TempSure is a radiofrequency treatment to increase your collagen filaments under your skin. This helps to tighten your skin especially on your face, legs, and abdomen. It will decrease the appearance of wrinkles and cellulite, but it also helps to improve your diet and stop smoking.
is the use of a special probe to deliver the radiofrequency waves to
the vagina. This tightens the vagina and may also help to treat
mild urinary incontinence.
Confirmation of pregnancy ONLY
We offer full service gynecology, and can take care of most gynecologic issues. We offer the latest office procedures for contraception, as well as abnormal pap management and abnormal bleeding management. We also perform surgery at Adams County Regional Medical Center, and Anderson Mercy hospitals ranging from minimally invasive surgery to complete hysterectomy.
Abnormal vaginal bleeding is a common problem that has many different causes. We will take a detailed history and based on your age and history will decide what testing you need. Generally you will have an ultrasound, blood count and thyroid check or other testing, if necessary. Then we will discuss a treatment plan with you in detail. Treatments for this problem can be medical with hormones/birth control or with a minimally invasive surgery occasionally it will require major surgery.
Abnormal Pap Management
The Pap smears in our office are done according to recommended guidelines. Management is also by standard guidelines. If you have an abnormal Pap a Colposcopy is often recommended.
Colposcopy -- This a procedure done in the office to evaluate abnormal pap smears. It is a very detailed examination of the cervix. After the speculum is placed, vinegar is applied to the cervix and the cervix and vagina is evaluated with a special microscope. The vinegar makes abnormal cells easier to see. If there are any abnormalities a biopsy will be taken of that area. This procedure is generally not considered painful, other than some mild menstrual type cramping.
This is a comprehensive exam to review your entire medical history focusing on any gynecologic issues. We will discuss prevention, screening and treatments. Screening tests that we offer are typically dependant on your age. We can do the Pap test and screen for sexually transmitted infections . We can also send you for health maintenance screening for blood sugar, cholesterol , vitamin D level, thyroid, osteoporosis screening (dexa) and mammogram.
Birth Control -- We offer comprehensive contraception services in the office.
Implant contraceptive rod in arm
Implanon is the most effective method of birth control unless you use abstinence. With a small amount of anesthesia, it is then inserted in the arm much like started an IV. Side effects of abnormal uterine bleeding similar to "the shot" are common.
“The shot”, Depo-Provera, is very effective and is given every three months. It works differently than the pill in that there is no estrogen with this method. It is often associated with abnormal bleeding especially in the first 6-9 months but eventually you may cease to have cycles at all. This type of contraception has been associated with reversible bone loss.
The IUD, Mirena or Paragard IUD's are devices that are placed in your uterus by a doctor in the office. The Mirena IUD uses progesterone for contraception and lasts for up to ten years. Placement is similar to a pap smear but a little more uncomfortable. We use with a local anesthesic. If you have complications or want the IUD out prior to it’s life expectancy, we can take it out at any time in our office. We have information about these IUD's in the office. You should be on your period on the day of insertion.
Oral Contraceptives (birth control pills)
There are many different choices on the market. They ALL provide contraception when taken correctly. These have a daily dosing schedule.
We usually do this using a laparoscopy, a two small holes in you abdomen, but you come to the hospital and must have general anesthesia (“going to sleep”).
“The Patch” this works similarly to “the pill” but has some different side effects and weekly dosing schedule.
“The Ring”, Nuvaring is more effective than the pill and has much lower side effects because of a lower dose of hormones. The ring is inserted vaginally by you and lasts for one month. You insert the ring; it’s easier than a tampon. This is a great contraception for those who have trouble remembering to take a pill every day.
Infertility is defined as being unable to become pregnant after trying for one year. An in-depth history and physical will be done and special testing. Referral to an infertility specialist may be done when indicated.
Menopause occurs when you no longer have eggs in your ovaries. There are many changes in hormone levels and changes in your body. Hormone replacement therapy is not right for everyone, but will definitely benefit some. We treat each patient on a case-by-case basis making decisions with you based on your symptoms, medical issues and family history. We will also evaluate and treat you for osteoporosis/osteopenia (low bone mass).
There are also many other gynecologic issues that we care for that were not mentioned, but we welcome you to discuss any issues or questions you may have at your appointment, if it is something that we do not take care of we could certainly point you in the right direction.
Your vaccination history will be discussed and suggested vaccination schedule recommended.
Surgery -- We can handle many problems that required surgery in the past with medicines or less invasive procedures.
We do several office procedures. Colposcopy to evaluate abnormal Pap smears. Endometrial Biopsy to evaluate abnormal uterine bleeding. Appropriate biopsies of the vagina and perineal area. Incision an drainage of certain lesions.
Many GYN surgeries are done including removal of the uterus, tubes and ovaries.
LEEP surgeries to remove the inner part of the cervix for severe abnormal Pap smears. Endoscopic procedures with the use of a long tube with a lighted camera to inspect and treat problems in the uterus (hysteroscopy) or laparoscopy (endoscopy in the abdomen) for evaluation and pelvic abnormalities or for tubal ligation.
These are just a small sample of the surgical procedures we provide
our patients. Please feel free to call the office if there is a
procedure you have specific questions about.