Services

Gynecological Services

Yearly Wellness Exams

Routine yearly gynecological exams are important for women’s health to screen for several female-specific cancers and concerns. Well woman exams typically involve a breast and/or pelvic exam.

Pap smear screening should begin at age 21 for cervical cancer.2 Pelvic exams are recommended yearly at age 21. A Pap smear collection may NOT be done every time a pelvic exam is completed. Human Papillomavirus (HPV) screening may or may not be included in your cervical cancer screening, based on your age and history.

Sexually transmitted disease (STD) screening may be offered with each visit. Yearly Gonorrhea and Chlamydia screening is recommended for sexually active women under age 25, all pregnant women, and age 25 or older who are at increased risk.3

Screening mammograms are recommended to start yearly at age 40 for women at average risk.1

Colonoscopy screenings are now recommended to start by age 45 for anyone at average risk.1

Bone density screening, to check for osteoporosis, is generally recommended to start for women at age 65.4

Initiating any of the above screenings can change based on family history, genetics, or current concerns.1

Hormones/PCOS

Hormones are constantly changing in our bodies. Polycystic Ovarian Syndrome (PCOS) or other hormone imbalances can be frustrating for some, cause irregular periods, mood changes, and may lead to other health problems.5 It is important to address hormonal concerns as they arise.

Birth Control & Family Planning

Birth control and family planning consultations are available. Any FDA-approved birth control methods are options through JOG except for permanent sterilization. Referrals can be made if needed for permanent sterilization.

Menstrual Disorders

Menstrual disorders including heavy, painful or irregular periods can be experienced at any age and should be addressed to determine if there is a more serious cause.

Menopause

Menopause is a unique time in women’s lives and can cause a wide range of symptoms and concerns including irregular periods and hot flashses.5 It is unique for each person. Addressing any questions or significant symptoms during this phase and understanding the treatment options can be helpful.

Endometriosis And/Or Pelvic Pain

Endometriosis and/or pelvic pain may be severe at times or cause a negative impact on daily lives. Pelvic pain can be a complex condition caused or exacerbated by several different factors including infection or an underlying chronic condition.5

Obstetric Services

General & High Risk Obstetrical Care

Pregnancy is a special time in a woman’s life, often filled with excitement and worry. Our providers look forward to following you with routine and some high risk pregnancy care and any follow-up postpartum services. Routine care may include laboratory and urine testing, pelvic exams, and ultrasounds.5 Vaginal, Cesarean section, and Vaginal birth after Cesarean (VBAC) deliveries are options.

Infertility

Infertility impacts many couples. An evaluation and fertility services are offered for anyone having difficulty becoming pregnant. Family Planning or preconceptual counseling is also offered for those who wish to be evaluated or address questions prior to attempting pregnancy.

In Office Services

In Office Procedures

Intrauterine device (IUD) and Nexplanon insertions and/or removals – IUD’s are “T” shaped devices inserted into the uterus, used for birth control or at times treatment of heavy periods. Nexplanon is a form of birth control implanted in the upper arm.5 These are both effective long-acting forms of birth control.

Colposcopy is a procedure used to magnify the cervix and evaluate abnormal pap smears. Biopsies may or may not be taken during this procedure.5

Saline Infused Sonography (SIS) is a special ultrasound using saline to highlight in more detail any intrauterine abnormalities.5

Endometrial biopsy – A procedure where small sample of the uterine lining is removed to be evaluated.5

Hysteroscopy – An in-office procedure using a camera to visualize the inside of the uterine cavity and assist with surgeries.5

Uterine Ablations – an in-office procedure to cauterize or destroy the uterine lining indicated to help treat heavy menstrual bleeding.5

In Office Sonography

GYN and Obstetric Ultrasonography – Ultrasonography is an important instrument used in female care to help evaluate, diagnose, and monitor several gynecological and pregnancy related aspects of care using sound waves.5

Surgical Services

Our physicians also provide a wide range of surgical services through Memorial Hospital and Healthcare Center in Jasper, IN. A list of surgeries includes but is not limited to the following: Total and partial hysterectomy, robotic-assisted hysterectomy, diagnostic laparoscopy, dilation and curettage (D&C), polypectomy, hysterosalpingogram (HSG), ovarian cystectomy, oophorectomy, and Loop Electrosurgical Excision Procedure (LEEP).

References

1) American Cancer Society. Cancer Prevention & Early Detection Facts & Figures 2021-2022.Atlanta. American Cancer Society. 2022.
2) US Preventative Services Task Force. 2018. JAMA 320(7): 674-686.
3) Center for Disease Control and Prevention. (Sept 15, 2021). Retrieved May 2022 from https://www.cdc.gov/std/treatment-guidelines/screening-recommendations.htm
4) Bone Health and Osteoporosis Foundation. 2022. Retrieved 2022. https://www.bonehealthandosteoporosis.org/patients/treatment/calciumvitamin-d/
5) For Patients. 2024. Retrieved 2024 from https://www.acog.org/womens-health