We are committed to providing excellence in quality services and care in women’s health

To view more information about our services and procedures, please click on the main headings to expand the boxes below.

GYNECOLOGICAL ANNUAL SCREENING EXAMS

Our offices conduct the following exams:

  • Pap Smears
  • Breast Examinations
  • Colon Screening
  • Bone Densitometry Referral
  • Mammogram Referral
  • STD Screening

FAMILY PLANNING

Our offices conduct the following procedures right here in the comfort of our offices.

  • Infertility Evaluation
  • Preconceptual Counseling
  • Physician Consultation

PRESCRIPTION REFILL

Our office can send your prescription refill directly to your pharmacy.

Call our office to request a prescription refill and we will send it directly to your pharmacy.

OBSTETRICAL CARE

Our offices offer the following obstetrical care services:

  • Comprehensive prenatal care
  • High risk obstetrical care
  • Vaginal and Cesarean Section deliveries
  • Tubal ligation
  • Office based obstetrical ultrasound
  • In office Antenatal Fetal Surveillance
  • Management of diabetes and hypertension in pregnancy
  • Treatment and prevention of premature labor
  • Surgical & non-surgical treatment of incompetent cervix, including cerclage placement
  • Management and treatment of recurrent miscarriages
  • Comprehensive genetic counseling and testing for genetic diseases
  • Specialty care of IVF (in-vitro fertilization) pregnancy
  • Counseling and care for advanced maternal age (maternal age +35)

OFFICE BASED PROCEDURES

Our offices conduct the following procedures right here in the comfort of our offices.

  • Colposcopy
  • Cryo Cauterization
  • Leep Cervical Biopsy
  • Endometrial Biopsy
  • Urodynamic Evaluation
  • OB and Diagnostic GYN Ultrasounds
  • BracAnalysis Testing
  • Pelvic Floor Therapy
  • Monalisa Procedure

LAB AND OTHER SERVICES

At Miami Ob/Gyn LLC we offer a variety of services such as:

  • Preventive and well woman healthcare
  • In office ultrasounds
  • Contraceptive Management
  • Comprehensive Pre-Natal Care
  • Pre-Conception evaluation management
  • Management and treatment of recurrent miscarriages
  • Specialty care of IVF (in vitro fertilization) pregnancy
  • High-risk pregnancy care
  • Evaluation and Management of Urinary Incontinence
  • Treatment of Menopause
  • Vaccination Services
  • Blood Drawing Services
  • Vaginal Rejuvenation

BIOIDENTICAL HORMONE REPLACEMENT THERAPY (BHRT)

Bioidentical hormone replacement therapy is an effective treatment using hormones that are identical to the hormones naturally made by your body. Bioidentical hormone replacement therapy (BHRT) has transformed the healthcare of men and women as they enter the later stages of life. It provides an alternative to hormones that are synthetic, such as injectable testosterone, or hormones concentrated from horse urine (Premarin). Bioidentical Hormone Replacement Therapy is made by compounding pharmacists in customized dosages based on the individual needs of the patient as opposed to the narrow choices available with mass-produced, or “one size fits all” hormone therapies.
A more natural approach to hormone therapy often referred to as “natural hormone therapy” has focused attention on bioidentical hormones that are identical in molecular structure to the hormones that the male and female body naturally produces for itself. Although not found in this form in nature, they are derived and made from plant compounds extracted from yams and soy. The result is often the relief from symptoms of hormone deficiency, from insomnia, chronic fatigue, memory loss, and loss of libido…

Blood tests that measure total estradiol or testosterone are used to detect both a deficiency or excess of estrogen or testosterone the body produces as well as to monitor the effects of bioidentical hormone replacement therapy. On the other hand, Premarin, the old standby estrogen used for decades, is metabolized into various forms of estrogen that can be dangerous and cannot be measured by standard laboratory tests. Proponents of bioidentical hormones say that an advantage is more precise monitoring of hormone levels and individualized treatment. Other benefits include calmer mood, reduced body fat, increased energy levels, increased sex drive, stronger mental clarity, and improved muscle tone and mass, among others.
Many methods of delivery can be utilized to administer bioidentical hormone replacement therapy, however, data shows the most efficient method by way of absorption and availability to deliver hormones in both men and women is by pellet implant. BHRT pellets contain either estradiol or testosterone, which are pressed, or fused into tiny solid cylinders that for reference, are smaller than a tic tac and slightly larger than a grain of rice. They deliver consistent and healthy levels of hormones for 3-5 months in women and 4-6 months in men. Pellets dissolve inside the body on their own and are re-implanted two to four times a year depending on how rapidly the patient metabolizes the hormones. Pellets avoid the fluctuations of hormone levels seen with other methods of delivery, providing more consistent hormone levels over a longer period. Unlike conventional or synthetic hormone replacement therapy, pellets do not increase the risk of blood clots.
Bioidentical hormone replacement therapy using pellets have a very high success rate, even in patients who have failed other types of hormone therapy, and remain at the top by way of convenience for the patient. When compared to other types of hormone replacement therapy, studies have indicated pellets to be superior for relief of symptoms of menopause and andropause, bone density maintenance, sleep regulation, and improvement in libido, sex drive, sexual performance, and sexual response.
Men and women require adequate levels of testosterone for optimal physical and mental health and for the prevention of chronic illnesses, such as Parkinson’s disease, Alzheimer’s disease, and heart attacks, which are all associated with low testosterone levels. In addition to using pellets for hormone maintenance and regulation, testosterone pellets have also been utilized for the treatment of menstrual headaches and migraines, as well as providing relief of vaginal dryness, urinary frequency and urgency, and incontinence. In both men and women, the use of testosterone pellets has been shown to relieve depression and anxiety, improve concentration and memory, increase energy and an overall sense of well-being, and to treat testosterone deficiencies caused by the birth control pill.
Hormone therapy with pellets is not just used for menopause, as women at any age may experience hormone imbalance. Pellets are useful in the treatment of severe PMS, postpartum depression, menstrual headaches, migraine headaches, and sleep disorders.

