Women’s Health

What does a well woman exam include?

Women's Health / Gynecology

Well-woman exams usually include three things:

These exams are essential as they can catch early signs of cancer or other health problems before they get out of hand. At the time of the appointment, you may also speak with your provider about any Gynecologic health concerns you have.

methods or techniques used to prevent pregnancy

Considering Contraceptive Options?

All FDA-approved contraceptive methods and contraceptive counseling is offered at Black Mountain Wellness.

DIAGNOSTIC GYNECOLOGIC PROCEDURES OFFERED

Diagnostic Procedures

PELVIC EXAM / SPECULUM & BIMANUAL EXAMINATION

A basic physical exam of the reproductive organs: speculum insertion to visualize the vagina & cervix, plus bimanual palpation of uterus/ovaries for size, tenderness, masses.

PAP SMEAR / CERVICAL CYTOLOGY & HPV TESTING

Sampling of cervical cells to screen for cervical dysplasia/cancer.

COLPOSCOPY

In the setting of an abnormal Pap/HPV result: use of a colposcope to magnify and inspect the cervix, vagina, vulva, with directed biopsies as needed.

CERVICAL BIOPSY / ENDOCERVICAL CURETTAGE (ECC)

Taking tissue from the cervix or endocervical canal (with ECC) for histopathology when abnormalities are suspected.

ENDOMETRIAL BIOPSY

Sampling the uterine lining (endometrium) to evaluate for hyperplasia, cancer, or abnormal bleeding.

ORDERS FOR PELVIC ULTRASOUND – Transvaginal / Transabdominal Pelvic Imaging

Imaging of uterus, fallopian tubes, and ovaries for evaluation of cysts, fibroids, masses, or structural anomalies.

ORDERS FOR MAMMOGRAM AND BREAST IMAGING

One of the most effective tools for early detection of breast cancer and other abnormalities, often identifying issues before they can be felt on examination.

TESTING FOR INFECTIONS

Specimen collection (urine, swabs, cultures, PCR) for UTI, bacterial vaginosis, trichomoniasis, yeast, or STI.

PREGNANCY TEST + RELATED DIAGNOSTICS

Urine or serum pregnancy testing.

While we do not provide obstetric services, we work in direct collaboration with local obstetricians and gynecologic surgeons to ensure seamless referrals and continuity of care for every patient we serve.

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(307)337-4981

Exciting News & Heartfelt Farewell

As of January 1, 2026, Casper General Surgery will be transitioning to Black Mountain Wellness & Aesthetics — a new chapter built on the incredible foundation that Drs. Lane and Laura Smothers have created over 24 dedicated years of service to the Casper community.

The compassion, integrity, and true excellence of Drs. Lane and Laura Smothers have touched countless lives, and their legacy will forever remain a cornerstone of care in this space. We wish the Smothers a joyful, well-deserved retirement filled with new adventures, travel, rest, and time with loved ones. Your impact will always be remembered with deep gratitude.

Black Mountain Wellness will carry this legacy forward, continuing all Gynecologic Services as well as expanding new services:

  • Women’s Health & Gynecology — Annual wellness exams, Preventative Care, Contraception, Diagnostic Procedures, Intimate health, and Vaginal rejuvenation.
  • Regenerative Medicine — PRP, Stem Cells (allogenic and autologous), StemWave, joint injections, Osteopathic Manipulation/FDM, and peptide therapy.
  • Aesthetic Medicine — Botox Cosmetic, Dermal fillers, PLEXR Plasma Soft Surgery, skin care, and rejuvenation treatments

Our mission remains the same: to help patients restore function, vitality, and confidence — through compassionate, evidence-based, and innovative care.

We are honored to continue serving this amazing community and look forward to welcoming you to Black Mountain Wellness in 2026.