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Pregnant Woman

OBGYN

Birth Control

Helping you to make the right choices for your reproductive health.

Prenatal Care

Our team works to support and care for you and your baby through the delivery and beyond. 

Gynecology

Essential for maintaining women's reproductive health, preventing and managing gynecological conditions, and addressing reproductive concerns at various stages of life.

Screenings and Tests

Medical screenings and tests are recommended for women to monitor their health and detect potential health issues.

Fertility

Medical services and support provided for those who are experiencing difficulties in conceiving a child or who have concerns about their reproductive health.

High-risk Pregnancy

Our team works to provide the best care during a pregnancy, but if needed, we co-manage with MFM early and often.

Menopause Care

Menopausal care helps women navigate this life stage with greater ease, comfort, and overall well-being.

Urogynecology

Plays a crucial role in diagnosing, managing, and treating pelvic floor disorders in women.

Cancer Care

 Is crucial for early detection, effective treatment, and improved outcomes in cancers that predominantly affect women.

Hormone Replacement

Hormone replacement therapy (HRT) is a treatment that involves supplementing or replacing hormones, typically estrogen and progesterone.

Surgery

When necessary, we can perform all gynecological or reproductive surgeries.

Women's Care

Alium Health offers total women's care.  We focus on health and wellness for women and the issues they face during and after pregnancy.  With a team at your side, our patient centered approach to care addresses all aspects of you and your baby's health. Our warm, supportive staff work hard to integrate physical and mental health into a care plan that maximizes success and minimizes stress.  

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What is done in a Well Woman exam?

During a well woman visit, a healthcare provider typically conducts a comprehensive examination and assessment of a woman's overall health. The specific procedures and discussions may vary depending on the healthcare provider and the woman's individual needs, but here are some common elements that are often included:

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  1. Medical History: The healthcare provider will begin by asking the woman about her medical history, including any existing medical conditions, past surgeries, medications, and family medical history. This information helps the provider understand the woman's health background and identify any potential risk factors or issues to address.

  2. Physical Examination: A physical examination is usually performed to assess the woman's general health. It may include measuring vital signs such as blood pressure, heart rate, and weight. The provider may also examine the woman's heart, lungs, abdomen, and other relevant areas.

  3. Breast Examination: The healthcare provider may perform a clinical breast examination to check for any abnormalities, such as lumps or changes in breast tissue. They may also provide guidance on breast self-examination techniques for regular monitoring at home.

  4. Pelvic Examination: A pelvic examination is commonly conducted as part of a well woman visit. It involves the provider examining the external and internal reproductive organs, such as the vagina, cervix, and uterus. The purpose is to check for any signs of infection, abnormalities, or early signs of cervical cancer. In some cases, a Pap test or HPV test may be performed during this examination.

  5. Contraception and Family Planning: The well woman visit often includes discussions about contraception methods and family planning. The provider may offer information on different birth control options and help the woman choose the most suitable method based on her preferences and medical considerations.

  6. Screening Tests: Depending on the woman's age and risk factors, the healthcare provider may recommend various screening tests. This could include a Pap test to screen for cervical cancer, mammography for breast cancer screening, or bone density screening for osteoporosis. Other tests, such as blood tests for cholesterol levels or sexually transmitted infections (STIs), may also be recommended.

  7. Immunizations: The healthcare provider may review the woman's immunization status and administer any necessary vaccines, such as the annual flu shot or vaccines to prevent human papillomavirus (HPV) or hepatitis.

  8. Health Counseling: A well woman visit often involves discussions about lifestyle factors and health promotion. The healthcare provider may provide guidance on nutrition, exercise, stress management, and other topics to support overall well-being.

  9. Follow-up and Referrals: If any abnormalities or concerns are identified during the visit, the healthcare provider may recommend further tests, additional appointments, or referrals to specialists for further evaluation or treatment.

Doctor's Appointment

What is involved in menopausal care?

Menopausal care, which focuses on addressing the health needs and challenges that arise during the menopausal transition and beyond, offers several important benefits for women. Here are some key benefits of menopausal care:

  1. Symptom Management: Menopause is accompanied by various symptoms, including hot flashes, night sweats, vaginal dryness, mood swings, sleep disturbances, and changes in libido. Menopausal care aims to help women manage and alleviate these symptoms through various treatment options. Hormone replacement therapy (HRT) and non-hormonal medications can provide relief from hot flashes and other bothersome symptoms, enhancing women's comfort and quality of life.

  2. Bone Health: During menopause, women experience a decline in estrogen levels, which can lead to a loss of bone density and an increased risk of osteoporosis. Menopausal care includes assessing bone health through screenings such as bone density scans (DEXA) and providing guidance on lifestyle modifications, calcium and vitamin D supplementation, weight-bearing exercises, and, if necessary, medications to promote and maintain strong bones.

  3. Cardiovascular Health: Estrogen has a protective effect on cardiovascular health, and its decline during menopause increases the risk of heart disease. Menopausal care focuses on promoting cardiovascular health through lifestyle changes, such as adopting a heart-healthy diet, engaging in regular physical activity, managing blood pressure and cholesterol levels, and, if appropriate, considering medications or other interventions to reduce the risk of cardiovascular disease.

  4. Emotional Well-being: Menopause can be accompanied by emotional and psychological changes, including mood swings, irritability, anxiety, and depression. Menopausal care includes addressing these emotional challenges and providing support and resources to help women navigate this transitional period. Counseling, therapy, support groups, and sometimes medications can be beneficial in managing emotional well-being during menopause.

