Dr. Shree D. Visaria, MD

Dr. Shree D. Visaria Obstetrician and Gynecologist

Dr. Shree D. Visaria is a board-certified obstetrician and gynecologist providing women’s healthcare in Webster, Texas.

Her clinical work includes routine gynecological examinations, preventive screening, menstrual concerns, contraception, pregnancy care, menopause management, abnormal bleeding, pelvic pain, and other conditions involving the female reproductive system.

Dr. Visaria practises with Women’s Specialists of Clear Lake. Her care includes both obstetrics, which focuses on pregnancy and childbirth, and gynecology, which covers reproductive and women’s health throughout adulthood.

Patients may visit her for routine preventive care as well as a specific concern such as irregular periods, pelvic discomfort, abnormal bleeding, pregnancy-related symptoms, menopausal changes, or an abnormal screening result.

Doctor Information

Name: Dr. Shree Devi Visaria, MD
Specialty: Obstetrics and Gynecology
Board Certification: American Board of Obstetrics and Gynecology
Medical School: University of Florida College of Medicine
Medical Degree Completed: 2001
Residency: Obstetrics and Gynecology, University of Texas Health Science Center at Houston
Residency Period: 2001 to 2005
Practice: Women’s Specialists of Clear Lake
Primary Location: Webster, Texas
Hospital Affiliation: HCA Houston Healthcare Clear Lake
NPI Number: 1861489858
Language Consistently Listed: English
Accepting New Patients: Current availability should be confirmed directly with the practice
Telemedicine: Current availability should be confirmed with Women’s Specialists of Clear Lake

About Dr. Shree D. Visaria

Dr. Visaria earned her medical degree from the University of Florida College of Medicine in 2001.

She then completed four years of obstetrics and gynecology residency training at the University of Texas Health Science Center at Houston.

OB-GYN residency provides extensive training in reproductive health, pregnancy, childbirth, gynecological surgery, preventive healthcare, and conditions affecting the uterus, ovaries, cervix, vagina, and related structures.

Dr. Visaria may care for patients who need:

• Routine preventive examinations
• Pregnancy care
• Menstrual evaluation
• Contraception
• Menopause-related care
• Cervical cancer screening
• Pelvic pain evaluation
• Abnormal bleeding assessment
• Treatment of selected gynecological conditions

The exact examination or treatment depends on the patient’s age, symptoms, reproductive goals, medical history, and previous test results.

Routine Gynecological Care

Routine gynecological visits provide an opportunity to review reproductive and general health.

A visit may include:

• Medical-history update
• Menstrual history
• Medication review
• Blood pressure measurement
• Breast-health discussion
• Cervical screening when due
• Contraception review
• Menopause concerns
• Pregnancy planning
• Sexual and reproductive health questions
• Review of new symptoms

Not every patient needs a pelvic examination or Pap test every year.

The appropriate schedule depends on age, previous screening results, symptoms, and personal medical risks.

Preventive Women’s Healthcare

Preventive care may include assessment for:

• Cervical cancer risk
• Breast-health concerns
• High blood pressure
• Diabetes
• Cholesterol problems
• Bone-health risks
• Sexually transmitted infections when appropriate
• Reproductive health needs
• Menopause-related concerns

Gynecological care can overlap with primary care, particularly when reproductive symptoms are affected by thyroid disease, diabetes, medication, or another medical condition.

Patients requiring continuing general adult medical care may also review Dr. Jennifer Kwak’s family medicine profile.

Cervical Cancer Screening

Cervical cancer screening may involve:

• A Pap test
• HPV testing
• Both tests together

The exact screening schedule depends on age, previous results, immune-system health, and history of cervical abnormalities.

A Pap test examines cervical cells for changes that may need monitoring or additional evaluation.

HPV testing looks for selected types of human papillomavirus associated with cervical cell changes.

An abnormal result does not automatically mean cancer is present.

Dr. Visaria may recommend repeat testing, colposcopy, biopsy, or another follow-up method depending on the specific finding.

