Obstetrics/Gynecology

 

Women’s Healthcare Experts in the Brainerd Lakes Area

As leaders in women’s healthcare, the Obstetrician/Gynecologists at Cuyuna Regional Medical Center are committed to providing superior obstetrical and gynecological care for the many stages of a woman’s life encouraging prevention, education and options.

 

Providing comprehensive evaluation, knowledge, and treatment to our patients is their passion. CRMC offers a dynamic combination of physician expertise, advanced technology, and a skilled, compassionate staff. Our comprehensive array of services ensures that you will receive the medical knowledge and support you need. Both providers and staff will take every opportunity to provide an exceptional experience that exceeds each patient’s expectations at every opportunity.

 



Obstetrics

Caring for a woman through her pregnancy and her baby’s birth is a very satisfying part of our practice. We encourage you to be a partner in your pregnancy care by communicating your thoughts and concerns so that together we can develop your individualized birth plan.

 

Our goal is to nurture your confidence in your ability to give birth as well as provide excellent medical care. We are proud to offer choices in childbirth preparation and care. We support a wide range of options from natural childbirth to the use of anesthesia, depending upon your preferences and labor situation. Cystic fibrosis and Down’s Syndrome screening is available. For your convenience, fetal monitoring, state-of -the-art ultrasound services and blood draw services are available in our office.


Our physicians coordinate and monitor the care of expectant women. We provide care through pregnancy, during childbirth and up to six weeks following birth. In addition to birth support, services include family planning and education. We welcome the opportunity to have a pre-conception visit to ensure that you are aware of actions you can take to optimize your health.

 

Your initial visit includes an extended review of your health history so that we may identify key points that will optimize your pregnancy. A physical exam and blood tests may be done. Throughout your pregnancy, routine tests will be performed. To make the process as simple as possible for you, blood tests, non-stress tests, and biophysical profiles can be performed conveniently at our clinic. Ultrasound studies are also done on-site in our Radiology Department. In addition to uncomplicated pregnancies, we care for women with high-risk pregnancies accompanied by medical complications.  

 

CRMC also offers the option of vaginal birth after cesarean delivery. Women who have had a previous cesarean delivery have two choices about to give birth again, they can have a scheduled cesarean deliver or give birth vaginally. A trial of labor after cesarean delivery (TOLAC) is the attempt to have a vaginal birth after cesarean delivery. Compared with a planned cesarean delivery, a successful TOLAC is associated with the following benefits: no abdominal surgery, shorter recovery period, lower risk of infection, and less blood loss.

 

For women who want to have more children, VBAC may help them avoid problems linked to multiple cesarean deliveries. These problems include hysterectomy, bowel or bladder injury, and certain problems with the placenta. With TOLAC, the risk of most concern is the possible rupture of the cesarean scar on the uterus or the uterus itself. Although a rupture of the uterus is rare, it is very serious and may harm both you and your baby. If you are at high risk of rupture of the uterus, TOLAC should not be tried.

 

When it comes time for your delivery, we believe that the care and facilities at CRMC’s Birthing Center are ideal.

 

The CRMC Birthing Center provides an intimate, home-like and family friendly setting with private rooms so that the place you have your baby is the place you remain. A complete range of delivery options and services are offered so mothers can welcome their new addition in a way that best suits them and their family. You will not be shuffled from one room to another. A well trained staff and 24-hour anesthesia services complete the picture.

 



Gynecology

Our providers provide health care for the entire spectrum of women’s health issues, from preventative care to diagnosis and treatment of more complex gynecological problems. Some gynecological services provided are: contraception, breast exams, annual exams, infertility treatment and surgery, laparoscopic surgery and management of menopausal issues. We are willing to discuss all the post-menopausal hormone replacement options.

 
Annual Exams

Annual exams are recommended for all women. Pap smears are performed on any women who is sexually active or over the age of 21. A breast exam is part of the annual exam. We encourage monthly self-breast exams and are happy to teach patients how to do this properly. In women over the age of 40 or at high risk for breast cancer, we refer for screening mammograms.

 

Minimally Invasive Surgery
The OB/GYNs at CRMC are also surgeon who provide various procedures for pelvic floor disorders, chronic pelvic pain, fecal and urinary incontinence, pain with intercourse, reconstructive surgery, infertility and polycystic ovary syndrome treatment. These specialists also provide minimally invasive options for bleeding such as endometrial ablation and laparoscopic hysterectomy.  

