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Comprehensive Physical Examinations
Offered as an annual check up, this service is for women who do not
have a generalist who performs a yearly physical. (I encourage all of
my patients to have a relationship with a primary care provider for
non-gynecologic problems.)
This visit includes the following:
Review your past medical and surgical history.
Review your family medical history.
Review your current lifestyle, health habits, immunization status.
Review need for screening laboratory, mammography, bone density exams.
Review your current gynecologic situation, including contraception and
hormone use.
Measurement of height, weight, blood pressure, other vital signs as
needed.
Examination of multiple organ systems including thyroid, heart, lungs,
breasts, abdomen, pelvis, bladder, rectum.
Obtain specimens as indicated and arrange for necessary screening or
diagnostic tests.
Provide advice regarding general and gynecologic health issues
identified through the process of the history and physical exam.
Provide referral to generalist or specialist physicians for
non-gynecological health issues and assist in coordinating your care.
Provide the results and interpretation of any testing done by mail or
phone.
Menopause consultation
For women preparing for or entering menopause, we provide a
comprehensive review of your menstrual status, symptoms of decreased
hormones, sexual function, and health risk factors. This is followed
by a discussion of what you need to know about your health during this
important transition in order to make appropriate health related
decisions. This consultation is primarily focused on health counseling
and requires the full appointment time. A physical examination will be
scheduled separately if needed.
Annual Pap and Pelvic
This service is for women who
have a primary care doctor or other provider who does a yearly
physical exam except for the gynecologic portion. The focus of this
visit is the breast and pelvic exams and PAP smear.
Limited Gynecologic Examination
Review your past gynecologic history
Review your current gynecologic situation
Review need for mammography and Pap smear
Examination of the pelvis (will include breast exam if not done
elsewhere)
Obtain specimens as indicated
Provide advice regarding gynecologic health issues identified through
the history and physical exam
Gynecologic Problems
We evaluate and treat a wide variety of gynecologic problems.
For minor (is ANY gynecology problem minor?) problems such as bladder
infections, vaginal discharge or sores, threatened miscarriage, new
breast lumps, and STD (sexually transmitted disease) testing, we can
usually schedule your visit within 24 hours.
More complicated problems requiring more time to evaluate should be
scheduled in the usual manner. Examples of
these problems would include ongoing heavy or irregular bleeding,
ongoing pelvic pain, urinary leakage, and difficulty in becoming
pregnant.
Because appointment times are held to be able to see patients with
gynecologic problems in a timely manner, routine physical exams may
take up to 1 month to schedule.
Gynecologic Surgery
As an experienced gynecologic surgeon, I am able to offer a wide
variety of surgical treatments for gynecologic problems. Surgery is
reserved for those situations where there are not more conservative
options, or where more conservative options have failed to correct the
problem.
Outpatient (same-day) surgery is performed at Odessa Regional Medical
Center
or Medical Center Hospital. Examples include tubal ligation (permanent
birth control by having tubes "tied"), D&C with hysteroscopy (looking
inside the uterus and removing tissue for diagnosis or treatment of
irregular bleeding), and laparoscopy (looking inside the abdomen and
pelvis to evaluate pelvic pain or infertility).
Major surgery, requiring an overnight stay in the hospital, is
performed at either ORMC or MCH. Some
conditions that may require surgery include endometriosis, pelvic
mass, fibroids, or urinary leakage.
For certain problems, such as suspected cancer or reconstruction of
tubes for infertility treatment, I work in conjunction with cancer and
fertility specialists. It is my belief that my patients are best
served by specialists in those cases. |
