Women’s Health at St. Joseph Health Medical Group

At St. Joseph Health Medical Group, we're dedicated to meeting the unique health needs of women, in every phase of their lives -- whether that means prevention and wellness in your 20s, successfully navigating menopause in your 50s, or thriving in your 80s. Our comprehensive care for women spans preservation of wellness, prevention of disease, effective management of conditions and interventional therapies.

We provide important screenings such as Pap tests and mammograms and address menopausal and bone health issues that impact women's quality of life. From pre-conception counseling to obstetrical services, we’ve brought thousands of healthy babies into the world. Our skilled physicians and specialists practice medicine that puts you and your family first.

We offer state-of-the-art services through our affiliation with St. Joseph Health, and the leading hospitals in our communities including Santa Rosa Memorial Hospital, Petaluma Valley Hospital, Queen of the Valley Medical Center, St. Joseph Hospital Eureka and Redwood Memorial Hospital.

Procedures Performed

24-hour Neonatal Support

In the first 24-hours our physicians monitor your baby’s health.

3-D Mammography

According to breastcancer.org, "three-dimensional mammography (also called digital breast tomosynthesis, digital tomosynthesis, or just tomosynthesis) creates a three-dimensional picture of the breast using X-rays. Several low-dose images from different angles around the breast are used to create the 3-D picture. Several studies have found that 3-D mammograms find more cancers than traditional 2-D mammograms and also reduce the number of false positives."

Axillary Reverse Lymphatic Mapping

This preserves the lymphatic drainage of the arm during surgery, decreasing the risk of developing lymphedema.

Bioidentical Hormone Therapy

The hormones used in this therapy are identical on a molecular level to the hormones the body produces naturally.

Bladder Lift & Repair

This minimally-invasive surgical procedure treats urinary incontinence, and lifts the urethra and bladder into their normal position.

Bone Density Testing

This simple, noninvasive procedure assesses the strength of the bones for people at risk for osteoporosis.

Breast MRI

Magnetic resonance imaging (MRI) is a computerized process that uses powerful magnetic field and radio waves to get a detailed look within the breast.

Breastfeeding Support

There are often many questions about breastfeeding, especially for first time mothers, such as breastfeeding positions and the use of a breast pump

Chemotherapy

This is the use of drugs to treat cancer. We also have the only dedicated, inpatient oncology unit in the region at Santa Rosa Memorial Hospital.

Digital mammography

Much like a digital camera, this process converts x-rays into a more precise digital picture of the breast.

Endocrinology Evaluation

This is a diagnostic evaluation of hormone levels after childbirth.

Endometrial ablation

A surgical procedure that destroys the lining of the uterus to treat abnormal uterine bleeding.

External Beam Radiation Therapy

This procedure uses radiation aimed at destroying cancer cells and shrink tumors.

Genomic Testing

This test identifies changes in chromosomes, genes and proteins, which can influence the behavior of your tumor.

Gynecological Cancer Risk Assessment

This assesses the increased risk of inherited cancer syndromes due to biological and familial risk factors.

Hormone Therapy

This can be used in many aspects of breast cancer treatment, including initial risk reduction, minimizing the cancer’s risk of recurrence and preventing the cancer from spreading to other areas of the body.

Hysterectomies

In a total hysterectomy the entire uterus and cervix are surgically removed. There are also minimally-invasive alternatives, depending on the size of the uterus.

Intraoperative Digital Specimen X-ray (Bioptics Machine)

This shows surgeons images of the tissue removed in less than a minute, which enables them to remove all of the cancer in just one operation.

Large Format Pathology

This gives the pathologist a unique view of the entire cancer on a single slide, making diagnosis of margins more accurate.

Lumpectomy

This surgical procedure focuses on the removal of the tumor and surrounding tissue

Mammography

Mammography is the most common type of breast imaging currently in use. A mammogram test is a critical part of early detection and diagnosis of breast diseases in women.

MarginProbe Margin Analysis.

This process enables surgeons to optimize the removal of cancer during breast conservation surgery or lumpectomies.

Mastectomy

This is the surgical removal of all the breast tissue.

Menopause Evaluation & Treatment

Menopause is when the ovaries stops producing estrogen. Treatment may include hormone replacement therapy to address many of the symptoms such as hot flashes. Your doctor can help you find the treatment that’s right for you.

Minimally-invasive & robotic surgery

Minimally-invasive surgery is also known as endoscopic surgery because the surgeon uses an endoscope through a very small incision. It also may be called laparoscopic surgery. Robotic surgery or robot-assisted surgery offers more precision and flexibility and is also minimally-invasive.

MRI Needle Biopsy

This minimally invasive procedure uses magnetic resonance imaging (MRI) to guide a needle to remove a tissue sample for examination.

Nipple-Areola Sparing Mastectomy

This surgical procedure is a mastectomy without the removal of any of the nipple or skin around the areola.

Non-stress Testing

This test is done to evaluate your baby’s condition, including movement and heartbeat. It’s often the first picture of your baby.

OB Ultrasound

This is the use of sound waves to produce a picture of the baby in the mother’s uterus.

Oncoplastic Surgery

This preserves the breast’s appearance by reshaping breast tissue during cancer surgery.

Osteoporosis prevention & treatment

Osteoporosis is a condition where the density and bones become fragile and brittle. Prevention includes stopping smoking, avoiding excessive alcohol use and preventing falls. Treatment includes weight-bearing exercises and a diet rich in calcium and vitamin D.

Partial Breast Radiation

This is delivered by an implanted device, which delivers radiation to the tumor site from inside the breast through a small catheter, rather than from an external beam.

