Frequently Asked Questions

 

 

What is an OB-GYN?

‘OB-GYN’ stands for an obstetrician and gynecologist. Simply put, an OB-GYN is a physician that specializes in women’s health care. They diagnose and treat diseases that are specific to females, and provide care for women during their pregnancies.

 

When should I make my first appointment to see an OB-GYN?

Your first OB-GYN visit should be by the age of 21 for a pap test or sooner than that if you have other women’s health issues, like irregular periods, or you are sexually active or planning on becoming sexually active.

For more information, please see our Prenatal Care Handout.


I’m on my period. Should I reschedule my pap smear appointment?

No; as long as you have a light flow, the test can still be done.

 

What is a pap smear and cervical cancer screening??

The cervix is the opening to the uterus at the top of the vagina. Cervical cancer screening is done with pap tests and for some women screening for human papilloma virus (HPV). A pap test is used to find abnormal cells on the cervix. Cancer can develop from abnormal cells on the cervix, but this typically takes many, many years.

Pap tests should be done starting at the age of 21. Pap tests are done every 3-5 years depending on your age, results, risk factors, and history. You still need to see your OB-GYN yearly for an exam, even if a pap test is not done. For most women, you can stop screening at the age of 65.

You may have a pap test if you have light vaginal bleeding.

 

What is human papillomavirus (HPV)?

HPV is a virus that is often sexually transmitted. It can cause abnormal cells on the cervix, cervical cancer and cancer of the vulva, vagina, penis, anus, mouth, and throat. It can also cause vaginal warts. There are different types of HPV, some are more harmful than others or “high risk.”

Most changes from the HPV infection the body will heal on its own. HPV usually causes no symptoms. And, any changes that are seen on a pap test usually will be “low grade” and the body will heal on its own.

 

What is menopause?

Menopause is when your period stops permanently. It occurs after you go one year without menstruating.


When should I get a mammogram? Is it different if my mother had breast cancer?

For most women, it is recommended that you start screening mammograms at the age of 40 and yearly after that. However, every woman should regularly conduct breast self exams, and if you find a lump, you should immediately contact your OB-GYN. If there is a history of breast cancer in your family, you should discuss having your first mammogram taken before the age of 40.


What is perimenopause?

Perimenopause is the time leading up to menopause, when the ovaries gradually produce less estrogen.


How can I tell if I am in menopause or perimenopause?

Most women experience menopause around the age of 51. Symptoms of perimenopause include hot flashes, night sweats, vaginal dryness, irregular periods, and emotional changes.

What is hormone replacement therapy (HRT)?

HRT is used to provide relief for the symptoms that accompany menopause, such as vaginal dryness or hot flashes. It works by replacing two hormones, estrogen and progesterone, that decrease during menopause. There are other non-hormonal treatments for these symptoms as well.


What is hormone replacement therapy (HRT)?

HRT is used to provide relief for the symptoms that accompany menopause. It works by replacing two hormones, estrogen and progesterone, that decrease during menopause.


I want to go on birth control. What are my options?

Women have many options for birth control. You always need condoms to prevent sexually transmitted infections, but there are other more effective birth control options other than just condoms. You should talk to your OB-GYN about these options, but briefly there are birth control pills, the Nuvaring, Depoprovera shot, Nexplanon, and intrauterine devices (IUD). There are 2 types of IUD’s – a 10-year non-hormonal option or a 3 to 5-year hormonal option. We can provide counseling and access to all of these methods.


I missed my period and took a pregnancy test, but it came back negative. What should I do?

There are many reasons why a woman might miss her period, including weight loss, weight gain, stress, and a significant schedule change. If it happens a second time, you should contact your OB-GYN.

For more information, please see our Prenatal Care Handout.

 

I think I might have a vaginal infection; I am experiencing a discharge and vaginal itching. What should I do?

Some vaginal discharge is normal. However, if it is accompanied by itching, odor, or discomfort, then you may have an infection. Self-diagnosis is not very effective and you should see your OB-GYN for evaluation and treatment.


What is a colposcopy?

If your pap smear reveals abnormal results, a colposcopy is usually performed. During a colposcopy, a specialized piece of equipment is used to take a magnified look at the cervix, and biopsies may be taken from abnormal areas. This procedure does not require anesthesia, and is done in our office.

 

What is a LEEP?

LEEP stand for Loop Electrosurgical Excision Procedure. If high grade or persistently abnormal cells are found during a colposcopy, a LEEP may be done to remove these cells. LEEP can be done under local or general anesthesia.


What is laparoscopy?

In some cases minimally invasive surgery, or laparoscopy, is required to diagnose and treat gynecological conditions. During a laparoscopy, an instrument with a light source is  used to transmit images of the ovaries, uterus and abdominal cavity to a video monitor. We are able to perform this procedure in our office, and use it to diagnose and treat conditions such as endometriosis, ovarian cysts, hysterectomies, pelvic prolapse, infertility, urinary incontinence and uterine fibroids.