Abnormal Pap Test Results

Abnormal cervical screening results can occur because of:

• HPV infection
• Mild cell changes
• Inflammation
• More significant precancerous changes
• Less commonly, cervical cancer

The next step depends on:

• Patient age
• HPV result
• Type of cell abnormality
• Previous screening history
• Pregnancy status
• Immune-system health

Some minor changes resolve without treatment and only require repeat testing.

More significant findings may require closer examination through colposcopy.

Colposcopy

Colposcopy is a procedure used to examine the cervix more closely after selected abnormal screening results.

A magnifying instrument allows the clinician to inspect cervical tissue.

A small biopsy may be collected if an area looks unusual.

Patients may experience temporary cramping or light bleeding after biopsy.

The tissue result helps determine whether monitoring or treatment is needed.

Menstrual Concerns

Menstrual cycles may change because of age, hormones, medication, pregnancy, stress, thyroid disorders, uterine conditions, or other medical factors.

Dr. Visaria may evaluate concerns such as:

• Irregular periods
• Missed periods
• Heavy bleeding
• Bleeding between periods
• Painful periods
• Prolonged bleeding
• Changes around menopause

The assessment may include pregnancy testing, blood tests, pelvic examination, ultrasound, or other testing.

Treatment should address the underlying cause rather than the bleeding pattern alone.

Heavy Menstrual Bleeding

Heavy menstrual bleeding may involve:

• Bleeding lasting longer than expected
• Frequent pad or tampon changes
• Passing large clots
• Bleeding through clothing or bedding
• Tiredness from blood loss
• Iron-deficiency anemia

Possible causes include:

• Fibroids
• Hormonal changes
• Adenomyosis
• Polyps
• Thyroid disease
• Bleeding disorders
• Medication
• Pregnancy-related conditions
• Other uterine abnormalities

Dr. Visaria may order a blood count, pregnancy test, hormone testing, pelvic ultrasound, or tissue sampling according to the patient’s age and symptoms.

Irregular Periods

Irregular periods may result from:

• Pregnancy
• Polycystic ovary syndrome
• Thyroid disease
• Hormonal changes
• Perimenopause
• Medication
• Stress
• Other medical conditions

An occasional change may not represent disease.

A repeated change from the patient’s normal pattern may require assessment, especially when accompanied by heavy bleeding, pain, anemia, or other symptoms.

Painful Periods

Painful menstruation is known as dysmenorrhea.

Cramping may occur because of normal uterine contractions, but severe or worsening pain may be associated with:

• Endometriosis
• Adenomyosis
• Fibroids
• Pelvic infection
• Other gynecological conditions

Dr. Visaria may ask when pain occurs, how severe it becomes, and whether symptoms interfere with normal activity.

Treatment may include medicine, hormonal therapy, or further investigation.

Abnormal Uterine Bleeding

Abnormal uterine bleeding refers to bleeding that differs from the patient’s expected cycle.

It may involve:

• Bleeding between periods
• Frequent periods
• Very heavy flow
• Prolonged bleeding
• Bleeding after intercourse
• Bleeding after menopause

The cause may differ considerably between younger and older patients.

Evaluation may include:

• Medical history
• Pregnancy testing
• Blood counts
• Thyroid testing
• Pelvic ultrasound
• Cervical evaluation
• Endometrial biopsy

Treatment depends on the confirmed or suspected cause.

Pelvic Pain

Pelvic pain can originate from reproductive organs, the urinary system, digestive tract, muscles, or nerves.

Gynecological causes may include:

• Ovarian cysts
• Endometriosis
• Fibroids
• Pelvic infection
• Ovulation-related discomfort
• Adenomyosis
• Pregnancy-related conditions

Dr. Visaria may ask:

• Where pain occurs
• When it began
• Whether it is constant
• Whether periods make it worse
• Whether intercourse affects symptoms
• Whether urinary or bowel symptoms occur
• Whether pregnancy is possible

Testing may involve pelvic examination, pregnancy testing, ultrasound, laboratory studies, or referral to another specialist when the symptoms appear non-gynecological.

Ovarian Cysts

An ovarian cyst is a fluid-filled or partly solid structure that develops on or within an ovary.

