Gynecology Services

Our gynecology services include caring for women of all ages–whether it is your daughter’s first visit to the gynecologist or you are having post menopausal issues. We provide preventative care and we diagnose and treat gynecology problems that you may have.

Annual Exams

Annual well woman examinations

are covered by most insurance companies. It is a preventative service to help you maintain your health and try to identify potential problems before they become serious issues. Consider it as an opportunity for you to receive:

  • Preventative screening tests and exams
  • Information about conditions and diseases that you might be at risk for based on your medical history, family history and, lifestyle choices
  • A chance to discuss your health concerns and how you might manage or improve your health
Give us a call to schedule
an appointment
(304) 599-7075

Preventative care

Depending on your age

and medical history, preventative services might include:

  • Pelvic exam
  • Pap smears
    • Adolescents
    • Medicare screening guidelines
  • Breast exam
  • Immunization counseling
  • Referral for mammogram
  • Referral for bone density testing (DEXA scan)
  • Referral for colon cancer screening (colonoscopy)
  • Contraceptive and family planning counseling
  • Menopausal Hormone Therapy counseling (MHT)
  • Healthy living recommendations
    • Diet
    • Exercise
    • Smoking cessation

Evaluation and Treatment of Gynecology Problems:

Abnormal Pap Smears

Recommendations about the frequency and management of abnormal Pap smears have changed in the past few years. We now understand much more about how and why Pap smears become abnormal and how to best manage these abnormalities. Our practice follows the guidelines and recommendations of the ASCCP (American Society of Cervical Colposcopy and Pathology). Our Nurse Practitioners have completed training and certification in the performance of colposcopy and evaluation of abnormal Pap smears. Dr. Capelle and the Nurse Practitioners are all members of this society and regularly attend seminars to stay up to date on the latest recommendations.

  • Colposcopy
    Visualization and examination of the cervix under magnification to assess the areas most appropriate to biopsy
  • LEEP (Loop Electrosurgical Excision Procedure)
    Dr. Capelle usually performs the LEEP procedure in the office under local anesthesia. It is a very well tolerated way to remove a cone shaped segment of the cervix that has abnormal cells - cervical dysplasia
  • Cone Biopsy (Cold Knife Cone Biopsy)
    Similar to LEEP but done in the operating room to treat more serious abnormalities of the cervix
  • Follow up and Management
    based on the ASCCP guidelines

Bleeding Problems/Abnormal Bleeding

  • Absence of periods (amenorrhea)
  • Irregular periods
  • Polycystic ovarian syndrome (PCOS)
  • Heavy periods
  • Prolonged periods (more than 7 days)
  • Frequent periods
  • Perimenopausal bleeding (irregular bleeding around time of menopause)
  • Post menopausal bleeding (any bleeding more that 1 year after periods have stopped)

These conditions can be caused by hormonal problems, structural problems (such as fibroids or uterine polyps), blood clotting problems, or unknown causes.

Evaluation

  • Physical/Pelvic Examination
  • Blood tests (Blood count, Iron levels, Coagulation tests, Hormone testing)
  • Pelvic Ultrasound
  • Endometrial Biopsy (in office or via D & C)
  • Pap smear/Cervical Biopsy (as indicated)

Treatment

Depends on the results and findings of a complete evaluation

  • Hormonal management (pills, patches, IUD)
  • Non hormonal (NSAIDs, Lysteda, Iron supplementation)
  • D & C (including myomectomy or endometrial ablation if indicated)
  • Hysterectomy (if indicated)
To help us understand your bleeding issue, please bring a calendar of your bleeding pattern. There are some useful apps (such as Period Tracker Lite (free) for iOs and Android) that are available for your phone or just keeping track on a paper calendar works well, too.

Pelvic Pain

Pelvic pain can be either acute or chronic

  • Acute Pain (lasts for a short period of time)
    and is usually due to a single cause that may be need immediate attention
  • Chronic Pain (intermittent or constant pain that lasts for 6 months or longer)
    and is usually due to a variety of causes (sometimes many). A history of physical or sexual abuse is associated with chronic pelvic pain in about 50% of cases. And depression can be either a result of or an associated factor in many cases of pelvic pain

Pelvic pain can have gynecologic, urologic, digestive, musculoskeletal and psychologic causes.

