Specialized Conditions

Common Questions and Answers: What symptoms require a gynecologic problem visit? Symptoms like heavy or irregular bleeding, pelvic pain, unusual discharge, or painful intercourse should prompt a visit. What should I expect during the appointment? Your doctor will take a detailed medical history, perform a physical exam, and may recommend additional tests, such as blood work or imaging, to diagnose the issue. Can gynecologic problems affect fertility? Some conditions, like fibroids, endometriosis, or infections, can impact fertility. Early diagnosis and treatment are key to preserving reproductive health.

Common Questions and Answers: How do I know if I have a gynecologic infection? Symptoms may include unusual discharge, itching, burning during urination, or pelvic discomfort. If you notice these, schedule an evaluation. Are gynecologic infections serious? While many infections are easily treatable, untreated infections can lead to complications like pelvic inflammatory disease (PID) or infertility. How can I prevent gynecologic infections? Preventative measures include practicing good hygiene, using condoms during sexual activity, and avoiding douching, which can disrupt natural vaginal flora.

Common Questions and Answers: What should I expect during my well-woman visit? You can expect a physical exam, a review of your medical history, and screenings appropriate for your age and health. You may also receive vaccinations or counseling on lifestyle changes, such as diet and exercise. How often should I schedule my well-woman visit? It’s typically recommended to have a well-woman visit annually, but the frequency may vary depending on your health needs and any specific conditions. Will I need any special screenings based on my age or family history? Yes, additional screenings such as mammograms, Pap smears, and blood tests may be recommended based on your age, family history, and other risk factors.

Common Questions and Answers: When is an ultrasound necessary? An ultrasound may be recommended to investigate symptoms such as pelvic pain, abnormal bleeding, irregular cycles, or fertility issues. It is also routinely used during pregnancy to monitor fetal development. What is the difference between transabdominal and transvaginal ultrasounds? Transabdominal ultrasounds involve placing a probe on the abdomen and are typically used for broader views. Transvaginal ultrasounds involve inserting a probe into the vagina and provide more detailed images of the uterus and ovaries. Is an ultrasound painful? Ultrasounds are generally painless. A transvaginal ultrasound may cause slight discomfort during probe insertion, but most patients find the procedure tolerable. Do I need to prepare for an ultrasound? For a transabdominal ultrasound, you may be asked to drink water beforehand to fill your bladder, which improves image clarity. For a transvaginal ultrasound, no preparation is usually needed. What can an ultrasound detect? Ultrasounds can detect ovarian cysts, uterine fibroids, ectopic pregnancies, endometrial thickness, polyps, abnormal growths, and other reproductive health concerns. They are also useful for monitoring treatment progress and guiding procedures. How long does an ultrasound take? Most ultrasounds take about 20–30 minutes. Your doctor will review the images and discuss the findings with you during or after the procedure.

Common Questions and Answers: What’s the difference between PMS and PMDD? PMS (premenstrual syndrome) involves mild to moderate symptoms, such as mood swings, bloating, and irritability. PMDD (premenstrual dysphoric disorder) is a severe form of PMS with intense mood swings, depression, and anxiety that can significantly affect daily life. How can I manage mood swings related to my menstrual cycle? Management options include lifestyle changes like exercise and diet, medications such as antidepressants or hormonal treatments, and cognitive-behavioral therapy (CBT) to help manage symptoms. Are there any medications that can help with menstrual mood disorders? Yes, medications such as antidepressants, birth control pills, or hormonal therapy can help regulate mood swings and reduce the severity of symptoms associated with menstrual mood disorders.

