Frequently Asked Questions

Primary Care

How often should I get a physical?
If you are under the age of 40 and in good health without any chronic diseases, you should have a physical every 1-3 yrs.
If you are over the age of 40 or if you have chronic diseases, check with us to see how often we need to see you.

Can I get my work/travel required shots at the office?
Some immunizations are available at our office. Ask the provider what you require and we will take every step to help you.

Can I get my blood drawn at the office?
Many blood tests require you to be fasting for 8 hours; therefore, often you will be Sent to a blood drawing lab facility.

Will I always see the same doctor?
Our practice utilizes both nurse practitioners and physicians. Both providers are able to diagnose, prescribe therapy and order tests. We believe the collaboration of both will give you the best care. The focus of medicine is to cure. The focus of nursing is disease prevention and health promotion. So we encourage you to see both of our providers which will give you a more comprehensive outlook and help you to be more pro-active regarding your health.

How quickly can I get an appointment?
If you have an acute illness or injury that needs immediate attention, we can usually see you within one day. Physical exams and periodic visits for chronic disease are scheduled at specific intervals.

Gynecology Practice

What is a pap smear?
A pap smear is a screening test for abnormal cells that may indicate cervical cancer. You should begin having a regular pap smear about three years after starting sexual intercourse. A pelvic exam and breast exam are part of the annual exam. You should also be screened for sexually transmitted diseases if you are not monogamous.

Should I get the HPV vaccine?
Gardasil, the hpv vaccine, protects against certain strains of human papillomavirus (HPV) that causes cervical cancer and genital warts. HPV has infected about 20 million people in the U.S., with more than six million new cases occurring every year. Only a few genital types can cause cancer. Gardasil is effective against four types of HPV, including the two that cause 90% of all genital warts. The other two strains cause 70% of cervical cancer cases. Gardasil is approved for women ages 9 to 26.

What do I do if I miss taking a birth control pill?
If you miss or are late taking one pill, take it as soon as you remember. If you miss two pills, take two pills per day until you are back on schedule. If you miss three or more, throw away the package and start a new package that day. ALWAYS use condoms for the rest of the month that you missed pills.

What were my test results?
You will be notified on all test results. We will always call you after the results have been reviewed by the physician or the nurse practitioner. Some abnormal results will require a follow up office visit with us.

Should I have a prescription for the morning after pill?
You do not need a prescription for Plan B. You may buy this at any pharmacy. Having the means to prevent a pregnancy in your home is an excellent idea. You should have this medication on hand for emergency contraception.

Can I talk to a nurse?
One of the best resources in the office of who it’s worth asking questions is the nurse. Our nurses are very experienced and knowledgeable and can provide a lot of information to you about your health care. You are able to get valuable advice about how concerned to be about a certain symptom, how to treat run of the mill ills, what the standard instructions are for medications, or which specialists you may wish to see. Nurses take care of pregnancy tests, UTI screens, and patient education for many of your health concerns. If you have a long list of concerns, a preliminary chat with the nurse is an ideal time to go over them and winnow them down to the most important to bring into the examination room. So ask the nurse! You will feel better and live healthier if you are an active partner in your health care.

What should I do about a vaginal discharge?
Most vaginal discharges are simple vaginal infections that are treated easily. If you are involved with risk taking sexual activities this could be a symptom of a sexually transmitted disease. It is important for you to come in for an exam and testing to determine the best treatment. Do not panic- most of the time it is a simple infection but if it is potentially more serious we can treat you or refer you to the appropriate specialist.

Abortion Services

How safe is abortion?
Abortion is now one of the safest surgical procedures available. A first trimester abortion is considerably safer than childbirth. Complications are very rare. According to National Abortion Federation statistics, only 2.5% of women who have an abortion have even a minor complication. Medical and suction abortion are both safe and effective methods to end a pregnancy.

What about future child bearing?
According to the U.S. Center for Disease Control, no medical data exists to support the claim that abortion interferes with having a child in the future. An abortion now will in no way prevent you from getting pregnant or delivering healthy babies.

Is the procedure performed by a certified Medical Doctor?
Yes. We insist on any physician working with us to be board certified and experienced. Our Ob/Gyn surgeons each have over 20 years of experience and expertise in women’s health services.

