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In-Office Procedures

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Our gyncecological in-office surgery services

Gynecological surgery refers to surgery on the female reproductive system. Gynecological surgery is usually performed by gynecologists. It includes procedures for benign conditions, cancer, infertility, and incontinence. Gynecological surgery may occasionally be performed for elective or cosmetic purposes.

  • Colposcopy
  • IUD Insertion
  • LEEP Procedure
  • NEXPLANON®  Insertion
  • Pessary Fitting/Insertion
  • Removal or Destruction of Condyloma
  • Ultrasounds
  • Vulvar Revision or Labiaplasty
  • Vulvar Biopsy
cervical-colposcopy

Colposcopy

In the case of an abnormal pap smear a colposcope (a type of microscope) is used to closely examine your cervix, vagina and vulva and obtain biopsies to determine the depth of change of cervical cells impacted by the HPV virus.

A colposcopy is required if problems or abnormal cells during a pelvic exam or Pap test are found. Through the colposcope, we can see certain changes in cervical and vaginal tissues. These include abnormal blood vessels, tissue structure, color, and patterns.  These abnormal cells may be the first signs of cancer that develops years later.

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IUD Insertion

The IUD is one to the most effective long-acting reversible contraception methods with failures less than 1 in 100. An IUD is a small, T-shaped, plastic device that is inserted into and left inside the uterus.

 

 Two types of IUDs:

  • The hormonal IUD releases the hormone progestin into the uterus, which prevents fertilization by thickening the cervical mucus.
  • Depending on the brand, they are approved for up to 3–5 years of use.
  • The copper IUD releases copper into the uterus, which interferes with sperm’s ability to move and makes for an inhospitable environment.
  • This IUD does not contain hormones. It is approved for up to 10 years of use.
What happens during an IUD insertion?

You will lie on the exam table with your legs up. We will then gently insert a speculum into your vagina to widen it. Using special tools, we will:

  • Check the size and position of your uterus. 
  • Clean your cervix and vagina with an antiseptic liquid. 
  • Look for any problems with your uterus. 
  • Line up your cervix with your uterus.
 
How do I prepare for an IUD insertion?

Eat a light meal or snack beforehand so you don’t get dizzy. Also drink some water. You’ll need to give a urine sample

Take a pain reliever, like ibuprofen or acetaminophen, before your appointment. It may help prevent cramping during the procedure.

NEXAPLANON® Insertion

NEXPLANON® Insertion: Nexplanon is a birth control implant what is a flexible, plastic rod about the size of a matchstick that is inserted just under the skin in the upper arm. 

It releases progestin into the body. Progesterone prevents pregnancy by stopping ovulation, but also by thickening of the cervical mucus and thinning the lining of the uterus. 

The implant is approved for up to 4 years of use.

Pessary Fitting / Insertion

A pessary is a prosthetic device that can be inserted into the vagina to support its internal structure. It’s often used in the case of urinary incontinence and a vaginal or pelvic organ prolapse. A prolapse occurs when the vagina or another organ in the pelvis slips out of its usual place. The support a pessary provides can help a woman avoid pelvic surgery.

This device can also be used as a vessel for administering medication slowly.

A pessary needs to be fitted by a medical professional as they can cause vaginal damage and fail to improve symptoms if fitted incorrectly. A collapsed pessary is inserted into the vagina and put in place just under the cervix. Depending on the type of pessary used, it may be inflated using a bulb.

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