Both fallopian tubes can be removed laparoscopically as a surgical method for sterilization. By removing both fallopian tubes there is no risk of future pregnancy as fertilization occurs in the fallopian tubes and the embryo implants itself into the uterus several days later. Medical studies have also shown there may be a decreased lifetime risk… Read More


Essure is a form of permanent sterilization. It is a desired birth control method for women who no longer want children and prefer permanent contraception. The procedure is non-reversible and should be heavily considered prior to undergoing surgical therapy. This procedure may be performed in the office or In the operating room. A hysteroscope is… Read More


A Laparoscopic Tubal Sterilization  is the desired birth control method for women who no longer want children and prefer permanent sterilization.  The procedure is considered non-reversible and should be heavily considered prior to undergoing surgical therapy.  Reversal is possible but pregnancy rates are approximately 40% and often lower.  The procedure also increases one’s risk for… Read More


A Cold Knife Conization procedure is indicated once moderate to severe high grade dysplasia (abnormal cells) are confirmed after colposcopic examination and biopsies. It is particularly indicated if the cells were mostly found high in the endocervical canal, if there is a question of microinvasive abnormal cells, or If abnormal glandular cells were found.  Often… Read More


A LEEP procedure is indicated once moderate or severe high grade dysplasia (abnormal cells) are confirmed after colposcopic examination and biopsies. If your pathology report from your biopsies shows the following you will likely need a LEEP procedure depending on your age: Cervical Intraepithelial Neoplasia II (CIN II) Cervical Intraepithelial Neoplasia III(CIN III) The procedure… Read More


A colposcopy is indicated in the setting of an abnormal pap smear. If your pap smear shows any of the following abnormal findings you may need a colposcopy: Atypical squamous cells of undetermined significance (ASCUS) Low grade squamous intraepithelial neoplasia (LSIL) High grade squamous intraepithelial neoplasia (HSIL) Presence of human papilloma virus (HPV) A colposcope… Read More


Vestibulitis often is the cause for women who have chronic vaginal pain.  It is an inflammatory condition affecting the glands and skin just around the opening of the vagina.  Pain may be present all of the time, just with sitting, or during intercourse.  Some women with vestibulitis often complain of a constant vaginal burning and… Read More


Chronic pelvic pain often occurs not just due to uterine or ovarian causes, but because of muscle spasms and disorders of the pelvic floor and the nerves that supply them. A careful gynecologic exam from an experienced provider will be able to identify disorders of the pelvic nerves and muscles which may cause pain and… Read More


A hysteroscopy is a procedure performed to visualize inside the uterus. The procedure is typically performed to identify causes for abnormal uterine bleeding and irregular periods such as the growth of fibroid tumors or uterine polyps. We can perform this procedure in our office as well as in the operating room. When performing the procedure… Read More


If you have history of chronic abdominal or pelvic pain and history of prior surgery, endometriosis, pelvic inflammatory disease (PID) or inflammatory bowel disease (Crohn’s, Ulcerative Colitis, Diverticulitis) you may have scarring (adhesions) inside your abdomen. After reviewing your medical history and performing an exam you may be advised to have a Laparoscopic Excision of… Read More