Pregnancy Testing.

There are two types of pregnancy tests - blood and urine tests. Both tests look for the presence of hCG, the pregnancy hormone. Today, many women use a urine test, or home pregnancy test (HPT), to find out if they are pregnant. When a woman has a positive result on an HPT, she needs to see her health care provider right away.
We do offer full pregnancy test with some restrictions.

4 D Live Sono.

Our 4 D Live Sono can see an incredible moving image of your unborn child.
It provides a moving three-dimensional picture of your baby.
It may offer benefit in the evaluation of suspected anomalies.

View 4D imagery taken in office!

NST.

The non-stress test is usually taken during the third trimester, typically within one month of the expectant mother's due date.
The non-stress test is often used when a pregnancy is considered high risk or has lasted past the due date, or when an ultrasound shows that uterine conditions may not be optimal. This test allows us to evaluate your baby's well-being by measuring changes in his heart rate.

Family Planning.

We offer different birth control methods:

Annual Exam.
A woman should start having a gynecological exam once a year when she first becomes sexual active or once she is 18, whichever comes first. A gynecological exam is an important part of health care for women. It protects your sexual and reproductive health.
A Pap smear is a part of the gynecological exam and is a cervical cancer screening test that is looking for abnormal cells or changes on the cervix.
The pelvic exam is part of the gynecological exam and determines the size, shape, and position of the ovaries and uterus.
We offer the traditional Pap smear and the Thin Prep

Urodynamics.
Urodynamics is the investigation of the function of the lower urinary tract - the bladder and urethra - using physical measurements such as urine pressure and flow rate as well as clinical assessment.

EKG.
An electrocardiogram (ECG / EKG) is an electrical recording of the heart and is used in the investigation of heart disease.

Colposcopy.
Colposcopy is the viewing of the cervix, vulva, or vagina under magnification with an instrument called a colposcope. It allows us to identify areas that may need further evaluation. If abnormal tissue is seen we may perform a biopsy. A biopsy involves removing a small sample of tissue from the abnormal area. The sample will then be sent to the lab for further evaluation.                                              

 

Normal & High Risk Pregnancy.
High Risk Pregnancy include but is not limited to:

• Diabetes on pregnancy
• Intrauterine Growth
• Placenta Previa
• Pre-Eclampsia
• Premature Rupture of Membranes (PROM)
• Prenatal Testing for Down Syndrome

Sexually Transmitted Diseases.
Some vaginal infections are acquired sexually. Common STDs types are:
Trichomoniasis (also known as "trichomonas vaginitis" or "trich")
Bacterial Vaginosis (BV)
Syphilis
Gonorrhea
Pelvic Inflammatory Disease (PID)
Genital Warts (Venereal Warts; Condyloma; HPV)
Genital Herpes
Chlamydia
Chancroid
AIDS (Acquired Immune Deficiency Syndrome)

Abnormal Bleeding and Irregular Menstruation.
Abnormal Bleeding and Menstruation includes:
a). Absence of Menstrual periods for more than 3 months.
b). Bleeding between periods.
c). Bleeding after sex.
d). Spotting anytime in the menstrual cycle.
e). Bleeding heavier or longer than normal.
Irregular Menstruation includes:
a). Not having monthly period.
b). Having more than one period per month.

Pelvic Pain.
Most women experience pelvic pain at some time during their lives.  Many times pelvic pain is just the normal functioning of the reproductive or other organs.  Other times pelvic pain may indicate a serious problem that needs urgent treatment
Pelvic Pain can fall into different categories:

Pelvic pain that is caused by something that is part of the normal functioning of the reproductive organs will probably resolve without treatment.

Pelvic pain that indicates a problem that may need treatment, but not on an urgent basis.

Pelvic pain that indicates a serious problem and that needs urgent surgery or hospitalization.

