Bridgeview Women's Health: All-women OB/GYN Practice in Portland, OR
"I cannot thank you enough for the professional care you all give & all your kindness. You have a wonderful staff and have been helpful and made all this 'stuff' easier to deal with!"

Common Gynecologic Concerns

Pain, bleeding, infertility and other common OB/GYN conditions shouldn't interfere with your work, your leisure time, pregnancy planning and/or sexuality. These conditions may also put you at risk for more serious medical conditions. We can address your concerns and create an individualized treatment plan based on your medical conditions and personal needs.

Please schedule an appointment today to better discuss how we can help get you back to the full, active life you deserve.

For appointments & information,
please call 503.274.4800

1130 NW 22nd Ave. Suite 520
Portland, OR 97210
Directions | Google maps

Some of our patients' most common concerns:

Heavy or Irregular Periods: Excessive bleeding may be associated with pain and infertility, and may also put a woman at risk for anemia (low iron stores).

Some causes:

  • Fibroid tumors (benign muscle tumors in the uterus)
  • Uterine or cervical polyps (abnormal growth of the lining of the womb)
  • Failure to ovulate
  • Precancerous or cancerous changes

Possible evaluation:

  • Pregnancy test
  • Pap test
  • Pelvic ultrasound
  • Biopsy from the womb
  • Blood tests
  • Hysteroscopy (look inside the uterus with a camera)

Treatment options:

  • Hormonal medications (pills, patches, rings)
  • Hormonal IUD
  • Hysteroscopy D&C (thin the lining of the womb)
  • Endometrial ablation with NovaSure
  • Hysterectomy, myomectomy, fibroid removal or other minimally invasive surgical options

Pelvic Pain: May be associated with bleeding and infertility. Can cause problems with sexuality or missed days from work.

Some causes:

  • Endometriosis (lining of womb is growing in the belly)
  • Ovarian tumors
  • Fibroid tumors
  • Irritable bowel or bladder conditions, interstitial cystitis

Possible evaluation:

  • Pelvic exam
  • Pelvic ultrasound
  • Hysteroscopy (use camera to look inside the womb)
  • Laparoscopy (use camera to look inside the belly)

Treatment options:

  • Hormonal medications
  • Hormonal IUD
  • Physical therapy
  • Laparoscopy, hysteroscopy, myomectomy

Infertility: Excessive bleeding may be associated with pain and infertility, and may also put a woman at risk for anemia (low iron stores).

Some causes:

  • No ovulation
  • Polycystic Ovarian Syndrome (PCOS)
  • Uterine polyps
  • Uterine fibroids
  • Blocked fallopian tubes
  • Infection
  • Endometriosis
  • Other hormonal imbalance in the body (thyroid, pituitary, adrenal)

Possible evaluation:

  • Blood tests
  • Ultrasound
  • Hysterosalpingogram (special x-ray of the womb and fallopian tubes)
  • Testing for sexually transmitted diseases

Treatment options:

  • Ovarian stimulation with medication
  • Hysteroscopy
  • Laparoscopy
  • Antibiotics
  • Restoring hormonal balance in the body

Incontinence: May be costly, interfere with exercise or sexuality. Can be associated with skin conditions or risk of infection.

Some causes:

  • Pelvic muscle weakness or spasm
  • Bladder irritation
  • “Prolapse” of bowel or bladder
  • Infection
  • Dietary

Possible evaluation:

  • Pelvic exam
  • Urine culture
  • Review diet

Treatment options:

  • Physical Therapy
  • Pessary
  • Surgical

Abnormal Pap Smears: Your primary care doctor may have contacted you to tell you that your pap was abnormal. They may even have used the word “precancerous.” We can explain the condition to you in more detail, do a thorough examination and make a plan for follow-up.

Some causes:

  • Human Papilloma Virus (HPV)
  • Sexually transmitted disease (STD)
  • Vaginitis or vaginal infection

Possible evaluation:

  • Infection testing
  • Colposcopy (magnification is used to look at the abnormal cells of the cervix)
  • Biopsy (a small sample may be taken from the abnormal cells so that the extent of the abnormality may be analyzed)

Treatment options:

  • Close monitoring (for low grade changes, may involve pap smears every six months)
  • LEEP procedure (remove the abnormal area, leaving the rest of the cervix and womb)
  • Cervical conization (remove a larger part of the cervix, leaving some cervix and womb)
  • Hysterectomy (for severe changes that could become cancer)

Prevention:

  • HPV vaccine for women between the ages of 15 and 26

Other Pain/discomfort: Vulvar pain (vulvodynia) and vaginal pain may interfere with sexuality or ability to exercise.

Some causes:

  • Infection
  • Dermatologic conditions
  • Pelvic muscle spasm

Possible evaluation:

  • Pelvic exam
  • Colposcopy
  • Biopsy

Treatment options:

  • Antimicrobial medication
  • Physical therapy
  • Creams/salves