Urogynecology is the study and treatment of pelvic floor disorders in women, including bladder control problems and vaginal and bladder prolapse which affect more than half of all women. Drs. Brown, Pearson and Guepet have pursued significant additional training in this OB/GYN subspecialty. In fact, they have been National Preceptors (clinical educators teaching physicians from around the country) for several minimally invasive procedures that address the most common urogynecology conditions. The doctors are recognized regional surgeons in TVT for stress urinary incontinence; InterStim for overactive bladder; and Prolapse Repair for pelvic organ prolapse.


Urinary incontinence can be a complex problem with multiple causes and factors influencing it. Getting the right treatment for your bladder problem starts with having the right test: a Urodynamics Study. Urodynamics is a series of tests designed to identify the cause of problems such as urine leaking, difficulty emptying the bladder, frequent urination and urgent urination. The entire study takes 30-45 minutes to complete and is done in our office. Our affiliation with the Bladder Health Network, nationally recognized specialists in the analysis of urodynamics data, ensures an accurate diagnosis for you. From there, our doctors can determine the best course of treatment for you.


At Brown, Pearson, and Guepet 3D ultrasound helps us examine your pelvic organs more closely to diagnose any abnormalities. For your convenience, our advanced ultrasound technology is located in our office. A 3D ultrasound exam takes thousands of images at once. These are stored and shaded to make a 3D image, which looks more lifelike.

An ultrasound exam can help us:

  • Identify a pelvic mass
  • Find causes of pelvic pain
  • Find causes of abnormal bleeding or other menstrual problems
  • Find the position of an intrauterine device (IUD)
  • Diagnose and treat infertility

Saline Infused Sonography

Saline infused sonography, also known as sonohysterography, is a special ultrasound technique used to provide pictures of the inside of a woman’s uterus. It is a valuable technique for evaluating unexplained vaginal bleeding that may be the result of uterine abnormalities such as:

  • Polyps
  • Fibroids
  • Atrophy
  • Adhesions (or scarring)
  • Masses
  • Congenital defects
  • Our doctors also employ saline infused sonography to investigate uterine abnormalities in women who experience infertility or multiple miscarriages. We’re pleased to offer these sophisticated diagnostic services in our office for your convenience.

Gardasil Injections

Gardasil® is recommended for all girls and women who are between ages nine and 26 years. Cervarix® is recommended for girls and women of any age. With both vaccines, you will have the greatest protection from HPV if you are vaccinated BEFORE becoming sexually active. The vaccine does not help to get rid of HPV infection after it has occurred. However, if you are less than 26 years old and you have been sexually active, had genital warts, a positive HPV test, or an abnormal Pap smear, you may still obtain some benefit from the HPV vaccine. Gardasil® is not recommended for women over 26 years old because most women have already been exposed to the HPV virus by this age. Cervarix® is available to girls and women of any age.

Gardasil® is given by injection and requires three doses; the first injection is followed by a second and third dose two and six months later, respectively.

Cervarix® is also given by injection and requires three doses, although the schedule is slightly different than with Gardasil®; the first injection is followed by a second and third dose one and six months later, respectively.

It is not clear if the vaccine is effective if fewer than three doses are given. If you miss a dose, talk to your provider about how many more doses you need.

Clinical trials show that HPV vaccines provide protection for at least five years.
You do not need to have a pelvic exam or test for cervical cancer (e.g., Pap smear) before you have the HPV vaccine. Cervical cancer screening (Pap smear) is recommended, starting by age 21 or within three years of having sex for the first time. Getting the HPV vaccine does not mean that you can skip cervical cancer screening in the future. Other types of HPV, which are not prevented by the vaccine, can also cause cervical cancer.
The HPV vaccine may cause mild redness, tenderness, or swelling near the injection site. There is no thimerosal (a mercury derivative used as a preservative) in the HPV vaccine. There may be an increased risk of passing out or developing blood clots after an injection of Gardasil®. However, there are no known long-term side effects of the HPV vaccine.
Results from vaccine studies show that the HPV vaccine is very effective in preventing HPV infections and cervical pre-cancers caused by HPV.

In the United States and elsewhere, the HPV vaccine is now available for boys and young men age 9 to 26 years. The benefits of the vaccine for men are that it might reduce the risk of developing genital warts and spreading HPV to sexual partners.


Botulinum toxin, or Botox, is a natural, purified protein that is used to temporarily relax facial muscles that cause lines and wrinkles. Dr. Christy Guepet is our Botox specialist and offers consultations to discuss if Botox is right for you. Most Botox patients may notice results in 36-48 hours after treatment.

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