In-Office Procedures (please click on name of procedure in lightblue for more information and instructions)

Circumcision

Circumcision is the removal of the foreskin of the penis. We offer circumcision in our office for our patients.

Circumcision Information

Colposcopy

Colposcopy is a procedure used to magnify the cervix, vagina or vulva to help diagnose any abnormalities. Colposcopy typically examines lesions and is often used to identify cancer, HPV, and pain-causing conditions. The colposcope is a magnifying lens that can help analyze lesions not seen with the naked eye. The exam itself is similar to a pap smear in that a speculum is inserted. The colposcope is then positioned to view the area at 10 to 40 times its normal size. If any abnormalities are noted, a biopsy of the tissue may be taken. Colposcopy is a very safe procedure with few complications. Light bleeding or discharge for up to one week after the exam is normal.

Colposcopy Information

Colposcopy You Tube Video

Endometrial Ablation

Endometrial ablation is an effective, same day treatment of heavy menstrual bleeding. The procedure is done in office or in the hospital and has an 85% effective rate in reducing or stopping ones periods.

Endometrial Ablation Information

Endometrial Biopsy

Endometrial biopsy is a procedure that evaluates the endometrium (the inside lining of the uterus) for abnormalities or signs of cancer. The biopsy is done by taking a tissue sample of the endometrium and having a pathologist evaluate it. A speculum is inserted in the vagina, followed by a narrow plastic aspirator which obtains a sample of the living using a gentle suction.

Essure Tubal Ligation

Essure Tubal Ligation is a very effective permanent, nonreversible form of birth control. The procedure is done in office without any incisions. The Essure has similar safety, return to work, and effectiveness as vasectomy and is safer than laparoscopic tubal.

Essure Info

Hysteroscopy

Hysteroscopy is a procedure in which the endometrium (lining of the uterus) is evaluated by a small camera placed through the cervix (the opening to the uterus). The procedure is performed vaginally, similarly to a pap, and is done either in the office or hospital and may be done in conjunction with Dilation and Curettage, Ablation, and Removal of Polyps or Fibroids. Hysteroscopy usually causes little discomfort and you may return to your normal routine the following day.

Hysteroscopy Info

Intrauterine Insemination

Intrauterine insemination, also known as artificial insemination or IUI, is a common treatment for infertility. The male partner’s semen is “washed” in a medium and then the “washed” sperm are placed with a special catheter into the woman’s uterine cavity. Prior to insemination, women may be given medication to assist egg development. The actual insemination is not uncomfortable and takes only a few minutes. The risks of this procedure are low and success rates vary dependent on many conditions. However, intrauterine insemination is found to be more successful than intracervical insemination.

Intrauterine Insemination Info

LEEP Procedure

Loop electrosurgical excision procedure (LEEP) is used to treat abnormal cells of the cervix. During the procedure, tissue is removed to prevent the cells from progressing to cervical cancer. Wire loops attached to an electrosurgical generator remove the affected tissue. The excised tissue is then sent to a lab for complete evaluation.

Leep Info

Pap Smear

Pap smear is a procedure to evaluate for abnormal cells on the cervix (opening to the uterus). Pap smears screen cervical cells for the development of dysplasia (precancerous cells) or cervical cancer. Paps smears also screen for the presence of High Risk HPV that put a woman at increased risk of cervical cancer. Pap smears are recommended when a woman is 21 and every 1-3 years after depending on previous paps.

Saline Infusion Sonography

Saline infusion sonography, also known as sonohysterography, is an ultrasound that checks for abnormalities inside the uterus,the uterus and the ovaries. The saline infusion ultrasound can evaluate for masses, scarring, polyps or fibroids, and help determine the next step in treating problems, such as heavy menstrual bleeding.

During the procedure, sterile saline is gently infused into the uterus to separate the walls of the endometrial cavity and make any abnormalities more visible. Once the saline is infused into the uterine cavity an ultrasound probe is then inserted into the vagina to obtain the sonogram images. Side effects may be cramping and some light bleeding.

It is best to take Ibuprofen a couple hours before the procedure if you are able to take Ibuprofen.

Ultrasound

Ultrasound or sonogram, is a device that uses high frequency sound waves to create an image of some part of the inside of the body, such as the uterus, and ovaries. In Obstetrics ultrasound is frequently used to evaluate the baby in their mom’s womb. Since ultrasound is the use of sound waves to evaluate mom’s and their babies it is very safe. In Obstetrics lower frequency ultrasound is used to ensure the highest safety for mom and her baby.