Gynecology

Your gynecologic needs can change throughout adolescence, adulthood, pregnancy, and menopause. Creekside OB/GYN of Folsom provides preventive care, diagnostic evaluations, and personalized treatment for a broad range of women’s health concerns.

Creekside OB/GYN welcomes pregnancy patients from El Dorado Hills, Rancho Cordova, Fair Oaks, Carmichael, Granite Bay, Cameron Park, and other communities throughout Sacramento and El Dorado counties.

Whether you need a routine wellness exam, contraception counseling, help with painful or irregular periods, treatment for pelvic pain, or support during menopause, Creekside OB/GYN takes time to understand your symptoms and health goals.

Comprehensive Gynecology Care

Gynecology focuses on the health of the reproductive system, including the uterus, ovaries, fallopian tubes, cervix, vagina, and related hormonal, urinary, menstrual, and sexual-health concerns.

Creekside OB/GYN provides care for needs such as:

• Annual women’s wellness exams
• Pelvic examinations
• Pap and HPV screening
• Sexually transmitted infection testing
• Contraception counseling
• Irregular periods
• Heavy menstrual bleeding
• Painful menstrual cramps
• Pelvic pain
• Pain during sex
• Vaginal dryness or irritation
• PCOS
• Endometriosis
• Uterine fibroids
• Ovarian cysts
• Infertility
• Urinary incontinence
• Perimenopause
• Menopause
• Adolescent gynecology
• Minimally invasive gynecologic surgery

Creekside’s current gynecology page describes preventive screening, in-office testing, contraception guidance, menopause care, and evaluation of symptoms such as pelvic pain, heavy periods, urinary leakage, irregular cycles, vaginal irritation, and infertility.

What Happens at a Gynecology Appointment?

Your visit begins with a conversation about your health. Your provider may ask about:

• Menstrual cycles
• Current symptoms
• Previous gynecologic conditions
• Sexual health
• Pregnancy history
• Family medical history
• Medications
• Contraception
• Fertility goals
• Menopause symptoms

Depending on your age, history, symptoms, and reason for visiting, your evaluation may include:

• General physical examination
• Breast examination
• Pelvic examination
• Pap testing
• HPV screening
• STI testing
• Pregnancy testing
• Bloodwork
• Hormone testing
• Urinalysis
• Pelvic ultrasound
• Hysteroscopy
• Biopsy

Not every patient needs every examination or test. Your provider should explain what is recommended and give you an opportunity to ask questions.

Annual Women’s Wellness Exams

Routine gynecology visits are an important part of preventive health care, even when you are not experiencing symptoms.

A wellness exam may include:

• Review of menstrual and reproductive health
• Cervical-cancer screening when appropriate
• Breast-health assessment
• Contraception counseling
• STI prevention and testing
• HPV vaccination guidance
• Discussion of fertility goals
• Menopause planning
• Review of personal and family risk factors

The timing of Pap tests and other screenings depends on age, medical history, previous results, and individual risk factors.

Irregular and Heavy Periods

Periods that are unpredictable, prolonged, painful, or unusually heavy may be caused by a hormonal condition or structural problem.

Possible causes include:

• PCOS
• Uterine fibroids
• Endometriosis
• Uterine polyps
• Certain medications
• An intrauterine device
• Pregnancy-related concerns
• Less commonly, precancerous or cancerous changes

Evaluation may include a medical-history review, examination, bloodwork, ultrasound, Pap test, hysteroscopy, or biopsy.

Depending on the cause, Creekside lists treatments such as birth-control pills, an IUD, Nexplanon®, anti-inflammatory medication, hormone therapy, NovaSure® endometrial ablation, dilation and curettage, robotic surgery, or hysterectomy. The appropriate treatment depends on the diagnosis and the patient’s health and reproductive goals.

Pelvic Pain

Pelvic pain may be constant or intermittent. It may feel sharp, aching, cramping, or like pressure. Pain may worsen during menstruation, intercourse, urination, exercise, or certain movements.

Potential gynecologic causes include:

• Endometriosis
• Ovarian cysts
• Fibroids
• Pelvic inflammatory disease
• Menstrual cramping
• Pelvic floor dysfunction
• Pelvic organ prolapse
• Pregnancy-related conditions

Your provider will work to identify the underlying source rather than treating pain without understanding its cause. Evaluation may include a pelvic examination, ultrasound, bloodwork, or other diagnostic testing.

