Services

Obstetrics

Obstetrical Care | Gynecology | Colposcopy | Cystoscopy | Rochester NY | Farmington NY | Penfield NYWe provide comprehensive obstetrical care from preconception to postpartum. Our experienced doctors provide general obstetric services to guide women through each and every step of their pregnancy, ensuring proper growth and development, as well as a successful delivery. Our facilities are fully equipped with the most advanced technology and equipment to make your pregnancy as simple as possible.


Gynecology

Annual pelvic exams and Pap tests are important in monitoring your gynecologic health. During your exam you will be screened for infection, inflammation or other abnormal cells that may indicate disease. Early detection is important in treating any disease and especially important for cervical cancer and other potentially life-threatening diseases.


Adolescent Gynecology

Gynecological exams are valuable to adolescents in many ways. It is important for young women to be assessed early, especially if they are sexually active, and to begin a relationship with a doctor that may guide them through many important milestones in their lives.


Infertility

Infertility is typically defined as inability to conceive after 12 months of unprotected sexual intercourse. In addition, women over the age of 35 may be considered infertile if they have failed to conceive after 6 months of trying. In many cases, advanced treatments now available can sufficiently improve fertility to allow for successful conception.


Genetic Counseling

Obstetrical Care | Gynecology | Colposcopy | Cystoscopy | Rochester NY | Farmington NY | Penfield NYIf anything in the couple’s background indicates a recommendation for genetic screening, these options will be explained. Vaccinations may be needed for some patients and an outline is provided for precautions to take to reduce the risk of certain birth defects. The doctor will prescribe or recommend a prenatal vitamin to take daily, beginning before conception and continuing during pregnancy.


4-D Ultrasound

Ultrasound in 3D/4D is just as safe as traditional 2D ultrasound; in fact, it employs the exact same sound waves to obtain images. However, the more advanced devices process the data in a more sophisticated way so each image contains more layers and provides a much fuller, more complete view of the baby.


Fetal Testing

Fetal monitoring involves checking the heart rate and other vital functions of the baby during labor and delivery. It is a useful tool to ensure that the fetal heart rate falls within the normal range of between 110 and 160 beats per minute.


Colposcopy

Colposcopy is a diagnostic procedure used to examine, under magnifcation, certain areas of the body and determine abnormalities. A vulvar colposcopy typically examines lesions on the vulva and is used to identify cancer or genital human papillomavirus, also called HPV.


Cystoscopy

Cystoscopy is a minimally invasive diagnostic procedure that is performed to examine and treat conditions within the bladder that may not show up clearly on an X-ray or other common imaging procedure. With this procedure, doctors can clearly visualize targeted areas within the bladder. Doctors may perform a cystoscopy for a variety of reasons that may include:

  • Determining the cause of blood in the urine
  • Investigating repeated urinary tract infections
  • Evaluating blockages in the urethra

  • Removing tissue samples for biopsy
  • Removing foreign objects
  • Placing a catheter in the ureter

Prior to the cystoscopy procedure, patients are asked to empty their bladder. Local anesthesia is administered before the cystoscope, a thin lighted tube, is inserted through the urethra and into the bladder. Water or saline is then dispensed into the bladder through the cystoscope. As the fluid fills the bladder, the bladder wall is stretched, allowing the doctor to fully view the bladder in detail. Additional instruments may also be inserted to collect tissue samples or remove any abnormalities. The examination usually takes only about ten minutes to perform, although the entire process may last 45 minutes.

Cystoscopy is considered safe for most patients, with no permanent complications. After the procedure, there may be mild swelling in the urethra and burning during urination, however these side effects usually diminish within 48 hours after the procedure.


Laparoscopic Surgery

Obstetrical Care | Gynecology | Colposcopy | Cystoscopy | Rochester NY | Farmington NY | Penfield NYA laparoscopy is a minimally invasive surgical procedure used to diagnose and treat problems of the genital and pelvic areas. During this procedure, an endoscope (tube) with a camera on the end is inserted through a tiny incision that allows your doctor to closely examine the organs of the area.


Leep Procedure

Loop electrosurgical excision procedure (LEEP) is used to treat abnormal cells found on the surface of the cervix. During the procedure, the abnormal cells are removed to prevent development of cervical cancer.


Menopause

As you age, your body slowly ceases to produce estrogen and progesterone, two hormones that protect the body from developing uterine cancer and osteoporosis. The decrease of these hormone levels is also responsible for many of the symptoms of menopause which include irregular bleeding, hot flashes, insomnia, night sweats, fatigue, depression and more.


Incontinence

Some women in their fifties may begin to experience symptoms of stress urinary incontinence and/or pelvic organ prolapse. Stress urinary incontinence is the accidental leakage of urine upon sneezing, laughing, or other similar stresses.

Urinary incontinence, voiding difficulties and prolapse are common but treatable conditions for many women. We offer expert evaluation and treatment in a secure, comfortable environment. With our urodynamic testing, cystoscopy and a full range of non-surgical and surgical options, we can help treat and cure women suffering from these conditions.


Osteoporosis

Obstetrical Care | Gynecology | Colposcopy | Cystoscopy | Rochester NY | Farmington NY | Penfield NYOsteoporosis is a concern for many women starting in their fifties as this may develop due to your lower estrogen levels. It is a disease characterized by bone loss which can lead to fractures. Osteoporosis is not a natural result of aging. It is preventable.

With our state of the art DexaScan equipment and through advanced techniques, we can perform accurate tests in the diagnosis and prevention of osteoporosis.


Hysteroscopy

A hysteroscopy is a procedure, using a tool called a hysteroscope to examine the lining of the uterus and identify, diagnose or treat abnormalities.

A hysteroscopy may be performed to determine the cause of:

  • Abnormal bleeding
  • Bleeding after menopause
  • Infertility

It may also be used to diagnose and remove fibroids or polyps and find and reposition an intrauterine device.

Hysteroscopy Procedure

A local or general anesthesia may be used to relax the patient and relieve any potential discomfort. The hysteroscope which has a light and camera, is inserted into the vagina and moved through the cervix to the uterus. The hysteroscope projects an image onto a display screen for the doctor to review. If polyps are present, the doctor may use a surgical device to cut and remove them. The doctor may also take a small sample of tissue to examine more closely under a microscope. Patients may experience some cramping or vaginal discharge following the procedure.

While a simple and safe procedure, a hysteroscopy is not recommended for everyone. A hysteroscopy should only be performed if recommended specifically by a doctor.


Endometrial Ablation

Endometrial ablation is a surgical procedure for those women suffering from excessive or prolonged menstrual bleeding who have not responded to other treatments and cannot or do not wish to undergo a hysterectomy.

Endometrial ablation removes or destroys the uterine lining, or endometrium, while leaving the ovaries and uterus intact. The endometrium heals by scarring, which reduces or stops future uterine bleeding. Approximately 10-20% of patients require a second procedure or hysterectomy if symptoms reappear after a re-growth of the endometrium.

Different types of ablation techniques are used in this procedure include:

  • Laser beam (laser thermal ablation)
  • Heat (thermal ablation) using radiofrequency
  • Thermal balloon ablation

  • Saline balloon ablation
  • Electricity
  • Freezing
  • Microwave


Endometrial ablation is a short outpatient treatment and recovery time varies from a few days to six weeks.

Symptoms of recovery include:

  • Cramping
  • Watery discharge mixed with blood

  • Frequent urination
  • Nausea


Because endometrial ablation destroys the lining of the uterus, the procedure is not for women who still wish to become pregnant. Furthermore, women who have a malignancy or pre-malignant condition of the uterus are not candidates.