Services

Well Woman EXAM

An annual wellness exam is important for your general health maintenance.  It is an opportunity to screen for any issues that may need further testing and/or work up.  It usually consists of a breast exam and a pelvic exam and may include a Pap smear, Gonorrhea/Chlamydia screening, refill of contraception, and/or a mammogram referral.  

Family Planning

Hormonal birth control pills, rings and patches. Birth control pills are daily pills taken to prevent ovulation and therefore pregnancy.  For some women it is easier 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.

IUD (intrauterine devices) are growing in popularity as they provide long acting contraception without any effort once they are placed.  While it can be painful to get an IUD placed, it can then be left in the uterus for between 3-10 years depending on which IUD is placed.  If you desire to get pregnant or do not like the IUD, then it is a quick, easy office visit to get it removed.  There are IUD with and without hormones in them.

Emergency contraception. Accidents happen and now emergency contraception pills provide an option if you had unprotected sex and want to decrease the chances of getting pregnant. 

Pregnancy confirmation. Whether planned or unplanned, finding out you are pregnant can be stressful and scary. While we do not offer full pregnancy care, we can confirm your early pregnancy and get you started on your journey.

Pregnancy termination. The decision to continue or not continue a pregnancy is deeply personal and emotional.  If you choose to terminate your pregnancy, we can make a decision as to if a medical or surgical termination is best for you. 

TELEHEALTH

Virtual visits via telehealth are a great way to get medical advice for those who cannot or prefer not to come into the office. While everything cannot be diagnosed or treated virtually, it is a great option to consider. If you contact us directly, these visits can also be arranged outside of business hours.

Abnormal bleeding

There are many causes of heavy and/or abnormal bleeding in a woman. A first step is often an exam and an ultrasound to establish the cause of the bleeding and then we can move on to how to best help you.

Fibroids (Myomas) are very common and can have no symptoms or can cause severe pain and heavy bleeding.  There are many options now for treatment and evaluation of fibroids.

Hysteroscopy. This is a procedure where a small camera is passed through your cervix into your uterus so we can see inside your uterus and often times sample the tissue or remove things like polyps and fibroids.

Alternatives to Hysterectomy. Hysterectomies are recommended for many reasons like fibroids or endometriosis or heavy periods. However, if you would like, we can explore non-surgical options for you.

PELVIC Pain

There are many causes of pelvic pain that range from fibroids to endometriosis to infections. A first step is often an exam and an ultrasound to better understand the cause of your pain. Once we understand the cause, we can decide if medications or other treatments are the best options for you.

Painful periods. There are many causes of painful periods ranging from fibroids to endometriosis. A thorough exam and likely ultrasound will give us more information to best guide the next step.

Endometriosis is fairly common but not often discussed. While we often diagnosis endometriosis based on symptoms, we often want to do a thorough exam and ultrasound to evaluate for other things that may be going on. There are several treatments for endometriosis now that are non-surgical that can be discussed.

Pain with sex. Women often forget to discuss their sex lives with their gynecologists, but it is an important part of a woman’s health. In order to best treat painful sex (dyspareunia), a detailed exam and likely some testing for infection will likely need to be done as well as a possible ultrasound.

Ovarian cysts. Cysts on the ovaries are often benign, but they can cause severe pain. Depending on the type of cyst and the severity of symptoms, the treatment could range from just monitoring to medications to surgery. They are often monitored through ultrasound.

FEMALE Infections

Vaginal Infections are very common in women and are often very straight forward to treat. However, sometimes they can become complicated and persistent or recurrent and need more extensive work up and treatment. Also, sometimes they are a sign of a sexually transmitted infection that should be treated.

Sexually Transmitted Infections (STI’s) are fairly common which is why we screen for Gonorrhea and Chlamydia at annual wellness exams. However, there are other infections that are transmitted sexually such as Herpes Simplex Virus, Genital warts, Trichomonas, Syphilis and HIV.