Dr. Carolyn DeSalvo, with offices in Sequim, offers a full range of office gynecology services, including well-woman annual exams and pap smears, plus evaluation and treatment or management of conditions such as:
- Irregular bleeding
- Premenstrual syndrome
- Painful or heavy periods
- Hormonal imbalances such as polycystic ovarian syndrome
- Perimenopause and menopause
She also provides non-surgical management of urinary incontinence and pelvic relaxation. Women are referred for surgical intervention and management when necessary.
As an integrative medicine specialist, Dr. DeSalvo approaches gynecology through a broader lens that includes nutrition, exercise, weight management, and stress reduction. Botanical therapies, mind-body techniques, acupuncture and other non-traditional modalities may be employed, guided by evidence-based standards and patient preference.
She believes that medicine is best practiced by looking at the person as a whole, understanding how the reproductive system influences and is influenced by other bodily systems.
“I work one-on-one — individually with each patient — to create a treatment plan dependent upon their personal goals,” Dr. DeSalvo says. “One size does not fit all.”
Management of Perimenopause and Menopause
With heightened media coverage of medical studies and shifting recommendations on mammograms, pap smears and other diagnostic tools, patients want a knowledgeable authority to help them navigate a confusing landscape.
Dr. DeSalvo is such a guide, providing pros and cons of hormone replacement therapy (HRT) and bioidentical hormone options plus the role changes in diet and lifestyle can play in managing the effects of perimenopause and menopause.
“I think perimenopause is one of the most very difficult times of life for most women,” she says. “They get blindsided.”
Few people, for example, realize that a woman’s hormones fluctuate more widely during perimenopause (or pre-menopause) than they do during puberty. The effects are varied, unpredictable and, at times, debilitating, ranging from joint aches to “brain fog,” weight gain to fatigue, and lowered libido to anxiety and depression.
Compassionate and Nonjudgmental Gynecology Care
Perimenopause and menopausal symptoms are managed with empathy and understanding, as well as a firm knowledge base and years of experience.
With all patients, Dr. DeSalvo delivers personalized care in a comfortable atmosphere. She takes time to listen, and appointments are not rushed. The first stop is a warmly decorated sitting area, where issues and concerns are discussed before entering the exam room.
Dr. DeSalvo has been certified by the American Board of Obstetrics and Gynecology since 1994. She brings a wealth of experience to your service, as well as a kind and caring attention to detail.
Schedule an Appointment
Please call (360) 504-3243 or email Dr. DeSalvo for an appointment.