Women's Excellence in Midwifery

We know cancers run in families. That’s why it is very important to know your family history. Just like high blood pressure and diabetes, cancer can be hereditary. your doctor can not only optimize your management, he or she can give you your best chance against a cancer diagnosis. Women’s Excellence offers comprehensive genetic testing to assess your risk for a variety of cancers and diseases. What can genetic testing tell us? Your genetic test results will help us assess your risk for: Breast cancer Ovarian cancer Cervical cancer Colorectal cancer Endometrial / uterine cancer Gastric cancer Pancreatic cancer Melanoma Are you a candidate for genetic testing? To see if you qualify for comprehensive genetic testing to assess your risk for certain diseases, please complete our hereditary risk assessment. Your results will be sent to our team to determine if you qualify for the genetic blood test. How do you get tested? If you are a candidate for genetic testing, Women’s Excellence will take a small sample of your blood or a saliva sample and send it to the laboratory for analysis. It’s that easy!

When you have a high-risk or complicated pregnancy, your doctor may recommend you see a Maternal Fetal Medicine Specialist (MFM) throughout your pregnancy. Your MFM Specialist will work collaboratively with your regular obstetrical team for an added level of support – and an extra layer of safety – for you and your baby. Unlike most ob/gyn offices that refer patients to an outside office or hospital for MFM services, Women’s Excellence now offers dedicated clinical and consultative maternal fetal medicine services to patients within the practice. Our patients and their babies will now have greater access to specialty care closer to home! What is an MFM specialist? MFM doctors, also called perinatologists, are OB/GYN doctors with advanced fellowship training in the diagnosis and management of complications in women and their unborn babies. When pregnancies are considered high risk, there is a greater chance that the baby or mother will experience problems, such as preterm labor or preeclampsia. Why do I need an MFM doctor? If you have a high-risk pregnancy, chances are good you’d benefit from seeing a maternal fetal medicine specialist. These doctors are obstetricians who have three additional years of training in helping women through high-risk pregnancies. Women with a history of heart disease, hypertension, diabetes, seizure disorders, autoimmune diseases, blood clotting disorders, or infections will benefit from the expertise of a MFM doctor. What can I expect from my MFM consultation? We do a detailed review of your medical and pregnancy history, review any outside records from your OB/GYN or other medical doctors, and perform an ultrasound exam of the fetus. You’ll discuss all this information in detail with your MFM doctor, and they will work with you to make a plan of care for the remainder of the pregnancy and possibly for your delivery. We use a team approach and the latest treatments to help our patients manage complicated or high-risk pregnancies!

PRECISION TECHNIQUE! The da Vinci OB/GYN Surgical Team at Women’s Excellence is specially trained to offer patients one of the most effective treatment options for a variety of uterine conditions. This state-of-the-art technology allows our team to perform minimally invasive surgery for OB/GYN patients with greater precision and control. What is da Vinci robotic surgery? The da Vinci robot is a surgical system that allows surgeons to perform complex OB/GYN procedures with minimally invasive outcomes. The accuracy and precision of the da Vinci robot means less recovery time and more efficient results for our patients. Through small, 1 to 2 cm incisions, our compassionate surgeons operate with the control of four robotic arms and high definition 3D video of the procedure site. The robotic arms follow the exact movements of the surgeons hand, wrist, and finger to perform the surgery. What types of conditions can be treated with da Vinci robotic surgery? At Women’s Excellence, our da Vinci OB/GYN surgeons are highly skilled and trained in the following procedures: Robotic lysis of adhesions Robotic hysterectomy / robotic laparoscopic hysterectomy Robotic myomectomy Robotic excision of Endometriosis Robotic surgery for uterine or vaginal vault prolapse (Sacrocolpopexy) Robotic surgery for uterine fibroids Robotic surgery to preserve and enhance fertility What are the benefits of da Vinci surgery? Smaller incisions which means less scarring Shorter recovery times Quicker return to your normal life Less pain Shorter hospital stay Lower risk of complication How long does a da Vinci robotic hysterectomy take? Da Vinci robotic hysterectomy is a complicated procedure that can take various amounts of time depending on your surgeon. Between 1 hour and 4 hours is the average operative time. In the hands of experienced surgeons, such as the surgeons at Women’s Excellence, the time is much closer to 1 hour of operative time. Frequently Asked Questions When can I go back to work after da Vinci robotic surgery? It depends on the type of robotic procedure you are having and the physical demands of your current position. Most patients are able to leave the hospital following their procedure or within 1-3 days. Normal activities can resume within a week after your procedure. Patients are typically back to work within a few weeks of their procedure. When can I have sex again after robotic surgery? Most patients are able to resume intimacy 2 weeks after their robotic surgery for conditions other than a hysterectomy. If you are having a hysterectomy, it is important that you wait 6 weeks. It is important to understand that all patients are different and to follow the exact post-op instructions from your provider. What hospitals do you perform da Vinci hysterectomy and other procedures? We are affiliated with McLaren Oakland Hospital in Pontiac, Michigan and Henry Ford Rochester Hospital in Rochester, Michigan. Which insurances do you accept? At Women’s Excellence, we pride ourselves on serving the entire community. We accept an extensive amount of insurances. When can I get da Vinci robotic surgery? To learn more about your surgical options, you will need to schedule an initial consult with one of our providers. Contact us today to schedule your appointment. We are proud to offer the most up-to-date procedure options to the women in our community. We know that you are busy with work, taking care of your family, and enjoying your life to be recovering from surgery for a significant amount of time. The da Vinci surgical system allows you to get the medical care you need and get back to your normal life quickly! Contact Us If you’re suffering from pelvic pain, abnormal periods, painful menstrual cramps, da Vinci surgery may be the solution for you. Contact us today to schedule your consultation with one of our da Vinci OB/GYN surgeons.

