Healthy Living: Your Experts
Obstetrics & Gynecology
Moms Caring for Moms
2605 Kentucky AvenuePaducah, KY 42001
Hours of Operation
- Monday - Friday:9:00 a.m. – 4:00 p.m.
Moms Caring for MomsGynecologic Services
Trust us for your annual exams, including pap smears. We offer a wide range of services and testing including:
Our office will be happy to assist you with your questions concerning family planning. We offer recommendations concerning your diet exercise, medication use and supplemental vitamins. Family planning is a joyous time in your life but can be fraught with many questions and concerns, so don't hesitate to call our office for your family planning evaluation or questions.
Infertility affects 10% of couples, but most infertility problems can be diagnosed and corrected without surgery or in vitro fertilization (IVF). If a couple has unprotected intercourse for one year without conception, or if the woman has irregular or no periods, she might want to see Dr. Hodges before one year has elapsed.
Dr. Hodges will take a thorough history and may perform blood work, ultrasound, post coital test, ovulation prediction, semen analysis, hysterosalpingogram (HSG), or laparoscopy. Our office offers all of these services and after diagnosis is obtained, Dr. Hodges will work with the patient and her partner to develop a plan of treatment.
Dr. Hodges provides care and compassion through every stage of your life. As you age, your body and your needs change. Trust us to provide the latest technology with that warm human touch to insure you stay your active, energetic self... no matter your stage in life!
"My passion is to deliver state of the art care for women of all generations with warmth and compassion.." - Pamela Hodges, M.D.
There are approximately 20 million new cases of sexually transmitted diseases each year. Sexually transmitted diseases include gonorrhea, chlamydia, syphilis, human papillomavirus (HPV), hepatitis, HIV, herpes, and some less common infections. We diagnose and provide treatment that is indicated.
We understand that confidentiality is of utmost importance in these matters as well as any medical situation and our office respects our patient's confidentiality.
On your first visit, you will be oriented to the practice by one of our nurses. She will determine your due date and take your medical history. Our trained phlebotomist will draw your prenatal labs.
Dr. Hodges or Erin, her Nurse Practitioner, will examine you, discuss lab results, and answer your questions. For an uncomplicated pregnancy, the visits are every four (4) weeks until you reach your 28th week. After this, your visits will be every two (2) weeks until your 36th week when you will be seen on a weekly basis.
1. From 16 - 18 weeks - we offer the alpha feto protein (AFP) blood test that screens for:
- Trisomy 21(Down's Syndrome)
- Trisomy 18
- Spina Bifida*
* At 20 weeks - we perform an anatomic survey ultrasound, which takes approximately one hour to complete. In this ultrasound we are visualizing and measuring the internal structures of the brain, chest, (heart and lungs), abdomen and pelvis (your baby's sex). We evaluate the baby's face to rule out cleft lip and palate. You will be given a CD that has recorded this special time so that you may share with others for years to come.
* At 26 -28 weeks - we perform a one hour glucose challenge test that screens for diabetes. The test is simple and you only need to drink two (2) packages of drinks that we provide for you. One hour after drinking the drinks, we prick your finger and evaluate the blood sample for glucose and iron content. Also at 28 weeks - if you happen to have RH negative blood, i.e. A negative, O negative, etc, then you will be given a rhogam injection.
At 30 weeks - you will be given a 4D an ultrasound to evaluate your baby's growth. The ultrasound will take approximately 30 minutes and will be recorded on a CD.
At 35 - 36 weeks - a vaginal culture will be obtained for group B streptococcus (GBS). One third of all women have a positive GBS culture. If this is positive, you will be given an antibiotic through your IV when you are in early labor to avoid the passage of this bacteria to your baby.
4D Ultrasound Now Available!
Medically, the 4D Ultasound is very helpful in identifying abnormalities in the unborn baby's face, lips, and palate. The view of the valves of the baby's heart can be seen exceptionally well with 4D Ultrasound. Any abnormality that is found with tradional ultrasound is even clearer with 4D Ultrasound.
