Gynecologic Surgery: What to Know Before You Commit

When a surgical recommendation comes up in a gynecology appointment, it’s worth slowing down. Most benign gynecologic conditions have more than one reasonable path forward, and the right choice depends on your anatomy, your goals, and what’s actually driving your symptoms. Understanding your options before you commit makes the decision yours. Key Takeaways Minimally invasive […]
What Is a Saline Infusion Sonohysterogram – And When Is It Actually the Right Test?
When something shows up on a routine ultrasound and your doctor says “we need a better look,” the next step isn’t always obvious. There are several ways to evaluate the inside of the uterus, and the differences between them matter more than most patients realize. A saline infusion sonohysterogram (SIS) is a targeted uterine imaging […]
LEEP vs. Cervical Cone Biopsy: How to Know Which One You Actually Need

Waiting for a callback after an abnormal Pap or colposcopy is one of the more unsettling experiences in women’s health. You’ve been told you need a procedure, and now you’re trying to figure out what that actually means. Key Takeaways LEEP and cervical cone biopsy treat the same underlying problem but differ in how much […]
Fibroids, Cysts, and Endometriosis on Imaging: Does a Diagnosis Mean Surgery?

Finding something on a pelvic ultrasound doesn’t automatically put you on a surgical path. Whether you’re dealing with fibroids, an ovarian cyst, or suspected endometriosis, the right next step depends on your symptoms, your anatomy, and what you actually want for your health and future. Here’s how to think through it clearly. Key Takeaways A […]
Fertility Care in Portland: Finding the Right Starting Point for Your Situation

By Michelle Sang, MD, FAARM, FACOG Fertility care isn’t one-size-fits-all, and the right starting point depends on where you actually are, not where anxiety or marketing pressure says you should be. For most women, a thorough gynecological evaluation comes before anything else. It’s the step that tells you what you’re actually dealing with, and what, […]