I hope you will consult me if you are:
- a pre-teen or teen with concerns about lack of menses, abnormal menses or development, bad menstrual cramps, or perhaps wanting to discuss contraception options, vaginal discharge, vulvar rash or pain or "bumps down there", dating strategies, healthy relationship advice, how to use tampons. i will rarely need to perform a pelvic exam on young woman until 21. we can do STD screening from a urine test. when an exam is necessary, it is done patiently with attention to your comfort level. I have over 20 years of experience examining the youngest patients, and pay special attention to educating the young woman and her mom.
- on your way to college and you need advice choosing the right contraception, want to have a private conversation about risk reduction, bystander intervention, avoiding unplanned pregnancy, STDs, date rape (1 in 4 college women are raped by someone they know). or, perhaps you want to be proactive, and connect with someone you can call from far away (24/7) when you have personal questions or concerns.
- one who needs more time with a pap: i care very much that my patients feel safe and respected in our office. some patients have a harder time than others with this exam, sometimes based on painful histories that they aren't ready to share. knowing this, i will go out of my way to make your gynecologic exam gentle and brief. we'll spend lots of time talking, laughing and very little time examining, relative to the conversation.
- a rape survivor: you need and deserve the patience and expertise of a physician experienced with this special population. you will be treated with respect and care; i will go out of my way to meet all your needs, including emotional support, while helping you with your future reproductive healthcare, and in certain cases, connecting you with other professionals that you may benefit from.
- struggling with perimenopausal and menopausal changes: including hot flashes, night sweats, insomnia, vaginal dryness that makes sex uncomfortable, difficulty losing weight, etc... together we can decide what risk:benefit ratio is acceptable for you as you make this life transition.
- a woman with breasts: because if you have breasts you are at risk for breast cancer. 1 in 8 women will develop breast cancer in their lifetime in the U.S. There are many risk factors, from genetic to familial to lifestyle - some modifiable and some open to strategic prevention. as part of a comprehensive approach to your long-term well-being, we can integrate your personal history with genetic testing where indicated, to help create your own risk profile. this allows us to consider risk-reduction, treatment options, as well as increased surveillance. our goal is prevention first, and when that is not feasible: early detection.