Early detection is key when it comes to your breast health. Finding cancer early is our top priority so that we can create a successful treatment plan for you. Breast Self-Awareness You know your body best. If you see any abnormal changes in your breasts, contact our team today to schedule an appointment. We strive to offer same-day appointments so that you can be seen right away. Breast changes can include: Presence of a lump or mass Nipple discharge or leakage other than breastmilk Thickening of the breast Skin irritation, redness, or swelling Dimpling of the skin (like an orange peel) Nipple pain or redness Inverted nipple Clinical Breast Exams Your annual gynecologic exam is crucial in maintaining a healthy lifestyle and identifying potential diseases. Do yourself a favor and schedule an appointment, especially if you are overdue! Our doctors and team are specially trained to identify breast changes and to perform clinical breast exams. Family History Do you have a family history of breast or ovarian cancer? You may carry a gene that puts you at a higher risk for cancer. We take preventative healthcare seriously, which is why we now offer hereditary cancer screening and testing for patients who qualify. A simple, in-office blood or saliva sample can provide us the information we need to develop your care plan. Would you rather find stage 1 breast cancer at age 30 or stage 4 breast cancer at age 50? Fill out your free risk assessment today. Mammograms At the age of 40 and beyond, it is very important to get a yearly mammogram. It can save your life! Even if you do not have any abnormal symptoms, you can still be at risk. Tips to keep your breasts healthy! Dedicate time for exercising! Women who are not physically active have a higher risk of getting breast cancer. Limit alcohol consumption Quit smoking Maintain a healthy diet. Studies have shown that foods like dark, leafy vegetables, carrots, berries, peppers, tomatoes, and eggplant can help prevent certain cancers, like breast cancer.

