Advanced & General GYN Care

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Importance of regular GYN Care

Seeing your gynecologist on a regular basis is of utmost importance for women’s health. The American College of Obstetricians and Gynecologists strongly urges women starting at ages 13-15 to see their OB/GYN annually.Our team of highly experienced OB/GYN specialists are available 24/7 to assist you with your general GYN Care.

When to seek immediate help?

If you are experiencing vaginal irritation, any type of pelvic pain, abnormal bleeding, blood in urine, painful intercourse, irregular menstruation or change in vaginal discharge please call our office to scheudle an appointment immediately. We are available 24/7.

Well Woman Exam

Importance of the Annual Well Women Exam

A Well Woman Exam is a preventive annual gynecological and breast exam. Well Women Exams are extremely important in preventive care and early detection of diseases. Our doctors are all-female OB/GYN experts, highly skilled in diagnosing and treating any and all OB/GYN conditions.

A Well Woman Exam includes:

BREAST EXAM
During the Breast Exam, the breasts are inspected for changes in shape, skin texture, nipple discharge and lumps. Depending upon age, a mammogram and a bone density test may also be requested.

PELVIC EXAM & PAP SMEAR
During a pelvic exam, the vagina and labia are inspected for lesions and discharges. A speculum is placed in the vagina to evaluate the upper vagina and to perform a HPV test and the PAP smear. Cultures may also be obtained to screen for sexually transmitted diseases, depending on age, and other circumstances. The uterus and ovaries are also examined.

CONTRACEPTIVE COUNSELING
A Well Woman Exam includes a discussion about birth control options with your provider.

What is a PAP test (smear)?

Pap smear or Pap test, is a screening procedure a doctor uses to test for cervical cancer in women and it also reveals changes in cervical cells that may develop into cancer later. For a Pap test cells from the cervix (opening of the uterus) are gently scraped. After that they are sent to a laboratory where they are examined for abnormal growth.

It takes 3-7 days for the results to come back from the laboratory after a Pap test is performed in the office. If the results are normal they are sent to the Complete Women Care Patient portal where patients can review them. In case the results are abnormal, one of our team members will call you to schedule a consultation with one of our specialists.

What will my insurance cover?

  • WHAT WILL YOUR INSURANCE COVER?
    Please check your insurance policy to make sure you are covered for yearly preventive exams, including a Pap smear and pelvic/breast exam. Different insurance policies have different rules for preventive care coverage. Most insurance companies allow for only one annual exam per 12-month period (and some will not pay for a visit even a few days before the year is up).
  • WHAT HAPPENS IF YOU HAVE A NEW PROBLEM OR WANT TO DISCUSS A CHRONIC CONDITION WHEN YOU COME FOR YOUR WELL WOMAN EXAM?
    Unfortunately, scheduled appointment times do not allow for both. Insurances require healthcare providers to separate Well Woman Exams from problem visits, including detailed discussions of chronic conditions. In the case that a new problem is present during a well woman exam, we always suggest patients to use the appointment to discuss their problems, especially if it is an urgent issue , and to reschedule their Well Woman Exam to the first next appointment available
  • I HAVE INSURANCE BUT YOU SENT ME AN INVOICE!
    Complete Woman Care bills the standard fees for all Well Woman Exams to all insurances, but what your insurance will cover is up to the health plan you signed up for. Your deductible, co-insurance, or co-payments my apply. So yes, it might happen that you have high deductible or co-payment. We recommend getting familiar with the plan you signed up for, and your insurance benefits before the visit.

Advanced Care

Colposcopy

A colposcopy is a procedure that allows a physician to examine a woman’s cervix and vagina using a special microscope called a colposcope. A colposcopy is usually done when a Pap smear result shows abnormal changes in the cells of the cervix. Colposcopy provides more information about the abnormal cells and tissue.

A colposcopy also may be used to further assess other problems, such as:

  • Genital warts on the cervix
  • Cervicitis (an inflamed cervix)
  • Benign (non-cancerous) growths, such as polyps
  • Pain
  • Bleeding

A colposcopy is a quick procedure and is best done when a woman is not having her menstrual period, giving the health care provider a better view of the cervix. A speculum is used to hold apart the vaginal walls so that the inside of the vagina and the cervix can be seen. The colposcope is placed just outside the opening of the vagina. A mild solution is applied to the cervix and vagina with a cotton swab or cotton ball. This liquid makes abnormal areas on the cervix easier to see. During colposcopy, the health care provider may see abnormal areas. A biopsy of these areas may be done.

Cryotherapy

Cryotherapy is a technique that freezes and sheds abnormal tissue. It can be used to treat mild to moderate dysplasia. Cryotherapy is an effective method for destroying abnormal cervical tissue; studies show that it can destroy all of the abnormal tissue in 77% to 96% of cases.

During cryotherapy, liquid carbon dioxide (CO2), which is very cold, circulates through a probe placed next to the abnormal tissue. This freezes the tissue for 2 to 3 minutes. It may be allowed to thaw and then be refrozen for another 2 to 3 minutes. Cryotherapy is usually done at the doctor’s office and may cause some discomfort. Most women feel a sensation of cold and a little cramping, and sometimes a sense of warmth spreads to the upper body and face. After Cryotherapy, a watery vaginal discharge will occur for about 2 to 3 weeks; during this time, tampons, douching, and sexual intercourse should be avoided.

Most women are able to return to their normal activity level the day after the cryotherapy procedure.

Cone Biopsy

A cone biopsy removes a cone-shaped wedge of abnormal tissue that is high in the cervical canal to be examined under a microscope. If the dysplasia is more severe and deeper in the cervical canal, a cone biopsy is recommended. A small amount of normal tissue around the perimeter of the site is also removed so that a margin free of abnormal cells is left in the cervix.The cone biopsy may remove all of the abnormal tissue. This would mean that no further treatment is needed other than follow-up Pap smears.The perimeter of the cervical tissue may contain abnormal cells, meaning that abnormal tissue may be left in the cervix. The cone biopsy may be repeated to remove the remaining abnormal cells. If follow-up tests show normal cells, then no further treatment may be needed. If abnormal cells remain, other treatments may be required. The cone biopsy may show cancer that has grown deep into the cervical tissue (cervical cancer). Further treatment, such as surgery, radiation, or chemotherapy, will be recommended.

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