Annual Exams

Annual exams are an important part of a healthy lifestyle. During an annual exam a full medical history will be obtained along with a physical exam and discussion of any problems. Ways to maintain and improve your health will be discussed with your physician.

Most annual exams will include a pelvic exam and Pap smear if you are 21 or older. A pelvic exam includes inspection of the external genitalia, vagina and cervix, and an internal evaluation of the uterus and ovaries. Even women who have had a hysterectomy need an exam to evaluate their ovaries on a yearly basis. Pap smears may not be performed every year depending on the patient's previous results and their current health status.


Testing & HPV

Ellehcal OB/GYN offers testing of all kinds to our patients. During your annual exam, we offer Pap smears as well as well-woman testing such as cholesterol profiles, thyroid profiles and testing for diabetes. Certain hormone levels could be tested depending on your medical needs.

Sexually transmitted disease testing is discussed and offered during visits to our office. These tests can be performed through a pelvic exam or a blood draw depending on your symptoms or risk profile.

Testing may include:
PAP Smears, STD Testing, and HPV injections available When a Pap smear is abnormal, your provider might schedule you for a colposcopy. A colposcopy consists of a microscopic examination of the vagina and cervix. During this procedure biopsies may be obtained which can help your doctor recommend the next appropriate step for you.

The Human Papilloma Virus (HPV) can be protected against through Gardisil, a vaccination that protects against the nine most common strands of HPV. HPV has been associated with cancer of the cervix, vagina, and vulva. HPV may also cause genital warts.

The HPV vaccine consists of three injections over a six-month period, and women ages 9-26 are encouraged to receive the vaccine. The cost will depend on your insurance coverage. These details will be provided to you prior to your vaccination.

For more information about Gardisil, visit



Menopause occurs when women stop having monthly menstrual cycles. This typically occurs between the ages of 45 to 55. Some patients can experience hot flashes, painful intercourse, mood swings, night sweats, interrupted sleep, and irritability. These symptoms can be treated with hormone replacement therapy in some women. There are also non-hormonal alternatives for vaginal dryness and painful intercourse, such as lubricants.


Adolescent Gynecology

We recognize the need for a young woman to have a positive first gynecologic experience to set the stage for a lifetime of healthy decision making. Young women can have a variety of problems that include irregular periods, heavy periods, painful periods, or absence of periods.

Our physicians can help diagnose these conditions as well as treat them medically. We also offer birth control and STD counseling. We strive to make our young patients feel as comfortable as possible as they begin this important process.