Gynecology Services


Your return to wellness!

Our skilled Physician loves to listen.

As we are always providing you with the most current options for treatment, we are available to handle all of your office gynecological needs. All of our treatment modalities utilize a traditional, holistic and nutritional approach to insure your optimum wellness.

We will offer you extensive non surgical options as you consider the appropriate treatment for you. We will gently handle your tissues and offer you nutritional supplements to aid in your return to wellness.

We work extensively with integrative and homeopathic specialists to focus on PREVENTION of illness. collaboration with others, utilizing a team approach, makes all healing modalities available to you.

YOUR WELLNESS IS OUR MISSION !!

Colposcopy

This is a procedure done in the office, in which your cervix is closely evaluated using a magnifying instrument. In addition, a vinegar solution is applied to the cervix. This solution allows any abnormal or suspicious area to be better seen. If any abnormal or suspicious areas are seen, these areas can be sampled. The small sample is performed after an anesthetic solution (or numbing medicine) is applied to the cervix. The sample is then sent to the laboratory. The entire in-office procedure takes less than twenty minutes.

After the procedure, you can return to work or continue your daily activities. However, for two weeks after the procedure, it is very important that you do not douche, use tampons, insert anything into your vagina, or have sexual intercourse. Avoiding these activities encourages healing and prevents infection. Also, after the procedure, it is perfectly normal to notice a yellowish-brown discharge, spotting, or a light period for up to one week.

Again, an abnormal Pap smear does not mean that you have cervical cancer. It just requires further evaluation and closer follow-up.


Endometrial Ablation

What you should know about endometrial ablation.

About one in four women experiences abnormal uterine bleeding - prolonged or heavy bleeding during her periods - at some point in her life. If you are one of them, you may have been told that you need a hysterectomy to stop the bleeding. If you'd rather avoid hysterectomy, then endometrial ablation might be a treatment option for you. Here are answers to some of the questions you may have about this procedure.

What is Endometrial Ablation?

Endometrial ablation is a procedure in which energy is used to destroy (ablate) a thin layer of the lining of the uterus (the endometrium). The goal is to have a menstruation returned to normal levels or better. For some women menstruation is eliminated completely, although many will continue to have regular periods. For many women it is an effective alternative to hysterectomy.

Who can consider having endometrial ablation?

You may be a candidate for endometrial ablation if:
  •  You have to limit your daily activities because of your bleeding
  •  You are becoming anemic and fatigued because of your bleeding.
  •  You have tried hormone therapy (HT) to control the bleeding and it hasn't worked

Can I have children after having endometrial ablation?

It is possible although it is dangerous for both mother and fetus. Although pregnancy rarely occurs there is a small chance that it may, so you must use a reliable form of contraception after the procedure.


Endometrial Biopsy

 An endometrial biopsy is a way for your doctor to take a small sample of the lining of the uterus. The sample is looked at under a microscope for abnormal cells. An endometrial biopsy helps your doctor find any problems in the endometrium are in balance.

The lining of the uterus changes throughout a woman's menstrual cycle. Early in the menstrual cycle, the lining grows thicker until a mature egg is released from an ovary (ovulation). If the egg is not fertilized by a sperm, the lining is shed during normal menstrual bleeding.

There are several ways to do an endometrial biopsy. Your doctor may use:

  • A soft, straw-like device to suction a small sample of lining from the uterus. This method is fast and is not very painful.

An endometrial biopsy may also be done to find the cause of abnormal uterine bleeding, to check for overgrowth of the lining (endometrial hyperplasia). An endometrial biopsy is sometimes done at the same time as another test, called hysteroscopy, which allows your doctor to look through a small lighted tube at the lining of the uterus.
 

Why it is done:

An endometrial biopsy is done to:

  • Check abnormal cells. For example, an endometrial biopsy is done to help determine the cause of a Pap test result showing glandular cell changes. Glandular cells are a type of cell found in the cervix and the endometrium.

 

  • Find the cause of heavy, prolonged, or irregular uterine bleeding. It is often done to fine the cause of uterine bleeding in women who have gone through menopause.

 

How it is done:

Your cervix may be numbed with a gel of local anesthetic.

You will need to take off your clothes below the waist. You will be given a covering drape around your waist. You will then lie on your back on an examination table with your feet raised and supported by foot rests (stirrups).

Your doctor will put an instrument with smooth, curved blades (speculum) into your vagina. The speculum gently spreads apart the vaginal walls so your doctor can see inside the vagina and the cervix.

The tool to collect the sample is guided through the cervix into the uterus. The tool may be moved up and down to collect the sample. Most women have some cramping during the biopsy.

An endometrial biopsy takes 5 minutes. The specimen is submitted to the lab to be evaluated by a pathologist.

 

What you may feel:

You may feel a sharp cramp as the tool is guided through your cervix. You may feel more cramping when the biopsy sample is collected. Most women find that the cramping feels like a really bad menstrual cramp.

An endometrial biopsy usually causes some vaginal bleeding. You can use a pad for the bleeding or spotting.

 

Risks:

There is a small chance that the cervix or uterus could be punctured during the biopsy. Bleeding or a pelvic infection is also possible.

 

After the test:

You may feel some soreness in your vagina for a day or two. Some vaginal bleeding or discharge is normal for up to a week after a biopsy. You can use a sanitary pad for the bleeding. Do not have sex or use tampons for one week after the test. do not do strenuous exercise or heavy lifting for one day after your biopsy. do not douche.

 

Follow any instructions your doctor gave you. Call your doctor if you have:

  • Heavy vaginal bleeding (more than a normal menstrual period).
  • A fever
  • Belly pain
  • Bad-smelling vaginal discharge

 

The Results:

The doctor will call you in 1 - 2 weeks when the results arrive.