Our Services

non-invasive prenatal screening

Non-invasive prenatal screening is a blood screening process that allows you to identify your baby’s risk for chromosomal abnormalities early on. This practice can help you further understand the specifics of your child’s development prior to first and second-trimester screenings.

Cervical Cerclage

Cervical cerclage is offered to help prevent preterm delivery. By placing stitches on the cervix, cerclage placement keeps the cervix from opening prematurely. This is a preventive measure for an “incompetent cervix.” You might seek cerclage placement if you are a woman with:

• An incompetent cervix or cervical insufficiency and previous second-trimester pregnancy losses or deliveries
• A history of preterm birth and has a finding of short cervical length in the current pregnancy
• A dilated cervix on examination at 16 to 23 weeks of gestation
  

Comprehensive Normal and High Risk Pregnancy Care

Pregnancy can be one of the biggest changes in your life. We support women throughout this journey, by guiding them through both normal and high-risk pregnancy. Your pregnancy is considered high-risk if you or your baby has an increased chance of a health problem or life threat. Our clinic recommends early and frequent prenatal care to ensure a healthy pregnancy and delivery process. Typically you should schedule your first prenatal appointment about eight to ten weeks into your pregnancy. For a variety of reasons, some women continue to face risk of complications, despite early prenatal care and continued precautions. Receiving care is crucial to carrying your baby to term and cultivating your healthiest pregnancy.

Preconception Counseling and Genetic Screening

Preconception counseling is a set of interventions that allow you to identify social, behavioral, environmental, and biomedical risks or potential complications to your pregnancy or fertility. This process addresses measures you can take to minimize risk through prevention and management, ultimately achieving the best long-term outcomes for you and your baby.

State of the Art Fetal Ultrasounds performed in conjunction with board certified Perinatologists

A fetal ultrasound, or sonogram, is a test done during pregnancy that utilizes an imaging technique that examines sound waves. This produces a picture of your baby in the uterus, a picture of the placenta, and the amniotic fluid, to help evaluate your baby’s growth and development. Our board certified perinatologist, focused on the care of the fetus, along with complicated or high-risk pregnancies, can help determine necessary steps of action moving forward that will ensure the healthiest pregnancy possible.

Abnormal Periods

Abnormal periods can not only cause discomfort, but complicate your everyday life. An abnormal period can happen from time to time as the result of hormonal or dietary changes, stress, contraception changes, physical conditions, or nothing at all. Some of the most common issues that cause irregular periods include: heavier flow, light spotting, a period with heavier clotting than normal, periods that last only a day or two, periods that last longer than a week. Identifying what’s causing your abnormal period can help you regulate them for good and rule out any underlying health issues.

Birth Control Counseling

Birth control counseling helps you understand your options for contraception during your reproductive years, regarding all available birth control methods. Counseling is set up where women can choose an option that’s ideally suited to their needs and preferences, while also clearing up any misconceptions about preventing pregnancy or reproductive health. Some recommended birth control methods may include:

• Birth control pills
• IUDs
• Nexplanon© hormonal implants
• Diaphragms
• Other hormonal birth control options like the ring
• Tubal sterilization
  

Ovarian Cysts

Ovarian cysts are solid or fluid-filled pockets on or in your ovary. Ovarian cysts are common in women of any age and usually go away on their own, but can sometimes cause serious symptoms and discomfort. If discomfort or symptoms persist, hormonal therapy or other treatments to regulate hormone levels can be used. Depending on the evaluation of the cyst, removal of the cyst through surgery may be considered to alleviate symptoms, as well as determine whether the cyst is cancerous or not.

Pelvic Pain

Pelvic pain can fall into two general types:

• Chronic- lasting six months or longer
• Acute- develops suddenly and may come or go depending on the underlying condition

There are several medical conditions that can cause pelvic pain, and determining the underlying cause is one of the keys to finding the best route for treatment. For some women, pelvic pain is related to the reproductive organs and may occur during or after sexual intercourse or menstruation. Often, pelvic pain is caused by more than one condition, and causes can arise from problems affecting the reproductive, urinary or digestive systems. In some cases, pain can be caused by problems with the connective tissues and muscles in the pelvic floor.

Dr. Ludmir will perform a comprehensive exam with a personal and family history to look for clues to the underlying cause of your pain. In addition, he'll perform a pelvic exam and may order other tests, such as ultrasound and blood work which can be performed right in the office.

