Dr. Audrey Lance

Gynecology
Royal Oak, MI
16 years experience female

Locations

Office

Royal Oak, MI

Address

29488 Woodward Ave #323, Royal Oak, MI
Directions

My office hours

Thursday: 6:00am - 7:00pm
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About

Bio

I am a board-certified OB/GYN and fellowship-trained in Family Planning. I have extensive experience in caring for women's reproductive healthcare needs including pregnancy planning, contraception, treatment of menstrual disorders, and pregnancy options counseling. I specialize in contraceptive care for women with complex medical histories. My mission is to provide compassionate, empowering, and comprehensive reproductive healthcare that is individualized to fit your needs. I want to provide a space for my patients where they feel safe asking me anything, knowing that they will receive the highest-quality evidence-based recommendations.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Gynecology

Licenses

United States: Michigan, Pennsylvania

Doctor Q&A

404 Answers
77 Agrees
The number of answers this doctor has agreed with.
A 46-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
Possibly: Pelvic exams are uncomfortable for almost everybody. Whether or not an individual has actual pain is very dependent on the patient, however most women... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
Pelvic exam: PID is a "clinical" diagnosis - meaning that we make the diagnosis based on symptoms and physical exam, not based on a lab test or imaging study. You ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
It's rare: TSS is very rare. Toxic shock syndrome (TSS) is a condition caused by bacterial toxins. Symptoms may include fever, rash, skin peeling, and low blood... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
Rare: It is possible to get a UTI (urinary tract infection) from sex, including fingering. If you got a UTI from that and it was untreated, it could develop... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
Yes: there are many ways to do this. You can take ibuprofen 600mg every 6 hours starting the day b4 your period for 3 days. You can also try almost any typ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
Exam or labwork: Cervicitis is usually caused by either chlamydia or gonorrhea. This can be detected by doing a vaginal swab to test for those things, and they can als... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
Yes!: totally safe! the only thing you should be aware of is that if you have any bleeding in pregnancy, you will want to let your doctor know and they may... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Audrey Lance
Gynecology 16 years experience
Yes: Yes, this is very common. Some HPV strains cause genital warts, which of course may be seen by the patient. However many strains of HPV do not cause a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Braxton Hicks: This sounds like Braxton-Hicks contractions, also known as "practice" contractions. This is your uterus contracting and then relaxing. It is normal an... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Infection: You may have a yeast infection, but it could also be bacterial vaginosis, or an STD like gonorrhea, chlamydia, or herpes. Since you can't get to the d... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Strepsils: Yes it is safe to take these while pregnant. However, if you think you actually have the flu, rather than just a cold, you need to see your OBGYN and ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Bloating & cysts: Usually ovarian cysts do not cause bloating. Sometimes women can have bloating if they have very large cysts, or if they have had a ruptured cyst.
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Monistat: A man could use monistat, theoretically, however I don't know what he would be using it for. Monistat is a treatment for a yeast infection, and men do... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Postinor: Postinor, also known as "Plan B" or "The morning after pill", will not affect a pregnancy or harm a pregnancy. It is merely progestin - which is a nor... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Suppression: If you have recurrent yeast infections you may need to use a suppressive regiment - this usually involves something like taking fluconazole weekly for... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
4-6 weeks: If you have had a tubal, or ectopic, pregnancy before, you should be seen earlier than 8 weeks. Although some doctors don't want to see you before 8 ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Likely yes: Likely the baby will be fine, given this was a limited exposure of still a relatively small dose (one regular strength aspirin is usually 325mg). Reco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old male asked:
Dr. Audrey Lance
Gynecology 16 years experience
3-4 weeks: It is not usually necessary to wait a full 6 weeks. It is important that the patient is not using any narcotic pain medication while driving, and also... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Audrey Lance
Gynecology 16 years experience
See a doctor: It is not likely to be herpes if it has been there for over a year. I am worried it could be something more serious, like Syphilis or chancroid. You s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Yes: Clear, white, odorless discharge is normal. Some women have more discharge than others, but as long as it is odorless, and you don't have any itching ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
HRT: The best advice about HRT is to use the lowest effective dose to manage symptoms for the shortest amount of time possible. So, you may want to try wea... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Audrey Lance
Gynecology 16 years experience
Postinor: Postinor, also known as Plan B or the morning after pill, is about 85-87% effective at preventing pregnancy. The likelihood that it will work depends ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
The Pill: As long as you take your pill every single day, and don't forget to take it, it should prevent pregnancy with 99% success. However, if you are still e... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Healthy Diet: There are no particular foods that are good for conception or fetal development - the best thing is to just have a generally healthy diet without alco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Audrey Lance