Causes of Pelvic Pain

  • Pelvic inflammatory disease (PID)
  • Endometriosis
  • Fibroids
  • Urinary tract problems (UTI, kidney stones, interstitial cystitis)
  • Digestive problems (Irritable Bowel Syndrome (IBS), Inflammatory Bowel Disease)
  • Musculoskeletal problems (back pain, muscle spasms, obesity causing strain on ligaments and joints, poor posture, trigger points)

Evaluation

  • History and physical exam
  • Lab tests
  • Pelvic ultrasound

Treatment

Depending on the cause, may include:

  • Antibiotics
  • Hormones or birth control pills
  • Referral for counseling or treatment of depression
  • Lifestyle changes/Nutrition therapy
  • Physical therapy
  • Surgery
  • Pain medication
    Most pelvic pain (acute or chronic) can be managed with NSAIDs (Ibuprofen, Naproxin, Toradol). We sometimes also give very short, limited treatment with stronger pain medications but as a practice we do not prescribe chronic narcotic medications for pain. We are happy to refer you to a pain clinic if that is indicated.

​Contraception Counseling and Management​

We would like to assist women in their reproductive plans and provide preconception and contraceptive counseling based on your desires and preferences. There are now many options available and we are happy to help you choose and option that is best for you.

  • Birth Control Pills (including patches or rings)
  • Depo Provera
  • LARC (Long acting reversible contraception)
  • IUD (Intrauterine Device)
    • Mirena, Kyleena (5 years)
    • Skyla, Lyletta (3 years)
    • ParaGard (12 years)
  • Nexplanon
  • Permanent sterilization
    • Tubal ligation
    • Salpingectomy
    • Referral for Essure
  • Emergency Contraception
  • Plan B

In the event of an unintended pregnancy, we would like to assist you in making a choice that is appropriate for you. We offer referrals for all avenues of choice including continuing your pregnancy, referral for adoption and referral for termination of a pregnancy.

Breast Care

  • Clinical breast exam and self breast exam
  • Referral for screening mammography
  • Referral for breast ultrasound
  • Referral for breast biopsy

Vulvo/Vaginal Care

  • Vaginal atrophy
  • Yeast vaginitis
  • Bacterial vaginosis
  • Lichen sclerosus
  • Lichen planus
  • Lichen simplex chronicus
  • Sexually transmitted infections
    • Trichomonas
    • Gonorrhea
    • Chlamydia
    • Herpes
    • Genital warts

Bone Health Care

DEXA scans are the best way to determine the density of your bones. It is a simple, painless test that is done in the Radiology department of most hospitals. The World Health Organization has established standards for the diagnosis of Osteoporosis and Osteopenia. This is not always a service that is covered by your insurance but it may be recommended, especially if you have certain conditions:

  • Premature menopause (either natural or surgically induced)
  • Long term use of steroids
  • Long term use of Depo Provera, Nexplanon

Perimenopause

Perimenopause is the transitional time period during which the body is undergoing major changes. The ovary’s production of estrogen decreases and ovulation is not always regular and monthly. Women may start to experience:

  • Menstrual cycle changes
  • hot flashes, night sweats, sleep disruption
  • vaginal dryness, urinary symptoms
  • changes in sexual response and emotions

These symptoms may be mild or severe and not all women experience them in the same way. Changes in your cycle may be normal but is important to discuss them because they may be a sign of something more serious

Treatment of perimenopausal symptoms

  • Hormonal Replacement Therapy
    Hormone therapy can help treat symptoms in the perimenopause. There are risks and benefits to hormone therapy which are related to your individual health and family history. Hormone therapy also can be taken various ways (orally, vaginally, transdermally and there are advantages and disadvantages to all of these. We are happy to discuss your individual care and help you make the best decision for you.
  • Alternatives to Hormone Therapy
    • Medications
      • Antidepressants
      • Selective estrogen receptor modulators (SERMS)
    • Plant based alternatives
    • Bio-identical hormones
    • Vaginal lubricants and moisturizers

This is also a good time to assess your health and take better care of yourself.

  • Healthy diet and regular exercise
  • Maintain a healthy weight
  • Quit smoking
  • Limit alcohol intake
  • Practice safe sex and use contraception

Menopause
(natural or as the result of ovaries being removed)

Menopause occurs when the ovaries no longer produce hormones and periods stop. By definition periods must have completely stopped for a year for woman to be completely in menopause. Any bleeding that may occur after that year, whether it seems like a normal period or not, should be evaluated.

