Frequently Asked Questions.
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I currently see patients in two locations. Simply call whichever is more convenient for you to schedule an appointment:
Barrett Hospital & Healthcare in Dillon, MT
Billings Clinic in Billings, MT
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I provide full gynecologic care, including additional treatment for pelvic pain conditions. Some examples include:
Trigger point injections of the abdominal wall
Trigger point injections of the pelvic floor
Nerve blocks (ilioinguinal, iliohypogastric, pudendal and genital branch of the genitofemoral nerve)
Medication management including vaginal suppositories and Hormone Replacement Therapy (HRT)
Surgery including hysterectomy, diagnostic laparoscopy, hysteroscopy
Annual exams
Pap smears
Birth control
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Yes.
Endometriosis is a surgical diagnosis. This means we can only tell if you have it by undergoing a surgery called diagnostic laparoscopy. This is performed by placing a small camera into your belly through small incisions in the abdomen, under anesthesia in the operating room. Prior to undergoing surgery, it is considered best practice to try medication first. However, if your symptoms have not improved with medication, confirming the diagnosis with surgery is a reasonable next step.
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Most likely, yes!
Pelvic ultrasounds give us a picture of the gynecologic structures, mostly the uterus and ovaries. Chronic pelvic pain can arise from many causes. When you come for a visit, we will evaluate for many other causes, which may be functional (non-structural), musculoskeletal, urologic, gastrointestinal, psychological (no, this does not mean “it’s all in your head”), neurologic, infectious, or dermatologic.
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Much of the information I use to help you comes from the story you tell me of your experience. An exam can be quite helpful in either confirming or ruling out a possible cause of pain. Often, an abdominal exam and pelvic exam can be useful in this regard. However, it is in your control how much of an exam is performed.
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About Dr. Brooke Hyman
Hi, I’m Dr. Brooke Hyman. I was born and raised near Baltimore, MD. Growing up as a competitive gymnast piqued my interest in physical health and inspired my undergraduate degree in Nutritional Science from the University of Maryland, where I graduated cum laude. I subsequently completed medical school at the University of Maryland School of Medicine, and went on to specialize in Obstetrics & Gynecology at Emory University in Atlanta, GA. During residency, I developed a special interest in chronic pelvic pain after receiving specific mentorship in this niche.
After training, I relocated to Guyana, a small country in South America. While there, I taught the fundamentals of laparoscopic surgery, and oversaw local physicians perform laparoscopic surgery. Laparoscopy is the process of putting a camera through the abdomen, and performing surgery through small incisions, each about 1 centimeter or smaller. While this is common practice in the US, it is not yet readily available in many low- and middle-income countries. Laparoscopy has significant benefits of faster recovery time and lower risks of surgical complications.
Upon returning to the United States, I worked as a locums tenens doctor. This means I travelled for work, providing care in small towns where there was a shortage of physicians. This experience highlighted the gaps in healthcare between rural and urban America. I began to wonder how to provide access to high-quality specialty services to people who live outside the big city. In 2023, I joined the Billings Clinic and practiced general obstetrics & gynecology for over two years. I learned a LOT about Montana during this time, which is a very special place. The people of Montana are kind, compassionate, and connected to their communities. For these reasons, I decided to make Montana home, and to create a practice that honors and serves the women of this community.
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Outside of work, I spend as much time as possible in the mountains. I love to camp, hike, packraft and continually explore Montana.
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