Many cysts are related to normal ovulation and disappear without treatment.

Possible symptoms include:

• Pelvic discomfort
• Pressure
• Bloating
• Pain during certain activities
• Menstrual changes
• No symptoms at all

Ultrasound can help evaluate the size and appearance of a cyst.

Management depends on the patient’s age, symptoms, ultrasound findings, and whether the cyst changes over time.

Some cysts need only repeat imaging, while others may require surgical evaluation.

Uterine Fibroids

Fibroids are noncancerous growths that develop from uterine muscle tissue.

They may cause:

• Heavy periods
• Pelvic pressure
• Cramping
• Frequent urination
• Abdominal fullness
• Fertility concerns in selected patients
• No symptoms

Treatment depends on:

• Number of fibroids
• Size
• Location
• Symptoms
• Age
• Pregnancy plans
• Previous treatment

Options may include monitoring, medication, procedures, or surgery.

The presence of a fibroid alone does not mean treatment is necessary.

Endometriosis

Endometriosis occurs when tissue similar to the uterine lining grows outside its usual location.

Possible symptoms include:

• Painful periods
• Pelvic pain
• Pain during intercourse
• Pain with bowel movements during menstruation
• Fertility difficulties
• Chronic lower abdominal discomfort

Symptoms do not always match the amount of visible disease.

Dr. Visaria may use the symptom history, physical examination, ultrasound, response to treatment, and other testing to guide evaluation.

Treatment may involve medicine, hormonal therapy, or surgery in selected cases.

Polycystic Ovary Syndrome

Polycystic ovary syndrome, commonly called PCOS, is a hormonal condition that can affect menstrual cycles, ovulation, and metabolic health.

Possible features include:

• Irregular periods
• Missed periods
• Acne
• Increased facial or body hair
• Fertility difficulty
• Insulin resistance
• Increased diabetes risk

Other conditions can cause similar symptoms, so evaluation may include hormone testing, thyroid testing, glucose assessment, and review of the menstrual history.

Treatment depends on whether the main concern is cycle control, fertility, androgen-related symptoms, or metabolic health.

Patients requiring additional hormone management may need coordination with an endocrinologist such as Dr. Jeffrey S. Brown.

Contraception

Dr. Visaria may discuss contraception according to the patient’s medical history and reproductive plans.

Options may include:

• Birth-control pills
• Patches
• Vaginal rings
• Injections
• Intrauterine devices
• Contraceptive implants
• Barrier methods
• Permanent contraception

The most appropriate method depends on:

• Medical conditions
• Blood-pressure history
• Migraine history
• Blood-clot risks
• Medicine interactions
• Menstrual concerns
• Future pregnancy plans
• Personal preferences

No single method is best for every patient.

Intrauterine Devices

An intrauterine device, commonly called an IUD, is placed inside the uterus for long-term contraception.

Hormonal and non-hormonal versions are available.

Depending on the type, an IUD may also affect menstrual bleeding.

Before insertion, Dr. Visaria may review:

• Pregnancy possibility
• Infection concerns
• Uterine anatomy
• Abnormal bleeding
• Previous contraceptive experience
• Medical conditions

Temporary cramping or spotting can occur after placement.

Patients should receive instructions about expected changes and follow-up.

Pregnancy Planning

A pre-pregnancy visit can help identify medical issues before conception.

Dr. Visaria may review:

• Current prescriptions
• Previous pregnancies
• Vaccinations
• Chronic medical conditions
• Family history
• Menstrual cycles
• Previous pregnancy complications
• Genetic risks
• Prenatal vitamin use

Some medicines need to be changed before pregnancy, while others should continue because stopping them could create greater health risks.

Medication changes should be made with the prescribing clinician.

Prenatal Care

Prenatal care monitors the health of the pregnant patient and developing baby.

Appointments may include:

• Blood pressure checks
• Laboratory testing
• Fetal growth assessment
• Ultrasound
• Screening tests
• Review of symptoms
• Discussion of nutrition and medicine
• Preparation for delivery

The frequency of appointments changes as pregnancy progresses and may increase when medical concerns develop.

