Services
Areas of Expertise
- Well Woman Exams
- Breast Exams
- Adolescent Counseling and “First exams”
- Family Planning & Contraception:
- IUDs such as Mirena®, Kyleena®, Paraguard®
- Subdermal implants such as Nexplanon®
- Barrier methods such as Diaphrams
- Injectables such as Depo-Provera
- Birth control pills
- Sexually Transmitted Disease Diagnosis and Treatment
- HPV Screening and Gardasil Vaccination
- Basic Nutrition and Lifestyle Counseling
- In office Ultrasonography and Laboratory services
- Infertility Counseling and Evaluations
- Pap smears for Cervical Cancer Screening
- Management and treatment of Abnormal Pap Smears including: Colposcopy, LEEP (Loop Electrocautery Excision Procedure), Cryocautery
- Evaluation and Treatment of Menstruation Irregularities
- Perimenopause, Menopause and Hormone Management including Bioidentical Hormones
- Ovarian Cancer Screening
- Endometriosis Evaluation and Treatment
- Uterine Fibroid Evaluation and Management
Family Planning & Contraception
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, Kyleena, 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.
Perimenopause & Menopause
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.