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Visiting Hours
Monday, Wednesday
Thursday
9:00 am - 5:00 pm
2 Saturdays a month
(TBD)
Services

OBSTETRIC CARE


Healthy Baby, Healthy Mom.  From your first appointment through delivery and postpartum care, Lady's Care Center is there every step of the way.  We specialize in prenatal and obstetric care for normal and high-risk pregnancies.  Understanding the importance of this time in your life, Dr. Espinal is there to answer your questions and provide you with the resources you will need to keep you and your baby healthy throughout your pregnancy.  Dr. Espinal usually sees OB patients for the first prenatal visit in the 7th or 8th week of pregnancy.


  • Preconception Counseling
  • Confirmation of Pregnancy
  • Prenatal Care
  • Ultrasound
  • High-Risk Pregnancy Care
  • Delivery (Vaginal, Cesarean Section,Vaginal Birth After Cesarean Section)
  • Postpartum Care
  • Postpartum Depression

GYNECOLOGY


Treating Women with Skill and Compassion.  Lady's Care Center offers a comprehensive set of gynecological services to diagnose and treat women's health care concerns.  In addition to the routine annual exams, Dr. Espinal is knowledgeable and experienced in treating the following conditions


  • Irregular, Painful, and/or Heavy Periods
  • Management of Abnormal Pap Smears
  • Ovarian Cysts
  • Polycystic Ovary Syndrome (PCOS)
  • Urinary Incontinence
  • Fibroids
  • Endometriosis
  • Postmenopausal Bleeding
  • Vaginitis (Yeast Infections, Bacterial Infections)
  • Premenstrual Syndrome
  • Hormone Replacement Therapy

TEEN CARE


Treating with Care and Kindness.  Lady's Care Center specializes in a teen’s first visit to the gynecologist. We take the time to gently guide your daughter through her first annual exam, explain the procedure and answer those important first questions.  Dr. Espinal understands it is a vulnerable time and treats each young woman with special care and compassion.  Lady's Care Center also offers the Gardasil® HPV Vaccination for teens to protect against the Human Papillomavirus which can result in cervical cancer and genital warts.


  • First Annual Exam
  • Human Papillomavirus (HPV) Vaccination
  • Painful Periods Assessment and Treatment

CONTRACEPTION


For women intending to prevent pregnancy, Lady's Care Center offers birth control counseling to discover the method that would work best for you.


SURGICAL OFFERINGS


We offer our patients a wide array of in-office and hospital state-of-the-art surgical procedures to alleviate a variety of gynecologic concerns.


  • Abdominal Hysterectomy
  • Vaginal Hysterectomy
  • Laparoscopic Supracervical Hysterectomy
  • Laparoscopic Tubal Ligation
  • Essure® Permanent Birth Control - In-Office Procedure Option
  • Ovarian Cyst Treatment/Removal
  • Uterine Ablation - In-Office Procedure Option
  • Hysteroscopy - In-Office Procedure Options
  • Urinary Incontinence Surgery
  • Pelvic Organ Prolapse Repair
  • Diagnostic Laparoscopy
  • Dilation and Curettage (D & C)

VAGINAL REJUVENATION AND RECONSTRUCTION (Labiaplasty and Vaginoplasty)


Vaginal rejuvenation is a term that encompasses both functional and cosmetic procedures of the labia majora, labia minora, perineum and vaginal canal.  Vaginal rejuvenation is really a marketing term for vaginoplasty-  which does cause surgical tightening or narrowing of the vaginal canal. This procedure strengthens the pelvic floor muscles which have been damaged and stretched by childbirth, trauma, and/or age.  When the pelvic floor muscles lose their strength and tone and become too relaxed, it may decrease the sensation felt by both the man and the woman during sexual intercourse.  Vaginoplasty usually enhances sexual satisfaction and pleasure for both partners.  


The phrase vaginal rejuvenation also encompasses the terms labiaplasty, vulvoplasty, clitoral hood reduction and hymenoplasty.  Labiaplasty refers to the trimming of excess tissue of the labia minora (aka the lips of the vagina).  Some women are so bothered by the appearance of their labia minora, that this affects them psychologically and may interfere with their intimate relationships.  Some women are too embarrassed to discuss this matter with friends, family or their partners.  An enlarged labia minora may cause discomfort when wearing certain clothes or even during exercising.

