•Gynecology Care/Problems
•Obstetrical Care
•Abnormal Bleeding
•Contraception/Family Planning
•Hormone Replacement Therapy
•Menopause Management
•Abnormal Pap Smears
•Pelvic Pain
•Preconception and Infertility
•Urinary Incontinence Diagnosis and Treatment
•On-site State of the Art Private Ultrasound Suite

Surgical Procedures We Offer Include:

•Colposcopy
•Endometrial Biopsy
•In-office and Operating Room Endometrial Ablation
•In-office Hysteroscopy
•LEEP
•Laparoscopic  Surgery
•Intrauterine Device (IUD) Placement and Removal
•Nexplanon Placement and Removal
•daVinci Robotic Assisted Surgery
•Endometriosis Diagnosis and Treatment
•Pelvic Relaxation Repair
•Hysterectomy
•Tubal Ligation
•Tension Free Vaginal Tape Placement (for stress urinary incontinence)

We are gladly accepting new patients. Please call 618-288-5699, select option #1 to schedule your appointment today.

To: All Medicaid Patients
From: Dalla Riva & Hulsen OBGYN
Date: July 30,2014

• Effective September 1st 2014 we will be accepting Meridian Medicaid
• If you plan to continue to receive health care from this office, we recommend you select Meridian as your Medicaid provider.
• We will not participate in Harmony Medicaid
• We are looking into other plans, but at this point in time we are only a provider for Meridian.
• We will keep you informed of any changes as the occur.

Thank you,

Dr.'s Dalla Riva and Hulsen