In Office Procedures

in office procedures
We offer our patients the latest and safest in-office surgical procedures. Using state-of-the-art technology, these procedures can be performed in the comfort and privacy of our office without general anesthesia. Recovery time is faster, often allowing you to return to work either the next morning or even later that day.

The Essure procedure is a simpler solution for women looking for permanent birth control and is a safe alternative to a tubal ligation or vasectomy. Essure® is the first and only FDA approved method of female sterilization. It is 99.8% effective, and offers a hormone free alternative to permanent birth control.
The Essure procedure is different than the traditional method of a surgical tubal ligation. With Essure there are no surgical incisions. Instead, spring-like coils, called micro-inserts, are inserted through the body’s natural pathways (vagina, cervix, and uterus) and into your fallopian tubes.
The procedure can be performed in-office and in under an hour and without general anesthesia with little, if any discomfort. Patients are able to quickly resume their regular schedules and normal sexual activity.
If it’s the right time to consider permanent birth control, Essure could be the solution you’re looking for. If you would like to learn more about the Essure procedure and determine if it is right for you, call our office today.
You can also go to Essure for more information on this safe and simple sterilization procedure.
For women who suffer from heavy menstrual bleeding, we offer both Thermachoice and HTA Endometrial Ablation (also known as “hydrothermal ablation”.) These are minimally invasive in office procedures to minimize bleeding. Endometrial Ablation is a safe, simple procedure that has been proven to help control heavy menstrual bleeding without any need for hormones or hysterectomy. This procedure does not require any incisions and can be comfortably performed in our office. Endometrial ablation is tolerated very well with little down time from home or work and results in periods that either cease or become considerably lighter.
If heavy periods keep you from enjoying your life to the fullest, call to find out if this procedure is right for you. The choice between Thermachoice and HTA Endometrial Ablation is dependent on your particular clinical situation. Your doctor is happy to discuss these options with you.
Hysteroscopy is a procedure than can be performed in the office and is used to view the inside of the uterus. A thin, lighted telescope is inserted through the vagina and cervix to check for abnormalities and problems in the reproductive tract. In-office hysteroscopy is very tolerated and women are back to their normal schedule immediately.
Endometrial Biopsy is a diagnostic tool performed in-office where a small sample of endometrial tissue is removed for microscopic evaluation for a variety of symptoms such as: abnormal uterine bleeding, postmenopausal bleeding and/or menstrual irregularities.
An Intrauterine Device (IUD) is a device inserted through the cervix and into the uterus. They work by changing the lining of the uterus and fallopian tubes affecting the movements of eggs and sperm and so that fertilization does not occur.
Three types of IUDs are now available in the U.S. The ParaGard IUD contains copper and can be left in place for up to 10 years and the Liletta IUD contains the hormone progestin and can be left in place for up to 3 years (FDA approval for 5 years pending). The Skyla IUD is a hormone-releasing IUD that continuously prevents pregnancy for up to three years. For more information check the website www.skyla-us.com. IUDs are 99.2-99.9% effective as birth control.

  • Liletta
  • Paragard
  • Skyla
For women looking for extended birth control, we offer the Nexplanon implantable contraceptive. Nexplanon is an in-office procedure whereby a small, implantable contraceptive is placed under the skin of the upper arm. Nexplanon contains a form of progesterone that works as a birth control by stopping the release of the egg from the ovary and helping to stop the sperm from reaching the egg. Nexplanon can last up to three years, and can be removed at any time should you choose to become pregnant.
This procedure is performed on your cervix when you have an abnormal pap smear. It is looking at the cervix more carefully with a microscope. If abnormal cells are seen, a biopsy is performed. The biopsy is sent to the pathologists for analysis. You may experience some slight cramping, like menstrual cramps, when a biopsy is performed, otherwise the procedure feels like doing a pap smear. Once the results from the pathologist are know, recommendations for follow-up will be made.