Gynecology 16 years experience
May: We would use the FIRST day of your last menstrual period to date a pregnancy, and I only have your last day. But if I estimate our period was 5 days (... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Swabs and exam: The diagnosis of PID is generally a "clinical" one, meaning it is based on findings on a pelvic exam, and not necessarily by swabs. Doctors will usual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
See your doctor: This may be a sign of a worsening infection, rather than a side effect from the medication. You should see your doctor right away. Your infection may ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Audrey Lance
Gynecology 16 years experience
See a doctor: This is most likely an enlarged lymph node if it is not tender. If it were tender, it could also be an ingrown hair or furuncle. Probably best to have... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
See an OBGYN: You should see a midwife or an OBGYN. You need to have some basic bloodwork done, usually an ultrasound, and they can also talk with you about any gen... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Normal: Kyleena, as well as all progestin IUDs, can cause irregular bleeding, especially in the first 6-9 months. It is normal to not have regular periods, or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Not likely : Pretty unlikely to get pregnant this way, but it’s always a good idea to wear a condom before there is any genital contact.
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
No: You could be pregnant of course, but these symptoms are not from having sex 5 days ago. Pregnancy symptoms do not develop that quickly!
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
See your doctor: If you are having bleeding or spotting in pregnancy, you should always let your doctor know. It may be a problem with your placenta, or an infection, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Medicine: It’s ok to take Tylenol, mucinex (guafenisen), or robitussin as needed. Feel better!
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Audrey Lance
Gynecology 16 years experience
Yes: Yes, that is safe.
Created for people with ongoing healthcare needs but benefits everyone.
A 16-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Normal: Yes, it is normal to have some bleeding after the first time you have sex. Brownish discharge is usually just "old" blood (blood looks brownish when i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Audrey Lance
Gynecology 16 years experience
See your doctor: Yes, you should see a gynecologist. You may have an infection or abscess in the Bartholin's cyst that needs to be drained, or you may need antibiotics... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Technically yes: You can get pregnant anytime you have unprotected sex. However, having sex while on your period is very unlikely to cause pregnancy. Your most fertile... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Audrey Lance
Gynecology 16 years experience
Ignore: Always have a fan Use lubricant during sex Get your exercise.
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Audrey Lance
Gynecology 16 years experience
Ignore: Always wear dark pants Be prepared for surprises Have your thyroid checked.
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Yes: Yes, it is fine to continue to try to conceive.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
No: An X-ray is used to evaluate bones, not soft tissues. You would need a mammogram, ultrasound, or MRI to better evaluate breast tissue. Mammogram is ge... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
They are accurate: Yes, home pregnancy tests are very accurate and should be able to detect a pregnancy at the first sign of a missed period.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
See a doctor: If you have neck and shoulder stiffness, you should be evaluated for meningitis. It is possible to get a severe infection like that if you have an unt... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old male asked:
Dr. Audrey Lance
Gynecology 16 years experience
No: HIV is not transmitted through kissing. It is rare to contract any stds through just kissing.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Unrelated : The weight gain is most likely unrelated to your surgery.
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Bloating: Plan B is not the cause of this - the plan B that you took 2 months ago was out of your system almost as quickly as you took it - it only lasts a coup... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
See your doctor: If you are still having a fever and severe flank pain, I would be concerned that your infection is not adequately treated. I think you should probably... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Fish oil is good: Fish oil is good for fetal neural (brain) development. It will not affect the sub-chorionic hematoma.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Audrey Lance
Gynecology 16 years experience
Not true: If you become pregnant using IUI, there is no increased risk that you will have fetal anomalies. If you have PCOS, sometimes physicians will recommend... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

1
Recommendations
123
Thank you notes
HealthTap member
Jul 12, 2018
Answered a pregnancy question for me promptly and reassuring Thank you
HealthTap member
This was very helpful. Thanks! Thanks doctor For Syphilis, I did pre marriage medical check-up while this blister was there. Nothing was detected For chancroid, I'm not sure sure if it's part of the ...Read More
HealthTap member
This was very helpful. Thanks! Thank you so much for your helpful response. I'll talk with my gynecologist and primary care physician. Hopefully between the three of us, a good decision will be made...Read More
HealthTap member
This was very helpful. Thanks! Good to know about vagisil. I had taken something for yeast infection years ago and it didn't seem to do any good. The problem has amplified in the last year. Sometime...Read More

Education & Training

Medical/Graduate school

George Washington University Medical School, DC
Graduated 2007MD

Residency

UNIVERSITY OF MICHIGAN HEALTH SYSTEM

Awards

Gold Humanism Award, Gold Humanism Honor Society
HealthTap Doctor Mom
HealthTap Founding Doctor

Affiliations

ACOG
Planned Parenthood
Association of Reproductive Health Professionals
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