Annual Well Woman Exam
At this yearly appointment, we will collect a urine specimen for urinalysis and take your vitals (weight and blood pressure). Your doctor will perform pelvic and breast exams and will review your medical history and medications. You will also have the opportunity to discuss your customized plan of care and any concerns you may have.
Intrauterine devices and contraceptive implants are the most effective reversible contraceptives. The major advantage of these compared with other reversible contraceptive methods is that they are highly effective and virtually maintenance-free. Additionally, fertility returns rapidly after removal of the device. Our patients have several highly-effective devices or implants from which to choose, including:
- Paraguard: a hormone-free, copper intrauterine contraceptive that provides up to ten years of pregnancy prevention.
- Nexplanon: a small, hormone-releasing device that is implanted in the inner, upper arm and provides up to three years of pregnancy prevention.
- Mirena: a low-hormone, plastic intrauterine device that provides up to five years of pregnancy prevention.
- Liletta: a small, hormone-releasing system placed in your uterus to prevent pregnancy for as long as you want for up to 3 years.
- Skyla: a small, hormone-releasing IUD that prevents pregnancy for up to 3 years.
- Kyleena: Kyleena is a hormone-releasing IUD that prevents pregnancy for up to 5 years.
Long Acting Reversible Contraceptive Ordering Process
Doctor approval and the corresponding signed patient consent form must be received before the ordering process can begin.
Our office will verify your insurance coverage for the procedure. If your insurance plan has 100% contraceptive coverage, your order will process through the specialty pharmacy or our office. If you have a financial responsibility that exceeds your copay, you will be notified to see if you wish to proceed.
The prescription is then faxed to the specialty pharmacy that is contracted with your insurance. They will verify your benefit information for the device only. Please allow 2-6 weeks.
The specialty pharmacy may need to contact you regarding your financial responsibility and/or to get final approval to ship. This phone call may be required to finalize the order.
Our office will notify you when your device arrives. All placements must occur within the first 5 days of your period unless you are breastfeeding, 6 weeks postpartum, or currently have a device in place.
Please contact (512) 462-1936 ext. 100 for further assistance.
- Mirena IUD (J7298)
- Skyla IUD (J7301)
- Nexplanon (J7307)
- Paragard IUD (J7300)
- Liletta IUD (J72972)
Permanent Sterilization (Essure)
When your family is complete, permanent sterilization may be the right choice for you. Essure is an in-office procedure that involves just three simple steps: 1) A soft, flexible insert is placed into each fallopian tube. 2) During the three months following the procedure, the body creates a natural barrier around the inserts. 3) A test using a special dye confirms that the fallopian tubes are fully blocked. NOTE: Permanent sterilization is irreversible.
If your pap smear results reveal any abnormalities, your doctor may order a colposcopy. A colposcope is a lighted magnifying device that is inserted into the vagina, enabling your doctor to find problems on the cervix that cannot be seen by the eye alone. This in-office procedure is quick and causes only minimal discomfort. If you are scheduled for a colposcopy, take two regular-strength Ibuprofen tablets (if no allergies) thirty to sixty minutes prior to your appointment. Before the procedure, we will take your vitals and collect urine specimen to confirm that you are not pregnant.
Loop Electrosurgical Excision Procedure (LEEP)
If your Colposcopy results are abnormal, your doctor may suggest a LEEP to evaluate and/or treat the abnormality. After an injection of a local anesthetic, a thin wire loop is charged with an electric current to cut away a thin layer of tissue from the cervix. The removed tissue is then analyzed in a lab to verify the diagnosis. After the procedure, you may experience a watery, pink discharge, mild cramping, or a brownish-black discharge.
During an endometrial biopsy, a soft, straw-like device (pipette) is used to suction a small sample of the lining of the uterus, or endometrium. The sample is sent to a lab to be inspected under a microscope for abnormal cells that may result in difficulty becoming pregnant, precancerous or cancerous cells; or heavy, prolonged, or irregular bleeding. This in-office procedure is quick and causes only minimal discomfort. If you are scheduled for an endometrial biopsy, take two regular-strength Ibuprofen tablets (if no allergies) thirty to sixty minutes prior to your appointment. Before the procedure, we will take your vitals and collect a urine specimen to confirm that you are not pregnant.
