https://www.thediezcentre.com/patient-portal daily 0.75 2025-09-23 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1618519416897-X68HRMC50ZK61YR8DKJT/pexels-edward-jenner-4031821.jpg Patient Portal - Patient Forms You can upload our New patient and other forms from the list below https://www.thediezcentre.com/get-started daily 0.75 2021-02-23 https://www.thediezcentre.com/menopausal-care daily 0.75 2021-06-17 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1622055705289-XAU3TQ5QXBWDUBFJN7YO/Screen+Shot+2021-05-26+at+2.54.03+PM.png Menopausal Care - Lichen Sclerosus Lichen Sclerosus (LIE-kun skluh-ROW-sus) is an uncommon condition that creates patchy, white skin that appears thinner than normal. It usually affects the genital and anal areas. Anyone can get lichen sclerosus but postmenopausal women are at higher risk. Your doctor can suggest treatment with creams or ointments that help return a more normal appearance to your skin and decrease the tendency for scarring. The condition does tend to recur, so long-term follow-up care may be needed. Rarely, Lichen Sclerosus improves without treatment. The risk of Lichen Sclerosus is higher for postmenopausal women, although it can occur in men and children. Men who are uncircumcised have a higher risk because the condition often affects the foreskin. Complications of lichen sclerosus include painful sex, urinary retention, constipation and an inability to retract the foreskin. People with lichen sclerosus are also at an increased risk of squamous cell carcinoma of the affected area. People with mild Lichen Sclerosus may have no signs or symptoms. Signs and symptoms usually affect the skin of the genital and anal areas, but may also affect the skin of the upper body, upper arms and breasts. They may include: Redness Itching (pruritus), which can be severe Discomfort or pain Smooth white patches on your skin Blotchy, wrinkled patches Tearing or bleeding In severe cases, bleeding, blistering or ulcerated sores Painful sex https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1618518600968-8JQZ09A775LN870Y7LZ1/pexels-cottonbro-4057763.jpg Menopausal Care - What are the symptoms of menopause? The symptoms of menopause are actually Perimenopause, which occurs, on average, about four years prior to the onset of actual menopause, and can last for up to 10 years in some women. These symptoms typically include: Hot flashes and night sweats Thinning, dry vaginal tissue Painful intercourse and changes in libido Sleep disturbances Moodiness and trouble concentrating The average age of menopause in the United States is 52, However, Perimenopause symptoms can start as early in your 40s. You may also pass through menopause early in life if you have had a hysterectomy or certain treatment for a condition such as cancer. Once you’ve progressed through menopause, when you’ve gone 12 months without a period, the lower hormone levels can raise your risk of certain health problems, including heart disease and osteoporosis, which may require monitoring by a professional, such as experts at our Center. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1618518706179-PBB6KOXCW526VTYWZBZB/pexels-cottonbro-4098274.jpg Menopausal Care - Menopausal Care Menopause is defined as the time when you stop having a period and you’re no longer fertile. Before menopause is diagnosed, you shouldn’t have had a period for 12 straight months. During the menopause, your body makes only small amounts of the female sex hormones Estrogen and Progesterone. Many of the symptoms associated with menopause, often start before actual menopause, a time known as Perimenopause. Menopause is a major change in your health life status and you should not have to navigate this challenging period on your own. Dr. Diez and our expert team can help you transition through menopause and face the accompanying symptoms, health changes, and outlook towards the new lifestyle. https://www.thediezcentre.com/resources daily 0.75 2021-02-25 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1614278677077-2YTIQ03T5SE9880Y2VAQ/YogaBeachBlack-White.gif Resources - Yoga & Meditation It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1614278728129-RB9UUYRUNGZE2686Z4N8/Nutrients+for+Active+Women.jpg Resources - Nutrition & Diet It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://www.thediezcentre.com/home daily 0.75 2021-02-23 https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609339784-SQCBD0JY1I2PJTF6463B/image-asset.jpeg Home Providing you with a safe space to relax All your appointments will take place in our soothing office environment with fully private rooms, complimentary tea and water, and individualized care. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257814747-3CTBS6CAWFMNFKTART1M/image-asset.png Home hand-drawn aim target icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257789189-HKYLWI2O9FZ9ZGSJWOQR/image-asset.png Home hand-drawn empty pill bottle icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257831175-Z6RTHXL8WYZEAG22AW4B/image-asset.png Home hand-drawn simplified needles in back acupuncture icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257768238-5W4CHSH2QAYAJ7N3E01O/image-asset.png Home hand-drawn armchair icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609495804-U8BVKL7U6TZ7NC1PRUO3/image-asset.jpeg Home Portrait of pretty Caucasian therapist in elegant dress and smiling while standing at modern office. