Gynecology

Our Expert gynecologists make great health partners for life.

A great relationship between you and your gynecologist is vital to your health and your health care. All our physicians are board certified in gynecology, renowned in the community for their expertise and care, and are here and ready to help you.

Expertise you can trust. Care you will cherish.

At The OB/GYN Group of Austin, our physicians are experts in all areas of women’s health and gynecology. Our trusted physicians diagnose and treat a wide range of female disorders with the most effective treatments available. Surgical treatment, when necessary, is performed by our expert gynecologic surgeons using the most advanced techniques and technology. Our goal is to be your health care partner for life. We will work with you on general wellness, physical and gynecological exams and a host of issues. You can count on our expert physicians for premier care and to be a trusted friend. Austin women have been doing just that for over 40 years!

Keeping you at your best. Wellness for life!

Women of all ages can benefit from seeing their physician regularly. The goal of wellness care is to prevent or manage problems early. A wellness exam is a good opportunity for you to discuss with your physician any problems or concerns you may have, whether they involve general health or gynecological issues. Our physicians strive to provide you with the care and resources needed to resolve your concerns and avoid any future problems. We encourage you to work with your doctor on a regular basis to ensure your wellness and vibrancy!

Flu Shot Information

This flu season, we will be providing flu vaccines for current patients who are at high risk for complications from influenza as defined by The Centers for Disease Control (CDC). Click here for more information concerning Flu Shots in the form of a printable pdf notice.

Menopausal Care. We understand and we can help.

Menopause is a natural process in the progression of life. It can occur naturally or by medical intervention. All our physicians possess a great deal of experience in caring for menopausal and peri-menopausal women. They are up to date on the absolute latest treatments and information available to provide excellent care. If you are entering or are in any phase of menopause, we encourage you to visit with one of our physicians who will provide you with information to understand the changes you are experiencing, as well as the many treatment options now available. Common symptoms include:

  • Hot flashes
  • Night sweats without illness
  • Insomnia
  • Mood changes and uncharacteristic irritability
  • Cessation of menstruation
  • Impaired concentration

Urogynecology and Urinary Incontinence

Urinary issues and incontinence can occur in men and women, but most commonly occur in women. Incontinence affects 10-25% of women under age 65 and 15-30% of women over 60. Urinary incontinence sufferers do not have to experience symptoms all the time. More than half of the women with incontinence symptoms do not tell their doctor due to embarrassment. Incontinence causes can range from illness (i.e. urinary tract infection), neuromuscular disorders, urinary tract abnormalities to pelvic support problems. There are many options for treatment: special exercises, diet alteration, medications, special devices (i.e. pessaries) and even surgical repair.

Dr. Gooch and Dr. Nunnelly both have extensive experience with these treatment options as well as the variety of tests available to diagnose each patient. We have the ability to perform in our office urodynamic studies that are a valuable tool in providing a patient with the best treatment possible. Common symptoms of urinary issues include:

  • Incontinence (involuntary loss of urine)
  • Urgency (strong desire to urinate)
  • Urinary frequency
  • Nocturia (the need to urinate two or more times during the night)
  • Dysuria (painful urination)
  • Enuresis (bed-wetting)
  • Incomplete emptying

Endometriosis

Endometriosis is a condition that affects women differently. For some it can be extremely painful and for others, mildly uncomfortable. Endometriosis occurs when tissue similar to the uterine lining is found in places besides the uterine cavity. Diagnosis is usually done with a combination of a physical exam and patient’s symptoms. To confirm this diagnosis a doctor may have to look inside your body with a surgical procedure called laparoscopy. It can be the cause of infertility. Sometimes the patient is not aware she has endometriosis until she cannot get pregnant.

Some women may have many symptoms while others have only one symptom or none. Often women blame other causes for their symptoms, delaying diagnosis and treatment. Our physicians have experience in diagnosing and providing effective treatment. If you are experiencing any of the following symptoms we encourage you to see your gynecologist to discuss them. Common symptoms include:

  • Pelvic pain
  • Pelvic pain with bowel movement
  • Pelvic pain with urination
  • Pelvic pain just before or during a menstrual cycle
  • Spotting between cycles
  • Pelvic pain with sexual intercourse

In-Office Surgical Procedures

Our physicians offer great expertise in and knowledge of state-of-the-art surgical procedures for a variety of gynecological issues. Our group practice is recognized in Central Texas as a longstanding women’s surgical procedure referral center. When surgery appears to be the best course of action, we undertake comprehensive gynecologic evaluations. Our physicians discuss with you all the issues at hand, always giving you the opportunity to take a primary role in finalizing your best treatment choices.

We also now offer a wide variety of In-Office Surgical Procedures, aiding out patients in both convenience and a comforting, familiar location. Our in-office surgical procedures include:

  • In-office ablations (NovaSure®)
  • Essure®
  • LEEP (Loop Electrosurgical Excision Procedure)
  • Hysteroscopy
  • Polypectomy
  • Colposcopy
  • Endometrial Biopsy

Our wellness services include:

  • General physical exams
  • Breast Exams
  • Pelvic exams
  • Pap smears
  • Colposcopy exams
  • Review of medical history
  • In-office ultrasound
  • In-office laboratory
  • In-office bone density testing
  • In-office digital mammography
  • Personalized patient education
  • Flu Shot information
  • Body fat composition testing