Fertility Services

We understand the physical and emotional challenges that come along with struggling to get pregnant. It is our goal to offer the best support and advanced medical care to make your dreams of becoming a parent come to life. Through an initial consultation and evaluation, we’ll discuss your options and recommend the best course action to meet your needs. These treatments range in services including:

• Artificial insemination
• Ovulation stimulation
• Fertility hormonal analysis
• Ultrasound evaluation of ovarian follicles
• Management and support for fertility concerns

Fibroids

Fibroids are small benign fibrous masses that grow in and around the uterus. Most fibroids don’t cause pain, but common symptoms may include heavy periods, cramping, painful sex, and an urge to urinate. Severity of symptoms depend on location and size. Many fibroids develop and then disappear before any treatment is needed. If your fibroids continue to grow or cause increasing discomfort, we offer several treatment options that may shrink the fibroids and reduce these symptoms. Options vary from simple pelvic examination to minimally invasive surgical removal.

Preconception Counseling

Addressing potential social, behavioral, and environmental risks to your pregnancy before you get pregnant can improve your chances of conceiving, carrying your baby to term, and ultimately achieving the best long-term outcomes for you and your baby. Preconception counseling appointments allow you to plan your pregnancy and discuss any potential risks accompanied by any education, counseling, and interventions necessary.

Vaginal Infections and STD Screening

Regular check-ups are an important part of reproductive health, especially for women and sexually active teens. This includes screenings for vaginal infections and sexually transmitted diseases (STDs). STDs can lead to serious health issues that can affect fertility and overall wellness. Through comprehensive screening and testing, we can determine if you have a vaginal infection or STD. Our prevention and treatment recommends for STDS and other vaginal infections can help you protect your reproductive health.

Abnormal Pap Smears and HPV Infections

A Pap smear is a routine part of a women’s health examination that checks for abnormal cell changes and possible HPV infections with a tissue sample from your cervix. An abnormal Pap smear can indicate changes in the cells and problems in the cervix. In some cases, these abnormalities can be an indication of pre-cancer cells forming, an HPV infection, or other health problems. Early detection from the Pap smear and HPV testing can identify the need for treatment or close monitoring of the cervical cells.

Adult Health Maintenance and Prevention

Yearly check-ups with an OB/GYN should be an integral part of your health routine. We believe that all your women’s health needs should be met, including any health screenings, evaluations, or counseling services that help with adult maintenance needs and prevention. Without this test information, we can’t fully address your health issues and risk serious health conditions going undetected. Please give us a call if you seek counseling on any areas that tender questions or concerns.

Myomectomy

For women who want to become pregnant, a myomectomy is a the surgical removal of fibroids from the uterus that usually form during your childbearing years. The fibroids often create unwanted symptoms including heavy menstrual bleeding, pelvic pain, and can inhibit pregnancy. This procedure allows the uterus to be left in place and, for some women, makes chances of pregnancy more likely than before.

Operative Hysteroscopy

Operative hysteroscopy is a minimally invasive procedure that helps explore treat uterine or reproductive disorders. This minimally invasive procedure accesses the uterus from the vagina and cervix without any incisions through the abdominal wall.

Dilation and Curettage

Dilation and curettage, or D&C, is a procedure used to remove the lining of the uterus. This process is similar to the natural process that occurs during monthly menstrual cycles. In order to remove the lining, the uterus must be accessed. Dilation indicates the opening of the bottom of the uterus, whereas the curettage refers to the portion of the procedure where the lining of the uterus is scraped, removing tissue.

Endometrial Polypectomy

Endometrial polypectomy is a surgical procedure for the removal of the uterine, or endometrial, polyps. These polyps are formed by an overgrowth of cells in the lining of the uterus, that extend into the uterine cavity. They can lead to abnormal vaginal bleeding and create risks with menstrual periods and fertility, specifically in women who are undergoing or have completed menopause.

In-Office Diagnostic Hysteroscopy

An in-office diagnostic hysteroscopy allows the surgeon to visualize the uterine cavity for diagnostic or therapeutic purposes. Through this process, the surgeon can diagnose certain conditions including abnormal uterine bleeding, infertility, adhesions, polyps, or fibrosis. The hysteroscopy can usually be done in the clinic without anesthesia.

Endometrial Ablation

Endometrial ablation is a minimally invasive surgery performed to treat abnormal bleeding of the uterus by removing the endometrium, or lining of the uterus. A woman who might consider endometrial ablation may be experiencing bleeding between menstrual periods, heavy flow, or have long-lasting periods when other treatment options have been exhausted. This treatment is only used in women who are no longer wanting to become pregnant as it is unlikely a healthy pregnancy will occur after this procedure.

Minimally Invasive Laparoscopic Gynecologic Surgery

Laparoscopic surgery is an exploratory procedure that allows the surgeon to access, view, and perform gynecologic service in the abdominal wall through a small incision. Using advanced technology and medical techniques, this process allows for faster healing and lower risk of infection than open surgery.