Expert OB-GYN Care, Reimagined
Our Services
Precision medicine. Personalized care.
At Haven OBGYN, we provide comprehensive gynecologic and women's health care — with a special focus on complex GYN conditions, minimally invasive and robotic surgery, pelvic pain and endometriosis, midlife and menopause health, fertility support, and advanced ultrasound.
We care for women across all stages of life — from the first period through pregnancy, postpartum, perimenopause, menopause, and beyond.
Led by Nikita Mishra, MD, a board-certified OB-GYN and minimally invasive gynecologic surgeon (MIGS), our practice combines surgical expertise with a warm, individualized, and inclusive approach — offering both in-person care and select telehealth visits when appropriate.
Expert Care for 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. We also help you make sense of common symptoms like fatigue, breast pain, hair loss, or thyroid changes that many women experience and often have questions about.
Well-Woman Exams
Comprehensive checkups including pelvic exams, Pap smears, breast exams, and breast pain evaluation, with referrals for mammograms or breast ultrasound when needed.
HPV Screening & Vaccination
HPV testing and vaccination counseling for cervical cancer prevention, with follow-up care for abnormal Pap results and HPV questions.
Health Screenings
Blood pressure, BMI, and age-appropriate health screening — including cholesterol, diabetes, thyroid testing, anemia, and other labs tailored to your age, symptoms, and risk factors.
Mental Health Support
Screening and counseling for mental health, sleep, stress, brain fog, and mood changes — including PMS, PMDD, perinatal mood concerns, and midlife emotional changes.
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 — whether you're preventing pregnancy now, planning for the future, or navigating changes in comfort, desire, or intimacy.
Birth Control Options
- Contraception counseling tailored to your goals, cycle, and health conditions (including PCOS, endometriosis, and heavy periods)
- Oral contraceptive pills, patch, ring, and injection
- Long-acting reversible contraception (LARC): hormonal and copper IUDs and the arm implant
- Emergency contraception counseling, including Plan B and other options
- Cycle tracking and fertility awareness education for those interested
- Permanent contraception counseling and referral when appropriate
Sexual Health & Intimacy
- Low libido and desire changes at any age, including postpartum and menopause
- Pain with intercourse (dyspareunia) and vaginismus
- Vaginal dryness, atrophy, irritation, and discomfort
- Vaginal discharge or odor, recurrent BV and yeast infections, and vaginitis
- STI screening and treatment
- Evaluation of bleeding or discomfort with sex, with guidance on when pelvic floor physical therapy may be helpful
Pregnancy & Postpartum Care
Whether you're newly pregnant, trying to conceive, or adjusting to life after delivery, Haven OBGYN provides attentive, personalized care for you and your growing family. We also help evaluate early symptoms like implantation bleeding, spotting, cramping, and pregnancy test questions so you know what's typical — and when to be evaluated.
Pregnancy Care
- Preconception counseling and optimization, including review of medications, thyroid health, and chronic conditions
- Early pregnancy confirmation, pregnancy tests, and guidance around early symptoms
- Routine prenatal care and pregnancy monitoring across all trimesters
- Coordination with hospital labor & delivery teams for your birth plan and delivery
- Thoughtful evaluation of pregnancy symptoms and early identification of potential concerns, with referral to maternal-fetal medicine when needed
- Guidance on pregnancy-safe exercise, activity, work, travel, and lifestyle choices
Postpartum Care
- Visits focused on recovery, healing from vaginal birth or C-section, and scar care
- Screening and support for mood changes, anxiety, and postpartum depression
- Lactation and feeding counseling, including common challenges
- Evaluation of postpartum bleeding, pelvic pain, or pelvic floor symptoms
- Contraception planning adapted to your postpartum needs
- Support for postpartum hair loss, sleep concerns, and hormonal transitions
Fertility & Infertility Services
If you've been trying to conceive or are thinking about pregnancy in the future, we can help evaluate your fertility, support your goals, and design an individualized plan. We commonly work with patients navigating irregular cycles, PCOS, insulin resistance, thyroid concerns, and early pregnancy loss. Every fertility journey is unique, and we partner with you step by step.
Evaluation & Ovulation Tracking
- Comprehensive fertility and preconception evaluation, including hormone testing and ovarian reserve discussions
- Ovulation tracking, cycle mapping, and understanding your fertile window
- Lab testing for thyroid function, prolactin, insulin resistance, and other hormonal factors
- Partner evaluation and coordination
- Supportive counseling around miscarriage, chemical pregnancy, and next steps when needed
Ovulation Induction
For some patients, medications can help stimulate or regulate ovulation. We offer ovulation induction with letrozole and clomiphene citrate, when appropriate.
- Personalized protocol design
- Monitoring of response and cycle timing
- Discussion of benefits, risks, side effects, and expectations
Infertility Workup & Office Procedures
Uterine & Tubal Evaluation
Comprehensive infertility workups including ultrasound, uterine lining assessment, and imaging of the uterus and fallopian tubes.
