The everyday gynecology, done well.

Menopause medicine may be our center of gravity, but it sits on a foundation: complete, procedurally capable gynecology. From routine annuals to in-office hysteroscopy, this is the care most women need most often — delivered by a fellowship-caliber team with the unhurried visits we're known for.

Well-woman care

Annual exams, Pap smears and HPV screening, breast exams, and the preventive conversations that routine visits deserve — including the ones about sleep, cycles, and hormones that often get skipped elsewhere. Our patients regularly tell us the exam was gentler than they expected; we consider that a clinical skill, not a nicety. For patients who want to go further, we also offer the Galleri® multi-cancer early detection blood test as an addition to routine screening.

Curious how we practice? Our approach explains the unhurried-visit model — and what patients say about it.

Contraception & IUDs

Contraception is not one-size-fits-all, and counseling is where we start: pills, patches, rings, implants, injections, and intrauterine devices, weighed against your health history, cycle patterns, and plans. We place, manage, and remove IUDs in-office — both hormonal and copper — and we're honest about what to expect at every step.

Heavy periods & abnormal bleeding

Heavy periods, bleeding between periods, cycles that have changed character — and any bleeding after menopause — deserve real evaluation, not reassurance by guesswork. Workup is tailored to you and may include targeted labs, imaging, and endometrial biopsy, with treatment options that range from medication to procedural solutions. Bleeding is one of the most common reasons women come to us, and one of the most fixable. Read our full guide to heavy periods and abnormal bleeding →

What counts as "too heavy"? A useful rule: bleeding that soaks through a pad or tampon every hour for several hours, passes clots larger than a quarter, lasts more than seven days, or requires you to plan your life around it. Flooding, doubling up on protection, or waking at night to change are all worth a conversation. So is bleeding that has simply changed — from what was normal for you.

Why it happens in the 40s. Perimenopause is a common culprit: as ovulation becomes less consistent, progesterone falls while estrogen still surges, and the uterine lining can build up unopposed and shed heavily or unpredictably. But "it's just perimenopause" should be a conclusion, not an assumption. Fibroids, polyps, adenomyosis, thyroid disease, iron deficiency, bleeding disorders, medications, and — importantly — precancerous or cancerous changes of the lining can all produce the same symptom.

How we work it up. History and exam first, then targeted testing: labs including a blood count and ferritin (heavy bleeding is one of the most common causes of iron deficiency in women, and it makes the fatigue and brain fog worse), thyroid studies where indicated, pelvic ultrasound, and — when the lining warrants it — an endometrial biopsy performed in the office. Office hysteroscopy lets us look directly inside the uterus when imaging leaves questions.

What treatment can look like. There is almost always more than one path: hormonal management including the levonorgestrel IUD (which is guideline-recognized for heavy bleeding and lining protection, not only contraception), tranexamic acid or other non-hormonal medication, correction of iron deficiency, procedural options for fibroids and polyps, and surgical solutions when they're the right answer. The goal is your life back, chosen from real options rather than a single recommendation.

Prevention that doesn't get skipped

A well-woman visit is more than a Pap. Depending on your age and history, it's also the right place to sort out screening you may be overdue for: mammography timing and breast density questions, cervical cancer screening intervals under current guidelines, colon cancer screening referrals, sexually transmitted infection testing without a raised eyebrow, and bone health.

Bone deserves special mention, because it's the one women most often hear about too late. Bone loss accelerates sharply in the years around menopause — a substantial share of lifetime loss can occur in that window — and it is silent until a fracture announces it. We'll talk about when a DEXA scan makes sense for you, what your calcium and vitamin D status actually is, why resistance training matters so much now, and where hormone therapy fits, since estrogen is one of the few interventions that both treats symptoms and is FDA-approved for the prevention of postmenopausal osteoporosis.

Colposcopy

An abnormal Pap result is anxiety-producing; the follow-up shouldn't be. Colposcopy — a magnified examination of the cervix, with biopsies where indicated — is performed in-office following ASCCP-aligned protocols, with clear explanation of what your results mean and what happens next.

Office hysteroscopy

A slender camera lets us examine the inside of the uterus right in the office — often the definitive step in evaluating abnormal bleeding, polyps, and other intrauterine findings, without a trip to the operating room. Fewer unknowns, faster answers.

Minor procedures & surgery

Vulvar and endometrial biopsies, lesion management, and other minor gynecologic procedures are handled in-office. When something needs more, you're in experienced hands: Dr. G is a seasoned gynecologic surgeon, and we'll walk you through options, settings, and what recovery actually looks like.

Pessary care

For pelvic organ prolapse and related symptoms, a well-fitted pessary is an effective, nonsurgical option that too few women are offered. We provide fitting, follow-up, and ongoing maintenance care — and honest guidance about when a pessary is the right tool and when it isn't.

Common questions

Where is your gynecology office on Maui? Wahine Health is at 34 Wailea Gateway Place, Ste A-203, Wailea, HI 96753, in the Wailea Gateway Center. Patients come from across Maui — Kīhei, Kahului, Wailuku, Upcountry, and West Maui — and telehealth is available for anyone located in Hawaiʻi or Illinois.

Are you accepting new patients? Yes. Visits are booked with Dr. G or with Ann Craddock, MSN, APRN, WHNP-C, FNP-C, our nurse practitioner, who is dual board-certified in women’s health and family practice.

Do you take insurance? We are in-network with HMAA/HWMG and UHA and out-of-network with other plans, and we submit superbills for you as a courtesy. Full detail is on our billing page.