WALK-IN GYNECOLOGY & WOMEN'S CAREBy Maiden Lane Medical

Women are generally advised to begin annual visits to the gynecologist in their late teens or early twenties, around the age of 18, or when they become sexually active. These appointments are crucial for addressing reproductive health, receiving guidance on contraception, and undergoing screenings for conditions like cervical cancer.

Individual health, family history, and personal circumstances may influence the recommended timing, so it's important for you to consult with your healthcare provider to determine the most appropriate schedule for gynecological visits based on your specific needs and risk factors.

An OB-GYN (Obstetrician-Gynecologist) is a medical doctor specializing in both obstetrics and gynecology, covering care for pregnant women and the female reproductive system. In contrast, a gynecologist focuses exclusively on the latter, addressing issues like contraception, menstrual problems, and menopause. All OB-GYNs are gynecologists, but not all gynecologists are trained in obstetrics.

A pelvic exam at the gynecologist typically involves 2 main components:

1. Visual Inspection of External Genitalia: The doctor examines the external genital area for any abnormalities, irritation, or signs of infection.

2. Speculum Exam: A speculum is inserted into the vagina to visualize the inner walls, cervix, and collect samples for tests such as the Pap smear. This part allows the gynecologist to check for any abnormalities or signs of cervical issues.

The pelvic exam is a routine procedure used to monitor and maintain reproductive health, detect potential issues, and screen for conditions such as cervical cancer. It is often recommended as part of regular gynecological check-ups.

We participate with the following insurance companies:

• Aetna
• CIGNA
• Elderplan (Dr. Bakal only)
• Empire BlueCross / Blue Shield
  Fidelis (Dr. Bakal only)
• GHI/Emblem Health
• HIP
• Medicare
• Multiplan
• Oxford (Freedom and Liberty – NOT Metro)
• Oscar
• PHCS
• Tricare
• United Health

Click here for more insurance information. 

A colposcopy is conducted similarly to a standard pelvic exam. While lying on the examination table, a speculum gently widens the vagina, and a solution is applied to the cervix and vaginal walls to emphasize any abnormal tissue.

The colposcope is then positioned at the vaginal opening, utilizing a light and magnifier to closely examine areas requiring further evaluation. If a biopsy is necessary, it is performed concurrently.

This entire procedure typically takes about 2 - 5 minutes and is conveniently conducted in the office.

An IUD provides a highly effective and low-maintenance contraceptive option, eliminating the need for daily attention that other methods demand—like the pill. Its sustained effectiveness contrasts with the pill's lower efficacy due to the requirement of consistent daily adherence.

Non-hormonal IUDs ensure immediate reversibility, allowing for a swift return to fertility after removal by a healthcare professional. This characteristic sets them apart from some hormonal contraceptives that may involve a longer wait for reproductive capability to be restored.

For those who have experienced undesirable side effects from hormonal contraception, a copper IUD offers a hormone-free alternative. Furthermore, copper IUDs can act as emergency contraception if inserted within 120 hours of unprotected intercourse, providing an additional layer of flexibility and choice.

Overall, the IUD, whether hormonal or non-hormonal, stands out as a versatile and effective option with various benefits tailored to individual preferences and health considerations.