In Office Procedures
In Office Procedures
- Endometrial Ablation (for heavy bleeding) www.novasure.com, www.heroption.com
- Endometrial Biopsy
- LEEP (excision of cervix)
- Minerva Endometrial Ablation
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. Novasure.com and www.HerOption.com
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.
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.