Many gynecological procedures can be performed right here in our office for your comfort and convenience. These include: colposcopy, hysteroscopy, cryosurgery, endometrial biopsy, endometrial ablation, bladder slings and pelvic ultrasound. Birth control devices and implants can also be placed during an in-office visit.
A Hysteroscopy is an in-office procedure where your doctor uses a device called a hysteroscope to look inside your uterus to determine the cause of abnormal bleeding. During the procedure your cervix is dilated, and the hysteroscope is inserted into your uterus through the opening in the cervix. The instrument will then fill your uterus with gas or liquid to expand it and to facilitate visibility. Using a light, your doctor will then be able to see the structures inside the uterus and the openings to the Fallopian tubes. If surgery needs to be done at this time, hysteroscopic surgical procedures can be performed.
During colposcopy or hysteroscopy, your doctor may take a sample of the lining of your uterus to check for abnormalities or to assess whether a hormonal imbalance is affecting your endometrium. An endometrial biopsy can help your doctor find the cause of abnormal bleeding, check for an overgrowth of the lining of the uterus (endometrial hyperplasia) or diagnose cancer.
Endometrial ablation is a procedure used to treat abnormal bleeding of the uterine lining. A probe is inserted through the vagina and cervix which uses radiofrequency energy, microwave energy, or extreme heat or cold to destroy (ablate) the endometrial tissue. The goal is to remove as much of the endometrium as possible. After endometrial ablation, menstrual flow will be greatly reduced or may stop entirely. Endometrial ablation is not appropriate for women wishing to have future children.
A pelvic ultrasound is a noninvasive way for your doctor to view the organs and structures inside your pelvis, including the bladder, uterus, ovaries and Fallopian tubes. During transabdominal ultrasound your abdomen is covered with a gel and a transducer is passed over the area. Images appear on a screen that are interpreted by the sonographer and your doctor. Uterine fibroids can often be diagnosed this way. During transvaginal ultrasound a probe shaped to fit inside the vagina is used to help pinpoint problems with fertility.