GYNECOLOGICAL CARE

Well Woman Routine Exam

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Each year, the Affordable Care Act entitles all women to one free well-woman exam each year. The cost is covered-in-full as a preventive benefit, which means it's free even if you haven't met your plan's deductible.

The goal of the well-woman exam is preventive care—helping you identify and deal with health problems as early as possible.

At Capital Women’s Care Virginia, a typical annual preventive exam incudes:

Finally, you and our physician or provider will have the opportunity to talk about the next steps for helping you stay healthy. This may involve education and conversation around making informed health decisions about your diet, medication, exercise, stress management, and more. Together, you can also review and decide which screenings or follow-up services might be right for you.

Contraception Management

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There are a multitude of contraception options for every woman and every lifestyle, we’ll work with you to discuss and find what’s best for you and your needs including:

The various types that can be used depending on what is best for yourself and your significant other.

Irregular & Painful Menstrual Bleeding

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Most women will face a time in their lives when irregular, heavy or painful menstrual bleeding, causes concern and interruption in daily life. This can cause singificant inconvenience and discomfort that affects normal daily living. Women face the task of finding a solution to this complex problem that is compatible with their active lifestyle. Finding the right doctor is critical to proper evaluation and treatment.

Evaluation of abnormal uterine bleeding or painful mense, takes place by reviewing the patients' risks. A physical exam is critical. Often tested are hormonal and endocrine blood tests. Included in this workup is an ultrasound to make sure anatomical disorders are not the cause. Once the easily treatable causes are ruled out, one needs to consider how to effectively treat the irregular bleeding.

Generally in women older than age 35, the workup may include an endometrial biopsy in the office or a diagnostic dilation and curettage. Often this includes hysteroscopy, where a camera is placed into the uterus to help visualize and treat any abnormalities.

Treatment of abnormal uterine bleeding has advanced tremendously recently. Depending on the degree of severity, age and desire for fertility, there are several treatment options. Many have become less invasive.

The traditional treatment and management of adolescent and reproductive age women is to treat with birth control pills. As women age, more concerning is the anatomical and hormonal or endocrine causes of bleeding. Some women may need a dilation and curettage and/or endometrial ablation, if desiring no more children. Endometrial ablation is an outpatient or office procedure where laser energy is used to ablate the endometrial lining of the uterine cavity. This helps women achieve a satisfactory result and avoid a long term medical or hormonal treatment or even a hysterectomy.

Endometriosis

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Endometriosis is painful and frustrating condition that can significantly affect a woman’s lifetyle. It is estimated that 8-10% of women have endometriosis. Due to the “writing off” of symptoms as normal menstruation for women, endometriosis is severely underdiagnosed.

Endometriosis is a condition where the lining of the uterus grows either outside of the uterine muscle or into the muscle, known as adenomyosis. Endometriosis can spread to other sites in your body including the peritoneum, which is the lining of the pelvis, and even the ovaries and fallopian tubes causing significant chronic pain.

Common signs and symptoms of endometriosis include:

Women with endometriosis commonly complain of pain from recurring ovarian cysts. Ovarian cysts are rarely the cause of pain. However, ruptured ovarian cysts may cause pain but this is an exception for the cause rather than the norm.

Endometriosis can be a challenging condition to manage. An early diagnosis and an understanding of your diagnosis may result in better management of your symptoms.

Ovarian Cyst

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Ovarian cysts are very common in women. Every month that a woman has a period and ovulates she is at risk for developing a cyst. Simply, a cyst is a fluid filled pocket that replaces where the egg leaves the ovary. Sometimes the cyst is filled with fluid, blood, or tissue; the majority of cysts are not cancerous. Many women have ovarian cyst and are unaware of their presence, it is when the cyst becomes too large or twists that pain occurs and a woman knows something is wrong.

Ovarian cysts are diagnosed by clinical symptoms, exam, and ultrasound done by your provider. Depending on the size of the cyst there are multiple treatment options. Some options are continued monitoring in the future by repeat ultrasound or surgery if the cyst is very large. Birth control can be used to prevent future cyst growth; it will not make current cysts disappear.

If you are having unexplained pelvic discomfort, or think that you may have an ovarian cyst it is very important to mention it your doctor. We are happy to help you and appropriatly treat you then monitor or prevent ovarian cysts if you are affected by them.

Prolapse & Pelvic Treatment

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If you have symptoms such as leaking of urine, pressure in the pelvis, a bulging in vagina, pain with intercourse, there is a good chance you have some degree of urogential prolase. Prolapse can lead to problems with urination, leaking of urination, difficulty having a bowel movement, pain with intercourse, higher risk of infection, and pain.

Because of the embarrassment associated with pelvic floor disorders, many women suffer in silence but you don’t have to nor should you.

We are proud to provide at our office, modern, life-changing Pelvic Rehabilitiation Phycial Therapy sessions to our patients to accuratly diagnose and treat pelvic organ prolapse, incontinence and voiding dysfunction for conditions such as:

Pelvic floor rehabilitation treatment:

Physical Therapy (PT) of the pelvic floor and surrounding muscles can improve your quality of life by eliminating or managing incontinence and other symptoms, giving you the confidence to live your life again. Pelvic floor exercises and other techniques targeted to your particular condition will help strengthen the pelvic muscles and pelvic floor, and reduce the risk (or worsening) of prolapse, incontinence, pain and other symptoms.

Menopause Treatment

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Menopause can be a stressful and emotional time for many women, but it doesn’t have to be! We are here to ensure that your journey through menopause is a seamless and pain-free experience that allows you to find joy in the end of your pesky period – even if it comes with hot flashes, night sweats, mood changes and sexual dysfunction. We will work together and discuss your specific symptoms counsel you about treatment modalities such as lifestyle modifications, medical or hormonal treatment and natural remedies treatment and decide together what may be right for you.