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609609207-9H86N6YC3P6DVF1K55NK/image-asset.jpeg Home Portrait of handsome young smiling therapist holding smartphone and looking at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609653820-03ONMZIYD38W7ZF3U0Y1/image-asset.jpeg Home Portrait of a millennial generation therapist with curly hair and eyeglasses looking at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609511395-DHZ1AN4UM2RWT5DUYG2I/image-asset.jpeg Home Portrait of elegant therapist wearing suit standing holding coffee cup and a folder and looking at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735391229-WFZO0YGQY5XS8CAGI64G/image-asset.jpeg Home Pretty Caucasian woman at the beach smiling at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735343208-REFD48BLXTO0VYD1GP8F/image-asset.jpeg Home Bright natural dining room nook with vases plates and fruits on the table. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735464610-AI9YSPNX6XDAB7ZYHEVN/image-asset.jpeg Home Scenic shot of the beach with waves hitting the rocks. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735437739-PLZ9IGEX0K4LE2I40EX6/image-asset.jpeg Home Happy smiling woman with curly hair lounging on couch. https://www.thediezcentre.com/get-started-1 daily 0.75 2021-02-23 https://www.thediezcentre.com/gynecological-exams daily 0.75 2021-06-17 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619710023949-RE3CQXR6TTGZ9UTXWJBC/iu-14.jpeg Gynecological Exams - Vulvitis / Vulvar Rashes Vulvitis is not a disease, but refers to the inflammation of the soft folds of skin on the outside of the female genitalia, the vulva. The irritation can be caused by infection, allergic reaction, or injury. The skin of the vulva is especially susceptible to irritation due to its moistness and warmth. Any woman of any age can be affected by vulvitis. Girls who have not yet reached puberty or post-menopausal women may be at higher risk of vulvitis. Their lower estrogen levels may make them more susceptible to the condition due to thinner, dryer vulvar tissues. What are the Symptoms ? The symptoms of vulvitis can include: Extreme and constant itching A burning sensation in the vulvar area Vaginal discharge Small cracks on the skin of the vulva Redness and swelling on the vulva and labia (lips of the vagina) Blisters on the vulva Scaly, thick, whitish patches on the vulva How is it Diagosed ? Your doctor will begin with a medical history and full pelvic exam, looking for redness, blisters, or lesions that may indicate vulvitis. Doctor may also check for vaginal discharge, which can be tested for infections. The doctor may also check for Sexually Transmitted Diseases (STDs) or collect a urine sample for analysis in order to rule out more serious causes of genital irritation. How is Vulvitis treated? The first treatment is to immediately stop the use of any products that may be causing the irritation and to wear loose-fitting, breathable white cotton undergarments. Over-the-counter anti-itch products should be avoided, as they can make the condition worse, or last longer. Your doctor may also prescribe the use of an over-the-counter cortisone ointment on the affected area several times a day. This can help reduce the irritation and itching. Sitz baths and the use of a topical estrogen cream may also be prescribed to deal with the itching and other symptoms of vulvitis. If these treatments do not reduce the irritation, further tests may be prescribed to rule out more serious underlying conditions such as vulvar cancer. Luckily, vulvar cancer is rare. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619709940075-0BOEI7A9Q9CVKDA9B352/iu-13.jpeg Gynecological Exams - Pelvic Pain Pelvic pain is a general term to describe pain in the area between the hips and below the navel. If a woman has had pelvic pain (whether constantly or on-and-off) for six months or longer, it is considered chronic pelvic pain. A wide range of problems in the reproductive, urinary, and/or digestive systems can cause pelvic pain, as well as a history of physical or sexual abuse. For some women, a specific cause of pelvic pain may not be identified. Treatment for pelvic pain depends on the cause of the pain. If no specific cause is identified, the pain is still treatable. Managing chronic pelvic pain may require a combination of medication, therapy, and stress reduction. Causes of pelvic pain Pelvic pain can be caused by a variety of conditions in the lower abdominal region, including the reproductive, urinary, and digestive organs. Some common causes of pelvic pain include: Pelvic floor muscle spasms/tension Chronic pelvic inflammatory disease Adenomyosis and/or endometriosis (conditions where the tissue that lines the uterus grows into the walls of the uterus or in other parts of the lower abdomen) Ovarian remnants (a small piece of ovary left behind after a complete hysterectomy) Uterine fibroids (non-cancerous growths in the uterus) Irritable bowel syndrome Interstitial cystitis (chronic inflammation of the bladder) A history of physical or sexual abuse, depression, or chronic stress Neuropathic pain, when damaged nerves continue to send pain signals after a disease or an injury has healed, may also be a cause of pelvic pain. Determining the cause of pelvic pain can be challenging and in some cases a physician will not be able to pinpoint a specific cause. Nevertheless, pelvic pain is a valid concern that affects a woman’s well being, and can be treated even if a cause is not identified. