Dr. Tijerino is a Board Certified Gynecologic physician with 22+ years of combined surgical and clinical experience. As a woman herself, she understands the sensitive and complex needs of the female patient. We treat many gynecological conditions with a personalized patient focused approach, using lifestyle, medications, in-office procedures and surgeries.
GYNECOLOGY
Gynecology & Womens Wellness
Your gynecologic health is important – no matter your age or stage in life. Optimal health begins with an annual exam. However, our care for you extends far beyond that. With advanced technology and a dedicated team, some procedures can even be performed right in our office (or we can refer you where necessary). At Revitalize Gynecology, we are dedicated to providing you with educational resources so that you can stay informed and engaged in your health care. Gynecologic services we provide include:
Gynecological Services
- Well woman exams (full physicals and pap smears)
- Family planning / Birth Control
- Vaginal Discharge
- STD check and treatment
- Bartholins Cysts and Abscesses
- Urinary Tract Infection (UTIs)
- Polycystic Ovarian Syndrome (PCOS)
- Basic Infertility
- Workup of Abnormal Pap Smears (colposcopy, proper referral and follow-up)
- 2nd Opinions***
- Outpatient management of Heavy Menstrual Bleeding
- Perimenopause, menopause and bioidentical hormones
- • Preventative care including pelvic exams and Pap smears
- • Contraceptive Counseling
- • IUD placement and monitoring
- • Preconception counseling & family planning consultations
- • Cycle issues
- • Vaginal discharge or discomfort
- • Premature Ovarian Failure
- • Perimenopause & Menopause
- • Female Sexual Dysfunction
- • Evaluation & Management of Breast Health
- • Osteoporosis prevention and treatment
- • Ultrasound & Lab Services
- • Consultations, Evaluations, and Treatment planning
- • Surgical procedures
General Gynecology Services:
Office Procedures
I don’t perform procedures in the hospital, or admit to the hospital, though I am happy to confer with your admitting physician and follow your progress.
***I believe most gynecologic problems can be solved in the office, so please see me for a second opinion if a provider recommends an invasive procedure for you. Please also see me for a second opinion if you have been recommended to undergo multiple pap smears or other procedures, or for any other advice you have been given that you are uncomfortable with.
*****If you are my patient and I believe a major surgery is indicated, I will refer you to an appropriate specialist, as I perform all of my procedures in my office.
Perimenopause, or the menopausal transition,
Perimenopause, or the menopausal transition, is the time leading up to a woman’s last period. Transitioning to menopause may produce uncertainty, as periods can stop and then start again unpredictably.
Perimenopause, by definition, lasts until a year has passed since your last period. Beginning in your 30s and 40s, the amount of estrogen produced by the ovaries begins to fluctuate. A common sign of perimenopause is a change in your menstrual cycle. Cycles may become longer or shorter than usual. You may begin to skip periods. The amount of flow during your period may increase or decrease. These hormone changes can lead to other symptoms, including hot flashes, which can last for months or years after a woman’s period stops.
Menopause and Perimenopause affects every woman differently.
Some women have no symptoms, while others experience life changes including hot flashes, sleep troubles, and mood swings. It’s not always possible to tell if these changes are related to aging, perimenopause, menopause, or a combination of factors. While this may seem daunting, there are so many ways to feel better!Perimenopause / Menopause FAQ resource link
Some women have no symptoms, while others experience life changes including hot flashes, sleep troubles, and mood swings. It’s not always possible to tell if these changes are related to aging, perimenopause, menopause, or a combination of factors. While this may seem daunting, there are so many ways to feel better!Perimenopause / Menopause FAQ resource link
Preconception Services:
- • Prior pregnancy history and outcomes
- • Undiagnosed, untreated, or poorly controlled medical conditions
- • Medication and radiation exposure in early pregnancy
- • Immunization history
- • Nutritional issues
- • Family history and genetic risk
- • Tobacco and substance use and other high-risk behaviors
- • Occupational and environmental exposures
- • Social issues
- • Mental health issues
The goal of preconception care is to reduce the risk of adverse health effects for the woman, fetus, or neonate by optimizing the woman’s health and knowledge prior to planning for and conceiving a pregnancy.
Reproductive capacity spans almost four decades for most women, so optimizing a woman’s health before and between pregnancies is a dynamic process that requires special time and attention and makes good sense. Our doctors specialize in helping each patient make the best and most informed plans about future pregnancy care including addressing the significant impact of social, environmental, occupational, behavioral, and genetic factors on pregnancy.
Some Goals and services for this special population:
*Initial consult (most often does NOT include a pelvic exam)
- • Contraceptive Counseling
- • Adolescent Development
- • Gardasil Vaccine
- • Sexual Health Education
- • STD testing & Treatment
- • Evaluation of irregular, painful, heavy or delayed menses
- • Female Athlete Triad
- • Polycystic Ovary Syndrome
- • Preventative Care & Nutrition
- • Evaluation of Eating Disorders
Visiting a gynecologist for the first time, or at any time, may feel overwhelming to a young woman. That is why taking the time to establish a strong patient/physician relationship based on trust is vital – and something we excel at!
Our doctors are experts at putting young minds at ease, giving girls the confidence to advocate for their own well-being and the power to establish a healthy lifestyle early on. Offering a more personalized environment compared to packed OB/Gyn or general pediatric offices, Premier Gynecology provides a specialized alternative without obstetric patients, babies, or young children, ensuring that teens have a trusted place of their own.
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