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Our providers offer
a wide range of gynecological services for women as well as
teenagers. We believe that preventative care is the best gift
a woman can give to herself as well as her daughters.
Below are some of
the conditions we treat as well as services we provide. We
have provided links to other sites to allow you to read more about
what you may be interested in.
Conditions
Abnormal uterine
bleeding
Abnormal pap smears
Endometriosis
Heavy periods
Infertility
Menopausal symptoms
Pelvic pain
Pelvic support problems
Urinary incontinence
Uterine fibroids
In Office Procedures and
Treatments
Endometrial
Ablation - One in five women has heavy bleeding at some point
during her life. Heavy bleeding is most common in women
between ages 40 and 50, as they approach menopause. Heavy
bleeding can have a negative effect on a women's lifestyle which can
result in depression in those who suffer from it. Although
heavy bleeding is one of the top reasons women undergo
hysterectomies, surgical intervention should only be offered after
all other treatment options have failed.
Ablation destroys a
thin layer of the lining of uterus. This markedly decreases
menstrual flow in most women and stops bleeding altogether in many
women. Some women still have light bleeding or spotting and
few women may have regular periods following an ablation.
Because ablation does not remove any reproductive organs, routine
pap tests and pelvic exams are required. Most women should not
become pregnant following an ablation. If you are considering
future pregnancy, ablation is not for you. Also, because
reproductive organs continue to function after ablation, you must
use some form of birth control to avoid pregnancy until after
menopause.
Ablation is a short
procedure performed in our office or occasionally in an outpatient
hospital setting. There are no incisions and you may return to work
and resume normal activities the next day. Ablation is also
cost effective. Most insurance companies will pay 100% if
performed in the office leaving the patient with no out of pocket
expense.
For further
information on the Gynecare Thermachoice III in-office ablation
procedure please visit
www.endheavyperiods.com
Diagnostic
Hysteroscopy - Hysteroscopy is a minor surgery that can be
performed in the office or in an outpatient setting under local or
general anesthesia. In some cases, little or no anesthesia is
required. Hysteroscopy is used to diagnose and treat problems
in the uterus such as abnormal bleeding, adhesions, polyps and
fibroids. Hysteroscopy can also be used for diagnostic
purposes in patients with a history of repeated miscarriages and
infertility.
A hysteroscope is a
long, thin telescope like device that is inserted through the cervix
and into the uterus allowing the physician to examine the inside of
the uterus and openings of the fallopian tubes. The procedure
is short and you may resume normal activities the next day.
Endometrial
Biopsy - When a woman experiences abnormal bleeding such as
shortened or frequent menstrual cycles, bleeding after menopause, or
heavy bleeding at any time of her life, one of the first
things her doctor may recommend is an endometrial biopsy. A
small catheter is passed through the cervix and a tissue sample is
obtained from the lining of the uterus. This sample is sent to
the lab for further testing. The results will help determine
the cause of the abnormal bleeding. The procedure is done in
an office exam room and you can resume normal activities
immediately.
EssureTM
- The Essure procedure is performed on a women who desire permanent
sterilization. During this in office procedure, a small coil
is placed in each fallopian tube causing the tubes to form scar
tissue and therefore occlude, or close the tubes. This
procedure is not reversible and is only offered to women who are
confident that their family is complete.
For more
information visit www.essure.com
Colposcopy -
Colposcopy is performed in office to assist in further diagnosing
abnormal cervical cells found on a pap test. During a
colposcopy your doctor will examine your cervix through a magnifying
device called a colposcope. Because a colposcope can magnify
an image 2 to 60 times, your doctor can find abnormalities that
cannot be seen by the eye alone. During a colposcopy your
doctor may take a small biopsy of any area that appears abnormal and
send that sample to the lab. Depending on the results, you may
require further treatment to remove the abnormal cells or your
doctor may choose to monitor the cells by repeating pap smears two
to four times a year.
Cryotherapy
- Cryotherapy is an office procedure used to treat abnormal cervical
cells. It is done after a pap test and colposcopy show
abnormal cells on your cervix. The procedure is done by your
doctor in the office exam room. during cryotheraphy, the
abnormal tissue is frozen (cryo means cold or frozen) and the
tissue then dies. The new tissue that grows back in more often
normal.
You may feel mild
cramping during the procedure which lasts only a few minutes.
You are able to resume normal activity although you must refrain
from intercourse, tampon use, and douching for four weeks.
LEEP - Loop
Electrosurgical Excision Procedure is commonly used to treat
abnormal cervical cells also known as dysplasia. Dysplasia can
also be treated with other procedures such as cryosurgery,
electrocautery, laser, or cone biopsy though these are performed in
an outpatient hospital setting. The decision of which methods
to use depends on how much cervical tissue needs to be removed as
well as the location of the abnormal cells on the cervix.
You may feel mild
cramping during the procedure which lasts only a few minutes.
You are able to resume activity although you must refrain from
intercourse, tampon use, and douching for four weeks.
IUD Insertion
- Convenience is the #1 reason women of all ages are choosing the
IUD as their method of birth control. In office IUD insertion
is quick with minimal discomfort during insertion. Most
patients experience mild cramping during the procedure and
occasionally into the next day. You may resume normal activity
immediately including the use of tampons.
There are currently
two type of IUD's on the market today; Mirena and Paraguard.
The Mirena, being the most common, can remain in place for up to 5
years while the Paraguard can remain for up to 10 years before being
replaced. With the Mirena IUD, almost all women
experience a decrease in menstrual bleeding within the first four
months and most will stop having periods after the first year.
Both IUD's are more effective than the pill in preventing pregnancy.
Having an IUD will
not decrease your chances of becoming pregnant once it is removed.
Many women who attempt pregnancy following removal become pregnant
within three months.
For more
information visit www.mirena.com
ImplanonTM
Insertion - The
Implanon device is a small, single device inserted into the inner
upper arm by your doctor in the office. It is very effective
in preventing pregnancy and can remain in place for up to three
years. It is an excellent choice of convenience for young
women and teens who have trouble remembering to take a daily
medication.
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