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1620761171327-903GH7Q7BJGIYQRVV06T/pexels-cottonbro-4098354.jpg Gynecological Exams Pelvic Pain Symptoms The symptoms of pelvic pain may differ from one woman to another. Some women experience pain that is so severe that everyday responsibilities are difficult to manage, while others feel a mild irritation. Pelvic pain may be: A dull ache A sharp, cramping sensation Intense and constant On-and-off (intermittent) The discomfort may also feel like heaviness, fullness, or pressure in the lower abdomen. Symptoms of pelvic pain may worsen during Intercourse, Bowel movements or urination, Long periods of standing or sitting Sudden Pelvic Pain See a health care provider immediately if you have sudden, severe pelvic pain. This may be a sign of a serious health emergency. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1620761264879-96YZQWO33RQWTF639R4O/pexels-jasmine-carter-888899.jpg Gynecological Exams Prevention of HPV / Gardasil Vaccines Two HPV vaccines can prevent diseases and cancers caused by HPV. The Cervarix and Gardasil vaccines protect against most cases of cervical cancer; Gardasil also protects against most genital warts. HPV vaccines are recommended routinely for boys and girls aged 11–12 years; either vaccine is recommended for girls/women, whereas only one vaccine (Gardasil) is recommended for boys/men (https://www.cdc.gov/vaccines/vpd-vac/hpv). These vaccines are safe and effective. Condoms used consistently and correctly can lower the chances of acquiring and transmitting HPV and developing HPV-related diseases (e.g., genital warts and cervical cancer). However, because HPV can infect areas not covered by a condom, condoms might not fully protect against HPV. Limiting number of sex partners can reduce the risk for HPV. However, even persons with only one lifetime sex partner can get HPV. Abstaining from sexual activity is the most reliable method for preventing genital HPV infection. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1620761198172-Y2HAIU4BD8M2W4RXVZJC/pexels-cottonbro-4098344.jpg Gynecological Exams Treatment for Pelvic Pain Treatment for pelvic pain depends on the woman’s symptoms and underlying conditions. For most women with chronic pelvic pain, a combination of treatments, medications, and pain management techniques will be the most effective source of relief from their symptoms. It may take a process of trial and error to discover the combination that works best. Some methods of treatment for pelvic pain include: Pain medication (over-the-counter and/or prescription) Birth control pills or other hormonal medications Antidepressants Antibiotics Transcutaneous electrical nerve stimulation (TENS) Trigger point injections Physical therapy Laparoscopic surgery to remove pelvic adhesions or endometrial tissue. Counseling can provide techniques for managing the stress, depression, and/or anxiety of living with chronic pain as well. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1620761314343-SRVKD4KQIVTFXTXXSZX5/pexels-valeria-ushakova-3094215.jpg Gynecological Exams - Pessary The pessary is a device that is placed into the vagina to support the uterus or bladder and rectum. It is a firm ring that presses against the wall of the vagina and urethra to help decrease urine leakage. The type and size of the pessary should be fitted to meet your individual needs and anatomy. A properly fitted pessary is not noticeable when it is in place. If you have sensations of pressure or rubbing with continued wear of the pessary, or if you notice any unusual vaginal bleeding or spotting, call your health care provider immediately. It is not unusual to have to change the shape or size of the pessary after the initial fitting or even after continued wear. This is why it is important to keep your regularly scheduled clinic appointments. You may notice an increase in vaginal discharge or secretions with pessary use. However, the pessary is made of silicon rubber and does not absorb odors or secretions. The Center for Urogynecology and Women's Pelvic Health recommends only external cleansing. Do not douche or use vaginal products unless they are specifically given to you by your health care provider. Caring for a pessary is easy. Pessaries can be left in place for up to a week and removed for periodic easy cleaning. Some women choose to remove the pessary nightly before bed and replace it in the morning. It can be left in during intercourse if this is comfortable for you. Inserting the Pessary Wash your hands. The notches inside the open ring and the openings in the ring-with-support are the flexible points. Grasp the device midway between these points and fold the pessary in half. The curved part should be facing the ceiling, like a taco. Put a small amount of water-soluble lubricant, such as KY Jelly, on the insertion edge. Hold the folded pessary in one hand and spread the lips of your vagina with the other hand. Gently push the pessary as far back into the vagina as it will go. You can do this squatting, standing with one foot propped on the tub or toilet, or sitting with your feet propped up. Removing the Pessary Wash your hands. Find the rim of the pessary just under the pubic bone at the front of your vagina. Locate the notch or opening and hook your finger under or over the rim. Tilt the pessary slightly, to about a 30 degree angle, and gently pull down and out of the vagina. If you can fold the pessary somewhat, it will ease the removal. Bearing down as if you are having a bowel movement can help push the rim of the pessary forward so you can grasp it more easily. