OB/GYN Care at Every Stage of Life

A mother, daughter, and grandmother looking through a photo album to represent OB/GYN care at every stage

If the Triangle Physicians for Women providers have one thing in common, it’s their commitment to providing the best OB/GYN care at every stage of life. Each stage in a woman’s life requires specialty care, and the transition period into these different stages of life brings its own unique set of questions. To help answer some of these questions and provide you with a clear picture of TP4W’s comprehensive services, we’re explaining what our OB/GYN care at every stage of life looks like.


According to experts, a supportive, understanding attitude from a healthcare provider can help facilitate overall improved wellness in female patients. For many women, establishing this physician/midwife-patient relationship begins early on in life. At Triangle Physicians for Women, we typically start seeing patients at the age of 18 unless otherwise referred to us by their pediatrician, or before sexual activity has begun. The age associated with the start of the menstrual cycle is around 12 and a half years old. Even before a girl’s first period, it’s more likely that her body has already undergone some changes. A pediatrician is generally able to handle most questions related to puberty and development, including issues with your daughter’s period, such as moderate cramping. By the time a woman turns 18, it’s time to begin annual exams. Beginning annual exams at the age of 18 allows for a relationship to be established before other tests, such as pap smears, become necessary at age 21. Making your OB/GYN care a priority early on in life can help set patients on the right track to lifelong health and wellness.

Reproductive Age

OB/GYN care is essential in the reproductive stage of a woman’s life. TP4W is here to support you on every step of your reproductive journey, from issues with infertility to midwifery and obstetric care. The midwifery team at TP4W consists of six certified nurse-wives specializing in all aspects of reproductive care, including pre-conception counseling, early pregnancy education, nutrition counseling, routine prenatal visits, VBAC support and counseling, 24/7 labor and delivery support, postpartum care, and breastfeeding support. Our team also provides comprehensive obstetric care, including labs and testing, ultrasounds, pregnancy counseling, education, and more. After childbirth, our providers continue to support you with various services related to postpartum care.

In addition to obstetric services, routine gynecological exams continue to be an important part of a woman’s overall health in this stage of life, from annual exams like physicals and well-woman exams to specialized services like evaluation treatment for urinary incontinence and sexual dysfunction, as well as other surgical procedures. Another essential service provided by TP4W is mammography. Mammography is currently the most effective screening tool for breast cancer and has been shown to decrease breast cancer mortality. According to the American College of Obstetricians and Gynecologists, women should begin receiving annual mammograms at the age of 40 to help detect any early stages of breast cancer, but if you have a family history of breast cancer, your doctor may recommend that you start to get annual mammograms even earlier. At TP4W, we make it convenient to stay up to date on mammograms. We can accommodate a mammogram at our practice in the same appointment as your annual GYN appointment. We can almost always accommodate a mammogram at your appointment with us, even you haven’t already made an appointment in advance. 


Menopause typically takes place around the age of 51 and is defined as the final menstrual period and is usually confirmed when a woman has missed her periods for 12 consecutive months. Menopause is associated with reduced functioning of the ovaries due to aging, resulting in lower estrogen levels and other hormones. It marks the permanent end of fertility. Menopause is a normal, natural part of life, but various treatment options are available to manage the symptoms associated with this stage of life. 

Talk To An OB/GYN

The Triangle Physicians for Women team is here to provide you with high-quality OB/GYN care at every stage of life. If you have any questions regarding any of our services, please reach out. If you would like to schedule an appointment with Triangle Physicians for Women, you may do so by calling (919) 678-6900 or requesting an appointment electronically under the Contact Us tab.

Dr. Pearce was attentive, listened well, and provided a comfortable experience for me. My recent vaginal exams have been very uncomfortable and she provided a very comfortable exam this time.

Dr. Pearce was AMAZING! She answered all my questions and didn’t make me feel rushed. Best experience I’ve had at Triangle yet! She really put my worried first-time mom mind at ease.

I think Dr. Grana and her assistant (Mandy) are the best. I have been going to TP4W for years – at least 20, and I have never been disappointed with the level of care I have received. I can be a challenge as my level for pain tolerance is low and they put up with me! I can’t help but highly recommend the practice to anyone looking for exemplary women’s healthcare.

Love love love Dr. Grana and her crew. Love going to Holly Springs office. The girls are the best from Lisa at the front desk to all the girls in the back. Your music and atmosphere is great. Thanks for making these appointments fun!! Yes believe it or not, fun!!!

Dr V and the office staff were all very professional, understanding, caring and very efficient. I would be happy to recommend this practice to friends, family and associates. – Barbara M. Lucas

My visit was great! & my past visit have all been great.Kristy helped me even with me being a bit stressed & in a hurry because I had to be seen & my job is super strict. Her urgency to get me seen was phenomenal. I even got to see Heather, she’s awesome & amazing. She helped deliver my baby girl a year ago. My whole family loves her and Dr Sheshadri. We actually can’t wait to get pregnant again hahaha. Everyone treats you with respect and always makes sure your okay & answers whatever questions you have before you leave. Even leaving a message for the nurses,they get back to you so quickly.  This practice really makes you feel taken care of.  We appreciate you all!  – Erika Hooks

My experience with the TP4W staff has been top of the line.  They helped me through three pregnancies and coached me through every step of the way.  Eternally thankful I chose TP4W.  – Britney

TP4W have such amazing doctors, midwives and nurses.  I cannot say enough about Dr. Grana and the rest of the staff for all the help, advice, guidance and medical care they provided me with all of my kids.  She made me feel safe and calm through both c-sections.  My routine care and pregnancy care have always been top notch and I would recommend them to anyone looking for an OBGYN.  – Brooke

We were honored to receive a hand written note..

Dr. Grana, Angie, Jessica, Heather, April, Sarah and the rest of the staff –

Thank you all so much for taking such good care of me through both of my pregnancies and births, especially my latest one on 10/29! most of yall know how nervous I was from having gone through a lot (to say the least) with my first in 2016. You all made me feel so comfortable and at ease before, during and after. And going through a touch year with my dad, you guys always asked how he was doing at every appointment, which was so thoughtful and beyond your job description. I know that you all see many women go through what i did each and every day and deliver many babies and perform many c-sections. But I hope you know how special Ruby’s delivery was to me. You all have amazing jobs! I cannot thank you all enough. Merry Christmas!

Love, Lucy

I have been going to TP4W since 2010/11 and could not be happier.

The staff, nurses, midwives, and doctors are all amazing. I have 2 sons, both delivered via cesarean by Dr. V. Every visit and every provider did everything in their power to give me the birth experience I wanted, and also ensure that myself and my babies were safe and healthy. Dr. V even did everything in his power to help me avoid my first c-section and VBAC with the second, but that turned out to be out of his hands and he was the absolute best surgeon. With my two pregnancies, I experienced a few scares and some unusual circumstances that would be too long and too private to write in a review, but every single hurdle was handled with grace, honesty, and professionalism. I am so thankful for the recommendation from a friend to come to this office. I can’t imagine ever going to another practice.