WHEN GYNECOLOGIC CARE REQUIRES A CLOSER LOOK.
Bloom provides comprehensive gynecologic care from adolescence through menopause and beyond.
Some concerns are straightforward. Others persist, recur, overlap with other medical issues, or become more complicated than they initially appeared. Dr. Sodhi’s approach is to understand the full clinical picture, determine what requires further evaluation, and develop a clear plan.
A problem may become more complex when symptoms continue despite treatment, testing is inconclusive, several conditions overlap, medical history limits treatment options, or different clinicians have offered different recommendations.
Prior records, imaging, treatments and relevant medical history are reviewed when useful so that the evaluation builds on what is already known.
Evaluation may include heavy or irregular bleeding, bleeding between periods, postmenopausal bleeding, fibroids, polyps, and abnormalities of the endometrium or uterine cavity.
The appropriate evaluation depends on age, symptoms, risk factors and previous testing and may involve imaging, endometrial sampling or direct evaluation of the uterine cavity.
Pelvic pain and ovarian or adnexal findings can have gynecologic and nongynecological causes.
Dr. Sodhi evaluates the clinical context to determine whether observation, additional imaging, medical treatment, procedural evaluation, surgery or another specialist’s input is appropriate.
Vulvar symptoms and pain with intercourse receive focused evaluation.
Care may include persistent itching, burning, irritation, vulvar pain, skin changes, lesions, recurrent symptoms, painful intercourse and symptoms that have continued despite previous treatment.
Evaluation may consider dermatologic, hormonal, infectious, structural and pelvic-floor causes, with biopsy or referral when appropriate.
Contraception is individualized to medical history, risk factors, bleeding preferences, lifestyle and reproductive goals.
Dr. Sodhi has particular experience in contraceptive counseling and risk stratification and participates in clinical contraceptive research.
Options may include hormonal and nonhormonal methods as well as long-acting reversible contraception, including IUDs and Nexplanon.
A second opinion may be useful when the diagnosis is uncertain, symptoms remain unexplained, treatment has not worked as expected, or surgery has been recommended.
Dr. Sodhi reviews the existing evaluation and helps clarify the diagnosis, available options and whether additional testing or intervention is warranted.
Some gynecologic concerns overlap with pelvic-floor dysfunction, gastrointestinal, urologic, musculoskeletal, endocrine, oncologic or other medical conditions.
When another clinician should be involved, Dr. Sodhi can help identify the appropriate expertise and coordinate that recommendation with the overall gynecologic plan.
The goal is to determine what is known, what still needs to be answered, and what should happen next.
That may mean treatment, additional evaluation, surveillance, referral, surgery—or no further intervention.