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619709604109-AUAGU62469SJYHKXUWSP/iu-9.jpeg Gynecological Exams - HPV Test The Human Papillomavirus (HPV) Test detects the presence of human papillomavirus, a virus that can lead to the development of genital warts, abnormal cervical cells or cervical cancer. Your doctor at The Diez Center may likely recommend the HPV test if: Your Pap test was abnormal, showing atypical squamous cells of undetermined significance (ASCUS) You're age 30 or older The HPV test is available only to women; no HPV test yet exists to detect the virus in men. However, men can be infected with HPV and pass the virus to their sex partners. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619709717341-K8V2URJFNWCNC5S96AU7/iu-12.jpeg Gynecological Exams - Heavy / Irregular Bleeding Abnormally heavy or prolonged menstrual periods is a common condition that affects about one-third of women. You may have heavy menstrual bleeding if you experience any of the following: Menstrual periods that last longer than seven days Soaking through one or more tampons or pads per hour for several hours Getting up in the middle of the night to change tampons or pads Periods with blood clots the size of a quarter or larger Excessive blood loss during your period isn’t normal and may be a symptom of an underlying medical issue or a side effect of certain treatments and can negatively affect your quality of life. Common causes of heavy menstrual bleeding may include: Uterine fibroids or polyps Endometrial cancer Endometriosis Ectopic pregnancy Miscarriage Pelvic inflammatory disease Irregular ovulation Polycystic ovary syndrome (PCOS) Thyroid disorders such as hypothyroidism Blood-thinning medications such as aspirin Copper intrauterine device (IUD) https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619186269646-FJ52KTFIRCSXW7YAP7O8/pexels-karolina-grabowska-4386464.jpg Gynecological Exams Despite your age, an annual GYN exams at The Diez Center includes: An assessment of your current health status A breast exam to check for lumps, skin changes, or nipple discharge A pelvic exam to check your vulva, vagina, cervix, uterus, rectum, and pelvis, including your ovaries, for masses, growths or other abnormalities A Pap test to screen for cervical cancer Your annual wellness exam may also include information on which vaccinations are recommended based on your age and risks. These can include the flu shot, Tdap, and human papilloma virus (HPV). Your doctor may also recommend you for your regular mammogram as part of your annual GYN exam. Annual testing for chlamydia and gonorrhea is recommended for sexually active adolescents and young women up to age 25. Routine HIV testing is recommended for all sexually active women beginning at age 19 until 64. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1620761244185-MD2C27LWMSKFPTYX6PFO/pexels-pixabay-414032.jpg Gynecological Exams HPV Counseling Anogenital HPV infection is very common. It usually infects the anogenital area but can infect other areas including the mouth and throat. Most sexually active people get HPV at some time in their lives, although most never know it. Partners who have been together tend to share HPV, and it is not possible to determine which partner transmitted the original infection. Having HPV does not mean that a person or his/her partner is having sex outside the relationship. Most persons who acquire HPV clear the infection spontaneously and have no associated health problems. When the HPV infection does not clear, genital warts, precancers, and cancers of the cervix, anus, penis, vulva, vagina, head, and neck might develop. The types of HPV that cause genital warts are different from the types that can cause cancer. Many types of HPV are sexually transmitted through anogenital contact, mainly during vaginal and anal sex. HPV also might be transmitted during genital-to-genital contact without penetration and oral sex. In rare cases, a pregnant woman can transmit HPV to an infant during delivery. Having HPV does not make it harder for a woman to get pregnant or carry a pregnancy to term. However, some of the precancers or cancers that HPV can cause, and the treatments needed to treat them, might lower a woman’s ability to get pregnant or have an uncomplicated delivery. Treatments are available for the conditions caused by HPV, but not for the virus itself. No HPV test can determine which HPV infection will clear and which will progress. However, in certain circumstances, HPV tests can determine whether a woman is at increased risk for cervical cancer. These tests are not for detecting other HPV-related problems, nor are they useful in women aged<25 years or men of any age. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619709662307-WRVR1ZYMO2Z78ZNPNL9J/iu-11.jpeg Gynecological Exams - Pap Smear A Pap smear, also called a Pap test, is a procedure to test for cervical cancer in women. It involves collecting cells from your cervix — the lower, narrow end of your uterus that's at the top of your vagina. Detecting cervical cancer early with a Pap smear gives you a greater chance at a cure. A Pap smear can also detect changes in your cervical cells that suggest cancer may develop in the future. Detecting these abnormal cells early with a Pap smear is your first step in halting the possible development of cervical cancer. