From routine exams to complex problems, we provide meaningful, focused gynecological care.
Routine well-woman care is the cornerstone to long term health. These visits give you and your practitioner an opportunity to discuss your health proactively and plan for a healthy future.
When performed regularly, screenings done at your routine visit are meant to detect problems early – and early detection can be a significant factor in forming an effective, minimally invasive treatment plan. Your routine visit also gives you the opportunity to discuss wellness topics such as lifestyle, exercise, diet, healthy habits, etc. All of our Physicians, Certified Nurse Midwives, and Nurse Practitioners perform well woman exams.
In most instances we recommend a routine gyn exam annually unless otherwise indicated by the practitioner. Insurance coverage may vary for routine visits and we encourage you to become familiar with your policy, as not all insurances may cover this exam every year.
We also encourage women to discuss routine screenings and immunizations with their primary care providers. You can access the CDC’s resource page for immunizations to review if you are up to date with the recommended vaccines.
HPV Vaccine
The Gardasil®, vaccine is a type of cancer prevention. This vaccine helps to protect individuals from age 9 to 45 against types of human papillomavirus (HPV) that cause cervical, vaginal, vulvar, anal, and throat cancers as well as genital warts. It is a series of two or three vaccines depending on age at the time the vaccine is given; the full series only needs to be given once in a lifetime. The Gardasil®, vaccine is available at our practice for established patients. Insurance coverage varies for the Gardasil® vaccine – we encourage you to verify coverage with your insurance company.
Each of the categories below is linked to the specific page on the selected topic from UpToDate.com (an online medical information database) or the American College of Obstetrics and Gynecology (ACOG), or a specific area of our website. Please remember that this information is not meant to diagnose any specific problem; please contact us if you are experiencing symptoms.
Our practice uses state-of-the-art technology to screen for problems, diagnose symptoms, and monitor conditions to maximize your health and well being.
Pap Smear
Cervical cancer screening (first introduced in the United States as the Pap smear in 1941) has remained a mainstay in the prevention and detection of cervical cancer. The Pap smear screening test has been refined, now using a more efficient liquid collection (Thin Prep). During the test, your practitioner will collect cell samples from your cervix. The cells will be sent to the lab for further analysis.
HPV Test
In addition to a Pap smear, an HPV test may be used in certain instances (when medically indicated) to test for the presence of the Human Papilloma Virus (HPV), which can lead to cervical cancer. The cells collected during your Pap smear can also be used to run the HPV test at the laboratory.
Colposcopy
Colposcopy is the procedure used to view the cervix with a magnifying scope. By using magnification and certain solutions applied to tissue, your doctor can identify the source of abnormal cells often found on Pap smears. The procedure is less than 20 minutes long.
Get more information on colposcopy from the American College of Obstetrics and Gynecology.
LEEP & Cone Biopsies
LEEP (Loop Electrosurgical Excision Procedures), is a procedure where abnormal areas of the cervix may be removed for further evaluation, or to ensure that an abnormality has been completely removed. A LEEP would be used in cases of an abnormal pap smear followed by a colposcopy to confirm the diagnosis of dysplasia (abnormal growth).
Get more information on LEEP from the American College of Obstetrics and Gynecology.
Biopsies are performed in our office using local anesthesia.
An endometrial biopsy is a small sampling of the endometrium (lining) of the uterus. It is done to assist in diagnosing certain problems, usually in cases of irregular or abnormal bleeding. The tissue is sent to the lab for analysis. The resulting report (usually received within 7-14 days) adds vital information to aid in treatment planning. If not contraindicated, it is advised that ibuprofen be taken an hour or two prior to the visit to minimize discomfort during the quick procedure.
Other types of biopsies may include vulvar biopsy, skin biopsy, or a biopsy that is taken as part of another procedure (such as a colposcopy).
This x-ray procedure is a study of the uterus and fallopian tubes. During the procedure, contrast dye is introduced into the uterine cavity through a catheter. The dye helps provide clear radiographic images of the areas, especially the patency of the tubes. This test is used to evaluate possible causes of infertility. The test is performed by one of our doctors alongside a radiologist at the hospital’s radiology department. For infertility testing, days 7-10 of the menstrual cycle are ideal for this procedure, for other purposes the timing of this procedure is not as critical. For an in-depth discussion of an HSG, please visit UpToDate.
