Quality Healthcare For Women By Women
Serving the Women of Salt Lake City and Its Surrounding Areas
“Dr. Andrea Smith is the best! She is kind and knowledgeable and very easy to talk to. Her nurse Nikkie is great as well. Hardly any wait time to be seen in my experience.” — Heather
“Every time I had a question she was always there and would ALWAYS call me back . If I was to have another baby I would definitely want her to be my doctor again. I highly recommend her!!” — Jennifer
“No complaints here, friendly service that was very quick :)” — Makenzi
“I’ve never felt rushed at Rocky Mountain, like I have at so many other doctors.” — Kayla
“Always friendly as well as personable. I will not go see anyone else :)” — EmiLee
Salt Lake City
We believe women should receive excellent health care at all stages of life. Our team is comprised of obstetricians and gynecologists who have a personal stake in the well-being of our patients.
Dealing With Infertility
Conceiving a Child
Learn More About Our Salt Lake City OB/GYNs
Meet Our Salt Lake City OB/GYN Providers
Andrea Smith, MD
Laura Chelu, MD
Kristen Lilja, MD
Felicia Katz, MD
Rocky Mountain Women’s Health Services in Salt Lake City, Utah
Fertility, Prenatal Care and Delivery
Rocky Mountain Women’s Health Center provides personalized obstetric services, delivering the exceptional attention that every woman deserves. Your safety, health, and comfort are our top priorities. Our obstetrics services include:
- Conventional, high-risk and multiple pregnancy care
- Postpartum care, including lactation consulting
- Genetic counseling
- Ultrasound and specific genetic testing
- Health screening tests
- Fetal growth and maternal health monitoring
- Fertility evaluation and treatment
- Labor and delivery services (vaginal and cesarean)
- 3d and 4d ultrasounds available
Rocky Mountain Women’s Health Center is affiliated with Salt Lake Regional Medical Center. This hospital offers private labor, delivery, and recovery suites that combine hotel-like room amenities with innovative technology to deliver a comfortable, safe, and secure environment for you and your baby. Should you require a Caesarean section, Salt Lake Regional Medical Center features surgical suites dedicated to women’s services, keeping you close to your baby at all times. You’ll have the comfort of knowing your baby is receiving the best care possible, whether he or she stays in your room or in one of the hospital’s nurseries. If you would like first-hand experience with Salt Lake Regional Medical Center before your delivery, the hospital offers prenatal classes and tours of its labor and delivery, nursery, special care nursery, and postpartum units.
- Abnormal pap smears/cervical dysplasia
- Dysmenorrhea (painful periods)
- Heavy/irregular menstruation
- Ovarian cysts
- Sexually transmitted diseases (STD)
- Urinary incontinence
- Sexual dysfunction
- Vaginal infections or vaginitis
- Pelvic pain or complications
- Gynecologic cancer
We also provide the following medical and surgical treatments:
- Tubal ligations
- Dilation and curettage (D&C)
- Endometrial ablations
- Colposcopy and biopsies
- Essure® Sterilization Procedure
- Small Incision gynecological surgery
Treating Infertility with Medical Intervention
Treating fertility problems can be a long, difficult, costly, yet worthwhile process for those who are unsuccessful in conceiving a child naturally. Most women become pregnant within a year or two after beginning serious efforts to do so, but if this does not happen for you, your doctor can take several approaches after completing some basic testing.
The treatment your health professional will suggest depends on the source of your infertility.
If you fail to ovulate, the doctor may suggest medication to affect gonadotrophins, the hormones largely responsible for ovulation. The ovaries can be stimulated in four main ways, using either follicle stimulating hormones (FSH), or luteinizing hormones (LH):
- Clomiphene, taken in tablet form, promotes more hormone production. It can stimulate ovulation.
- Medications containing gonadotrophins can be injected into both men and women to stimulate ovulation or improve sperm.
- Medications containing gonadotrophin-releasing hormones stimulate the pituitary to produce more hormones to stimulate ovulation.
- Metformin, used for diabetic treatment, is given to some women with polycystic ovary syndrome (PCOS) to improve fertility.
Any of these drugs can have side effects, but may be less invasive than surgical fertility treatment options.
Surgical Options for Infertility
The following surgical treatments may be performed in order to treat specific conditions that impact fertility:
- Fallopian tube blockages, or even past sterilization, can be removed or reversed surgically
- Laparoscopic surgery for endometriosis.
