Preventive care includes the following, a yearly well woman annual exam which, includes pap, pelvic exam, and breast exam. Stool testing for woman over 40 years old, lab work, pelvic ultrasound for early detection of ovarian problems, mammogram and breast ultrasound, bone density studies, hormone testing, and contraceptive education.
Yearly well woman exam will include pelvic exam, pap smear and breast exam. We will discuss all age related issues including contraception, family planning, menopause issues, PMS issues and all other health related issues pertaining to women.
A Pap test, where a sample of cells is taken from the cervix (the opening to the uterus), is the best way to find changes that may lead to cervical cancer. By finding the abnormal cells and treating them early we can prevent cervical cancer.
A pelvic exam is necessary during the annual exam to rule out any abnormalities with the pelvic organs which include the uterus and the ovaries.
Is recommended for patients with pelvic pain or an abnormal finding on physical exam. We can perform the ultrasound for the patient and inform them of the results immediately in our own office.
Our practice also feels that patients who have a family history of ovarian cancer should have the opportunity for a screening ultrasound, which we do offer. Although the exam may not be 100% accurate, it gives patients better knowledge and reassurance about their body.
A state of the art bone density study is offered to all patients over the age of 40. We believe that preventive medicine has more advantages to the health of the patients, hence, finding bone loss early prior to osteoporosis will give the patient an opportunity to be proactive about their bone health. The procedure takes approximately 15 minutes and will allow us to assess the health of the bones in two major problem areas: hips and spine. Patients will be instructed with treatment options according to the findings, normal bone mass, low bone mass (osteopenia) or severe bone loss (osteoporosis).
Screening mammograms start at the age of 35, and in our opinion once patients start having mammograms they should have them on a yearly basis. If a patient has a strong family history of breast cancer the screening age will be lowered accordingly.
If a lump is felt by a patient in self exam we will recommend a diagnostic mammogram and breast ultrasound—both performed at reputable radiologic settings. A breast ultrasound is an adjunct to the mammogram and the self breast exam and physical exam. The ultrasound will detect breast cysts easily and can help in diagnosis and treatment of the patient with a breast lump.
Lab work and hormone testing is also part of the routine exam. If patients suffer from hormonal imbalance, weight fluctuation, moodiness, hair loss, memory loss, we will recommend evaluation of the ovarian hormones, as well as other hormone testing including thyroid profile and testosterone levels. All results are discussed with the patients and treatment options are reviewed.
If necessary – laboratory testing will be recommended by your provider after your physical examination. Stool testing is recommended for all patients over the age of 40 – this is to rule out colon polyps or colon cancer.