Our practice offers diagnosis, treatment and appropriate follow-up care for sexually transmitted infections and illnesses. To promote lifelong wellness, we encourage all sexually active patients to have routine STI screening because many STIs can be without symptoms. Early diagnosis and treatment is important for preventing further problems; for example, some infections are associated with difficulty becoming pregnant if left untreated. STI testing can include screening for:
If you are interested in being screened for any sexually transmitted illness, please contact our office. Learn more from the American College of Obstetrics and Gynecologyor from the CDC.
Ultrasound is used to view internal organs and structures using ultrasonic waves. It can be used to diagnose gynecological problems, to help a practitioner guide a surgical instrument during a procedure, and is used commonly during pregnancy to view fetal anatomy and monitor fetal growth and well being. Our practice is proud to offer state-of-the-art ultrasonography services in our Springfield and Longmeadow office, including 3D and 4D imaging when indicated.
For an in-depth discussion of how ultrasound is used in obstetrics and gynecology, visit UpToDate
Ultrasound preparation
Depending on the type of ultrasound you are having, preparation can vary. Many (but not all) ultrasound studies require that you fill your bladder. Please follow the preparation instructions in accordance with the type of scan you are having. If you are unsure of the type of scan you will have, please contact our office.
Sonohystogram
A sonohystogram is performed in certain instances to provide additional diagnostic information. During the procedure, a saline solution is placed into the uterus through a small catheter inserted through the cervix. An ultrasound is then performed to provide images of the uterus and uterine cavity. This procedure can help diagnose a number of medical conditions including but not limited to uterine fibroids or polyps, abnormal shape of the uterus, uterine cancers, or scarring inside the uterus. An endometrial biopsy may be performed at the same time as the sonohystogram if one is indicated based on the findings. Sonohystograms are performed in our Springfield and Longmeadow offices.
Mammography is used as a screening and diagnostic test that uses radiology to provide images of breast tissue. Breast ultrasonography may be used as an additional testing method. Resulting images are used to detect and diagnose any abnormalities and determine the need for further testing or treatment. For an in-depth discussion of breast imaging, visit UpToDate.
Bone density is a screening test that is used to measure bone health especially when a patient is at risk for or determined to have osteoporosis. Based on the results, your practitioner may recommend a specific plan to build or maintain your bone health. For more information about Bone Density, view discussions on UpToDate.
Our practitioners may order blood tests to screen for health problems, diagnose symptoms, confirm diagnosis, or monitor certain conditions. Depending on the type of test ordered, preparation can vary (for example, some tests may require a certain duration of fasting). Drawing laboratories are conveniently located throughout the Pioneer Valley. Please note, your insurance carrier may provide specific guidance or requirements for in-network laboratories.
Choosing a birth control method that is right for you is important for your peace of mind.
Whether you are looking for a temporary solution that is maintained daily, weekly, monthly, or even up to every ten years, or a permanent solution that lasts a lifetime, together we can help determine what birth control option best fits your needs and expectations through every stage of life.
The following list includes a brief summary of each method and is not meant to be an all-inclusive list of facts. Each method is associated with certain risks and benefits.
Not all women will be candidates for each method. This list will give you a starting point for further discussion with your practitioner to determine the method that best matches your needs in the context of all risks and benefits. For more information on each topic, please expand each heading.
IUD (Paragard)
IUD (Liletta)
Tubal Sterilization (Bilateral Salpingectomy)
There are many different treatments for pelvic organ prolapse, urogynecology disorders and incontinence.
Pelvic floor muscles, which are located at the base of your pelvic region, play an important role in bladder and bowel functions. Problems can occur with pelvic floor muscles due to a number of reasons. Pregnancy, childbirth, pelvic floor anatomyrepeated strain on the pelvic region (for example, from heavy lifting or straining during bowel movements due to constipation), excessive weight, and age all can be factors in weakened or damaged pelvic floor muscles.
Problems with pelvic muscles and anatomy can lead to urinary problems, bowel problems and pelvic prolapse, as well as interstitial cystitis and vulvadynia.
Incontinence is the leakage of urine, feces, or flatus. OAB is associated with frequency, urgency and sometimes the loss of urine. Incontinence and OAB can affect people of all ages. Aside from the physical effects, there are significant emotional, social, and financial impacts on the lives of those who are affected. We invite you to tour our comprehensive online suite devoted to Incontinence and Overactive Bladder.
