Gynecology, fertility, hormones, in-office procedures and preventive testing — each approached with the most natural method that works. Affordable self-pay packages and financing options are available.
“If you care for the health of a woman, you care for the health of society.”
“Finding the right gynecologist isn’t easy. It really is like finding a good friend you can trust.”
We help women of all ages, from preventive care to more complex matters. Dr. Peña approaches each condition with the most natural methods for resolution.
“Age healthier and live happier.”
Many men and women begin to suffer in their 40s from depression and anxiety, insomnia, decreased libido, low energy and difficulty losing weight. Many are suddenly diagnosed with blood pressure and thyroid problems, diabetes and high cholesterol. Much of this is due to the loss of hormones that begins in our 30s — and the loss of these protective, balanced hormones increases breast cancer risk in women and prostate cancer risk in men.
There is a huge difference between synthetic and bio-identical hormones. Bio-identical hormones come from a natural plant source and bring back the protective balance we had before rapid aging begins. Estrogen and/or testosterone pellets are placed under the skin and last for months — no more daily creams, patches or shots. We cannot stop the hands of time, but we can age better.
If your cycle stopped before menopause, or you have more UTIs, depression or painful intercourse, you may have low estradiol.
Testosterone replacement for men
Women typically need a treatment every 3–4 months; men every 6 months. After your first treatment, blood work is done 6 weeks later to make sure levels are optimal. Sometimes a booster is needed between treatments.
Because the pellets are placed under the skin, avoid lower-body exercise for 3 days so they stay in place, and do not submerge in water for 3 days. You will receive full care instructions before and after each treatment.
A local anesthetic is used so you feel no discomfort during the procedure. Once it wears off you may feel slight discomfort, and a cold pack for a few hours helps.
Menopause is the natural process women go through once the ovaries stop producing estrogen, progesterone and testosterone. It is diagnosed after one year without a period. Symptoms can start while you still get your period — this transition is perimenopause, and it can begin as early as 35. Many women are only given medications to mask symptoms; Dr. Peña uses natural approaches to help you transition gracefully.
In perimenopause, Dr. Peña uses a wide variety of nutraceuticals to optimize your natural hormone production. Once you are fully in menopause, she offers natural plant-based hormone replacement — oral, topical or subdermal, depending on your preference and medical conditions. For a non-hormonal approach, MonaLisa Touch® and Votiva are available.
We understand how frustrating infertility can be. Dr. Peña’s approach is unique: she works with couples to find the cause of their infertility, not just bypass the problem.
Having some of these signs does not mean you may never get pregnant.
A true system for family planning, developed through research at Creighton University School of Medicine, that can be used both to achieve and to avoid pregnancy. Charting also reveals abnormal patterns that point to the underlying cause of many gynecologic conditions.
It starts with a consultation about your cycle and medical history. Dr. Peña then orders only what is medically necessary — such as trans-abdominal and trans-vaginal ultrasound, blood tests, hysteroscopy or a biopsy of the uterine lining — and always looks for the most natural treatment.
Non-hormonal, minimally invasive, no downtime.
MonaLisa Touch® is a fractional CO2 vaginal revitalization laser for women with vaginal dryness, burning, urinary incontinence and lack of hydration — symptoms of the drop in estrogen that comes with menopause or breastfeeding. It creates tiny, painless micro-lesions that stimulate new collagen, leaving tissue thicker, more toned and elastic. It also corrects vaginal pH, lowering the risk of infections, and improves urinary leakage.
A numbing anesthetic is applied beforehand; most patients feel only slight warmth. A soothing cream is applied afterward so you stay comfortable when the anesthetic wears off.
Three sessions, one every 5 weeks, each penetrating deeper. Most patients improve after the first or second; the third gives the longest effect. A yearly refresher is recommended.
You may have some redness and swelling; an ice pack for a few hours helps. Avoid sexual activity for 48 hours and do not submerge in water for 2 days.
Yes. Call the office for details.
Votiva is a non-hormonal, FDA-approved treatment for sexual dysfunction. It results in internal tightening of the vagina, improves the external appearance of the labia and increases moisture of the vaginal walls. It is a great alternative to surgical labiaplasty.
“It is not normal to leak urine. You don’t have to live with it.”
Urinary incontinence can start with leaking when you laugh or sneeze, progress to leaking with exercise, and worsen until you feel a bulge — the bladder prolapsing. The key is treatment at the earliest signs, and even preventively after delivering a baby. Treatment is a series of 30-minute sessions, which most insurances cover, proven to help women avoid unnecessary and often ineffective surgeries.
Please don’t feel embarrassed. Tell us about any urinary leakage or discomfort.
“Imaging without radiation.”
Advanced portable technology with highly detailed radiology interpretations, in the comfort of our office. Ultrasound evaluates symptoms such as pelvic pain and heavy periods, ovarian cysts and uterine masses, and is a great screening tool.
“Minimally invasive means minimal recovery and minimal risk.”
Many women develop benign pelvic masses that need to be removed. Where large fibroids and hysterectomies once required a large abdominal incision, today many procedures are done without any incision or through small incisions, with higher magnification and precision. Recovery is much shorter, and infections and complications are much less common.
For heavy bleeding not caused by masses, a 90-second endometrial ablation treats the uterine lining that could bleed over the next two years of cycles. Dr. Peña offers it in the office, without going to a surgical center — a great option for patients who bleed heavily due to hormonal imbalance and do not want hormones or major surgery.
The key is knowing all your options, with their pros and cons, so you can make the decision that is best for you.
“The majority of our chronic health conditions are caused by our lifestyle and, most specifically, our nutrition.”
Whether we lack nutrients or eat too many inflammatory foods, we change the makeup of our defenses and our cells cannot repair themselves. This generation has seen new diagnoses conventional medicine has struggled to explain, such as irritable bowel and chronic fatigue syndrome.
The body has the capacity to heal itself when we give it what it needs. Testing your genetics of absorption and using advanced patented technologies to assess your true nutritional profile is key to knowing what your body needs to heal.
Ask about being tested at your next appointment.
If you have taken an abortion pill or are thinking about it and need immediate help, call (877) 558-0333, available 24/7. You can also chat with a healthcare professional 24/7 on the Abortion Pill Reversal.
Yes. The sooner you get treatment, the better. Dr. Peña is a physician in the Abortion Pill Reversal Network.
Listen to Dr. Peña’s Spanish interview with Radio Paz · Read Katianna’s story
New and returning patients are welcome. Call the office or send a request and we will get back to you within one business day.
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