What Happens During Your First Visit With Dr. John Miklos and Dr. Robert Moore?
What to Expect During Your Pelvic Floor Consultation
Scheduling an appointment with a specialist can feel intimidating—especially when you’re experiencing symptoms that are personal or difficult to talk about.
Many women arrive with questions such as:
- “Will the appointment be uncomfortable?”
- “Do I need a pelvic exam?”
- “Should I bring my medical records?”
- “How long will the visit take?”
- “Will I leave with a diagnosis?”
- “Will they immediately recommend surgery?”
At Dr. John Miklos and Dr. Robert Moore’s practice in Alpharetta, Georgia, the first visit is designed to answer questions—not create pressure. Every consultation begins with listening to your concerns, understanding your symptoms, and performing a thorough evaluation before discussing any treatment recommendations.
Women travel from Atlanta, Roswell, Johns Creek, Sandy Springs, Marietta, Cumming, Gainesville, Augusta, Savannah, Macon, Columbus, throughout Georgia, as well as Florida, Alabama, Tennessee, North Carolina, South Carolina, and across the United States because they want a comprehensive evaluation from fellowship-trained specialists in Female Pelvic Medicine and Reconstructive Surgery.
Before Your Appointment
Preparing for your visit can help make the consultation more productive.
You may be asked to bring:
- Previous medical records
- Operative reports from prior surgeries
- Imaging studies, if available
- A list of current medications
- A summary of your symptoms
- Questions you’d like answered
If you’ve already seen another physician, those records can help provide valuable background, although they are not always required.
Step 1: We Start by Listening
The first part of your visit is a conversation.
Dr. Miklos or Dr. Moore will want to understand:
- What symptoms brought you in
- When those symptoms began
- How they affect your daily life
- Previous pregnancies and deliveries
- Prior surgeries
- Bladder and bowel habits
- Sexual health concerns, if you wish to discuss them
- Treatments you’ve already tried
There is no rush to “get to the exam.” Understanding your experience is an essential part of reaching the right diagnosis.
Step 2: A Comprehensive Evaluation
If appropriate, your consultation may include a pelvic examination.
The purpose is not simply to confirm a diagnosis but to evaluate the entire pelvic floor.
Depending on your symptoms, the examination may assess:
- Pelvic organ support
- Bladder support
- Vaginal tissue health
- Pelvic floor muscle function
- Surgical scars
- Areas of tenderness
- Signs of prolapse or previous repairs
If additional testing is recommended, your physician will explain why it may be helpful and how the results could influence your treatment plan.
Step 3: Understanding Your Diagnosis
One of the most valuable parts of the consultation is understanding why you’re experiencing your symptoms.
Many women are surprised to learn that more than one condition may be contributing to how they feel.
For example:
- Bladder leakage may occur along with pelvic organ prolapse.
- Vaginal laxity may be related to childbirth-related pelvic floor changes.
- Pelvic pressure may involve both prolapse and muscle dysfunction.
A thorough explanation of your diagnosis helps you understand the available treatment options.
Step 4: Discussing Your Treatment Options
Every treatment plan is individualized.
Depending on your diagnosis, recommendations may include:
- Observation
- Pelvic floor physical therapy
- Lifestyle modifications
- Medications
- Pessary treatment
- Office-based procedures
- Surgical treatment when appropriate
If surgery is discussed, you’ll have an opportunity to ask questions about the procedure, expected recovery, benefits, potential risks, and alternatives.
The goal is to help you make an informed decision—not to pressure you into treatment.
A Consultation Designed Around You
Drs. Miklos and Moore believe that no two women are exactly alike.
Two patients with the same diagnosis may choose different treatments based on:
- Their symptoms
- Their activity level
- Future plans
- Medical history
- Personal preferences
For that reason, consultations focus on the individual rather than following a standard template.
Why Women Choose Drs. Miklos and Dr. Moore
For more than two decades, Dr. John Miklos and Dr. Robert Moore have dedicated their practice exclusively to Female Pelvic Medicine and Reconstructive Surgery.
From their office in Alpharetta, Georgia, they evaluate women with:
- Pelvic organ prolapse
- Urinary incontinence
- Overactive bladder
- Vaginal reconstruction
- Cosmetic gynecology concerns
- Childbirth-related pelvic floor injuries
- MRKH syndrome
- Revision pelvic surgery
- Complex pelvic floor disorders
Patients regularly travel from:
Georgia
Atlanta, Alpharetta, Roswell, Johns Creek, Sandy Springs, Marietta, Cumming, Gainesville, Augusta, Savannah, Columbus, and Macon.
Florida
Jacksonville, Orlando, Tampa, Tallahassee, Pensacola, Naples, and Fort Myers.
Alabama
Birmingham, Huntsville, Montgomery, Mobile, and surrounding communities.
Tennessee
Nashville, Chattanooga, Knoxville, and Memphis.
North Carolina
Charlotte, Raleigh, Durham, Asheville, and Greensboro.
South Carolina
Greenville, Spartanburg, Columbia, Charleston, Hilton Head, and Myrtle Beach.
They also welcome patients from across the United States and internationally who are seeking comprehensive evaluations, second opinions, or specialized care for complex pelvic floor conditions.
Frequently Asked Questions
Will I have a pelvic exam during my first visit?
It depends on your symptoms and the reason for your consultation. If an examination is recommended, your physician will explain its purpose and answer any questions beforehand.
Should I bring my previous medical records?
If available, previous records, operative reports, and imaging studies can be helpful, especially if you’ve had prior pelvic surgery or are seeking a second opinion.
Will I know my diagnosis before I leave?
Many women receive a diagnosis and discuss treatment options during their first visit. In some cases, additional testing may be recommended before finalizing a treatment plan.
Do I have to decide about treatment during my appointment?
No. The purpose of the consultation is to provide information, answer questions, and help you understand your options. Many patients take time to consider their choices before deciding on treatment.