Southwest Ob/Gyn

In Office Procedures

In Office Procedures

  • Bone Density (GE Machine)
  • Colposcopy
  • Endometrial Ablation (for heavy bleeding)
  • Endometrial Biopsy
  • LEEP (excision of cervix)
  • Permanent Sterilization
  • Sonohystograms
  • Ultrasounds
  • Urodynamics

Bone Density - Bone density scanning, is an enhanced form of x-ray technology that is used to measure bone loss. DXA is today's established standard for measuring bone mineral density(BMD).

What are some common uses of the procedure?

DXA is most often used to diagnose osteoporosis, a condition that often affects women after menopause but may also be found in men. Osteoporosis involves a gradual loss of calcium, as well as structural changes, causing the bones to become thinner, more fragile and more likely to break.

DXA is also effective in tracking the effects of treatment for osteoporosis and other conditions that cause bone loss.

The DXA test can also assess an individual's risk for developing fractures. The risk of fracture is affected by age, body weight, history of prior fracture, family history of osteoporotic fractures and life style issues such as cigarette smoking and excessive alcohol consumption. These factors are taken into consideration when deciding if a patient needs therapy.

How should I prepare?

On the day of the exam you may eat normally. You should not take calcium supplements for at least 24 hours before your exam.

You should wear loose, comfortable clothing, avoiding garments that have zippers, belts or buttons made of metal.

If you recently had a barium examination or have been injected with a contrast material for a computed tomography (CT) scan or radioisotope scan. You will have to wait 10 to 14 days before undergoing a DXA test.

Women should always inform their physician and x-ray technologist if there is any possibility that they are pregnant.

What will I experience during and after the procedure?

Bone density tests are a quick and painless procedure. The DXA bone density test is usually completed within 10 to 30 minutes

Routine evaluations every two years may be needed to see a significant change in bone mineral density, decrease or increase.

Colposcopy - Colposcopy (kol-POS-kuh-pee) is a procedure to closely examine your cervix, vagina and vulva for signs of disease. During colposcopy, your doctor uses a special instrument called a colposcope. Your doctor may recommend colposcopy if your Pap test has shown abnormal results. If your doctor finds an unusual area of cells during colposcopy, a sample of tissue can be collected for laboratory testing (biopsy). These results take approximately seven working days. You may experience mild cramping and may take 2 Advil or two Aleve with food one hour prior to the exam.
Avoid intercourse and strenuous exercise for seven days after the exam. It is ok to take baths and showers. This exam cannot be done during your period.

Endometrial Ablation - Endometrial ablation is a procedure that destroys (ablates) the uterine lining, or endometrium. This procedure is used to treat dysfunctional or abnormal uterine bleeding. Sometimes a lighted viewing instrument (hysteroscope) is used to see inside the uterus.

Endometrial ablation is used to control heavy, prolonged vaginal bleeding when:

  • Bleeding has not responded to other treatments.
  • Childbearing is completed.
  • You prefer not to have a hysterectomy to control bleeding.
  • Other medical problems prevent a hysterectomy.

Two procedures commonly done in office are the NovaSure ablation, using the power of radiofrequency to destroy the endometrium (lining of the uterus) or HerOption which uses a cryoprobe technique to destroy the lining with a cold technique. This is also accompanied by ultrasound done at the same procedure to monitor the depth and location of the destructive probe. NovaSure is generally completed in 90sec, destroying the endometrium (lining of the uterus) to a predetermined depth. More information can be obtained from www. and

Endometrial Biopsy - The endometrial biopsy is an office procedure that is used to remove a sample of the lining of the uterus. The tissue subsequently undergoes a histological evaluation which is supplied to the physician to aid in the diagnosis. Endometrial biopsy is usually done to investigate abnormal uterine bleeding. Your physician will take tissue samples from the inside of the uterus using a thin hollow catheter. The procedure can cause cramping for about five minutes and subsides quickly.  You can take four Advil or two Aleve with food one hour prior to your appointment. Your period may be heavier than usual after the procedure. There should be no douching or intercourse for five days following the procedure. Tub baths and showers are fine.

LEEP - The loop electrosurgical excision procedure (LEEP) is currently one of the most commonly used approaches to treat high grade cervical dysplasia (CIN II/III, HGSIL) discovered on colposcopic examination. When performing a LEEP, the physician uses a wire loop through which an electric current is passed at variable power settings. Various shapes and sizes of loop can be used depending on the size and orientation of the lesion.  Abnormal cells are then removed from the cervix. This tissue is then sent to the pathologist and results are received within seven working days. Your physician will use a local anesthetic. You may experience cramping so take four Advil or two Aleve with food one hour prior to your appointment. Please avoid intercourse, douching, tampons and strenuous exercise for four weeks after the LEEP cone biopsy. You should schedule this procedure about one week after your period. It is ok to take a tub bath or shower following this procedure.

Permanent Sterilization - Also known as "permanent infertility", permanent birth control methods are specific surgical procedures. People can choose a permanent birth control method if they know for sure that they do not want to have any more (or any) children.

Essure - is a permanent birth control procedure that works with your body to create a natural barrier to prevent pregnancy. The Essure procedure offers women benefits that no other permanent birth control can. During the procedure, which takes less than 10 minutes, an Essure-certified doctor slides the small, soft inserts through the natural pathways of your vagina and cervix into your fallopian tubes, so no surgery or incision is required. The very tip of each insert remains visible to your doctor, providing immediate confirmation of proper placement. The flexible Essure inserts are made out of the same trusted, silicone-free material used in heart stents, so they bend and conform to the shape of your fallopian tubes while remaining securely in place. Over the next three months, your body works with the Essure inserts to form a natural barrier within each of your fallopian tubes. These barriers prevent sperm from reaching the eggs so that pregnancy cannot occur. During this three-month timeframe, you must continue to use another form of birth control.

After three months, it’s time for your Essure Confirmation Test. During this simple test, a special dye is introduced into your uterus and viewed on an x-ray, so your doctor can confirm that your fallopian tubes are completely blocked and the inserts are in place. Once you receive this verification, you can rely on Essure for permanent birth control.

Sonohystograms - Sonohysterogram (SONO HSG) this is an ultrasound study done in our office to evaluate abnormal uterine bleeding. During the procedure your physician will insert a small thin catheter into your cervix. The uterine cavity is filled with sterile water. Your physician will then examine your uterus with a vaginal ultrasound. There will be some cramping during this 5-10 minute procedure. Take four Advil or two Aleve with food one hour prior to your appointment. Do not schedule this procedure during your period.

Ultrasounds - Gynecologic ultrasonography refers to the application of medical ultrasonography to the female pelvic organs, specifically the uterus, the ovaries, the Fallopian tubes, as well as the bladder, the adnexa, and any findings in the pelvis of relevance outside of pregnancy.

Urodynamics - is a study that assesses how the bladder and urethra are performing their job of storing and releasing urine. Urodynamic tests help your doctor see how well your bladder and sphincter muscles work and can help explain symptoms such as: