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    Well Woman Exam/Annual Wellness:

    Birth Control Counseling and Management

    • Hormonal and non-hormonal contraception:
      • -Intrauterine devices: Mirena, Skyla, Kyleena, Paragard
      • -Implants (Nexplanon)
      • -Injections (Depo Provera)
      • -Rings (NuvaRing)
      • -Oral contraception pills (OCPs)
    • Permanent Birth Control:
      • -Laparoscopic sterilization (an out of office service provided at a local hospital) 

     

    Abnormal Pap Smears

      • Evaluation
        • -Colposcopy: is the examination of the cervix, vagina and vulva with a high-powered microscope (colposcope) for the purpose of recognizing suspicious/abnormal areas for biopsy. These abnormal areas are then viewed through the colposcope and biopsied. The pathologist then reviews the biopsy specimens and provides further diagnosis of abnormal cells. Colposcopy is usually performed for an abnormal pap smear result.
      • Management
        • -Biopsies
          • -Endometrial biopsy: the removal of a sample of endometrial tissue for evaluation by a pathologist. Often performed in response to abnormal uterine bleeding, postmenopausal bleeding and abnormal endometrial cells on pap smear.
      • Monitoring
        • -LEEP procedure: stands for Loop Electrosurgical Excision Procedure, and may also be referred to as Large Loop Excision of the Transformation Zone (LLETZ). The objective of LEEP is the complete excision of precancerous lesions of the cervix and the transformation zone. LEEP is usually a relatively simple, effective outpatient procedure.
      • Prevention
        • -HPV vaccination

    Menstrual Disorders

    • -Abnormal vaginal bleeding
    • -Premenstrual symptoms
    • -Severe cramps
    • -Uterine fibroids
    • -Endometriosis
    • -Polycystic ovarian syndrome

     

    Vaginitis

    • -Vaginal yeast
    • -Bacterial vaginosis
    • -Sexually transmitted infections (STI)

    Cancer Screening

    • -Clinical breast exams 
    • -Cervix, uterine and ovarian cancer screening
    • -Colon cancer screening
    • -Genetic counseling referrals

    Peri-menopause and postmenopausal management

    • -Abnormal vaginal bleeding
    • -Vaginal dryness/painful sex
    • -Bone Health/Osteoporosis screening and management

    Urogynecology

    • -Urinary incontinence
    • -Overactive bladder
    • -Voiding dysfunction
    • -Pelvic organ prolapse
    • -Pelvic pain
    • -Sexual dysfunction

    Ultrasound

    Ultrasound: Ultrasound uses sound waves to create images of organs and tissue in the body.  Ultrasound is considered non-invasive and has no discomfort or adverse outcomes. It is frequently used to differentiate cysts, masses, inflammation, and can evaluate blood flow through vessels and the heart.

    Pelvic

    -Transvaginal

    -Transabdominal

    -Saline enhanced sonogram: uses sound waves to produce pictures of the inside of the body. Ultrasonography is used to detect changes in appearance, size or contour of organs, tissues, and vessels or to detect abnormal masses, such as tumors.

    Abdominal

    Vascular

    GYN Surgery (surgery services are performed out-of-office in a hospital setting)

    • -Uterine endometrial ablation
    • -Uterine fibroid treatment
    • -Bilateral tubal ligation
    • -Dilation and curettage
    • -Hysteroscopy: is a procedure that allows a doctor to look inside the uterus to help diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, which is a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. The procedure can be either diagnostic or operative.
    • -Hysterectomy
    • -Myomectomy
    • -Minimally invasive surgery
      • -Laparoscopy surgery
      • -Hysteroscopic surgery
      • -daVinci Robotic surgery