Patient Care Portal

Gynecological Services


We have tailored our practice to address a full range of gynecological problems - from adolescent issues, birth control and child-bearing years, through the changing cycles of the premenopausal years, specific menopausal issues, and challenges facing older women.

Below is a brief description of how we address each of these issues. In addition, the unique in-office and outpatient procedures we use for some specific problems are provided by clicking on the bulleted links to the left.

 

1. Adolescent menstrual problems: Most young women go through the stage between their first menstrual period and child bearing without major problems. For a few the flow in the early years may be heavy or painful. Pediatricians often refer these problems to our office. Our philosophy is not to subject these young women to the traditional Pap smear/pelvic exam, but rather to obtain an in-office ultrasound to ensure that the uterus and ovaries are normal. Then we deal with the family and the young woman to solve the menstrual issues in a non-threatening way.

Our nurse practitioner Christina Gonzalez-Wilson usually handles these issues. She is also in charge of our Gardarsil vaccination program which protects young women who will later be sexually active against the HPV virus which causes abnormal pap smears, cervical cancer, and genital warts.

2. Birth control: There are many new and exciting options beyond the traditional pill. We provide all of these options and openly discuss the pros and cons of each of these new options. Some of these include the newer pill with shortened or absent periods, the monthly NuvaRing - a month’s worth of birth control inserted vaginally, the single rod three year Implanon which is placed in the upper arm, the five year Mirena IUD which reduces menstrual flow, and the ten year Paragard IUD. Your history of problems with other methods and your desire to use any method effectively is unique, and we make our recommendations to fit your situation.

3. Preconception counseling and infertility: If you plan on starting your family in the near future, there are certain things that you can do beforehand to ensure a healthy pregnancy. Starting an adequate level of folic acid provided in prenatal vitamins reduces birth defects. Medical problems and medications are best adjusted before conception. Immunizations, STD testing, and ovulation issues are all important. Dr. Hill has helped many couples achieve a healthy pregnancy in his 25 years serving the Peninsula. We provide infertility services from ovulation induction, male infertility issues, intrauterine insemination, and referral for IVF and advanced fertility procedures. Dr. Hill works in cooperation with the Jones Institute and the New Hope Center for the most difficult fertility problems.

4.Premenopausal problems: Many women in their late thirties and forties have changes in the menstrual pattern and premenstrual symptoms. It is an “in-between” time when your ovaries are not functioning like when you were eighteen, yet you are not yet totally menopausal in terms of the lack of bleeding, cramps, or PMS. Some women in this age group put up with extremely heavy flow or pain thinking menopause is right around the corner. However, the average age of menopause (meaning no more periods) in the United States is fifty one.

Birth control is also an issue as many women in this age group think that they do not need to worry about getting pregnant. But the age group for the most “surprise” pregnancies is women in their forties.

There are many options short of a hysterectomy; some involve simple office procedures (click on links to “Endometrial ablation” or “Office sterilization”). Some women with significant PMS or pain issues are best served with hormonal therapy or even the newer laparoscopic hysterectomies with quicker recoveries and less time out of work.

5. Menopausal and Postmenopausal issues: Contrary to public perception and what you often read in women’s magazines, most women go through menopause without any significant problems. But for those who have hot flushes or night time awakenings enough to interfere with their daily functioning, this can be a difficult time. Some of these women do not seek help out of fear of cancer or the perception that treatment will have other negative side effects. This perception has been fostered at times by the media and even misinformed healthcare providers. Short term hormonal and even nonhormonal treatments are safe and effective.

Other menopausal concerns such as decreased libido, vaginal changes, up-to-date breast and osteoporosis screening and treatment are the types of issues we regularly address. Pelvic relaxation and incontinence or other bladder problems can be dealt with both medically and surgically. The link to the left describes the newer outpatient procedures for urinary incontinence.

 

2240 Coliseum Dr. Suite. B Hampton, VA 23666 ∙ Phone 757 838-7277 ∙ Fax 757 838-8246 ∙ E-mail: hrogyn@aol.com