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Obstetrics + Gynecology (OBGYN)

Obstetrics and gynecology (also known as OBGYN) is a combined medical specialty that looks after the female reproductive system, including the ovaries, uterus and fallopian tubes. From performing routine wellness visits to diagnosing and treating more complex conditions, we care for women and assigned females at birth (AFABs) at all stages of life. 

 

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A lifelong partner for health

Women and AFABs have unique healthcare needs that often change over time. That’s why we'll be by your side as you reach some of life’s most precious and life-changing milestones — from infancy and puberty to family planning, menopause and beyond.

Along the way, our Obstetrician-Gynecologists (OBGYNs) will care for your day-to-day reproductive needs, like birth control services, along with treating more complex conditions such as pelvic floor disorders and gynecologic cancers.  

So, wherever your path to wellness leads you, you can trust that your OBGYN will guide you through important changes to your reproductive system. 

Jennifer Gilliatt, Oncology Nurse Practitioner, meeting with a patient during an appointment at Lowell General Hospital's Women's Wellness Center.

OBGYN care near you

Lowell General Hospital

Our labor and delivery and maternity team is composed of experts in high-risk obstetrics who provide individualized attention at every stage of your birthing journey. We offer a complete range of specialized pregnancy services, including pain management and our Level IIB Special Care Nursery for premature infants or those with special needs.

In addition, the LGH main campus emergency department has an Obstetric Emergency Department (OB ED) that is always ready to provide lifesaving care to pregnant or postpartum women experiencing a medical emergency.

Birthplace at LGH

LGH Obstetric Emergency Department

MelroseWakefield Hospital

Whether you’re planning a pregnancy, treating pelvic pain or managing menopause, our highly skilled OBGYN team is here to keep you active and well at every stage of life. We offer the latest in minimally invasive robotic gynecological surgery right here in our community and are proud to offer you and your family a warm, caring and calming childbirth environment. 

If you're having a baby, our labor and delivery team members are here for you. With the newest labor and delivery suites in the area, we'll welcome your baby with a sweet lullaby. You can also take comfort in knowing that a special care nursery is on-site with Tufts Medical Center neonatologists to take care of your newborn when they need a little extra support.

Mother/baby unit at MWH

Tufts Medical Center

Your OBGYN team should be there for you throughout your life, no matter what comes your way.  We have team of specialists in clinics around the region and offer the highest level of specialist and subspecialist care at TMC. Whether it is the most complex gynecologic surgery, including minimally invasive techniques, or reproductive challenges, our clinical teams are here to support you.

 

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Conditions

We treat the full range of OBGYN conditions, including:

Bladder control problems after pregnancy
Bladder, bowel or vaginal fistulas
Bowel incontinence
Cervical cancer
Congenital reproductive anomalies
Constipation
Contraception
Cystocele
Diabetes and pregnancy
Diastasis recti
Diminished ovarian reserve
Endometrial cancer
Endometriosis
Enterocele
Fallopian tube blockage or damage
Fallopian tube cancer
Family planning
Genetic abnormalities in an embryo
Gynecologic and reproductive conditions
Gynecologic cancer
High blood pressure in pregnancy
Hormonal changes
Hormonal imbalances
Infertility
Interstitial cystitis
Labial adhesions
Lichen sclerosis
Maternal birth trauma
Menstrual irregularities
Neuro-urologic disorders
Neurogenic bladder
Ovarian cancer
Overactive bladder
Pain following C-section or childbirth
Painful intercourse
Pelvic organ prolapse (bladder, bowel, uterus and vagina)
Pelvic pain
Polycystic ovary syndrome (PCOS)
Post-pregnancy abdominal deformity
Precocious puberty
Pregnancy
Pregnancy complications
Prenatal and postpartum low back and pelvic pain
Prepubertal vaginal bleeding
Rectal prolapse
Rectocele
Routine gynecological problems
Sexual dysfunction
Sexually transmitted infections
Sigmoidocele
Stress urinary incontinence
Structural abnormalities of the pelvic floor
Urethra prolapse
Urethral diverticulum
Urge incontinence
Urinary tract infections
Urological trauma
Uterine cancer
Vaginal cancer
Vulvar cancer
Vulvovaginitis
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Testing

Your primary care doctor will review your personal and family health history to better suggest age-appropriate tests that track your gynecologic health. Health screenings are an important part of preventive care because they can check for conditions and diseases before any signs or symptoms surface. 

