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The majority of our patients come to us for their annual exam. The purpose of the annual exam is to screen for possible female cancers. The Pap smear screens mainly for cervical cancer, while the pelvic exam helps to screen for ovarian cancer. Mammogram and breast exam are the screens for breast cancer. Uterine cancer usually presents as abnormal bleeding, usually after the age of 40. Often during one’s annual exam, discussions can cover questions about contraception, abnormal or heavy bleeding, pelvic pain, painful menses, painful intercourse and incontinence. Although we can provide gynecological surgeries, including both open procedures and Laparoscopic (closed) procedures at the hospital, we try to offer many options that can be performed in the comfort of our office. Some of those options are discussed below: