Legacy Medical Group–Portland Obstetrics and Gynecology
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From routine to advanced obstetric and gynecological services, our board-certified obstetricians and gynecologists provide excellent care. Our doctors offer the latest techniques and treatments for adolescents through post-menopausal women.
Obstetrics
- Preconception counseling
- Dating ultrasound
- High and low-risk obstetrics
- Multifetal pregnancy
- Vaginal birth after Cesarean deliveries
- Lactation management
- Postpartum depression
Gynecology
- Well-woman annual exam
- Adolescent gynecology
- Contraception (birth control)
- Endometriosis
- Fibroids
- HPV immunization (Gardasil)
- Infertility
- Management of abnormal Pap smears
- Menopause transition
- Postmenopausal hormone replacement therapy
- Sexually transmitted disease (STD) screening and treatment
- Urinary incontinence and pelvic support
- Abnormal pregnancy
Gynecological surgery
- Advanced hysteroscopy
- Advanced laparoscopic surgery including robotic surgery
- Female sterilization
- Hysterectomy
- Labial and vaginal rejuvenation
- Myomecyomy
- Pelvic prolapse repair and incontinence procedures
Visiting Us
Parking
A parking lot is available on-site with free parking.
About
From routine to advanced obstetric and gynecological services, our board-certified obstetricians and gynecologists provide excellent care. Our doctors offer the latest techniques and treatments for adolescents through post-menopausal women.
What to do before and after gynecological surgery
In this section we provide general guidelines for preoperative and postoperative care. Please take a few minutes to make yourself familiar with the information and contact your provider’s office with your questions or concerns.Preoperative Preparations for Hospital Surgery: How to Improve the Outcome of Your Surgery
Preoperative preparation is designed to improve the outcome of your surgery, decrease your risk for complications, and make your surgery as safe and effective as possible.In general, no food or drink for at least eight hours before your surgery in the hospital. Most instructions indicate that nothing is to be taken by mouth after midnight, on the night before the procedure. It may seem harsh, not to be able to have a sip of water, but this precaution minimizes the risk for complications such as vomiting during surgery.
If you have diabetes or other pre-existing medical conditions, especially to do with your heart or lungs, let your doctor know and there may be specific instructions on what you should do the day of surgery.
Discontinuing prescription and over-the-counter medications that "thin" the blood, such as aspirin or anti-inflammatories, is necessary prior to surgery. Whether a drug is held or administered is based on the patient's medical condition, the type of drug, and the scheduled surgical procedure. Patients who take prescription medications on a regular basis must discuss this with the surgeon.
If a pain reliever is needed in the week prior to surgery, acetaminophen is recommended over aspirin, ibuprofen, or naproxen, to reduce the risk for heavy bleeding during surgery. If you regularly take any herbal supplement, it may need to be discontinued before surgery.
In many cases, patients are advised to quit smoking 2 to 6 weeks before surgery. Smoking may cause breathing problems during surgery and has been shown to delay healing.
In some cases, a laxative or enema is indicated to empty the bowels before surgery.
If you have any unexpected medical problems before your scheduled surgery, such as a fever, cold, cough or flu please contact the office immediately as your surgery may have to be rescheduled.
General Postoperative Care Instructions:
The goal of postoperative care is to ensure that patients have good outcomes after surgical procedures. A good outcome includes recovery without complications and adequate pain management. Another objective of postoperative care is to assist patients in taking responsibility for regaining optimum health.
After surgery in the hospital
- If you have had general anesthetic, you may have a sore throat for the first 24 hours due to the airway placed in your windpipe. You may also experience dizziness, drowsiness or lightheadedness after anesthesia or sedation.
Incision Care
- If you leave the hospital with bandages over your incision(s) — these bandages can be removed the next day. If you have steristrips (adhesive strips) over your incision(s), they can be removed 7 to 10 days after surgery. If the strips get dog-eared, clip the edges with scissors. Try to keep your incision(s) clean and dry. You may shower 24 hours after surgery. If you get the incision(s) wet, then pat it/them dry. A slight to moderate vaginal flow may be normal for 2-5 days.