The symptoms that started in perimenopause may intensify and treatment might be worth considering.

Treatment

  • Vaginal symptoms
    • Vaginal lubricants or moisturizers
    • Vaginal estrogen (tablet, cream, ring)
    • Oral estrogen
  • Hot flashes and night sweats (vasomotor symptoms)
    • Behavioral and Lifestyle changes
      • Avoid alcohol and caffeine
      • Layer clothing
    • Non hormonal treatment:
      • Gabapentin
      • Low dose antidepressant medications (SSRIs)
      • Clonidine
      • Black cohosh
    • Menopause Hormone Therapy (MHT) aka HRT (hormone replacement therapy)
      • Estrogen with or without Progesterone is the most effective treatment for menopausal symptoms but may slightly increase the risk of blood clots and breast cancer.
      • Treatment with MHT is a decision that must take into account individual risk factors, family history and symptoms. We will help you make that decision

In Office Gynecology Procedures

In office procedures performed by Dr. Capelle and the nurse practitioners

contraception, iud, birth control
  • Endometrial biopsy
  • Vulvar biopsy
  • IUD insertion and removal
  • Implantable contraception (Nexplanon) insertion and removal
  • Colposcopy and biopsy
  • LEEP (Loop Electrosurgical Excision Procedure)

Ultrasound

Evaluation of:

  • Abnormal Bleeding
    • Polyps
    • Thickened uterine lining
  • Pelvic pain
  • Ovarian cysts
  • Transvaginal imaging
  • Transabdominal imaging
  • 3D Imaging

Hospital based Gynocology Surgery

Dr. Capelle performs surgical procedures primarily at Mon General Hospital but can also care for patients at Ruby Memorial Hospital if that is a patient’s preference or if that hospital is “in network” for a patient's insurance.

  • D & C Hysteroscopy
    with polypectomy or Myosure uterine fibroid excision (this is not the same as uterine morecellation using a morcellator)
  • Laser Surgery
    for the treatment of vulvar dysplasia (pre-malignant vulvar skin changes)
  • Laparoscopic Surgery
    • Tubal ligation for sterilization
    • Tubal removal for sterilization (Tubal removal for sterilization is preferred over tubal ligation because certain forms of ovarian cancer start in the fallopian tubes and the risk of ectopic pregancy (pregancy in the fallopian tube) is eliminated with removal of the fallopian tubes)
    • Ovarian cystectomy (Removal of ovarian cysts that may cause pain which may occur because of endometriosis or other causes)
    • Oophorectomy (removal of the ovaries) Removal of the ovary or ovaries may be necessary because of recurrent ovarian cysts, pain, masses, or prophylactically in cases where women may have a high risk of ovarian cancer, or when removal of the ovaries is recommended because they may have breast cancer
    • Lysis of adhesions - adhesions can occur after infections or previous surgery and may cause pain, bowel obstruction or other complaints
    • Laparoscopic assisted hysterectomy - Dr. Capelle performs laparoscopic assisted hysterectomy in cases where vaginal hysterectomy is not possible. When the uterus is too large to remove vaginally or if there is the possibility of uterine, cervical, or ovarian cancer, Dr. Capelle works closely with Drs. McBee and Lesnock at MAGO (Mid Atlantic Gynecology Oncology) - the preeminent Gynecologic Oncologists in the state of West Virginia
    • Vaginal hysterectomy - Dr. Capelle’s preferred surgical approach for uterine problems requiring hysterectomy (prolapse, fibroids, bleeding) is vaginal hysterectomy. It avoids abdominal incisions entirely and is considered by the American College of Obstetrics and Gynecology (ACOG) to be safest (better outcomes and fewer complications) and most cost-effective method to remove the uterus for noncancerous reasons

Office hours

Monday - Thursday
7:30am - 4:30pm

Friday
7:30am - 1:30pm

Address

3496 University Avenue
Morgantown, WV 26505

Contact Numbers

Phone: (304) 599-7075

Nursing: (304) 599-7898

Fax: (304) 581-6800

Billing: (304) 581-6802

Surgery Scheduling:
(304) 581-6929

Online

Link to Patient Portal

Women’s health care in Morgantown, WV