Pre-Menarche

• Labial adhesions
• Retained foreign object
• Lichen sclerosus

Menarche / Teenage years

• Heavy, painful periods
• No periods/ irregular periods
• Acne
• Contraception
• STI screening
• HPV vaccination

Adult Years: Pre-Menopause

• Well woman exams: Pap tests, breast exams
• Menstrual period problems: Amenorrhea, menorrhagia, dysmenorrhea
• Contraception: Pill, patch, ring, injection, implant, IUD, sterilization
• STI screening, abnormal vaginal discharge
• Preconception counseling
• Infertility work-up and initial management
• Postpartum depression
• Painful intercourse
• Chronic pelvic pain
• Management of PCOS, fibroids, polyps, etc.

Adult Years: Post-Menopause

• Vaginal itching: Lichen sclerosis, lichen planus
• Vaginal dryness, hot flashes, mood swings
• Postmenopausal bleeding/ spotting
• Dyspareunia, chronic pelvic pain
• Pelvic organ prolapse
• Urinary incontinence
• Pessary fitting
• Well woman exams including DEXA scans at age 65 and older
• Osteoporosis management

Clinic Procedures

• IUD placement and removal
• Nexplanon placement and removal
• Vulvar biopsies
• Endometrial biopsy
• Cervical biopsy
• Cervical polyp removal
• Colposcopy
• Vulvoscopy

Surgeries/ Procedures

• Tubal ligation (sterilization)
• Diagnostic laparoscopy: Endometriosis, lysis of adhesions, ectopic pregnancy
• Hysterectomy: Vaginal, laparoscopic, abdominal
• Hysteroscopy with: Polypectomy, myomectomy, endometrial ablation
• Cone biopsy/ LEEP
• Ovarian cystectomy
• Bilateral salpingo-oophorectomy
• Labiaplasty
• Vaginoplasty