Well woman exam
Regular visits to the OBGYN offers a comprehensive overview of a woman’s life, health and well being. Your Well Woman visit includes a thorough medical and family history, physical exam, screening tests and immunizations, all of which are based on your age and risk factors. Screening tests may include a Pap Smear, Breast Exam, Mammogram, Bone Density (DEXA) Scan, Blood Work and Pelvic Ultrasound. There will also be a thorough discussion about your family planning desires, sexual performance, contraceptive desires, and menopausal therapies. In other words: a total comprehensive medical, physical, and emotional overview of your life.
If you are between the ages of 21-65 years of age, you should have a regular Pap Smear. The Pap Smear is a screening test that identifies abnormal cells in the cervix. It may also be used to check for HPV or other types of infections. New standards may change the frequency of testing and simultaneously we can screen for other infections if needed.
Colposcopy is an in-office procedure in which your physician takes a closer look at your cervix using magnifying device called a colposcope. The procedure allows us to assess the cervix and vagina for abnormalities that may include infection, precancerous or cancerous conditions. In most cases a piece of abnormal tissue is sampled and sent to the lab for definitive diagnosis. Depending on the results, you may need further testing, treatment, or a closer follow-up.
LEEP (Loop Electrosurgical Excision Procedure)is an in office procedure where under local anesthesia a small piece of the cervix is removed for therapeutic purposes. If the results of your colposcopy show a precancerous condition, then a LEEP would be the next step. The LEEP uses electrical current through a small wire to selectively remove a thin layer of tissue. It may be performed in the office using local anesthetic or under general anesthesia in an outpatient surgery center.
Endometrial biopsy is a sampling of the uterus with a small brush for diagnostic purposes. When abnormal menstrual or post-menopausal bleeding occurs we often recommend a biopsy of the uterine lining to assess different anatomic causes of the bleeding. An endometrial biopsy is an in-office sampling of the uterine lining using a TAO brush. Results may detect precancer or cancerous conditions in the uterus or hormonal imbalances.
Ultrasound is a radiologic machine that uses sound waves to make images. It is used both in obstetrics to evaluate the baby, the placenta and the amount of amniotic fluid and gynecologically to detect uterine issues, ovarian cysts or ectopic pregnancies. A saline infusion sonogram can be performed simultaneously by placing a thin catheter into the uterus, injecting saline and looking with the sonogram. This is an excellent way to help detect uterine issues especially related to abnormal bleeding.
A hysteroscopy is slender telescope used to look inside the uterus. It allows your doctor to evaluate the lining, sample any abnormalities, and perform procedures without entering the abdominal cavity. This is often performed for diagnostic purposes (abnormal bleeding) or surgically (polyps or fibroids). It is performed in the outpatient surgical environment with general anesthesia.
A Dilatation and Curettage (D&C) is a procedure whereby your physician dilates (widens) the opening to the uterus and gently loosens and removes a sample of the uterine lining. It is performed under general anesthesia in the outpatient center. It is often performed along with a hysteroscopy.
A Dilate and Suction Curettage is a similarly performed procedure as above yet done for a miscarriage of pregnancy. It is also an outpatient procedure at a surgical center with general anesthesia.
Endometrial Ablation is a minimally invasive procedure that removes the lining of the uterus and stops or reduces the menstrual flow in many women. This a short, simple, safe and effective procedure which can be done at an outpatient surgery center. Recovery is quick and hysterectomy can be avoided in many cases.
Laparoscopy is a technique by which a small telescope is placed through a small incision through the belly button to look inside the abdominal cavity. It is done as an outpatient procedure at a surgical center with general anesthesia. It may be used to evaluate and/or treat conditions such as infertility, ectopic pregnancy, endometriosis, pelvic adhesions, tubal ligations or ovarian cysts. It can also be used to perform more advanced procedures such as hysterectomies.
A hysterectomy is a procedure that removes the uterus and may be combined with removal of one or both ovaries, the fallopian tubes and/or the removal of the cervix. This procedure may be performed using several different approaches or techniques including abdominally, vaginally or laparoscopically.
Nexplanon is a device containing progesterone, which can be inserted into the inside of your arm in our office. It consists of a latex free plastic rod, which secretes the hormone Progesterone for 3 years at which time the rod is removed.
Intrauterine Devices are reversible forms of contraception which are placed into the uterus through the vagina in the office. There are 2 varieties: Non-hormonal (plastic surrounded by copper) or hormonal (plastic with a progesterone reservoir). Both last for 3-10 years and can be removed with immediate return to fertility when a pregnancy is desired.
Tubal Ligation is a permanent for of contraception. A laparoscope is used to cauterize both fallopian tubes. It is performed as an outpatient in the surgical center under general anesthesia.
After a thorough discussion of your family history and ethnic background you will be offered appropriate tests which can let you know if you are at risk for several genetic disorders. The tests detect your risk of having or carrying specific genes which can lead to many different forms of cancer or medical and metabolic diseases. You can be screened before or after you have children for disorders related to neuromuscular degenerating diseases (Tay-Sachs, Spinal musical atrophy or Canavan’s disease) or cancer syndromes like BRAC gene (breast cancer) or Colon cancer.