Procedures

Endometrial Or Vulvar Biopsy:

Sometimes women experience symptoms that may be concerning for autoimmune/inflammatory disorders of the vulva (the area of skin around the vagina including the labia and perineum) or concerning for cancers of this area or the uterus. If you experience persistent external itching or burning sensation, skin changes, irregular vaginal bleeding (including between periods or after intercourse, aka postcoital bleeding) or bleeding after menopause, these symptoms warrant investigation by your gynecologist and may warrant biopsy. Biopsy is where a sample of tissue is taken, usually under local anesthesia, and is sent to a pathologist for further review and diagnosis using a microscope.

Endometrial Cryoablation:

This procedure is used to treat heavy menstrual bleeding by freezing the inner lining of the uterus to essentially remove it. The goal is to minimize continued bleeding, though in some women the bleeding may stop all together. This is considered a minimally-invasive technique that may prevent a woman’s need for hysterectomy (removal of the uterus all together). The procedure should not be done if there is concern or high risk of endometrial cancer (cancer of the inner lining of the uterus).

Pessary Fittings:

One treatment for pelvic organ prolapse (when there are bulges from the vagina or perineum behind the vagina) that has nearly zero risk is a pessary. Pessaries are devices made to be placed in the vagina to re-support whatever bulges may be present and may allow for delay or avoidance altogether of the need for surgical repair. As every woman is different, fittings of various types of pessaries can be done in our clinic to maximize both comfort and support. Additionally, for women who are unable to manage the pessary at home, we offer in-office pessary management visits at a frequency of every 2-3 months depending on the situation.

Minor Surgical Procedures:



Some small procedures may be completed in the clinic under local anesthesia. These can include examples like treatments for genital condyloma (warts), removal of skin tags, or dealing with incision issues and closure.