Downeast OB/GYN

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Women’s Healthcare

Women's Annual Exam

Annual Exams are an important part of maintaining a healthy lifestyle. Your doctor or certified will tailor the specifics of your annual exam to your current life stage and your medical history and needs, but a typical annual exam consists of a pelvic exam, Pap exam, and breast exam.

Depending on age, we may also evaluate the need for mammography and bone density studies. As appropriate, your clinician will also discuss options for contraception or hormone therapy, and answer any other questions or concerns you may have.

Annual exams should be booked at least three months in advance to ensure that you are seen within 30 days of the anniversary of your previous annual exam. Most insurance providers allow you to have one annual exam per calendar year. If you inquire when scheduling your exam, we will confirm that your insurance requirements are being met.


The U.S. Preventive Services Task Force (USPSTF) recently issued new guidelines on Pap exams. As a result of these guidelines, which recommend pap exams every three years for most women ages 21 to 65 years, some insurers no longer cover an annual pap exam. It is important to note that this does not mean that you do not need an annual pelvic and breast exam. We encourage all patients to schedule an annual exam even if their insurance does not cover an annual Pap exam.

Breast Screening

Breast cancer is the most common cancer in non-smoking women. Screening and early detection are the best ways of increasing cure rates for women found to have breast cancer.

A women’s self -breast exam along with a breast exam done by a Women’s Health Care Provider are easily available and can be very helpful if done routinely. Mammography is currently the gold standard for early detection of breast cancer; 90% of breast cancer is detectable by mammography screenings.

The American College of Obstetrics and Gynecology recommends beginning screening mammography at the age of 40; however the American Cancer Society recommends starting screening mammograms at the age of 45. Mammography films can be done every 1-2 years depending on risk factors up until the age of 50. After the age of 50 an annual mammogram is highly recommended.

Our providers will assist women in developing a screening strategy that is most appropriate for each individual based on physical exam, family history, signs and symptoms.

Menopausal Symptoms

Menopausal symptoms are a group of physiological changes women notice when their estrogen and progesterone levels fall below a certain point. Some women aren’t bothered very much by this, but there are women who experience a significant disruption in their daily lives.

Hot flashes are the most common menopausal complaint, but other symptoms may include: worsening memory and concentration ability, mood changes, poor sleep, bone loss, and painful intercourse (related to thinning of the vaginal tissue).

We encourage women to discuss these issues at their yearly visits, or a dedicated appointment to discuss menopausal symptoms can be made. Treatments are available to those who desire them. We spend time discussing risks and benefits and then tailor a plan to each women’s needs. Treatments can come from a typical pharmacy or a compounding pharmacy, and require a prescription. However, some therapies are over the counter without a prescription.

We don’t believe in a “one size fits all” approach when treating menopausal symptoms. Call us and come in for a visit so that together we can formulate a plan that will meet your needs.

Athena Patient Portal

Our patient portal offers a convenient way to receive test results, review patient care summaries, and view/pay billing statements from your mobile device or computer.

Visit Patient Portal