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619184854288-3WJB0QEEHW9CLL88PMWZ/gynecologicalchair.jpg Gynecological Exams - Annual GYN Exams An annual Gynecologic (GYN) exam is a routine checkup to ensure that you’re healthy inside and out. It’s one of the most empowering things you can do for yourself because it can help detect certain health problems as well as prevent future ones from developing – building a foundation of health and wellness for all the stages of your life. The American Congress of Obstetricians and Gynecologists (ACOG) recommends: A woman’s first reproductive health visit should take place between ages 13 and 15 (this first visit is often simply a discussion between patient and doctor) Annual breast and pelvic exams should begin at age 19 Pap tests should begin at age 21 https://www.thediezcentre.com/home-1 daily 0.75 2021-02-23 https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609339784-SQCBD0JY1I2PJTF6463B/image-asset.jpeg Home Providing you with a safe space to relax All your appointments will take place in our soothing office environment with fully private rooms, complimentary tea and water, and individualized care. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257789189-HKYLWI2O9FZ9ZGSJWOQR/image-asset.png Home hand-drawn empty pill bottle icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257814747-3CTBS6CAWFMNFKTART1M/image-asset.png Home hand-drawn aim target icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257768238-5W4CHSH2QAYAJ7N3E01O/image-asset.png Home hand-drawn armchair icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1592257831175-Z6RTHXL8WYZEAG22AW4B/image-asset.png Home hand-drawn simplified needles in back acupuncture icon https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609609207-9H86N6YC3P6DVF1K55NK/image-asset.jpeg Home Portrait of handsome young smiling therapist holding smartphone and looking at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609495804-U8BVKL7U6TZ7NC1PRUO3/image-asset.jpeg Home Portrait of pretty Caucasian therapist in elegant dress and smiling while standing at modern office. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609653820-03ONMZIYD38W7ZF3U0Y1/image-asset.jpeg Home Portrait of a millennial generation therapist with curly hair and eyeglasses looking at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1595609511395-DHZ1AN4UM2RWT5DUYG2I/image-asset.jpeg Home Portrait of elegant therapist wearing suit standing holding coffee cup and a folder and looking at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735437739-PLZ9IGEX0K4LE2I40EX6/image-asset.jpeg Home Happy smiling woman with curly hair lounging on couch. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735343208-REFD48BLXTO0VYD1GP8F/image-asset.jpeg Home Bright natural dining room nook with vases plates and fruits on the table. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735391229-WFZO0YGQY5XS8CAGI64G/image-asset.jpeg Home Pretty Caucasian woman at the beach smiling at camera. https://images.squarespace-cdn.com/content/v1/5ede5d5c4e1eb54d74680dd4/1596735464610-AI9YSPNX6XDAB7ZYHEVN/image-asset.jpeg Home Scenic shot of the beach with waves hitting the rocks. https://www.thediezcentre.com/annual-exams daily 0.75 2021-03-26 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1614278917498-5ZYPTR1RPWRSAOU3H7AJ/timthumb.php.png Annual Exams - Annual Exams It all begins with an idea. Maybe you want to launch a business. Maybe you want to turn a hobby into something more. Or maybe you have a creative project to share with the world. Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1614231590931-6ZOU3F5DMXIEZYPVY1OK/importance_annual_physical_screening.jpg Annual Exams - Mammogram A mammogram is an X-ray of your breast that checks for early signs of breast cancer. Getting regular mammograms can help to find breast cancer early, sometimes up to three years before a tumor can be felt with a regular breast exam. https://www.thediezcentre.com/services daily 0.75 2025-09-23 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1617823792085-HO4DN3MP1NAKFUU1C15Z/33.jpg Services https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1614229327228-B3FXD5E2IUQB85WV2S3L/2.jpg Services https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1620760445922-41EBLZ71THHLC4L7S2WG/1.jpg Services https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1618518166865-RXN05UDJ7I9VDALOD2VN/pexels-ketut-subiyanto-4307688.jpg Services - “I underestimated how daunting gynecological appointments could be, but at Diez Center, I felt at ease and was able to get answers to all of my questions .” — CURRENT CLIENT https://www.thediezcentre.com/our-approach daily 0.75 2021-02-25 https://www.thediezcentre.com/treatments daily 0.75 2021-04-28 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619583075167-U1IHS4OLUUHMROVEU7G2/pexels-anna-shvets-4672553+copy.jpg Treatments - HPV Counseling / Gardasil Vaccines Most cervical cancers are associated with human papillomavirus (HPV), a sexually transmitted infection. Widespread immunization with the HPV vaccine could reduce the impact of cervical cancer worldwide. Here's what you need to know about the HPV vaccine. What does the HPV vaccine do? Various strains of HPV spread through sexual contact and are associated with most cases of cervical cancer. Gardasil 9 is an HPV vaccine approved by the U.S. Food and Drug Administration and can be used for both girls and boys. This vaccine can prevent most cases of cervical cancer if given before a girl or woman is exposed to the virus. In addition, this vaccine can prevent vaginal and vulvar cancer in women, and can prevent genital warts and anal cancer in women and men. In theory, vaccinating boys against the types of HPV associated with cervical cancer might also help protect girls from the virus by possibly decreasing transmission. Certain types of HPV have also been linked to cancers in the mouth and throat, so the HPVvaccine likely offers some protection against these cancers, too. Who is the HPV vaccine for and when should it be given? The HPV vaccine is routinely recommended for girls and boys ages 11 or 