How long could I go past my due date?

It is not recommended that you allow your pregnancy continue past 41 weeks, or two weeks past your due date. If your baby is late, you may undergo testing to determine the health of your baby. You will likely be scheduled for an induced labor at 41 weeks.

For more information, please see our Prenatal Care Handout.


How can I tell if I am in labor?

If you experience Braxton-Hicks contractions throughout your pregnancy, you may be worried that you won't be able to tell when you are going into labor. When you experience increasingly intense contractions every few minutes, you are in labor. Other signs include your water breaking, a bloody discharge, a thick mucous discharge, loose stools, or increasing pelvic pressure.


Under what circumstances would I need a cesarean section?

If you have had a cesarean delivery with a previous pregnancy, you may choose to do so again. Other situations that may call for a cesarean section include abnormalities with the placenta, slow labor, the baby being in a difficult position, giving birth to more than one baby, the baby being too big to fit through the pelvis or fetal stress with labor.


I’m over 35. Is there anything special I need to do?

As you age, the risk of experiencing complications during your pregnancy increases. At 35, your risk of being affected by a chromosome problem, such as Down’s syndrome, is 1 in 32. By 40, it increases to 1 in 40. If you are over 35, you will be offered prenatal testing. There are a few options. Ninety percent of Down’s syndrome cases can be identified during your first trimester, through a blood test and an ultrasound measurement of the fetal nuchal skin. During your second trimester you can undergo amniocentesis, which is when a small sample of amniotic fluid is extracted through your abdomen. Another option during your second trimester is chorionic villus sampling, or CVS, during which the placenta is sampled. Of course, all of these tests are optional, and many women prefer not to be tested.

For more information, please see our Prenatal Care Handout.


Can my fetus be screened for birth defects?

Yes; in your 16th week, there is an optional blood test you can have done called the AFP/Quad screen. This test assesses the risk of chromosome abnormalities and birth defects. It cannot confirm or rule out any problems, but it can indicate an increased risk. If abnormal results are found, additional testing is available.

For more information, please see our Prenatal Care Handout.

 

How much weight will I gain?

The amount of weight you will gain during pregnancy depends on your weight before conception. Your recommended weight gain can be determined by your pre-pregnancy body mass index (BMI). If you were underweight with a BMI of less than 19.8, it is recommended that you gain 28 to 40 pounds during your pregnancy. If you had a normal BMI of 19.8 to 26, it is recommended that you gain 25 to 35 pounds. If you had a high BMI of 26 to 29, it is recommended that you gain 15 to 25 pounds. If you were obese prior to your pregnancy and had a BMI of more than 29, it is recommended that you gain no more than 15 pounds.

For more information, please see our Prenatal Care Handout.

 

Could I develop gestational diabetes?

Two to five percent of pregnancies are affected by gestational diabetes. You will be screened in the second trimester. If you have developed the condition, your physician will help you treat it in a way that is safe for you and your unborn child. This may include changes to your diet, blood sugar monitoring, and the use of insulin.

For more information, please see our Prenatal Care Handout.

 

Is it okay to paint?

Yes, as long as the paint you use is water-based and you are painting in a well-ventilated area. However, you should not sleep in a freshly painted room, and you should not be exposed to the fumes for longer than two hours at a time.

For more information, please see our Prenatal Care Handout.


My feet are swollen. Is this normal?

Yes, as long as the paint you use is water-based and you are painting in a well-ventilated area. However, you should not sleep in a freshly painted room, and you should not be exposed to the fumes for longer than two hours at a time.

For more information, please see our Prenatal Care Handout.


I’m a smoker. Do I need to stop while pregnant?

It is strongly recommended that you stop smoking while pregnant; it exposes your baby to harmful toxins and has many risks. It causes an increased risk of your baby being stillborn, and of you having a miscarriage. Smoking while pregnant can also cause ectopic pregnancy, low birth weight, preterm delivery, birth defects, and placental abruption.

For more information, please see our Prenatal Care Handout.


Is it okay to exercise?

Yes; it is actually recommended. If you maintained an active lifestyle before becoming pregnant, you will likely have to modify your routine so it is less vigorous. If you weren't active before your pregnancy, light to moderate exercise is still recommended. Walking, low-impact aerobics, yoga, free weights and swimming are all safe during pregnancy.

For more information, please see our Prenatal Care Handout.

