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Gynecology

Gynecologic services support reproductive health at all ages.

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From puberty to perimenopause, getting regular care from a health provider is important to establish your health needs and also adjust your care as you age. Gynecologists support the health of female reproductive organs which include the:

  • Uterus
  • Ovaries
  • Fallopian tubes
  • Cervix
  • Vagina
  • Breasts
  • Endometrium (tissue lining the uterus)

Whether you’re looking for an OB/GYN doctor, seeking fertility guidance or searching for resources specific to women’s health, you’ll find everything you need with Avera.

Gynecologic Health Services

A well-woman exam is an annual appointment that’s an all-encompassing health check-in personalized to you. Usually part of your yearly checkup, this appointment includes preventive screenings as recommended, education opportunities, physical exams and access to specialty gynecologic services as needs arise.

Well-Woman Exam

During the appointment, your OB/GYN, certified nurse midwife, internal medicine or primary care provider can answer questions and talk to you about:

  • Any changes in habits and activities
  • Diet and exercise
  • Family health history
  • Menstrual cycles
  • Personal health history
  • Sexual health history
  • Screenings recommended for you

Screenings

The physical exam covers routine screenings and testing to help you maintain your health each year. Screenings and examinations at a yearly appointment may include these at specific intervals. Depending on your health, your provider may recommend additional or more frequent screenings.

Screenings can vary based on your needs so be sure to talk to your provider to know what works best for you and your body.

  • Blood pressure and cholesterol check
  • Body mass index evaluation
  • Bone health check with DXA scan: after menopause
  • Breast and genital exam
  • Colonoscopy: once every 10 years starting at age 45
  • Mammogram: once every year starting at age 40
  • Medication and vaccination review
  • Mental health concerns, including depression, anxiety and other conditions
  • Pap test, also known as a Pap smear: every three years from ages 21-30, then every five years until age 65 if 10 years of healthy results
  • Pelvic exam: every one to two years
  • Screenings for sexually transmitted infections (STI) like HPV or various cancers
  • Thyroid function and diabetic screening

Please note: screenings can vary based on your needs, so be sure to talk to your provider to know what works best for you and your body.

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Follow-Up Visits

If you want to be seen to address a specific health problem or a diagnosis, your provider might not be able to complete the lab or exam work needed right away during your well-woman exam. Instead, a separate appointment may need to take place for more specific needs, such as further testing and imaging.

Yearly checkups are covered by insurance plans compliant with the Affordable Care Act (ACA). Follow-up visits, lab testing and other needs may count toward your deductible and/or be out-of-pocket expenses to you. Contact your insurance provider before going to an appointment to better understand your plan-specific information.

Specialty Reproductive Health

No matter where you are in your spectrum of life, our OB/GYN experts care for your obstetrics and gynecologic needs. With advanced treatments and imaging services, plus minimally invasive options like robotic-assisted surgery, you’ll experience less pain and faster recovery for hysterectomies and other gynecologic procedures.

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Types of Providers 

  • Certified nurse midwife: Advanced practice provider who delivers prenatal, birthing and well-woman care for women of any age or stage of life.  
  • Family medicine/OB physician: Doctors who care for your family (and newborns) with additional training in obstetrics to manage pregnancy, including medications and complications that may occur. 
  • Nurse practitioner: Registered nurse who goes on to complete more education at the master’s or doctoral levels. Their credentials may include CNP (certified nurse practitioner), DNP (doctor of nursing practice), ARNP (advanced registered nurse practitioner) or FNP (family nurse practitioner).
  • Obstetrician gynecologist (OB/GYN): Doctors who specialize in both pregnancy and gynecology, who deliver babies, perform cesarean sections, perform surgery and manage labors that are normal or abnormal with pregnancy complications. 
  • Physician assistant: Advanced practice provider who is trained at the master’s level through a PA program that is typically three years in length. PA-C (physician-assistant certified) is a common credential.
  • Urogynecologist: Doctors who specialize in providing care for women with pelvic floor disorders, incontinence and sexual dysfunction.