- If you have staples in your incision, make an appointment to have them removed within 7 days following your surgery or as directed by your physician. If your stitches are underneath the skin, they will dissolve on their own; you may see a knot at the end and if it is still there at your followup appointment, your doctor will pull it out for you.
Diet
You may return to a normal diet as quickly as you are comfortable doing so. If nauseated, start slowly with clear liquids (jello, tea, broth) and advance gradually to more solid foods.
Activity / Bathing / Driving
- In the first 24 hours after your surgery: do not drive or operate power equipment and do not engage in activities that require coordination for the ability to respond quickly.
- You may walk, ride in a car, climb stairs after your surgery.
- Rest the first day home. You may resume light activity the next day. You may feel weak or tired for a few days after your surgery. Increase your activity as tolerated. Do not do any heavy lifting or vigorous exercise for a week or two if you had a laparoscopy; for 4-12 weeks if you had a hysterectomy or prolapse surgery (as directed by your surgeon). There are no restrictions on activity after a D&C or ablation.
- You may drive when you can control the car fully and are not taking any narcotic pain medication. Please abstain from sexual intercourse until your two followup appointment where further activity instructions will be given. No tub baths, hot tubs or swimming until you see your doctor for your 2-3 week postoperative check. Showers are okay. Activity, such as walking, can help bowel function return to normal and decreases chance of postoperative blood clots.
- Avoid tampon use until you see your doctor for your 2-3 week postoperative visit. No douching.
- You may return to work when you are released to do so by your surgeon.
If you had a hysterectomy: Full recovery can take from 4 to 8 weeks for open abdominal hysterectomy, and from 1 to 2 weeks for vaginal and laparoscopic hysterectomies. During this time, patients should get plenty of rest. Also avoid heavy lifting, tub baths, and intercourse for a full 6 weeks. Depending on the type of procedure used and on the patient's rate of recovery, light chores, some driving, and even returning to work during this period of time may be possible.
Pain Medication
- You will usually be given a prescription for a narcotic pain medication (such as Percocet or Vicodin). You may use this if necessary, however, narcotics are constipating and may make your bowel movements more painful. No driving or drinking alcoholic beverages while taking pain medications.
- Options for non-constipating pain medications include products that include Ibuprofen or Tylenol (acetamininophen).
Preventing and Treating Constipation
- Include fiber in your diet (fresh fruits and vegetables and/or fiber supplements such as Metamucil or Citrucel). Drink at least 6-8 glasses of water each day. Avoid foods that cause you to have gas for upset stomach. Increase activity as tolerated - activity helps bowel function return to normal.
- Take stool softeners as necessary. You may consider using a stool softener (such as Colace) up to 3 times each day if you are taking a narcotic pain medication and/or feel you are constipated. If you have not had a bowel movement within two to three days following your surgery, you may take over-the-counter Milk of Magnesia or Senokot over the counter as directed on the packaging. If you still do not have a bowel movement within 4 days, please call our office.
Preventing and Treating Gas Pains
- Increase activity as tolerated - activity helps bowel function return to normal. Avoid gas-forming foods, such as broccoli, cabbage, beans, salads, sweet potatoes. If gas pain persists, you may take over-the-counter Simethicone (Mylicon, Gas-X, Maalox-Gas, Mylanta-Gas)
Pain Medication
- You will be given a prescription for a narcotic pain medication (usually Percocet or Dilaudid). You may use this if necessary, however, narcotics are constipating and may make your bowel movements more painful. Options for non-constipating pain medications include products that include Ibuprofen or Tylenol.
Follow-Up Appointment
- You should have a follow-up appointment at our office within 2-4 weeks following your surgery. If you don't already have that appointment, please call us at (503) 229-7353 to make it.
Postoperative Care Instructions #1: Colposcopy | LEEP | Cryotherapy
- It is normal to have some mild cramping after your procedure. You may take medications such as ibuprofen (eg Advil — up to 600mg every 6 hours) and/or acetaminophen (eg. Tylenol - take as directed on the bottle) to help reduce the discomfort from cramping.
