The Department of Obstetrics and Gynecology, under the leadership of George A. Macones, MD, MSCE offers a complete line of medical services to maintain optimal gynecologic well being throughout the phases of a woman's life, including those in her pre-reproductive years, child-bearing years and menopausal years.
Physicians in the department provide evaluation, diagnosis and treatment of a wide range of gynecological disorders and diseases, making this the largest center of its kind in the Midwest.
Thirty-two full-time faculty physicians, who are either board-certified or board-eligible in the practice of obstetrics and gynecology, provide patient care. Many of these faculty members participate in multi-center clinical research studies that allow access by their patients to new drug therapies and treatments.
These physicians represent all subspecialties within the practice of obstetrics and gynecology (OB/GYN). For detailed information -- including office telephone numbers and locations -- click on the highlighted areas within the brief descriptions of the subspecialties listed below.
The gynecology practice is focused on providing the latest therapies and compassionate care to women dealing with any number of gynecological issues, including: Women's Wellness, contraception, sexually transmitted diseases, menopausal medicine and hormone replacement therapies.
The gynecologic oncology specialists have become a Midwest center of care for women diagnosed with possible gynecologic cancer or pre-cancerous conditions and those with gynecologic malignancies. Female reproductive cancers include cancer of the ovaries, fallopian tubes, uterus, endometrium, vulva, vagina and cervix. As a member of institution of the Gynecologic Oncology Group (GOG), a multi-institutional clinical research group funded by the National Cancer Institute, Washington University is able to provide the latest cancer treatment options. Currently they are conducting more than 40 clinical trials.
This group treats 600 new gynecologic cancer patients a year and performs more than 1,500 surgical procedures annually. This amount of experience with all kinds of cancer assures women they have access to all options.
The Maternal-Fetal Medicine specialists of Washington University School of Medicine specialize in providing obstetrical services to women diagnosed with high-risk pregnancies, including those expecting multiple babies. The practice manages the delivery of approximately 300 high-risk pregnancies each year, including the delivery of more than half of the triplets and quadruplets born in the St. Louis area.
Minimally Invasive Gynecology
Our specialists provide minimally invasive options for the many gynecologic
conditions that would otherwise require invasive surgery. Benefits include less pain, shorter hospital stay
(typically same-day or
next-day discharge), faster recovery, less blood loss, lower infection
and other complication rates, and smaller (more cosmetic) incisions.
Second opinion appointments are available.
Our full-time general obstetricians provide prenatal care and delivery for women expecting normal labor and delivery. Their team approach allows each patient the opportunity to know each of the five doctors in the practice, while keeping prenatal appointments on track and reducing the need to reschedule. Each day, one of the physicians will attend patients, who are in labor and will perform deliveries.
Pediatric and Adolescent Gynecology
Washington University offers the only program in St. Louis dedicated to meeting the special needs of pediatric and adolescent gynecology patients. As such, the Washington University Center for Pediatric and Adolescent Gynecology has become a major referral center within the Midwest.
Physicians provide a comprehensive program for evaluation, specialized treatment, and follow-up care for the unique medical and surgical gynecologic problems of the infant, child, young adolescents and teen.
While the division is focused on preventing unwanted teen pregnancies (through abstinence and contraception counseling), it also recognizes the special needs of pregnant teens. The Teen Pregnancy Center at Barnes-Jewish Hospital provides obstetrical services, health education and counseling to pregnant adolescents up to the age of 17.
Reproductive Endocrinology and Infertility
Physicians specializing in reproductive endocrinology provide a full line of services for women from menstruation through menopause. This team of physicians may best be known, however, for its work with couples facing infertility by providing individualized diagnoses and treatments for ovarian factor, male factor, pelvic factor, cervical factor and unexplained infertility.
The Advanced Assisted Reproductive Technology Program was the first in the State of Missouri to offer in vitro fertilization (IVF) services. IVF offers hope to couples who are unable to achieve a pregnancy through less-invasive treatment method.
Currently they perform 400 in-vitro fertilization cycles annually, endoscopic surgery, ovulation induction, PCOS therapies, and management of recurrent pregnancy loss.
A pre-implantation genetic evaluation is available to couples with a family history of genetic disease.
Ultrasound / Genetics
The ultrasound / genetics specialists at Washington University School of Medicine are the only physicians' practice in St. Louis dedicated exclusively to providing gynecologic and obstetric evaluations through leading-edge ultrasound equipment and the latest diagnostic techniques.
They perform more than 15,000 obstetrical and gynecological ultrasounds annually
Obstetric evaluations include comprehensive ultrasound evaluations of fetal anatomy and prenatal genetic diagnosis through genetic amniocentesis and chorionic villus sampling (CVS). This group conducts 1,000 genetic amniocentesis and chorionic villus sampling procedures annually.
In conjunction with St. Louis Children's Hospital, a pediatric genetics program identifies and treats genetic disorders. The newest generation of ultrasound technology assists perinatal specialists to assess genetic disorders before birth.
The urogynecology and pelvic reconstructive surgery practice treats women who may be experiencing problems with the urinary tract, their bladder or urethra, rectum or reproductive organs. This includes incontinence, voiding and defacatory dysfunction, and pelvic organ prolapse.