Houston Methodist Gynecology Services

From routine well-woman exams to childbirth and advanced gynecological care, our board-certified gynecologists and obstetric gynecologists (OB-GYNs) provide highly personalized treatments for women at every stage of life. Whether you need help choosing the right birth control, planning for pregnancy or finding relief from pelvic pain due to conditions like endometriosis or PMOS, our experts are here for you through all of life’s moments and milestones.

Houston Methodist Hospital is ranked No. 7 in the nation by U.S. News & World Report for Obstetrics & Gynecology.

When to See a Gynecologist

You should see a gynecologist at various points in your life to maintain reproductive health. Key times to consider scheduling an appointment include:
 

• Starting around age 21: Regular visits should begin in your early 20s or within a few years of becoming sexually active. Annual exams focus on sexual and reproductive health and may include a pelvic exam, Pap smear and other screenings.
• For menstrual irregularities or pain: If you experience irregular periods, heavy bleeding, severe cramps or other discomforts related to your menstrual cycle, a gynecologist can help identify the cause and suggest treatment options.
• For birth control or family planning: A gynecologist can guide you through birth control options like IUDs and the pill or help with family planning if you’re considering pregnancy. They can also provide care and support in the case of a miscarriage.
• For unusual symptoms: Symptoms like pelvic pain, unusual vaginal discharge, itching or changes in breast health should be evaluated promptly to rule out infections or other conditions.
• For preventive screenings: Pap smears, HPV screenings and breast exams are important preventive measures to detect cervical or breast cancer early. Guidelines vary, but Pap smears are typically recommended every three to five years, depending on age and risk factors.
• During perimenopause and menopause: A gynecologist can help manage hormonal changes and symptoms related to menopause, including hot flashes, bone density changes and vaginal dryness.
• For sexual health concerns: If you have questions about sexual health, pain during intercourse or other concerns, a gynecologist can provide advice and treatment.

 
Regular visits help ensure any issues are detected early, so even if you don’t have specific symptoms, routine check-ups are beneficial. Read our On Health article to learn more about how often you need a well-woman exam.

Our Gynecology Experts

Led by Dr. Pedro T. Ramirez, our women’s health specialists are dedicated to providing a collaborative, multidisciplinary approach to gynecological care. Many of our physicians also are engaged in fields of research and education, which allows them to bring to you the most innovative treatments and the latest technology. 

Your Well-Woman Exam

A well-woman exam is a preventive health visit focusing on reproductive health and overall wellness. It covers most or all of the following:
 

• Health history review: The doctor will ask about your medical history, menstrual cycle, sexual health and any symptoms or concerns. They may also ask about your family health history to assess any genetic risks.
• Vital signs check: These include basic measurements like blood pressure, weight and heart rate that are taken to get a sense of your overall health.
• Physical exam: A general physical exam will be performed to check your heart, lungs, abdomen and other areas.
• Breast exam: The doctor will examine your breasts for lumps or abnormalities. They may provide guidance on breast self-exams and recommend mammograms based on your age and risk factors.
• Pelvic exam: During a pelvic exam, the doctor will examine the vulva, vagina, cervix, ovaries and uterus to check for any abnormalities. This exam may also include a Pap smear to screen for cervical cancer and an HPV test if needed.
• Screenings and tests: Depending on your age and health needs, the doctor may recommend blood tests, STI screenings like HIV or HPV tests or other tests as part of preventive care.
• Health counseling: The doctor may discuss contraception methods, sexual health, nutrition, exercise and other lifestyle factors that contribute to wellness.
• Immunizations: You may be offered vaccines, such as the HPV vaccine, if you haven’t received it or other routine immunizations as recommended.

 

A well-woman exam is a time to ask questions about your health and discuss any issues, so you leave with a clearer understanding of your health status and any recommended next steps. Read our On Health article to learn more about what to expect at your annual well-woman exam.