Office Hysteroscopy
Hysteroscopic evaluation of the uterine cavity for polyps, fibroids, and other abnormalities that impact implantation.
PCOS & Anovulation
Evaluation and management of PCOS, irregular cycles, amenorrhea (missed periods), and anovulation.
IVF Referral
Referral to reproductive endocrinology/IVF centers when advanced treatment is indicated, with coordination of care.
Gynecology & Complex GYN Conditions
Advanced gynecologic care is at the heart of our practice. We diagnose and treat conditions that impact comfort, quality of life, and daily functioning — with an emphasis on clear explanations, evidence-based options, and shared decision-making.
Abnormal Uterine Bleeding
Diagnosis and treatment of heavy periods, irregular cycles, spotting between periods, and thick or thin uterine lining.
Painful Periods (Dysmenorrhea)
Evaluation and treatment for severe menstrual cramps that disrupt work, school, or daily life.
Pelvic Pain & Endometriosis
Comprehensive care for chronic pelvic pain, suspected or confirmed endometriosis, and pelvic adhesions.
Fibroids & Ovarian Cysts
Evaluation and management of uterine fibroids and ovarian cysts, including when surgery is or isn't needed.
Abnormal Pap & HPV
Management of abnormal Pap smears and HPV-related conditions, including colposcopy and follow-up.
Adenomyosis
Evaluation and treatment options for adenomyosis-related pain and heavy bleeding.
Vulvar & Vaginal Conditions
Treatment for vulvar and vaginal skin conditions, vaginitis, recurrent BV or yeast, and chronic irritation.
Pelvic Floor & Bladder Concerns
Initial evaluation of pelvic floor symptoms, urinary frequency, or leakage, with referral to pelvic floor physical therapy when appropriate.
In-Office Gynecologic Procedures
IUD Placement & Removal
Endometrial Biopsy
Colposcopy
Minor Office Procedures
Minimally Invasive & Robotic Surgery
Dr. Mishra is a board-certified OB-GYN and minimally invasive gynecologic surgeon (MIGS). Surgical recommendations are made thoughtfully and only when non-surgical options have not provided sufficient relief. When surgery is the right choice, laparoscopic and robotic techniques allow for smaller incisions, less pain, and a smoother recovery.
Laparoscopic & Robotic Hysterectomy
Laparoscopic and robotic hysterectomy for heavy bleeding, fibroids, adenomyosis, or pelvic pain.
Myomectomy (Fibroid Removal)
Myomectomy (fibroid removal) to preserve the uterus, often an option for patients who wish to maintain fertility.
Ovarian Cystectomy
Ovarian cystectomy and adnexal surgery using minimally invasive techniques.
Endometriosis Treatment
Endometriosis excision surgery to remove visible disease and help relieve pain.
Menopause & Midlife Wellness
Menopause is a major transition — and you don't have to navigate it alone. We provide evidence-based care to help you feel supported and informed, addressing both day-to-day symptoms and long-term health considerations.
Perimenopause & Menopause Evaluation
Comprehensive assessment of your symptoms, cycles, and hormone-related changes.
Hot Flashes & Night Sweats
Effective treatment for vasomotor symptoms, sleep disruption, and hormonal migraines.
Mood, Brain Fog & Energy
Support for mood changes, anxiety, irritability, brain fog, and fatigue.
Vaginal Health & Sexual Changes
Treatment for vaginal dryness, discomfort, painful intercourse, and low libido.
Hormone Therapy (HRT)
Personalized hormone therapy plans and non-hormonal options based on your health history and preferences.
Bone & Heart Health
Bone density, cardiovascular risk assessment, and guidance on midlife weight changes, insulin resistance, and metabolic health.
Focused time and space to address your midlife health goals and questions.
Aesthetic & Confidence Services
Your comfort and confidence in your body matter. Many women experience changes after childbirth, aging, weight fluctuations, or menopause that affect how they feel. We offer physician-led gynecologic aesthetic procedures — performed by a board-certified surgeon, not a med spa — with a focus on both function and confidence.
Gynecologic Aesthetic Procedures
- Labiaplasty
- Perineorrhaphy
- Perineoplasty
These procedures can help with symptoms such as discomfort in clothing, pain with intercourse, tearing or scarring after childbirth, or changes in appearance that affect confidence. A consultation is required to discuss your goals, options, and realistic expectations.
Coming Soon
- Botox and dermal fillers
- Weight management and metabolic health support
These services are designed to support both how you feel and how you function — including support for midlife weight changes and metabolic health. Let us know if you'd like to be notified when 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 — so you can connect with your OB-GYN from home when that makes sense.
Virtual GYN & Menopause Follow-ups
Virtual Post-Op Visits for Minimally Invasive Surgery
Telehealth for Birth Control, Medication Checks & Fertility Follow-ups
Online Appointment Requests & Secure Messaging
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.
Because Your Health Deserves a Haven
Surgical excellence. Unmatched compassion.
Your health. Your life. Your Haven.