Gynecology

  • Well woman exam and pap smears including HPV testing
  • Vaginal infections
  • Breast examinations and management of breast disorders
  • Management of bleeding abnormalities
  • Tubal sterilization (bilateral tubal ligation)
  • Abnormal pap smears
  • Menopause management
  • Uterine fibroids management
  • Contraception (all forms)
  • Family planning
  • Endometriosis
  • Pelvic prolapse / pelvic relaxation
  • Adolescent gynecology
  • STD’s diagnosis, prevention and treatment
  • Infertility
  • Ovarian disorders / cyst / polycystic ovarian disorder
  • Female endocrinology
  • Body-mind medicine
  • Osteoporosis
  • Menopause discussion groups

gynae-service

Obstetrics

  • In office ultrasounds including 3-D
  • In office laboratory services
  • First trimester blood screening test for fetal anomalies
  • Education literature
  • Diabetes management/ Gestational Diabetes
  • Advanced maternal age
  • Amniocenteses, genetic screening
  • Chronic hypertension / Pregnancy induced hypertension management
  • Pre-Eclampsia
  • Preterm labor management
  • High risk obstetrical care
  • Nutritional counseling
  • Easy referral process to specialists in maternal-fetal medicine if necessary
  • Vaginal and Cesarean section deliveries

In Office Procedures

  • Ultrasounds
  • Novassure endometrial ablation
  • Essure / Adiana (sterilization procedures)
  • Leep / Cryosurgery (for management of abnormal pap smears)
  • Hysteroscopy
  • IUD insertion and removal (Mirena & Paragard)
  • Vulvar / Endometrial biopsy
  • Urodynamic studies (bladder pressure evaluation)
  • Laboratory services

Surgical Procedures

  • Hysterectomy (abdominal, laparoscopic, robotic – assisted and vaginal)
  • Pelvic floor reconstruction
  • Laparoscopy (diagnostic and operative)
    • Sterilization
    • Vaginal vault suspensions
    • Operative hysteroscopy
    • Hysteroscopy ( operative and diagnostics)
    • Endometriosis Surgery

ginecologo obgyn houston txJoel Rivera MD ginecologo katy tx