Expert care for everyday needs and complex conditions
At UTMB Health, you’ll be cared for by experts who understand women’s health at every age and stage. Whether you need a routine checkup, help with painful periods, or advanced treatment for a complex condition, our gynecology team is here for you. We offer the latest tools and treatments in a setting that’s respectful, supportive, and focused on your needs. You can count on us to listen, explain your options clearly, and help you feel confident in your care.
Conditions We Treat
Abnormal Uterine Bleeding
Overview:
Abnormal uterine bleeding is bleeding from the uterus that happens at times other than your normal monthly period, lasts longer than expected, or is heavier than usual. It can affect women of all ages, from teens to those after menopause. Causes may include hormone changes, fibroids, polyps, pregnancy complications, or certain medical conditions.
Common Symptoms:
- Very heavy menstrual flow
- Bleeding between periods
- Periods that last more than 7 days
- Passing large blood clots
- Bleeding after sex
- Bleeding after menopause
Treatments & Procedures:
- Medications such as birth control pills, hormone therapy, or medicines that reduce bleeding
- Intrauterine device (IUD) that releases hormones to control bleeding
- Minimally invasive surgery such as hysteroscopy or laparoscopy to remove fibroids or polyps
- Endometrial ablation (removing or destroying the lining of the uterus to reduce bleeding)
- Hysterectomy (surgical removal of the uterus, usually only if other treatments don’t work)
Early or Premature Menopause
Overview:
Early menopause happens when your periods stop before age 40. It may also be called premature menopause or primary ovarian insufficiency (POI). Unlike perimenopause, which is a gradual transition, early menopause is the permanent end of your menstrual cycles at a much younger age.
Causes may include genetics, autoimmune conditions, surgery (such as ovary removal), or treatments like chemotherapy. Early menopause can affect fertility, hormone levels, and long-term health.
Common Symptoms:
- Missed or absent periods before age 40
- Hot flashes or night sweats
- Vaginal dryness or pain during sex
- Trouble sleeping
- Mood changes
- Low energy or fatigue
- Difficulty getting pregnant
Treatments & Procedures:
- Hormone therapy – helps replace estrogen and protect bone and heart health
- Fertility counseling – understand your options for having children
- Egg freezing – preserves healthy eggs for future pregnancy
- In vitro fertilization (IVF) – combines eggs and sperm in a lab, then transfers embryos to the uterus
- Donor egg options – eggs from a donor can be used for pregnancy
- Lifestyle support – nutrition, exercise, and sleep guidance to improve symptoms and protect long-term health
Endometriosis
Overview:
Endometriosis occurs when tissue similar to the lining of the uterus grows outside the uterus—often on the ovaries, fallopian tubes, bladder, or other pelvic organs. This misplaced tissue responds to monthly hormones, causing inflammation, pain, and sometimes scar tissue that can affect fertility. Endometriosis can range from mild to severe and is one of the most common causes of chronic pelvic pain in women of reproductive age.
At UTMB Health, our gynecology and minimally invasive gynecologic surgery (MIGS) specialists work together to diagnose and treat endometriosis using advanced, patient-centered approaches that relieve pain and protect fertility whenever possible.
Common Symptoms:
- Severe period pain or cramping that worsens over time
- Heavy periods or bleeding between cycles
- Pain during sex, urination, or bowel movements
- Bloating, nausea, or fatigue during menstruation
- Difficulty getting pregnant
Treatments & Procedures:
Treatment depends on your symptoms, age, and fertility goals. Options may include:
- Pain-relief or anti-inflammatory medications
- Hormonal birth control or other hormone therapies to slow tissue growth
- Fertility-focused management if pregnancy is desired
- Minimally invasive gynecologic surgery (MIGS) to diagnose and remove endometriosis tissue, such as:
- Diagnostic laparoscopy to confirm the presence and extent of endometriosis
- Laparoscopic excision or ablation to remove or destroy endometrial lesions and scar tissue
- Robotic-assisted laparoscopy for complex or deep infiltrating endometriosis involving multiple pelvic organs
Heavy or Painful Periods
Overview:
Heavy or painful periods are when your flow is very strong, or your cramps make it hard to go about your day. This is common, but if it happens often or interferes with daily life, it may be caused by conditions like fibroids or endometriosis.
