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In-office Gynecological Procedures

Today there are a number of procedures safely performed in the comfort of your doctor’s office, under local anesthesia. Some eligible patients may have lower out-of-pocket costs if the procedure is performed in this lower cost of care setting, such as a physician office.Your physician will recommend the best approach for you.

Endometrial Ablation

NovaSure® is a non-surgical office based endometrial ablation procedure used to treat the lining of the uterus (endometrium) in women experiencing heavy menstrual periods. Your physician may recommend either procedure when birth control pills have been ineffective or have produced undesirable effects such as weight gain, moodiness etc.

Novasure is a safe procedure using radio frequency energy (radio waves) to permanently remove the uterine lining (endometrium).  The procedure is performed by your physician gently inserting a thin wand, with a mesh array, into the uterus.  Once the mesh has conformed to the uterine wall, a radio frequency is generated for about 90 seconds and the wand with the array is then removed. Uterine lining will be shed over the next week to 10 days.  Results have included a significant reduction in menstrual bleeding, stopped periods, reduced PMS symptoms and reduced pain and cramping.

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Note:  Pregnancy after any form of endometrial ablation is a rare but possible event and the risk of complications is increased.

Hysteroscopy

Hysteroscopy is an office or hospital based procedure that is used to look inside the uterus. It utilizes a hysterscope, a slender telescope-like device, which is inserted into the uterus.   The procedure is commonly used to:

  • diagnose or treat uterine problems associated with abnormal bleeding
  • to help with the diagnosis of frequent miscarriages
  • to locate an intrauterine device
  • remove adhesions caused by infection or past surgeries
  • perform sterilization procedures 

Women who are pregnant should not have the procedure.  

Loop Electrosurgical Excision Procedures (LEEP)

Women who have a Pap smear showing abnormal cells in their cervix may find that their physician will suggest an electrosurgical procedure commonly called LEEP to remove those cells.  This minimally invasive procedure uses a thin wire loop through which an electric current is passed to remove a thin layer of tissue containing the abnormal cells. The procedure is performed in a doctor’s office and seldom takes more than a few moments.  

After a local anesthesia is administered, the thin wire loop is inserted into the vagina and to the cervix.  Electrical current is applied to the loop and the loop acts as a scalpel to remove the abnormal tissue.  The tissue is then evaluated to make or confirm a diagnosis.  Other procedures can be used to remove the abnormal cells and include:

  • cryosurgery
  • laser treatment
  • cone biopsy

However, the actual procedure used depends upon how much tissue needs to be removed and where the cells are located on the cervix.  Recovery time usual takes several weeks.  Like all procedures LEEP does have some risks so it is important to understand them before having the procedure.

Colposcopy

The purpose of a Colposcopy is to examine the cervix for indications of cervical cancer. In most cases, this procedure is performed on women whose pap test has returned abnormal results.  The doctor will use an imaging device, called a colposcope, to look for irregular cervical tissue. A cervix with potentially cancerous tissue may have white patches, warts, polyps or swelling. In these instances, a sample will be taken and tested.

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