Locations
Office
Royal Oak, MI
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.
SpecialtiesDoctors 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.
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 40-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
No: Occasional spotting in between periods is usually nothing to worry about. If it becomes a pattern, happening with every cycle, etc, then you should di... Read More
Created for people with ongoing healthcare needs but benefits everyone.
311 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Ovarian cysts: 6cm is about the size of a large lime. Whether an ovarian cyst needs to come out does not only depend on the size, however. It also depends on whether... Read More
Created for people with ongoing healthcare needs but benefits everyone.
315 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Quercetin: No, this will not affect the effectiveness of your birth control.
Created for people with ongoing healthcare needs but benefits everyone.
313 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
See a gynecologist: If you do not get periods naturally and one when using birth control, you may have a medical condition. You should see a gynecologist to be worked up ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
311 viewsAnswered >2 years ago
A 48-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Surgery: Possible complications of fixing a prolapsed bladder are the standard possible complications of any surgery - bleeding, infection, possible damage to ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
313 viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Hidradenitis: You may have something called Hidradentitis Suppurativa. This is a chronic skin condition that leads to lots of small pustules on the skin, and is com... Read More
Created for people with ongoing healthcare needs but benefits everyone.
323 viewsAnswered >2 years ago
A 30-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Yes: It is safe to have dental procedures when you are pregnant. In fact, if you have a toothache - then you might have a dental infection. In this case it... Read More
Created for people with ongoing healthcare needs but benefits everyone.
326 viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Loss of appetite: First of all, you don't have to worry about starving your baby. Your baby will get the nutrition it needs from you even if you are not eating much. Yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
316 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
See your doctor: Yes, I would recommend seeing your doctor about this. There is always the risk of retained products of conception - meaning there may be a piece of me... Read More
Created for people with ongoing healthcare needs but benefits everyone.
324 viewsAnswered >2 years ago
A 54-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Lichen sclerosus: Your vulvar itching may be from something other than lack of estrogen from menopause. There are skin conditions that occur on the vulva, such as liche... Read More
Created for people with ongoing healthcare needs but benefits everyone.
323 viewsReviewed >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Chlamydia: Most people will notice improvement in symptoms within a few days of treatment for chlamydia. If you are still having symptoms after a week, you shoul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
306 viewsAnswered >2 years ago
A 31-year-old male asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Spotting: Nothing to worry about. Call your doctor if you have bright red bleeding or bleeding, but light pink spotting is normal.
Created for people with ongoing healthcare needs but benefits everyone.
303 viewsAnswered >2 years ago
A 38-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
True: You do not need to check your string. If the IUD was coming out, you would have symptoms such as bleeding and strong cramping. In the US, most doctors... Read More
Created for people with ongoing healthcare needs but benefits everyone.
328 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Cipro & Diflucan: Yes, you can take them together.
Created for people with ongoing healthcare needs but benefits everyone.
317 viewsAnswered >2 years ago
A 29-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
No: Omeprazole does not affect your oral contraceptive pills.
Created for people with ongoing healthcare needs but benefits everyone.
317 viewsReviewed >2 years ago
A 26-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Could be normal: The copper IUD ("paragard") can sometimes cause heavier periods. This usually gets better with time. If you are able to take ibuprofen, you can also t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
323 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Water weight: Oral contraceptive pills do not cause weight gain, however some women do notice that they retain more fluid when they are taking the pill. If you feel... Read More
Created for people with ongoing healthcare needs but benefits everyone.
327 viewsAnswered >2 years ago
A 19-year-old female asked:
Dr. Audrey Lanceanswered
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.
316 viewsAnswered >2 years ago
A 21-year-old female asked:
Dr. Audrey Lanceanswered
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.
316 viewsAnswered >2 years ago
A 39-year-old female asked:
Dr. Audrey Lanceanswered
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.
316 viewsAnswered >2 years ago
A 27-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Yes: Yes this can be normal - it may be pelvic pressure or round ligament pain (which is pain that can radiate from your belly down into your vulva or labi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
327 viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Audrey Lanceanswered
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.
327 viewsAnswered >2 years ago
A 24-year-old member asked:
Dr. Audrey Lanceanswered
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.