Interstitial cystitis (IC) is a common term that is now referred to as Bladder Pain Syndrome (BPS). It is a chronic condition of no known origin that can cause symptoms such as pelvic pain, pressure, urinary frequency, urinary urgency, vulvar pain, burning, discomfort, and pain with intercourse.
Pelvic Prolapse
Prolapse of the organs is simply used to describe sagging, bulging or falling of the organs supported by the pelvic floor.
Pelvic organ prolapse occurs when pelvic organs protrude into the vagina, which can be associated with weakened or damaged pelvic floor.
Videos of prolapse are available through the American College of Obstetrics and Gynecology.
Treatment of prolapse usually depends on how much the patient is bothered by their symptoms. Many conservative treatments include pelvic floor muscle exercises, pessaries, and dietary changes.
Reconstructive pelvic surgery is highly effective in correcting pelvic organ prolapse for women who are more bothered by their symptoms. Short stay procedures include laparoscopic and robotic-assisted sacral colpopexy and vaginal reconstruction with and without mesh implantation.
Breast health is an important element in maintaining your overall health.
Screening methods such as a breast check during your routine gyn exam, regular self-breast exams and screening mammographies can all help to detect breast changes or problems early-on. Early treatment of breast problems can contribute to the success of any treatment that is needed.
We recommend monthly breast self exams in addition to annual breast checks at your routine gyn exam. Your provider can also recommend the interval most appropriate for regular screening mammograms based on your age and health history. If you are experiencing any breast problems or concerns or would like an exam or referral for a mammogram, please contact our office.
Heart disease is the # 1 killer of women. Whatever your age, your heart health matters.
Taking steps to keep your heart healthy at any age can have significant impacts on your risk of developing heart disease. While routine preventative care can help you maintain a dialog about your risk factor for developing heart disease and how to keep that risk factor low, it is important to remain vigilant about maintaining a healthy lifestyle between visits to your healthcare provider. We have compiled the following resources to help you maintain your momentum to keep your heart healthy.
GoRedForWomen.org – A website filled with a variety of resources from the American Heart Association to call attention to the importance of women’s heart health. Every year, national “Go Red” day is celebrated in February, but the movement to bring women’s heart health to the forefront is an ongoing movement.
Heart disease risk factors from the CDC
Make the Call – Don’t Miss a Beat – A campaign to draw attention to the signs of a heart attack and the importance of seeking emergency care – some of the symptoms on the list may surprise you!
American Heart Association – Anything and everything related to heart health.
Heart Health for Women from the American College of Obstetrics and Gynecology – frequently asked questions.
Heart-Healthy recipes from the Mayo Clinic
Heart Healthy recipes from GoRedForWomen.org
Tips for Parents – How to help children maintain a healthy weight, from the CDC
Sexual health is the overall well-being related to one’s sexuality. It is not only the absence of dysfunction or disease, but also the ability to have safe, respectful, and positive sexual attitudes and experiences.
Sexual health problems are common; about 40% of women will have a sexual health concern at some point in their lives. The most common complaints are decreased arousal, difficulty with orgasm, pain with sexual activity, or low sexual desire. Here at Baystate Ob/Gyn Group, Inc., we take your sexual health concerns seriously and have many resources and providers that are specially trained to help you manage your concerns to achieve sexual well-being.
From your first visit, consistent, compassionate, skilled care focused on issues that matter to YOU.
Your first gynecological visit is an important step in your plan for wellness. It’s your opportunity to openly discuss your gyn health with a skilled practitioner who can provide you with education, guidance, and information about important screenings.
How old should I be when I have my first gyn exam?
Often this question is approached from an “age” perspective. However, in order to answer this question it is important to consider your particular needs in terms of your reproductive system development, sexual history and future sexual relationship intentions, and any problems that you may be experiencing. Generally speaking, a teen who is still receiving regular care from their pediatrician and who is not sexually active (and has never been sexually active and doesn’t expect to become sexually active), and who is not experiencing any gynecologic symptoms (such as abnormal bleeding, painful periods, breast problems, etc.) can continue to receive care from their pediatrician. However, we strongly recommend that proper gynecologic care be established BEFORE becoming sexually active. Sexually active teens should receive regularly scheduled gynecologic care.
Click here for some FAQs about your first exam (published by the American College of Obstetrics and Gynecology)
As a new patient to our practice, be sure to visit New Patients area of our website.
