Preventive and Routine Care

• Routine annual check ups
• Family planning / Birth control Options
• ACOG Recommendations:
  • Pap smears to detect cervical cancer: yearly (starting no later than 21 yrs).
  • Mammography to detect breast cancer: every 1-2 years beginning at age 40; yearly beginning at age 50.
  • Colonoscopy to detect colon cancer: every 10 years from age 50.
  • Lipid profile assessment every 5 years from age 45.
  • Diabetes and thyroid screening every 3-5 years from age 45.
  • Bone density screenings for osteoporosis: age 50; or earlier based on risk factors.
  • Pneumovax immunization to prevent pneumonia: Over age 65.

Bone Density Evaluation

• Osteoporosis is a skeletal disease characterized by a deterioration of bone tissue resulting in an increased risk of fractures.  Osteoporosis is a preventable complication of menopause.

1. 1. ~ 15% of U.S. women aged 50 years and older have osteoporosis.
   2. 45% have osteopenia (low bone mass).

• Risk factors for Osteoporosis include being female, caucasian, advanced age, previous bone fracture, a small thin frame, a family history of osteoporosis, early menopause, low calcium diet, alcohol and tobacco use.
• We offer in office Bone Density screenings.

Mammography:

• Breast cancer is the most common malignancy among U.S. women.
  • Lifetime risk: 12.5% or 1 in 8.
• Early detection of breast cancer has been shown to decrease the mortality rate.
• American Cancer Society Breast screening guidelines:
  • Every year from the age of 40.
• We offer in office Mammography by a mammography certified Radiology technician, read by board certified Radiologists

3D-4D Ultrasound

• Ultrasonography is a safe, non-invasive use of sound waves for diagnostic purposes.
• We use this valuable tool to evaluate pregnancies as well as to evaluate abdominal and pelvic organs.
• We also offer 3D-4D keepsake ultrasound packages for our expectant mothers – please inquire at the office for details.
• All ultrasounds are performed by a certified ultrasound technician.

Urodynamics / Incontinence Evaluation:

• Urinary incontinence can result from multiple factors.  Common causes include:
  • Childbirth, medication side effects, & urinary tract infection.
  • Birth defects, bladder muscle weakness.
  • Nerve disorders; brain or spinal cord injury.
  • Pelvic floor muscle weakness; vaginal prolapse.
• If you have a problem with urinary leakage, your doctor may be able to help. One of the tools  that helps determine the cause of your symptoms is urodynamic testing.
• Urodynamics is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine.
• We offer in office Urodynamics testing.

Surgery: We offer all general gynecologic surgeries, including:

• Laparoscopic Surgery
• Surgical management of Fibroids, Endometriosis, infertility and abnormal uterine bleeding.
• Tubal Ligation / Sterilization Options
• Pelvic Floor Repair Surgery
• Incontinence surgeries
• Hysterectomy
• Pelvic / Vaginal Surgeries
• DaVinci Robotic Surgery