Our Services
At Haven OBGYN, we provide comprehensive, compassionate care for every stage of your life — from your first period through fertility, pregnancy, surgery, menopause, and beyond.
Led by Nikita Mishra, MD, a board-certified OB-GYN and minimally invasive gynecologic surgeon, our practice combines advanced medicine with a warm, personalized approach.
We offer both in-person visits at our Folsom clinic and select virtual visits when appropriate, so you can access expert care in the way that works best for you.
Care Tailored to Every Stage of Your Life
Annual Exams & Preventive Care
Preventive care is the foundation of women's health. Your annual visit is a chance to check in on your overall well-being, catch concerns early, and build a long-term relationship with a trusted OB-GYN.
Well-Woman Exams
Comprehensive checkups including pelvic exams, Pap smears, and breast exams.
HPV Screening & Vaccination
HPV testing and vaccination counseling for cervical cancer prevention.
Health Screenings
Blood pressure, BMI, and general health screening tailored to your age and risk factors.
Mental Health Support
Screening and counseling for mental health, sleep, and stress concerns.
Birth Control & Sexual Health
We provide confidential, judgment-free care for all aspects of sexual and reproductive health. Together, we'll choose the approach that best fits your body, values, and future plans.
Birth Control Options
- Contraception counseling tailored to your goals
- Oral contraceptive pills, patch, ring, and injection
- Long-acting reversible contraception (LARC): IUDs and implants
- Emergency contraception counseling
- Permanent contraception counseling and referral
Sexual Health & Intimacy
- Low libido and changes in sexual desire
- Pain with intercourse (dyspareunia)
- Vaginal dryness and atrophy
- STI screening and treatment
- Evaluation of bleeding or discomfort with sex
Pregnancy & Postpartum Care
Whether you're newly pregnant, planning a pregnancy, or adjusting to life after delivery, Haven OBGYN provides attentive, personalized care for you and your growing family.
Pregnancy Care
- Preconception counseling and optimization
- Early pregnancy confirmation and counseling
- Routine prenatal care and pregnancy monitoring
- Coordination with hospital labor & delivery teams
- High-risk pregnancy assessment and referral
Postpartum Care
- Postpartum visits focused on recovery and healing
- Mood changes, anxiety, and postpartum depression screening
- Lactation support and feeding counseling
- Contraception planning after pregnancy
Fertility & Infertility Services
If you've been trying to conceive or are thinking about pregnancy in the future, we can help evaluate your fertility, optimize your health, and design a personalized plan.
Evaluation & Ovulation Tracking
- Comprehensive fertility and preconception evaluation
- Ovulation tracking and cycle mapping
- Hormone and lab testing
- Partner evaluation and coordination with specialists
Ovulation Induction
For some patients, medications can help stimulate or regulate ovulation. We offer ovulation induction with letrozole and clomiphene citrate, when appropriate.
- Personalized ovulation induction protocol design
- Monitoring of response and cycle timing
- Discussion of benefits, risks, and side effects
Infertility Workup & Office Procedures
Uterine & Tubal Evaluation
Comprehensive infertility workups including imaging and assessment.
Office Hysteroscopy
Hysteroscopic evaluations for uterine cavity assessment.
PCOS & Anovulation
Evaluation and management of PCOS, irregular cycles, and anovulation.
IVF Referral
Referral to reproductive endocrinology/IVF centers when appropriate.
Gynecology & Complex GYN Conditions
We diagnose and manage a full range of gynecologic concerns, from common issues to complex conditions that impact your quality of life.
Abnormal Uterine Bleeding
Diagnosis and treatment of heavy or irregular periods.
Painful Periods (Dysmenorrhea)
Evaluation and treatment for severe menstrual pain.
Pelvic Pain & Endometriosis
Comprehensive care for chronic pelvic pain and suspected endometriosis.
Fibroids & Ovarian Cysts
Evaluation and management of uterine fibroids and ovarian cysts.
Abnormal Pap & HPV
Management of abnormal Pap smears and HPV-related conditions.
Vulvar & Vaginal Conditions
Treatment for vulvar and vaginal skin conditions.
In-Office Gynecologic Procedures
IUD Placement & Removal
Endometrial Biopsy
Colposcopy
Minor Office Procedures
Minimally Invasive & Robotic Surgery
When surgery is the best option, Dr. Mishra offers minimally invasive and robotic approaches whenever possible to reduce pain, scarring, and recovery time.
Laparoscopic & Robotic Hysterectomy
Advanced techniques for uterine removal with faster recovery.
Myomectomy (Fibroid Removal)
Minimally invasive removal of uterine fibroids.
Ovarian Cystectomy
Ovarian cyst removal and adnexal surgery.
Endometriosis Treatment
Laparoscopic treatment of endometriosis.
We provide thorough pre-surgical counseling so you understand your options, expected recovery, and follow-up plan.
Post-operative follow-up: We offer both virtual and in-person post-op follow-up visits, tailored to your needs and the type of surgery you've had.
Menopause & Midlife Wellness
Menopause is a major transition — and you don't have to navigate it alone. We focus on evidence-based options to help you feel like yourself again, addressing both symptoms and long-term health.
Perimenopause & Menopause Evaluation
Comprehensive assessment of your menopausal transition.
Hot Flashes & Night Sweats
Effective treatment for vasomotor symptoms and sleep disruption.
Mood, Brain Fog & Energy
Addressing mood changes, cognitive concerns, and fatigue.
Vaginal Health & Sexual Changes
Treatment for vaginal dryness, discomfort, and intimacy concerns.
Hormone Therapy (HRT)
Personalized hormone therapy and non-hormonal treatment options.
Bone & Heart Health
Bone health and cardiovascular risk assessment.
Focused time and space to address your midlife health goals and questions.
Aesthetic & Confidence Services
Your comfort and confidence in your body matter. For patients who have concerns related to childbirth changes, scarring, or intimate aesthetics, we offer select procedures and will discuss whether they may be appropriate for you.
Gynecologic Aesthetic Procedures
- Labiaplasty
- Perineorrhaphy
- Perineoplasty
These procedures are approached with sensitivity, privacy, and a focus on functional as well as aesthetic outcomes. A consultation is required to discuss your goals, options, and realistic expectations.
Coming Soon
- Botox and dermal fillers
- Weight management and metabolic health support
If you're interested in these upcoming services, please let us know so we can keep you informed as they become available.
Virtual Care & Digital Tools
We know life is busy. When it is safe and appropriate, Haven OBGYN offers select telehealth visits for follow-up care, medication checks, results review, and certain counseling visits.
Virtual GYN & Menopause Follow-ups
Virtual Post-Op Follow-ups
Online Appointment Requests
Digital Forms & Check-in
Not every visit can be done virtually, but we will work with you to find the safest and most convenient option for your care.
Ready to Schedule?
Whether you need a routine exam, have a new concern, or are exploring surgical or fertility options, we're here for you.