Pelvic Reconstruction

The choice of surgery will depend on which organs are involved. The surgical procedures may include repair of a prolapsed bladder or urethra, hysterectomy, repair of the rectum and small bowel.

Pre-conception Counseling

This is planning prior to becoming pregnant. This gives mothers-to-be the education, resources and peace of mind they need for a healthy pregnancy and outcome.

Reconstructive Surgery

This is to restore the breast’s appearance after a mastectomy.

Sentinel Lymph Node Dissection

According to Breastcancer.org this is the surgical removal of the first few lymph nodes that filters fluid draining away from the area of the breast that contained the breast cancer. This can often eliminate the need to remove deeper lymph nodes.

Stereotactic Needle Biopsy

This minimally invasive procedure uses x-ray or CT scan to obtain a sample of a suspected lesion in the breast.

Surgical Second Opinions

Getting a second opinion from another physician may help you make a more informed decision if you are contemplating any surgical procedure.

Ultrasound

An ultrasound scan is a diagnostic tool that uses high-frequency sound waves or echoes instead of radiation to create images of inside the body.

Ultrasound Needle Biopsy

This minimally invasive procedure uses high-frequency sound waves to obtain tissue samples.

Well Women Exams

It’s recommended women have well woman exams beginning at age 21. These include a clinical breast exam, pelvic exam, and depending on age a mammogram and Pap smear.

Conditions Treated

Age-related High Risk Pregnancy

Older women 35 and older may have a higher risk of pregnancy-related complications.

Endometriosis

This condition is where the endometrial tissue that lines the uterus develops abnormal growth outside the uterus. While most women have no symptoms, this often surfaces when it causes pelvic pain.

Gestational Diabetes

This develops during pregnancy (gestation) and causes blood sugar levels to be too high.

Hormone Disorders

Hormone imbalance can impact a woman’s health at different stages of a woman’s life, including blood pressure, kidney function and metabolism.

Incontinence

Multiple Births

This may cause preterm labor and delivery as well as low birth weight, preeclampsia, gestational high blood pressure and other complications

Pelvic Organ Prolapse

This occurs when a pelvic organ, such as your bladder, drops from its normal position and pushes against the wall of your vagina. This can happen due to childbirth, repeated heavy lifting, chronic disease or surgery.

Postpartum Depression

This is depression after childbirth caused by hormonal changes, psychological adjustment and fatigue.

Preeclampsia

This complication is characterized by high blood pressure, kidney damage and other problems.

Urinary Tract Infections

Symptoms may include a strong urge to urinate, a burning sensation upon urination and frequent passing of small amounts of urine, which may appear cloudy.

Uterine Fibroids

These are usually abnormal, typically noncancerous growth that occur in or a woman’s uterus. They may cause severe abdominal pain and heavy periods. They can be surgically treated by minimally-invasive surgery depending on size, location and number of fibroids present.

Our Providers

Our Provider

Amanda Holthouse, DO
Obstetrics/Gynecology
City:  Napa
4.9 out of 5

Meet Our Program Director

Our Providers

Humboldt Providers

Our Provider

Deepak Stokes, MD
Deepak Stokes, MD
Obstetrics/Gynecology
City:  Eureka

Sonoma and Napa Providers

Our Provider

Amanda Holthouse, DO
Obstetrics/Gynecology
City:  Napa
4.9 out of 5

Our Locations

Eureka - Obstetrics and Gynecology

Eureka - Obstetrics and Gynecology

Address
2773 Harris St.

Eureka, CA 95503
Hours

Mon - Fri: 8:30 a.m. - 5 p.m.

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Napa - Maternity & Infant Care

Napa - Maternity & Infant Care

Address
1000 Trancas St.

Napa, CA 94558
Napa - Obstetrics and Gynecology

Napa - Obstetrics and Gynecology

Address
1100 Trancas St.
Suite 209
Napa, CA 94558
Hours

Mon - Fri: 8:30 a.m. - 5 p.m.

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Petaluma - Obstetrics and Gynecology and Women's Services

Petaluma - Obstetrics and Gynecology and Women's Services

Address
1550A Professional Dr.
Suite 100
Petaluma, CA 94954
Hours

Mon - Fri: 8:30 a.m. - 5 p.m.
1st and 2nd Sat: 8:30 a.m. - 12:30 p.m.

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Santa Rosa - Obstetrics, Gynecology and Women's Services

Santa Rosa - Obstetrics, Gynecology and Women's Services

Address
500 Doyle Park Dr.
Suite 200
Santa Rosa, CA 95405
Hours

Mon - Fri: 8:30 a.m. – 5 p.m.
Closed: 12 - 1:30 p.m.

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Eureka - Obstetrics and Gynecology

Eureka - Obstetrics and Gynecology

Address
3200 Walford Ave.

Eureka, CA 95503
Santa Rosa Memorial Hospital

Santa Rosa Memorial Hospital

Address
1165 Montgomery Dr.

Santa Rosa, CA 95405
Hours

11 a.m. - 8 p.m.
limited hours in ICU/CCU
Children under 12 years of age must be accompanied with an adult

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Redwood Memorial Hospital

Redwood Memorial Hospital

Address
3300 Renner Dr.

Fortuna, CA 95540
St. Joseph Hospital, Eureka

St. Joseph Hospital, Eureka

Address
2700 Dolbeer St.

Eureka, CA 95501
Queen of Valley Medical Center

Queen of Valley Medical Center

Address
1000 Trancas St.

Napa, CA 94558