Dr. Visaria may coordinate with maternal-fetal medicine specialists when pregnancy requires higher-risk monitoring.

First Prenatal Appointment

An early prenatal visit may include:

• Confirmation of pregnancy
• Estimate of pregnancy dates
• Medical-history review
• Previous pregnancy history
• Medication review
• Laboratory testing
• Blood type testing
• Infection screening
• Discussion of genetic screening options
• Planning future visits

Ultrasound may be used to confirm pregnancy location, dating, or development when appropriate.

Patients should provide information about previous miscarriages, premature deliveries, cesarean sections, hypertension, diabetes, and other pregnancy complications.

Prenatal Ultrasound

Ultrasound uses sound waves to create images during pregnancy.

It may help assess:

• Pregnancy location
• Gestational age
• Fetal heartbeat
• Fetal growth
• Placenta location
• Amniotic fluid
• Fetal anatomy
• Number of fetuses

The type and timing of ultrasound depend on the stage of pregnancy and clinical need.

An ultrasound finding may sometimes require more detailed imaging or consultation with a maternal-fetal medicine specialist.

High-Risk Pregnancy

Some pregnancies require closer monitoring because of maternal health, fetal concerns, or previous pregnancy history.

Factors may include:

• High blood pressure
• Diabetes
• Multiple pregnancy
• Previous premature birth
• Previous pregnancy complications
• Certain fetal findings
• Maternal medical conditions
• Other obstetric risks

Dr. Visaria may provide obstetric care while coordinating with a maternal-fetal medicine specialist.

The need for specialist care does not necessarily mean a complication will occur. It allows closer monitoring and planning.

Gestational Diabetes

Gestational diabetes develops when blood glucose becomes elevated during pregnancy.

Many patients have no obvious symptoms.

Screening is generally performed during pregnancy according to obstetric guidelines and individual risk.

Care may include:

• Glucose monitoring
• Nutrition planning
• Physical activity when medically appropriate
• Medicine or insulin when needed
• Monitoring fetal growth

Glucose often improves after delivery, but having gestational diabetes can increase the future risk of type 2 diabetes.

Postpartum glucose testing may therefore be recommended.

High Blood Pressure During Pregnancy

Blood pressure requires regular monitoring throughout pregnancy.

Hypertension may be present before pregnancy or develop later.

Dr. Visaria may assess:

• Blood pressure pattern
• Urine protein
• Blood tests
• Headache symptoms
• Vision changes
• Swelling
• Fetal growth
• Other clinical findings

Some pregnancy-related blood-pressure conditions require additional monitoring, medicine, hospital assessment, or earlier delivery.

Vaginal Bleeding During Pregnancy

Bleeding during pregnancy can have several causes, and its significance depends on timing, amount, pain, and other symptoms.

Possible causes include:

• Cervical changes
• Early pregnancy changes
• Pregnancy loss
• Placental conditions
• Other obstetric concerns

Dr. Visaria may recommend examination, ultrasound, laboratory testing, or further monitoring.

Patients should report pregnancy bleeding according to the instructions provided by their obstetric team.

Pregnancy and Medication

Prescription and non-prescription medicines should be reviewed during pregnancy.

Dr. Visaria may consider:

• Reason the medicine is needed
• Pregnancy stage
• Available safety information
• Dose
• Alternatives
• Risks of untreated disease

Patients should not assume that stopping all medicine is safer.

Untreated diabetes, high blood pressure, epilepsy, psychiatric illness, thyroid disease, and other medical conditions can create significant risks during pregnancy.

Medication decisions should be coordinated with the prescribing physician.

Labor and Delivery Planning

As pregnancy progresses, Dr. Visaria may discuss:

• Signs of labor
• When to contact the hospital
• Pain-management options
• Fetal monitoring
• Vaginal delivery
• Cesarean delivery when medically indicated
• Hospital arrangements
• Postpartum care

Birth plans may need to change if new medical circumstances develop.

The priority is safe care for the pregnant patient and baby while including the patient in decisions whenever possible.

