Gynecology
From preventive and sexual health to fertility and family planning, we’re here to support your wellness at every age.
Women’s healthcare is about much more than your annual exam.
At Generations, we provide comprehensive gynecologic care for every stage of life–from adolescence through menopause and beyond. Whether you’re managing menstrual concerns, navigating birth control options, addressing pelvic pain, or simply looking for guidance, we’re here to listen and support you with compassion and expertise. Your health is personal–your care should be too
A yearly preventative health visit is essential for maintaining lifelong health.
At your annual visit, your provider will take time to review your health history and make sure your care fits your age, lifestyle, and unique needs. Your exam may include a pelvic and breast exam, cervical cancer screening with a pap smear and HPV test, and testing for sexually transmitted infections when appropriate. Depending on your age and health, your provider may also recommend a mammogram, bone density scan, or certain vaccinations to help keep you protected and feeling your best.
A yearly preventative health visit is essential for maintaining lifelong health.
During this visit, your provider will review your medical history and tailor your visit to your age, health history, and unique needs. Your annual exam may include a pelvic and breast exam, as well as cervical cancer screenings with a pap smear and HPV testing. Orders for mammogram and/or bone density scan, and screenings for sexually transmitted infections may also apply.
Pap SmearsFamily
PlanningInfertility
ManagementSexual Health
& ContraceptionAdolescent
HealthMenopause
ManagementGynecologic
ProblemsProcedures
& Surgery
Management of Abnormal Pap Smears
An abnormal Pap smear simply means changes were found in the cervical cells that need follow-up. Pap smears are usually done in conjunction with HPV screening for patients over the age of 30. Depending on the result, your provider may recommend repeat pap and HPV testing or a closer exam of the cervix called a colposcopy. If needed, additional treatments can address abnormal cells and help prevent cervical cancer. Your care team will guide you through each step to ensure the best follow-up and management for your health.
Pre-Conception Visits
A pre-conception visit is designed to help you prepare for a healthy pregnancy. During this appointment, your provider reviews your medical, surgical, and family history, discusses your menstrual cycles, and answers questions about fertility and timing. They may recommend certain health screenings, lab tests, or genetic carrier screening, as well as review current medications to be sure they are safe for pregnancy.
Lifestyle factors such as nutrition, exercise, supplements (including folic acid), and avoidance of harmful substances are also discussed. Your provider may talk with you about managing chronic conditions, vaccinations, and any steps to optimize your health before becoming pregnant.
This visit is an opportunity to plan ahead, address concerns, and set the foundation for a safe pregnancy and a healthy baby.
Infertility
If you’re having trouble getting pregnant, we’re here to help. Infertility is common and affects 10-15% of couples.
Depending on your age, you may have infertility If you have been trying to get pregnant for more than six months to a year,. We start with a thorough evaluation to look for possible causes, including ovulation, reproductive tract anatomy, and sperm health. Treatment may include lifestyle guidance, medication, simple office procedures, or referral for advanced options like IVF. Our goal is to provide personalized, supportive care to help you grow your family.
Sexual Health
Sexual health is an important part of your overall well-being. Our providers offer confidential, compassionate care to address concerns such as painful intercourse, low libido, vaginal dryness, and sexually transmitted infection (STI) screening and treatment. Whether you have specific symptoms or just want to discuss your sexual health in a supportive setting, we are here to help you feel comfortable, informed, and empowered.
Contraception
There are many different birth control options available. Whether to use birth control and which birth control to choose are both personal decisions. We are happy to discuss all your options with you and help you choose something that fits with your body and your life.
Options include:
- Oral contraceptive pills (birth control pills), vaginal ring, and patch
- Birth control shot
- Implants (Nexplanon) and intrauterine devices
- Barrier methods
- Fertility awareness methods
- Surgical sterilization
Adolescent Health
The American College of Obstetricians and Gynecologists (ACOG) recommends that 13- to 15-year-old adolescent girls see a gynecologist. The focus of this first visit is to inform and educate the teen about reproductive healthcare issues. In addition, she is given an opportunity to establish a long-term trusting relationship with an Ob/Gyn provider. A pelvic exam is usually not necessary at this visit.
Topics covered at this visit may include:
- Breast health, painful periods, and vaginal discomfort/discharge
- Contraception, sex education, prevention of sexually transmitted diseases, and the Gardasil HPV vaccine
- Acne, nutrition, and weight management
These visits are meant to complement a teen’s routine care with their pediatrician or primary care provider and is not intended to replace them. Each provider handles different aspects of the teen’s care.
Menopause
Generations OB/GYN offers perimenopause and menopause management with a personalized, science-based approach. We customize treatment to accommodate your unique needs. We take into consideration your health history and lifestyle with a review of symptoms, nutrition, activity level and sleep habits. Treatment may include Hormone Replacement Therapy or non-hormonal options.
We strive to deliver accurate information and compassionate care so that our patients feel informed and supported through all stages of life. We encourage our patients to expand their knowledge with trusted sources such as the book Estrogen Matters by Dr. Avrum Bluming and Dr. Carol Tavris as well as reputable podcasts such as The Dr. Louise Newson Podcast, The Happy Menopause Podcast, and Hit Play not Pause.
We are accepting new patients for Hormone Consultation and will continue to serve our established patients for all your needs.
Gynecologic Problems
Our providers offer dedicated visits to address a wide range of gynecologic issues that can affect your comfort, health, and quality of life.
Common concerns we treat include:
- Pelvic pain or discomfort
- Irregular, heavy, or painful menstrual cycles
- Vaginal infections or unusual discharge
- Urinary tract infections (UTIs)
- Abnormal bleeding or spotting
During a problem visit, your provider will take a detailed history, perform an exam if needed, and may order tests to help find the cause of your symptoms. Together, you will discuss treatment options and create a personalized care plan that fits your needs and goals.
Procedures & Surgery
Procedures
We offer a wide variety of in-office procedures including Nexplanon insertion, IUD insertion, sonohysterogram, and endometrial biopsy.
We are proud to offer a variety of pain control options for these procedures, and are happy to talk with you about what makes the most sense for your procedure. We offer Pro-Nox, which is a safe and effect analgesic gas delivery system (50% nitrous oxide / 50% oxygen) designed to provide short term pain, anxiety, and stress relief. The analgesic effects diminish within about 10-15 minutes so you can safely drive yourself home, return to work, etc, without a problem.
In-Office Surgical Suite
We have a surgical suite staffed with a board-certified anesthesiologist, and offer convenient in-office surgery for selected procedures. Common surgeries that can often be performed in our surgical suite include hysteroscopy, endometrial ablation, LEEP, and labial surgery.
Surgery at Corewell Health William Beaumont University Hospital
Our physicians have privileges at Corewell Health William Beaumont University Hospital in Royal Oak, MI. We perform a variety of gynecologic surgeries including minimally invasive adnexal surgery, minimally invasive treatment of fibroids, bilateral salpingectomy, hysterectomy. Many of our physicians are trained in DaVinci robotic surgery.