- You will have some vaginal spotting or bleeding after your procedure. If you had a LEEP you may have a dark coffee grind discharge after that and may pass some tissue in 1-2 weeks. If you had cryotherapy, you may will most likely have a clear vaginal discharge for 4-6 weeks (and may well not have any bleeding or spotting).
- If you had colposcopy and a biopsy, then you are advised to abstain from intercourse, tampon use, baths, and swimming for 1 week. If you had a LEEP or cryotherapy, then you are advised to abstain from intercourse, tampon use, bath, and swimming for 4 weeks. After a LEEP, avoid vigorous physical activity (heavy lifting, etc) for 48 to 72 hours.
- You should have a followup visit in 2 to 4 weeks after your LEEP or cryotherapy (unless otherwise instructed by your doctor). Your followup care after a colposcopy alone will depend on the results from the colposcopy and any biopsies done that day - your physician will call you with the results of biopsies as soon as they are available and review with you whether further action or surveillance is needed (if you have not heard from the office within 2 weeks, please call the office).
Postoperative Care Instructions #2: D&C | Endometrial Ablation | Essure
- You may experience mild to moderate cramping (like menstrual cramps) and pinkish to red vaginal bleeding. This may last approximately 2 to 3 weeks. You may pain medications prescribed by your doctor as needed. In addition you may use ibuprofen (eg. Advil — 600mg up to every 6 hours).
- Use pads for any bleeding. No tampons nor sexual activity for 2 to 3 weeks post procedure.
- Please make sure you continue to use effective birth control.
- Make a followup appointment in the office in 2 to 4 weeks.
Postoperative Care Instructions #3: Hysterectomy
- Full recovery can take from 4 to 8 weeks for open abdominal hysterectomy, and from 1 to 2 weeks for vaginal and laparoscopic hysterectomies. During this time, patients should get plenty of rest.
- Avoid heavy lifting, tub baths, and intercourse for a full 6 weeks.
- Depending on the type of procedure used and on the patient's rate of recovery, light chores, some driving, and even returning to work during this period of time may be possible.
A list of symptoms and complications that can occur after ANY obstetric or gynecologic procedure or surgery
The following symptoms and complications may indicate a medical emergency and should be reported to our office (503) 413-7353 as soon as possible (or proceed to the nearest Emergency Room if necessary):
- Fever of 100.4°F or higher
- Severe abdominal pain not relieved by your pain medication (After laparoscopy, it is not unusual to have shoulder, chest, stomach or lower abdominal pain for 2-5 days. Your pain medication should relieve this.)
- Persistent nausea and/or vomiting and are unable to keep down fluids or food or experience diarrhea for more than 24-48 hours or you do not have a bowel movement within three or four days of your surgery.
- Bright red vaginal bleeding that soaks more than 2 pads in an hour and/or large/painful blood clots
- Increased redness, swelling, or pain around any incision(s)
- Pain with swelling, heat or redness around an IV site
- Pain or tenderness and swelling in the legs, especially back of the calf
- Difficulty urinating or have any signs of a urinary tract infection such as painful or frequent urination, urgency, foul odor or low back pain.
- Difficulty breathing, unusual shortness of breath or chest pain
Patient Comments
Legacy wants every patient to have great care, every time. To help measure and improve patient satisfaction, we send surveys to randomly selected patients after their appointments. We use this feedback from the surveys to improve and enhance the care we offer. Learn more about our surveys & ratings
Dr Hoffman answered all my questions, including the ones I didn't know I had. I felt affirmed by Dr Hoffman in my choices for pain management and that I had all the resources and support I needed to make the correct decisions for myself.
I love Dr Edwards. She is so approachable, caring, kind. She asks me if I have any concerns and means it and listens.
She created an open environment and spent time to talk with me before the procedure. She was kind and attentive and very helpful in making me feel at ease.
He is an excellent doctor who listens and solves patient's concern. I was so comfortable with his service.
This was my first visit with this doctor and he was great! I felt very comfortable.
At 60, he is the best boy-gn I've been to.
I love Dr Abby Furukawa and her Assistant! I always looking forward to seeing them at my appointments!
I really like Abby a lot better than my previous PA. Abby took the time to listen to my concerns and troubles, then provided me options for treatment. She was very nice and never made me self-conscious. I also like her knowledge in perimenopause.