Common Questions and Answers: What is considered an irregular cycle? Menstrual cycles are typically 21–35 days long. A cycle is considered irregular if it consistently falls outside this range or varies significantly in length, flow, or symptoms. What causes irregular cycles? Irregular cycles can result from hormonal imbalances, stress, rapid weight gain or loss, PCOS, thyroid disorders, perimenopause, or other medical conditions. Tracking your cycle can help identify patterns to discuss with your doctor. How are irregular cycles diagnosed? Diagnosis begins with a thorough medical history and physical exam. Your doctor may recommend blood tests to check hormone levels or imaging, such as pelvic ultrasounds, to evaluate your reproductive organs. What treatments are available for irregular cycles? Treatment depends on the cause. Hormonal therapies like birth control pills can regulate cycles, while lifestyle changes, such as stress management, weight control, and dietary adjustments, may help. Addressing underlying conditions like PCOS or thyroid issues is also crucial. Can irregular cycles affect fertility? Yes, irregular cycles can make it harder to predict ovulation, which may affect fertility. However, many women with irregular cycles can still conceive with proper treatment and ovulation-tracking support.

Common Questions and Answers: What birth control options are available? There are many options, including birth control pills, intrauterine devices (IUDs), implants, condoms, patches, and fertility awareness methods - as well as hormone free options. Your doctor can help you find the best option based on your health needs and lifestyle. How do I know which contraception method is right for me? Your healthcare provider will discuss factors such as your health history, lifestyle, frequency of intercourse, and future family planning goals to determine the most suitable method. Can I switch methods if I’m not happy with my current one? Yes, you can switch contraception methods if you’re not satisfied with your current one. Talk to your provider about alternative options that may be a better fit for your needs.

Common Questions and Answers: Is a colposcopy painful? Colposcopy is generally not painful, though you may experience some discomfort, such as mild cramping or pressure during the procedure. It’s typically well-tolerated. How soon will I know the results of a colposcopy? Results from a colposcopy may take a few days to a week, depending on whether a biopsy was taken. Your doctor will discuss the results and any next steps with you. What should I expect during the recovery process after a colposcopy? After a colposcopy, you may experience light bleeding or spotting, especially if a biopsy was performed. You should avoid douching, using tampons, or having sexual intercourse for a few days to allow for healing.

Common Questions and Answers: How often should I have a Pap smear? Pap smears are generally recommended every 3 years for women aged 21 to 29, and every 5 years for women 30-65 if combined with HPV testing. After age 65, Pap smears may no longer be necessary if prior results were normal. And sometimes yearly if required. What happens if my Pap smear results are abnormal? If your Pap smear results are abnormal, your doctor may recommend further testing, such as a colposcopy or biopsy, to determine if there are any precancerous or cancerous cells. What is HPV, and why is it tested for during this screening? HPV (human papillomavirus) is a virus that can cause changes in the cells of the cervix, leading to cervical cancer. Testing for HPV helps identify high-risk strains that could cause these changes.

Common Questions and Answers: When should I start having mammograms? Mammograms are typically recommended starting at age 40, but earlier screening may be necessary for women with a family history of breast cancer. What should I do if I find a lump in my breast? If you discover a lump, schedule an appointment with your doctor immediately. While many lumps are benign, it’s important to rule out any serious conditions. Can breast pain be a sign of cancer? Breast pain is usually not a sign of cancer. It is often related to hormonal changes, cysts, or other benign conditions. However, if the pain is persistent or accompanied by other symptoms, consult your doctor.

Common Questions and Answers: What are the symptoms of PCOS? Symptoms include irregular periods, excessive hair growth (hirsutism), acne, thinning hair, and difficulty getting pregnant. Some women may also experience weight gain and insulin resistance. How does PCOS affect fertility? PCOS can lead to irregular ovulation, making it harder to conceive. However, many women with PCOS can still get pregnant with treatment options such as medication to regulate ovulation. Can I manage PCOS without medication? Lifestyle changes like maintaining a healthy diet and regular exercise can help manage PCOS symptoms. However, medication may be needed to regulate hormones or support fertility.

