Gynecologic Oncology & Advanced Endometriosis Treatment
Gynecologic Oncology and Advanced Endometriosis Treatment
Compassionate, Specialized Treatment for Gynecologic Cancers & Endometriosis
Gynecologic Oncology is a subspecialty field of OB/GYN that focuses on the diagnosis and treatment of cancers of the female reproductive system as well as complex benign conditions like endometriosis. Dr. Justin Bottsford-Miller is board certified in OB/GYN and Gynecologic Oncology and provides both medical and surgical treatments, in Bozeman, Montana at Bozeman Health. Our Gynecologic Oncology team collaborates closely with Bozeman Health Cancer Center to provide comprehensive cancer treatment and support.
Gynecologic Oncology: Full Spectrum Care In Our Community
What Are Gynecologic Cancers?
Gynecologic Cancers Affect the Reproductive Organs and Include:
- Cervical Cancer
- Uterine (Endometrial) Cancer
- Ovarian Cancer
- Vaginal Cancer
- Vulvar Cancer
- Abnormal Vaginal Bleeding or Discharge (especially after menopause)
- Pelvic Pain or Pressure
- Bloating or Feeling Full Quickly
- Frequent or Urgent Urination
- Constipation
- Itching, Burning, or Changes in Vulvar Skin
If symptoms last more than two weeks and feel unusual for you – don’t wait. Early detection saves lives.
When Should You Consider Gynecologic Cancer Screening?
Based on your age and risk factors, you should consider the following:
-
Cervical Cancer
When to Start: Begin screening at age 21, regardless of sexual activity -
Ages 21 - 29:
Pap Test (Cytology) every 3 years -
Ages 30 - 65: Choose one of the following:
1) Primary HPV test every 5 years (preferred)
2) Co-testing (HPV + Pap) every 5 years
3) Pap test alone every 3 years -
Over 65:
Stop screening if you’ve had normal results for the past 10 years and no history of cervical pre-cancer. Continue screening if you’ve had abnormal results or pre-cancer for at least 20 years.
Uterine (Endometrial) Cancer
When to Screen:
- No routine screening for average-risk women
- At menopause, all women should be informed about symptoms:
- Abnormal vaginal bleeding or discharge
- Pelvic pain or pressure
- High-risk women (e.g., with Lynch syndrome or family history) may need annual endometrial biopsies
Ovarian, Vaginal & Vulvar Cancers
- No standard screening tests for these cancers.
- Regular pelvic exams and awareness of symptoms are key.
- Ovarian: Bloating, abdominal pain, urinary urgency
- Vaginal/Vulvar: Itching, burning, skin changes, lumps
Why Choose a Gynecologic Oncologist?
Gynecologic Oncologists are Specially Trained to:
- Diagnose and treat complex cancers of the reproductive system
- Perform advanced surgeries and minimally invasive procedures
- Coordinate chemotherapy, radiation, and fertility-preserving options
- Support from a QOPI Certified Cancer Center which demonstrates a commitment to excellence and ongoing quality improvement.
You’re Not Just a Patient. You’re a Partner in Your Care.
When to See a Gynecologic Oncologist
- If you have abnormal screening results
- If you’re diagnosed with or at high risk for a gynecologic cancer
- If you have persistent symptoms like pelvic pain, bloating, or abnormal bleeding
Living with Endometriosis? There’s Hope.
When to See a Gynecologic Oncologist
Endometriosis is a chronic condition where tissue similar to the uterine lining grows outside the uterus, causing pain, fatigue, and fertility challenges.
Schedule an Appointment with Gynecologic Oncology
The 4 Stages of Endometriosis:
- Small Lesions
- Few Adhesions
- More Lesions
- Deeper Involvement
- Cysts on Ovaries
- Thick Adhesions
- Deep Infiltrating Endo
- Widespread Adhesions
- Organ Involvement
- Debilitating menstrual cramps
- Painful intercourse
- Bloating (“endo belly”)
- Fatigue & GI distress
- Difficulty conceiving
Why See a Gynecologic Oncologist for Endometriosis?