Gynecology Services Comprehensive gynecology services are the bread and butter of patient care at Women’s Excellence. There is no need to wonder “is there a gynecologist near me that does more than annual exams?”, because at Women’s Excellence, our providers are equipped to handle the most complicated gynecologic concerns, as well as routine care.Our gynecologists provide services to women of all ages beginning at adolescence. What is a gynecologist? A gynecologist is a doctor that focuses on female reproductive health. Most women begin seeing a gynecologist during their teenage years for routine exams. A gynecologist helps women with concerns including pelvic pain, abnormal bleeding, sexually transmitted diseases, and more. Where can I find a gynecologist? You’re in luck! Women’s Excellence has gynecologists at 4 different locations in Southeast Michigan. Our offices are located in Clarkston, Lake Orion, Lapeer, and Royal Oak. What services does a gynecologist provide? At Women’s Excellence, our gynecologists provide a multitude of services to the women in our community including: Annual exams / Pap smears Breast exams Sexually transmitted disease (STD) testing and treatment Birth control options including the pill, intrauterine devices (IUD), the Depoprovera shot, and the Nexplanon implant Pelvic pain Heavy menstrual bleeding Irregular periods Painful cramps Endometriosis Vaginal infections like vaginitis and bacterial vaginosis Infertility concerns Hormone imbalance Menopause Decreased sex drive Polycystic Ovarian Syndrome (PCOS) diagnosis and treatment Bladder care including urinary leaking, overactive bladder, bladder pain, and bladder prolapse Urinary Tract Infections (UTI) Minimally invasive surgical options Frequently Asked Questions Do you have a female gynecologist near me? Yes! In fact, we have both female and male gynecologists at all 5 of our locations. Read more about our team of physicians. Why do I need to get an annual exam? It is important to attend your annual exam each year. Your pelvic organs are not visible on the outside of your body and it is important to get a thorough examination on a yearly basis to identify things that are unseen and could be treated simply if found early. However, your provider will determine if a pap smear is necessary at the time of your visit. At your annual exam, your provider will conduct a breast exam to identify if there are any lumps in the breast or any visible breast changes. Your provider will also do a pelvic exam which involves a visual exam of your genitalia and an internal exam of your vagina and cervix. This will help identify issues such as genital warts, herpes, yeast infections, uterine fibroids, and more. A pap smear will also be done during your pelvic exam (if applicable) to help identify any cervical abnormalities that could indicate cervical cancer. Your annual exam is also a great time to discuss any other questions and concerns you may have including birth control options, bladder issues, pre-pregnancy questions, and weight issues. What happens if my pap smear comes back abnormal? An abnormal pap smear is actually very common. An abnormal pap smear means that your test came back positive for abnormal cells on your cervix. This does not mean that you have cervical cancer! Depending on the type of abnormal results you receive, you may need to have further testing done. Additional tests include a colposcopy and/or biopsy. During a colposcopy, your provider will exam your cervix with a bright light to get a better look at the suspicious area. At this point, your provider may or may not take a biopsy of the area for further testing. Do you offer weekend appointments? Yes! We offer select appointments on Saturdays from 8am-12pm at our Royal Oak office. Our goal is to make your visit comfortable and informative. If you’re looking for a gynecologist near me, have questions about our gynecology services, or would like to schedule an appointment, visit our live chat located at the bottom of your screen. Our patient support specialists are available Monday-Friday 8am-5pm to assist you. If our live chat is not available, here are other ways to contact us.

If you are struggling to have a baby, you’re not alone. An estimated 6.1 million women (10%) in the United States struggle with infertility. Infertility is not always the woman’s issue. Both men and women can have problems that cause infertility. Infertility is defined as the failure to conceive after 1 year of trying for women 35 years of age or younger. For women over the age of 35, infertility occurs after 6 months of trying to conceive. What causes infertility in women? So, what’s going on with your body? Here are some top causes of infertility in women. Ovulation Concerns / PCOS Ovulation issues may be caused by polycystic ovary syndrome, or PCOS. This is a hormonal imbalance that can interfere with normal ovulation. Learn More. Endometriosis Uterine Fibroids Why Women’s Excellence? Infertility is an emotional and stressful issue. The providers at Women’s Excellence OBGYN have the knowledge and compassion to help couples through this very difficult time in their lives. We provide the latest testing and treatment options to properly diagnose and treat couples experiencing infertility. Learn More Check out our recent podcast episodes, blog posts, and news releases regarding infertility! Have a question? We can help!