Vulvoplasty refers to the reduction of excess or loose tissue of the labia majora. 
Clitoral hood reduction refers to removal of the excess skin on the sides of the clitoris.  This procedure does NOT mutilate the clitoris or affect the clitoral nerves since the clitoris itself is never touched.  Women may choose this procedure because they feel their clitoris appears too large and bulky, which is usually due to genetics but may be caused by exposure to hormones such as testosterone.

Hymenoplasty refers to the reapproximation of the remnants of the hymenal ring.  This procedure is performed to make the patient appear virginal again.  This may be done for cultural, religious or social reasons.

To see before and after pictures click HERE

HPV VACCINATION


In 2005, the Center for Disease Control (CDC) estimated that 20 million people in the United States have the Human Papillomavirus (HPV) and that six million new cases occur every year.  Of this number, it is estimated that 74% of the new cases occur in 15-24 year olds.


To help protect against cervical cancer and genital warts caused by HPV, Lady's Care Center offers the Gardasil® HPV Vaccination for girls and women between the ages of 9-26.  The HPV Vaccination can protect against HPV virus 6, 11, 16 and 18.  This vaccine consists of three injections given over a period of six months.   

More about Gardasil®
More about Human Papillomavirus from the CDC

ABNORMAL PAP MANAGEMENT


There are many reasons why a pap smear may be read as abnormal.  Dr. Espinal will discuss any abnormal pap smear result in person and discuss all the different follow up options.  Options may include a repeat pap smear with or without HPV testing or a colposcopy.  (see colposcopy).  Dr. Espinal abides by the ASCCP guidelines.  For more information, visit www.asccp.org   

ULTRASOUND


Obstetric and pelvic ultrasounds are performed in the office by a certified ultrasound technician. The ultrasounds done by the technician are all read by a board certified radiologist.

hCG WEIGHT LOSS MANAGEMENT


Dr. Espinal has a weight loss/wellness program to suit the needs of most overweight or obese individuals. 

 

Consist of:

  • - Oral and injectable medications
  • - FDA Approved appetite suppresants
  • - Natural plant based appetite suppresant/fat burner
  • - hCG Weightloss Program


    THREE WEEKS FOR SIGNIFICANT FAT LOSS
    For those who are looking to lose those last stubborn 20 lbs, or require significant weight loss, Lady's Care Center offers a medically supervised hCG diet- proven successful for over fifty years- that specifically targets abnormal accumulations and fixed deposits of bodily fat. The hCG diet is a safe, effective, proven weight loss program for men and women that improves physique by achieving a healthy weight, proper lean body mass, eliminating excess fat and helping to define muscles and form.

    Resistant fat accumulations
    Those finding it difficult to lose body fat and maintain a healthy weight may be unable to burn the excessive accumulations and fixed deposits of abnormal, adipose fat often referred to as brown fat. Dieting and exercise usually causes the body to consume the structural and normal fat reserves but are inefficient in burning this accumulated abnormal fat often present on arms, thighs, and abdomen.


    Elimination of abnormal fat deposits
    Human Chorionic Gonadotropin, or hCG, combined with a low calorie diet and restriction of certain foods in a medically monitored weight loss program, has a tremendous effect on accumulated abnormal fat. The diet is a detoxification process that achieves significant fat loss without harmful chemicals. It utilizes injections of pharmaceutical compounds to metabolise fat that the body uses for required daily energy needs. This metabolic process melts the adipose, abnormal, brown fat usually resistant to any other form of dieting or exercise.


    Elimination of food cravings
    This diet also eliminates the brain’s craving, and what some may consider an actual addiction to sugars, carbohydrates and the urge for fat-dominated fast foods that contribute to weight gain and difficult weight loss.


    Alternative to fad diets and dangerous surgery

    There are approximately 119 million Americans who are overweight Many are shocked to be categorized as either dangerously unhealthy or even clinically obese by having an excess of 25 to 30 pounds. Often, health or life insurance may be denied as a result of being at such a condition that many consider as being  just overweight.  Most try the famous- often temporarily effective- diets with little or no results and have re-gained the fat loss. Some have even contemplated surgical procedures that leave them destined to be limited to restrictive diets for the rest of their lives.
     However, the hCG diet is safe and effective method to achieve significant weight loss and regain health. It should be the first choice-and only solution- for those seeking a significant change in their health  


    LOSE 20 TO 35 POUNDS IN 23 DAYS

    Our program is divided into cycles of 23 days wherein this advanced hCG diet may eliminate- in three weeks- up to thirty five pounds of fat. For those who are looking to remove 15-25 lbs of fat, they would participate in 1 cycle. For those patients looking to lose more than 30 lbs, they would benefit best from 2 cycles of 23 days per cycle.