Will I be embarrassed coming to the Annandale Women and Family Center?
No, we are located in a private medical office and we offer primary care to women and men. Abortion services are provided within the primary care setting and no one will be aware of the purpose of your visit. As in any other private practice we do our utmost to protect the confidentiality of your visits.

My husband/boyfriend is against my having an abortion.
Making the decision to terminate a pregnancy can be difficult. If you do not think you are ready to handle the responsibilities of raising a child, you should not be forced to have a baby by your husband or boyfriend. Ideally you and your partner should come to a decision together, but in the end the choice is yours.

Is the abortion procedure painful?
If you choose general anesthesia, asleep, you will feel no pain during the abortion. Some women feel no pain with the local anesthesia, awake, and others feel mild to moderate cramping that resolves in 10 to 15 minutes.

What is a medical or pill abortion?
This is a pregnancy terminated by taking medicine to cause a miscarriage in very early pregnancy. Mifepristone causes the pregnancy to detach from your uterus. Misoprostol causes the cervix to open, uterine contractions, and the expulsion of the pregnancy. The combination of drugs is 90-95% effective. If they do not work you will need to have a suction abortion as these medicines cause severe birth defects.

What restrictions do I have after an abortion ?
Most women go back to work or school the next day. You need to avoid putting anything in the vagina for 3 weeks to prevent infection. It is important to come back for your follow up check up in three weeks. This visit is included in your fee and is the only way to make sure the abortion was successful.

Skin Care Services

Who is a Candidate for Elos treatments?
Individuals with all skin types who desire improvement in fine lines, wrinkles, facial spider veins, blemishes and brown spots of the face, and hair removal. Individuals who have sun-damaged skin, aging skin, oily skin with enlarged pores and acne scarring are candidates. ***Note: Those who have cancerous skin tumors; those currently using Accutane and certain inflammatory conditions of the skin may not be candidates.

What is the Procedure?
Elōs treatments involve the use of pulsed light gently directed at fine wrinkles and other skin imperfections. The treatment stimulates the production of your own collagen and after approximately 6-8 treatments, the fine wrinkles appear smoother. The pulsed light also fades spider veins, brown spots and sun damaged skin. Elōs produces a smoother, youthful, vital and less-blemished looking skin. This action works equally effectively on all colors of skin.

Is There A Recuperation and Healing Time?
Most patients have no side effects. Unlike laser resurfacing, elōs attacks the deeper layer of your skin under the epidermis (outer layer). There is no redness, oozing or cleansing. Following treatment, some may find the skin to be light pink (flushed). This will fade within a few hours. The skin feels soft and even. Studies show wrinkles and blemishes improve in over 80% of patients after 6-8 treatments. The patient can reapply makeup and return to work, activities, etc. immediately after treatment.

How does Elos™ Hair Removal Work?
It targets the darkness of the melanin pigment in the hair follicle. Since melanin is only produced in the growth stage of the hair, it must target the hair follicle during this cycle. At any given time, 20-40% of the hair in a particular area may be in a growth stage. Therefore, more than one treatment will need to be scheduled, preferably at 4-8 week intervals. The multiple treatments can ensure that all hair follicles are being disabled.

How many hair removal treatments will be needed?
Elos™ treatment stops the growth of the hair follicle when they are in the growth cycle. Not all hair follicles are at this stage at the same time. Most people will require 6-8 treatments to achieve the desired results. Blonde and grey hair may require up to 12 treatments.

Who will perform the treatments?
All the treatments are performed by fully trained and certified practitioners.

Is the hair removal treatment painful?
No, the treatments are not painful and very well tolerated. Topical anesthetic cream is an option for more sensitive areas being treated. Some patients describe the treatment as a sensation like the snap of a rubber band, and “much less painful than the waxing I used to subject myself to.”

Are the hair removal results permanent?
Yes! The results may vary depending on the skin and hair type. Most patients achieve permanent hair reduction of up to 75-80%, and the remaining hair that returns is much lighter and softer.

Do you offer free consultations?
Absolutely! We do a skin analysis to determine if you are a good candidate, offer a spot test so you can feel how the treatment feels, and offer you with a post- treatment skin care plan. Your safety and satisfaction are our primary concern.

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