El Paso, TX
79902

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