Common Symptoms:
- Bleeding that soaks through pads or tampons in an hour
- Needing to use both pads and tampons
- Passing large blood clots
- Strong cramps in the lower belly or back
- Pain that affects school, work, or activities
Treatments & Procedures:
- Over-the-counter pain relievers like ibuprofen
- Birth control pills, hormonal IUDs, or injections
- Endometrial ablation to reduce heavy bleeding
- Surgery to treat fibroids, endometriosis, or other causes
HPV
Overview:
Human papillomavirus (HPV) is a common virus that can cause abnormal cell changes on the cervix. These changes are often found during a Pap smear and may increase the risk of cervical cancer if untreated.
Common Symptoms:
- Usually no symptoms
- Some types of HPV may cause genital warts
Treatments & Procedures:
- Regular Pap smears or HPV testing to monitor changes
- Colposcopy (exam of the cervix with a special scope)
- LEEP or cone biopsy (removes abnormal cells)
- HPV vaccine to prevent infection
Infertility
Overview:
Infertility means having trouble getting pregnant after a year of regular, unprotected sex (or after six months if you are 35 or older). It can affect both women and men. Causes include hormone problems, issues with the ovaries or fallopian tubes, sperm problems, or other medical conditions. At UTMB Health, our gynecology team helps identify possible causes and guides you toward the right next steps.
Common Symptoms:
- Inability to become pregnant after 6–12 months of trying
- Irregular or absent menstrual periods
- Painful or very heavy periods
- History of pelvic infections or surgery
- Known male factor concerns, such as low sperm count or motility
Treatments & Procedures:
Evaluation and Testing:
- Medical history and physical exam
- Blood tests to check hormone levels
- Ultrasound to evaluate the uterus and ovaries
- Hysterosalpingography (X-ray with dye to check if tubes are open)
- Semen analysis to assess male fertility
Minimally Invasive Surgical Treatments:
- Laparoscopy (treats endometriosis, scar tissue, or blocked tubes)
- Hysteroscopy (treats problems inside the uterus, such as polyps or fibroids)
- Myomectomy (removes fibroids while keeping the uterus)
- Tubal surgery (opens or repairs fallopian tubes)
Additional Care:
- Referral for advanced fertility treatments, such as IVF, when needed
- Care plans may combine surgery with medication or fertility treatment
Irregular Periods
Overview:
Menstrual irregularities are problems with the timing or pattern of your period. This can include skipping periods, having them too often, or changes in how long they last. Hormone changes, stress, health conditions like PCOS, or birth control can all affect your cycle.
Common Symptoms:
- Skipped periods or no period at all
- Periods that come more than once a month
- Spotting or bleeding between periods
- Periods that change in length or flow from month to month
Treatments & Procedures:
- Birth control pills or IUDs to regulate the cycle
- Hormone therapy to correct imbalances
- Treatment for underlying conditions like PCOS or thyroid issues
- Lifestyle changes like stress management, diet, and exercise
Menopause
Overview:
Menopause is the natural stage of life when your periods permanently stop. It usually occurs between ages 45 and 55. Menopause means your body makes much less estrogen, and pregnancy is no longer possible.
This change can cause a range of symptoms that affect your daily life and increase risks for conditions like osteoporosis or heart disease. Every person’s experience is unique, and our care team is here to help you stay healthy and comfortable.
Common Symptoms:
- Hot flashes or night sweats
- Vaginal dryness or discomfort during sex
- Mood swings, anxiety, or irritability
- Difficulty concentrating or memory changes
- Trouble sleeping
- Fatigue or low energy
- Weight or body changes
- Bone loss (osteoporosis)
Treatments & Procedures:
- Hormone therapy – replaces estrogen to relieve symptoms and protect bone health
- Non-hormonal medications – help with hot flashes, mood, or sleep issues
- Vaginal estrogen – relieves dryness and discomfort
- Bone health screening – checks for signs of osteoporosis
- Heart health screening – monitors cholesterol, blood pressure, and risk factors
- Lifestyle counseling – nutrition, exercise, and stress management to support long-term health
Ovarian Cysts
Overview:
Ovarian cysts are fluid-filled sacs that develop on or inside the ovaries. Many cysts are small and harmless, resolving on their own without treatment. However, some can grow larger, cause pain, or interfere with your menstrual cycle.
In rare cases, cysts may rupture or twist the ovary (a condition called ovarian torsion), which requires prompt medical attention. UTMB Health’s gynecology and minimally invasive gynecologic surgery (MIGS) specialists provide expert evaluation and treatment to help you feel better and protect your reproductive health.
