Gynecological Services Detailed Descriptions


Annual or Semi-Annual GYN Exams:

Yearly GYN exams include a Pap test, pelvic exam and breast exam, in addition to addressing any concerns or questions you may have at the time. If your gynecological history indicates, our providers will encourage you to return for an exam more frequently (every 6 months).
Pap test
STD screening
Vaginal cultures
Breast Exam
Pelvic exam
Family planning
Referral to mammography (if indicated)
Blood/laboratory work (if indicated)


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Midlife Services:

Our staff understands that as women reach midlife, they deal with special physical and emotional issues. Our program for midlife women helps patients deal with perimenopause and menopause through counseling, testing, and treatment.
hormone testing
emphasis on preventive and holistic treatments
nutrition counseling
referrals for osteoporosis screening
referrals for mammograms
psychological counseling for anxiety and depression, problems with aging parents, loss, bereavement and the challenges of transition.


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GYN Services for Teens:

Under New York State Law, adolescents do not need parental consent to seek reproductive and sexual health information and services. While we encourage adolescents to include their parents or a trusted adult in decisions regarding sexual and reproductive health, your privacy will be strictly protected. You do not need an insurance card to seek care. We offer free pregnancy testing to those with a student ID. Choices provides individualized counseling on birth control, pregnancy, rape and sexual violence.

Patients may pay in cash so that no bills are sent to their homes, and confidentiality is protected.


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Walk-in Pregnancy testing:

If you have missed a period, you can come in for a urine pregnancy test and speak with one of our gynecological providers. This service is free for adolescents 18 years old and younger with ID.



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Free Urine Pregnancy Test (18 years and under with ID):

If you have missed a period, you can come in for a urine pregnancy test and speak with one of our gynecological providers. This service is free for adolescents 18 years old and younger with ID.



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Clinical Breast Exam:

Whether as part of your yearly well-woman GYN exam, or because you may have found an abnormality in your breast, our providers will perform a thorough breast exam. Upon any findings, you will be managed appropriately with (as needed) mammography or sonography exams and follow-up.



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Mammogram Referrals:

CHOICES women's health providers encourage all women over age 40 to receive a yearly mammogram. In addition to a Clinical Breast Exam (CBE) and Self-Breast Exams (SBE), annual mammograms have proven to be an integral part of a breast cancer screening services. CHOICES providers will work with you to refer you to a radiological site of your preference and ensure you receive all necessary follow-up care services.



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Sonography:

A sonogram is a safe, non-invasive x-ray taken using soundwaves instead of radiation. It can determine a pregnancy as early as 4.5 weeks and can give fetal age and general health of the fetus. Sonography is also used at CHOICES to diagnose problems of the uterus and ovaries, including ovarian cysts, ectopic pregnancy, fibroids, thickening of the endometrium and masses that may require further evaluation.

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Urinalysis:

Urinalysis is the process of examining the urine microscopically for the presence of body secretions that can aid Choices medical staff in diagnosing various conditions. For example, when a pregnancy test is done, the urine is checked for the presence or absence of the human chorionic gonaditropin hormone. There may be white blood cells, red blood cells and bacteria in the urine that indicate an infection. Various other diagnoses can be gained as well, by examining the urine.

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D&C (Dilation and Curretage):

D&C is a procedure in which the cervix is dilated (gradually widened), after which a special instrument called a curret is inserted into the uterus and used to gently scrape and remove the contents. This procedure is used at CHOICES for some first-trimester abortions, incomplete spontaneous abortions, and benign thickening of the edometrium.

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Bartholin Gland Aspiration:

The Bartholin Gland is the gland at the opening to the vagina that secretes lubricating fluids. This gland sometimes can become blocked by inflammation from infection and develop an abcess. This abcess can then swell and become quite painful. In most cases, however, Choices medical staff can easily treat and cure this condition.

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Blood Work:

Blood analysis is one of the cornerstones to diagnose various conditions, illnesses, well-being and the effectiveness of various treatments. Blood may be drawn at Choices for a variety of reasons and, with your permission, to determine a number of conditions. As with any medical procedure, you should always ask your doctor why s/he is taking blood and what s/he hopes to discover.

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