In-Office Procedures

The benefits of having procedures or surgeries in office is that our patients often save money, dramatically reduce the waiting time (most hospital surgeries are 90% prepping and waiting and 10% execution of the actual procedure), and more freedom to choose when your surgery is going to be performed. Our practice has successfully performed over 100 in-office procedures and has the most modern technology to ensure your procedure is performed flawlessly.

We have a new hysteroscope, LEEP, ablation equipment, ultrasound machine, and colposcope. Our staff is trained to perform our in-office procedures in a much more focused method than most hospital surgical support nurses. We can also offer the support of anesthesia to patients that otherwise would not be candidates.

Some of our in-office procedures include:
• Colposcopy
• Vulvar biopsies
• Endometrial biopsies
• Polypectomy
• Dilation and Curettage
• Essure placement and removal
• Sonohysterograms


If you have an abnormal pap smear, you may require a more thorough evaluation of the cervix. A colposcopy is a procedure in which your physician takes a closer look at your cervix using magnifying device called a colposcope. The procedure allows your physician to assess the cervix and vagina for abnormalities that may include infection, cancerous or precancerous conditions. In most cases a piece of abnormal tissue is sampled and sent to the lab.


In some cases it might be necessary to remove abnormal tissue on the cervix. A LEEP uses electrical current through a small wire to selectively remove a thin layer of tissue. It may be performed in the office using local anesthetic to prevent pain or under anesthesia in an outpatient surgery center. The LEEP specimen may be sent to the lab for additional microscopic evaluation.

Vulvar Biopsies

Your physician may need to take a biopsy from your external tissues. This is often done under local anesthesia. The specimen is sent to a special laboratory for testing.

Endometrial Biopsies

An endometrial biopsy is a sampling of the uterine lining using a small device. It is often used to evaluate abnormal uterine bleeding, but may be performed preoperatively. The sampled endometrial cells are sent off to the lab for further evaluation. The purpose is most often that a physician may detect cancer or precancerous conditions in the uterus or discover hormonal imbalances.


Hysteroscopy is a procedure whereby your doctor places a slender telescope into the uterus. It allows your doctor to evaluate the lining, sample any abnormalities, and perform procedures without entering the abdominal cavity.


Polyps are small broccoli-like growths sticking out from the endometrial lining of the uteru or the mucosal lining of the cervix. They are often benign, but some may become malignant. They may be a source of abnormal bleeding but if they are identified during a routine exam, they may be removed.

Dilation and Curettage

A D&C is a procedure whereby your physician dilates the opening to the uterus and gently loosens and removes a sample of the uterine lining. It may be performed under anesthesia in the outpatient center or hospital.

Essure Placement

Essure’s are permanent birth control procedures that work with your body to create a natural barrier against pregnancy. Soft, flexible micro-inserts are placed into the fallopian tubes by your doctor using a hysteroscope while looking into the uterus. These procedure avoid incisions in the abdomen and also avoids burning or cutting. They are highly effective and do not contain hormones or interfere with your menstrual cycle.


The uterine lining can be optimally visualized by infusing saline into the uterine cavity while performing an ultrasound. This procedure has little or no discomfort and is a valuable tool for diagnosing uterine polyps and submucous fibroids.

IUD Placement and Removal

An IUD, Intrauterine Device, is a birth control device and is more than 99% effective at preventing pregnancy. It is a small device that is inserted into the uterus by a physician which helps you avoid taking a pill everyday at a certain time regardless of location.

We commonly place Paragard, Mirena, Skyla, and Nexplanon. Each has their unique benefits but all employ a unique method of preventing pregnancy. Some are hormonal and some are not, some last for 3 years while others last 15 years, some reduce cramping while others completely remove the presence of your periods.