12, although it can be given as early as age 9. It's ideal for girls and boys to receive the vaccine before they have sexual contact and are exposed to HPV. Research has shown that receiving the vaccine at a young age isn't linked to an earlier start of sexual activity. Once someone is infected with HPV, the vaccine might not be as effective or might not work at all. Also, response to the vaccine is better at younger ages than it is at older ages. The Centers for Disease Control and Prevention (CDC) now recommends that all 11- and 12-year-olds receive two doses of HPV vaccine at least six months apart, instead of the previously recommended three-dose schedule. Younger adolescents ages 9 and 10 and teens ages 13 and 14 also are able to receive vaccination on the updated two-dose schedule. Research has shown that the two-dose schedule is effective for children under 15. Teens and young adults who begin the vaccine series later, at ages 15 through 26, should continue to receive three doses of the vaccine. The CDC now recommends catch-up HPV vaccinations for all people through age 26 who aren't adequately vaccinated. The U.S. Food and Drug Administration recently approved the use of Gardasil 9 for males and females ages 9 to 45. Who should not get the HPV vaccine? The HPV vaccine isn't recommended for pregnant women or people who are moderately or severely ill. Tell your doctor if you have any severe allergies, including an allergy to yeast or latex. Also, if you've had a life-threatening allergic reaction to any component of the vaccine or to a previous dose of the vaccine, you shouldn't get the vaccine. Even if you already have one strain of HPV, you could still benefit from the vaccine because it can protect you from other strains that you don't yet have. However, none of the vaccines can treat an existing HPV infection. The vaccines protect you only from specific strains of HPV you haven't been exposed to already. Does the HPV vaccine carry any health risks or side effects? Overall, the effects are usually mild. The most common side effects of HPV vaccines include soreness, swelling or redness at the injection site. Sometimes dizziness or fainting occurs after the injection. Remaining seated for 15 minutes after the injection can reduce the risk of fainting. In addition, headaches, nausea, vomiting, fatigue or weakness also may occur. The CDC and the FDA continue to monitor the vaccines for unusual or severe problems. Is the HPV vaccine required for school enrollment? The HPV vaccine is part of the routine childhood vaccines schedule. Whether a vaccine becomes a school enrollment requirement is decided on a state-by-state basis. Do women who've received the HPV vaccine still need to have Pap tests? Yes. The HPV vaccine isn't intended to replace Pap tests. Routine screening for cervical cancer through regular Pap tests beginning at age 21 remains an essential part of a woman's preventive health care. What can you do to protect yourself from cervical cancer if you're not in the recommended vaccine age group? HPV spreads through sexual contact — oral, vaginal or anal. To protect yourself from HPV, use a condom every time you have sex. In addition, don't smoke. Smoking raises the risk of cervical cancer. To detect cervical cancer in the earliest stages, see your health care provider for regular Pap tests beginning at age 21. Seek prompt medical attention if you notice any signs or symptoms of cervical cancer — vaginal bleeding after sex, between periods or after menopause, pelvic pain, or pain during sex. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619583047170-QPGQDJXFRAMBI31PRFOQ/pexels-guilherme-almeida-1858175+copy.jpg Treatments - Pessary Placement The pessary is a device that is placed into the vagina to support the uterus or bladder and rectum. It is a firm ring that presses against the wall of the vagina and urethra to help decrease urine leakage. The type and size of the pessary should be fitted to meet your individual needs and anatomy. A properly fitted pessary is not noticeable when it is in place. If you have sensations of pressure or rubbing with continued wear of the pessary, or if you notice any unusual vaginal bleeding or spotting, call your health care provider immediately. It is not unusual to have to change the shape or size of the pessary after the initial fitting or even after continued wear. This is why it is important to keep your regularly scheduled clinic appointments. You may notice an increase in vaginal discharge or secretions with pessary use. However, the pessary is made of silicon rubber and does not absorb odors or secretions. The Center for Urogynecology and Women's Pelvic Health recommends only external cleansing. Do not douche or use vaginal products unless they are specifically given to you by your health care provider. Caring for a pessary is easy. Pessaries can be left in place for up to a week and removed for periodic easy cleaning. Some women choose to remove the pessary nightly before bed and replace it in the morning. It can be left in during intercourse if this is comfortable for you. Inserting the Pessary Wash your hands ! The notches inside the open ring and the openings in the ring-with-support are the flexible points. Grasp the device midway between these points and fold the pessary in half. The curved part should be facing the ceiling, like a taco. Put a small amount of water-soluble lubricant, such as KY Jelly, on the insertion edge. Hold the folded pessary in one hand and spread the lips of your vagina with the other hand. Gently push the pessary as far back into the vagina as it will