A well woman examination is an exam offered to women to review elements of their reproductive health. It is recommended once a year for most women. The exam includes a breast examination, a pelvic examination and a pap smear but may also include other procedures as well … we perform a comprehensive study annually to ensure you are able to live the life style you want.

Problem Visits

No matter what the issue is, or the challenge presented to us, we will sit down with you and review your health concerns and together determine the best way forward to provide a solution that meets your goals and life style.


This is a normal condition that all women experience with age. The term is commonly used describing any and/or all of the changes women experience as menstruation slows or stops – marking the end of the reproductive period. When it occurs after the age of 40, it is considered to be a natural process of aging.
However, some women can experience menopause early, either as a result of a surgical intervention or damage to the ovaries.
Nonetheless, two very simple tests can accurately determine what stage of menopause you are in. Your follicle stimulating hormone (FSH) levels will dramatically rise as your ovaries begin to shut down and these levels are easily checked through one blood test.

Pap Smear

A Pap test, known as a pap smear or Papanicolaou test, is the best way to detect cervical cancer.  The test is a microscopic examination of cervical cells, usually taken during your annual Well-Woman exam. During a Pap test, the cells are obtained from the cervix using a wooden scraper or small cervical brush or broom, after a speculum has been inserted to open the vagina and produce a clear image of the vaginal walls.

Uterine Fibroids

Also known as Leiomyomas of the Uterus, are benign muscle tumors of the uterine wall which never turn malignant, but are common and can cause challenges.
15% to 20% of women in the reproductive years can have fibroid tumors, and in women over 35 it can reach 40% so yes, these are very common problems.  These tumors can vary in size and can grow over time.  Although some women have one large tumor, most often there are multiple tumors.

Urinary Tract Infections

UTIs don't always cause signs and symptoms, but when they do they may include

  • A strong, persistent urge to urinate
  • A burning sensation when urinating
  • Passing frequent, small amounts of urine
  • Urine that appears cloudy
  • Urine that appears red, bright pink or cola-colored — a sign of blood in the urine
  • Strong-smelling urine
  • Pelvic pain, especially in the center of the pelvis and around the area of the pubic bone

UTIs may be overlooked or mistaken for other conditions in older adults. Each type of UTI may result in more-specific signs and symptoms, depending on which part of your urinary tract is infected. We can help determine what the infection is and come with the right treatment - antibiotics - to give relief and help you back to your health life style.

Vaginal Infections

Vaginal infections, or vaginitis, are very common, so much so that most women will experience some form of vaginal infection or inflammation during their lifetime.
There are three very common types of vaginal infections, yeast infections, bacterial vaginosi, and trichomona. All of these infections can be treated, but it is important to know which infection it is. We can help isolate the infection and prescribe the right medication treatment.

Irregular Vaginal Bleeding

Many women experience abnormal vaginal bleeding or spotting between periods at some point in their lives; when your menstrual flow is different - lighter or heavier than what is your norm, or at a time when it is not expected, such as before puberty, when you are pregnant, or after menopause. There are many possible causes, which require professional help and consultation to determine the right treatment. We have the experience and knowledge and will work with you towards the treatment that meets your lifestyle.
More than 200 different symptoms have been associated with PMS. Common emotional and non-specific symptoms include stress, anxiety, difficulty with sleep, headache, feeling tired, mood swings, increased emotional sensitivity, tender breasts, food cravings, fatigue, irritability, depression, and changes in interest in sex.
Physical symptoms associated with the menstrual cycle include bloating, lower back pain, abdominal cramps, constipation/diarrhea, swelling or tenderness in the breasts, cyclic acne, and joint or muscle pain, and food cravings. The exact symptoms and their intensity vary significantly from woman to woman, and even somewhat from cycle to cycle and over time.
Treatments and lifestyle adjustments can help you reduce or manage PMS such as antidepressants, hormonal medications, or even alternative medicine. Nonetheless you need to see your health care specialist to decide the best path forward.

Adolescent Issues

No matter what the issues may be, abnormal vaginal discharge or bleeding, labial agglutination/fusion/adhesions, vulvar or vaginal skin conditions, or ovarian cysts, we compassionately and discreetly discuss and treat these anomalies.

Pregnancy Confirmation

Every pregnancy is unique and symptoms vary. Experiencing pregnancy symptoms does not mean you are pregnant. Furthermore, some women may experience a positive pregnancy test but do not show any symptoms. It is important to confirm your pregnancy with an accurate pregnancy test. Many over the counter urine pregnancy tests are fine but to be sure, they need to be confirmed.
We confirm your pregnancy using sonograms, blood tests, and consultation to provide you with medical information and referrals tailored to your needs.


In general, infertility is defined as not being able to conceive after one year of unprotected sex. Women who do not have regular menstrual cycles, older than 35 years and have not conceived during a 6-month period, or experience recurrent pregnancy loss (2 or more spontaneous miscarriages), should consider making an appointment with an infertility specialist. We have experience with infertility and will be able to assemble the right team to give you the care you need.