FemCare OB/Gyn

OB-GYN located in Miami, FL

FemCare OB-GYN is a group practice of obstetrics and gynecology, offering individualized attention with availability and accessibility for patients in and around Miami, Florida. Their specialized areas of interest include high-risk obstetrics, traditional, robotic, and laparoscopic gynecologic surgery, infertility evaluation and treatment, diagnostic and operative hysteroscopy, endometrial ablation, evaluation and management of urinary incontinence, and contraceptive management.

The qualified physicians and staff offer an “old fashioned” approach, reflecting on personalized care, combined with the most modern and up-to-date modalities. The goal is to develop a meaningful relationship with each patient, from adolescence through adulthood, and hope to be advocates in promoting good health and a high quality of living.
  
High quality, experienced, and educated staff on hand include Drs. Geoffrey and Jason James, a father-and-son team, as well as Dr. Jila Senemar, Dr. Karen Salazar Valdes, and Dr. Terri Benn. All of our providers are board certified by the American Board of Obstetrics and Gynecology and have been practicing for many years. 

FemCare OB-GYN welcomes new patients to their comfortable offices in Miami and looks forward to providing quality women's care in every step of your journey. Contact the offices today to find out more information or schedule an appointment.

 

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FemCare OB/Gyn

FemCare OB-GYN is a group practice of obstetrics and gynecology, offering individualized attention with availability and accessibility for patients in and around Miami, Florida. Their specialized areas of interest include high-risk obstetrics, traditional, robotic, and laparoscopic gynecologic surgery, infertility evaluation and treatment, diagnostic and operative hysteroscopy, endometrial ablation, evaluation and management of urinary incontinence, and contraceptive management.

The qualified physicians and staff offer an “old fashioned” approach, reflecting on personalized care, combined with the most modern and up-to-date modalities. The goal is to develop a meaningful relationship with each patient, from adolescence through adulthood, and hope to be advocates in promoting good health and a high quality of living.
  
High quality, experienced, and educated staff on hand include Drs. Geoffrey and Jason James, a father-and-son team, as well as Dr. Jila Senemar, Dr. Karen Salazar Valdes, and Dr. Terri Benn. All of our providers are board certified by the American Board of Obstetrics and Gynecology and have been practicing for many years. 

FemCare OB-GYN welcomes new patients to their comfortable offices in Miami and looks forward to providing quality women's care in every step of your journey. Contact the offices today to find out more information or schedule an appointment.

 


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What we offer

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  • Dr. Geoffrey James is an Obstetrician and Gynecologist who has been in private practice in Miami for more than 30 years. He is one of the founding partners of FemCare Ob-Gyn, LLC. He received his bachelor's degree from New York University with a major in history, and his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internship and residency in Obstetrics and Gynecology at Lenox Hill Hospital in New York.

    Dr. James served as Captain in the U.S. Army Reserves Medical Corps until receiving an honorable discharge in 1978. He is board certified by the American Board of Obstetrics and Gynecology and is a Fellow of the American College of Obstetricians and Gynecologists.

    Currently, Dr. James is active in the Credentials Committee for Baptist Hospital and serves on the corporate Quality Improvement and Medical Technology Assessment Committees for AvMed Health Plan. He was also a board member of VitalMD Group Holding, LLC, and is an active member of the Florida Medical Association, the Dade County Medical Association, the Florida Obstetric and Gynecologic Society, and the Miami Obstetrical and Gynecological Society. He has served as Vice President and board member of Bet Shira Congregation and worked as a volunteer obstetrician at the Rosie Lee Wesley Community Clinic in Miami. Dr. James is a past chairman of the Department of Ob/Gyn and the Home Health Care Committee at Baptist Hospital.

    Dr. James has a special clinical interest in menopause, hormone imbalance, and female sexuality. Apart from spending quality time with his family and grandchildren when he is not working, Dr. James and his wife, Linda, enjoy hiking, tennis, and foreign travel.

  • Dr. Jason James is a board certified obstetrician-gynecologist who has been in private practice in the Miami area since 2003. He is the current Chief of Obstetrics and Gynecology at Baptist Hospital. Dr. James completed his undergraduate education at the University of Pennsylvania and attended medical school at the University of Miami. He completed his residency in Obstetrics and Gynecology at the Long Island Jewish Medical Center, where he was recognized for his outstanding teaching skills.

    Since entering private practice in Miami, he has been active at the administrative level at Baptist Hospital and at the Medical Arts SurgeryCenter, and was recently nominated among a select number of physicians to participate in a Building Collaborative Leadership course for future leaders of Baptist Hospital. Dr. James has received numerous awards, including the Patients' Choice Recognition every year since 2008, as well as being named as one of the Best Physicians in the Consumers' Guide to Top Physicians. In addition, Dr. James was also recognized as America's Top Ob/Gyn's and received the Compassionate Doctor Recognition for his outstanding dedication to his patients.