- Laparoscopic ovarian drilling to treat polycystic ovarian syndrome. If medication and weight loss haven’t worked.
- Myomectomy for fibroids that may impact fertility.
- Male infertility in cases of varicoceles (varicose veins within the testes) or abnormalities of the scrotum.
Surgical intervention can be an effective aid to fertility, but for some couples, the physician might suggest skipping the surgery and going directly to in vitro fertilization (IVF).
When the avenues for promoting natural conception are exhausted, several techniques may allow a woman to give birth.
- Intrauterine insemination (IUI) involves placing sperm from the partner or donor into the world via a plastic tool at the time of ovulation.
- In vitro fertilization (IVF), used when blocked fallopian tubes prevent pregnancy, involves harvesting eggs and mixing them with sperm outside the body so that they form embryos, which are then implanted into the female.
- Gamete interfallopian transfer (GIFT) involves gathering and mixing egg and sperm and placing the mixture in the fallopian tubes to allow natural fertilization. This procedure has fallen out of favor in comparison to IVF.
- Intracytoplasmic injection directly involves injecting sperm into an egg within the body. The sperm can even be harvested from the male if he’s had a vasectomy or has a blocked vas deferens. The fertilized egg is then placed in the womb.
- Egg or embryo donation involves using donated eggs or embryos as the basis of conception.
What is the Best Option for Treating Infertility?
If you and your doctor decide that some type of conception assistance is essential to your becoming pregnant, he or she will discuss the options of each method with you. While many healthy babies are born each year using these methods, the process can be stressful and costly. There can also be unplanned side effects such as tubal pregnancy or overstimulation of the ovaries that results in developing ovarian cysts. Sometimes the procedure fails or results in other side effects such as liver and kidney problems, or nausea, bloating, or weight gain not connected with pregnancy. The most common side effect is multiple pregnancy. About a third of successful IVF patients have twins, while having triplets or more is not uncommon.
For couples who want to become pregnant, medical science offers many fertility treatment options; speak with your doctor at Rocky Mountain Women’s Health Center today.
- Initial screening exams
- Digital mammography
- Magnetic Resonance Imaging (MRI)
- Breast biopsies
- Stereotactic procedures
- Brachytherapy treatments
- Plastic reconstruction and cosmetic surgery
- Breast-conserving surgery
- Genetic testing
- Counseling and support services
- Educational programs
Whether you visit our center for routine exams or you need the expertise of a breast surgeon and/or oncologist, you’ll enjoy a familiar, caring atmosphere. We also manage high-risk cases with effective prevention protocols, including more frequent screenings and possible gene testing.
For more information on breast health or to make an appointment, please contact one of our offices.
Most women use birth control to prevent pregnancy and plan their families. However, some forms are helpful in regulating menstrual cycles, cramps, and preventing ovarian cancer, infections, pelvic inflammatory diseases, and other gynecological concerns. In choosing the right method, you must select a method that addresses the problems you have.
Deciding on the Right Birth Control
When choosing birth control, you have several basic types available:
- Intrauterine devices
Before you decide on what is best for you, you must answer some basic questions for yourself:
- Do you ever want to get pregnant?
- Do you want to get pregnant in the next 12 months?
- Do you have health conditions that birth control medications can help treat?
Your answer to these questions will help you decide whether you want a temporary or a permanent solution to pregnancy prevention and whether you need more than a barrier. It also tells you whether you want something that will have long-lasting effects on your fertility or something that you can stop using it when you decide to have a baby.
Barriers: Birth Control That Blocks Out Sperm
Barriers prevent sperm from entering the uterus to fertilize the egg. Popular barriers include condoms, female condoms, dental dams, contraceptive sponges, and diaphragms, among others. All of these methods are temporary methods to prevent pregnancy and some, such as condoms, reduce the chance of sexually transmitted diseases. Once you know how to use these devices correctly, they have an average 90% effectiveness rate. The advantage is that if you decide that you want to become pregnant, you can stop usage immediately and have unprotected sex. Barriers are the only over-the-counter birth control.
Hormonal: Birth Control That Blocks Ovulation
For highly effective protection against ovulation, hormonal birth control methods, such as the pill, patch, ring, and injection offer a trouble-free approach to preventing pregnancy. While not effective in preventing sexually transmitted diseases, the hormones they contain may be effective in treating other conditions such as acne, bad menstrual cramps, anemia, cysts in breasts and ovaries, pelvic inflammatory disease, and many other problems. In some women, hormonal products are linked to blood clots, heart attacks, strokes, and high pressure, which makes it important to have annual checkups.