  5. Pelvic Health: Menopausal care also focuses on maintaining and addressing pelvic health concerns that can arise during and after menopause. This includes evaluating and managing conditions such as vaginal dryness, urinary incontinence, pelvic organ prolapse, and sexual dysfunction. Treatment options may include vaginal moisturizers, lubricants, pelvic floor exercises, and, if necessary, medical interventions or surgical procedures.

  6. Education and Support: Menopausal care offers valuable education and support to women, helping them understand the physical and emotional changes associated with menopause. It provides information about the available treatment options, empowers women to make informed decisions about their health, and offers a supportive environment for discussing concerns and seeking guidance from healthcare providers.

Female Patient

What are the most common birth control options?

There are several common birth control options available for women, each with its own advantages and considerations. Here are some of the most commonly used methods:

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  1. Combination Birth Control Pills: These pills contain synthetic versions of estrogen and progestin hormones, which prevent ovulation and thicken cervical mucus to inhibit sperm movement. They are taken daily, usually for 21 days with a 7-day break, during which menstruation typically occurs. There are various formulations with different hormone levels and dosages.

  2. Progestin-Only Pills (Mini Pills): These pills contain only progestin and work primarily by thickening cervical mucus, making it difficult for sperm to reach the uterus. They need to be taken at the same time every day, without a break, for effective contraception.

  3. Contraceptive Implant: A small, flexible rod is inserted under the skin of the upper arm, releasing progestin hormones to prevent ovulation. The implant can provide protection against pregnancy for up to three years.

  4. Intrauterine Device (IUD): This is a small, T-shaped device inserted into the uterus by a healthcare provider. There are two types: hormonal IUDs that release progestin to prevent ovulation and thicken cervical mucus, and copper IUDs that create an inhospitable environment for sperm. Hormonal IUDs can provide protection for three to five years, while copper IUDs can be effective for up to 10 years.

  5. Contraceptive Patch: The patch is applied to the skin and releases hormones (estrogen and progestin) through the skin into the bloodstream. It is worn for a week at a time for three weeks, followed by a patch-free week to allow for menstruation.

  6. Vaginal Ring: This is a flexible, plastic ring inserted into the vagina and left in place for three weeks. It releases estrogen and progestin, preventing ovulation. The ring is then removed for a one-week break to allow for menstruation.

  7. Contraceptive Injection: Also known as the birth control shot, this method involves receiving progestin injections from a healthcare provider every three months. It prevents ovulation and thickens cervical mucus.

  8. Barrier Methods: These include male and female condoms, diaphragms, and cervical caps. Barrier methods physically prevent sperm from reaching the uterus. They can be used in combination with other birth control methods for added protection against sexually transmitted infections (STIs).

Routine Pregnancy Checkup

How do you address high-risk pregnancy?

High-risk pregnancy management, which involves specialized care and interventions for women with pregnancy-related complications or medical conditions that increase the risk to the mother or fetus, offers several important benefits. Here are some key benefits of high-risk pregnancy management:

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  1. Early Detection and Prevention: High-risk pregnancy management involves close monitoring and regular prenatal care to detect potential complications early on. This allows healthcare providers to implement preventive measures and interventions to minimize risks and optimize outcomes for both the mother and the baby.

  2. Individualized Care: High-risk pregnancy management recognizes that each pregnancy and individual situation is unique. It involves personalized care plans that take into account the specific risks, medical conditions, and needs of the pregnant woman. This tailored approach ensures that the care provided is appropriate and effective in managing the specific challenges of the high-risk pregnancy.

  3. Specialized Expertise: High-risk pregnancy management is typically provided by healthcare providers who have specialized knowledge and experience in dealing with complex pregnancies. These specialists, such as maternal-fetal medicine specialists or perinatologists, are trained to handle the intricacies and potential complications associated with high-risk pregnancies. Their expertise helps ensure that appropriate diagnostic tests, treatments, and interventions are implemented to optimize maternal and fetal health.

  4. Increased Monitoring and Surveillance: High-risk pregnancies often require more frequent and thorough monitoring of both the mother and the baby. This includes regular check-ups, ultrasounds, fetal monitoring, and other diagnostic tests to assess the well-being and development of the fetus. Enhanced surveillance allows healthcare providers to closely monitor the progress of the pregnancy and promptly identify any changes or complications that may require intervention.

  5. Timely Intervention and Treatment: High-risk pregnancy management focuses on identifying and addressing potential complications in a timely manner. This may involve medical interventions, such as medications or procedures, to manage conditions like gestational diabetes, preeclampsia, or preterm labor. By intervening promptly, healthcare providers can help prevent or minimize complications and improve outcomes for both the mother and the baby.

  6. Emotional Support: High-risk pregnancies can be emotionally challenging for the expectant mother and her family. High-risk pregnancy management recognizes the importance of providing emotional support and counseling throughout the pregnancy journey. This support can help reduce anxiety, address concerns, and provide reassurance to the expectant parents, fostering a sense of well-being and confidence during this potentially stressful time.

  7. Optimal Birth Planning: High-risk pregnancy management involves careful birth planning to ensure the safest possible delivery for both the mother and the baby. This may include discussions about the mode of delivery, the need for specialized medical personnel or facilities, and preparations for potential complications or emergencies. By having a comprehensive birth plan in place, healthcare providers can optimize the delivery process and minimize risks to the mother and the baby.

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