What are the 5 types of Gynecology exams?

Redefining Women’s Wellness Through Integrative Gynecology

Modern gynecology shouldn’t be just about symptom management or annual checkups—it should be about understanding your body at every stage of life.

At Patients Medical in New York City, we take a comprehensive approach to women’s health. By combining conventional diagnostics with holistic and functional medicine, we provide a deeper understanding of hormonal, reproductive, and metabolic health—ensuring that you’re not just “normal,” but thriving.

We treat the whole woman, not just her reproductive organs.

What Are the 5 Essential Gynecology Exams?

Gynecological exams help detect early signs of disease, assess reproductive health, and support prevention. At Patients Medical, we enhance these exams with root-cause evaluation and personalized wellness planning.

Pelvic Exam

A traditional pelvic exam allows your provider to assess the health of your reproductive organs—including the uterus, cervix, ovaries, and vagina.

Functional enhancement: We may also assess signs of pelvic floor dysfunction, chronic inflammation, or hormonal imbalances that can affect menstrual cycles or sexual health.

Pap Smear (Pap Test)

This screening detects early changes in cervical cells that could lead to cervical cancer. It’s recommended every 3 years for most women starting at age 21.

Functional insight: For patients with abnormal results, we explore underlying immune or viral triggers, including persistent HPV, nutrient deficiencies, or toxic exposures.

Breast Exam

A clinical breast exam checks for lumps, skin changes, or discharge. This may be paired with imaging (mammogram or ultrasound) depending on age and risk.

Functional approach: We evaluate estrogen metabolism, detox pathways, and inflammatory markers that may influence breast health.

HPV Testing

Human papillomavirus testing is often done alongside a Pap test for women over 30. Persistent HPV can increase cancer risk.

Integrative care: We boost immune response through nutrition, herbal antivirals, and detox support when HPV is detected.

STD/STI Screening

Comprehensive screening for sexually transmitted infections is essential for sexually active individuals, especially if there are new partners or symptoms.

Whole-body view: We assess vaginal microbiome balance, recurring infections, and inflammation levels that may impact long-term reproductive health.

Common Symptoms That May Indicate a Need for Gynecologic Evaluation

You don’t need to wait for your annual exam. These signs may warrant earlier evaluation:

What Could Be Causing These Symptoms?

At Patients Medical, we investigate the root causes of gynecological symptoms with a functional lens. Potential contributors include:

  • Hormonal Imbalances: Thyroid, cortisol, estrogen, and progesterone shifts
  • Nutrient Deficiencies: Low vitamin D, magnesium, zinc, or B-complex
  • Gut Health Disruptions: Dysbiosis or leaky gut affecting estrogen metabolism
  • Toxin Exposure: Xenoestrogens from plastics, cosmetics, or pesticides
  • Chronic Stress: Alters hypothalamic-pituitary-ovarian axis
  • Blood Sugar Dysregulation: Can impact ovulation, menstruation, and fertility
  • Mitochondrial Dysfunction: Affects cellular energy needed for reproductive health

Advanced Diagnostic Testing We Use

To truly understand your gynecological health, we go beyond routine labs:

  • Comprehensive hormone panels (saliva, blood, and urine)
  • Vaginal microbiome analysis
  • DUTCH test for hormone metabolism
  • Gut health testing (stool analysis, leaky gut, candida)
  • Heavy metal and toxin screening
  • Nutrient and mitochondrial function labs
  • Autoimmune antibody screening (e.g., for thyroid or endometriosis)

Integrative Treatments for Presyncope

Nutritional Therapy

  • Seed cycling for hormonal support
  • PCOS- or perimenopause-specific diets
  • Gut-healing nutrition protocols
  • Gluten- and dairy-free plans (if indicated by testing)

IV Vitamin Therapy

  • B vitamins, vitamin C, magnesium, glutathione
  • Reproductive wellness blends for fertility or PMS relief

Herbal & Nutraceutical Support

  • Vitex (chasteberry) for PMS and cycle regulation
  • DIM and calcium-D-glucarate for estrogen detox
  • Ashwagandha and maca for adrenal support
  • Evening primrose oil for breast tenderness and mood

Hormone Balancing

  • Bioidentical hormone therapy (BHRT)
  • Thyroid optimization protocols
  • Natural progesterone support for luteal phase defects

Stress and Emotional Wellness

  • Mind-body medicine and coaching
  • Meditation and breathwork sessions
  • Acupuncture for menstrual regulation and fertility

Real Case Study: Tanya’s Turnaround

Tanya, 38, came to us with irregular cycles, heavy bleeding, fatigue, and brain fog. Her OB-GYN suggested birth control to “regulate” her cycle, but Tanya wanted to understand the cause.

Testing revealed low progesterone, estrogen dominance, and gut dysbiosis.

We designed a 4-month integrative plan:

  • Hormone detox support with DIM and magnesium
  • Gut healing protocol with probiotics and herbal antimicrobials
  • Nutritional plan focused on liver support and blood sugar control
  • Stress-reducing adaptogens and acupuncture

By month four, Tanya’s cycles were regular, bleeding normalized, and her energy was restored—no medications required.

Testimonials

Frequently Asked Questions

Generally, once a year. However, frequency may vary based on age, risk factors, and symptoms.

optimization, many rashes can be effectively treated naturally.

Yes. We combine conventional care with functional testing and natural treatments to provide deeper insight and healing.

You’ll receive a detailed intake, hormone review, physical exam, and recommendations for functional testing tailored to your concerns.

Yes. We offer personalized bioidentical hormone therapy when appropriate, based on lab results and symptoms.

Absolutely. We specialize in natural fertility enhancement by addressing gut health, inflammation, hormones, and stress.

Yes. We use gentle, supportive therapies during pregnancy and help manage symptoms like fatigue, nausea, or thyroid issues.

Yes. Our integrative protocols are effective for managing these conditions without relying solely on medication or surgery.

Yes. We offer confidential, comprehensive STD screening as part of your care.

We are an out-of-network provider, but we offer superbills for insurance reimbursement. Lab work may be partially covered.

Depending on your needs, we may include hormone panels, vaginal microbiome testing, food sensitivities, toxin screening, and gut health diagnostics.

Begin Your Journey with Patients Medical

Patients Medical specializes in gently helping the patient identify the root cause of their medical issues and then assist them to recover from their problems to help them move forward to good health.

Request your consultation today!

To schedule an in person on Tele-medicine appointment, please call our office at (212) 794-8800 or email us at info@PatientsMedical.com We look forward to hearing from you

Our medical center in New York City.

Patients Medical PC
1148 Fifth Avenue, Suite 1B New York, NY 10128

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