Common Gynecological Procedures
Colposcopy - If your doctor has told you that you have an abnormal pap smear, you may
need a more thorough evaluation of the cervix. A colposcopy is an in-office
procedure in which your physician takes a closer look at your cervix using
magnifying device called a colposcope. The procedure allows your physician
to assess the cervix and vagina for abnormalities that may include infection,
cancerous or precancerous conditions. In most cases a piece of abnormal
tissue is sampled and sent to the lab. Depending on the results, you may
need further testing, treatment, or a closer follow-up.
Cryosurgery - This a procedure, which uses a freezing probe to destroy abnormal cells
on the cervix. This is done in the office with little discomfort. It is
used to treat some precancerous lesions of the cervix or inflammation.
LEEP (Loop Electrosurgical Excision Procedure) - In some cases, you and your doctor may decide that it is time to remove
abnormal tissue on the cervix. A LEEP uses electrical current through
a small wire to selectively remove a thin layer of tissue. It may be performed
in the office using local anesthetic to prevent pain or under anesthesia
in an outpatient surgery center. The LEEP specimen may be sent to the
lab for additional microscopic evaluation.
Endometrial Biopsy - An endometrial biopsy is an in-office sampling of the uterine lining using
a small sampling device. It is often used to evaluate abnormal uterine
bleeding, but may be performed preoperatively. Some cramping may occur
during the test. The sampled endometrial cells are sent off to the lab
for further evaluation. Results may detect cancer or precancerous conditions
in the uterus or hormonal imbalances (Also see Ultrasound and Dilation
Vulvar Biopsy - Your physician may need to take a biopsy from your external tissues. This
is done under local anesthesia and the specimen is sent to the laboratory
Hysteroscopy - Hysteroscopy is a procedure whereby your doctor places a slender telescope
into the uterus. It allows your doctor to evaluate the lining, sample
any abnormalities, and perform procedures without entering the abdominal cavity.
Laparoscopy - Laparoscopy is a technique by which a small telescope is placed through
a small incision to look into the abdominal cavity. It is done as an outpatient
procedure. It may be used to evaluate and/or treat conditions such as
infertility, ectopic pregnancy, endometriosis, pelvic adhesions, or ovarian
cysts. It can also be used to perform more advanced procedures such as
hysterectomies and myomectomies. There are many benefits including shorter
hospital stay, smaller incisions, and faster recovery.
Dilation and Curettage - A D&C is a procedure whereby your physician dilates (widens) the opening
to the uterus and gently loosens and removes a sample of the uterine lining.
It may be performed under anesthesia in the outpatient center or hospital.
It may be done along with a hysteroscopy.
Polypectomy - Polyps are usually small stalked growths sticking out from the mucosal
lining of the cervix or the endometrial lining of the uterus. They are
usually benign, but some may become malignant. They may be a source of
abnormal bleeding. If they are identified during a routine exam, they
may be removed in the and sent to the lab for further evaluation.
Endometrial Ablation - Endometrial Ablation is a minimally invasive procedure that removes the
lining of the uterus and stops or reduces the menstrual flow in many women.
This a short, simple, safe and effective procedure which can be done in
the office or at an outpatient surgery center. Recovery is quick and hysterectomy
can be avoided in many cases. Our physicians perform various types of
Hysterectomy - You may decide with your doctor that it is time for a hysterectomy. A
hysterectomy is a procedure that removes the uterus (womb) and may be
combined with removal of one or both ovaries and/or the removal of the
cervix. This procedure may be performed using several different approaches
or techniques. (See Advanced Laparoscopic Procedures or Robotic Surgery)
Pelvic Ultrasound - Ultrasound uses sound waves to produce 2-D images of the pelvic structures.
Our office is equipped with several high resolution machines which can
be used to evaluate abnormal uterine bleeding, pelvic pain, and masses.
It is used to detect ovarian cysts, fibroids, polyps, tumors and various
Saline Infusion Sonography (SIS, Sonohysterogram) - The uterine lining can be optimally visualized by infusing saline into
the uterine cavity while performing an ultrasound. This procedure has
little or no discomfort and is a valuable tool for diagnosing uterine
polyps and submucous fibroids.
Bone Density - A bone density test also called Dexa Scan uses X-ray to determine the
strength of your bones. Perimenopausal and menopausal women are at risk
for bone loss, Osteopenia and Osteoporosis. Our office is equipped with
a state of the art Hologic Delphi 3500 Series Bone Densitometer. Our experienced
technician will do a comprehensive evaluation of your hip and spine and
provide a report to your physician. She will also discuss Calcium Supplementation(available
in our office shop Vita med), healthy lifestyle, and exercise. Medical
treatment options can be discussed with your provider.