Bladder instillations are used to place numbing medications into the bladder for temporary pain relief due to interstitial cystitis.  This procedure may also be performed to test for bladder mucosal sensitivity. First the urethra is cleaned with betadine soap.  A small catheter is placed in the bladder. Through this catheter a mixture of anesthetic medications… Read More

An endometrial biopsy is an office procedure performed with the goal to obtain a tissue sample, or biopsy, from the inside of the uterine lining. Your gynecologist may need to perform this procedure to be sure you do not have cancer of the uterus or pre-cancerous cells called Endometrial Hyperplasia. Indications for Endometrial Biopsy Why… Read More

An Endometrial Ablation is a procedure offered to women who have heavy menstrual bleeding and do not want to undergo a hysterectomy or prefer less invasive management options prior to considering hysterectomy. Various methods can be performed to destroy the basalis layer (lining of the uterus that has glandular tissue which bleeds monthly at the… Read More

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