Common Symptoms:
- Pelvic pain, pressure, or fullness on one side
- Bloating or swelling in the abdomen
- Irregular or painful periods
- Pain during intercourse or bowel movements
- Sudden, severe pain if a cyst ruptures or twists
Treatments & Procedures:
Treatment depends on your age, symptoms, and the size and type of cyst. Many cysts can be safely monitored with ultrasound. If treatment is needed, your care plan may include:
- Observation and follow-up imaging to monitor changes
- Hormonal medication (such as birth control) to prevent new cysts from forming
- Pain relief or anti-inflammatory medication
- Minimally invasive surgery (MIGS) to remove a cyst or treat related conditions, such as:
- Laparoscopic cystectomy to remove a cyst through tiny incisions while keeping the ovary intact
- Robotic-assisted laparoscopy for complex cysts or cases involving scar tissue or endometriosis
- Oophorectomy (removal of the ovary) only when necessary for large, recurrent, or suspicious cysts
Pelvic Pain
Overview:
Pelvic pain refers to discomfort in the lower abdomen or pelvic area that can range from mild to severe. It may come and go or persist over time (chronic pelvic pain). Common causes include conditions such as endometriosis, uterine fibroids, ovarian cysts, pelvic adhesions (scar tissue), or infection. Because many different issues can contribute to pelvic pain, accurate diagnosis and individualized care are key.
Common Symptoms:
- Constant, dull, or sharp pain in the lower abdomen
- Pain during intercourse, bowel movements, or urination
- Bloating, pressure, or heaviness in the pelvis
- Pain that worsens around the time of menstruation
Treatments & Procedures:
Treatment depends on the cause of the pain. Your provider will begin with a thorough evaluation, including imaging or diagnostic testing if needed. Options may include:
- Pain-relief or anti-inflammatory medications
- Hormonal therapies to manage endometriosis or fibroids
- Physical therapy or pelvic floor rehabilitation
- Minimally invasive gynecologic surgery (MIGS) for diagnosis or treatment, such as:
- Laparoscopy to diagnose and treat endometriosis, fibroids, ovarian cysts, or scar tissue
- Hysteroscopy to remove uterine polyps or fibroids inside the uterus
- Endometrial ablation to treat abnormal uterine bleeding that contributes to pain
- Robotic-assisted laparoscopy for complex pelvic surgeries requiring enhanced precision
Perimenopause
Overview:
Perimenopause—sometimes called the menopause transition—is the time leading up to menopause when your body slowly makes less estrogen. This stage can last several years, usually starting in your 40s, though it can begin earlier.
During perimenopause, your periods may become irregular, and you may notice changes in your mood, energy, or sleep. These changes are a normal part of the transition, but symptoms can be disruptive. Our experts can help you understand what’s happening and find relief.
Common Symptoms:
- Irregular or skipped periods
- Hot flashes or night sweats
- Trouble sleeping
- Mood swings or irritability
- Vaginal dryness or discomfort
- Decreased energy or fatigue
Treatments & Procedures:
- Hormone therapy – balances estrogen to reduce hot flashes and night sweats
- Non-hormonal medications – help with sleep, mood, or hot flashes
- Vaginal estrogen – relieves dryness and discomfort
- Lifestyle support – guidance for nutrition, exercise, and stress management
- Sleep strategies – to improve rest and energy
Polycystic Ovary Syndrome
Overview:
Polycystic Ovary Syndrome (PCOS) is a hormone condition that affects how the ovaries work. It often leads to irregular periods, weight gain, or difficulty getting pregnant. It can also cause small cysts on the ovaries.
Common Symptoms:
- Irregular or skipped periods
- Excess hair growth on face or body
- Acne or oily skin
- Weight gain or trouble losing weight
- Thinning hair on the scalp
Treatments & Procedures:
- Birth control pills to regulate cycles
- Medicines like metformin to help with hormones and blood sugar
- Fertility treatments if pregnancy is desired
- Lifestyle changes, including healthy eating and exercise
Sexual Dysfunction
Overview:
Sexual dysfunction refers to ongoing problems during any stage of the sexual response cycle that prevent satisfaction. It can affect desire, arousal, or the ability to have an orgasm. These issues are common and can happen at any age, often linked to stress, hormonal changes, medical conditions, or certain medications.
