Dr. Lapayowker Services


For our patients' comfort and convenience, our office provides a lab and ultrasound services.

Our areas of expertise include:



Dr. Lapayowker offers several different Birth Control options for her patients. She counsels each patient extensively and together they plan the best method for each woman. Dr. Lapayowker reviews at length the product, its mode of action and both risks, benefits and side effects.

Dr. Lapayowker offers several different forms of long acting yet reversible contraception devices such as the Mirena, Skyla and Paraguard. These intrauterine devices or IUDs, and the Nexplanon®, the newest subdermal implant, can prevent unplanned pregnancies from 3-10 years depending on the product chosen. They are able to be placed in a relaxed office based setting with little or no discomfort.

The Nexplanon is a single thin 4cm. implant that is place under local anesthetic under the skin in the upper inner aspect of the patient’s arm. It is a hormone releasing device which has little or no side effects.

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As a woman, Dr. Lapayowker takes pride in being able to comfortably discuss the “changes” in a woman’s life that can occur as early as 35 years of age. She understands because of both personal and professional experience and can help to manage symptoms such as sleepless nights, mood changes, menses irregularities, weight gain and the infamous “hot flash” to name a few.

She incorporates nutrition, lifestyle changes, exercise, supplements and can extensively review the risks and benefits and offer hormone therapies. She is knowledgeable in the areas of both synthetic and Bioidentical Hormone replacement therapies.

Dr. Lapayowker believes it is a delicate balance and as both a woman and a physician
she can help them through this important transition.

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