    What to expect:

    • Lose 1-3 lbs per day
    • Increase your energy during the day
    • Burn the fat that is harmful to the body
    • Improve sleep
    • Look and feel better


    Material Provided:

    • Full Blood testing panel
    • Consultations with the physician throughout the program
    • Complete dietary information
    • Syringes
    • Medication
    • Injecting instructions

    Do’s and Don’ts – the protocol for success while on the program.


    Find out more about Obesity by reading Pounds & Inches by Dr. Simeons.


    Decreasing oxidative stress with choline and carnitine in women.


    Carnitine and choline supplementation with exercise alter carnitine profiles, biochemical markers of fat metabolism and serum leptin concentration in healthy women.


    Effects of L-carnitine on obesity, diabetes, and as an ergogenic aid.



    Please click the button below to receive a FREE Weight Loss Consultation.


    A year from now, you may wish you had started today!.

Bio-Identical Hormone Replacement Therapy (BHRT)



HORMONE REPLACEMENT THERAPY

Numerous scientific studies conclude that hormone replacement therapy results in significant improvement in hormone related symptoms, physical appearance, and psychological well-being. The Mayo Clinic, one of the most influential sources for research in modern medicine, recognizes that natural hormone replacement therapy is effective when used as a  routine part of medical care. In numerous reports, The Mayo Clinic states that it is specifically effective for the relief of menopausal symptoms, and in postmenopausal women, it is proven to   reduce  the risk of heart disease and other debilitating disorders that increase as the level of estrogen falls.  

For Men, the Mayo Clinic supports supplemental testosterone therapy for an  medical condition that leads to an unusual decline in testosterone. A low output of testosterone-defined as hypogonadism- is common in middle aged men undergoing the effects of a decline in male hormones, a condition called andropause.   According to the Mayo Clinic-as well as numerous medical societies-proper testosterone levels restored with replacement hormone therapy has been proven to be essential for cardiac protection; bone density;  muscle tone and strength; and sexual libido and performance, and is essential for male vitality.  

 
BIO-IDENTICAL HORMONE REPLACEMENT: SAFE AND EFFECTIVE
Advanced bio identical hormone replacement therapy (BHRT) is administered as part of the Lady's Care Center revolutionary age management health program. This revolutionary anti-aging therapy restores proper hormone balance by replacing depleted, insufficient hormones with natural and individualized hormones that are identical to those produced by the body. 

Natural bio-identical hormones have been manufactured for over seventy years, but it is only recently that the overwhelming therapeutic effects have been recognized and accepted. BHRT is proven safe and effective . The effectiveness of natural hormones-and their superiority over synthetic hormones-is unknown to most doctors, as almost everything taught in medical schools is the result of research financed or performed by the major pharmaceutical companies. As it is not possible to patent a natural, non-proprietary substance, such companies have no financial incentive to research, obtain approval, manufacture, and market natural hormones. 


CUSTOM FORMULATED BIO-IDENTICAL HORMONES
Lady's Care Center administers BHRT according to a specific protocol after thorough comprehensive diagnostic testing for each patient. Bio-identical hormones are formulated for each patient and are compounded, molecule-by-molecule, structure by structure to be the identical   hormones produced by the body, offering therapeutic advantages and minimizes potential risks.   Lady's Care Center bio-identical hormones are custom blended from FDA approved naturally-based powders prepared by pharmaceutical companies, such as Upjohn or Pfizer. Lady's Care Center custom formulated compounds are designed for each patient, prepared, and formulated by select, certified, compounding pharmacies. Precise dosage is determined to the patient’s unique hormonal requirements.

Lady's Care Center physicians monitor hormone levels during the therapy to insure that the patient has reached and maintains proper levels, adjusting the treatment when required.

Bio-Identical Hormone Replacement Therapy is scientific, evidence-based, synergistic and well-documented. It is the paradigm of health and longevity. There is up to an 80% improvement in our patients' vitality, physical and emotional health with Bio-Identical Hormone Therapy.

At Lady's Care Center, we will restore the hormonal balance to your body and optimize your quality of life by using Bio-Identical Hormones. They are biochemically structured to be identical to the hormones in the human body. Bio-Identical Hormones are not synthetic; therefore they do not contain unnatural and harmful substances which result in a multitude of side-effects. An important thing to remember is that one size does not fit all when it comes to hormones, they are like your fingerprints and in order to achieve optimal health, you need to know what your specific imbalances are. We specialize in extensive testing and evaluation to determine the imbalances specific to you.