Very thorough, listened, and very respectful
Dr Edwards is a caring and compassionate doctor. So glad she is my gyn!
Dr Voge always takes her time with me and thoroughly answers questions.
She was very caring, gental, knowledgeable, treated me like a human and my life mattered. Very good energy and kind hearted!
Dr. Furukawa is a fantastic provider. She is thorough and thoughtful in the care that she provides.
Trust him , value his expertise. Answers my questions , cares, and takes me seriously
I would recommend it without hesitation
Dr. Hoffmann is a gem! Always makes you feel like you're the only patient he is seeing that day.
I really appreciate the time her took to answer all my questions and help me be equipped with the info I need to make this decision.
Dr Edwards is amazing! So kind and empathetic, and not rushed at all. She took the time to explain everything, I felt so reassured and confident about my procedure coming up.
I have never had a medical intervention as loving and supportive as this one. The Doctor was clear in explaining, fast in the exam, gentle and thorough! I wish all my doctors and all my medical care was as good as
Compassionate and attentive.
I thought Dr Hoffman had some of the best bedside manner i've experienced from a physician in a long time. He spoke about my concerns in a way that I could understand and I never felt rushed.
I felt very listened to and supported by Dr. Hoffman. He gave great medical information and handled by care wonderfully. I would like to continue seeing him throughout my future pregnancy.
To have a doctor listen to me, believe that had done my own study and knew my own body- I actually started crying I was so relieved. Grateful to have her as my provider!
Dr. Hoffman was extraordinarily tolerant and good-humored with the questions I had for my post-op
I drove farther than usual to see this doctor because she is a specialist. I feel she did not fully resolve my issue and she gave me a few snappy responses. She was not as kind as when I saw her a few years ago.
Very nice
Took time to thoroughly review each of my options without seeming rushed at all. Very pleased.
In know its possibly strange to have all 5's, but Dr. Voge is extremely attentive to any small or big concern...treats it as if it is important, and tries to find a good solution. The office is also run very efficiently!
I love the staff and Dr. Voge. She even drew me a picture to help me understand! Her calmness and the way she explains every thing puts me at ease and I truly trust her.
Hands down a great experience
Dr Ly is a wonderful doctor, very smart, very caring.
Always a positive experience!
I've recommended him to numerous people. The respect and care is too notch.
Very happy with the staff, everyone seemed happy to be working there.
Dr. Van Houten is a great doctor, very understanding and kind and listen and take care of you.
Dr. Edwards is the most compassionate, empathetic, and validating doctor I have ever had. She has advocated for me throughout the time I've been seeing her, and I could not recommend her enough to any other patient looking for care.
Dr Voge is very personable and a delight to talk to.
This was the first time I had visited Dr. Hoffman. I was very happy with the outcome of the appointment and definitely felt like he was my advocate in resolving my health issue.
I am so incredibly pleased with the service I receive every time I come to the office or need anything. I am so grateful for my care team and hope to be with them forever. Anytime I need care and Dr Edwards is unavailable, I also receive amazing care from the other providers in the office. Thanks so much for being so wonderful!
Everything was great
My visit was fantastic- I am still waiting to hear back about blood tests and next steps, however, the doctor was so informative, spent time with me explaining my situation and what my options were. Overall, I am so happy I was referred to him.
Thank you for making my annual pap and Implant removal as smooth and courteous as possible.
Scott Hoffman made me feel like his only patient, he wasn't rushing and he answered all my questions and explained everything unlike most providers I have had. I was blown away with him and I'm happy to have him as my OB.
Abby is truly amazing, kind, and caring. She understands and gives the best of care.
I was able to get an appt in a timely manner. The doctor was very helpful in reviewing my history and coordinating testing
Dr. Von Houten was extremely patient and kind with my nervousness around my appointment and procedure. She did not make me feel rushed and gave me all the time I needed to mentally prepare for each step. I felt welcomed and heard and really appreciate the care the she provided me. She is wonderful!