 

Gynecological Problems
Women suffering from vulvar disease, sexual dysfunction, painful sex, bowel problems including bowel incontinence, painful bladder syndrome, infertility and many other gynecologic problems can receive relief with a variety of treatment options.

 

Colposcopy/LEEP
In the case of an abnormal paps smear, we often need to perform a colposcopy. This is a more in-depth exam of the cervix during which we may take biopsies of abnormal areas on cervix. This can be done in our office and does not require anesthesia. In some cases, a LEEP procedure may be required to remove high grade or persistently abnormal cells on the cervix. This is done in the office under local anesthetic. It can also be done in the operating room under general anesthesia.

 

Biopsies
Uterine biopsies may be indicated for various forms of irregular bleeding or ultrasound abnormalities of the uterus. This is an office procedure requiring no anesthesia. Biopsies of the vulvar or vaginal areas can be done under local anesthesia of indicated.

 

Birth Control
Our Women’s Health Nurse Practitioner is happy to provide counseling for the growing variety of birth control options. We offer several hormonal contraceptive options including birth control pills, extended use pills, the patch, the NuvaRing, Depo Provera shots, bioidentical hormones and natural family planning. We also perform diaphragm fittings and IUD insertion and removal. We also offer sterilization procedures.

 

Menopause
Menopause is defined as occurring 12 months after your last menstrual period and marks the end of menstrual cycles. It can happen in your 40s or 50s, but the average age for menopause in the U.S. is 51. Symptoms of menopause can include hot flashes, night sweats, mood swings, vaginal dryness, and/or anxiety, although some women can go through menopause without any symptoms at all. If you are struggling with menopausal symptoms, speak with the specialists at CRMC; they can offer several options for treatment, including hormonal and non-hormonal therapies.

 

STD Screening and Treatment
We offer counseling and screening for a variety of sexually transmitted diseases. We can prescribe treatment for most STD’s and we perform office cryotherapy for genital warts.

 

Urinary Incontinence
Urinary incontinence is a common and often embarrassing problem. The severity of urinary incontinence ranges from occasionally leaking urine when you cough or sneeze to having an urge to urinate that's so sudden and strong you cannot get to a toilet in time. Our clinic offers evaluation/diagnosis; pelvic exam, urodynamic evaluation (e.g., stress test); lab tests:  urinalysis, urine culture, vaginal culture, wet mounts; and behavioral programs. Treatment options include medical (anti-cholinergics, topical estrogens); biofeedback and electrical stimulation; surgical options; sling procedure; and bulking agents. If urinary incontinence affects your day–to–day activities, don't hesitate to see your doctor. In most cases, simple lifestyle changes or medical treatment can ease your discomfort or stop urinary incontinence.

 

Pelvic Prolapse 
Pelvic organ prolapse occurs when one or more pelvic organs—the uterus, bladder or rectum—moves out of place and bulges into the vagina. It typically results from trauma sustained during labor or weakness in the connective tissue supporting the pelvic structure. It is more common in women who have had more than one baby and in postmenopausal women. Key risk factors include: aging, pelvic surgery (hysterectomy), menopause, multiple vaginal births, obesity, chronic constipation, coughing or heavy lifting, uterine fibroids, and family history. Our clinic offers the following services for pelvic prolapse: evaluation/diagnosis; pelvic exam; neurologic assessment; urodynamic evaluation (if incontinence is present); and lab tests: urinalysis, urine culture, wert mounts. Treatment options include physiotherapy (pelvic floor exercises, vaginal cones); hormone replacement therapy (e.g., local estrogens); vaginal pessaries; and the surgical options of anterior/posterior repairs, vaginal hysterectomy, and vaginal vault suspension.

 



Appointments

218-546-7462

888-420-2778

 

Appointments may be scheduled during routine office hours between 8 a.m. and 5 p.m. If you wish to speak to a nurse or one of our providers, our receptionists will take your name and telephone number for the call to be returned. We try to return your calls as quickly as possible and will make every effort to return your call before the close of the business day. If your call is an emergency, please make sure our receptionist is aware of this fact.

 

 

 

Michael T. Cady,

MD, FACOG

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Rachel S. Cady,
MD, FACOG

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Christine Kramer,
MD

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Marie Nelson,

MD

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Donna Claypool,
WHNP

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  • Minneapolis Heart Institute®
  • Minnesota Reflux and Heartburn Center
  • Minnesota Institute for Minimally Invasive Surgery
  • Cuyuna Regional Medical Center
  • Minnesota Center for Orthopaedics
  • Minnesota Center for Obstetrics & Gynecology
 
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