Well Woman Care
Routine Women’s Wellness Exams
An annual checkup is the single best thing a woman can do to protect her health. An annual women’s wellness visit in our office includes:
- Review of current health history to address all patient concerns
- A full physical examination
- Cervical cancer screening
- Mammogram and ultrasound breast exam referral, routinely starting at age 40
- STI screening
- Mental health screening
Today, the oral contraceptive pill is just one of many safe, reliable contraceptive methods. Our office currently offers many contraceptive regimens including the IUD, subdermal implant and vaginal ring. Given their high efficacy and safety, the IUD and subdermal implant have become the top choice for reversible contraception. For our patients who have completed their childbearing, sterilization through salpingectomy, or removal of the fallopian tubes, is also offered. Each method has its own unique advantages. We take the time to explain all of the options so each patient can choose the method that’s best for her.
For a young woman, the first gynecological visit is an emotional experience. For a physician, it’s the first opportunity to create a trusting doctor-patient relationship. We start with a general introduction to the office & staff and then move on to a discussion of the young woman’s monthly cycles. If she is sexually active, we discuss STI prevention and contraception options. If she is not sexually active and there are no indications of problems with her cycle, we forgo the first pelvic exam until a future visit when her comfort level is higher. The first visit is recommended at age 17, or sooner if the young woman is sexually active.
Until recently, menopausal symptoms (hot flashes, night sweats, sleep disturbances, vaginal dryness, irritability) had been routinely treated with hormone replacement therapy (HRT), a method that has come under much scrutiny because of research linking HRT to certain types of cancer. We now provide alternative treatments, but reserve HRT as a temporary option for patients who have truly disruptive symptoms.
Menopause is an important time for osteoporosis detection (we recommend a DEXA bone density scan) and prevention (calcium, exercise and, if needed, medication therapy).
We also screen our menopausal patients for cardiovascular disease, hypertension, STIs, anemia and high cholesterol.
Medical Treatments and Surgical Procedures
We diagnose and treat the following conditions:
- Loop electrosurgical excision procedure (LEEP)
- IUD placement
- Her Option Cryoablation
- Early pregnancy interruption (D&C)
- Laser surgery
- Tubal ligation
- Laparoscopic surgery for abnormal bleeding and pelvic pain
- Vaginal repair of urinary incontinence
- Vaginal prolapse