Common Symptoms:
- Low or no sexual desire
- Trouble becoming aroused
- Pain during sex
- Difficulty reaching orgasm
- Ongoing problems with intimacy or satisfaction
Treatments & Procedures:
- Counseling or sex therapy to address stress, anxiety, or relationship concerns
- Medications or hormone therapy (such as estrogen for vaginal dryness or testosterone in select cases)
- Pelvic floor physical therapy to improve muscle control and reduce pain
- Lubricants or moisturizers for comfort during intercourse
Uterine Fibroids
Overview:
Fibroids are non-cancerous growths in or around the uterus. They are common in women of childbearing age and may cause heavy bleeding or pelvic pain.
Common Symptoms:
- Heavy or long periods
- Pelvic or lower back pain
- Frequent urination or trouble emptying the bladder
- Swelling or pressure in the belly
Treatments & Procedures:
- Medicines to control bleeding or shrink fibroids
- Uterine fibroid embolization (blocks blood flow to shrink fibroids)
- Myomectomy (surgery to remove fibroids)
- Hysterectomy (removes the uterus, used for severe cases)
Vaginitis and Yeast Infections
Overview:
Vaginitis is inflammation of the vagina, often caused by yeast, bacteria, or irritants. Yeast infections are a common type of vaginitis.
Common Symptoms:
- Itching or burning in the vagina
- White, thick, or cottage-cheese-like discharge (yeast infection)
- Pain during urination or sex
- Swelling or redness
Treatments & Procedures:
- Antifungal creams or pills for yeast infections
- Antibiotics for bacterial infections
- Avoiding scented soaps or irritants
Services & Procedures
Birth Control and Contraceptive Counseling
Overview:
Birth control counseling helps you choose the method that best fits your health, lifestyle, and family planning goals. Options include pills, patches, shots, implants, intrauterine devices (IUDs), and barrier methods.
Conditions Treated/Detected:
- Preventing unintended pregnancy
- Heavy or painful periods
- Hormonal imbalance or acne (with some methods)
What to Expect Before the Procedure:
During your visit, your provider will ask about your medical history, menstrual cycles, and family planning goals. Together, you’ll review the pros and cons of each method.
What to Expect After the Procedure:
Once you begin your chosen method, you may need time for your body to adjust. Some methods require follow-up visits (like IUD placement checks), while others can be managed at home. Your provider will explain what to expect and when to return.
First Gynecology Visits & Education
Overview:
A first gynecology visit is designed to introduce patients to reproductive health care in a supportive and educational setting. These visits help build comfort and answer questions about puberty, periods, or sexual health.
Conditions Treated/Addressed:
- Menstrual concerns (irregular, heavy, or painful periods)
- Questions about puberty and body changes
- Birth control options
- General reproductive health education
What to Expect Before the Procedure:
Patients are encouraged to bring questions and share any concerns. A full pelvic exam is not always needed at the first visit, especially for younger patients. Your provider will explain what to expect before any exam or test.
What to Expect After the Procedure:
After your visit, you’ll have a clearer understanding of your body, your health, and how to take care of it. Your provider may suggest follow-up visits or preventive care, and you’ll leave with resources and answers to your questions.
Menstrual Care
Overview:
Menstrual care focuses on diagnosing and treating problems with your period, such as irregular cycles, heavy bleeding, or pain. The goal is to improve comfort and quality of life.
Conditions Treated:
- Irregular or missed periods
- Heavy or prolonged bleeding
- Painful cramps (dysmenorrhea)
- Premenstrual syndrome (PMS) or premenstrual dysphoric disorder (PMDD)
What to Expect Before the Procedure:
Your provider will review your symptoms, health history, and may order blood tests, ultrasounds, or other exams to learn more about the cause of your menstrual concerns.
What to Expect After the Procedure:
After evaluation, your provider will recommend treatments such as medications, hormone therapy, or procedures to manage bleeding or pain. Most treatments are done in the office, and recovery is usually quick.
Pregnancy Planning and Prenatal Counseling
Overview:
Pregnancy planning and prenatal counseling help prepare your body and mind for a healthy pregnancy. These visits may include fertility evaluation, pregnancy testing, and guidance on nutrition, lifestyle, and medications.
Conditions Treated/Addressed:
- Infertility evaluation
- Preexisting health conditions (like diabetes or high blood pressure)
- Medication review for pregnancy safety
What to Expect Before the Procedure:
Your provider will ask about your medical history, menstrual cycles, and family health background. They may order blood work or imaging tests to assess your fertility or overall health.
What to Expect After the Procedure:
After your visit, you’ll leave with personalized recommendations for conception, safe medications, and timing. If fertility issues are found, your provider may refer you to a specialist for advanced care.
