Routine health care, by its very nature, is designed to prevent serious health issues from developing, as well as identify potential health problems early so they can be successfully treated. Our doctors know how to ask the right questions, listen carefully to our patients and perform the most effective tests and screenings available.
We can provide several minor procedures in the office, avoiding the need for hospitalization. This saves you time, costs and the need for general anesthetic. Some of our most common specialty services are:
- Colposcopy – this is a test we perform if a patient has an abnormal pap smear result. It further clarifies for us if a patient has abnormal cells on her cervix, known as dysplasia.
- If the colposcopy confirms dysplasia, we may opt to perform a LEEP (Loop Electrical Excision Procedure) to remove the abnormal cells and some of the surrounding tissue, or monitor carefully.
- Endometrial biopsy – for patients with abnormal uterine bleeding, we conduct the biopsy to obtain tissue from the lining of the uterus (endometrium) for further examination.
- Saline Infusion Sonogram (SIS) – this is where we instill water into the uterus during an ultrasound.
- Intrauterine Devices (IUDs).
- Nexplanon insertion.
How is a colposcopy performed?
The colposcopy is performed in the office and takes about 15 minutes. We examine the patient’s cervix under magnification, rinse the cervix with several solutions and obtain very small biopsies after using local anesthesia. Patients might have some light bleeding afterwards with some mild cramping, but can resume normal activities immediately. Results take a little over a week.
What is involved in a LEEP?
Our doctors administer a local anesthetic (lidocaine) and perform this brief procedure in the office. We remove the abnormal cells and some of the surrounding cervical tissue. Afterwards, patients might experience some discharge, bleeding and cramping for a couple of days, and they are asked to refrain from sexual intercourse for two weeks following the procedure.
What is an endometrial biopsy?
An endometrial biopsy is a procedure in which a sample of tissue from the lining of the uterus (the endometrium) is removed. The tissue is sent off to be examined for cancer or any other cell abnormalities.
This is a simple office procedure; however, it is important for it to be performed by a medical professional who has experience performing these tests.
An endometrial biopsy might be recommended in the following clinical scenarios: heavy or prolonged periods, thickened uterine lining on ultrasound, post menopausal bleeding, or irregular periods. It is the most common test done to diagnose endometrial cancer.
What is an SIS or saline infusion sonogram?
A saline infusion sonogram (also known as an SIS or sonohysterogram) is a procedure where a tiny catheter is inserted into your uterine cavity and sterile saline is injected into the cavity. An ultrasound transducer is then used to visualize the uterine lining or endometrium to examine it for any growths such as polyps or fibroids.
What is an IUD?
An IUD is a tiny device that is placed inside your uterus to prevent pregnancy. It is long term, reversible, and one of the most effective forms of birth control. IUD stands for intra uterine device. It is a small piece of flexible plastic shaped like a ‘T’. There are five different FDA approved IUDs in the United States. They are Mirena, Kyleena, Liletta, Skyla, and Paragard. IUDs are divided into two types: copper and non-hormonal (Paragard) and hormonal using progesterone (Mirena, Kyleena, Liletta, Skyla).
What is Nexplanon?
Nexplanon is a birth control implant that is a flexible, plastic rod about the size of a matchstick that is inserted just under the skin in the upper arm. It releases progesterone into the body and is approved for up to 3 years of use.