Annual Exams


Dr. Powell is trained and experienced in treating a wide variety of gynecologic conditions. He serves women of all ages to help them through puberty, pregnancy, menopause and anything in between. Dr. Powell provides gentle care for each patient’s individual condition, as well as regular well-woman care and comprehensive diagnostic tests. Dr. Powell also specializes in many minimally invasive surgical procedures that utilize the latest technology in combination with his experience and knowledge.

Some of the gynecologic services provided include:

Annual Exams

Annual pelvic exams and Pap smears are used to monitor your gynecologic health and screen for infection, cancer or any other abnormalities. Early detection is important in effectively treating many conditions. A yearly pelvic exam is recommended for all women who are sexually active or over the age of 18. It is one of the most important steps you can take to preserve reproductive health.

Abnormal Pap Smears

A Pap smear is a routine screening test that is highly recommended for all adult women and sexually active adolescents. It allows Dr. Powell to examine cells from the cervix for any changes or problems. Abnormal Pap smear results can indicate changes that may or may not be serious such as benign lesions, HPV or cervical cancer. Dr. Powell provides treatment specific to the type and severity of the abnormal cells.

Urinary Incontinence Treatment

Urinary incontinence means the accidental release of urine. It is not a harmful condition but for some women is quite disabling. Although it can be embarrassing to talk about, it is one of the most common problems Dr. Powell treats. An in-office computer-assisted evaluation is frequently useful to determine the cause of the problem. Depending on the type and severity of the condition, treatment for incontinence may include Kegel exercises, bladder training, medication or surgery.

An excellent solution for many women is a TVT or urethral sling which can be performed as an out-patient procedure. It is highly effective to restore bladder control and allow resumption of your active life.

Pelvic Relaxation Treatment

Pelvic relaxation is the weakening of the pelvic floor muscles and ligaments that often occurs after childbirth. Other factors such as aging, constipation, chronic cough and obesity may also increase the risk of this condition and lead to bladder control problems, urinary tract infections and pressure in the vaginal area. Pelvic relaxation can be treated through pelvic floor exercises, insertion of a support device called a pessary, reparative surgery or hysterectomy.

In the past, techniques to surgically repair vaginal relaxation had a relatively high failure rate. Dr. Powell uses recently developed mesh “hammocks” to dramatically improve the durability and effectiveness of these repairs, as well as restoring normal sexual function.

Endometriosis Treatment

Severe menstrual cramps, pelvic pain or infertility are frequently caused by a condition caused endometriosis. For the 5 to 10 million women who suffer with this disease, it can cause havoc with their lives. It is an enigmatic disease which can be difficult to diagnose and to cure. Endometriosis may respond well to medications such as anti-inflammatory drugs or hormones. More severe cases may require out-patient surgery, which can be highly affective to remove endometriosis lesions.

Dr. Powell is highly skilled in its management and treatment of endometriosis.

Uterine Fibroids Treatment

Uterine fibroids, also known as myomas, are noncancerous tumors that grow on the uterine walls and may cause heavy bleeding, enlargement of the abdomen and lower back pain. They typically occur in women in their 30s through 50s, although the cause is unknown. Not all fibroids require treatment. Some cases of uterine fibroids can be treated through medication, while others may require surgery. Surgical treatments may include a myomectomy to remove the fibroids or a hysterectomy to remove the uterus.


Hysterectomy is the surgical removal of the uterus that can be an effective solution for a variety of female problems. It is a very common procedure that is done either through the abdomen or vagina. A hysterectomy can remove part or the entire uterus and may also remove the ovaries and fallopian tubes. Hysterectomies are typically performed to treat cervical or ovarian cancer, endometriosis, tumors or other gynecologic conditions. The surgery usually requires a 2-3 day hospital stay and full recovery takes 2 weeks to 2 months.

Although a hysterectomy may be appropriate for many conditions, it may not be your only option. Dr. Powell can help you decide if this procedure is the best solution for your problem.