gynecological services

Your gynecologic health is important – no matter your age or stage in life. Optimal health begins with an annual exam. However, Dr. Paoloni’s care for you extends far beyond that. With advanced technology and a dedicated staff, some procedures can even be performed right in our office. At River City OB/GYN, we are dedicated to providing you with educational resources so that you can stay informed and engaged in your health care. Gynecologic services we provide include:

Well woman exams are the foundation for wellness, health promotion, disease identification and management throughout your life. It’s common knowledge that prevention and early detection are the best ways to increase the length and quality of your life. A yearly well woman exam for all ages is about more than good medical care; it gives you the opportunity to learn about beneficial health habits as well as an overall view of the best ways to take care of yourself and your family for a lifetime.

During a Pap test, we screen patients to make sure that there are no abnormal or precancerous changes in the cells on her cervix. HPV tests can find any of the high-risk types of HPV that are most commonly found to cause cervical cancer. Both tests are done at the same time of your well woman visit.

Gardasil is a vaccine that is administered through a series of three injections given over a 6-month time period. It helps prevent HPV types 6, 11, 16 and 18, which are associated with the following:

  • Genital warts
  • Cervical cancer
  • Precancerous and abnormal lesions on the cervix, vagina and vulva

Colposcopy is a procedure to closely examine your cervix, vagina and vulva for signs of disease. We may recommend colposcopy if your Pap test has shown abnormal results. A colposcopy procedure is used to determine whether more tests or treatments are needed.

Long-acting reversible contraception, including copper and non-hormonal IUDs and birth control implants, is birth control that allows women to begin trying to conceive as soon as the devices are removed. Long-acting reversible contraception methods work by preventing sperm from fertilizing a woman’s eggs. The hormonal methods also thin the uterine lining and thicken cervical mucus, making it difficult for sperm to enter the uterus and a fertilized egg (embryo) to implant.

We offer confidential HIV/Sexually transmitted disease (STD) risk assessment, testing and treatment. If you are diagnosed with an STD, most can fortunately be treated effectively. Many, however, cannot be cured. Antibiotics are prescribed for gonorrhea, chlamydia and syphilis and patients usually respond well. There is no cure for genital warts, but flare-ups can be shortened with antiviral medications. HIV also has no cure but can be treated with a combination of medications.

Choosing a method of contraception is an important decision that will impact a woman’s daily life. We will provide you with information about the different types of contraceptives and their respective advantages and disadvantages, so that you can make the right decision for your lifestyle.

Polycystic ovary syndrome (PCOS) is a hormone-related disorder that may affect the ovaries in women of reproductive age. It is the most common cause of female infertility. In most women with PCOS, ovaries are enlarged and covered in small cysts, which can cause symptoms such as irregular menstruation, obesity, and excess hair growth. We offer evaluation and treatment for women with PCOS.

Women with dysmenorrhea, irregular periods, missed periods, or heavy periods have access to a host of treatment options at River City OB/GYN. Patients undergo an evaluation that includes family and reproductive history, surgical history, and diagnostic testing. Based upon their findings, Dr. Paoloni will develop a personalized treatment plan.

We offer treatment options for women experiencing issues associated with the bladder and urethra, such as incontinence (leakage), frequent urination, incomplete emptying, a weak urinary stream, or recurring infections.

Endometriosis is a condition where endometrial tissue, normally found in the uterus’ lining and shed during a menstrual period, is found elsewhere in the body.

Endometriosis lesions can be found anywhere in the pelvic cavity:  on or in the ovaries, in the fallopian tubes and on the pelvic sidewall. Other common sites include the uterosacral ligaments, the cul-de-sac behind the uterus, and in the recto-vaginal septum.

Lupron Depot is a hormonal agent that significantly reduces estrogen levels. Lupron is prescribed for women with very bad endometriosis or severe menorrhagia. It also may be administered before assisted reproduction.

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Office Hours

  • Monday – Friday
    8:00 am – 5:00 pm


  • Pregnancy

  • Prenatal Visits

  • Labor and Delivery

  • Postpartum

  • Menopause

  • Ultrasound Services

Insurance River City OB/GYN Accepts

  • Aetna

  • Aetna Better Health of VA

  • Anthem

  • Anthem Healthkeepers

  • Cigna

  • Medicaid

  • Medicare

  • Optima/Sentara

  • Tricare EAST

  • United Healthcare

  • VA Premier

  • Virginia Health Network

  • TriCare Prime