Endometrial Ablation (Novasure)
Your doctor may suggest endometrial ablation to treat heavy or irregular uterine bleeding that has not stabilized with medication. The procedures are quick, require no incisions, and cause little or no discomfort. We offer two types of endometrial ablation:
- Novasure uses radio-frequency energy to gently and safely remove a thin layer of the lining of the uterus. This in-office procedure takes less than five minutes.
- Thermachoice involves placement of a silicone balloon into the uterus. The balloon is filled with a fluid that is heated and circulated in the uterus for eight minutes.
NOTE: Endometrial ablation is not intended for women who wish to become pregnant in the future or are undecided. Highly-effective contraception or permanent sterilization is recommended for women who have had endometrial ablation.
Prevention, Diagnosis, and Treatment
- DEXA bone density testing
- Hormone therapy for menopausal women
- Breast, Ovarian, and Uterine cancer screenings
- Recurrent pregnancy loss
- Urinary incontinence
Vaginal Rejuvenation - Votiva
As women age, their bodies face a host of new changes, from a loss in elastin and collagen, to physical trauma associated with vaginal childbirth, to reduced estrogen. The time has come for a safe and effective treatment that treats BOTH internal and external areas, and is quick and comfortable. Votiva by InMode offers technologies that offers immediate results and continued improvement overtime for the treatment of sexual dysfunction or as an adjunct to Kegel exercises (tightening of the muscles of the pelvic floor to increase muscle tone). Votiva is the number one choice for safe and effective treatment for feminine health.
Gentle thermal tissue remodeling (internal and external)
Fractional radio-frequency contraction (external)
Call the office at (512) 462-1936 to find out if Votiva is the right choice for you:
- FormaV Internal or Vaginal Rejuvenation
- FractoraV External or Labial Rejuvenation
- FormaV/FractoraV or Total Vaginal Rejuvenation
Minimally Invasive Surgical Options
Minimally invasive surgery (MIS) is a safe and effective alternative to traditional open surgery. During MIS tiny incisions are made by the surgeon and the procedure is accomplished laparoscopically or robotically, in place of what would otherwise be a large abdominal incision.
There are many benefits of minimally invasive surgery including less pain, fewer complications, shorter hospital stays and quicker recovery times. MIS can be used to treat many conditions such as fibroids, ovarian cysts, abnormal bleeding, endometriosis, pelvic pain and pelvic organ prolapse.
- The da Vinci surgical system is a revolutionary tool that doctors use to assist them while performing minimally invasive surgery. A robotic surgery requires very small incisions, only 8mm, and gives doctors greater control and precision while operating. The visual system allows doctors to use 3-D imaging rather than 2-D conventional imaging in conventional laparoscopy. A patient’s recovery time is shorter and pain levels are significantly less than that of a patient who underwent a standard open surgery. Dr. Eduardo and Dr. Landwermeyer are trained and certified to use this new surgical procedure.
Frequently Asked Questions
What are my options for birth control?
Women have never had more choices for birth control. Your annual appointment is the perfect time to discuss your birth control options, but if it’s not time for your annual appointment, feel free to call. Call (512) 462-1936 ext. 291 for your physician’s direct clinical line. We welcome the opportunity to assist you with this important decision. The following are a few of the birth control products we offer:
- Paragard https://www.paragard.com/
- Nexplanon https://www.nexplanon.com/
- Mirena/Kyleena/Skyla https://www.mirena-us.com/
- Nuvaring https://www.nuvaring.com/
Where can I find information about Menopause?
Where can I find information about Cystic Fibrosis?
Go to https://www.cff.org/.
Am I a candidate for the Gardasil HPV vaccination?
Visit Gardasil’s website for an overview of the vaccination. You may also discuss your concerns about HPV with your doctor.
I have general health questions that aren’t necessarily related to my gynecological health. Where can I find reliable information regarding my general health?
Visit www.webMD.com for a searchable database of health conditions and information. The website also features a symptom checker and a variety of health blogs.
I would like to research women’s health or issues. Where can I find this type of information?
For an array of helpful pamphlets on women’s issues and to contact congress or your state legislature on topics important to women’s heath, visit the American College of Obstetrics and Gynecology.
I heard that minimally-invasive surgery is preferred whenever circumstances allow for it. Where can I find information on this topic?
What you heard is true. For more information, visit www.aimis.org.