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
I am planning to open a private practice in Billings by the end of 2026. Sign up to receive updates!
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I provide full gynecologic care. The list below are examples of services I provide
Annual well-woman exams
Pap smears
Birth control
STI testing & treatment
Treatment of gynecologic problems such as irregular periods, ovarian cysts
Pre-pregnancy consultation
Infertility evaluation
Menopause/ perimenopause including HRT (hormone replacement therapy)
Surgery including minimally invasive hysterectomy, diagnostic laparoscopy, hysteroscopy and more
Permanent sterilization (aka “getting your tubes tied”)
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My special interest is in chronic pelvic pain. Chronic pelvic pain is a condition in which people have pain in the low abdomen, pelvic and vaginal area on a regular basis, and it lasts for months. It can have a huge impact on your well-being, relationships and ability to work. I also help people who experience pain with intercourse and pain with their periods. My evaluation and treatment plans are often more comprehensive than a prescription for birth control. Some additional services I provide 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
Referral to additional specialists including pelvic floor physical therapy, psychosomatic practitioners, and certain pain clinics
In addition, I am a Menopause Society Certified Practitioner. This is a special distinction through The Menopause Society, which is the definitive, independent, and evidence-based resource for healthcare professionals, researchers, the media, and the public.
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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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