Dr. Hoffman is efficient, kind, Compassionate, knowledgeable, and has such a great bedside manner. He is understanding and meets patients where they're at. He identifies emotional needs and does his best to help. Cannot speak highly enough about him!
Dr was thorough and encouraging. I am confident in my care plan.
Dr van houten never seems to be in a rush, which is appreciated and rather uncommon.
I've always had positive experiences with Dr. Van Houten and Legacy OBGYN care team.
I really like Dr Hoffman but I wish he were more honest about how much procedures are going to hurt!
I was very surprised how much time the doctor Scott Hoffman spent with me this was definitely the best experience I've ever had with any doctor in my whole life. I highly recommend him he has to compassion he cared he was very thorough he drew pictures. Check notes read over my file and my history with me and went over my meds with me and discussed her future plans. I've never felt so comfortable at a doctor's visit before in my life I would like to thank him the world needs more caring doctors like this. He is definitely a really good person and knows what he's talking about I definitely feel like I could trust him with my life and my medical care.
Excellent service
Dr. Hoffmann is literally the best health care provider I've ever worked with. He is patient and very interested in my health and well being, and any topics I may need to cover. It feels like I'm the only patient he is seeing in the day, and he knows/remembers my history in advance of talking to me.
Excellent care and response to my health care concerns & questions. My original appt was with Dr but she got called away for labor delivery. I traveled 2hours for appt; didn't get reschedule phone call in time to turn around. No fault of registration staff or provider. When I explained my situation, they did everything they could to get me seen by another provider. Thank you so much !! Saved me travel time and ability to not have to take more time off work for annual check up. I travel the long distance due to the high quality medical care I receive from this office and staff. Excellent care.
Dr. Furakawa asked me about my satisfaction with my medication and suggested a different dosage. She asked specific questions about my quality of life related to this medication and I felt like she understood my struggles before I could even explain them. She also took the time to go over my mental health and suggested ways I could address them both with additional providers or other resources. I felt hopeful that my struggles would decrease with a few of the changes and suggestions she made. I'm very happy with my relationship with her and am grateful she is my provider.
Dr. Voge is an excellent doctor and I would highly recommend her to anyone. She clearly knows her stuff, is understanding, responsive, and thoughtful. I feel totally confident in her abilities and recommendations. The office staff is great as well.
Dr. Hoffman was great!
Dr Furukawa is the best. I appreciate her concern and attentiveness to needs. She makes me feel normal and safe.
The whole visit was absolutely amazing, an everyone there got me in an out so fast it was a lovely experience
The wait in the exam room was long but I appreciate that the Dr takes time with me. I'd rather wait than be rushed thru
Dr Van Houten continues to provide excellent care. She is a model of what a compassionate, caring physician should be. She was one of our favorite residents (among the nurses) at Emanuel and continues to impress today. She is the best!
Dr. Edward's is the best OB I've had in years. I'm thrilled that she'll be the provider handling a majority of my prenatal appointments. I feel like she truly cares for my health and the health of my baby.
Dr. Voge is the best! And her staff is terrific too! I have referred a family member and friends to her.
Easy to talk with and understand. Good explanations of my situation.
Dr Voge is kind, respectful, knowledgable and easy to talk to.
Dr. Edward's is the most sincere, kind, and sensitive doctor I know. I am so grateful to have her as my OB and trust her whole heartedly with my care.
Dr.Voge and her nurse are amazing and I 100000000% will always recommend them.
I've already recommended Dr. Hoffman to numerous friends of mine. He takes such care in the patient experience and really makes you feel comfortable and confident in the care you're receiving. One of the best providers I've ever had.
I absolutely trust Dr Van Houten. She is an incredible doctor and I look forward to seeing her
I have recommended my Doctor to others.I look forward to my annual check up because I feel that if there is a problem to be found Dr. Edwards will alert me. She is thorough, gives necessary time for questions, answersAnd any concerns I may have.
Office staff was very friendly as well as the nurses and the Dr herself
Thank you very much for the great advice you provided me and for taking care of me!
Dr. Voge and her staff have always been the best. I appreciate their expertise and friendliness. Thank you!
Great.
Dr Edwards is a wonderful physician.