- Excision surgery (not just ablation) including robotic assisted surgery
- Pelvic floor therapy
- Fertility-preserving treatment plans
Gynecologic Oncology Team
Justin Bottsford-Miller
MD, MS
Gynecologic Oncology
and Endometriosis
Jennifer Vollmer
PA-C
Gynecologic Oncology
Sheila Egeberg
PT, DPT, WCS, CAPP-PH
Gynecologic Oncology -
Pelvic Floor Physical Therapist
Alaina T Bennett
MD, MS, FACOG
Urogynecology
Ashley Anderton
PA
Urogynecology
Nabil Habash
MD
Breast Surgical Oncology
Shauna Werth Kronfuss
MD
Breast Surgical Oncology
Theodore Nagel
MD
Breast Surgical Oncology
Thomas Nagel
MD
Breast Surgical Oncology
Olivia Franklin
FNP
Breast Surgical Oncology
Kirsten A Drake
PA
OB/GYN & Breast
Surgical Oncology
Urogynecology
Urogynecology, also known as female pelvic medicine and reconstructive surgery, focuses on a variety of health conditions including urinary and fecal incontinence, pelvic organ prolapse, overactive bladder and other voiding dysfunction, as well as anatomic injuries and pelvic mesh complications.
Dr. Alaina Bennett is the first board certified urogynecologist in western Montana. She specializes in minimally invasive surgical management of urogynecologic issues. As the only female urogynecologist in the state of Montana, Dr. Bennett and her team understand the importance of making women comfortable, listening closely to their concerns and offering a safe and supportive in-office environment. The team offers both surgical and non-surgical treatment options.
Gynecologic Oncology
Gynecologic Oncology is a subspecialty field of OB/GYN that focuses on the diagnosis and treatment of cancers of the female reproductive system as well as complex benign conditions like endometriosis. Dr. Justin Bottsford-Miller is board certified in OB/GYN and gynecologic oncology and provides both medical and surgical treatments. Our Gynecologic Oncology team collaborates closely with Bozeman Health Cancer Center to provide comprehensive cancer treatment and support.
Conditions Treated
- Cervical Cancer
- Uterine Cancer
- Ovarian Cancer
- Vaginal Cancer
- Vulvar Cancer
- Gestational Trophoblastic Disease
- Endometriosis
- Pelvic Masses
- Genetic changes pre-disposing patients to cancer
Treatment Options
- Minimally invasive surgery, including robotics surgery
- Surgical debulking of cancer masses
- Colposcopy, cone biopsy and LEEP
- Laser treatment
- Radiation treatment
- Immunotherapy
- Chemotherapy
- Active symptom management
- Mutation-targeted treatment
- Hormone-targeted treatment
- Clinical trials
- Fertility-Preserving Ttreatments
Empowering Women Against Endometriosis
Endometriosis affects millions of women worldwide, causing chronic pelvic pain, irregular bleeding, and fertility challenges. At Bozeman Health Women’s Specialists, we understand the impact this condition can have on your life. That’s why we offer advanced treatments, including robotic-assisted surgery, to provide you with the best possible care and outcomes. When you call in for an appointment, our expert gynecologic oncology nurse navigation team can discuss your medical history so that they can best advise you on the next steps of your treatment. In some cases, Dr. Bottsford-Miller works closely with his colleagues at Women’s Specialists to co-manage medical therapies.
If surgery is the best option, Dr. Bottsford-Miller utilizes state-of-the-art technologies for safe treatment of endometriosis. Robotic-assisted surgery is a minimally invasive approach that offers several benefits over traditional surgery. Our team is dedicated to providing you with personalized care and support throughout your treatment journey. If you’re living with endometriosis, we’re here to help you take control of your health and well-being.
With cancer, access to the latest treatment options is very important, as is being close to family and friends while receiving treatment. We provide compassionate cancer care with advanced technology and treatment options right here at home, in a peaceful, healing environment.
Diagnostics and Treatment
We promote a team approach to oncology care. Your cancer center care team also participates in care conferences to collaborate with other clinical experts from surgery, pathology, radiation oncology, clinical trials, and other specialists and staff directly involved with your care to review and discuss the medical conditions, and plan the best treatment options for you. This partnership improves communication and provides a multidisciplinary approach to your care. We have the latest diagnostic technology available, such as the most recent mammography equipment, CT scanners and radiation therapy technology. Our expert cancer team also includes surgeons, radiologists, urologists, OB-GYNs, gastroenterologists, palliative care physicians and pathologists working together to diagnose and treat cancer wherever it strikes. Cancer treatment can be as unique as each individual. Our team works with you and your diagnosis to choose the best treatment and support services for your needs.
