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A routine gynecological exam is something that most women dread but is an important part of maintaining overall health and identifying any problems before they become serious or life-threatening. In most cases, you should have a routine gynecological exam every year from the age of 21, or from the onset of sexual activity. Certain things are included. Your annual gynecological exam, also known as a well-woman exam includes a complete history and physical (health questionnaire and interview, vital signs, weight, etc.), a breast exam, pelvic exam, Pap Smear, and any other laboratory tests as indicated.

Medicare guidelines are that pelvic and breast exam are covered every 2 years (Mammography’s can be performed every year).

It’s important to examine your breasts regularly so that you can notice if changes are happening. Breast changes are common and most of them are not caused by cancer. You should let your healthcare provider know as soon as possible if you notice:

• A lump or lumps in one or both breasts.
• Pain or tenderness.
• Fluid leaking from a nipple. (When you’re not breastfeeding.)
• A nipple starts pulling instead of poking out. (becomes inverted)
• The skin of a breast changes. (turning red or puckered)

Getting good care before, during and after your pregnancy is very important. It can help your baby grow and develop and keep you both healthy. It is the best way to be sure your little one gets a head start on a healthy life.

Good prenatal care includes good nutrition and health habits before and during pregnancy.

Infertility is defined as the inability to achieve pregnancy after one year of regular, unprotected intercourse. Evaluation may be initiated sooner in patients who have risk factors for infertility or if the female partner is older than 35 years.

Causes of infertility include male factors, ovulatory dysfunction, uterine abnormalities, tubal obstruction, peritoneal factors, or cervical factors. A history and physical examination can help direct the evaluation. We also carry the AVA wrist band to help monitor your body’s rhythm.

A medical diagnostic procedure to examine an illuminated, magnified view of the cervix as well as the vagina and vulva. Many pre-malignant lesions and malignant lesions in these areas have discernible characteristics that can be detected through the examination. It is done using a colposcope, which provides a magnified view of the areas, allowing the colposcopist to visually distinguish normal from abnormal appearing tissue and take directed biopsies for further pathological examination.

The main goal of colposcopy is to prevent cervical cancer by detecting and treating precancerous lesions early.

Treatment for Endometriosis includes taking Medication (Pain relievers, such as nonsteroidal anti-inflammatory drugs (NSAIDS) and hormonal medications including birth control pills, progestin – only medications and gonadotropin-releasing hormones agonists and Surgery.

Endometriosis Symptoms include painful menstruation, abdomen pain, lower back pain and painful intercourse.

Endometrial ablation destroys a thin layer of the lining of the uterus. Menstrual bleeding does not stop but is reduced to normal or lighter levels. If ablation does not control heavy bleeding, further treatment or surgery may be needed.

Our Physicians will talk with you about a range of innovative treatment options and develop an individualized treatment plan that may involve one of these minimally invasive gynecologic approaches:

• Hysteroscopy surgery. This technique does not require any incisions and has minimal recovery time.
• Advanced laparoscopic surgery. This technique has been shown to be an effective treatment that results in shorter hospital stays, less discomfort and a shorter recovery period.
• Robotic surgery. This approach has the same advantages as advanced laparoscopy, and it allows surgeons to operate with increased precision and accuracy while minimizing trauma to surrounding tissues.
• Vaginal surgery. This is the most minimally invasive approach to major gynecologic surgery. It has all of the recovery advantages associated with laparoscopic and robotic surgery, while also avoiding any abdominal incisions.

This approach has the same advantages as advanced laparoscopy, and it allows surgeons to operate with increased precision and accuracy while minimizing trauma to surrounding tissues.