Cesarean Delivery

A cesarean section delivers the baby through surgical openings in the abdomen and uterus.

It may be recommended because of:

• Labor that does not progress safely
• Fetal concerns
• Placental conditions
• Certain fetal positions
• Previous uterine surgery
• Other medical reasons

Recovery generally takes longer than after uncomplicated vaginal delivery because cesarean birth is abdominal surgery.

Patients may receive instructions covering incision care, activity, pain medicine, and follow-up.

Postpartum Care

Postpartum care continues after delivery and includes both physical and emotional recovery.

Dr. Visaria may review:

• Bleeding
• Incision or tear healing
• Blood pressure
• Contraception
• Feeding concerns
• Sleep
• Pelvic symptoms
• Mood changes
• Return to activity
• Chronic medical conditions

Some pregnancy complications can continue or appear after delivery.

Patients should attend recommended postpartum appointments even when they feel generally well.

Menopause

Menopause occurs after menstrual periods permanently stop because ovarian hormone production has changed.

The transition before menopause is called perimenopause.

Possible symptoms include:

• Hot flashes
• Night sweats
• Sleep disruption
• Irregular periods
• Vaginal dryness
• Changes in bladder symptoms
• Mood changes
• Changes in bone health

Dr. Visaria may discuss the severity of symptoms, medical history, and available treatment options.

Treatment should focus on health and symptom relief rather than appearance.

Hot Flashes

Hot flashes are sudden sensations of warmth that may involve sweating and flushing.

They can interfere with:

• Sleep
• Work
• Concentration
• Daily comfort

Treatment options may include hormonal or non-hormonal approaches depending on the patient’s health history.

Dr. Visaria may review personal risks involving blood clots, breast health, uterine health, cardiovascular disease, and other conditions before considering hormone treatment.

Hormone Therapy

Menopausal hormone therapy can relieve selected symptoms for some patients.

It is not appropriate for everyone.

Factors considered may include:

• Age
• Time since menopause
• Uterine status
• Blood-clot history
• Breast-cancer history
• Cardiovascular health
• Liver disease
• Main symptoms

Patients with a uterus generally require consideration of progesterone along with systemic estrogen to protect the uterine lining.

Treatment should use an individual risk-benefit discussion rather than a one-size-fits-all approach.

Postmenopausal Bleeding

Bleeding after menopause should be evaluated.

Possible causes include:

• Vaginal or uterine tissue thinning
• Polyps
• Hormonal treatment
• Thickening of the uterine lining
• Precancerous changes
• Uterine cancer
• Other conditions

Evaluation may involve pelvic ultrasound, examination, or endometrial biopsy.

Many causes are not cancerous, but the bleeding should not simply be ignored.

Endometrial Biopsy

An endometrial biopsy collects a small tissue sample from the lining of the uterus.

It may be recommended for:

• Abnormal uterine bleeding
• Postmenopausal bleeding
• Thickened uterine lining
• Selected abnormal test results

The sample is examined by a pathology laboratory.

Temporary cramping and light bleeding may occur.

The biopsy helps determine whether the lining is normal, affected by hormonal changes, precancerous, or showing another condition.

Breast Health

OB-GYN visits may include discussion of breast symptoms and screening history.

Patients should mention concerns such as:

• A new lump
• Nipple discharge
• Skin changes
• Persistent localised pain
• A recent abnormal mammogram
• Strong family history of breast cancer

Dr. Visaria may perform a clinical assessment and arrange mammography, ultrasound, or referral when appropriate.

A breast lump is not automatically cancer, but a new unexplained finding should be evaluated.

Pelvic Ultrasound

Pelvic ultrasound may help assess:

• Fibroids
• Ovarian cysts
• Uterine lining
• Pelvic pain
• Abnormal bleeding
• Pregnancy
• Other reproductive structures

The examination may be performed through the abdomen or with a specialised transvaginal probe.

Ultrasound findings should be interpreted together with symptoms and medical history.

An incidental cyst or fibroid may not require treatment when it causes no problems.