Choosing a practitioner who is a good match not only for your medical needs but also for your personality can help make your visits comfortable and meaningful.
Practitioner Options That Meet Your Needs
You have the option of choosing between a male or female practitioner. Additionally, you can choose to see a nurse midwife, a nurse practitioner, or a doctor. All our practitioners are well trained in gynecologic health as part of their gyn specialty training.
Certified Nurse Midwives and Nurse Practitioners
Our nurse midwives and nurse practitioners (all female) are popular choices among young adults; each has advanced their career through education and specialized training. Providing routine gynecological care with extended opportunities for patient discussions and education is among their specialties. In addition to routine healthcare, our nurse practitioners and nurse midwives order and interpret tests and evaluate problems such as painful periods, abdominal pain, abnormal vaginal bleeding, irregular menses, breast lumps and other gynecologic problems. All of our nurse practitioners and nurse midwives can discuss contraception options and prescribe medication for various health needs. Our nurse midwives and nurse practitioners have complete access to our team of physicians if necessary for medically complex conditions. Unlike physicians, nurse-midwives and nurse practitioners do not perform surgery; therefore, you may find that they have increased appointment availability. The scope of their practice includes:
Physicians
Our physicians can provide young women with routine care as well as specialized care for more complex problems. In addition to providing the same types of services as a nurse midwife and nurse practitioner, our doctors’ scope of practice extends to include:
We invite you to learn more about our team of nurse-midwives, nurse practitioners, and doctors by visiting our practitioner biography page. Please call us if you have questions about a particular practitioner or have specific needs for your appointments. Together, we can find a great “fit” for your healthcare.
The Gardasil®, vaccine is a type of cancer prevention. This vaccine helps to protect individuals from age 9 to 45 against types of human papillomavirus (HPV) that cause cervical, vaginal, vulvar, anal, and throat cancers as well as genital warts. It is a series of two or three vaccines depending on age at the time the vaccine is given; the full series only needs to be given once in a lifetime. The Gardasil®, vaccine is available at our practice for established patients. Insurance coverage varies for the Gardasil® vaccine – we encourage you to verify coverage with your insurance company.
ACOG: Tool kit for teens and parents of teens
Nemours is one of the largest non-profit organizations devoted to children’s health this site offers specific health information for a number of topics related to adolescent health such as body, mind, sex, fitness, alcohol and drugs, diseases and conditions, and more.
A comprehensive resource site for teens and parents including numerous relevant links. A service from the U.S. National Library of Medicine and the National Institute of Women’s Health.
AAP: A resource page for parents of teens
Includes numerous discussions related to being a parent of an adolescent. From the American Academy of Pediatrics.
A resource for pregnant teens, from the U.S. National Library of Medicine and the National Institute of Women’s Health.
Parent’s Guide for Talking with Children About Alcohol
Resources to help parents talk to their children about alcohol from the National Institute for Alcohol Abuse and Alcoholism
Regardless of your diagnosis, our goal is to provide treatment options and solve problems.
Our goal is to solve gynecologic problems with the least invasive approach to achieve the best possible results. All of our surgeons are skilled in many minimally invasive procedures and have the expertise to assess complex medical problems that may be best resolved with surgical treatment.
Our physicians perform surgeries at Baystate Medical Center in state-of-the-art surgical suites. We are focused on providing you with the best options for your treatment based on your individual circumstances, medical needs, and wellness goals.
Learn more in our comprehensive Surgical Gynecology section where you will find information about most of the surgical procedures we perform. Of course, each patient’s situation is unique, requiring individual assessments and treatment plans.
If your appointment is for a routine gyn exam, you should still come in for your appointment…we will perform most of your exam as scheduled but we may need to schedule a shorter follow up appointment if you are due for your Pap smear.
Menstrual cycles vary from person to person in terms of duration, flow, cramping, bloating, etc. If you find that your periods produce excessive symptoms, we encourage you to contact our office for further evaluation and if needed a treatment plan.
Yes. It is still possible to become pregnant if you have sex while you have your period.
Pap smear results can take up to 3 weeks. For most efficient delivery of your results, please be sure that you have an active patient portal account.
It’s very important to take steps to protect your health. Please contact our office to discuss screening and treatment options.
Our practitioner options and 24/7 availability for urgent obstetrical care and deliveries set us apart from other practices.