go. You can do this squatting, standing with one foot propped on the tub or toilet, or sitting with your feet propped up. Removing the Pessary Wash your hands ! Find the rim of the pessary just under the pubic bone at the front of your vagina. Locate the notch or opening and hook your finger under or over the rim. Tilt the pessary slightly, to about a 30 degree angle, and gently pull down and out of the vagina. If you can fold the pessary somewhat, it will ease the removal. Bearing down as if you are having a bowel movement can help push the rim of the pessary forward so you can grasp it more easily. https://www.thediezcentre.com/team daily 0.75 2025-09-23 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1614890350961-VCVNRO9UNTXZ8W5BFN6D/Profiles+1.jpg Team Cynthia Granados Cynthia has been with Dr. Diez since 2004. She received her associate of science / medical assistant degree from Florida Metropolitan University. She interned her with Dr. Diez becoming her triage nurse and moving up to office manager. Cynthia also received her Certificate in Medical Coding and Billing from Florida Tech College. Cynthia is drawn to the healthcare industry out of an intense desire to help people. Email https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1614890312450-O02S26LP5FWU5GO33U32/Doctor+Profiles.jpg Team Dr. Diez “My wish is to provide you with a safe, comfortable and dignified environment for complete health care and wellness, and to help remove barriers to self-confidence and beauty." Dr. Mauro Diez Mauro Diez has practiced in Orlando for over 20 years. After completing medical school at the University of Florida School of Medicine, he completed his residency at Orlando Regional Medical Center. He is a member of the American College of Obstetrics and Gynecology, Florida Medical Association, and Orange County Society of Obstetrics and Gynecology. As a former OB / GYN, Dr. Diez later narrowed his focus as Gynecology Specialists, Inc. Now his priority is to serve as a more comprehensive resource for women through the The Center for Women's Well-being. Email - LinkedIn https://www.thediezcentre.com/about daily 1.0 2025-09-23 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/92741414-45c9-4815-b5df-c044428650a6/istockphoto-1739325597-612x612-2.jpg About - The Centre Our redesigned offices are a safe and comfortable place for you to receive the quality of care you’ve come to trust. Whether it’s traditional healthcare or elective procedures, you can be sure that Dr. Diez and the staff are focused on your health and well being. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/e5cfea78-fd97-4a97-a5d6-4157e4237225/gettyimages-1424987910-612x612.jpg About - Our Pledge of Confidentiality All your medical records are considered confidential information. We only release records if you give us written permission. No matter what the circumstances, we will not release these records unless we have written notification that you wish us to do so. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/6ff08f9c-bed3-40c6-9592-a1038f49fed3/DSC08830.jpg About https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/31a8a9ce-a4dc-4f11-9a86-6b1e8b51f52b/7.jpg About https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/ba601666-7b11-4af2-ab68-f181f73c89e2/pexels-karolina-grabowska-4021779.jpg About https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/a6c3b8fa-7170-48dc-b2b2-9745651c3637/pexels-gustavo-fring-3985168.jpg About https://www.thediezcentre.com/contact daily 0.75 2025-09-23 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1615329485360-A7XW38JWFBTX701S6KIG/DSC08834.jpg Contact https://www.thediezcentre.com/inoffice-procedures daily 0.75 2025-07-31 https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1618520143415-I1PIGEQBBEFNJ6H8LANV/pexels-mart-production-7088841.jpg In-office Procedures - Transvaginal Ultrasound What is a Transvaginal Ultrasound? “Transvaginal” means “through the vagina.”, therefore it is an internal examination. It is an Ultrasound test that uses high-frequency sound waves to create images of your internal organs. Imaging tests can identify abnormalities and help doctors diagnose conditions. A Transvaginal Ultrasound, also called an Endovaginal Ultrasound, is a type of pelvic ultrasound used by doctors to examine female reproductive organs. This includes the uterus, fallopian tubes, ovaries, cervix, and vagina. Unlike a regular abdominal or pelvic ultrasound, where the ultrasound wand (transducer) rests on the outside of the pelvis, this procedure involves your doctor or a technician inserting an ultrasound probe about 2 or 3 inches into your vaginal canal. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1618518813559-GBB6WYGMFGUO3HH61J75/pexels-karolina-grabowska-4047186.jpg In-office Procedures - Nexplanon / Implanon Removal What is Nexplanon / Implanon ? The Nexplanon implant is a long-term birth control method as it works as a contraceptive for a period of 3 years. After three years, the implant should be removed or replaced with a new one depending on whether one wishes to become pregnant or not. Nexplanon is a newer version of the contraceptive implant – Implanon, which was discontinued in 2014 by its manufacturer. They are a long-term birth control option for women. It is radio-opaque i.e., can be seen on X-ray, which is helpful in locating the implant. This X-ray feature is possible due to the presence of barium sulfate present in a small amount in the implant. How Does It Works ? This contraceptive implant is a flexible plastic rod of about the size of a toothpick and placed under the skin of the upper arm. The slow and steady release of the dose of progestational hormone thickens the cervical mucus and the thin uterine lining called the endometrium. It subdues ovulation, the act of releasing the egg from the ovary. This procedure makes it tougher for the sperm to reach the uterus and difficult for the fertilized egg to attach itself to the uterus. Etonogestrel Implant, the generic name for Nexplanon, provides contraception for a long period of three years. It becomes effective maximum within seven days of its implant. