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Obstetrical Services, Prenatal Care, Infertility

Obstetrical Services

  • Prenatal Care
  • Infertility
  • High-Risk Obstetrics
  • Ultrasounds
  • Vaginal and Cesarean Sections

New OB Services include:

  • Complete physical exam and consultation
  • Prenatal Care: Office visits every 4-6 weeks for the first 6 months, every 2 weeks for the 7th and 8th months, then weekly until delivery.
  • Postpartum Care: Usually one 6-week follow up after delivery.

Well Woman Gynecology

  • Yearly Exams
  • Pap Smears
  • Breast Exams
  • Contraception
  • Hormone Therapy
  • HPV Vaccinations
  • Cancer Screenings

Specialized Gynecology

  • Menstrual Disorders
  • Endometriosis/Cysts
  • Pelvic Pain
  • Colposcopy & LEEP
  • Menopause
  • Incontinence
  • Sexual Dysfunction

Gynecology Surgery

  • Hysterectomy
  • Laparoscopy
  • Laser Surgery
  • Hysteroscopy
  • Urogynecology
  • Endometrial Ablations
  • Bladder Repair
  • Laparoscopic Hysterectomy
  • Vaginal Repairs
Gynecology Surgery, Hysterectomy, Laparoscopy
We accept most insurance plans and offer evening hours. Call for an appointment.

Dr. Larrain hospitals of choice are Florida Hospital Deland and Florida Hospital Memorial Medical Center.


The practice accepts new female patients of all ages for care related to the female reproductive system. New obstetrical patients accepted prior to the 8th month. Please forward any records if transferring from another physician. Please call our office to schedule an appointment.


Please call us at least 24 hours in advance if you need to cancel your appointment and one week in advance for any surgical appointment cancellations to avoid a possible no-show charge.


We accept the following insurance plans below. Please call to see if we accept your insurance if you do not see it listed.

  • Florida Healthcare
  • BCBS
  • Tricare
  • Medicare
  • Cigna
  • Aetna
  • United Healthcare
  • FMHN
  • Volusia Health Network
  • Beech Street
  • Blue Options
  • PHCS
  • Humana
  • Great West
  • United Benefits


Insurance, Florida Healthcare, BCBS

All medical records are the property of the practice, however, you are allowed to request a copy of your records. There is a fee to cover the copying and mailing costs. This fee must be paid prior to the records being released. HIPAA requires you to fill out a medical release form and gives us 30 days to respond. Please allow 3-7 days to process your request. You may find the request form under Patient Forms.


Our office makes every effort to protect your privacy. We offer a confidentiality form for you to list the people (outside the medical community) you authorize us to speak with concerning your care. If no one is listed we will only speak with you concerning your care. The law allows minors seeking gynecology care the same privacy rights and if requested, we will only speak to the patient and not the parent.


Please be aware it can take 1-3 days to process your prescription requests.

Patient Forms

This page is used for the practice to provide the patient with useful documents and helpful information.

Please download the forms below, fill them out and bring them to your appointment. This will help us to expedite the appointment process. If you have any questions as to which forms to fill out, please contact our office.

Post-Op Care, Surgery, OB/GYN

The following post-operation instructions are posted here for your convenience. If you have any additional questions or do not understand the instructions below, please call our office.

Postoperative Instructions Hysterectomy

  • Return to the office 1 week after surgery for staple removal.
  • Remain at the same level as "hospital activity" until then.
  • Light bleeding or spotting vaginally is common for 2-3 weeks. Call if bleeding more than 2 pads an hour. Wear pads only, no Tampons.
  • Call if temperature is over 101, nausea, vomiting or pain is not relieved with medication.
  • No lifting over 20 lbs., or extreme exercise for 6 weeks.
  • If your ovaries have been removed, hormone replacement may be necessary. This will be discussed at your post-operative visit.
  • After the staples are removed, leave incision open to air. Wash with soap and water. You may shower and pat incision dry.
  • Return to office 2 and 4 weeks after staple removal. Please make an appointment.

Post Laser Surgery Instructions

Cervix and Vagina

  • No intercourse for 6 weeks after procedure.
  • Use sanitary napkins (maxi pad) only, no Tampons.
  • A brownish, watery discharge is normal and expected up to 10 days.
  • If you bleed heavy or bright red, please call the office or doctor.
  • You may have cramping for 2-3 days after the procedure. An analgesic may be taken (Tylenol, Advil).
  • Your period may be heavier for the next 2-3 cycles.
  • Return to the office in 2 weeks to be checked.

If the Vulva and/or Anus was treated

  • Do not wear pants or restricted clothing (a dress is preferable).
  • Sit in a tub of plain clean warm water without any additions 3x a day for 10-15 minutes.
  • Do not towel dry the perineal area, fan dry by putting one foot on a chair to expose the area.

Post Leep Instructions

  • No intercourse for 6 weeks after procedure.
  • Use sanitary napkins (maxi pad) only, no Tampons.
  • A brownish discharge is normal and expected.
  • You may bleed up to 4 pads an hour, if more than that occurs, please call the office or doctor.
  • You may have cramping for 2-3 days after the procedure. An analgesic may be taken (Tylenol, Advil).
  • Your period may be heavier for the next 2-3 cycles.
  • Return to the office in 2 weeks to be checked.

Post Colpo Instructions

  • No intercourse for 2-3 weeks.
  • Use sanitary pads (maxi pad), no Tampons.
  • If discharge becomes odorous or offensive, call the office.
  • Call the office if you have excessive bleeding, soaking 4 maxi pads an hour.
  • Return for a check up of the cervix in 3 weeks.
  • Return for follow-up pap smear 16 weeks after the procedure. You will need to repeat pap smears every 3-4 months for one year, then every 6 months after for another year.

Dilation and Curettage (D&C) and/or Endometrial Ablations

  1. You may notice some post-operative uterine cramping and discomfort for a day or two. An analgesic may be taken (Tylenol, Advil).
  2. Watery and/or bloody discharge is also common for a short time. Several weeks for any endometrial ablations.
  3. If you bleed heavy or bright red, please call the office.
  4. No intercourse till after the postoperative visit.
  5. Use maxi pads only, no tampons.

Call the office if you develop a fever higher than 100.4, worsening pelvic pain not relieved by ibuprofen or other prescribed medication, nausea, vomiting, shortness of breath, dizziness, bowel problems and/or a greenish vaginal discharge.

Circumcision Care Instructions

Gently clean the area with water every day and whenever the diaper area becomes soiled. Some swelling of the penis is normal after a circumcision. A clear crust will probably form over the area. It normally takes 7 to 10 days for the penis to heal after a circumcision.

After the circumcision, you may notice a small amount of blood on the baby's diaper. If the bloodstain is larger than the size of a quarter, call your doctor right away. If there is a bandage on the penis, the bandage should be changed each time you change your son's diaper. This will help prevent infection. Signs of infection also signal the need to call your doctor. These signs include a temperature of 100.4°F or higher, redness, swelling and/or a yellowish discharge.

When to call your doctor

  • If the wound does not stop bleeding.
  • If your son does not have a wet diaper within 6 to 8 hours after the circumcision.
  • If the redness and swelling around the tip of the penis does not go away or gets worse.
  • If there is a yellow discharge or coating around the tip of the penis after 7 days.

Ricardo J. Larrain, M.D., P.A.

800 W. Plymouth Ave.
Deland, FL 32720
Phone: 386-736-1404
Fax: 386-736-1423