Common Gynecological Procedures

OFFICE PROCEDURES
Colposcopy- If your doctor has told you that you have an abnormal pap smear, you may need a more thorough evaluation of the cervix. A colposcopy is an in-office 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. Depending on the results, you may need further testing, treatment, or a closer follow-up.

Cryosurgery- This a procedure, which uses a freezing probe to destroy abnormal cells on the cervix. This is done in the office with little discomfort. It is used to treat some precancerous lesions of the cervix or inflammation.

LEEP(Loop Electrosurgical Excision Procedure)- In some cases, you and your doctor may decide that it is time 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.

Endometrial Biopsy- An endometrial biopsy is an in-office sampling of the uterine lining using a small sampling device. It is often used to evaluate abnormal uterine bleeding, but may be performed preoperatively. Some cramping may occur during the test. The sampled endometrial cells are sent off to the lab for further evaluation. Results may detect cancer or precancerous conditions in the uterus or hormonal imbalances (Also see Ultrasound and Dilation and Curettage)

Vulvar Biopsy- Your physician may need to take a biopsy from your external tissues. This is done under local anesthesia and the specimen is sent to the laboratory for testing.

SURGICAL PROCEDURES
Hysteroscopy- 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.

Laparoscopy- Laparoscopy is a technique by which a small telescope is placed through a small incision to look into the abdominal cavity. It is done as an outpatient procedure. It may be used to evaluate and/or treat conditions such as infertility, ectopic pregnancy, endometriosis, pelvic adhesions, or ovarian cysts. It can also be used to perform more advanced procedures such as hysterectomies and myomectomies. There are many benefits including shorter hospital stay, smaller incisions, and faster recovery.

Dilation and Curettage- A D&C is a procedure whereby your physician dilates (widens) 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. It may be done along with a hysteroscopy.

Essure and Adiana- Essure and Adianais 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 can be performed at an outpatient facility or in office. They do not contain hormones or interfere with your menstrual cycle. They are highly effective.

Polypectomy- Polyps are usually small stalked growths sticking out from the mucosal lining of the cervix or the endometrial lining of the uterus. They are usually benign, but some may become malignant. They may be a source of abnormal bleeding. If they are identified during a routine exam, they may be removed in the and sent to the lab for further evaluation.

Endometrial Ablation- Endometrial Ablation is a minimally invasive procedure that removes the lining of the uterus and stops or reduces the menstrual flow in many women. This a short, simple, safe and effective procedure which can be done in the office or at an outpatient surgery center. Recovery is quick and hysterectomy can be avoided in many cases. Our physicians perform various types of ablation procedures.

Hysterectomy- You may decide with your doctor that it is time for a hysterectomy. A hysterectomy is a procedure that removes the uterus (womb) and may be combined with removal of one or both ovaries and/or the removal of the cervix. This procedure may be performed using several different approaches or techniques. (See Advanced Laparoscopic Procedures or Robotic Surgery)

DIAGNOSTIC PROCEDURES
Pelvic Ultrasound- Ultrasound uses sound waves to produce 2-D images of the pelvic structures. Our office is equipped with several high resolution machines which can be used to evaluate abnormal uterine bleeding, pelvic pain, and masses. It is used to detect ovarian cysts, fibroids, polyps, tumors and various other conditions.

Saline Infusion Sonography (SIS, Sonohysterogram)- 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.

Bone Density- A bone density test also called Dexa Scan uses X-ray to determine the strength of your bones. Perimenopausal and menopausal women are at risk for bone loss, Osteopenia and Osteoporosis. Our office is equipped with a state of the art Hologic Delphi 3500 Series Bone Densitometer. Our experienced technician will do a comprehensive evaluation of your hip and spine and provide a report to your physician. She will also discuss Calcium Supplementation(available in our office shop Vita med), healthy lifestyle, and exercise. Medical treatment options can be discussed with your provider.

Mission Viejo Office: 26800 Crown Valley Pkwy., Suite 525 Mission Viejo, CA 92691 | Phone: 949.364.1040 | FAX: 949.365.7037
San Clemente Office: 665 Camino De Los Mares, Suite 303A San Clemente, CA 92673 | Phone: 949.364.1040 | FAX: 949.661.0443