What causes Gynecology exams?

Introduction: Why Gynecology Exams Need a New Approach

Gynecology exams are a crucial aspect of a woman’s health, allowing early detection and prevention of various reproductive and hormonal conditions. However, many women may experience fear or discomfort surrounding gynecological procedures, which can often result in neglecting these essential check-ups. At Patients Medical in New York City, we combine integrative medicine with traditional gynecology to provide a holistic and thorough approach. Our focus is on understanding the root causes of your gynecological issues, managing symptoms naturally, and offering a comprehensive, individualized treatment plan for your overall health and well-being.

What Are Gynecology Exams?

A gynecology exam is a medical procedure performed to assess a woman’s reproductive health. It involves a variety of checks, including physical examination, screenings, and tests, to monitor and detect any potential issues in the female reproductive system. These exams can include:

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 Reasons for Gynecology Exams

A gynecology exam can be prompted by several reasons, including regular check-ups and specific health concerns. Here are some of the most common reasons women seek gynecological exams:

Root Causes of Gynecological Health Issues

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: Lisa’s Journey to Hormonal Balance

Lisa, age 38, came to us with concerns about irregular periods, mood swings, and difficulty getting pregnant. After comprehensive testing, we found that she had elevated cortisol levels and low thyroid function. We created a customized 3-month integrative plan that included:

  • Nutritional therapy with a focus on anti-inflammatory and hormone-balancing foods.
  • Herbal supplements to support thyroid function and reduce stress.
  • Acupuncture to improve circulation and regulate menstrual cycles.

Three months later, Lisa’s period became regular, her energy improved, and she conceived naturally.

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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