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                                        Gynecologic Services


About routine gynecologic care

Gynecologic exams can be frightening and filled with dread for even the most experienced women.  At Joya, we want the exam to be just a small part of your visit.  But for those still worried about the exam, below are some helpful tips.

How should I prepare for my exam?

Women should be prepared to discuss their family and medical history and be ready for questions about their menstrual cycle.  These are awkward questions not often asked, especially for  younger patients. However, it is important to realize these are normal topics that every woman has some experience with.  Some of the most commonly asked questions your provider may ask include:

  1. When was your last period?

  2. How long does your period typically last?

  3. What age did you start your period?

  4. Are you sexually active?           



 What should I expect for my annual exam?

The pelvic exam only lasts a few minutes and the exam itself should not hurt.  Your physician should explain the process before beginning the exam, and asking questions throughout the process is encouraged. The pelvic exam consists of the following steps:

  1. Your doctor will typically begin the annual exam with a breast exam to check for lumps that may be a sign of cancer.

  2. Your physician will then check the external genital area for irritations, cysts or other problems.

  3. Next, the physician will insert a speculum, which is an instrument that is used to examine the cervix and vaginal walls. During this time, the doctor will also conduct a pap smear or vaginal cultures as necessary.

  4. The last step in the physical exam is for the physician to check the uterus, fallopian tubes and ovaries by inserting gloved fingers into the vagina and pressing on the abdomen.

Problem Gynecologic Care

Not only does the annual exam ensure that you maintain good gynecological health, but it is also an opportunity for you to catch health problems in the early stages.  Additionally, women with symptoms of any kind should be evaluated to reduce symptoms, cure disease, and optimize health.

Common Gynecology Issues Managed at Joya Include:​

  1. Contraception 

  2. Menstrual disorders

  3. Menopause

  4. Pelvic Pain

  5. STD testing/Gardisil (HPV) vaccination

  6. Gynecologic problems- routine and complex

  7. Abnormal pap smear/HPV evaluation/management/treatment

  8. Colposcopy

  9. LEEP

  10. Infertility

  11. Incontinence evaluation/treatment

  12. Pelvic disorders

  13. Diagnostic hysteroscopy

  14. Hysteroscopic sterilization

  15. Endometrial ablation

  16. Hysteroscopy

  17. Laparoscopy

  18. Hysterectomy

  19. Laparascopic supracervical hysterectomy (LSH)

  20. Laparascopic total hysterectomy

  21. Laparascopic assisted vaginal hysterectomy

  22. Total abdominal hysterectomy

  23. Vaginal hysterectomy

  24. Vaginal/vulvar procedures

  25. Myomectomy

  26. Cervical cone biopsy

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Gynecology Services at Joya Women's Healthcare in Portland, Oregon 97210
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