STI Testing and Treatment
Overview:
Sexually transmitted infection (STI) testing and treatment help protect your health and prevent the spread of infections. Testing is quick, confidential, and available to anyone who is sexually active.
Conditions Treated/Detected:
- Human papillomavirus (HPV)
- Chlamydia and gonorrhea
- HIV and syphilis
- Herpes and other STIs
What to Expect Before the Procedure:
Before testing, your provider will ask about your sexual history and symptoms. Tests may involve a urine sample, swab, or blood draw. No special preparation is usually needed.
What to Expect After the Procedure:
Your provider will share results and, if needed, prescribe medication or other treatment. They will also discuss prevention strategies, such as vaccines and safer sex practices.
Well-Woman Exams and Screenings
Overview:
A well-woman exam is a yearly checkup focused on your overall health and reproductive system. These visits include preventive screenings such as Pap tests, breast exams, and discussions about your health and lifestyle.
Conditions Treated/Detected:
- Cervical cancer (through Pap tests)
- Breast changes or lumps
- High blood pressure, diabetes, or other health risks
- Early signs of gynecologic conditions
What to Expect Before the Procedure:
Before your exam, you’ll be asked about your health history, medications, and any symptoms or concerns. No special preparation is usually needed, though you may want to schedule your Pap test when you’re not on your period.
What to Expect After the Procedure:
After your exam, your provider will discuss any findings, share test results when available, and recommend follow-up care if needed. Most patients return to their regular activities right away.
Schedule an Appointment
Your Care Team
Each provider may treat different conditions. Click on a profile to see their areas of specialty.
Angleton
Clear Lake
Friendswood
Galveston
Lake Jackson
Patient Resources
UTMB Pregnancy Guide
Get ready for every stage of pregnancy with our guide, designed to support you from prenatal care through recovery.
UTMB Safe Medications in Pregnancy List
A quick, easy-to-follow guide to common over-the-counter medicines and simple tips that are generally considered safe to use during pregnancy for everyday symptoms.
American Congress of Obstetricians and Gynecologists
The American Congress of Obstetricians and Gynecologists (ACOG) offers trusted, up-to-date information on pregnancy, women’s health, and OB/GYN care—use the search tool or browse topics A–Z to quickly find answers you need.
Useful External Links
- American Heart Association - Healthy Living Resources
- CBR - Cord Blood Registry
- Paragard - Intrauterine Copper Contraceptive
- Mirena - Levonorgestrel-Releasing Intrauterine System
- Medela - Breastfeeding, Pumping, and Breast Care Products
- ViaCord - Cord Blood Banking and Research
- Merck - Innovative Health Solutions and Research
Frequently Asked Questions
-
What is the difference between a Gynecologist and an Obstetrician?
A gynecologist focuses on women’s reproductive health, including periods, pelvic pain, and menopause. An obstetrician cares for women during pregnancy, childbirth, and postpartum. At UTMB Health, most of our doctors are both gynecologists and obstetricians, so you get complete care in one place.
-
Do I need a Pap smear every year?
Not always. Most people need a Pap smear every 3 years starting at age 21, but your doctor will let you know what’s best for you based on your age and health history.
-
What are signs I should see a gynecologist outside of my regular checkup?
See a provider if you have heavy bleeding, strong pain, missed periods, vaginal itching, or anything that doesn’t feel normal to you.
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What happens during a pelvic exam?
A pelvic exam checks your reproductive organs for any signs of problems. Your provider may look at the outside of your genitals, use a speculum to look at your cervix, and check your uterus and ovaries by hand. It’s quick and gentle.
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What are early signs of menopause?
Early signs include changes in your period, hot flashes, trouble sleeping, and mood changes. A gynecologist can help you manage symptoms and feel your best during this transition.
All Obstetrics & Gynecology Specialties
Our Locations
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Suite 208 - 8 a.m.–5 p.m., Monday-Friday
- (979) 864-8415
- (979) 864-8481
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- Obstetrics and Gynecology
- 250 Blossom Street
3rd Floor - M–F: 8 a.m.–5 p.m.
- (832) 505-3010
- (832) 632-7863
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- 1505 Winding Way Drive
Suite 210 - M–F: 8 a.m.–5 p.m.
- (832) 505-5050
- (832) 569-4952
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- 215 Oak Drive South
Suite D - 8 a.m.–5 p.m., Monday-Friday
- (979) 297-2755
- (979) 297-6905
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- 1005 Harborside Drive
3rd Floor - M–F: 8 a.m.–5 p.m.
- (409) 772-9507
- (409) 747-5570
- Website