Northwest Professional Obstetrics & Gynecology Services

• Normal and High Risk Obstetrics
• Gynecological Care and Contraception
• Management of the Perimenopause and Menopause
• Evaluation and Treatment of Infertility
• Gynecologic Surgery, Thermachoice Endometrial Ablations, ESSURE Tubal Sterilizations
• Pap Smears, Colposcopy, and LEEP
• Menstrual Disorders
• Urinary Incontinence
• Osteoporosis and Bone Density Scans
• Laboratory Services
• Therapeutic and Prenatal Massage

Normal and high risk obstetrics

We provide prenatal care, management of the labor and delivery process, and postpartum follow-up care. For most women pregnancy is routine and uncomplicated. For some women, due to prior medical conditions, family history, age, or obstetrical reasons the pregnancy may be considered high risk.

We encourage women to come in prior to pregnancy for risk assessment and counseling regarding optimizing pregnancy outcome. We provide genetic counseling and, when indicated, amniocentesis for diagnosis. We commonly treat high blood pressure,diabetes, asthma, and thyroid disorders in pregnancy.

We have in office ultrasound evaluation and fetal monitoring with nonstress testing for high risk pregnancies, including multiple gestations.

We can also provide a very personalized experience with a certified nurse midwife as your partner during your pregnancy and delivery. ...Top

 

Gynecologic care

We provide annual screening and health maintenance examinations with an emphasis on preventative care. This is specific for women at different stages of their lives. For many women the ability to time a pregnancy is very important. We counsel women on both trying to achieve a pregnancy as well as prevent a pregnancy. We offer all forms of contraception including Mirena IUD's.

We perform ESSURE implants for permanent serilization in our office.

The Pap smear is a critical component to a pelvic exam. We offer complete evaluation of the abnormal Pap Smear including colposcopy. Colposcopy uses a microscope to examine your cervix. This allows us to see exactly where the cells are that are making your Pap smear abnormal. If appropriate, we can then biopsy those areas to confirm the abnormal Pap smear diagnosis. We can then offer a choice of treatment, if needed, including cryotherapy, LEEP, and cone biopsies.

We have been doing FDA certified mammographies in our office since 1994. We have a “state of the art” digital mammogram machine. The advantages of digital are a higher resolution picture for the radiologist to read with a lower amount of radiation exposure to the patient.

Menstrual disorders are a common complaint among women. We provide treatment for all forms of menstrual complaints, whether it is absent periods, heavy periods or painful periods. When a specific disease is diagnosed, we present a woman with all her options-medical and surgical, conservative and aggressive. Together with the patient, we decide on the most appropriate treatment for her ...Top

Management of the perimenopause and menopause

The menopause is a time of transition. For some women this can be an easy change. For others there can be great difficulty. As a woman’s ovaries stop producing hormones this can lead to changes in many body systems and the development of new problems. We are experienced in addressing these new concerns. We are able to evaluate and treat heavy periods. We address the concerns many women have but don’t talk about such as sexual functioning or urinary incontinence. We offer Urodynamics testing in the office. This helps us to diagnose which type of urinary incontinence a patient may have. An "over-active" bladder is treated with medication. Leaking urine with coughing or running may require surgery or just exercises to strengthen the pelvic muscles. We continue with preventive care at this time also. The emphasis is now on screening for specific diseases that increase with age such as breast cancer and osteoporosis. We provide mammograghy in the office. We have state-of-the-art screening for osteoporosis with our bone density machine. Whether or not to initiate hormone therapy is something that is discussed with each patient based on her specific situation. Together with her we come to a decision. We can also offer a personalized hormone replacement plan. ...Top

Evaluation and treatment of infertility

Infertility is defined as inability to become pregnant despite trying regularly for approximately one year. There are many reasons why this may occur. There can be factors related to the woman, the man, or both. Based on the couple’s history an individualized diagnostic and treatment plan is developed. ...Top

Gynecologic surgery, Thermachoice Endometrial Ablations, ESSURE Tubal Sterilizations

Gynecologic surgery is an integral part of our practice. We are trained and skilled in all forms. Minimally invasive techniques of laparoscopy and hysteroscopy have enabled women to return to normal activity within a day or two. We are able to treat endometriosis, pelvic masses and uterine fibroids with these techniques preserving the pelvic organs. We also perform laparoscopic hysterectomies.

We now offer, in our office, hysteroscopies with Thermachoice Endometrial Ablations for menstrual disorders. We also perform ESSURE tubal sterilizations in our office.

Traditional abdominal and vaginal surgery still has its role for some patients. After a complete evaluation we would offer a recommendation for the most appropriate technique. ...Top

Pap smears, colposcopy, and LEEP

The Pap smear is a critical component to a pelvic exam. We offer complete evaluation of the abnormal Pap Smear including colposcopy, cryotherapy, LEEP, and cone biopsies.

Colposcopy uses a microscope to examine your cervix. This allows us to see exactly where the cells are that are making your Pap smear abnormal. If appropriate, we can then biopsy those areas to confirm the abnormal pap smear diagnosis.

LEEP: (loop electrosurgical excision procedure): This is a procedure in which an abnormal area of the cervix is removed (after an abnormality is noted on a Pap smear and Colposcopy). It allows us to send a specimen to the pathologist for further evaluation of the degree of the abnormality so that we can determine the best course of treatment for you. It also allows us to ensure we were able to remove the entire area where the abnormal cells lie. This is done right in our office with local anesthesia. ...Top

Menstrual Disorders

Menstrual disorders are a common complaint among women. We provide treatment for all forms of menstrual complaints, whether it is absent periods, heavy periods or painful periods. When a specific disease is diagnosed, we present a woman with all her options-medical and surgical, conservative and aggressive. Together with the patient, we decide on the most appropriate treatment for her. ...Top

Urinary Incontinence

We offer Urodynamics testing in the office. This helps us to diagnose which type of urinary incontinence a patient may have. An "over-active" bladder is treated with medication. Leaking urine with coughing or running may require surgery or just exercises to strengthen the pelvic muscles. ...Top

Osteoporosis and Bone Density Scans

We offer state-of-the-art screening for osteoporosis with our bone density machine. ...Top

Laboratory Services

We can draw any blood test in our office. We also collect cultures to check for infections. We perform "state of the art" DNA testing for vaginal infections, with results back the same day. ...Top

Therapeutic and Prenatal Massage

We offer therapeutic and prenatal massage by a certified massage therapist. ...Top