    He is skilled in laparoscopic and robotic gynecologic surgery, urogynecologic procedures, minimally invasive surgery, infertility, and high-risk obstetrics, and enjoys remaining at the cutting edge of medical technology. He has a special interest in postpartum depression and was named the 2010 ACOG Issue of the Year Research Award Recipient. Additionally, Dr. James is active in community philanthropy and serves on the Steering Committee of Young Physicians for Baptist Health.

    Apart from his practice of medicine, Dr. James has led numerous community discussions about women's health and is a well-regarded expert on the prevention of elective early term deliveries and on umbilical cord blood banking. In addition, he is a certified mohel and member of the National Organization of American Mohalim. Dr. James is fluent in English and Spanish and is welcoming new patients. He enjoys spending his free time traveling around the world with his wife, Lisa, and three children.

  •  was an assistant professor of Obstetrics and Gynecology at the University of Miami and Associate Medical Director of OB/GYN triage at Jackson Memorial Hospital prior to joining the practice. She is a graduate of the University of California with a BA in Psychology and received her MD from Ross University School of Medicine. Dr. Senemar completed her residency training at LIJ Medical Center/Albert Einstein College of Medicine in Long Island, NY.

    Dr. Senemar joined the practice and has been with the group since 2005. She is board certified in obstetrics and gynecology and has special interests in obstetrics and robotic gynecologic surgery. Her training, clinical experience and well-known rapport and empathy with her patients are great assets to the practice and those we serve.

    In her spare time, Dr. Senemar enjoys running, yoga and spending time with her 3 beautiful children. Her husband is also a physician and practices pediatric critical care at Miami Children's Hospital. Dr. Senemar is currently welcoming new obstetric and gynecologic patients. She speaks English, Spanish, and Farsi fluently.

  • Dr. Karen Salazar Valdes was born in Peru and was raised in Miami. She completed her undergraduate education at the University of Miami, obtaining a bachelor's degree in Religious Studies, Biology and Chemistry in 2004.

    She pursued her dream and earned her medical degree from Ross University School of Medicine in 2008. In 2013 she completed her OBGYN residency at Jackson Memorial Hospital, University of Miami and joined our practice. She is happy to be working in the area she grew up in and is currently taking new patients.

    Her interests include adolescent GYN, obstetrics and preventive women's health care.  She enjoys family time, traveling, boating and running. She is fluent in English and Spanish. She has a special interest in kids and adults with intellectual disabilities and is a supporter for Best Buddies International.

  • Dr. Teri Benn is a board-certified OB-GYN who hails from Milwaukee and has lived in the Miami area since 2013. She joined FemCare OB-GYN after completing her residency at Barnes Jewish Hospital at Washington University in St. Louis. Dr. Benn also graduated from a fellowship in Cosmetic Surgery in South Florida. Prior to that, she obtained a bachelor’s degree from Northwestern University in Evanston, Illinois, and went on to earn a medical degree from Loyola University Stritch School of Medicine in Chicago.

    Dr. Benn’s interests in medicine include cosmetics and outpatient procedures, adolescent health, obstetrics, vulvovaginal health, contraceptive counseling, and female preventative care for all ages. She has been quoted in national media, including Self and Yahoo Parenting, in her capacity as a women’s healthcare provider. Outside of the practice, she enjoys fashion, cooking, running, traveling and time with her family. Dr. Benn participates in philanthropic pursuits as a way of connecting with the community and is active with United Way of Miami-Dade’s Young Leaders program.


    Dr. Benn’s training in evidence-based medicine, coupled with her affable manner and compassion for people, make her an integral part of our practice. She is accepting new patients and looks forward to caring for them from adolescence through motherhood and beyond.

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Accepted Insurance

At FemCare OB-GYN, we strive to serve every patient's Obstetric and Gynecological needs. We currently accept the following insurance plans. If you have any questions about the policies we accept, please call the office to find out how we can partner with you.

Aetna
AvMed
Beech Street
Blue Cross Blue Shield of Florida (Florida Blue)
Cigna
Coventry Health Care
First Health
Golden Rule
Great West Health Care
Humana
Medicare
PHCS
Tricare
Tricare Prime
United Healthcare
Testimonials

Words from our patients

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    "The best doctors / staff. Doctors have the best bed side manners, treatment. Recommend them to EVERY woman."

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    "You guys are simply the best!!!! Thank you for saving my pregnancy and making me a mom of a beautiful little girl! Truly exceptional doctors!!!"

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    "They are very professional and care for their patients well being. I'm also a patient of DR. James senior for thirty six years. The best of the best."

    Shirley B.
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    "I wouldn't go anywhere else, even if paid to. Dr. Jason James is amazing and the staff is great!"

    Yvette D.
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FemCare OB/Gyn
7800 S.W. 87th Avenue
Suite A-120
Miami, FL 33173