Shoemaker Gynecology provides quality gynecological services from adolescence through menopause using the latest advances in medicine for women. Our services include routine care, such as annual exams, Pap smears, contraceptives, hereditary cancer testing, and menopause management, as well as treatment for heavy bleeding, osteoporosis, decreased libido, urinary incontinence, pelvic organ prolapse, and other concerns.
Parents of teen girls often wonder when their daughters should first be seen by a gynecologist, and adolescents are often unaware of what is involved in basic gynecological care. Teen girls have unique health care needs, and Shoemaker Gynecology offers gynecological services for young women as they develop.
Although a young woman’s first routine pelvic exam and Pap smear are typically done around age 21, some young women have concerns such as menstrual irregularities, missed periods, severe cramps or PMS, a delayed first period, and other conditions that can benefit from gynecological care.
The care that Shoemaker Gynecology provides to teen girls isn’t limited to concerns related to periods, however. We also are able to counsel adolescent women on issues surrounding puberty, menstruation, female health and hygiene, and sexual health.
Teen girls often struggle with issues related to body image, pressure from peers and boyfriends, and questions about their changing bodies. Shoemaker Gynecology provides compassionate, individualized care, taking into account each young woman’s level of maturity and development.
Many women experience hormone imbalance. Symptoms, which range from subtle to debilitating, can include fatigue, anxiety, depression, insomnia, weight gain, acne, thinning hair, excessive hair on face and arms, thin/dry skin, brown spots on face, unstable blood sugar, painful or severe menstruation, low sex drive, and many others. Hormone imbalance can occur as part of the natural aging process, but can also be affected by food, exercise, and stress.
Many women have found success through bio-identical hormone replacement therapy (BHRT).
Endometrial ablation is an outpatient surgical procedure using a heat source to destroy the uterine lining (endometrium) while leaving the uterus intact. The uterine lining sheds for several days following the procedure, much like it would during menstruation. Scar tissue then forms, and monthly menstrual flow and any accompanying pain typically decrease, often dramatically.
Shoemaker Gynecology performs endometrial ablations using the GYNECARE THERMACHOICE® Uterine Balloon Therapy System. During the procedure, a small silicone balloon is inserted into the uterus, then filled with a saline solution and gently heated to treat the lining of your uterus. The procedure itself lasts about ten minutes, and in most cases, patients can resume their normal activities within a day or two.
Endometrial ablation is not recommended for women who may wish to become pregnant in the future, because the likelihood of pregnancy is significantly decreased following the procedure. Additionally, pregnancies following ablation can be dangerous for both mother and baby.
A Pap smear (or Pap test) uses a sample of cells taken from a woman’s cervix or vagina to look for changes that could indicate cancer or precancerous conditions. Because early detection is key to curing cervical cancer, Pap smears are part of a woman’s routine physical exam.
The Pap test is a screening test, not diagnostic, so having an abnormal Pap test doesn’t mean you have cancer. In fact, the odds that you have cancer, even with an abnormal test result, are very small. Abnormal cell changes can be caused by certain types of human papillomavirus (HPV), infection such as those caused by bacteria or yeast, or simply the result of getting older. In many cases, the abnormal cell changes will go away on their own without treatment. We understand how stressful it can be to have an abnormal pap smear, but let us reassure you that treatment in most cases is easy.
For many women, stress, hormone levels, medications, relationship issues, and medical conditions can take their toll in the bedroom. Loss of sexual desire, known as hypoactive sexual desire disorder (HSDD), can be due to a number of factors.
Many of the factors that contribute to decreased libido are lifestyle-related; smoking, drinking alcohol, fatigue, and stress can all play a part. Many illnesses and medical conditions such as endometriosis, fibroids, thyroid disorders, arthritis, high blood pressure, and lower levels of testosterone, estrogen, or androgens due to aging can also be the cause of decreased libido, as can certain medications. In many cases, multiple factors contribute to decreased sexual desire.
If you’re struggling with low or decreased libido, we can help.
Approximately one in five women of reproductive age struggle with a condition known as menorraghia, the medical term for abnormally heavy or prolonged bleeding. Most women have a heavy period occasionally, but for women with menorraghia, the heavy bleeding occurs regularly and is often accompanied by extreme fatigue and intense pain that interferes with daily life.
Osteoporosis is a condition in which a woman’s bones become thin, brittle, and weak, increasing the risk of fractures. Women are five times more likely to get osteoporosis than men, and while a number of risk factors can contribute to osteoporosis, one of the most common is the onset of menopause. The decrease in estrogen that naturally occurs about one year before the last menstrual period and lasts for about three years triggers a period of rapid bone loss.
Bladder leakage, known as urinary incontinence, is a surprisingly common occurrence. Laughing, sneezing, coughing, exercise, or other types of exertion causes urine leaks for between 25-45% of U.S. women. The rate of likelihood of developing urinary incontinence increases with age, but younger women – even teens – are not immune.
Many women cope by wearing sanitary napkins and/or dark clothing, planning activities around the availability of restroom facilities, or even staying close to home, because they don’t realize urinary incontinence is a treatable medical condition.
Pelvic organ prolapse (POP) is a common but rarely discussed condition in which organs in the pelvic region shift out of their normal position, or prolapse. Pelvic organ prolapse can be both physically uncomfortable and emotionally troubling. Women with pelvic organ prolapse often limit their daily activities and avoid sex because of pelvic pain and/or the need to urinate frequently.
Several treatment options are available for pelvic organ prolapse (POP), depending on the severity of the prolapse and the associated symptoms.