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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