We are proud to offer gynecologic oncology services at Women’s Excellence. We monitor and treat women with precancerous conditions or cancer of the reproductive organs. Women’s Excellence is committed to your care and will support you throughout this journey. Dr. Douglas Pugmire is the head of the Cancer Center for Women through Women’s Excellence. Dr. Pugmire and his team provide an innovative approach to patient care with the latest treatment protocols for quicker healing and better outcomes. We specialize in minimally invasive surgery utilizing the da Vinci robotic system. By offering gynecologic oncology services in-house at Women’s Excellence, we are able to streamline care and give you an efficient, organized, and team approach to your treatment plan. What is gynecologic oncology? Gynecologic oncology includes the diagnosis and treatment of female reproductive cancers. What types of cancer does a gyn oncologist treat? Our team is equipped to handle minor and complex cases of a variety of gynecologic cancers. Patients come to us for evaluation and treatment of: Abnormal pap smears Cervical cancer Ovarian tumors Ovarian cancer Uterine cancer Uterine tumors Vaginal and vulvar cancers Uterine fibroids Endometriosis Endometrial cancer Adhesions (scar tissue) Frequently Asked Questions What are the symptoms of gynecologic cancers? There is no way to know if you have a gynecologic cancer without have the necessary tests completed; however, there are some warning signs and symptoms that could indicate something is wrong. You know your body best, so it is important to pay attention to these symptoms and understand what is normal for you. These symptoms include: Abnormal vaginal bleeding and discharge Pelvic pain Rashes, sores, and tenderness of the vulva Vaginal odor Sudden bloating Difficulty eating and feeling full too quick An obvious mass or growth Persistent itching Will I still be able to have children after my cancer treatment? Although we cannot make any guarantees, it is our priority to administer the best treatment approach to preserve your fertility and treat your cancer. Is there anything I can do to prevent cancer? Cancer prevention and early detection is close to our hearts at Women’s Excellence. We advise all of our patients to partake in our heredity cancer screening to see if you are a candidate for genetic cancer testing. This test will determine if you have any genetic markers for future cancers. This information will allow us to closely monitor your health to prevent cancer or find cancer early. In addition to genetic cancer screening, it is important to attend your annual exam each year. Your provider will be able to detect changes in your reproductive health that could indicate certain cancers. Does an abnormal pap smear mean that I have cancer? No. Abnormal pap smears are common and do not immediately indicate the presence of cancerous cells. An abnormal pap smear indicates that unusual cells have been identified on your cervix. Typically, these unusual cells are caused by HPV (human papillomavirus). It is important to follow-up with your provider if you recently have had an abnormal pap smear. Further tests will help identify the amount and type of unusual cells that were present on your cervix. We know that cancer does not wait, which is why we offer immediate appointments for our patients. We welcome self-referrals and physician referrals. We offer gynecologic oncology services at our Rochester, Michigan location. Contact us today for more information and to schedule a consultation with our team. We are ready to serve you and begin your treatment plan.

The pelvic floor is responsible for more than you think! Sexual function, bladder control, pelvic organ support, and your bowel habits. If you find that coughing, sneezing, laughing, or just getting excited makes you pee your pants a little, sex isn’t what is used to be, having bowel movements is more difficult, or your tissues are not where they used to be – you are not alone. Pelvic floor relaxation is a weakening of the muscle of the pelvic floor. If they are not as strong, they DON’T work as well. It is estimated that approximately 16 million people in North America suffer from urinary incontinence, 85% of whom are women. Many women don’t experience sex the way they once did as a result of pelvic floor dysfunction. Many have difficulty with bowel movements and/or fecal incontinence. Women also experience relaxation of the most intimate tissue which can result in a prolapse. Pelvic floor relaxation can be referred to as prolapse, pelvic floor dysfunction, and pelvic floor weakness. No matter what you call it, it is muscles that are not doing their job! It is important to remember that every woman is different! Treatments that work for some women may not always work for others. Our team is proud to offer many comprehensive treatment options and therapies to help you see results. When we say that we offer comprehensive treatment options, we mean it! Our team will develop a personalized plan to address your specific needs and symptoms. Our treatment options for urinary incontinence and pelvic floor strengthening include: MEDICATION Depending on the severity of your symptoms of pelvic weakness and incontinence, medication may be the best choice for your! Our team will discuss your options to see which medication would work best for you. EMSELLA Specially designed chair which delivers electromagnetic energy to the pelvic floor muscles, forcing them to contract. Over the course of your treatment, these contractions strengthen the weakened muscles and restore neuromuscular control of the bladder. MINIMALLY INVASIVE SURGERY Procedures have come a long way and we know have better, less invasive options to help restore your pelvic floor muscles. LIFESTYLE MODIFICATIONS For example, fluid management, weight loss, and even avoiding constipation can all help with urinary incontinence and strengthening your pelvic floor. BOTOX Injecting Botox into the bladder can be an easy and effective treatment for urge incontinence. AXONICS SACRAL NEUROMODULATION A sacral nerve stimulator (SNS) is a device, about the size of a pacemaker, which can be surgically implanted. The device is placed under the skin in the upper buttock and is connected with wires to a nerve (the sacral nerve) in the lower back. The device sends electrical pulses to the sacral nerve, which helps people with urgency incontinence, urgency and frequency, or urinary retention who have not improved with other treatments.