Common Questions and Answers: How do I know if I’m in perimenopause? Common signs of perimenopause include irregular periods, hot flashes, night sweats, sleep disturbances, and mood changes. If you’re experiencing these symptoms, it may indicate perimenopause. What are the common symptoms of perimenopause? Symptoms include irregular periods, hot flashes, mood swings, sleep disturbances, decreased libido, and vaginal dryness. These symptoms can vary from mild to severe. How can I manage hot flashes and sleep issues during perimenopause? Hot flashes can be managed with lifestyle changes, such as dressing in layers, staying cool, and using medications like hormone therapy, hormone-free options, holistic/natural options, or SSRIs. For sleep issues, cognitive-behavioral therapy (CBT) or medications may help.

Common Questions and Answers: What are the most common symptoms of menopause? Common symptoms include hot flashes, night sweats, vaginal dryness, mood swings, and irregular periods. As menopause progresses, these symptoms typically subside. Is hormone replacement therapy (HRT) safe? HRT is generally safe for most women, but it’s important to discuss risks, such as increased risk of blood clots or breast cancer, based on your personal health history. Your provider will help you decide if HRT is right for you. We also provide hormone-free and holistic/natural options. How can I manage vaginal dryness and discomfort during menopause? Vaginal dryness can be treated with local estrogen therapy, lubricants, or moisturizers. Your doctor can help find the most effective solution for your symptoms.

Common Questions and Answers: What are the symptoms of endometriosis? Symptoms include chronic pelvic pain, painful periods, pain during intercourse, and sometimes infertility. Fatigue and gastrointestinal issues may also occur. How is endometriosis diagnosed? Diagnosis is often based on symptoms, imaging studies like ultrasound or MRI, and sometimes laparoscopic surgery to confirm and treat the condition. What treatment options are available for endometriosis? Options include pain management with medications, hormonal therapies to reduce tissue growth, and minimally invasive surgery to remove abnormal tissue. In addition, we provide consultation to manage it naturally.

You can call our office to speak with a member of our clinical team for advice or to schedule an appointment with Dr. Langenstroer. General questions can also be emailed, and we may share responses on our Instagram for educational purposes. Once you’re an established patient, you’ll have access to our patient portal, where you can ask questions, follow up on results, and more.

Please bring your ID, insurance card, any recent test results you'd like to review, and a list of your questions.

We prioritize your comfort during every visit. During your first appointment, we’ll gather your medical history and address any questions or concerns you have. Dr. Langenstroer will then discuss your overall health, recommend any preventive screenings, and create a treatment plan tailored to your needs.

We offer same-day and next-day appointments. You can schedule by calling us or booking online. Call us at: 407-901-4770

If you need to cancel or reschedule, please notify us at least 24 hours in advance by calling or messaging. A $25 fee will apply for no-shows without prior notice.

We recommend scheduling your first visit during your early teen years to discuss body changes, women’s health, and what to expect. Typically, no exam is done during this initial visit, so there’s no need to worry!

We accept: Aetna Florida Blue Cigna Medicare United Health Care and more! Feel free to call us to discuss your insurance coverage. We also offer transparent self-pay pricing. Our financial policy is available in the uploaded forms for your convenience.

We offer self-pay pricing. Contact us for more information, and we’ll be happy to discuss your options.

We provide heating pads, cold packs, ibuprofen, and Tylenol. Additional personalized options can be arranged to ensure your comfort, tailored to your individual needs.

Before any procedure, we’ll sit down together to go over all the details, explain the process, and answer any questions you may have.

The exams depend on the reason for your visit. For annual wellness visits, a full exam is usually conducted, including breast and pelvic exams, unless otherwise indicated. For gynecological concerns, we’ll discuss your issue in detail and create a treatment plan together. Remember, you are in charge of your care. We’ll decide together on the most beneficial approach for your visit.

Our goal is to help you reach the Zenith of your health and wellness while ensuring maximum comfort and satisfaction during every visit.

Each room is designed with privacy curtains, themed decor for a calming touch, soft gowns, and instruments of various sizes to ensure every patient feels comfortable and supported.