Services Offered

• Menopausal consults - hormone management

• Surgical gynecology

• Infertility

• Contraception - Diaphragm fitting, IUD and Nexplanon insertions, sterilizations, contraception consultations

• STI screening and treatment

• Annual exams

• Cancer screening

• Transgender health

• Management of heavy periods, endometriosis

• Management of polycystic ovarian syndrome (PCOS)

• Urinary issues and incontinence

• Evaluation and treatment of pelvic pain

• Donor sperm insemination

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Medical Gynecology

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Fertility evaluation and treatment

Sometimes making a baby is not easy.  We offer evaluation of infertility, and repeated miscarriages.  In office ultrasound and intrauterine insemination is available (IUI).  We work with infertility doctors at the Seattle Reproductive Medicine, or a fertility clinic of your choice should you choose IVF.

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For couples experiencing difficulty conceiving, a consultation and an investigation into possible causes of infertility can be the first step in achieving pregnancy.

 

Intrauterine insemination is available in office, and ovulation induction and ovulation triggering.  Saline hysterosonograms and hysteroscopy are performed on site to evaluate the interior of the uterus.  If you are planning on using donor sperm, we are happy to assist you with this process.  

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Contraception

We offer contraceptive counseling so that you can find a method that works with your busy life. Pills, patches, rings, diaphragms, and IUD placement available for Mirena, Kyleena and Paragard (hormone free option). Nexplanon is a contraceptive rod we can place that is effective contraception for 3 years. We offer sterilization with outpatient tubal ligation, or salpingectomy (complete tubal removal) as well. Ask for a contraception consultation and we can discuss with you all of the available options to find your most comfortable and effective option.

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Evaluation and treatment of urinary incontinence

There are a number of solutions, surgical or medical, that may improve the quality of life for women who suffer with this problem. Tension Free Vaginal Tape (TVT) mid urethral sling, or the placement of a pessary (an in office solution) are options.  We can coordinate with physical therapy so that you can have the most effective and least invasive solution possible.  

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Evaluation and treatment of heavy periods

There can be many reasons women have heavier periods.  Anatomic problems in the uterus, like fibroids or polyps can be the cause, and there are hormonal causes as well.  Our gynecologists can help diagnose the problem and discuss options.  We do offer in office treatment of heavy periods including hormonal IUDs, and endometrial ablation with NovaSure.  There are newer - non hormonal - medicines that can help as well that we will be happy to discuss with you.  Sometimes surgery does offer an option, even up to hysterectomy which is a cure for many women.  Make an appointment so that we can plan with you to find a solution that you are comfortable with, and offers the safest and most effective treatment for your goals.

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