Women’s Health

Women’s Health


Welcome! We would like to introduce you to the women’s health practice at Central Peninsula Internal Medicine.


Our providers are skilled at addressing the health needs of women throughout their adult lives. Our scope of practice includes non-surgical gynecology and women’s cancer screening, as well as general internal medicine and primary care. Our mission is to provide women with comprehensive care so that all their health needs are managed at one location by the provider who knows them best.

Below is a list of the women’s health issues that our providers can evaluate and treat:

Cervical cancer screening

A pap smear samples cells from your cervix to screen for cancer or pre-cancerous changes. Early detection of cervical cancer saves lives, however current guidelines no longer recommend yearly pap smears for most women. Screening decisions are complex. Our providers can help you decide if and when you need your pap smear and can perform this test if appropriate. Click here for more information about cervical cancer screening.

Menstrual problems

PMS, painful or irregular periods, and polycystic ovarian syndrome are some of the conditions that can affect women of reproductive age. Our providers can help you understand and manage many of these challenging issues. Sometimes, it is necessary to sample the cells from inside the uterus to check for pre-cancerous or cancerous changes. This sampling is called an Endometrial Biopsy, which can be done in the office for most patients.


Many women are relieved when their menstrual cycling stops, but other women suffer from symptoms of hot flashes, vaginal dryness, and mood or sleep changes. Our providers can help you navigate these symptoms using a toolkit that includes both hormonal and non-hormonal methods.

Breast health

There are different recommendations from expert groups about breast cancer screening, which typically is performed with a mammogram. Our providers can explain the guidelines and help you make an informed decision about the type and frequency of screening that is right for you.  In addition, our providers can evaluate acute breast problems, such as a breast mass or abnormal nipple discharge. Click here for more information about breast cancer screening.

Bone health

It is common for women to lose bone mass after natural or surgical menopause. Screening with a DEXA scan, ordered by our office, can detect and classify this bone loss as either osteopenia or osteoporosis. Both conditions increase your risk for hip and vertebral fractures. Treatment must be individualized based on your personal health history. Our providers can review your options and make sure that any treatment decision is appropriate for you. Click here for more information about osteoporosis.

Heart health

With aging and menopause, cardiovascular risk increases. Risk increases significantly for women with diabetes and for women who use tobacco. Our providers can help assess your cardiovascular risk and tailor a risk reduction strategy to meet your individual needs.

Gastrointestinal health

Colon cancer screening is recommended for everyone starting at age 50, and earlier for some women with a high risk family history. There are many new screening technologies available. Our providers can help you develop a screening strategy and also assist you with your overall bowel health. Click here for more information about colon cancer screening.

Sleep concerns

Many women struggle with insomnia or breathing problems during sleep, including obstructive sleep apnea. Women with obesity, hypertension, atrial fibrillation, or cardiovascular disease are at higher risk of sleep apnea and can both feel better and live longer if sleep apnea is treated. Dr. Mitchell is board certified in Sleep Medicine and can assess whether you need treatment for these conditions. Click here to access the STOP-BANG questionnaire to assess your risk of sleep apnea. Click here for more information about sleep apnea. Click here for more information about insomnia.

Please contact us for more information or to schedule a visit!