Gynecology refers to the treatment of the female reproductive system.  Care may include routine screening such as pap smears, hormone balancing, rejuvenation, or surgical repair.

Routine preventative care and screening: We provide annual preventative care.  In fact, for many of our patients, we are the only physician our patients see on a regular basis.  Our Preventative exams include a comprehensive  head to toe examination.  We are able to perform additional testing if indicated including lab draws during the office visit.  New guidelines may not require an annual pap smear but a thorough annual physical exam and health assessment is an important component of maintaining good health. In addition, we offer a variety of contraceptive choices including IUDs.

Hormone Balancing:  We are specialists in hormone balancing as well as hormonal supplementation and replacement.  Our hormones change daily during our reproductive years and can change dramatically with illness, childbearing, and menopause.  Our hormones affect every system of our body.  An essential part of wellness is understanding and addressing the hormonal needs of women.

Rejuvenation: Women are living much longer than the women of 100 years ago.  Nearly half of our lifetime will be beyond our childbearing years.  Childbearing, gravity, aging, and a decrease in  hormones may predispose women to urinary incontinence, vaginal laxity, and vaginal dryness.  We offer both surgical and non-surgical options for treatment.  For non-surgical repair we offer the ThermiVa.  We offer options for surgical correction as well including labioplasty.

Surgical Repair:  We offer multiple surgical procedures which may be performed in the office or in the hospital setting.  Procedures performed in the office are performed with a licensed Anesthesiologist under IV sedation.  The most common procedure we perform in the office under sedation is a Hysteroscopy. Hysteroscopy is the use of a small camera thru the cervical opening to visualize the lining of the uterus. There are no incisions.  It may help a physician diagnose or treat a uterine problem such as abnormal uterine bleeding.  Hysteroscopy also allows the physician to perform biopsies of the uterine lining or endometrium, diagnose and treat polyps or fibroids in the uterine lining or to destroy the uterine lining with a procedure called an ablation to reduce or stop uterine bleeding without the need for a hysterectomy. A Hysterectomy is the removal of the uterus.  It may include the removal of the cervix and tubes and ovaries.  Hysterectomies are performed in the hospital setting under general anesthesia.  Because it is major surgery, you may want to explore other treatment options first. For conditions that have not responded to other treatments, a hysterectomy may be the best choice.  The uterus may be removed by different routes.  Abdominal Hysterectomy In an abdominal hysterectomy, the doctor makes an incision through the skin and tissue in the lower abdomen to reach the uterus. The incision may be vertical or horizontal.This type of hysterectomy gives the surgeon a good view of the uterus and other organs during the operation. This procedure may be chosen if you have large tumors or if cancer may be present. Abdominal hysterectomy may require a longer healing time than vaginal or laparoscopic surgery, and it usually requires a longer hospital stay.  In contrast, in a  Vaginal Hysterectomy, the uterus is removed through the vagina. With this type of surgery, you will not have an incision (cut) on your abdomen. Because the incision is inside the vagina, the healing time may be shorter than with abdominal surgery. There may be less pain during recovery.  It also is associated with a shorter hospital stay and a faster return to normal activities than abdominal hysterectomy.  Unfortunately, due to the limited visibility and space constraints of the vagina, a vaginal hysterectomy is not always possible. For example, women who have adhesions from previous surgery or who have an abnormally shaped or large uterus may not be able to have this type of surgery.  For this reason, most hysterectomies today are performed by Laparoscopy.   During a Laparoscopic Hysterectomy, a laparoscope is used to guide the surgery. A laparoscope is a thin, lighted tube with a camera that is inserted into the abdomen through a small incision in or around the navel. It allows the surgeon to see the pelvic organs on a screen. Additional small incisions are made in the abdomen for other instruments used in the surgery.  The uterus is detached from inside the body. It then is removed in small pieces through the incisions, or the pieces are passed out of the body through the vagina. If only the uterus is removed and the cervix is left in place, it is called a supracervical laparoscopic hysterectomy.  For laparoscopic hysterectomies that are expected to be complicated due to the size of the uterus or prior abdominal surgery, our surgeons may use the DaVinci Robot.  This device allows the surgeon to have better visualization of the pelvic organs.

General Anesthesia Video