Testimonials About Our Services

  • Best gynecology experience!

    Best gynecology experience I've had thus far! Past gyno's have done a poor job of listening to my concerns, explaining test results, and displaying a warm presence. Dr. Guell was exceptionally attentive, responsive to my concerns, and very calm (putting me at ease!). He even went above and beyond to accommodate me with super glue from a staff member when he noticed my shoe sole was broken! Overall, highly professional and sincere - I highly recommend him.
    Abby Araya
    Patient of Dr Guell
  • Fortunate to have him

    I'm so fortunate to have had the pleasure of having Dr. Guell as my OB. I'm so happy with the results. Because of him and his team Monica and all the others I was able to have my beautiful baby boy. I will be forever grateful for this gift and my guardian angels on Earth. I hope to continue with this team for my next children or child as I hope God would intend for me. God bless all of you, thank you for caring for us with so much love and patience.
    Patient of Dr Guell
  • Outstanding doctor

    Dr. De Leon is an outstanding doctor. I trust his professional judgement completely. I know I am in the best possible hands with him!
    Patient of Dr De Leon
  • Best Doctor in Miami!

    I am very grateful to be a patient of Dr Mendia. He is the best Doctor in Miami!
    Patient of Dr Mendia
  • Absolutely AWESOME!!

    Dr. De Leon is an amazing doctor. He treats me the same way he did whenI made my first appointment.He is absolutely AWESOME!!
    Patient of Dr De Leon
  • I had a terrific experience

    I had a terrific experience with Dr. Fidalgo and would recommend him to anyone I know.
    Patient of Dr Fidalgo
  • Always with a smile

    Dr Fidalgo takes the time to listen to you, he demonstrates concern and treats you in a respectful and caring way, always with a smile.
    Patient of Dr Fidalgo
  • He gave me confidence

    Dr. Fidalgo is the most caring doctor I have met. He gave me confidence that everything was
    going to be fine.
    Patient of Dr Fidalgo
  • He is the very BEST!!

    Dr Garcia makes you feel very special as a patient. He returns my texts and calls even at night and on weekends. He is the very BEST!!
    Patient of Dr Garcia
  • He is very knowledgeable

    Dr Garcia delivered my child over 8 years ago. He is very knowledgeable and friendly. He treats you with respect and answers all my questions. He is very approachable and has such a great smile and great customer service! I feel he has taken great care of me.
    Patient of Dr Garcia
  • Toma el tiempo para escuchar

    La dedicación y carisma que tiene el Dr. Garcia, pereciera entenderme perfectamente y estar totalmente interesado en lo que digo, no me trata como una paciente mas y se toma el tiempo para escuchar todo con mucha atención.
    Paciente De Dr Garcia
  • Compassionate & accessible

    I can't express how much I love Dr. Garcia! He helped me get through an early miscarriage, followed by a successful pregnancy. I couldn't be happier with the care I received during my pregnancy and delivery at Mercy. Dr. Garcia is compassionate, accessible, and experienced, and I strongly recommend him and the other physicians at Miami OBGYN.
    Patient of Dr Garcia
  • He was knowledgeable

    I can't say enough nice things about Dr. Guell. From the very beginning and even with the stress we had of having to deliver our baby girl almost a month ahead of schedule, he was knowledgeable, kept my husband and I calm, and provided a wonderful experience for us. He cares very much about his patients and their well-being. He has an amazing team. God bless them all. Thank you for our Amelia! 🙂
    Patient of Dr Guell
  • She was always so helpful

    I love my doctor! She was always so helpful and made me and my husband feel extremely comfortable. I chose her when I was pregnant but now I'm keeping her as my regular gynecologist too!!
    Patient of Dr Larrieu
  • She has your best interest at heart

    Dr. Larrieu takes the time needed with you, you never feel rushed in an appointment. Things are explained in ways that are easy tom understand. You can tell Dr. Larrieu has your best interest at heart.
    Patient of Dr Larrieu
  • Treated with professionalism

    Since my first visit with Dr. Larrieu I was treated with professionalism. I have never had such a positive experience with a doctor. She took time to answer all my questions.
    Patient of Dr Larrieu
  • He was very caring & compassionate

    Dr Dominguez's care during my pregnancy and delivery was an unforgettable experience. He was very caring and compassionate.
    Patient of Dr Dominguez
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