Sometimes, you may need to come in to see one of our doctors or the nurse practitioner for a problem you may be having. When you come in, you will be evaluated and some tests may be ordered such as a culture, blood tests, and/or sonograms. Most of the time, a diagnosis can be established at the first visit and the appropriate treatment will be given. However, if testing is done, you will be asked to return to discuss the results and your treatment plan.


Pelvic Pain

Pelvic Pain is very common and may have many different causes. The cause may come from your cervix, ovaries, or uterus. It may also be due to menstrual irregularities or possible infection. Women typically complain of sudden pain, gradual or intermittent pain. It may also be a chronic pain lasting for over 6 months. It is helpful to try to keep track of when the pain is occurring, how often, how much pain you are feeling, and any other events that may contribute to the pain.

  • Acute pain may be caused by an ectopic pregnancy, an infection, pelvic inflammatory disease, or an ovarian cyst.
  • Chronic pain may be caused by ovulation pain, painful periods, endometriosis, fibroids, or other causes such as a gastrointestinal problem i.e. constipation, spastic colon or irritable bowel syndrome.

Vaginal Infections

A woman’s vagina has normal bacterial flora that helps maintain good health. Frequent intercourse; high stress; irregular bleeding and the use of antibiotics are all contributing factors that affect the normal flora of your vagina. An abnormal vaginal discharge may be as simple as a yeast infection which has symptoms of thick, white vaginal discharge (sometimes similar to cottage-cheese), itching, and vaginal redness. Another common infection is called bacterial vaginosis which has symptoms of a thin, watery discharge, irritation, and an unusual odor similar to a fishy odor.

If you have any concerns, please call us immediately to schedule an appointment and we can see you as soon as possible. Treatment is usually an antibiotic , anti-fungal pill or cream. Recurrent infections may require longer treatment regimens.


Breast Pain/Mass

It is recommended for women to perform Self Breast Exams monthly, preferably the week after your period. ( Your breasts are less tender and lumpy at this time.) You are looking for a lump or a mass that may be painful to touch, round, hard, and defined. Sometimes, you may not feel anything, but may have localized pain.

If you do feel something and/or complain of pain, please call us for an appointment. We will do a breast exam at the office and if needed, schedule an additional test such as a diagnostic mammogram to further evaluate the area in question.

As women, we immediately think of BREAST CANCER. Most of the time, the findings are benign (normal findings). However, EARLY DETECTION gives you the best chance of treating breast cancer. Do not wait until it is too late.

Sexually Transmitted Infections

Women may complain of an abnormal vaginal discharge, pelvic pain, pain during sexual intercourse, pain during urination, and/or the appearance of an unusual growth. Also, a sexual partner may complain of an abnormal penile discharge, pain with urination or ejaculation or a sign of a growth on the genital area. If you or your partner have any of the above complaints, it is very important that you come in for evaluation.

The more common Sexually Transmitted Infections (STI) include:

  • Chlamydia
  • Gonorrhea
  • Trichomoniasis
  • Herpes
  • Genital Warts
  • Syphilis
  • HIV

Problem Visits

If you suspect that you have been exposed to a sexually transmitted infection, please call us for an appointment and we will see you as soon as an emergency appointment. Typically, cultures will be done to determine if you have a sexually transmitted infection. Once a diagnosis is made, you will be given the appropriate treatment. Most of the above infections can be treated with antibiotics, however, additional treatment s may be needed such as for genital warts. Correct diagnosis and treatment is critical to prevent further disease.

And remember, it is very important to know that if you have an STI, you must not engage in sexual intercourse while you have an active STI and/or in some cases, until your partner has been treated as well.

It is very important to use a condom at all times during sexual intercourse to give you the best protection against STIs.