Conditions We Treat

Reproductive organs (uterus, ovaries, etc.):

  • Abnormal uterine bleeding disorders
  • Amenorrhea (the absence of a period)
  • Endometriosis
  • Fibroids
  • Hormone imbalance and related disorders
  • Menorrhagia (excessive or prolonged periods)
  • Menstrual conditions (heavy bleeding, irregular periods)
  • Ovarian cysts
  • Polycystic ovary syndrome (PCOS)
  • Uterine fibroids
  • Uterine prolapse

Pelvic region:

  • Incontinence
  • Pelvic floor muscle pain
  • Pelvic organ prolapse
  • Pelvic muscle pain and vulvodynia (pain in the vulva or vagina)

Menstrual and hormonal conditions:

  • Debilitating menstrual periods
  • Premenstrual syndrome (PMS)
  • Premenstrual dysphoric disorder (PMDD)

Vulva and vagina:

  • Vaginitis
  • Vulvitis
  • Yeast infections
  • Sexual dysfunction
  • Toxic shock syndrome (TSS)

Pregnancy and obstetrics:

  • Pregnancy conditions (obstetrics)

General:

  • Fertility guidance

Treatments

In addition to preventive health care, Avera provides access to advanced diagnosis and treatment options such as:

  • Endometrial ablation
  • Dilation and curettage (D&C) for post-miscarriage treatment
  • Hysterectomy (surgery to remove uterus)
  • Hysteroscopy
  • Laparoscopic procedures
  • Myomectomy (minimally invasive procedure to remove uterine fibroids and polyps)
  • Surgical interventions
  • Urogynecology care

Women’s Health FAQ 

Your primary care provider is the best place to turn to with questions about your unique health journey. Check out these frequently asked questions to learn more about gynecologic health.

When do I need to get a Pap smear?

A Pap smear is a cervical cancer screening that begins for women at age 21. If your results come back negative, we repeat every three years.

At age 30, a combined test takes place, including a Pap smear with a human papillomavirus (HPV) test. If both come back negative, we repeat every three to five years. A different screening schedule, further testing and specialty care may be the next steps following a positive test result.

Even when you don’t need a Pap smear or gynecologic cancer screening done, you should still see your primary care doctor once every year.

Why is it important for women to schedule regular appointments?

It’s common for women to manage the health concerns of their family members, often putting their own health last. However, it’s important to prioritize your own well-being by checking in with your primary care provider regularly. During an annual checkup, your provider will review any health changes, family history updates, vaccination status and preventive cancer screenings.

Even if you’re feeling fine, regular visits are essential for maintaining long-term health. Consistent checkups help assess health risks, strengthen your relationship with your provider, encourage healthy habits and screen for medical issues.

What is endometriosis?

Endometriosis is a painful condition that can show very evident symptoms in some women — or it can be hidden and go unrecognized. It occurs when the hormone estrogen overstimulates the growth of cells normally lining the inside of the uterus to grow outside of the uterus. Most commonly they grow on the uterine outer lining, ovaries, fallopian tubes, ligaments and other pelvic structures. The cells can also expand to grow on other organs and in other areas, such as the abdomen or the bowel (large intestine).

Some women with endometriosis don’t experience any symptoms. Others may have a range of symptoms, which can include chronic pelvic pain, debilitatingly painful periods, heavy menstrual flow, infertility, difficulty getting pregnant or pain with intercourse. Immediate treatment options include ibuprofen and hormonal medications — or in some cases, a doctor may recommend surgery.

What are types of gynecologic cancers?

  • Endometrial cancer (the most common)
  • Ovarian, fallopian tube and peritoneal lining cancers
  • Cervical, vulvar and vaginal cancers
  • Pregnancy-related cancer (molar pregnancies)

How do I lower my risk for gynecologic cancer?

To reduce your risk, focus on prevention. This means living a healthy lifestyle, eating well, exercising regularly, limiting exposure to harmful environmental factors and avoiding smoking and excessive alcohol consumption.

It's important to visit your primary care doctor every year. Health screenings, like a Pap smear or gynecologic cancer screening, at these appointments can help your doctor catch any minor issues that could signal a larger concern. Screenings can often detect cancer early during the most treatable phases. The sooner something problematic gets noticed, the more effective the treatment will be.

What is a hysterectomy?

A hysterectomy is a surgery to remove the uterus and cervix. Unless you have a more invasive surgery, hysterectomy can be an outpatient procedure, where in most cases the patient will go home the same day.

If a woman is of child-bearing age, a hysterectomy is considered a last-resort measure as treatment for ongoing pain or health problems. A hysterectomy often resolves symptoms like heavy bleeding and pelvic pain. A woman might need this procedure as recommended by a doctor for a variety of reasons, which may include:

  • Uterine fibroids
  • Abnormal, irregular periods
  • Pelvic pain
  • Pain during intercourse
  • Cancer

More Programs and Services

Depending on your health condition, your doctor may recommend additional attention from specialists at Avera. Some services vary by location. 

Get the Care You & Your Body Need

Find what you need at Avera with a range of women’s health services for a lifetime of care. Our compassionate providers are here for you, with local clinics in or near your community, and telemedicine options available for patients across our region.

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