Services

Reproductive health

Hormonal birth control pills, rings and patches. Birth control pills are daily pills taken to prevent ovulation and therefore pregnancy.  Some patients prefer to use a weekly patch or a monthly ring instead of a daily pill.

Hormonal implant (Nexplanon). Nexplanon is a small implant that is placed under the skin of your upper arm that releases a small amount of progesterone into your system to prevent pregnancy.  It lasts 3-4 years before it needs to be changed.

IUDs (intrauterine devices). IUDs are a highly effective long-acting form of contraception available with or without hormones. Depending on the type selected, they may remain in place for several years and can be removed at any time if your reproductive goals or preferences change. Insertion can be painful, but there are several options available to help improve comfort during the procedure.

Emergency contraception. Emergency contraception may help reduce the chance of pregnancy after unprotected intercourse or contraceptive failure.

Pregnancy confirmation. Whether planned or unexpected, an early pregnancy can bring many questions. While I do not offer full pregnancy care, I can confirm an early pregnancy, review next steps and help connect patients with appropriate ongoing care.

Pregnancy termination. Pregnancy decisions are deeply personal, and patients deserve compassionate, evidence-based counseling in a supportive environment. Depending on gestational age, medical history, and personal preference, both medication and procedural options may be discussed.

Fertility and reproductive planning. I provide individualized fertility evaluation and preconception counseling for patients planning pregnancy or experiencing fertility concerns. Evaluation may include hormone testing, ovulation assessment, imaging, and referral to fertility specialists when appropriate.

Wellness EXAM

Annual wellness visits are designed to support preventive care and long-term gynecologic health. These visits provide an opportunity to review any changes, symptoms, or concerns while ensuring recommended screenings remain up to date. Depending on individual needs, visits may include breast and pelvic exams, Pap testing, STI screening, contraception management, and referrals for mammography or additional evaluation when appropriate.

Vaginal Health

Vaginal infections and recurrent vaginitis. Vaginal symptoms such as discharge, irritation, odor, itching, or discomfort are extremely common, but recurrent or persistent symptoms often require a more individualized evaluation. I provide evidence-based diagnosis and treatment for conditions including bacterial vaginosis, yeast infections, cytolytic vaginosis, desquamative inflammatory vaginitis, and other causes of chronic vaginal symptoms.

Sexually transmitted infections (STIs). STI screening and treatment are an important part of preventive sexual health care. Depending on individual risk factors and symptoms, evaluation may include screening for infections such as chlamydia, gonorrhea, herpes simplex virus (HSV), trichomonas, syphilis, and HIV.

Abnormal bleeding

Abnormal uterine bleeding can have many different causes, ranging from hormonal changes to fibroids, polyps, or endometriosis. Evaluation often begins with a detailed history, exam, and ultrasound to better understand the cause of symptoms and determine the most appropriate treatment options.

Fibroids (Leiomyomas). Fibroids are extremely common and may cause heavy bleeding, pelvic pressure, pain, or no symptoms at all. Treatment recommendations are individualized based on symptoms, size and location of fibroids, and reproductive goals.

Hysteroscopy. Hysteroscopy is a minimally invasive office procedure that uses a small camera to evaluate the inside of the uterus. It may be used to diagnose or treat conditions such as polyps, fibroids, or abnormal bleeding.

Alternatives to hysterectomy. While hysterectomy may be appropriate for some patients, many conditions can also be managed with less invasive or non-surgical treatment options depending on symptoms and individual goals.

PELVIC Pain

Pelvic pain can have many different causes, including endometriosis, ovarian cysts, fibroids, pelvic floor dysfunction, infections, and gastrointestinal or urinary conditions. Evaluation often begins with a detailed history, exam, and ultrasound to better understand the cause of symptoms and determine the most appropriate treatment approach.

Painful periods. Menstrual pain may range from mild cramping to symptoms that significantly affect daily life. Painful periods can be associated with conditions such as endometriosis, fibroids, adenomyosis, or hormonal changes.

Endometriosis. Endometriosis is a common but frequently underdiagnosed condition that may cause pelvic pain, painful periods, pain with sex, gastrointestinal symptoms, and infertility. Treatment options vary depending on symptoms, severity, and reproductive goals and may include both hormonal and non-surgical approaches.

Pain with sex (dyspareunia). Pain during sex can have many possible causes, including hormonal changes, pelvic floor dysfunction, infections, endometriosis, and vulvovaginal conditions. Evaluation is individualized and may include examination, laboratory testing, and imaging when appropriate.

Ovarian cysts. Ovarian cysts are common and are often benign, though some can cause pain or other symptoms. Management depends on the type of cyst, severity of symptoms, ultrasound findings, and overall clinical picture.

TELEHEALTH

Virtual visits via telehealth provide added flexibility for patients who prefer the convenience of remote care or are unable to come into the office. While not every concern can be managed virtually, telehealth may be appropriate for follow-up care, review of results, contraception counseling, hormone concerns, and select acute gynecologic issues. Telehealth appointments outside of standard office hours may also be available in select situations.