Gynecology Services

Urine testing, Blood Pressure, Skin Cancer screening, Breast exam, pap smear, vaginal cultures if needed, Abdominal or Pelvic Ultrasound to assess uterus and ovaries.

Chaperone available upon request.

In office colposcopy with cervical biopsy and endocervix curettage if indicated

Vaginal Ultrasound with Endometrial biopsy if indicated.  Medical or Surgical management of heavy or painful periods with Horomone Pill management, Hormone IUD magagment or surgical magagement from D&C to Hysterectomy

Breast exam with Ultrasound and breast cyst aspiration if indicated

Vaginal Cultures or Blood tests for HPV, chlamdia, gonorrhea, herpes, syphilis, hepatitis, HIV

Vaginal Ultrasound and Blood testing to assess for PCOS with optioh of medical management for PCOS management and help with weight control if PCOS associated insulin resistance found.  Or help with ovulation stimulation if pregnancy desired.

Endometriosis if an uderdiagnosed condition for many women women because exploratory laparoscopic surgery is required for diagnosis.  If endometriosis is suspected it can be magaged with medications without having confirmatory testing done with surgery.  If the patient desires surgical confirmation I used The DaVinci Robotic system that has infrared illumination that allows better detection and safer resection of endometriosis implants.

Contraceptive options include Birth control pills, Birth control patches and vaginal rings.  Injectable shots every 12 weeks.  Intrauterine Devices, both hormone and non-hormone. (see below for more IUD information)

For permanent birth control tubal ligation or tubal removal (to reduce ovarian cancer risk) is available

In Office Utrasound to confirm IUD is still in the proper location.   Removal, Insertion, Replacement in office.  If patient concern about discomfort can arrange placement under sedation at outpatient surgery center pending insurance approval. All women suggested to take 600 mg ibuprofen 1 hour before appointment.  If patient has never been pregnant or delivered only by cesarean option of placing 400 micrograms vaginally 6 hours before appointment to help open the cervix to reduce discomfort and minimize vaso-vagal reaction of drop in blood preassure and heart rate.

I understand the anxiety for a young woman progressing from Pediatrician to a Gynecologist. Being an independent physician allows me to ability modify the gynecologic exam for the teenage patient to meet their comfort level while achieving the same results.  Patients don't even need to get undressed if that causes anxiety.  I can use an abdominal ultrasound to assess the uterus and ovaries in place of a bimanual pelvic exam.  If cultures are needed patients can swab the vagina as I step out of the room.  I go out of my way to make the transition from the pediatrician to the gynecologist as easy as possible, trying to make the experience as positive as possible so women don't neglect these very important exams to stay healthy.

Chaperone available upon request.