Our physicians provide health care for the entire spectrum of women’s health issues, from preventative care and screenings to diagnosis and treatment of many gynecological problems.
Some of the gynecological services provided are: well women exams, breast exams, cervical cancer screening, HPV vaccination, contraception, STD screening, basic infertility evaluation, management of menopausal issues and of abnormal periods. Office procedures include colposcopy, LEEP, endometrial biopsy and hysteroscopy. We also perform gynecologic surgery.
Well women exams (annual exam) are recommended for all women. The frequency of these is based on your age and health history. A breast exam is part of the annual exam. In women over the age of 40 or who are at higher risk for breast cancer we refer to the Seattle Breast Center for screening mammograms. We follow the ASSCP guidelines for cervical cancer screening.
In the case of an abnormal pap smear, we often need to perform a colposcopy.This is a more in-depth exam of the cervix during which we may take biopsies of abnormal areas on the cervix. This can be performed in any of our locations and does not require anesthesia. Some pap smear abnormalities can be followed by serial pap smears.In some cases, however, a LEEP procedure may be required to remove high grade or persistently abnormal cells on the cervix. This is done in the office under local anesthetic. It can also be done in the operating room under general anesthesia.
Uterine biopsies may be indicated for various forms of irregular bleeding or ultrasound abnormalities of the uterus. This is an office procedure requiring no anesthesia. Biopsies of the vulvar or vaginal areas can be done under local anesthesia if indicated.
We are happy to provide counseling for the growing variety of birth control options. We offer several hormonal contraceptive options including birth control pills, NuvaRing, Nexplanon and Depo-Provera shots. We also perform IUD insertion and removal. We offer both the copper IUD (Paragard) and the progesterone containing IUDs (Mirena and Skyla). You may also ask your provider about permanent birth control options.
STD screening and treatment
We offer counseling and screening for a variety of sexually transmitted diseases. We can prescribe treatment for most STD’s and we perform office cryotherapy for genital warts.