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What to Expect at Your Consultation

Thorough Evaluations = Better Outcomes

What to Expect at Your Consultation


Our friendly staff provides you with a most warm welcome. We do all we can to ensure that you feel comfortable discussing issues that may not be easy to talk about.

Comprehensive Medical History

Rather than a "one-size-fits-all" approach, Dr. Hettiarachchi and our staff take a detailed medical exam to be as familiar as possible with your history, symptoms and concerns. We make sure to understand your medication list and prior surgeries. We also evaluate the following:

  • Female sexual function index (FSFI)
  • Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12 )
  • Vaginal looseness scale

Physical Exam

Dr. Hettiarachchi then performs a physical exam to thoroughly understand your physical condition. The exam may include the following:

  • Evaluating vaginal tissue quality/ lubrication.
  • Vaginal support : collagen and pelvic muscle strength
  • POPQ assessment
  • Vaginal Health index


When necessary, we then perform the labs recommended for hormonal evaluation.

Treatment Recommendations

Only after the above analyses are completed to provide treatment recommendations—all at your initial consultation. This thorough process enables us to provide you with a customized treatment plan most likely to help you with your unique condition. As Charlotte's most experienced female pelvic health specialist, Dr. Hettiarachchi provides the most thorough evaluations and comprehensive treatment plans.