Our Services

New patients will first be seen in the office of one of the practitioners to review your Patient Forms and Patient Portal. We will discuss your history, family history, and talk about any concerns that you may have at the time. Next we will do your annual exam, including your Pap smear and any other screenings that you may require. This visit includes a complete physical to detect any problems (from your head to your toes) for which you may need referral and concentrates on areas of gynecological concern (breasts, uterus, vagina) for which we specialize.
Breast cancer detection and prevention starts with the cooperative efforts between a forthright history from you and the attentive ear of your provider. Your risks may be altered by factors other than genetic, and we can provide you preventative education and support. We analyze your family history, and if genetic risk is determined to be present, we perform sample collection, interpret test results, and provide appropriate counseling and coordination of follow-up care. As a member of our practice, you have access to Mid-Atlantic Imaging Center services for digital mammography, breast ultrasounds and bone density testing, or you may use the facility of your choice. These test results are sent to us through our electronic system, which provides secure and certain communication for all parties involved.
There are many options for women to choose from when deciding on a birth control method. As specialists in the field, we will help you navigate the maze of information provided by anecdotal tales, the media and medical research. At your visit we will discuss the options available and assist you in choosing the contraception method that best fits your medical history and lifestyle. You can look for information before your visit on the web at reliable locations such as PlannedParenthood.org or Womenshealth.gov
If you have completed your family and are seeking permanent birth control, Essure® is an alternative to the commonly-known bilateral tubal ligation (BTL or “getting your tubes tied”). This procedure is done in our office as opposed to outpatient surgery, resulting in a cost that is closer to your co-pay than associated surgical fees. Essure's long-term effectiveness exceeds that of BTL with a side-effect and risk profile that may be more favorable for you than that of surgery. Talk to your provider and see if Essure® is right for you.
Sexually transmitted infections (STIs) are very common. However, some people incorrectly classify this as a moral issue. The resulting discomfort and shame associated with sexually transmitted infections can defy common sense and prevent proper care for yourself and your partner. We urge you to practice safer sex, get annual sexual-health checkups and, although many people find it very difficult to talk about their sexual health, speak frankly and openly with your clinician about your sex life and your sexual health concerns.

Remember – testing, examination and treatment for sexually transmitted infections are always confidential. We offer testing for sexually transmitted infections during your annual checkup regardless of marital status and sexual preference. If you have been diagnosed with an STI, you may choose to read more information from the CDC or Planned Parenthood.
If you have been diagnosed with an abnormal pap smear, our recommendation will likely be that you have a colposcopy. It is comforting to know that you can have this cervical biopsy here in our office without being referred elsewhere for management regardless of the results. We recognize that this can be an anxious time for you and will make every effort to explain the procedure's results and coordinate follow-up care that will certainly help you live your healthiest life.
Preconception counseling is a highly-recommended element in attaining the goal of a healthy pregnancy and optimal birth outcome. Seeking preconception counseling and making lifestyle changes can help you get ready for the challenges of becoming pregnant and carrying a new life for the following months. It is recommended that you start taking a vitamin with 800mcg of Folic Acid before you start trying to conceive. Most women don’t realize that they are pregnant until they are a few weeks along and this essential nutrient can help prevent birth defects during the critical first eight weeks of fetal formation.

It is also recommended that you have your immunity for Rubella, Varicella (Chicken Pox) and Hepatitis B checked. If you are not immune to either Rubella or Varicella, you should receive these injections and wait three months before attempting conception. If you are not immune to Hepatitis B, you can receive the series at any time and no waiting period is required before you try to expand your family. Visit the Mayo Clinic website for more information.
If you have been having targeted intercourse without using birth control for twelve months or more (six months if you are over 30 years of age) and have not gotten pregnant, it is time to speak to your healthcare provider for evaluation and treatment of any medical problems that might be interfering with conception. (If you have no idea what “targeted intercourse” means, you definitely want to visit FertilityGuide.com, which is full of very useful information for everyone!) We will take a detailed history, perform an exam and make next-step recommendations for you and your partner in your effort to conceive.
We are happy to welcome you and your family to prenatal visits and into the labor and delivery experience at Chesapeake General Hospital! From your very first appointment, we encourage your participation and will help you decide on appropriate testing, schedule baby's ultrasound(s), support your pain management plans, provide educational choices and generally help you navigate your way to the best possible outcome for you and your new baby. We are pleased to have the only Certified Nurse-Midwife at Chesapeake General Hospital and three caring, board-certified obstetricians call our practice home. Our providers service a diverse obstetric population from supporting low-intervention care for healthy moms to supervising co-management with Maternal-Fetal Medicine for high-risk pregnancies.
If an ultrasound is ordered to help diagnose a gynecologic-related problem, it can be conveniently scheduled to be done with our office ultrasonographer. After your ultrasound, you will meet with one of the doctors to clarify your history, review any lab work and discuss the ultrasound results to decide on the best plan of care for you. (This appointment may be scheduled any time from the same day to 1 - 2 weeks after the ultrasound is performed, depending on the severity of the problem and schedule availability.)
If you have been experiencing heavy periods, there are several management strategies available to you, including the use of medication and surgical hysterectomy. We will review all of the options with you and help you choose the best therapy. For many people, endometrial ablation is the ideal choice as it avoids the side-effects associated with hormonal therapy and the risks of hysterectomy. We are pleased to offer this as an office procedure which means easy scheduling, quick recovery and minimal cost for you. Read more about your options and Gynecare Thermachoice® ablation to see how easy relief can be.
Memory loss, mood swings, sexual problems, urinary issues, night sweats and hot flashes (oh, my!) - any of these symptoms may indicate you are entering the “age of wisdom”. We will discuss your concerns and offer appropriate measures to assist you through this transition. There is a great deal of concern surrounding hormone-replacement therapy and you should be familiar with the most up-to-date information, which is summarized in the position statement from the North American Menopause Society (NAMS). While hormone-replacement therapy can be beneficial for many reasons, it is not for everyone. We are here to provide information about the risks, benefits, limitations and use of your treatment options.
Did you know that 50% of American women over the age of 50 will suffer from an osteoporosis-related fracture in their lifetimes? Of those who fracture a hip, about one-quarter will die in the year following the fracture and one in five will require long-term care.When you come in for your annual gynecologic exams, we will evaluate your genetic risk, lifestyle contributions and dietary habits that may be detrimental to your long-term bone health and independent lifestyle. The best way to evaluate the health of your bones is to use bone mineral density scans when it is appropriate for your situation. We can easily schedule you for testing at one of Mid-Atlantic Imaging Centers or you can use the facility of your choosing. You can read more about osteoporosis and prevention - including how much calcium is right for you - on the NIAMS website.
As we age, we may experience a change in urinary function and just learn to live with the resulting leakage. It is a common misconception that this is a normal and expected change in life. However, it is not “normal” to lose urine. We can perform in-office urodynamic testing, which will provide crucial information necessary to formulate your treatment options which may include exercises, medication, removable support devices, surgery or combination therapy. If you would like to evaluate the problem and explore treatment options of this often embarrassing and uncomfortable dysfunction, please call for an appointment.