PCOS Diagnosis and Treatment

Polycystic ovary syndrome is a hormonal condition that can affect menstrual cycles, ovulation, fertility, skin, hair, metabolism, and weight.

Symptoms may include:

• Irregular or missed periods
• Difficulty becoming pregnant
• Acne
• Oily skin
• Weight gain
• Increased facial or body hair
• Thinning scalp hair
• Darkened skin patches
• Ovarian cysts

Creekside’s published PCOS treatments include nutrition and exercise changes, weight-management support, hormonal contraception, progestin therapy, insulin-sensitizing medication, anti-androgen medication, and fertility support. Treatment is personalized based on symptoms and pregnancy goals.

Endometriosis Care

Endometriosis can cause:

• Severe menstrual cramps
• Chronic pelvic pain
• Heavy bleeding
• Bleeding between periods
• Pain during sex
• Difficulty becoming pregnant

Evaluation may include a history review, pelvic examination, and minimally invasive laparoscopy when appropriate.

Creekside lists anti-inflammatory or prescription medication, hormone therapy, and da Vinci robotic surgery among its endometriosis treatment options. Surgical treatment may be considered when symptoms remain severe despite nonsurgical care.

Uterine Fibroid Treatment

Fibroids are noncancerous growths that develop in or around the uterus. Some cause no symptoms, while others may lead to:

• Heavy periods
• Longer periods
• Pelvic pressure or pain
• Pain during sex
• Frequent urination
• Constipation
• Bleeding between periods
• Fertility concerns

Fibroids that are not causing problems may only need monitoring. Creekside identifies hormonal medication, ibuprofen, tranexamic acid, uterine artery embolization, radiofrequency ablation, and da Vinci fibroid surgery among potential treatment options.

Contraception and Family Planning

Your ideal birth-control method depends on your medical history, preferences, lifestyle, comfort level, and plans for pregnancy.

Creekside OB/GYN offers counseling about options such as:

• Birth-control pills
• Vaginal rings
• Injections
• Barrier methods
• Intrauterine devices
• Nexplanon implants
• Permanent contraception

Your provider can explain how each method works, its potential advantages and side effects, and whether it fits your current and future family-planning goals.

Infertility Evaluation

Consider speaking with a gynecology provider if you have difficulty becoming pregnant, irregular ovulation, or a known condition that could affect fertility.

An initial evaluation may include:

• Medical and reproductive history
• Menstrual-cycle review
• Pelvic examination
• Ultrasound
• Hormone testing
• Ovulation assessment
• Evaluation for PCOS
• Evaluation for fibroids or endometriosis

Treatment depends on the suspected cause and may include medication, management of an underlying gynecologic condition, minimally invasive surgery, or referral for additional reproductive services.

Perimenopause and Menopause Care

Hormonal changes before and during menopause may cause:

• Hot flashes
• Night sweats
• Irregular periods
• Vaginal dryness
• Pain during sex
• Sleep problems
• Mood changes
• Brain fog
• Decreased libido

Your provider reviews your symptoms, medical history, and treatment goals. Care may include lifestyle recommendations, nonhormonal treatment, or hormone therapy when medically appropriate.

Continued gynecologic exams, preventive screening, and attention to bone and cardiovascular health remain important after menopause.

Urinary Incontinence

Urinary leakage may occur during coughing, sneezing, laughing, lifting, or exercise. Other patients experience a sudden and difficult-to-control urge to urinate.

Pregnancy, childbirth, menopause, pelvic floor weakness, and other health conditions can contribute to incontinence.

Treatment may begin with:

• Pelvic floor exercises
• Bladder training
• Fluid-management changes
• Lifestyle modifications

Medication or surgical treatment may be considered when conservative care does not adequately control symptoms.

Adolescent Gynecology

Creekside OB/GYN provides supportive care for adolescents with concerns such as:

• Painful periods
• Heavy or irregular bleeding
• Pelvic pain
• Contraception
• STI questions
• HPV vaccination
• Reproductive-health education

Visits are designed to provide a safe setting for young patients to ask questions and learn about their health.

Minimally Invasive Gynecologic Surgery

Surgery may be considered when medication or other nonsurgical care does not provide sufficient relief.