327 viewsAnswered >2 years ago
A 41-year-old member asked:
Dr. Audrey Lanceanswered
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.
326 viewsAnswered >2 years ago
A 27-year-old member asked:
Dr. Audrey Lanceanswered
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.
329 viewsReviewed >2 years ago
A 28-year-old female asked:
Dr. Audrey Lanceanswered
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.
326 viewsAnswered >2 years ago
A 46-year-old member asked:
Dr. Audrey Lanceanswered
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.
326 viewsReviewed >2 years ago
A 46-year-old member asked:
Dr. Audrey Lanceanswered
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.
313 viewsAnswered >2 years ago
A 28-year-old member asked:
Dr. Audrey Lanceanswered
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.
327 viewsAnswered >2 years ago
A 40-year-old member asked:
Dr. Audrey Lanceanswered
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.
327 viewsAnswered >2 years ago
A 24-year-old female asked:
Dr. Audrey Lanceanswered
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.
328 viewsAnswered >2 years agoMerged
A 37-year-old male asked:
Dr. Audrey Lanceanswered
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.
328 viewsAnswered >2 years ago
A 37-year-old male asked:
Dr. Audrey Lanceanswered
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.
328 viewsAnswered >2 years ago
A 31-year-old female asked:
Dr. Audrey Lanceanswered
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.
327 viewsAnswered >2 years ago
A member asked:
Dr. Audrey Lanceanswered
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.
311 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
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.
323 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
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.
306 viewsReviewed >2 years ago
A 27-year-old male asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Trichomonas: Trich is usually treated with a medication called Metronidazole, or flagyl. In the United States you need a prescription for that, but I am not sure ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
315 viewsReviewed >2 years ago
A 21-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Pregnancy possible: You had sex on day 9 of your cycle. It is possible to become pregnant at this time since depending on your cycle length you may ovulate as early as da... Read More
Created for people with ongoing healthcare needs but benefits everyone.
313 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
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.
329 viewsAnswered >2 years agoMerged
A 21-year-old male asked:
Dr. Audrey Lanceanswered
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.
330 viewsAnswered >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Nexplanon: The risk of pregnancy with using the Nexplanon implant is very, very small, even without using a condom. If you have the Nexplanon implant, and you us... Read More
Created for people with ongoing healthcare needs but benefits everyone.
306 viewsAnswered >2 years ago
A member asked:
Dr. Audrey Lanceanswered
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.
328 viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Audrey Lanceanswered
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.
327 viewsAnswered >2 years ago
A 60-year-old female asked:
Dr. Audrey Lanceanswered
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.
326 viewsAnswered >2 years ago
A 32-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Have an exam: You should be examined by a gynecologist. This is most likely a kind of contact dermatitis, where irritation from his beard (or from any products, af... Read More
Created for people with ongoing healthcare needs but benefits everyone.
315 viewsAnswered >2 years ago
A 22-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
The pill: If you are starting a birth control pill, you can "quick start" the method, which means that you do not have to wait until your period starts to start... Read More
Created for people with ongoing healthcare needs but benefits everyone.
311 viewsAnswered >2 years ago
A 23-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Implant: This is a symptom I have never heard of before, and I have placed a lot of implants! It sounds like you may just be having goosebumps, since most rash... Read More
Created for people with ongoing healthcare needs but benefits everyone.
313 viewsReviewed >2 years ago
A female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
Normal!: This is totally normal. Your body is reacting to sexual stimulation by producing mucous and lubrication. As long as you don't have any itching, irrita... Read More
Created for people with ongoing healthcare needs but benefits everyone.
328 viewsAnswered >2 years ago
A 26-year-old female asked:
Dr. Audrey Lanceanswered
Gynecology 16 years experience
About 8-10 weeks: Most OB's will recommend that your first visit with them be between 8-10 weeks pregnant. Unless you have any significant medical problems, there proba... Read More
Created for people with ongoing healthcare needs but benefits everyone.
324 viewsAnswered >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
Recommendations and Thank you notes are endorsements given from patients or other doctors.
1
Recommendations
122
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! 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
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
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
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HealthTap Founding Doctor
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