Our Services
The comfort and convenience of our patients is very important to us. At David Nicholson, DO, LLC we strive to work with you to provide the best care, counseling and convenience. We offer a wide range of services for women of all ages, including adolescent and teens. We emphasize physician communication and patient education. This ensures that you will have a clear understanding of your medical condition as well as available treatment options.
Please click the links below for further information.
The comfort and convenience of our patients is very important to us. At David Nicholson, DO, LLC we strive to work with you to provide the best care, counseling and convenience. We offer a wide range of services for women of all ages, including adolescent and teens. We emphasize physician communication and patient education. This ensures that you will have a clear understanding of your medical condition as well as available treatment options.
Please click the links below for further information.
GYNECOLOGY
Routine Exams
Dr. Nicholson will review your overall health with you, and will discuss life-style modifications to help you lower your risk of disease. Your regular gynecological exam should also include a pap smear, pelvic exam, breast exam and (where appropriate) an order for a mammogram. These important tests allow early detection of potential illnesses, permitting Dr. Nicholson to perform prompt diagnosis and treatment.
We are also happy to help coordinate care for other preventative services including mammography and bone density testing, also known as a DEXA scan.
We recommend that young women start their annual visits between the ages of 13 and 15. The initial visit at this age usually does not involve a pelvic examination. Pelvic examinations are started in order to evaluate certain gynecologic problems or before starting birth control. Your doctor will discuss when to start examinations with you based on your individual needs.
Diagnostic
If you are suffering with a women’s health problem, you are in excellent hands. Dr. Nicholson evaluates and treats pelvic pain, heavy bleeding, bladder control problems, sexual problems and other gynecologic concerns with the latest technology and most effective solutions available.
Specific areas of expertise include:
Mirena® IUD
Paraguard® IUD
Paraguard® is an intrauterine contraceptive that is more than 99% effective at preventing pregnancy and has been available to women for over 20 years in the U.S. It’s made of soft, flexible plastic and placed into your uterus by your healthcare provider during a routine office visit.
Paraguard® may be a good option if you want to avoid or can’t tolerate hormones. And unlike many other forms of birth control, Paraguard® won’t interfere with your natural menstrual cycle.
Essure® – Permanent Birth Control
Essure® is the most effective* permanent birth control available—even more effective than tying your tubes. Essure® is hormone-free procedure done on a same day outpatient basis and there’s no slowing down to recover. You can get back to your family right away. (*Based on a comparison of five year clinical data)
Nexplanon®
BRACAnalysis®
Colaris®
Routine Exams
Dr. Nicholson will review your overall health with you, and will discuss life-style modifications to help you lower your risk of disease. Your regular gynecological exam should also include a pap smear, pelvic exam, breast exam and (where appropriate) an order for a mammogram. These important tests allow early detection of potential illnesses, permitting Dr. Nicholson to perform prompt diagnosis and treatment.
We are also happy to help coordinate care for other preventative services including mammography and bone density testing, also known as a DEXA scan.
We recommend that young women start their annual visits between the ages of 13 and 15. The initial visit at this age usually does not involve a pelvic examination. Pelvic examinations are started in order to evaluate certain gynecologic problems or before starting birth control. Your doctor will discuss when to start examinations with you based on your individual needs.
Diagnostic
If you are suffering with a women’s health problem, you are in excellent hands. Dr. Nicholson evaluates and treats pelvic pain, heavy bleeding, bladder control problems, sexual problems and other gynecologic concerns with the latest technology and most effective solutions available.
Specific areas of expertise include:
- Treatment of menstrual and hormonal disorders
- Premenstrual stress disorder
- Abnormal and pre-cancerous pap smears
- Colposcopy
- Breast disorders: nipple discharge, pain, masses
- Contraceptive management
- Menstrual irregularity, pain, excessive flow and post-menopausal bleeding
- Pelvic pain
- Disorders of the ovaries
- Endometriosis
- Fibroids
- Infections of the vagina
- Vulvar or external conditions
- Osteoporosis
Mirena® IUD
- Mirena® is intrauterine birth control that’s over 99% effective at preventing pregnancy. It’s made of soft, flexible plastic and placed into your uterus by your healthcare provider during a routine office visit.