Hormone Replacement Therapy.
During a woman's reproductive years, the body produces a variety of hormones, including estrogen. Estrogen is important for normal menstrual periods and fertility, and it promotes bone strength. The fall in estrogen levels that occurs at the time of menopause produces well-known symptoms such as hot flashes and results in an increase in a woman's risk of both osteoporosis and heart disease.
Hormone replacement therapy (HRT) is the term used for estrogen or for estrogen plus progestin treatment after menopause. Progestins are drugs that act like the female hormone progesterone, and they are added to the estrogen to prevent uterine cancer (which can occur if estrogen alone is given to women with a uterus). HRT is an effective option for treating the symptoms of menopause, and it helps prevent osteoporosis.

PMS/ Premenstrual Syndrome.
The term premenstrual syndrome (PMS) refers to the physical and emotional symptoms that occur during the one or two weeks before the beginning of menstruation (the time in a woman's monthly cycle when she bleeds, also known as a woman's period). Sometimes PMS symptoms last a few days after menstrual bleeding starts.

Female Urological Evaluation.
Some common female urology problems are as follows:
1. Urinary Tract Infections (UTIs)
2. Vaginitis
3. Vulvitis
4. Voiding Dysfunction
5. Urinary Incontinence
6. Pelvic Prolapse
7. Injuries to the Urinary Tract
8. Interstitial Cystitis
9. Urethritis
10. AIDS
11. Pregnancy and the Urinary Tract
12. Urethral Diverticulum

Management of Menopause & Perimenopause.
Perimenopausal Symptoms can be helped with Hormone Replacement Therapy (HRT). HRT is available in a variety of forms: pills, vaginal creams, vaginal ring, and patches.
Menopause Management includes eating a healthy diet, adequate Calcium intake, exercise, and yearly physical exams.

Osteoporosis Management & Prevention.
Osteoporosis is a progressive skeletal disease in which bone density decreases. Treatment includes a healthy diet, exercise, safety measures, and medications.
Five steps to bone health and prevention.
1.Get daily recommended amounts of Calcium and vitamin D.
2.Engage in regular weight bearing exercises.
3.Avoid Smoking, and excessive alcohol.
4.Talk to Health Care Provider about bone health.
5.Have a bone density test and take medication when appropriate.

Laparascopy for Diagnosis and Sterilization
Laparoscopy allows us to view the internal pelvic organs without requiring major surgery. The procedure is minimally invasive, and most patients can be discharged a few hours after their surgery.
Laparoscopy is employed in two levels of complexity:

• Diagnostic laparoscopy
• Operative laparoscopy

Diagnostic Laparoscopy

Diagnostic laparoscopy is utilized mainly for observation and diagnosis. Some minimal corrective procedures can be accomplished in this setting.

Operative Laparoscopy

Operative laparoscopy is always done in the operating room while the patient is under general anesthesia. This approach will enable us to correct any abnormalities that are encountered during the surgical procedure.
The laparoscope enables us to examine the external surface of the uterus tubes and ovaries. The surrounding organs can be viewed as well. This could include the liver, gall bladder, intestines, cul de sac, and anterior surface of the bladder.

Medical & Surgery Management of Urinary Incontinence.
Most cases of urinary incontinence fall under one of the following six major subtypes: stress incontinence, overactive bladder, mixed incontinence, overflow incontinence, lack of continuity or deformity, or functional incontinence.
Stress Incontinence
Stress incontinence is the involuntary loss of urine during an increase of intra-abdominal pressure produced from activities such as coughing, laughing or exercising.
Overactive Bladder
Involuntary loss of urine preceded by a strong urge to void, whether or not the bladder is full, is a symptom of the condition commonly referred to as "urge incontinence."
Mixed Incontinence
Women with genuine stress incontinence and overactive bladder are said to have mixed incontinence
Overflow Incontinence
Overflow incontinence is urine loss associated with over distension of the bladder.
Lack of Continuity or Deformity
The most common cause of incontinence in this category is a fistula.
Functional Incontinence
Women with urinary incontinence caused by chronic impairment of physical or cognitive function, or both, are said to have functional incontinence.