We are pleased to provide 4D Ultrasound in our office with a Family Viewing Center for family convenience. We are proud to have Lisa Jameson, BS, RDMS perform our ultrasounds. We routinely perform an anatomic survey at 20 weeks gestation and another at 30 weeks to evaluate fetal growth.
Urinary incontinence Treatment
Urinary incontinence affects approximately 11 million women in the United States. There are different types of urinary incontinence and therefore incontinence has to be evaluated with various tests.
Our office is equipped for this testing and after the tests have been performed, Dr. Hodges may prescribe medication while other forms of incontinence will need surgical intervention. Our office will be happy to assist you with any needs that you may have concerning incontinence.
Bladder prolapse Treatment- Bladder prolapse also called a cystocoele is a common problem in women older than 50 and in women with previous hysterectomy.
Frequently performed procedures are the Essure procedure and the HTA (hydrothermal ablation). Either of these procedures can be performed in the office or in the hospital.
The Essure Procedure is a new procedure where the fallopian tubes are blocked for women desiring permanent sterilization. The Essure procedure is the most effective form of permanent birth control as well as being the least invasive permanent birth control.
H.T.A. (Hydrothermal Endometrial Ablation)
Hydrothermal endometrial ablation is a procedure that destroys the lining of the uterus by introducing hot water into the uterine cavity. This procedure can be performed in the office under local anesthesia and is used for an alternative to hysterectomy. This procedure is appropriate for many women with heavy bleeding who in the past would have had to undergo a hysterectomy. The recuperative time is only 48 hours and is 96% effective. Again, this procedure can be performed in the office or in the hospital.
Until recently, surgery for most gynecologic conditions was performed using a large abdominal incision.
Fortunately, there is a minimally invasive option for treating gynecologic conditions designed to overcome the limits of traditional open and laparoscopic surgery - da Vinci Surgery.
da Vinci™ Robotic Surgery
Dr. Pamela S. Hodges through Western Baptist Hospital now offers the advanced da Vinci™ Robotic Surgery. The advantages for the patients are decreased pain, decreased blood loss, shorter hospital stay and more rapid return to daily activity.
Some gynecologic surgeries are particularly amenable to robotic assistance including: hysterectomy, removal of ovaries, removal of fibroids, surgery on the fallopian tubes, and advanced lymph node dissection for cancer cases.
Click here for complete information about da Vinci™ Robotic Surgery
Frequently Asked Questions
- What can I do about heavy periods?
- Many things can be done for heavy periods. The different options depend on a woman’s age and desire for future child bearing. Some of the options include birth control pills, specific medication to decrease menstrual blood flow. A more permanent method is burning the lining of the uterus away and even hysterectomy.
- What are the different methods of contraception?
- There are options we have used for a long time: rhythm method, withdrawal, condoms and foam, diaphragm with foam, birth control pills, birth control patches or rings, a shot, an IUD, Implanon, tubal ligation, tubal blocking, and vasectomy.
- How long should a couple try for conception before seeing a physician?
- This depends on the couples age and if they have had children. A young couple with no children should try for at least nine months before seeking professional help. However, older women (>35) should see a physician if she has not conceived within six months. Some couples who have conceived with assisted reproduction should see a physician as soon as she decides to conceive again.
- What can I do about menopausal symptoms?
- There are many different menopausal symptoms. They include: hot flashes, vaginal dryness, decreased libido, anxiety, depression and insomnia. There is not a specific treatment that will solve all of these problems. Estrogen may be one treatment, compound hormones, herbal therapies and antidepressants might also be needed.
- What can be done for urinary leakage?
- Urinary leakage can be caused by several different problems. There is urge incontinence that can be treated with medication. Stress urinary incontinence which is a problem with the urethra is usually treated with a sling under the urethra using anesthesia. Injections around the urethra can also be done.