- Mirena® releases small amounts of hormone directly into the uterus and lasts as long as YOU want, for up to 5 years.
- It is important to note that Mirena® is recommended for women who have had a child. Mirena® does not protect against HIV or STDs.
Paraguard® IUD
Paraguard® is an intrauterine contraceptive that is more than 99% effective at preventing pregnancy and has been available to women for over 20 years in the U.S. It’s made of soft, flexible plastic and placed into your uterus by your healthcare provider during a routine office visit.
Paraguard® may be a good option if you want to avoid or can’t tolerate hormones. And unlike many other forms of birth control, Paraguard® won’t interfere with your natural menstrual cycle.
Essure® – Permanent Birth Control
Essure® is the most effective* permanent birth control available—even more effective than tying your tubes. Essure® is hormone-free procedure done on a same day outpatient basis and there’s no slowing down to recover. You can get back to your family right away. (*Based on a comparison of five year clinical data)
Nexplanon®
- Nexplanon® is a hormone-releasing birth control implant that is placed under the skin for women who prefer a long-acting option. It is considered a long-term method because it prevents pregnancy for up to 3 years.
- Nexplanon® is a soft and flexible implant that is inserted in a discreet location in the inner, upper arm. It is small in size (4cm in length, 2mm is diameter) so no one has to know that it’s there but you and your health care provider.
- Nexplanon® may be small, but it is more than 99% effective – less than 1 pregnancy per 100 women who used Nexplanon® for 1 year.
BRACAnalysis®
- The BRACAnalysis® test assess a woman's risk of developing hereditary breast or ovarian cancer based on detection of mutations in the BRAC1 and BRAC2 genes.
- People with a mutation in either the BRCA1 or BRCA2 gene have risks of up to 87% for developing breast cancer and up to 44% for developing ovarian cancer by age 70.
- BRACAnalysis® is a simple blood test or oral rinse sample to find out if you have the BRCA1 or BRCA2 mutation. Knowing the results may help you and your healthcare provider act before cancer has a chance to develop.
- Benefits include:
- Target increased surveillance and other interventions specifically to individuals with a BRCA1 or BRCA2 mutation - maximizing patient care and increasing clinical efficiency.
- Significantly improve outcomes and reduce medical costs through earlier diagnosis and treatment of cancer, should it develop.
- Counsel patients and family members on the underlying causes of the pattern of breast and/or ovarian cancer in their family.
- Avoid unnecessary interventions for family members who do not test positive for the mutation known to be in the family.
Colaris®
- Colaris® testing assesses a person's risk of developing hereditary colorectal cancer and a woman's risk of developing hereditary uterine cancer. COLARIS® detects disease-causing mutations in the MLH1, MSH2, MSH6, EPCAM genes (which are responsible for the majority of Lynch Syndrome related cancers) and MYH genes that are responsible for MYH-associated polyposis (MAP) cases.
- Lynch Syndrome, also known as Hereditary Nonpolyposis Colorectal Cancer (HNPCC), is the most common of the hereditary colon cancer syndromes and is believed to account for 3% to 5% of all colorectal cancers. COLARIS® is a test for Lynch Syndrome.
- MYH-associated polyposis (MAP) is caused by mutations in the mutY homolog (MYH) gene. Individuals with MAP have mutations in both of their MYH genes (one from each parent, often referred to as "biallelic MYH mutations"). Patients often have no family history of colon cancer or polyps in parents.
- COLARIS® is a simple blood test or oral rinse sample to find out if you have the MLH1 or MSH2, MSH6, PMS2, EPCAM or MYH mutation(s). Knowing the results may help you and your healthcare provider act before cancer has a chance to develop.
