Obstetrics, Midwifery and Gynecology Services

We offer comprehensive, state-of-the-art care for women and birthing people–including both pregnancy care and a full range of sexual health and reproductive services.

Many of our patients are referred to us by community clinics across San Francisco for specialized gynecology care. Patients come to us for routine visits, like Pap smears, STI testing, and annual check-ups in sexual and reproductive health.

If you’re pregnant, we’re here to support you every step of the way. Most patients start prenatal care in the first few months of pregnancy. At your first visit, a nurse will review your medical history and help create a personalized care plan.

We serve our whole community by providing full-time translator services in 23 different languages. We welcome and provide care for all gender identities and expressions. You will be treated with dignity and respect.

We have a diverse, multidisciplinary team that includes fully licensed physicians, midwives, nurse practitioners, social workers, behavioral health workers, and more.

Sexual and Reproductive Care

Our expertise includes managing conditions such as uterine fibroids, endometriosis, infertility, ovarian cysts, polycystic ovarian syndrome, pelvic pain, urinary or bladder issues, and cancer of reproductive organs.

We provide care for abnormal Pap smears (cervical dysplasia), including diagnostic testing and treatment.

We evaluate and treat menstrual and hormonal concerns from teenage years through menopause, including heavy or irregular periods, hot flashes, and related problems.

Our team of surgeons performs a comprehensive range of gynecologic procedures and surgeries.

In addition, we are experts in routine care, such as cervical cancer prevention (Pap smears), breast health, birth control, family planning, and testing and treatment for sexually transmitted infections.

Pregnancy Care

You can choose to receive pregnancy care from a doctor, certified nurse-midwife, or nurse practitioner. You can decide whether you prefer individual appointments or group care through our Centering Pregnancy program.

In addition, we provide a range of support services including nutrition counseling, social work, and pregnancy education classes. We treat common and complex medical issues during pregnancy such as pregnancy loss, gestational diabetes, high blood pressure, and HIV.

Physician Service

Our physicians are board-certified in obstetrics and gynecology.

If you have a medical problem or a complicated pregnancy, you will be referred to one of our obstetricians (perinatologists) with specialized training in high-risk obstetrics.

Midwifery Service

Nurse-midwives provide holistic prenatal care for pregnancies without severe medical complications. We arrange for you to visit with the same nurse-midwife throughout your pregnancy, ensuring a safe delivery of your baby at the hospital. We are proud to provide full-time, hospital-based nurse midwifery services in San Francisco.

Nurse Practitioners (NPs) and Physician Assistants (PAs)

NPs and PAs are licensed clinicians with advanced training in care during pregnancy and after childbirth. The same NP or PA will see you throughout your pregnancy and can continue to see you for gynecology and family planning care after you deliver your baby.

Centering Pregnancy

We provide prenatal care in groups staffed by nurse-midwives. This model of care gives you an opportunity to meet other people at the same stage in pregnancy, spend more time discussing health education topics, and share about the highs and lows of pregnancy and parenting in a nonjudgmental space. We offer groups focused on Spanish-speaking and Black-identified patients.

Team Lily

Team Lily is a multidisciplinary care team providing person-centered, trauma-informed, wrap-around services to pregnant and postpartum people. We support pregnant people experiencing significant barriers to accessing clinic-based prenatal care, including those experiencing homelessness, substance use disorders, incarceration, intimate partner violence, and/or mental illness.

HIVE

HIVE Clinic provides multidisciplinary preconception, prenatal, gynecologic, and sexual health care to people living with and affected by HIV, including serodifferent couples (when one partner is living with HIV and the other is not).