The staff is extremely kind. I felt supported and cared for. They were respectful, energetic, and thorough. I feel very safe in these hands.
This was my first time seeing Dr. Edwards. The doctor was thorough and reminded me that I had additional options in case I was interested to explore them but they ultimately reminded me that my care was my decision. During the appointment, she was such a a wonderful coach and really made me feel comfortable and safe. I appreciated that she listened to all my concerns and validated what I said. She is a great listener. I feel really lucky to have had that type of appointment with her.
I love the staff at this office. They do good work and I always appreciate them for their attentiveness and care.
My experience as a first time patient was excellent. I felt listened to and was impressed with how comfortable I felt despite annual exams not really being the funnest things to do in general. Also i didn't have to wait long to get in to my appointment after checking in.
Dr. Edward's made me feel extremely comfortable and explained all my options for treatment. She also validated my concerns immediately and believed what I said.
This was my first visit to OBGYN in 40 years!!! I was long overdue.I'm currently 64 finally taking the time for ME!
I really like Dr Jensen as my Gyn doctor.
I would've liked a printed handout explaining my IUD - how it works, what to expect afterwards, and follow up instructions mentioned verbally during the appointment.
Dr. Voge and her team are exceptional. I couldn't ask for better care or a better experience. I truly feel lucky to have such an intelligent and capable provider caring for me. Dr. Voge's front desk staff are welcoming and kind, and the MA/RNs are very nice and efficient. You can tell that everyone there cares about the work they are doing. Thank you!
Excellent experience. The doctor listened to me and showed interest in me and what I had to say.
Dr Hoffman is the best. He takes his time asks and answers questions and I leave there feeling like I can't wait to see him again next year for my annual. Always fun, polite and has new information to share. Best bedside manner I have experienced with Legacy.
Dr. Abby and her MA are the very best.
Dr Jensen is an excellent doctor; excellent bed-side manner, takes time to listen and answer all my questions (for which I had quite a few).
Dr. Furukawa is outstanding!
Dr. Edwards was very kind and gracious. She answered all my questions and was very sympathetic to my situation. She was gentle and didn't seem rushed.
I found Dr. Edwards extremely helpful. She definitely took away some of my fears about my condition. She was just an overall nice and helpful person!
I was impressed with Dr. Edwards and her staff.
The moment from when I first called to set up as a pregnant new patient I have been treated so well and so quickly that me and my husband have switched our primary care to legacy and our baby will be with a legacy pediatrician.
This has been one of the most prompt and efficient clinic and provider I have seen. The overall experience has been extremely positive. I have not come away with a knot in my stomach or wondering what is next. I felt encouraged and looking forward to the next appointment. I feel optimistic that I'm going to take back control of my health and care. Dr. Edwards is even handling the referral to another specialist. Thank you for giving me back some control of my health Dr Edwards.
Very professional
I left feeling like she understood what was happening to me and very thankful
I am pleased beyond comparison. Dr. Voge and everyone else was extremely attentive and caring. I am very grateful. Thank you.
The Doctor was great.
I always feel like I'm being listened to with Dr.Hoffmann. Everyone is so nice and helpful.
Very knowledgeable and insightful. She had great rapport and gave information in great detail. She gave multiple options and solutions to my problem. I have follow-up to further explore. She is an asset to her profession.
Dr. Furukawa is so incredibly smart. She always explains risks and benefits to the patient and helps them to make a decision together. She respects my opinions and wishes. She is kind and generous with her time. I'm so lucky to have her through my deliveries, miscarriage, and other health care needs.
From the moment I stepped in the office, the assistant that took me back, my doctor visit and check out process was authenticity friendly, professional and caring. This is a fabulous practice. Thank you to the entire staff!
Dr. Edwards was thorough, thoughtful, and explained to me what a previous provider hadn't, and made me feel like I had more control over my medical care and body than previous providers. I am looking forward to future care with her.
I had a prior bad experience with gynecology and I was nervous. She listened to my needs, explained everything in depth, and gave me a positive experience where next time I have this done I won't be so scared. I hope I'm the future I am able to be in her care if I need this procedure done again.
Dr. Scoot is a excellent O.B . I highly recommend his services.