Obstetrical Care Women’s Excellence welcomes over 60 newborn babies each month. We know that pregnancy is one of the most exciting experiences of your life and we strive to make your obstetrical care special and memorable. Our team will journey with you through pre-conception, pregnancy, childbirth, and post-partum. We value a personalized approach to your obstetrical care as well. We know that every person is unique and no pregnancy is the same, which is why our team of obstetricians are able to care for both low and high risk pregnancies. We partner with our patients to provide an educational experience and the most up-to-date care. In order to give you the best care possible, we use a team of board certified obstetricians and certified nurse midwives to give you the most natural and rewarding birth. Our model has consistently delivered one of the lowest c-section rates while maintaining safety in the hospital environment where there is access to a full service of high-risk obstetrical specialists and a world class neonatal nursery. Learn more about our midwifery services. What is Obstetrics? Obstetrics is an area of medicine that is focused on pregnancy, childbirth, and reproductive health. What is an Obstetrician? An obstetrician is a doctor who specializes in obstetrical care. Obstetricians monitor women and their unborn baby during pregnancy and manage their labor and delivery. Meet the team of Women’s Excellence obstetricians. What is a Midwife? A midwife is a specially trained nurse who has dedicated her life to assisting women during their pregnancies and birth. Midwives are not only exceptional nurses, but they go through an extensive training program, in addition to their nursing degree, in order to become certified in comprehensive women’s care, including pregnancy. Learn more about our midwifery services. What do Obstetricians do? Ensuring that you and your baby are healthy throughout your entire pregnancy is top priority for our team of board certified obstetricians at Women’s Excellence. Our obstetrical services include: Pre-conception care Prenatal care Prenatal genetic counseling Low risk obstetrics High risk obstetrics (in coordination with Maternal Fetal Medicine) Pregnancy nutrition education Fetal ultrasounds 3D/4D ultrasounds Infertility testing and treatment Medication management during pregnancy Breastfeeding education Labor and delivery Postpartum care Screening for postpartum depression Frequently Asked Questions Which hospital do you deliver through? All of our deliveries are currently through Henry Ford Rochester. Do you offer midwifery services? Yes! We have a dedicated team of midwives to assist with your prenatal care, as well as labor and delivery. Read more about our midwifery service here. What does my care team look like during pregnancy, labor & delivery, and postpartum? Your care will primarily be supported by our midwifery team. A midwife is available at the hospital 24/7, and there is always a midwife on call if you need guidance or support. If a higher level of care is needed, an OB physician is also available for more complex situations. We encourage you to meet each member of our team during your pregnancy so you feel comfortable, familiar, and fully supported every step of the way. Do all of your locations offer obstetrical care? Yes! We have 4 locations in southeast Michigan that offer obstetrical care. Our offices are located in Clarkston, Lake Orion, Lapeer and Royal Oak. What is a 3D/4D ultrasound? Imagine seeing your baby’s eyes, nose, and mouth for the very first time. We offer the unique opportunity to see your baby and capture quality 3D images for your keepsake. Learn more about our package offerings. The team of obstetricians at Women’s Excellence provide the most up-to-date care to our patients, while maintaining the highest level of service and support. Easy and convenient healthcare is one of our top priorities. To better serve our patients, we offer online patient support. For more information about our obstetrical services and to schedule an appointment, visit our live chat located at the bottom of your screen. Our patient support specialists are available Monday through Friday from 8am to 5pm to assist you. We offer appointments as early at 7:30am and also on Saturdays to accommodate the busiest of schedules.

