Our physicians provide women with compassionate and sensitive healthcare. We provide services to women of all ages. There are many areas of women's healthcare needs that affect one's quality of life. As a result, our women's wellness and medical services are individualized to help our patients manage their healthcare needs for all periods of their life.
A pap smear is a screening test to detect cancerous cells in the cervix. Positive findings result in the pap smear being referred to as abnormal.
Women are recommended to get annual pap smears to aid in the early detection of cancer. Please consult with your physician to learn more.
Irregular menstrual periods can result in abnormal uterine bleeding. This bleeding lasts longer than the normal cycle or occurs outside the cycle. Contributing factors may include weight loss/gain, heavy exercise, stress, sickness, or medication side effects.
To diagnose the condition, your physician will review your medical history and may ask you to keep a diary of your menstrual cycle. Some medical tests that your physician may also use are endometrial biopsy, ultrasound, hysteroscopy, and/or laparoscopy.
Treatment for this condition includes medications, hormone therapy, or surgery.
Contraception is the prevention of conception or impregnation. There are several forms of contraception. Available methods include:
During an infertility valuation, exams and tests are done to try to find the cause of infertility. If a cause is found, treatment may be possible. Infertility often can be successfully treated even if no cause is found.
Testing for infertility include laboratory test, imaging test, and certain procedures.
Treatment of hormone problems
Surgical treatment Tuboplasty
You should consider having an infertility evaluation if any of the following apply to you:
An intrauterine Device (IUD) is a female form of contraceptive placed in the uterus. The advantages of using an IUD are long protection and ease of use. Depending on the product, cycles may be heavier, or in come cases, lighter or even absent. IUDs have a slight risk of causing a serious pelvic infection, and are ideally suited for women between children, or after their families are completed. The failure rate is approximately 1%, with an increased risk of an ectopic (tubal) pregnancy if pregnancy occurs.
Overall, IUDs are very effective methods of birth control which are very popular worldwide, but less so in the United States. Years ago, older IUDs were associated with complications that are now infrequent with the newer products available.
The Liletta IUD is a product that can provide contraception for years. They are inserted at an office appointment after appropriate medical counseling and examination. Please note, IUDs are not right for everyone. 5
Birth control is the use of various devices, drugs, agents, sexual practices, or surgical procedures to prevent conception or pregnancy. Ask us about the options that fit your needs.
Mammograms are x-rays used to detect masses and lumps in breast tissue. Starting at age 40, women are recommended to have an annual mammogram.
Endometriosis is a highly unpredictable, common gynecologic disorder that affects women. Symptoms include increased menstrual cramps, infertility, and pain during intercourse. Medication and surgery are usually the treatments.
Pregnancy tests work by checking your urine for a hormone called human chorionic gonadotropin (HCG). Your body only makes this hormone if you’re pregnant. HCG is released when a fertilized egg attaches to the lining of your uterus — when pregnancy begins.
Regular health exams and tests can help find problems before they start. They also can help find problems early, when your chances for treatment are better.
The physicians at Premier Associates for the Healthcare of Women consider it a special privilege when we are asked to see your daughters, or any young woman, as they begin the transition through adolescence into womanhood. We take seriously the skill and trust that is needed to help these patients understand how the life-long habits of good preventive care and thoughtful reproductive health choices will enhance their quality of life.
Our doctors follow current adolescent healthcare guidelines recommended by the American College of Obstetricians and Gynecologists, as well as those from other accepted authoritative sources. We will, of course, provide the screening and care specific to the patient’s individual needs; however, these guidelines recommend the following:
Women’s Health Initial Visit for Teenagers
The first visit is recommended between ages 13-15, and should be followed by annual visits.
Please feel free to ask any of us about initial or subsequent services available for your daughter. Keep in mind that doctor-patient confidentiality as to the content of the visit must be observed in keeping with federal and state privacy laws.
What about HPV vaccination and testing?
In the summer of 2006, the FDA approved the use of Gardasil©, a vaccine for 4 types of HPV (human papilloma virus). This virus is responsible for virtually all cases of cervical dysplasia, cervical cancer, and genital warts. The vaccine is highly effective against the 4 types of HPV that account for 70% of cervical cancers and 90% of genital warts. HPV is commonly acquired when women become sexually active, and it is estimated that up to 80% of the women are exposed at some point in their lives. While most infections are silent and transient, many lead to future disease that can be largely prevented by vaccination.
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