Menopause represents a time of many significant changes in a woman’s life. It marks the end of the reproductive years and the beginning of a new phase with many physical and emotional changes. It can be a time of renewal, and many women find they have more time for themselves and the activities they enjoy the most. It is especially important to continue your annual gynecological examinations, so your physician can help you make informed decisions that need to be made at this time in your life. One of the most important decisions is whether or not to use Hormone Replacement Therapy (HRT).

We can help you through this difficult time in your life with individualized consultation, therapies and medications. By making informed decisions about your health, together we can help make the menopausal years the most rewarding time in your life.

• Hormone Replacement Therapy
• Osteoporosis Management
• Urinary Incontinence Therapies
• Sexual Health

Our experienced Physician team offers comprehensive heath care for women of all ages. Your annual gynecological exam continues to be the best way to protect your health with regular screening exams and early diagnosis of life-threatening diseases.

• We offer a wide range of birth control methods and counseling to our patients of child-bearing years
• Thin prep liquid-based technology for cervical cancer screening
• Colposcopy, LEEP and Cryotherapy

Your baby deserves the best start in life that you can provide. We are pleased to be partners in your care during this special time of your life. To prepare for the big event, and help you know what to expect, Doctor Noble offers a comprehensive prenatal program.

• Prenatal Visits
• Ultrasound Imaging
• Screening Tests
• Educational Information
• Genetic Counseling

Deliveries are performed at Presbyterian Hospital of Denton.

Urinary incontinence is the involuntary loss of urine that becomes frequent or severe enough to be a social or hygienic problem. Incontinence is not just a physical problem. The mental anguish and feelings of guilt associated with this condition have caused many women to suffer needlessly in silence. Fortunately, modern methods are now available to treat the problem of incontinence.

• Urodynamic Testing – Evaluation Testing for Urinary Leakage
• Tension Free Vaginal Tape (TVT) – Urinary Incontinence

The specialty of obstetrics and gynecology continues to evolve and redefine itself on a regular basis. One of the most significant recent developments is the recognition of pelvic reconstructive surgery/urogynecology as an important subspecialty. The population of postmenopausal women is increasing, and Doctor Noble is on the cutting edge of surgical technology. When surgery is indicated, we offer the latest surgical techniques for women. We offer counseling and guidance for all options available for a specific problem.

• Abdominal Hysterectomy
• Laparoscopic assisted Vaginal Hysterectomy
• Vaginal Hysterectomy
• Repair of Gynecological Fistulas
• Repair of support defects/prolapse (Cystocele/Rectocele)
• Vaginal Reconstructive Surgery