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Gynecology

Supporting women at every stage

Our gynecologists, most of whom also practice obstetrics, compassionately deliver care, conversation, and connection for greater peace of mind.

From yearly check-ups and contraceptive counseling to menopause treatment, we support women from adolesents through their post-menopausal years.

Our services 

  • Annual exams
  • Cervical and breast cancer screenings
  • Adolescent gynecology
  • Family planning
  • Contraceptive counseling
  • Treatment of menstrual disorders
  • Uterine fibroids
  • Fertility and reproductive medicine
  • Treatment for pelvic organ, and pelvic floor disorders
  • Perimenopause care
  • Menopause management
  • Urinary incontinence treatment
  • Vaginal dryness
  • Hormone replacement therapy

Menopausal care

Perimenopause and menopause are a natural part of a woman’s life cycle.

Perimenopause is the years before menopause where the ovaries prepare to stop releasing eggs and reduce the amount of estrogen production. Once the ovaries no longer have eggs to release, menstruation stops, which is called menopause.

With this reduction in estrogen comes a multitude of perimenopausal symptoms that may interfere with daily life. Symptoms of perimenopause can include:

  • Hot flashes
  • Fatigue
  • Mood swings
  • Urinary incontinence treatment
  • Irregular periods
  • Vaginal dryness

In addition to uncomfortable symptoms, the reduction in estrogen associated with menopause can increase your risk for:

  • Heart attack
  • Osteoporosis
  • Vision problems including cataracts and macular degeneration

Hormone replacement therapy

While perimenopause and menopause can’t be prevented, the symptoms can be controlled.

One of the most common treatment methods is hormone replacement therapy (HRT). Through hormone replacement therapy, synthetic forms of the female hormones estrogen and progesterone are used to mitigate symptoms.

Hormone replacement therapy can reduce the risk of some long-term health problems such as bone loss, but can also increase the risks of certain cancers.

Your gynecologist will discuss the risks and benefits of hormone replacement therapy to decide what will work best for you.

Lifestyle changes for perimenopause and menopause

In addition to hormone replacement therapy, your gynecologist may suggest some lifestyle changes to reduce perimenopause and menopause symptoms. These may include:

  • Eating a healthy diet
  • Getting regular exercise
  • Over-the-counter remedies for specific symptoms
  • Complementary medicine such as acupuncture and massage

Cervical cancer screening

  • Cervical cancer screening (testing) should begin at age 21. Women younger than age 21 who are sexually active should follow their doctor’s guidelines.
  • Women between ages 21 and 29 should have a Pap test every three years. There also is a test called the HPV test. HPV testing should not be used in this age group unless it is needed after an abnormal Pap test result.
  • Women between the ages of 30 and 65 should have a Pap test and an HPV test (called “co-testing”) every five years. This is the preferred approach, but it is also OK to have a Pap test alone every three years.
  • Women older than age 65 who have had regular cervical cancer testing with normal results should not be tested for cervical cancer. Once testing is stopped, it should not be started again. Women with a history of a serious cervical pre-cancer should continue to be tested for at least 20 years after that diagnosis, even if testing continues past age 65.
  • A woman who has had her uterus removed (and also her cervix) for reasons not related to cervical cancer, and who has no history of cervical cancer or serious pre-cancer should not be tested.
  • A woman who has been vaccinated against HPV should still follow the screening recommendations for her age group. Because of some women’s health history, they may need to have a different screening schedule for cervical cancer.

Endometrial (uterine) cancer

At the time of menopause, all women should be told about the risks and symptoms of endometrial cancer. Women should report any unexpected bleeding or spotting to their doctor. Some women— because of their history—may need to consider having a yearly endometrial biopsy.

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Treatment options, lifestyle changes

Any health change can bring questions and concerns. One of the most common issues patients ask OB/GYN Dr. Lesley Furman about is menopause. “A lot of women come into the office with either questions about menopause or symptoms of menopause and want to know what’s going on? Is what I’m going through normal?” Dr. Furman says while the symptoms are normal, they can be uncomfortable. “Hot flashes are the biggest one. Hot flashes, night sweats, sleeplessness, decrease in libido, vaginal dryness, those are the main ones,” said Dr. Furman. The average age of menopause is 51, but doctors say symptoms can start when women are in their 40s and can last a few years. “It’s important for them to know that it is a natural process. It’s not going to last forever but there are treatment options,” said Dr. Furman. Treatment options, like medications, lifestyle changes, even hormone therapy can help. “Each treatment option should be tailored for each patient, not just one size fits all. They should be aware that there are certain factors in their lifestyle that they can alter to help. There can be medications that we can offer that will help,” said Dr. Furman. Doctors may recommend different treatments to help with different symptoms. “Patients often have a lot of symptoms; in fact most of the symptoms start way before that last menstrual period occurs,” said Dr. Furman. Women may even experience anxiety or depression during menopause. Whatever the symptoms are, doctors say they are normal and it’s important to explain them to your physician so treatment can be started.