Gynecology
OGI appreciates the importance that a woman’s sexual and reproductive health holds for her throughout her life. We provide services across the spectrum of gynecologic care from adolescence through the menopausal transition. Our expert physicians and nurse practitioners offer a well-rounded approach to your reproductive health, prioritizing shared decision-making to empower our patients.
GYN services include:
Preventative care is a fundamental part of women’s healthcare. At your annual well-woman visit, your provider will discuss your health history, risk factors, and perform physical exam and tests to screen for breast and cervical cancers. We also screen for diseases like high blood pressure, high cholesterol, and diabetes, address mental health concerns, administer vaccinations and discuss family planning.
There are many different options to help prevent pregnancy, both hormonal and non-hormonal. We provide thorough counseling to help you find the one that’s right for you. We offer all contraceptive methods, including birth control pills, patch, ring, Depo Provera injections, Nexplanon devices and intrauterine devices (IUDs).
Early pregnancy loss, or miscarriage, in the first trimester are unfortunately common. While many early pregnancy losses are due to fetal chromosomal abnormalities, most people never find out the “reason” they miscarried. Management of miscarriages depends on gestational age at the time of pregnancy loss, symptoms like bleeding and cramping, and patient preferences. Recurrent pregnancy loss is defined as having two or more miscarriages. A thorough physical examination and testing are recommended to assess potential causes of miscarriages. Certain medical conditions, uterine fibroids or polyps, uterine scarring, or congenital uterine anomalies and endocrinologic disorders may also increase the risk of recurrent miscarriages.
Osteoporosis is a condition in which the bones become thin, brittle and weak, which can increase the risk of fractures. It occurs four times more often in women than in men. Weight-bearing exercise, eating a healthy diet, avoiding cigarette smoking, and taking supplements of calcium and vitamin D can help prevent osteoporosis. Identifying risk factors to screen for osteoporosis and performing bone density tests (DEXA scans) can help detect osteopenia or osteoporosis.
We partner with iHealth Pelvic Health Therapy to provide the resources you need. For more information, visit iHealth Pelvic Health Therapy.
An ovarian cyst is a little sac or pouch in the ovary that is filled with fluid or other tissue. Ovarian cysts are very common, and most do not require treatment. However, there are different types of cysts that may require monitoring or surgical management.
Many women are affected by chronic pelvic pain, pain with periods and pain with intercourse, but often have their symptoms dismissed. Certain conditions like irritable bowel syndrome, interstitial cystitis, endometriosis, pelvic adhesions, painful bladder syndrome, chronic endometritis, and adenomyosis can be associated with pelvic pain.
The first step in planning a healthy pregnancy is to meet with your physician to discuss preconception, or pre-pregnancy care. The goal of preconception counseling is to identify health conditions that could affect your pregnancy and optimize your health before you get pregnant. At these visits we may also discuss medications you take and whether they are safe for pregnancy, vaccinations you may need before or during pregnancy, and lifestyle factors that may affect yours and your baby’s wellbeing.
While menopause is defined as one year without having a period, perimenopause is the time leading up to menopause when your periods may change and you may start to have other symptoms. Some common symptoms of this transition include hot flashes, night sweats, sleep disturbances, and vaginal changes. Many women can also experience changes in sex drive, urinary issues and mood issues that can affect their wellbeing. Our physicians and nurse practitioners can help counsel about how to navigate these changes and help you feel empowered about your choices to help manage your symptoms.
Premenstrual syndrome (PMS) includes emotional and physical symptoms in the days before menstruation. Common symptoms are breast tenderness, bloating, headache, anxiety, depression, irritability, changes in libido, difficulty sleeping, GI symptoms and fatigue. Mild PMS symptoms can often be relieved by diet and lifestyle changes, like regular aerobic exercise, avoiding caffeine and alcohol, eating calcium rich foods and reducing sugar and salt intake, and getting enough sleep. People who have moderate to severe PMS symptoms may seek medical treatment for their symptoms.
PCOS is a common condition which often causes irregular menstrual periods, and may be characterized by polycystic ovaries, irregular periods/lack of ovulation, insulin resistance and excess of androgen hormones. Evaluation or diagnosis of PCOS may involve a comprehensive history, pelvic ultrasound, and bloodwork. PCOS treatment is different for different people, but typically a multidisciplinary approach with eating a healthy diet, exercising regularly, taking medicine to help regulate insulin/androgen levels can help your symptoms.
Many women will have problems with sex at some point during their lives, such as issues with desire and arousal, pain with sex, problems with orgasm or sexual problems caused by substances or medications. Our physicians can help evaluate and treat sexual problems.
Adolescence brings many physical and emotional changes for young women. While we don’t need to do pap tests until age 21, there are many reasons it may be helpful to see a gynecologist during the teen years. Education about healthy lifestyles and developing good habits, learning about periods and how to manage symptoms of PMS, cramps and heavy bleeding, discussing safe sex and how to have healthy romantic relationships, getting checked for STIs, and discussing birth control are all services that we are happy to offer.
Urinary incontinence is the involuntary leakage of urine and is a common problem in women. Stress urinary incontinence is the leakage of urine with coughing, laughing, sneezing, jumping, running or bending. Urge urinary incontinence is associated with a sudden, intense desire to void followed by an involuntary loss of urine. A combination of both is called mixed incontinence. Urinary incontinence can be treated with non-surgical and surgical methods.
UTIs are common infections that affect many women at some point in their lives. Bacteria can spread from the skin around the vagina or anus and move up the urethra, causing infections in the bladder and sometimes other parts of the urinary tract. Common symptoms including burning with urination, increased urinary frequency and urgency.
Fibroids, also calls leiomyomas or myomas, are benign growths that develop from the muscle tissue of the uterus. Fibroids can occur at any age, but are most likely to occur in women in their 30-40s. Fibroids may be found during a routine pelvic exam, with imaging studies such as ultrasound, CT scan, or MRI, or with procedures like hysteroscopy or laparoscopy. Fibroids that do not cause symptoms may not require any treatment, while women who have heavy or painful periods, irregular bleeding, rapidly growing fibroids, or infertility may require treatment for their fibroids.
One of the most common reasons women visit their gynecologist is due to vaginitis, or vaginal infections. Symptoms of vaginal infections may include itching, burning, a bad odor or large amount of vaginal discharge. Yeast and bacterial vaginosis are the most common culprits but other infectious organisms can cause similar symptoms, so the best approach is to be evaluated in the clinic and have a test done. Sexually transmitted infection screening and treatment is also offered at our clinic. Most of the time, sexually transmitted infections (STI) have no symptoms; so, testing is the only way to know for sure if you have an STI. It is recommended to get checked for STIs yearly for all sexually active women under age 25, but it can be requested at any time by any patient. We also routinely check pregnant patients for syphilis, HIV, hepatitis B, hepatitis C, chlamydia, and gonorrhea early in pregnancy.
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Obstetrics, Gynecology and Infertility was established in 1972. Over the years, we have grown to ten physicians and eight nurse practitioners.