First periods, hot flashes, trying to conceive, trying NOT to conceive, STDs, Pap smears, pain "down there." It's all part of a woman's gynaecologic health. And though you may not be comfortable talking about all of these things, we are here to help you every step of the way.
At EMBRACE by primecare, we offer a number of gynaecologic services for females across the age spectrum. Our wide range services for all your gynaecology related needs are listed below.
Abnormal Pap Test:
Having regular Pap tests is the best way to monitor cervical health. Many women will experience an "abnormal" Pap test during their lifetime, which can be caused by infection with HPV (human papilloma virus). This infection can lead to cervical dysplasia, a potentially precancerous condition in which abnormal cells grow on the cervix. These women may need an additional Pap test, a test for HPV, or a more detailed test called a colposcopy. The prognosis is excellent for women with cervical dysplasia who receive appropriate follow-up and treatment. But women who go undiagnosed or who do not receive appropriate care are at higher risk of developing cervical cancer.
Follow Up Exams
Colposcopy is usually done as a follow-up exam to help find the cause of an abnormal Pap test. Colposcopy is a procedure that gives a magnified view of the cervix and/or vagina using a lighted microscope called a colposcope and identifies areas that may need to be biopsied. Similar to a Pap test, it is a very safe procedure. It usually takes less than 10 minutes, and most women have only minor discomfort.
A woman's body is very different and more developed than the body of a young or adolescent girl, and the gynecologic problems of younger females need special expertise. The Pediatric and Adolescent Gynecology Clinic is the only place in the region that can offer this level of care for females from birth to age 16.
Our team of gynaecologists see females who need evaluation and treatment of such gynaecologic issues as:
- Amenorrhea (when there is no menstrual cycle)
- Chronic vaginal discharge
- Congenital anomalies of the reproductive tract
- Heavy or abnormal menstrual bleeding
- Labial agglutination
- Ovarian cysts
- Vaginal infections
- Vulvar problems
Family Planning & Birth Control:
Our Gynaecologists specialize in helping find an effective method of birth control for women who have complex or chronic medical conditions like:
- Congenital heart disease
Our staffs include obstetrician/gynaecologists with expertise in family planning. They work with your primary care physician to balance the need to treat your condition and your desire or medical need to plan for or avoid pregnancy.
To do so, a physician will assess your medical condition and consider any possible adverse or beneficial interactions with various types of birth control, complications of your disease, and possible drug interactions with your existing medical therapy.
The Gynaecologist will then recommend appropriate family planning options, including:
- Hormonal contraception
- Barrier methods
- Intrauterine device (IUD)
- Contraceptive implant
- Permanent sterilization
- Emergency contraception
Birth Control for Mothers of Preemies
Many women feel overwhelmed after preterm birth. While it can be hard to think about yourself, it is important to take control of your reproductive life. This includes using appropriate birth control methods and getting pregnant again only when you are ready to get pregnant.
For years, menopause has been the subject of rumor and myth. At one time, it was believed that menopause was a disease. It was also thought that menopausal women were constantly depressed and just stopped having sex. They were treated as if their lives had ended.
Thankfully, attitudes towards menopause have changed for the better. Menopause is seen as a perfectly natural part of life, and it is an easy transition for some and a more difficult one for others.
Through a new openness to talk about menopause, there's more help available to women who are having difficulty coping with this time in their lives.
The Pelvic Pain Program offers appointments with physicians who specialize in pelvic pain, or pain located between your belly button and your hips. If this pain lasts for more than six months, it is called "chronic" pelvic pain. Our staff works with your primary care physician to determine what is causing the pain. Some possible causes are nerves or problems in the female organs, intestines, bladder or retroperitoneal space (the space between your diaphragm and pelvis). We treat a wide variety of conditions including:
- Side effects from pelvic inflammatory disease
- Pain when ovulating
- Pain during your menstrual cycle
- Pelvic congestion syndrome
The staff in the Pelvic Pain Program helps to coordinate care with other specialists as indicated, including gastroenterology and urology, for the management of such issues as:
- Irritable Bowel Syndrome (IBS)
- Inflammatory Bowel Disease (IBD)
- Ulcerative colitis
- Interstitial cystitis
- Chronic urinary tract infections (UTI)
We provide comprehensive evaluation and treatment of acute, chronic and recurrent conditions of the vulva or vagina, including:
- Skin diseases such as lichen sclerosus, lichen simplex chronicus, and lichen planus.
- Chronic vaginal itching or irritation
- Abnormal vaginal discharge
- Vulvodynia or vaginismus
- Vaginal dryness