Conditions and Services

Below you'll find a list of services and common conditions Cook Children's Pediatric and Adolescent Gynecology can assist patients with.

Services offered

Initial reproductive health visit

The initial visit will depend on the patient's concerns, medical history, physical and emotional development and the reason for their referral. During this visit it is our priority to make the patient feel comfortable and to establish a good relationship. Telehealth visits are available.

Contraception counseling and initiation

Discussions should address contraceptive needs, expectations, and concerns the patient may have. Dr. Combs will work to identify the best option for the patient based on their health history.

LGBTQ+ health care

There are diverse needs of the LGBTQ+ community in health care, but also for these individuals to feel safe with their providers. Dr. Combs offers a welcoming environment.

Menstrual regulation or suppression

For some patients, menstruation can present significant challenges. If, after an evaluation, the patient, her family and Dr. Combs have decided that menstrual intervention is warranted, the advantages and disadvantages of hormonal methods should be reviewed and individualized to each patient's specific needs.

Sexually transmitted disease (STD) testing

Our team is here to assist with STD testing for our patients. Patient's medical records and results are private and kept completely confidential.

We provide surgical management for conditions such as:

• Ovarian masses
• Ovarian torsion
• Vulvar trauma
• Hymenal abnormalities
• Congenital anomalies of the reproductive tract

Conditions treated

• Abnormal development
• Amenorrhea
• Androgen insensitivity syndrome (AIS)
• Bartholin gland cyst
• Breast pathology
• Chlamydia
• Condyloma (genital warts)
• Congenital anomalies (vaginal, uterine, ovarian)
• Dysmenorrhea (severe menstrual cramps)
• Endometriosis
• Fallopian tube cysts (paratubal cysts)
• Female genital mutilation (FGM)
• Female genital trauma
• Gonorrhea
• Heavy, irregular and painful menses (periods)
• Hirsutism
• Human papillomavirus (HPV)
• Hymen variations
• Imperforate hymen
• Labial adhesions
• Labial hypertrophy
• Lichen sclerosus (LS)
• Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome
• Menstrual issues
• Mood changes with menstrual cycles
• Ovarian cysts
• Painful periods
• Pelvic inflammatory disease (PID)
• Pelvic pain, masses and tumors
• Period abnormalities
• Polycystic ovary syndrome (PCOS)
• Prepubertal vaginal bleeding
• Premature adrenarche (PA)
• Premature thelarche
• Premenstrual syndrome (PMS)
• Primary ovarian insufficiency (POI)
• Puberty problems
• Torsion of the ovary and fallopian tube
• Trichomoniasis
• Turner syndrome
• Vaginal complaints
• Vaginal foreign body
• Vaginal infections
• Vulvar skin conditions or masses
• Vulvovaginitis
• Yeast infection