Gynecological Surgery

Depending on the diagnosis and current practice services, gynecological surgery may be considered for conditions such as:

• Fibroids
• Ovarian cysts
• Abnormal uterine bleeding
• Endometriosis
• Pelvic masses
• Other structural reproductive conditions

The type of procedure may include minimally invasive or traditional surgical approaches.

Patients should ask:

• Why surgery is recommended
• What alternatives exist
• Whether the condition can be monitored
• What recovery is expected
• Whether fertility may be affected
• Which complications are possible

The appropriate approach depends on the diagnosis rather than simply choosing the smallest incision.

Hysteroscopy

Hysteroscopy uses a thin camera passed through the cervix to examine the inside of the uterus.

It may be used to evaluate or treat:

• Polyps
• Selected fibroids
• Abnormal bleeding
• Abnormal ultrasound findings
• Other uterine-cavity conditions

Because the procedure reaches the uterus through the vagina and cervix, an abdominal incision is not normally required.

The exact preparation and anaesthesia depend on whether it is performed in an office or surgical setting.

Hysterectomy

Hysterectomy is surgery to remove the uterus.

It may be considered for conditions such as:

• Severe abnormal bleeding
• Large or symptomatic fibroids
• Selected cases of endometriosis or adenomyosis
• Uterine prolapse
• Precancerous or cancerous disease
• Other conditions that have not responded to appropriate treatment

Hysterectomy is a major and permanent decision because pregnancy is no longer possible afterward.

Dr. Visaria may discuss whether another treatment could meet the patient’s goals before surgery is selected.

Preparing for an OB-GYN Appointment

Patients can prepare by bringing:

• A current medicine list
• Previous Pap results
• Mammogram reports
• Pelvic ultrasound reports
• Pregnancy records
• Earlier surgical records
• Laboratory results
• A list of medicine allergies
• Menstrual dates
• Questions about symptoms

It may help to record:

• When symptoms began
• When the last menstrual period occurred
• How heavy bleeding is
• Where pain occurs
• Whether symptoms relate to the menstrual cycle
• Whether pregnancy is possible
• Which treatments have already been attempted

Clear information can make it easier to determine which examination or test is needed.

Preparing for a Pregnancy Appointment

Pregnant patients can bring:

• Prenatal vitamin information
• Current prescriptions
• Previous pregnancy records
• Earlier ultrasound reports
• Home blood-pressure readings when requested
• Blood-glucose results when relevant
• A list of allergies
• Questions about symptoms
• Details of previous pregnancy complications

Patients with a child who later requires specialist heart assessment may also review Dr. Maria C. Yates’s pediatric cardiology profile.

Medication Review

Medications and supplements can influence:

• Menstrual bleeding
• Pregnancy
• Contraception
• Blood-clot risks
• Blood pressure
• Hormone testing
• Surgical planning

Dr. Visaria may review prescription medicines, vitamins, supplements, and non-prescription products.

Patients should not stop chronic medical treatment solely because they are planning or have confirmed a pregnancy without speaking with the relevant medical team.

Coordinated Women’s Healthcare

Obstetric and gynecological care may require cooperation with:

• Primary care physicians
• Maternal-fetal medicine specialists
• Endocrinologists
• Fertility specialists
• Gynecologic surgeons
• Oncologists
• Urologists
• Radiologists
• Pediatricians
• Mental health professionals

Coordination is particularly important when pregnancy occurs alongside diabetes, hypertension, thyroid disease, heart disease, or another significant medical condition.

Patient-Centered Obstetrics and Gynecology

Dr. Visaria provides women’s healthcare based on each patient’s symptoms, reproductive history, age, previous testing, current medicines, pregnancy status, and individual medical needs.

Her clinical work may include preventive gynecological examinations, pregnancy care, cervical screening, abnormal bleeding evaluation, contraception, pelvic pain assessment, menopause management, and treatment of common reproductive conditions.

Patients should confirm current appointment availability, accepted insurance plans, prenatal services, delivery hospital arrangements, telemedicine options, gynecological procedures, and referral requirements directly with Women’s Specialists of Clear Lake.