Conditions that may require surgical evaluation include:

• Fibroids
• Endometriosis
• Ovarian cysts
• Abnormal uterine bleeding
• Chronic pelvic pain
• Pelvic organ prolapse

Dr. Timothy Phelan is trained in da Vinci robotic-assisted surgery and was the first physician to perform a da Vinci robotic procedure at Mercy Hospital of Folsom.

Meet the Creekside OB/GYN Providers

Timothy Phelan, MD, FACOG

Dr. Phelan is a board-certified obstetrician-gynecologist and Fellow of the American College of Obstetricians and Gynecologists. He founded Creekside OB/GYN of Folsom in 1999 and provides women’s health care from adolescence through menopause.

His background includes preventive gynecology, obstetric care, treatment of complex gynecologic conditions, and minimally invasive robotic surgery.

Mandi O’Brien, MSN, FNP-BC

Mandi O’Brien is a board-certified family nurse practitioner with more than a decade of experience. She earned her undergraduate and graduate nursing degrees from the University of Pennsylvania.

Her approach emphasizes personalized, empathetic, and holistic women’s health care.

Haley Texley, DNP, FNP-C

Haley Texley is a family nurse practitioner with more than a decade of experience in women’s health. She earned her master’s and doctoral nursing degrees from Samuel Merritt University.

Her clinical philosophy emphasizes trauma-informed care, patient education, and inclusive care. She speaks English and Spanish.

Gynecologist Near Folsom and Surrounding Communities

Creekside OB/GYN has one office in Folsom and welcomes patients from nearby Sacramento, Placer, and El Dorado County communities.

Gynecologist Near El Dorado Hills and Cameron Park

Patients searching for a gynecologist near El Dorado Hills or Cameron Park can visit Creekside OB/GYN in Folsom for wellness exams, contraception, menstrual concerns, fertility evaluations, menopause care, and treatment of gynecologic conditions.

Gynecologist Near Rancho Cordova

Patients from Rancho Cordova can establish ongoing gynecology care at Creekside OB/GYN’s Folsom office. The team provides preventive examinations as well as evaluation of pelvic pain, abnormal bleeding, PCOS, endometriosis, fibroids, infertility, and urinary leakage.

Gynecologist Near Fair Oaks and Carmichael

Creekside OB/GYN welcomes Fair Oaks and Carmichael patients seeking individualized women’s health care. Patients can visit for routine preventive services or for symptoms that interfere with comfort, sexual health, fertility, work, exercise, or daily activities.

Gynecologist Near Granite Bay

Patients looking for gynecology care near Granite Bay can schedule an appointment in Folsom for wellness exams, birth control, menstrual conditions, menopause symptoms, pelvic pain, or surgical consultation.

Gynecology FAQs

Where can I find a gynecologist near El Dorado Hills?

Creekside OB/GYN provides gynecology services at its office in Folsom and welcomes patients from El Dorado Hills. Services include preventive exams, contraception, menstrual care, fertility evaluation, menopause care, and treatment for gynecologic conditions.

Does Creekside OB/GYN accept gynecology patients from Rancho Cordova?

Yes. Patients from Rancho Cordova can schedule annual exams, diagnostic evaluations, contraception appointments, and other gynecology services at the Folsom office.

Can patients from Granite Bay visit Creekside OB/GYN?

Yes. Creekside OB/GYN welcomes patients from Granite Bay, Fair Oaks, Carmichael, and other nearby communities. The practice’s only office is located in Folsom.

When should I schedule a gynecology appointment?

Schedule an appointment for preventive care or when you experience pelvic pain, irregular or heavy bleeding, painful periods, vaginal irritation, pain during sex, urinary leakage, fertility concerns, or menopause symptoms.

Does Creekside OB/GYN offer gynecologic surgery?

The practice provides minimally invasive treatment and da Vinci robotic-assisted gynecologic surgery for appropriate conditions. Your provider will determine whether nonsurgical treatment or a surgical consultation is most appropriate.

Schedule a Gynecology Appointment in Folsom

Creekside OB/GYN provides gynecology care for patients from Folsom, El Dorado Hills, Rancho Cordova, Fair Oaks, Carmichael, Granite Bay, Cameron Park, and surrounding communities.

Call 916-984-7428 or use the online scheduling feature to request an appointment.

Creekside OB/GYN of Folsom
1621 Creekside Drive, Suite 102
Folsom, CA 95630