Contraception
At Cary, Fuquay and Apex Pediatrics, we are proud to be following the latest recommendations from the AAP for the most effective adolescent contraception. We offer traditional guidance for birth control, including but not limited to abstinence, condoms, oral contraceptives and Depo Provera.
Nexplanon
Our providers are trained in the insertion of Nexplanon, which is a small, soft, and flexible birth control implant that is just 4 centimeters in length. It is inserted directly and discretely under the skin on the inside of the arm. The procedure is quick with minor discomfort and Nexplanon provides up to 3 years of continuous pregnancy prevention. No daily pills, sticky patches or injections.
Once it is inserted, Nexplanon is over 99% effective. If you or your teen are interested in Nexplanon or any other form of contraception, ask to schedule a consult with one of our trained providers in ANY of our locations. We can tell you all about it!
Circumcisions
We are now able to perform circumcisions on your newborn boy. The procedure is performed in our Cary office by Dr. Villareal. Here is what he has to say about the procedure.
“There are three different ways that a circumcision can be performed. I was trained in the most common method using a Gomco clamp. I feel comfortable performing circumcisions on newborns up to two weeks of age.
One of the most common concerns for a parent is how much pain their son will experience. I take great care to numb the area and ensure that your son is numb prior to starting the circumcision. I also have the baby suck on some sugar water throughout the procedure. With these two soothing mechanisms, evidence and my experience shows that most babies are very comfortable, and I have a high percentage that will sleep through most of the procedure.
The worst part of the procedure is that they have to have their legs strapped down to the table so that they do not interfere with the sterile area, which can make kids a little cranky after the procedure. The whole procedure takes about 25-30 minutes. After the procedure, I have the parents wait in the office for about 15 minutes so that I can check the penis and ensure that everything looks appropriate.”
If you have any additional questions please do not hesitate to contact our Cary office with more questions.
Nutrition
Eating disorders, obesity, picky toddlers, and vegetarianism are just a few of the topics our registered dietitians can cover. We are excited to have Caitlin Ashley, MPH, RD, LDN as part of our practice. Caitlin’s areas of interests are disordered eating, eating disorders, intuitive eating and sports nutrition. She is currently seeing patients via Telehealth. An appointment can be made at any time. Please discuss this service with your provider.
Downloads
Reliable Web Sites
- Choose My Plate
Educational site on how to make healthy eating choices
Recommended Reading
- AAP Guide to Your Child’s Nutrition, Dietz and Stern
ADHD
Our office performs ADHD screening for our families and helps them navigate the confusing landscape of ‘attention’ in school and at home. Please call to set up a consult with one of our providers if you or the school has concerns.
Downloads
Reliable Web Sites
- ADDitude
Strategies and support for ADHD and LD
Child Development
Developmental Screenings
We are using CHADIS developmental screens in our office at many checkups to make sure we don’t miss any subtle problems.
Recommended Reading
- Babyhood, Leach
- The First Three Years of Life, White
- Infants and Mothers, Brazelton
- Caring for Your Young Baby and Young Child-Birth to Age 5, Shelov, MD and Henneman, MD
- Your Baby’s First Year, Shelov
- What to Expect the First Year, Eisenberg, Markoff and Hathaway
- AAP Guide to Your Child’s Sleep, AAP
- It’s Potty Time (video), Duke Family Series
- How to Get Your Kids to Eat, but not too Much, Ellyn Sutter
- Guide to Toilet Training, AAP
Asthma
Asthma affects one in ten children and is one of the most common chronic diseases of childhood. As a practice, we are committed to helping you and your child control their asthma symptoms so that they can have a normal and active lifestyle.
Our patients with asthma are closely monitored. We will see your child in the office every 6 months at a minimum – At their well child exam, and again six months later. During your visit, your child may undergo pulmonary function testing and you may be asked to complete an Asthma Control Test. These tools help us understand how well your child’s asthma is controlled.
Your child will also have an examination and we will review his/her symptoms and medication use.
Questions on how to use a spacer properly? Check out these videos!