Additional Services



We provide comprehensive obstetrical care from preconception to postpartum. Our experienced providers provide general obstetric services to guide women through each and every step of their pregnancy, ensuring proper growth and development, as well as a successful delivery. Our facilities are fully equipped with the most advanced technology and equipment to make your pregnancy as simple as possible.



Annual pelvic exams and Pap tests are important in monitoring your gynecologic health. During your exam you will be screened for infection, inflammation or other abnormal cells that may indicate disease. Early detection is important in treating any disease and especially important for cervical cancer and other potentially life-threatening diseases.


Adolescent Gynecology

Gynecological exams are valuable to adolescents in many ways. It is important for young women to be assessed early, especially if they are sexually active, and to begin a relationship with a provider that may guide them through many important milestones in their lives.



Infertility is typically defined as inability to conceive after 12 months of unprotected sexual intercourse. In addition, women over the age of 35 may be considered infertile if they have failed to conceive after 6 months of trying. In many cases, advanced treatments now available can sufficiently improve fertility to allow for successful conception.


4-D Ultrasound

Ultrasound in 3D/4D is just as safe as traditional 2D ultrasound; in fact, it employs the exact same sound waves to obtain images. However, the more advanced devices process the data in a more sophisticated way so each image contains more layers and provides a much fuller, more complete view of the baby.


Fetal Testing

Fetal monitoring involves checking the heart rate and other vital functions of the baby during labor and delivery. It is a useful tool to ensure that the fetal heart rate falls within the normal.



Colposcopy is a diagnostic procedure used to examine, under magnification, certain areas of the body and determine abnormalities. A vulvar colposcopy typically examines lesions on the vulva and is used to identify cancer or genital human papillomavirus, also called HPV.


Laparoscopic Surgery

A laparoscopy is a minimally invasive surgical procedure used to diagnose and treat problems of the genital and pelvic areas. During this procedure, an endoscope (tube) with a camera on the end is inserted through a tiny incision that allows your doctor to closely examine the organs of the area.


Leep Procedure

Loop electrosurgical excision procedure (LEEP) is used to treat abnormal cells found on the surface of the cervix. During the procedure, the abnormal cells are removed to prevent development of cervical cancer.



As you age, your body slowly ceases to produce estrogen and progesterone, two hormones that protect the body from developing uterine cancer and osteoporosis. The decrease of these hormone levels is also responsible for many of the symptoms of menopause which include irregular bleeding, hot flashes, insomnia, night sweats, fatigue, depression and more.



Some women in their fifties may begin to experience symptoms of stress urinary incontinence and/or pelvic organ prolapse. Stress urinary incontinence is the accidental leakage of urine upon sneezing, laughing, or other similar stresses.

Urinary incontinence, voiding difficulties and prolapse are common but treatable conditions for many women. We offer expert evaluation and treatment in a secure, comfortable environment.



Osteoporosis is a concern for many women starting in their fifties as this may develop due to your lower estrogen levels. It is a disease characterized by bone loss which can lead to fractures. Osteoporosis is not a natural result of aging. It is preventable.

With our state of the art Dexa Scan equipment and through advanced techniques, we can perform accurate tests in the diagnosis and prevention of osteoporosis.



A hysteroscopy is a procedure, using a tool called a hysteroscope to examine the lining of the uterus and identify, diagnose or treat abnormalities.

A hysteroscopy may be performed to determine the cause of:

  • Abnormal bleeding
  • Bleeding after menopause
  • Infertility

It may also be used to diagnose and remove fibroids or polyps and find and reposition an intrauterine device.


Hysteroscopy Procedure

A local or general anesthesia may be used to relax the patient and relieve any potential discomfort. The hysteroscope which has a light and camera, is inserted into the vagina and moved through the cervix to the uterus. The hysteroscope projects an image onto a display screen for the doctor to review. If polyps are present, the doctor may use a surgical device to cut and remove them. The doctor may also take a small sample of tissue to examine more closely under a microscope. Patients may experience some cramping or vaginal discharge following the procedure.


Endometrial Ablation

Endometrial ablation is a surgical procedure for those women suffering from excessive or prolonged menstrual bleeding who have not responded to other treatments and cannot or do not wish to undergo a hysterectomy.

Endometrial ablation removes or destroys the uterine lining, or endometrium, while leaving the ovaries and uterus intact. The endometrium heals by scarring, which reduces or stops future uterine bleeding. Different types of ablation techniques are used in this procedure include:

  • Laser beam (laser thermal ablation)
  • Heat (thermal ablation) using radiofrequency
  • Electricity
  • Freezing
  • Microwave

Endometrial ablation is a short outpatient treatment and recovery time varies from a few days to six weeks. Symptoms of recovery include:

  • Cramping
  • Watery discharge mixed with blood
  • Frequent urination
  • Nausea

Because endometrial ablation destroys the lining of the uterus, the procedure is not for women who still wish to become pregnant. Furthermore, women who have a malignancy or pre-malignant condition of the uterus are not candidates.



Marsha K. Howerton, MD
1919 S. Wheeling Ave., Suite 300

Tulsa, OK 74104
Phone: 918-205-4614
Fax: 918-794-0709
Office Hours

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