Hysteroscopy is a way for the physician to view and often correct problems in the uterus and part of the fallopian tubes. After the area is cleaned and numbed with an anesthetic, the cervix is gently dilated and then expanded with gas or fluid. A thin tube with a camera and a light, called a hysteroscope, is then inserted so the physician can examine the uterus. The technique is used most often for the repair or removal of polyps, uterine fibroids (myomas), intrauterine adhesions, IUD retrieval, müllerian anomalies and uterine septum.
NovaSure® is a minimally invasive alternative used to treat heavy menstrual bleeding, a condition known as menorrhagia. Menorrhagia is a common condition that affects 20% of women each year causing pain, fatigue and other symptoms. Women with menorrhagia have periods that last over 7 days, soak through a tampon or pad every hour and pass blood clots during their period.
NovaSure provides long-lasting, effective results through a one-time, minimally invasive procedure. NovaSure does not include any hormones, avoiding the potential side effects often associated with hormone treatment.
The NovaSure procedure is a quick, safe and simple endometrial ablation treatment for heavy bleeding that is performed in your doctor's office and takes an average of just 90 seconds to perform. Most patients experience relief in symptoms of PMS, pain, anxiety, lack of energy and other symptoms associated with heavy bleeding. The level of menstrual bleeding is dramatically reduced as well, with many patients reporting lighter or no bleeding 12 months after treatment.
A cervical or endometrial biopsy is a diagnostic procedure that examines and removes tissue samples from the cervix or uterus after potential abnormalities are detected during a routine pelvic exam. During the procedure, a small microscope is placed at the opening of the vagina to magnify the area for closer inspection. Your doctor may remove one or more tissue samples for further examination. A biopsy is helpful in the detection of cancer and other serious conditions in their earliest stages.
The colposcopy procedure is used to magnify certain areas of the body and diagnose abnormalities. A vulvar colposcopy examines lesions on the vulva and is often used to identify cancer or human papillomavirus (HPV). The colposcopy is usually performed as a follow-up to an abnormal pap smear. The procedure involves the insertion of a speculum and, with a colposcope, magnification of the area to 10 to 40 times its normal size. If any abnormal cells are noticed, a biopsy of the tissue may be done. A colposcopy is a very safe procedure with few complications.
Cryosurgery, also known as cryotherapy, is a minimally invasive treatment that uses freezing cold temperatures to destroy abnormal tissue cells. These cells can include skin tumors, nodules, skin tags or prostate, liver and cervical cancer cells.
Doctors apply nitrogen or argon gas either directly on the skin or through a cryoprobe with image assistance for internal tumors. The diseased cells cannot survive extremely cold conditions and will be destroyed. Cryosurgery has a shorter treatment and recovery time than surgical procedures.
LEEP Procedure ®
The loop electrosurgical excision procedure (LEEP) is used to treat abnormal cells on the surface of the cervix. During this procedure, cells are removed to prevent the development of cervical cancer. Wire loops attached to an electrosurgical generator that cut away the affected tissue, causing the cells to heat and burst. The removed tissue is sent to a lab for further evaluation. This procedure takes 20-30 minutes and can be performed in the office.
For women who have decided that their family is complete and are considering permanent birth control, Essure® may be the right answer. Essure is a permanent form of birth control for women who are certain that they do not want to become pregnant. This FDA-approved treatment involves a noninvasive procedure that inserts tiny, spring-like coils into the fallopian tubes to prevent sperm from reaching the eggs.
Nexplanon® is a birth control implant that is inserted under the skin and releases hormones into the body to prevent pregnancy. While there are several different types of devices available today, Nexplanon® is a discreet, single-rod implantable device that is medically inserted by a doctor. Nexplanon is effective for up to three years and is more than 99% effective in preventing pregnancy.
ParaGard® is a hormone-free intrauterine contraceptive (IUC) that is 99% effective and 100% hormone free. It is a T-shaped piece of plastic coated in copper that is inserted into the uterus by a doctor and lasts as long as you want: two, five, even up to 10 years. ParaGard is effective immediately and can be removed at any time. ParaGard requires a monthly self-check, otherwise it is unnoticeable. Side effects of ParaGard are minimal but can include abdominal cramps or longer and heavier periods for the first few months.
Mirena® is a soft, flexible, estrogen-free intrauterine contraceptive (IUC) that can be effective for up to five years. It is a tiny T-shaped piece of plastic implanted into the uterus to block sperm and make the uterine lining thinner.
Mirena is more than 99% effective at preventing pregnancy without the side effects of the Pill. If you want to have children, you can try to become pregnant as soon as the device is removed. Within a year of removal, 80 percent of the women succeed in becoming pregnant.
For those women who have heavy periods, Mirena has been shown to reduce menstrual flow. If you have a tendency to develop pelvic infections or have certain cancers, Mirena is not the right choice for you.
A bone densitometry scan, also known as a bone density or DEXA scan, is a noninvasive procedure used to determine the extent of bone loss. The results can help assess a patient's risk of osteoporosis by measuring bone mineral density.
A DEXA scan is a simple procedure with no major risks and no need for anesthesia. Only a very small amount of radiation is used during this procedure, which will not affect the patient over a series of exams. After the risk of osteoporosis and related fractures is determined, patients can take certain precautions to reduce their risk of fracture and keep bones as strong and healthy as possible.