Gynecologic Care


We offer a variety of gynecologic care.  Click on each of the titles below for more information:

Gynecologic Examination and Pap Smears

During a gynecological exam, your doctor visually and manually assesses your reproductive organs. A gynecological exam usually is done as part of a woman's regular checkup, or your doctor may recommend a pelvic exam if you're having symptoms such as unusual vaginal discharge or pelvic pain.

A pelvic exam is a relatively short procedure. In the course of a pelvic exam, your doctor checks your vulva, vagina, cervix, uterus, rectum and pelvis, including your ovaries, for masses, growths or other abnormalities. A Pap test, which screens for cervical cancer, may be performed during a pelvic exam.

The Pap test (Papanicolaou smear) is an examination that is used to detect cervical cancer and precancerous conditions of the cervix. If a Pap test detects a precancerous condition (a change on the surface of the cervix that can lead to cancer), your doctor can treat or remove the abnormal tissue to prevent cervical cancer. If a Pap test detects a cervical cancer in its early stages, it may be possible to treat and cure your cancer before it has a chance to spread.

Screening for Sexually Transmitted Infections

Sexually transmitted infections (STIs) are a major public health problem in developed and developing countries. Complications of untreated STIs include upper genital tract infections, infertility, cervical cancer, and enhanced transmission and acquisition of the human immunodeficiency virus (HIV).

The approach to STI diagnosis and management is based upon disease or symptom-specific syndromes, including vaginal discharge, urethral discharge, ulcerative genital disease, nonulcerative genital disease, and pelvic pain.

Contraceptive Counseling & Management Including Intrauterine Devices (IUD)

Choosing a method of contraception is an important decision that will impact a women’s daily life. Talking with your doctor about which method is right for you is essential to successful protection for you and your partner. We will provide you with information about the different types of contraceptives and their respective advantages and disadvantages.

Birth control methods have many different variable factors including frequency, convenience, permanence and effectiveness. It is important to take into consideration your life, age, health and previous experiences. The decision is ultimately yours, but using our knowledge and experience can help you make the right choice.

Our office offers diaphragm fitting, oral contraceptive pills, contraceptive ring, Nexplanon, Mirena IUD, Paraguard IUD and Skyla IUD.

Traditional tubal ligation procedures are also available.

Preconceptual Counseling

We are committed to the idea that a healthy mother is key to delivering a healthy baby. Our preconception care program helps women ensure they are in optimal health before they become pregnant.

We support all women, no matter what their particular needs, in approaching pregnancy and childbirth with good health and peace of mind.

Sexual Health Counseling

A woman’s sexual function is an important part of her well-being and quality of life. At any age women may experience a change in sexual desire, difficulty with orgasm, pain with relations or other issues related to sexual function. Health problems, medications, stress, relationship issues, and aging issues may contribute to the problem. It is important to have a gynecologic examination, blood work and complete the Female Sexual Function (FSFI) questionnaire to properly assess the problem. Patients may schedule an appointment with Dr. Messore alone or with their partners for an initial evaluation and counseling session. If necessary an appropriate referral will be given to a Marriage, Family, or Sex Therapist.

Early Termination Of Pregnancy (Medical Abortion Pill , Ru486)

The Abortion Pill (RU-486 or Medication abortion) is a safe way to end a pregnancy in the earliest stages without surgery. Many women choose this method because it feels more natural. They like being at home, having a friend or family member with them, not needing surgery or anesthesia and having more control over their medical care.

While the Abortion Pill method is a private experience, it is not one to go through alone. Having a good support system is essential. Understanding what is ahead is important. We hope the following information will be helpful in making the choice on whether the Abortion Pill is the right method for you.

What is the Abortion Pill and how does it work?
Using a series of carefully prescribed pills, a medication abortion terminates a pregnancy in the privacy of your home and allows you to have loved ones around you.

The first pill you are given is called Mifeprex (Mifepristone) and is taken in our office. This pill stops the pregnancy from growing. The second set of medications and pain medication are given to you to take at home. These expel the pregnancy. Please understand that in some ways the Abortion Pill (RU-486) is very uncomplicated, no surgery, no anesthesia, etc. But, taking these pills involves a greater level of participation from you. Factors such as your emotions, comfort level, family implications, time and place must be considered for a positive outcome.

Evaluation and Management of Vulvovaginal Disorders

We are experienced in the diagnosis and treatment of more than a dozen diseases that cause the symptoms of genital itching, burning, irritation, urinary frequency, and pain with sex. Including: Recurrent Vulvovaginal Candidiasis and Bacterial Vaginosis, Vulvodynia, Lichen Sclerosus, Lichen Simplex Chronicus, Vulvar dysplasia (VIN), and Vulvar Vestibulitis.