Annual Visits

Annual Visits are once a year as permitted by insurance companies. They include a breast exam, PAP smear and pelvic exam. Breast exams are done for early cancer detection. Pelvic exams are done to check for any inflammation, infections or abnormal cells that may suggest disease.

The Pap test are done to woman 21 years and older as a way to examine cells collected from the cervix and vagina. This test can show the presence of infection, inflammation, abnormal cells, or cancer. It is important to do a Pap smear annually (once a year) as well as HPV testing.

HPV or Human Papilloma Virus, is a high-risk factor for cervical cancer and certain strains (16 and 18) require immediate attention. Benign strains of HPV (6 and 11) can lead to skin papilloma growths. Ovarian masses and cysts are common in women. It is important to realize that the vast majority of these are benign. However, ovarian cysts in post-menopausal women require a close follow up with a specialist.

Adolescent GYN Exams

Adolescent GYN exams are recommended for 18 years+ or females who are sexually active to establish wellness and guide teens toward adulthood. Initial GYN visit can be nerve wrecking but we ensure trust, assurance and thoroughly explain the exam process.

Those who are not sexually active get a modified exam. A pelvic sonogram can be preformed opposed to a transvaginal ultrasound to assess any complaints.

General Gynecology

Menstrual cycles

Menstrual cycles are often irregular during the first 2 years after the onset of menstruation due to immature biofeedback between the ovaries and the brain. These early cycles are often anovulatory, meaning that there is no ovulation during the menstrual cycle.


Mastalgia (breast pain) is tenderness of the breasts that can occur at any time in a woman’s life. It may or may not be associated with her menstrual cycle. Breast pain is not necessarily an indication of a more serious condition.


Bleeding vaginal and/or genital bleeding in women who are in menopause is abnormal and requires immediate medical attention. Women who experience bleeding between menstrual cycles should also seek medical attention due to abnormal bleeding as well.


Vaginitis is a medical term that is used to refer to any infection or inflammation of the vagina. The symptoms of vaginitis are common and most women will have at least one form of vaginitis in their lifetime. The most common forms of vaginitis are bacterial vaginosis and yeast infections. Despite all the advertising by manufacturers of feminine hygiene products, there are no practical reasons for women to douche on a regular basis. In fact, douching on a regular basis can be harmful for vaginal health.

Pelvic organ prolapse

Pelvic organ prolapse is a bulging in vagina that frequently occurs in post-menopausal women and women with history of multiple vaginal deliveries.

Some potential symptoms include:

  • urinary incontinence (involuntary loss of urine)
  • constipation
  • pain during sexual intercourse.

There are two types of treatments available for pelvic organ prolapse:

  • Surgical
  • Conservative - exercises, pessary

Pessary Insertion and Care

Our office is currently equipped with the latest model of pessary fitting kit designed specifically for each type of prolapse. Each pessary can be individually fitted (in size and shape) for each individual patient. We additionally provide pessary care to maintain cleanliness.


There are many different forms of contraception: Hormonal and Non-Hormonal

  • IUD (i.e. Skyla)
  • Birth Control Pills
  • Patches
  • Injections
  • IUD (i.e. Paragard)

STD Testing & Blood Work

Sexually Transmitted Diseases, STD, are diseases that are spread from one person to another through sexual contact. STD’s are passed through oral, vaginal, anal sex and bodily fluids. There various kinds of STD’s, some are genital herpes, Gonorrhea, Chlamydia, HIV, HPV, Condyloma, Syphilis, and Hepatitis.

Additionally, we provide genetic testing for cancer blood work to determine whether there is and what percentage of a risk there is of getting cancer according to family history. Those who qualify for this genetic testing, are then guided to treatments and other specialists, depending on the risk of which cancer.