Megan Pallister, MD

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United States
Houston, TX
Megan Pallister, MD

OBGYN

11/10/2025

✨this moment✨

Thanks to my sweet patient for capturing and sharing this photo. Forever grateful to do what I do
*shared with permission

09/12/2025

When the patients love your Nurse and PA, it makes the world of a difference! So thankful for this team! 💕

05/20/2025

There are multiple ways to make patients feel more comfortable during these procedures.
3 things I offer everyone:
1. Cytotec (misoprostol)- This is an oral medication you’ll take the night before and the morning of which helps to soften your cervix.
2. High dose ibuprofen 30 minutes before
3. Anti-anxiety medication like Xanax 30 minutes before

Let’s talk about the cervical block. This is injected lidocaine into four quadrants of the cervix. A cervical block can numb the cervix and the lower part of the uterus, but it does not numb the portion of the uterus where the IUD is placed. While a typical IUD procedure takes 2 minutes, this additional procedure can take another 5 minutes. It also requires a ~4 inch spinal needle —The needle alone can cause patient severe anxiety. Also, the procedure of injecting those four quadrants can be quite painful. We can do this, but you should know the facts!

IUDs can be placed under sedation or general anesthesia in the operating room after thorough counseling. We do not have anesthesiologists or sedation equipment in the office - so this is done in an OR setting.
Other things I have and will try/have tried:
- hurricane spray/spraying lidocaine on the cervix
- Inserting lidocaine into the endometrial canal

One other thing I have changed in the last few years is not using a tenaculum on the cervix. This is a sharp instrument that we used to use to grab the cervix and help maneuver the IUD into the correct position. I find that using a different type of softer clamp is much less uncomfortable for the patient and still gets the job done. It doesn’t cause any bleeding as it doesn’t poke holes in the cervix like a tenaculum does.
I have definitely changed my practice since I first started out in private practice 9 years ago. I am always trying to learn the best practices and make any procedures easier for my patients.
I truly believe the faster the procedure is, the better. You need someone quick (who does these a lot). The use of distraction is also key!

03/25/2025

Turning 40 this year really brought perimenopause to the forefront for me. I also have at least 10-15 patients ask me about this a week, so I’m invested into educating and continued learning about this topic!

It’s a tough subject for many reasons, which I’ll breeze through a few below. Just know, I am committed as much as you to getting to the bottom of this!

🔥 There is no true ‘definition’ of perimenopause, like there is for menopause 12 months with no periods)
🔥There is no test to determine if you are in, going through, or meeting perimenopause.
🔥 While there are many reasons to test your hormones, testing them in this phase of life is not helpful —- what IS helpful is reviewing your symptoms with your doc, and treating them one by one. This is difficult to grasp for some (mainly because there are all these companies testing your hormones—but the reality is at the core of this, we’re all using the same treatments! So shouldn’t this be tailored to SYMPTOMS and not NUMBERS?)
🔥 Nearly every woman’s symptoms are different. There is lots of overlap, but most symptoms vary in frequency and severity.

12/23/2024

Happy everything!! From my family to yours ❤️

Address

1111 Augusta Drive
Houston, TX
77057

Telephone

+17134422400

Website

https://www.kelsey-seybold.com/find-a-houston-doctor/megan-pallister-obgyn

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