Our cancer care services include:
- Radiation oncology
- Chemotherapy
- Immunotherapy
- Oral chemotherapy
- Navigational bronchoscopy
- Access to clinical trials
- General oncologic and robotic-assisted surgery
- Clinical patient navigators
- Oncology social workers
- Integrated medicine and support services, including wound clinic and nutrition
- Care Boutique offering products specifically for cancer patients and survivors
- Cancer rehabilitation services
- Access to palliative care
- Access to end-of-life care
- Free mammograms for women who are under-insured or without insurance using digital mammography
Bozeman Health Robotics Program
Bozeman Health has access to the da Vinci® Surgical System in our operating rooms making surgical procedures less invasive and facilitating faster recovery times. Robotic surgery represents a significant advancement from traditional open surgery and conventional laparoscopy.
Currently, the da Vinci® Surgical System is being used by our general surgeons, urologists, gynecologists, and obstetricians.
Breast Surgery
(Bozeman Health is the only location in Montana providing the services below)
Dr. Shauna Werth Kronfuss is board certified in obstetrics and gynecology and fellowship trained in breast oncology surgery. She is one of two physicians in Montana with this specialized training. She provides surgical treatment for patients with breast cancer and other non-cancerous breast conditions. Dr. Werth Kronfuss works closely with the breast team in Advanced Medical Imaging as well as the Bozeman Health Cancer Center, helping patients navigate breast cancer treatment.
In the Fall of 2023, Dr. Werth Kronfuss recruited highly specialized microvascular reconstructive plastic surgeons from Texas, Dr. Ted Nagel and Dr. Nabil Habash, to perform autologous free flap breast reconstruction surgery at Bozeman Health. This surgery utilizes a patient’s own skin and subcutaneous tissue from the abdomen, thigh or buttocks area to build new breasts after a mastectomy. This is a newer and more natural alternative to implant-based reconstruction, which is also available at Deaconess. We are the first and only hospital in Montana that offers free flap breast reconstruction. This is a tremendous benefit to the community because patients able to receive care that used to require out of state travel, close to home!
Reconstruction Options:
Bozeman Health has partnered with highly specialized microvascular reconstructive plastic surgeons from Texas, Dr. Ted Nagel and Dr. Nabil Habash, to perform autologous free flap breast reconstruction surgery at Bozeman Health. This surgery utilizes a patient’s own skin and subcutaneous tissue from the abdomen, thigh or buttocks area to build new breasts after a mastectomy.
This is a newer and more natural alternative to implant-based reconstruction, which is also available at Deaconess. We are the first and only hospital in Montana that offers free flap breast reconstruction. This is a tremendous benefit to the community because patients able to receive care that used to require out of state travel, close to home!
In order to preserve as much healthy breast tissue as possible, a lumpectomy involves removing the tumor along with some surrounding tissue.
What to anticipate from Bozeman Health:
- Consultations before to surgery: Talking through your options with a group of medical professionals, such as oncologists and surgeons
- Surgical expertise:The technique is carried out by knowledgeable surgeons who prioritize the comfort and safety of their patients.
- Follow-Up Care: Assistance following surgery to track healing and address any side effects.
- Support Services: Availability of tools including dietary advice, support networks, and learning materials.
A Mastectomy is the surgical removal of one or both breasts, usually for the purpose of treating or preventing breast cancer.
Here are some basic expectations for mastectomies at Bozeman Health:
- Consultation: A multidisciplinary team meets with patients to go over treatment choices and choose the best course of action based on their unique requirements.
- Surgical Care: Skilled physicians execute the process with a focus on the security and well-being of the patient.
- Reconstructive alternatives: Following a mastectomy, those who would like to learn more about their alternatives can do so by obtaining information about breast reconstruction.
- Support Services: Having access to resources for emotional health and rehabilitation, counseling, and support groups.
(Photo: Susan Freund (left), member of Gallatin Quilt Guild, and Katelyn Armstrong, Bozeman Health Cancer Center social worker, unload a car filled with mastectomy pillows, a donation from the guild to Bozeman Health Foundation in support of patients healing after a mastectomy)
Routine Gynecologic Care
Justin Bottsford-Miller
MD, MS
Gynecologic Oncology Endometriosis
Jennifer Vollmer
PA-C
Gynecologic Oncology Endometriosis
Sheila Egeberg
PT, DPT, WCS, CAPP-PH
Gynecologic Oncology -
Pelvic Floor Physical Therapist
You’ve waited long enough for answers.
Let’s build a plan that works for your life.
Call Women’s Specialists to Get Started Today!
