Women’s Health

Gynecologic

We offer full service gynecology, and can take care of most gynecologic issues. We offer the latest office procedures for contraception, as well as abnormal bleeding. We also perform surgery at Northside hospital ranging from minimally invasive surgery to complete hysterectomy.

Annual Examinations

This is a comprehensive exam where we will review your entire medical history focusing on any gynecologic issues. We will discuss prevention, screening and treatments. Screening tests that we offer are typically dependant on your age. We can screen for sexually transmitted infections (Gonorrhea/Chlamydia/HPV/Trichamonas are done vaginally and HIV/Hepatitis B&C/syphilis/Herpes are done with a blood test). We can also do your health maintenance screening for diabetes, cholesterol (please come fasting if you want this done), vitamin D level and thyroid and many other blood tests in the office.

Vaccinations

We offer vaccinations for Hepatitis A and B, Influenza, HPV (Gardasil), Tetanus, Diphtheria, and Pertussis (TDaP).

Birth Control

We offer comprehensive contraception services in the office.

Oral Contraceptives (birth control pills)

There are many different choices on the market and we will consider your particular situation to find the pill that suites you the best. They ALL provide contraception when taken correctly, however there are some differences that may make one pill a better choice for a particular person. These have a daily dosing schedule.

Vaginal Contraception

“The Ring” aka Nuvaring also works similarly to the pill but has much lower side effects because of a lower dose of hormones. The ring is inserted vaginally by you and lasts for one month. If you are comfortable with the insertion process (it’s easier than a tampon), this is a great contraception for those who have trouble remembering to take a pill every day.

Intramuscular contraception

“The shot” aka Depo-Provera works differently than the pill in that there is no estrogen with this method. It is associated with abnormal bleeding especially in the first 6-9 months but eventually you may cease to have cycles at all. This type of contraception has been associated with reversible bone loss (likely because of the lack of estrogen) and generally can only be used for 2 consecutive years

Intrauterine Contraceptives

“The IUD” aka Mirena or Copper IUD – these are devices that are placed in your uterus by a doctor in our office. The Mirena IUD uses progesterone for contraception and lasts for up to five years. The Copper IUD uses copper and is good for up to ten years. Placement is similar to a pap smear but a little more uncomfortable. We help decrease this pain with local anesthesia. If you have complications or want the IUD out prior to it’s life expectancy, we can take it out at any time in our office.

Permanent Contraception

Also know as a "tubal ligation" or “getting your tubes tied”- We provide this procedure in the office with the “Essure device.”  It is a procedure that is done through the vagina with local anesthesia. No incisions are involved. We can also tie your tubes in the hospital under general anesthesia (“going to sleep”) using a laparoscopy.  Of course your husband or partner getting a vasectomy also provides equally effective contraception.  Vasectomies are done by urologists and so we don't offer them in our office.

Colposcopy

This a procedure done in the office to evaluate abnormal pap smears. It is a very detailed examination of the cervix. A speculum will be placed just like a normal pap smear, then we will put vinegar on the cervix and evaluate it with a special microscope designed to look at the cervix. The vinegar makes abnormal cells turn white therefore making them easier to see. If there are any abnormalities a biopsy will be taken of that area. This procedure is generally not considered painful, other than some mild menstrual type cramping.

Abnormal Bleeding

This is a VERY common problem that has many different causes. We will take a detailed history about your bleeding and based on your age and history will decide what testing you need. Generally you will have an ultrasound, blood count and thyroid check or other testing if necessary. Based on those findings we will discuss a treatment plan with you in detail. Generally we can treat this problem medically with hormones/birth control or with a minimally invasive surgery occasionally it will require major surgery.

PMS

“Premenstrual syndrome” also is a very common problem. It is generally characterized by mood swings/irritability around the time preceding the menstrual cycle. Other symptoms are bloating/breast tenderness/abdominal discomfort in general just not feeling well around the time of the cycle. Most of these symptoms are normal signs that your period is coming but occasionally they can become debilitating which is when evaluation and treatment become necessary.

Endometriosis

This is a condition that we deal with frequently. It is usually marked by pelvic pain that may or may not get worse around the time of the cycle. It is caused by endometrial tissue (the tissue that causes you to bleed when you are on your cycle) that has migrated out of the uterus usually into the abdominal cavity. It is generally a diagnosis that is made just upon your history however if you have had greater than 6 months of pain that is unrelenting with medical treatment it may mean that you need a laparoscopy to confirm the diagnosis or treatment with a laser. There is also a medication called Lupron that had been used with good success to treat this condition. (maybe link to lupron website)

Polycystic Ovary Syndrome (PCOS)

This is a disorder where the ovaries do not produce an egg each month. Ovulation is what drives the menstrual cycle so when an egg is not produced it throws off the entire cycle making menses irregular. Other symptoms of this can be acne, obesity, abnormal hair growth (usually male pattern such as facial hair) and infertility. Treatment for this disorder generally depends on desire for fertility, if you are attempting pregnancy you will take a fertility medication, if not you will take progesterone or birth control pills. If you have PCOS it is vitally important that you have regular periods unless you are taking medications to suppress your periods.

Menopausal evaluation/treatment

Menopause can be a very difficult time for women. There are many changes in hormone levels and changes in your body. This is a time of life when it is good to have a doctor with whom you are comfortable discussing these changes and coming up with a treatment plan that is right for you and your body. Hormone replacement therapy is not right for everyone, but will definitely benefit some. We treat each patient on a case-by-case basis and make a decision with you based on your symptoms, medical issues and family history. We will also evaluate and treat you for osteoporosis/osteopenia (low bone mass).

There are also many other gynecologic issues that we care for that were not mentioned, but we welcome you to discuss any issues or questions you may have at your appointment, if it is something that we do not take care of we could certainly point you in the right direction.

Comments are closed.