Choosing Our Team
Our program is designed for young ladies (age 10 years and older) with concerns related to reproductive health and development, including menstrual concerns like heavy bleeding or irregular periods, hormonal imbalances, pelvic pain, concerns about development, ovarian cysts or masses, or to initiate a reproductive health visit. Telehealth visits are available.
Dear Cook Children’s Pediatric and Adolescent Gynecology patients -
Effective Aug. 21, 2026, Dr. Shanna Combs is no longer with Cook Children’s. To ensure we can continue to provide your family with the high-quality care you’ve come to expect from Cook Children’s Physician Network, we’re welcoming Dr. Avanthi Ajjarapu to our Pediatric and Adolescent Gynecology office where you’ll continue to see the familiar faces of staff, medical assistants and our advanced practice provider.
Our team is already planning for a smooth transition of care to Dr. Ajjarapu beginning Sept. 21, 2026. She completed medical school at the University of Iowa and completed her residency at Baylor College of Medicine in Houston, specializing in Obstetrics and Gynecology. After residency, she completed her fellowship at Texas Children’s Hospital in Houston. She brings a wealth of knowledge and expertise to our team. We appreciate your patience and understanding during this transition period.
We’re excited for you to meet Dr. Ajjarapu at an upcoming appointment. For those considering a transfer to a doctor outside of Cook Children’s Physician Network, please call our Health Information Management office at 682-885-1012 to request your medical records.
Should you have any questions, please call us at 682-303-0800, and we’ll be happy to assist you. Thank you for entrusting us with your child’s care.
Warm Regards,
Cook Children’s Pediatric and Adolescent Gynecology
Meet our women's health nurse practitioner
Jaime Jordan, WHNP-BC
Jaime is a born and raised Texan. She graduated with her Bachelor of Science in Nursing from Texas Christian University. She launched her nursing career in Ft. Worth and soon found her calling: caring for women, infants and children. In 2005, Jaime earned her Master of Science in Nursing from Texas Woman's University and became a women's health nurse practitioner (WHNP).
As a board certified WHNP, Jaime has continued to pursue her passion, caring for patients in the local community for over 20 years. With a special interest in the adolescent population, she is excited to be a part of the Cook Children's Pediatric and Adolescent Gynecology team and a member of the Cook Children's family. When she's not at work, you will find her cooking for family and friends and chasing her Labrador Retrievers.
Why should parents choose a women's health provider over a regular OB-GYN?
Our goal is to ensure we provide our younger female patients with an environment that makes them feel comfortable. A pediatric setting is one that our patients are familiar with. Additionally, some OB-GYN's are not as comfortable seeing and treating pediatric and adolescent patients. This is a population that we have a high comfort level in taking care of. There is also an added level of comfort of seeing a female, especially for their first visit for female health or problems.
What should parents look for that might indicate their child needs to see a women's health provider?
- Any concerns related to female development (breast development, hair growth, periods)
- Problems with their periods (pain, heavy, irregular, seems to be too late or too early, no periods or periods have stopped)
- Wanting to suppress menstrual cycles
- Vaginal discharge, itching or irritation
- Sexually active
- Need for birth control
- Pelvic pain
- Ovarian cysts
- Premenstrual syndrome (PMS)
- Mood changes with menstrual cycles
How do you make a patient feel more comfortable during their exam?
To ensure our patients are comfortable, we only perform a pelvic exam when needed, and typically don't do them at the first introductory appointment. We prefer to meet patients fully dressed, and will only have them get undressed for the exam. Patients will get dressed again before discussing any work-up, diagnoses or treatments. When an exam is needed, we ask the patient who they want with them during the exam as well as describe what the exam involves prior to getting them ready/undressed for the exam. During the exam, we talk them through everything we are doing and give them the option to stop the exam at any time. We fully understand the anxiety that comes with a pelvic exam, therefore we try to make the patient as comfortable as possible before and during the exam.
Will you see pregnant patients?
We will only see pregnant patients for an initial visit to confirm pregnancy. If the pregnancy is confirmed, we will refer to an outside obstetrician for prenatal care.