If you are seeking a personalized and holistic approach to pregnancy that emphasizes one-on-one care, the midwifery program at Women’s Excellence in Midwifery can help you make the most of your journey to motherhood. Care from a Certified Midwife Our Midwife program is constantly growing as more and more women in our community learn the benefits of a receiving care from a nurse-midwife. Midwifery is an important profession, providing assistance to women during one of the most exciting times in their lives. Our certified midwives and highly trained physicians can provide the support you need most, providing comprehensive services before, during, and after pregnancy. You are encouraged to be an active part of your care. Our Midwifery team is dedicated and committed to honoring your choices, but will provide the most appropriate medical suggestions in certain situations. What is a Midwife? A midwife is a professionally trained clinician that specializes in assisting women during their prenatal care, labor, and delivery. In addition, midwives also provide routine gynecologic care. What does a Midwife do? At Women’s Excellence, our Midwifery Team of advanced practice clinicians are equipped to help women during their childbearing years and beyond. Our midwife services include: Family Planning Birth control services including the pill, Depo-Provera shot, Nexplanon implant, and IUDs (intrauterine devices) Breast exams Prenatal care Support for natural birth Care during labor and delivery Prenatal genetic testing Breastfeeding education Postpartum support and care General health services like treatment of gynecologic infections, STD/STI testing, and annual exams Frequently Asked Questions How much does a Midwife cost? At Women’s Excellence, we offer a team approach to our patients. Our midwives work under direct supervision of a team of physicians to assist with clinical expertise when needed. By offering collaborative care, we bill your insurance once, meaning that you receive the added benefits of a midwife at no additional cost. Do you do home births? No, we do not currently offer home births. Our midwifery team manages labor and delivery in a hospital so that patients have immediate access to specialty care if needed. Our team of physicians and midwives manage all deliveries at Henry Ford Hospital – Rochester. Which hospital are you affiliated with for labor and delivery? Henry Ford Hospital – Rochester formally known as Ascension Providence Rochester Hospital in Rochester Hills, MI. Are Midwifery care and Doula services the same? A doula provides support for patients but does not deliver babies as they are not medically trained. A doula can help guide a mom through labor and delivery and provider her support. A Midwife is able to provide medical care for women and perform deliveries. Midwives are medically trained with a Bachelor’s degree and completion of specialty midwifery programs. Do you have a midwife near me? Yes! We are proud to offer our community of care from our reputable team of Midwives in all of our office however, we do have specialty Midwifery centers. Our offices specializing in Midwifery are the following: In Lake Orion at 1406 S. Lapeer Road, Lake Orion MI; Phone: (248) 842-1369 In Clarkston at 5701 Bow Pointe Drive, Suite 380, Clarkston, MI; Phone (248) 384-8020 We are also pleased to offer women’s health services at our locations in Royal Oak and Lapeer locations. The Midwife Team at Women’s Excellence is dedicated to a wonderful patient experience, offering comprehensive resources for women in need. For more information about our midwifery program, chat with one of our Patient Support Specialists at the bottom right of this screen. Our team is available Monday-Friday 8am-5pm to assist you.

Women’s Excellence is proud to offer a variety of minimally invasive procedures and in-office testing for our patients! BOTOX For Overactive Bladder BOTOX® is a different treatment option that takes another approach to target the source of your OAB: the bladder muscle itself. Now just might be the right time to ask about how BOTOX® treatment may help you with your OAB symptoms. For more information, please click here. Hysterectomy NovaSure® Endometrial Ablation Overactive Bladder Treatment Pelvic Organ Prolapse Potassium Sensitivity Test Robotic Excision of Endometriosis Urodynamic Testing If you need to schedule an appointment for any woman’s health issue OB/GYN procedures, Contact us or use our chat today. We will work with you to get you in with an OB/GYN or nurse practitioner.

At Women’s Excellence, we’ve designed a comprehensive weight management program to help patients lose weight, keep the weight off, feel great, and maintain a healthy lifestyle. Our specialists know that the key to maintaining a healthy lifestyle is through a combination of diet, exercise, supplements, and the establishment of target goals via coaching and comprehensive monitoring! We are pleased to offer offer: Diet Plan & Life Changes The main component to weight loss is your food intake. Our goal is to develop a diet plan that still allows you to enjoy the foods you love, but in moderation. In most cases, simple lifestyle changes can lead to substantial weight loss results. Exercise We work with you to determine your best route for exercise success. We provide suggestions and tips to make exercise easy and effective for your and your busy lifestyle. Micronutrient Testing We offer comprehensive micronutrient and metabolic testing that measures 35 nutritional components in your body including vitamins, antioxidants, minerals and amino acids within our white blood cells to analyze any deficiencies in your body. Vitamin, mineral, and antioxidant deficiencies are linked to the overall health of your immune system and weight gain Body Composition Analysis We offer the latest technology in Body Composition Analysis to analyze your specific body composition to identify your percentage of visceral fat and subcutaneous fat. This information allows us to tailor a weight management plan specific to you. Accountability and Support We know that hardest about about weight loss is keeping the weight off. We stand by your side throughout your weight loss journey to help you overcome the initial hardships of this lifestyle change. Our team will meet with you once a month to monitor your progress, discuss any difficulties that you are having, and make changes as needed to your overall health plan. Pharmaceuticals and Surgery Many new pharmaceutical options have become available in the last few years. Women’s Excellence is up to date with the latest agents. The following is a list of new pharmaceuticals we can prescribe for weight loss: Qysmia (Adipex/Topamax) Belviq Contrave Saxenda We offer the knowledge of experience and the requirements for weight loss surgery, utilizing a referral network when necessary. If you’re struggling to lose weight or maintain your weight loss, you might be making one of these common weight loss mistakes. For more information or to schedule your initial consultation, visit our live chat (bottom right corner of your screen) or submit an appointment request here.