Talk with your doctor to learn which of these  health screenings or diagnostic procedures are right for you: 

  • Breast exams
  • Cervical biopsies
  • Colposcopy
  • Cervical cancer pap tests
  • Endometrial biopsy
  • Laboratory services
  • LEEPs/LEETZ
  • Mammography
  • Pap tests
  • Physical exam
  • Ultrasound 
  • Vulvoscopy

Depending on the results of these exams, your doctor may recommend additional testing.

Fertility testing

Infertility affects all people equally. That’s why it’s so important to be in tune with your health, as well as your partner’s. We provide initial fertility testing for all involved partners so we can understand the cause of infertility and how to navigate it. These tests include: 

  • Blood testing
  • Hysterosalpingogram (HSG)
  • Semen analysis
  • Sonohystogram
  • Ultrasound
  • X-ray

When you're ready to pursue fertility treatment, we'll be by your side. We can help connect you with a fertility specialist from Boston IVF, who'll create a customized plan suited to your body and its unique needs.

Genetic counseling

Preconception and prenatal counseling empowers people to better understand their genetics so they can make more informed family planning decisions. Standard prenatal screenings already look for Down syndrome.

Meanwhile, deciding to move forward with genetic testing can provide even more important information about your baby's health, like if it's a carrier for cystic fibrosis, sickle cell anemia and more.

Your OBGYN may recommend additional testing if: 

  • You're having trouble getting pregnant or have had multiple miscarriages.
  • You have a family history of a specific genetic condition.
  • You have an ethnic background (e.g. Jewish, African American, French Canadian) in which some genetic diseases are more prevalent.
  • Your OBGYN has determined the baby is at risk for a genetic syndrome.

High-risk pregnancy

We perform the following tests throughout a high-risk pregnancy to screen your health as well as the baby's health:

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Treatments

Once we’ve diagnosed your gynecologic condition or better understand the type of care you’ll need, we’ll design a treatment path that’s uniquely you. We may recommend treatments ranging from lifestyle changes to medication to surgery.

And because we challenge a one-size-fits-all approach to health care, we've expanded our OBGYN services to better align with the cultural customs and languages of our diverse community.

Our physicians are fluent in a variety of languages — like English, Cantonese, Mandarin and Spanish — so more people can feel confident in how we communicate and respect cultural nuances.

We believe so strongly in our approach to OBGYN care for Asian persons that many of our own Asian care team members trust their health and family plans with Tufts Medicine.

Family planning

By taking the lead on your body and family planning goals early, you can make the best possible choices for your health today and in the future. We support all kinds of individuals and couples pursuing family planning, including:

  • People waiting to grow their families
  • People who are in need of perinatal care (miscarriages and abortions)
  • People who are trying to conceive 
  • People who feel their family is complete
  • People who want to live a childfree life
Fertility services

Did you know that 1 in 6 people struggle to conceive naturally? We refer out to our partners at Boston IVF for the following fertility treatments:  

  • Egg freezing
  • Intrauterine insemination (IUI)
  • In vitro fertilization (IVF)
  • LGBTQIA+ family building
  • Ovulation induction
  • Third-party reproduction, including donor egg, embryo and sperm
  • Timed intercourse
General gynecology

General gynecology takes care of your reproductive health by providing regular check-ups, preventive care, and treatment for issues like endometriosis, fibroids, and sexually transmitted infections (STIs). We also help with all parts of your reproductive health, including periods, sexual health, menopause, and more. 

Gynecologic cancer care

Gynecologic oncology is a medical specialty that treats cancers affecting the female reproductive system, including the:

  • Cervix
  • Fallopian tubes
  • Ovaries
  • Uterus
  • Vagina
  • Vulva

When your care needs are anything but average, we’re here to over-deliver with the latest treatments available, like robotic-assisted surgery and intraperitoneal chemotherapy.

