Physicians for Women performs a number of surgical procedures in-house. This means that we're able to treat many gynecological conditions at our office without having to refer our patients to a hospital or surgery center.
Operative hysteroscopy is a minimally invasive procedure used to diagnose and treat causes of abnormal bleeding or heavy periods. Hysteroscopy allows your doctor to examine your uterus through use of a hysteroscope, which is a thin tube with a telescope at the end.
Causes of heavy or irregular bleeding/periods include fibroids, non-cancerous growths that can develop inside the womb, or polyps - small growths occurring on the lining of the womb. Hysteroscopy can also detect intrauterine lesions that may cause absent periods and infertility, also evaluate thickening of the uterus lining, which can increase the risk of uterine cancer.
If a Pap smear result is abnormal, your doctor may recommend a colposcopy, which is a procedure that checks your cervix or vagina for abnormal cells. If abnormal cells are found during the colposcopy, your physician will take a biopsy (a sample of tissue) for further testing.
It is important not to worry if your physician recommends a colposcopy, as it does not necessarily indicate a serious underlying issue.
If the presence of abnormal cells in the cervix has been confirmed by a colposcopy and cervical biopsy, we may perform LEEP to remove them, performed with local anesthesia. During LEEP, your gynecologist will use a thin wire loop charged with an electric current to remove a thin layer of cells from the cervix. It is quick and effective, and we monitor patients with follow-up visits.
Endometrial ablation is an option for women suffering from very heavy periods, wherein the bleeding cannot be controlled by medication. In this procedure, which is performed through the vagina with no incisions, your doctor will use one of a number of available techniques to ablate (destroy) a thin layer of the uterine lining. This reduces or stops menstrual flow.
For women seeking a permanent method of birth control, we offer a nonsurgical procedure called hysteroscopic tubal ligation. This involves closing off the fallopian tubes to prevent the egg from moving through the tubes and into the uterus, and to stop sperm from reaching the egg.