Click on an image below to find out more information!
Routine and Yearly Examinations
An annual wellness exam is an important part of health maintenance. At your annual exam you will be asked for information about your current health and medical history. You will also receive a physical exam likely including a Pap test and pelvic exam.
When you come for your appointment please have ready information about your family medical history (including family history of cancer), current medications, allergies, and any recent health screenings or vaccinations to ensure that your health file is up to date.
At this appointment, referrals for any further laboratory services, screening exams (DXA scan, colonoscopy), or specialist appointments can also be addressed. Your annual exam may also be a time when any medications that you receive from this office can be reevaluated and prescribed again if indicated.
Please print out, complete, and bring to the office the form “Health Visit Questionnaire (Page 3)” in order to expedite your check-in process at your upcoming appointment.
VIEW PATIENT FORMS
Adolescent Gynecology and Counseling
We see patients of a wide range of ages including adolescent women. We understand that this is an age where many questions and concerns arise about body changes and sexual health. We strive to be extra sensitive to the unique needs of this population of patients and our goal is to be a place where young women feel comfortable establishing a regular health care routine.
We perform annual wellness exams on adolescent women and see adolescent women for a variety of concerns including, but not limited to: menstrual concerns, breast changes, vaginal infections, contraception counseling, and sexually transmitted infection screening and treatment.
Contraception Counseling, Prescriptions, and Procedures
We offer a range of contraception options including both temporary contraception (such as prescription birth control pills, Nuvaring, IUD placement, Nexplanon insertion, and Depo Provera injection) and permanent contraception (including Essure and tubal ligation). A choice of contraception is best made by taking into account personal and family medical history, any current menstrual concerns, as well as what method best fits into a patient’s lifestyle and preferences.
Pap Smears and Cervical Cancer Screening
We recommend that most patients receive an annual pap smear every year to ensure close and accurate monitoring of cancer risk. Along with a pap smear we may also test for the presence of HPV (human papilloma virus) which is a virus that can sometimes lead to abnormal cells on a pap exam as well as may sometimes cause genital warts.
If your Pap smear is abnormal you may be asked to return again for a repeat test or you might be scheduled for a colposcopy which is a procedure where cervical biopsies may be obtained for further analysis. Many patients receive an abnormal Pap smear result at one time or another and upwards of 80% of all sexually active men and women get HPV at some point in their lives. Often these resolve on their own, but continued regular screenings are important for close monitoring.
Family & Genetic Cancer Screening
Genetic Testing for Hereditary Cancer
Approximately 5-10% of all cancers develop because a person inherits a genetic mutation in a way that encourages the disease to grow. Individuals with these genetic mutations are more likely to develop certain cancers, often at a much earlier age than the general population.
Medical management of people with a higher cancer risk/hereditary risk can be very different than that for people with a lower cancer risk/general population risk. By working with your health care provider, you can determine if your family history suggests increased risk for a hereditary cancer family syndrome. An individual with a personal and/or family history of multiple cancers on the same side of the family, breast, colorectal, or endometrial cancer at age 50 or younger, rare cancers at any age such as ovarian, male breast cancer, and triple negative breast cancers are examples of red flags to indicate the need to assesses for hereditary cancer.
Here at Renaissance Healthcare for Women, we offer hereditary cancer testing. The testing analyzes 25 genes associated with cancer risks, thereby providing critical information to make optimal medical decisions and take action in building a personalized cancer risk-reduction plan. Results reports can be positive or negative for genetic mutations known to increase cancer risk. Management recommendations for specific cancer risks are generated on the basis of well-established and respected medical guidelines. Ultimately, the information provided allows proper management of your cancer risks.
Testing for Individual Breast Cancer Risk
At Dr. Barbi Phelps-Sandall’s office we are pleased to be offering a personalized breast cancer risk assessment test that predicts risk of sporadic, estrogen receptor positive breast cancer. Clinical risk factors and genetic markers are combined to form an integrated risk.
Breast cancer is the second most common cancer among women in the United States. 1 in 8 women (12%) in the U.S. will be diagnosed with breast cancer during her lifetime.
Certain risk factors may increase your risk of developing breast cancer. These risk factors may include things you can change, such as diet and exercise, and things you cannot change, such as your gender and age. Key risk factors for the most common type of breast cancer (sporadic or nonhereditary breast cancer) include: a women’s age, age at first period, age at first childbirth, history of breast biopsies, and family history of breast cancer.
Detected early, breast cancer has a high survival rate. That is why it is important to know your risk so that steps to reduce your risk or detect breast cancer early can be implemented. While many breast cancers cannot be prevented, there are things women can do that can reduce the risk of developing breast cancer, or increase the likelihood of early detection if breast cancer does occur. By determining your risk using individualized testing we can determine the breast cancer risk reduction and screening plan that is right for you. The test is a cheek swab-based test that is collected in the office. No blood test is required.
You can make an appointment with us to have your individual breast cancer risk testing done and then to develop a personalized breast cancer risk reduction and screening plan.
Sexually Transmitted Infection Screening
We recommend sexually transmitted infection screening annually for all women 25 and younger as well as anytime any patient of any age has a new sexual partner or thinks they may have been exposed to a sexually transmitted infection. We can perform cultures for gonorrhea and chlamydia in the office and we can provide a lab order for blood testing to screen for HIV, Hepatitis A, B, & C, and Syphilis.
Osteoporosis Screening, Prevention, Diagnosis and Treatment
Osteoporosis is a skeletal disease in which the bones become weak and brittle. Approximately 1 in 7 women over age 50 in United States have osteoporosis, and they are at significant risk for fractures and related morbidity. It is thought that half of all women over age 50 can be expected to suffer an osteoporosis related fracture in their lifetime. Consequences of these fractures include pain, difficulty walking, loss of independence, altered body image, and depression.
The incidence of osteoporosis increases progressively with age after menopause. We therefore begin screening women for osteoporosis at the time of menopause, or earlier for certain patients at increased risk (genetic predisposition, estrogen deficiency, physical inactivity, and conditions that increase the likelihood of a fall).
Osteoporosis screening involves a referral to a specialist or local imaging center for a type of x-ray, called a DXA test, which measures the bone mineral density in the lumbar spine and hip. Results typically fall into the categories of: normal, osteopenia, and osteoporosis. Once we receive the results we will have you return to the office to discuss life-style modifications or prescribe any necessary medications to decrease risk of future bone fractures.
Perimenopausal Abnormal Bleeding
As women approach menopause, the incidence of anovulatory uterine bleeding increases. Most bleeding changes at this time are related to normal menopausal transition, but endometrial hyperplasia and cancer need to be ruled out. Perimenopause starts with the onset of cycle irregularity and ends one year after the last menses. The average age of menopause in developed countries is 51.4, and the average duration of menopausal transition is 4 years. Pregnancies, although rare, may still occur until one full year without menses. Therefore, for women without contraindications, hormonal contraception, rather than hormone therapy, should be used for pregnancy prevention, menstrual control, and relief of perimenopausal symptoms in women at risk. Premenopausal use of hormone therapy will not provide menstrual regularity or contraception.
The treatment approach to perimenopausal abnormal uterine bleeding is usually medical, because it is an underlying hormonal abnormality. Surgical therapy is indication if medical therapy fails, is contraindicated, is not tolerated by the patient, or the patient has intracavity lesions such as polyps or fibroids
Other Gynecology Services