- Benefits include:
- Target increased surveillance and other interventions specifically to individuals with a Lynch Syndrome or MYH-associated polyposis (MAP) mutation(s) - personalizing patient care and increasing clinical efficiency.
- Improve patient compliance with tailored screening recommendations and preventative measures.
- Significantly improve outcomes and reduce medical costs through prevention, earlier diagnosis and treatment of cancer, should it develop.
- Counsel patients and family members on the underlying cause of cancer in their family.
- Avoid unnecessary interventions for family members who do not test positive for the mutation(s) known to be in the family.
Pregnancy
Whether you are expecting your first child or your fourth, you will want an obstetrician with experience you can trust and a personal, attentive approach to your care. Dr. Nicholson and his staff give you the attentive and capable care you deserve – from conception to testing to the birth of your new baby. Our team includes expertise in prenatal and high-risk pregnancies – and those complicated by diabetes, high blood pressure, thyroid disease and other health concerns.
We are committed to partnering with you to achieve a safe pregnancy and a healthy baby. We will answer your questions thoroughly and involve you in the decisions concerning your care.
Your first obstetrical visit will consist of a review of your health history as well as basic procedures you can expect throughout your pregnancy. We will also help to coordinate your benefits with your insurance company. Our billing department will happily answer any financial questions you may have throughout your pregnancy.
We typically schedule your first obstetrical visit during 8 - 10 weeks of gestation, however if you are unsure of your last menstrual period or have had any prior history of miscarriage, we would like to see you for a "confirmation of pregnancy" visit. Please call our office to schedule this appointment during the time that you think you will be approximately 8-10 weeks pregnant (gestational weeks are counted beginning with the first day of your last menstrual period).
Routine Testing for Obstetrical Patients
Whether you are expecting your first child or your fourth, you will want an obstetrician with experience you can trust and a personal, attentive approach to your care. Dr. Nicholson and his staff give you the attentive and capable care you deserve – from conception to testing to the birth of your new baby. Our team includes expertise in prenatal and high-risk pregnancies – and those complicated by diabetes, high blood pressure, thyroid disease and other health concerns.
We are committed to partnering with you to achieve a safe pregnancy and a healthy baby. We will answer your questions thoroughly and involve you in the decisions concerning your care.
Your first obstetrical visit will consist of a review of your health history as well as basic procedures you can expect throughout your pregnancy. We will also help to coordinate your benefits with your insurance company. Our billing department will happily answer any financial questions you may have throughout your pregnancy.
We typically schedule your first obstetrical visit during 8 - 10 weeks of gestation, however if you are unsure of your last menstrual period or have had any prior history of miscarriage, we would like to see you for a "confirmation of pregnancy" visit. Please call our office to schedule this appointment during the time that you think you will be approximately 8-10 weeks pregnant (gestational weeks are counted beginning with the first day of your last menstrual period).
Routine Testing for Obstetrical Patients
- 8-10 weeks Ultrasound Labs: Urinalysis, Blood test for Blood type and Rh factor, anemia, rubella immunity, hepatitis, syphilis, HIV, gonorrhea and Chlamydia, thyroid screen, urine drug screen & sickle cell. Physical exam which may include a pap smear
- 12-13 Nuchal Translucency ultrasound and blood work to screen for Down Syndrome or Trisomy 18 (chromosomal disorders).
- 15-18 weeks: blood test done between 15 to 18 weeks of pregnancy to detect increased risk of having a baby with certain birth defects, such as an open neural tube defect (spina bifida) or Down Syndrome and Cystic Fibrosis blood test.
- 20-22 weeks: Ultrasound to check anatomy.
- 26-28 weeks: Blood tests to screen for gestational diabetes (glucose test), anemia or low iron and antibody screen. Rhogam Injection if your blood type is Rh negative
- 35-37 weeks: Group B vaginal culture (swab)
