GYN services
General Wellness Visit
A general wellness visit provides an excellent opportunity to discuss healthy lifestyles, health promotion, and minimizing health risks. We also guide you on the recommended routine health screenings, preventive services, and counseling giving you an opportunity to contribute to your overall health and well-being. We can discuss weight loss evaluation, management, and referral as well.
Gynecology Visit
A gynecology visit provides an opportunity to discuss many concerns such as birth control issues, endometriosis, irregular menstrual cycles, polycystic ovarian syndrome, peri-menopause or menopause symptoms, or unexplained weight.
Procedures available to help diagnose GYN issues are:
- Point of Care Ultrasound for GYN with referral as needed
- Endometrial Biopsies (EMB)
- Punch Biopsies
Family Planning
The family planning visit is an overall health evaluation that includes screenings and education for a healthy life-style. Detailed counseling is done regarding family planning including birth control options, referral to other health and social services as needed.
Types of birth control options available:
- Oral birth control
- Emergency contraception
- Hormonal injections
- Vaginal rings
- Implants
- Intrauterine devices (IUDs)
- Barrier methods
- Natural family planning
Sexual Health
A sexual health visit gives an opportunity to discuss sexual transmitted infections (STI), recommended screens, and any treatments if needed. Being able to visit privately, you are able to discuss concerns such as burning while urinating, vaginal discharge, pain or sores on the genitals or mouth, pelvic pain, or pain during sex, among other issues.
Perinatal services
Preconception counseling
Ready for a pregnancy?
The preconception counseling visit its an opportunity to visit and discuss possible health risks affecting you that could affect the pregnancy, fetus, and neonate and work together to improve your health, address modifiable risk factors, and provide education about a healthy pregnancy. This visit is recommended to be done before trying to become pregnant or as soon as you think you are pregnant.
During the visit these are some of the topics discussed and reviewed:
- Chronic medical conditions such as diabetes, hypertension, psychiatric illness, and thyroid disease
- All prescription and nonprescription medications including herbal supplements
- Parental Vitamins and supplements
- Immunization status
- Social health screenings
- Nutritional status
- Behavioral/Mental Health Screenings
- Optional genetic screening for parents and during pregnancy
During this visit, we also discuss general health screenings to determine other health risks.
Prenatal Care
Prenatal care is defined as early and regular health care while you are pregnant. It’s recommended to start prenatal care as soon as you know you're pregnant.
Each prenatal visit is aimed at ensuring your pregnant is progressing well while discussing the best recommendations for managing your care. We discussions maternal physiological changes, prenatal nutrition, prenatal vitamins, routine prenatal care including lab work and available prenatal screenings.
The initial visit is important to confirm your pregnancy, plan your level of care, and discuss the need for referral as needed.
Noninvasive prenatal testing (NIPT) Offered:
Natera
- Panorama
- Horizon
- Empower
- Anora
Postpartum care
A postpartum visit provides an opportunity for close follow-up after delivery. Important topics discussed during this visit include birth control options, postpartum depression screening and treatment, and breastfeeding support.
Our postpartum care services will help you recover and adjust to life with your new baby, providing support for both physical and emotional wellbeing.
Perinatal Mental Health Services
Perinatal mental health services provide specialized care and treatment during the perinatal period (pregnancy, postpartum, and post-loss).
Conditions include:
- Perinatal Depression
- Perinatal Anxiety
- Perinatal Obsessive Compulsive Disorder (OCD)
- Postpartum Post-Traumatic Stress Disorder (PTSD)
- Bipolar Mood Disorders
- Perinatal Psychosis (PP)
From Postpartum Support International:
If you suspect Perinatal Psychosis
Call or text the National Maternal Mental Health Hotline 833-852-6262. Hotline Counselors are available to discuss and explore next steps for you and your loved one. Available 24/7, in the United States only.
In an Emergency
Call or text the Suicide and Crisis Lifeline at 988 (in the United States and Canada only). Emergency Hotlines are available all the time. It is very important that you reach out right now and find the support and information you need to be safe. Call for yourself or someone you care about; available 24/7.
NEWBORN care
- Hospital follow up
- Weight Check and follow up
- Circumcisions
Lactation services
Lactation Consultation
International Board Certified Lactation Consultants function and contribute as members of the maternal-child health team. They provide care in a variety of settings while making appropriate referrals to other health professionals and community support resources. Working together with families, policymakers, and society, IBCLCs provide expert breastfeeding and lactation care, promote changes that support breastfeeding, and help reduce the risks of not breastfeeding.
Fertility services
Fertility Consultation
Patients come to me at different stages of evaluation and treatment for infertility. I offer basic fertility evaluation and treatments. However, if you are entirely new to the infertility process, don’t worry, I am here to help.
Choosing a provider to start your evaluation for building your family is challenging. I know that you have many choices and thus appreciate the opportunity to help you start your fertility evaluation. You can rest assured that every clinical decision will be weighed carefully to make sure that the best approach for your situation is selected. You are always encouraged to be an active participant in your evaluation and treatment process.
During your consultation, you will likely have some of the following tests:
1. A semen analysis for the male partner
2. General labs to evaluate your health and hormones
3. An AMH level to check your egg reserve
4. Routine blood test to prepare you for pregnancy (OB panel, thyroid check)
5. Imaging such as a pelvic ultrasound and a hysterosalpingography (HSG)
If you have already been trying to conceive for more than a year or are older than 35, you will probably benefit from a proactive approach by starting treatment.
Ovulation Induction
I offer basic ovulation induction treatment using Clomid or Femara to improve ovulation. The treatment will depend on your initial consultation. Clomid and Femara are oral medications that induce the release of FSH (Follicle Stimulating Hormone) from the pituitary to act on the ovaries to promote the growth of the follicle. This helps to overcome the subtle effects of stress that can impair follicular growth and ovulation.
At times, assistance with ovulation release is needed and ovulation can be induced by using an HCG injection which is very similar in chemical structure to LH. HCG is effective when applied to mature follicles.
FERTILITY Point of care ULTRASOUNDS
Ovulation Induction is managed in each cycle with Point of Care Ultrasound to monitor follicle growth. These are the most common ultrasounds done:
- Baseline
- Mid-Cycle
- Post Ovulation
- Pregnancy Confirmation
Please feel free to come in for a consultation.
Point of care Ultrasound Services
Limited Point of Care Ultrasound: OB/GYN
The incorporation and performance of limited ultrasound expands the care of women during pregnancy by identifying a pregnancy, its viability, and dating. Evaluating fetal growth and fetal well-being during pregnancy is an essential part of prenatal care.
Basic gynecologic ultrasound may be used to recognize the normal uterus, ovaries, and common variations of normal while evaluating the endometrial stripe, location of an IUD, recognition of pelvic masses, and assisted reproductive techniques.
The Midwife Sonography Certificate gives midwives a critical edge in promoting public safety in women's point-of-care ultrasound. The Midwife Sonography examination assesses the requisite knowledge, skills, and abilities in the areas of the female reproductive system as well as the fetus in the first, second, and third trimesters of pregnancy.