Gynecologic surgery

Sometimes surgery is necessary to get your reproductive health back on track. We offer the latest minimally invasive and robotic surgery techniques to reduce your recovery time and discomfort.

Turn to Tufts Medicine when you need any of the following surgeries:

  • Bartholin gland surgery
  • Cervical cone biopsy
  • Dilation + curettage
  • Endometrial ablation
  • Endometriosis surgery
  • Hysterectomy
  • Hysteroscopy
  • Laparoscopy
  • Myomectomy
  • Oophorectomy
  • Ovarian cystectomy
  • Salpingectomy 
  • Trachelectomy
  • Tubal ligation (“tubes tied”)
  • Uterine fibroid embolization
  • Vulvectomy
High-risk pregnancies

Our maternal fetal medicine care team pays special attention to people with high-risk pregnancies, which are pregnancies with an increased chance of complications for the pregnant person, the baby or both.

LGBTQIA+ health

Your health is personal, and we believe your care should be, too. So whether you identify as lesbian, gay, bisexual, transgender or other, we're committed to making healthcare work better for you. We offer inclusive OBGYN care for LGBTQIA+ persons with services like:

  • Gender-affirming surgeries
  • Hormone therapy and monitoring
  • LGBTQIA+ fertility services
  • Trans-affirming gynecological care, including cervical cancer screening and pelvic exams
Minimally invasive gynecologic surgery

If you have a condition like endometriosis, ovarian cysts, or fibroids, we may treat you with minimally invasive gynecologic surgery. 

We care for women and individuals assigned female at birth (AFAB) living with conditions that affect the vagina, uterus, bladder and pelvic organs. When surgery is necessary to get your reproductive health back on track, we offer the latest minimally invasive and robotic-assisted surgery techniques to minimize pain, recovery time and complications. 

Minimally invasive surgery often lets you go home the same day or the next morning. 

Pediatric + adolescent gynecology

Accessing gynecologic care for the first time is an important moment in a young person’s life. Our pediatric and adolescent gynecologists provide infants, children, teens and young adults the care they need as their bodies change.

Pelvic health

If you think of your body as a house, the pelvis is its foundation. It provides a sturdy base to support the organs and muscles in your lower abdomen area. From giving birth to simply aging, a weakened pelvic area can make natural bodily functions feel like a greater chore for your abdominal core. 

We’ll be here for you every step of the way, from your first pelvic-related symptoms and screenings through to treatments and ongoing care.

Perinatal palliative care

If you and your family have learned that a pregnancy or newborn has a poor prognosis, our perinatal palliative care team will be here to care for every part of you — physically, mentally and emotionally. We offer peer support groups and counseling so that people feeling similar pain can heal together.

Pregnancy services

Deciding where to have your baby and the OBGYN to join you along your pregnancy journey are important choices. We want to make that decision easier for parents-to-be with our state-of-the-art pregnancy care in an environment that feels like home. We’ll work together to create a pregnancy health plan that’s uniquely you, from conception to delivery and beyond.

Urogynecology

Urogynecology is a medical specialty that cares for women and AFABs living with conditions that affect the vagina, uterus, bladder and pelvic organs. If you need surgery to treat conditions like stress urinary incontinence or pelvic organ prolapse, we’ll connect you with our urogynecology team.

Anasuya Gunturi MD, PhD talks with patient at Lowell General Hospital's Women's Wellness Center clinic appointment.
Our locations

From regular office visits to inpatient stays, find the healthcare you need and deserve close to home.

Gynecologic Oncologist Rafael Gonzalez, MD talking to patient in a hospital johnny at an appointment at Tufts Medical Center.
Our doctors + care team

Meet the doctors and care team devoted to supporting you every step of the way along your path to better health.

TENS for pain management during IUD insertion
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Endometriosis, Menstruation, Pelvic pain
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Non- Invasive, Label-free Detection of Cervical Pre-Cancers In vivo
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Pain
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A Food is Medicine Intervention among Pregnant Women
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Infant Vision Health and Prenatal Drug Exposure
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SPITSS
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MAMMA Study
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GO MOMS
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