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1619120996001-SR41CTQY4O2Z45OKDZHW/pexels-artem-podrez-5726706.jpg In-office Procedures - Endometrial Biopsy What is an Endometrial Biopsy ? An endometrial biopsy is a medical procedure in which a small piece of tissue from the lining of the uterus (the endometrium) is removed for examination under a microscope. The removed tissue is examined for cancer or any other cell abnormalities. Why is an endometrial biopsy done? An endometrial biopsy is done to help your doctor find out the cause of problems leading to heavy or irregular bleeding. It is the most common test done to diagnose endometrial cancer. Though it is a simple office procedure, it needs to be performed by a provider who has experience in performing the test. The biopsy also lets your doctor check to see if your body's endometrial hormone levels are balanced. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/20a59914-dad9-4b7a-aced-8b1cf037c626/patty-brito-Y-3Dt0us7e0-unsplash.jpg In-office Procedures - Hysteroscopy, Dilation & Curettage What is a hysteroscopy? Hysteroscopy is a procedure that can be used to both diagnose and treat causes of abnormal bleeding. The procedure allows your provider to look inside your uterus with a hysteroscope. This is a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be a part of the diagnosis process or an operative procedure. What is diagnostic hysteroscopy? Diagnostic hysteroscopy is used to diagnose problems of the uterus. Diagnostic hysteroscopy is also used to confirm results of other tests, such as hysterosalpingography (HSG). HSG is an X-ray dye test used to check the uterus and fallopian tubes. Diagnostic hysteroscopy can often be done in an office setting. Additionally, hysteroscopy can be used with other procedures, such as laparoscopy, or before procedures such as Dilation and Curettage (D&C). In laparoscopy, your doctor will insert an endoscope (a slender tube fitted with a fiber optic camera) into your abdomen to view the outside of your uterus, ovaries and fallopian tubes. The endoscope is inserted through an incision made through or below your navel. What is operative hysteroscopy? Operative hysteroscopy is used to correct an abnormal condition that has been detected during a diagnostic hysteroscopy. If an abnormal condition was detected during the diagnostic hysteroscopy, an operative hysteroscopy can be performed at the same time, avoiding the need for a second surgery. During operative hysteroscopy, small instruments used to correct the condition are inserted through the hysteroscope. https://images.squarespace-cdn.com/content/v1/60354dfed4d5f13a45151b2e/1617761538275-9PET8KWGPQINMEY1O5RO/iud.jpg In-office Procedures - IUD Insertion & Removal What is an IUD? An IUD is a long-term, reversible, effective method of birth control. An IUD is made from flexible plastic shaped like a “T” and is inserted inside your uterus. Hormonal IUDs use progestin to prevent pregnancy. Progestin thickens your mucus, blocking the sperm from reaching an egg and sometimes even stopping eggs from leaving your ovaries. Copper IUDs repel sperm so they can’t reach an egg. How long do IUDs prevent pregnancy? When inserted by a professional, IUDs are 99% effective for 3-12 years, depending on the type you choose, and does not requires any maintenance. If you will decide to get pregnant sooner than the IUD expires, it can simply be removed — even before its expiration — and you will able to get pregnant without delays. Do IUDs offer protection against sexually transmitted disease? No. Only male and female condoms offer some protection against sexually transmitted disease. If you’re sexually active with multiple partners or your partner has multiple partners, it is recommended that you use a condom as an additional form of protection in addition to your IUD. Can IUDs provide emergency contraception? If you’ve had unprotected sex and fear pregnancy, a copper IUD (ParaGard®) can be inserted within five days to prevent pregnancy. You can leave the copper IUD in place to stay protected from future unwanted pregnancies. What is the process of getting an IUD? During this procedure, your provider will insert the IUD through your vagina and into your uterus. You may experience some mild cramping or pain during insertion, but it its typically a short process and medicine helps alleviate discomfort. IUDs may be inserted at any point during your menstrual cycle, and you can have sexual intercourse right after getting one. Most women feel fine and can resume their regular activities, but others may want to take it easy for a day due to dizziness and cramping. Some spotting can occur for a few months following insertion, but it usually resolves on its own. You can check on your IUD by reaching into your cervix to detect a string about 1-2 inches long. Do not tug on the string or you risk dislodging your IUD. https://www.thediezcentre.com/forms daily 0.75 2021-05-26 https://www.thediezcentre.com/privacy-policy daily 0.75 2022-09-14 https://www.thediezcentre.com/reviews daily 0.75 2025-09-23