Once you stop using hormonal forms of birth control, you may have to wait two or more months for your cycle to get back to normal before you can become pregnant.
Intrauterine Devices: Long Term Pregnancy Blockers
When you want long-term pregnancy blockers, intrauterine devices or IUDs can be placed in your uterus. While these devices are not protective against sexually transmitted diseases, they offer a trouble-free birth control that can be virtually fool-proof. The IUD introduces no hormones in your body that could prevent immediate pregnancy, so when you are ready to try for pregnancy, simply have your physician remove the device, and you can begin immediately.
For some women, the intensity of menstrual cramps increases, but other side effects of modern IUDs are rare. A small percentage of women get pregnant while fitted with an IUD, and have a risk of ectopic pregnancy (a pregnancy that develops outside the womb, often in the fallopian tubes).
Sterilization: No Longer Able to Conceive
If you have completed your family, want no children, or have a medical reason not to get pregnant, sterilization for the female through tubal ligation or the male through a vasectomy is an appropriate solution. Reversal of these processes is difficult, often ineffective, and costly. Sterilization offers no protection against sexually transmitted diseases and is seldom recommended for those under 35 due to the possibility of later regret.
Behavioral Solutions: Contraceptive Roulette
Some sexual partners rely on behavioral techniques such as withdrawal (coitis interruptus) or fertility awareness to prevent pregnancy. Most of these methods have a much lower success rate, while offering no protection against STDs.
If you want help in determining the best method for you, Rocky Mountain Women’s Health Center can help you make the best choice. Complete a Contraception Assessment and then make an appointment with one of the specialists for prescription or a fitting.
Questions About Your Birth Control Options In Salt Lake?
Contact a Rocky Mountain Women’s Health Center provider near you for more information about contraceptives and their usages.
What is the Purpose of STD Testing?
STD testing identifies the presence of bacteria or viruses that can be transmitted when an infected individual has sexual contact with another person. Finding out if you have an STD means you can get the necessary treatment before the disease has a chance to cause long-term problems or be passed to an unsuspecting partner.
You can get relief from symptoms or even be cured, depending on your diagnosis, but it starts with prompt STD testing.
What Causes STDs?
Sexually transmitted diseases are caused by viruses such as HIV, hepatitis B, hepatitis C, herpes or human papillomavirus (HPV). Other types of bacterial STDs are caused by gonorrhea, chlamydia and syphilis.
Depending on the bacteria or virus, STDs can be passed through skin-to-skin, oral, anal or genital contact. They also can be passed through contact with blood or bodily fluids. Some STDs can be transmitted regardless of whether sexual penetration occurs. Altogether, over 25 organisms cause STDs.
Who Is at Risk?
Women, minorities and drug users are at higher risk for STDs.
In general, if you are sexually active or you’re having or have had unprotected sex, STD testing is recommended. If you are aware that your partner has an infection or you have had an infection in the past, you should be tested. Anyone who is engaging in risky sexual behavior, including sexual contact with unknown partners, multiple partners, sex workers or drug users, should be screened.
Do You Have Symptoms?
If you are infected, you may not show symptoms at first or at all. For instance, genital warts (HPV) may not show symptoms, but once you are infected, you can continue passing on the disease. Hepatitis B and C can cause liver disease or liver cancer, but no symptoms may be present in the early stages.
If you have any of the following symptoms, talk to your doctor right away about STD testing:
- Painful urination
- Increased vaginal discharge
- Lower abdominal pain
- Pain during sex
- Irregular vaginal bleeding
- Pain during bowel movements
- Itching in vaginal or anal region
- Flu-like symptoms
- Bumps, blisters or sores on or near genitals
Your doctor will ask questions about your symptoms and will want details about the types of sexual contact you’ve had. Based on your answers, doctors will administer certain kinds of STD testing for specific viruses or bacterial infections. These may involve a pap smear, a blood test, a mouth swab, a urine test and/or a pelvic exam.
What’s the Right Treatment?
Treatment will vary based on your diagnosis. In general, STDs caused by bacterial infections can be cured, and the earlier these conditions are treated, the faster they are eliminated and the less likely they are to spread further. Viral STDs such as HIV, herpes and hepatitis B and C have no cure, but treatment can limit the symptoms.
You should not put off STD testing. Contact Rocky Mountain Women’s Health to schedule an appointment for STD testing and get the comprehensive treatment you need to better your health and prevent the infection of others.