Our in-office procedures include:
- Endometrial Biopsy
- MonaLisa Touch™-Vaginal Revitalization
- Endometrial Ablation
Colposcopy is an office procedure used in the evaluation of an abnormal pap smear or cervical lesion. A speculum is placed in the vagina, and the physician uses a magnifying scope to examine the cervix and upper vagina. Tissue biopsy samples may be obtained at this time to guide further management. It is normal to experience light vaginal bleeding or brown discharge for several days following the procedure.
Cryotherapy is an in-office procedure used to treat certain types of cervix cell abnormalities. A special probe is used to freeze the abnormal area of the cervix, destroying the abnormal cells. It may be used to treat genital warts or other lesions as well. It is normal to experience mild cramping during the procedure, and afterwards, a watery vaginal discharge will be present for 2-3 weeks.
LEEP (Loop Electrosurgical Excision Procedure)
If you’ve had a Pap test and cervical biopsies come back showing dysplasia, a LEEP may be recommended as treatment for these cells. Dysplasia is not cancer, but some levels of dysplasia can lead to cervical cancer if not treated. In this in-office surgical procedure your cervix will be numbed with a local anesthetic. Then an electric current is directed through a thin wire loop which is used to remove the thin layer of cervix containing the area of abnormality. You may feel mild cramping for a few days after the procedure and you will have a vaginal discharge sometimes for up to 2-3 weeks.
This test takes a tissue sample from the lining of your uterus (the endometrium) to evaluate it for problems that might explain unusual bleeding. A thin tube is inserted through the cervix into the uterus during a pelvic exam. A small amount of tissue is removed and sent to the lab for analysis. It is normal to experience cramping during the procedure and some light bleeding for several days.
Ultrasound can be very helpful in diagnosis a whole host of gynecologic disorders. It is a relatively non-invasive method of viewing the reproductive organs in the pelvis to determine the nature and extent of structural abnormalities present. Many gynecologic disorders do not show early symptoms and ultrasound can often diagnose problems well before a patient may know a problem exists.
Uterine size and shape can be determined. Common problems such as uterine fibroid tumors can be localized, measured and followed over time to help determine their significance. Endometrial lining thickness can be measured in patients who experience abnormal uterine bleeding.
Ovarian size can be determined. Cysts inside and outside of the ovary can be measured and their characteristics determined.
Fluid in the pelvic can be a cause of pelvic pain. It can occur for several reasons such as ruptured ovarian cysts, ovulation and bleeding from the ovary or fallopian tubes. The presence of fluid in the pelvis can be determined by ultrasound.
A sonohysterogram (SHG) is an ultrasound procedure used to better visualize the inside of the uterine cavity and endometrium. Most often it is used to view fibroids and polyps. A catheter is inserted through the cervix, and saline is injected into the uterus and ultrasound pictures are then obtained.
A hysterosalpingogram (HSG) is an x-ray examination of the uterus and fallopian tubes that helps to evaluate the structure and the shape of the uterus, as well as to determine the patency of the fallopian tubes. A contrast dye is inserted through a catheter into the cervix, and then begins to fill the uterus while images are being taken. This test is scheduled by our office nurses, and is done in the outpatient radiology department of the hospital. This test is extremely time sensitive, and can only be done on day 7, 8, or 9 of your menstrual cycle. If your doctor orders this test, please call our office on the day that your cycle BEGINS, so that we may have adequate time to schedule it for you.
MonaLisa Touch™ is an FDA approved laser treatment for vaginal health. 40% of menopausal women experience symptoms such as:
- Painful Intercourse
- Vaginal Dryness
- Recurrent Vaginal Infections
- Vaginal Itching
- Urinary Symptoms, including mild incontinence
MonaLisa Touch™ delivers gentle laser energy to the vaginal wall that stimulates a healing response, generating new collagen in the tissue and enhanced moisture levels in the vaginal canal. A typical course of treatment is three procedures performed over a 12-16 week period.
- In-office procedure
- No anesthesia, virtually painless
- No downtime
- Minimal side effects
- Each treatment only takes 10 minutes
Please ask us if MonaLisa Touch™ is the right treatment for you!
The Essure® procedure is an in-office method of permanent birth control for women in which micro-inserts are placed within the fallopian tubes by catheter and hysteroscopy. The micro-inserts produce eventual occlusion of the fallopian tubes (usually in three months) by causing the in-growth of tissue. It does not involve any incisions into the body.
Thermal uterine ablation is a minimally invasive in-office procedure performed along with a hysteroscopy that is an alternative to hysterectomy for excessive menstrual bleeding. Your physician will recommend the procedure that is best suited for you. We offer the Novasure® system and the Gynecare ThermaChoice III®. Most women will have reduced menstrual flow following endometrial ablation, and up to half will stop having periods. This procedure is performed either in-office or outpatient at the hospital depending on your insurance.