In-Office Procedures

Premier Women’s Health is proud to offer minor surgical procedures in the comfort of our office.  By offering these procedures in-office, we save our patients the time and cost of hospitalization.

Colposcopy 

Colposcopy (kol-POS-kuh-pee) is a procedure to closely examine your cervix, vagina and vulva for signs of disease. During colposcopy, your doctor uses a special instrument called a colposcope.

Your doctor may recommend colposcopy if your Pap test result is abnormal. If your doctor finds an unusual area of cells during colposcopy, a sample of tissue can be collected for laboratory testing (biopsy).

Many women experience anxiety before their colposcopy exams. Knowing what to expect during your colposcopy may help you feel more comfortable.

Cryosurgery of Cervix

Cryosurgery is a procedure that uses freezing gas (liquid nitrogen) to destroy precancerous cells on the cervix. The cervix, the lowest part of the womb or uterus, opens into the vagina. When these unhealthy cells are destroyed, the body can replace them with new, healthy cells.

Diagnostic Ultrasound (Obstetric and/or Gynecologic)

Diagnostic ultrasound, also called sonography or diagnostic medical sonography, is an imaging method that uses high-frequency sound waves to produce images of structures within your body. The images can provide valuable information for diagnosing and treating a variety of diseases and conditions.

 

Most ultrasound examinations are done using an ultrasound device outside your body, though some involve placing a device inside your body.

Hysteroscopy (with or without Endometrial Biopsy)

Hysteroscopy is used to diagnose or treat problems of the uterus. A hysteroscope is a thin, lighted telescope-like device. It is inserted through your vagina into your uterus. The hysteroscope transmits the image of your uterus onto a screen. Other instruments are used along with the hysteroscope for treatment.

Endometrial Ablation

Endometrial ablation is a procedure that surgically destroys (ablates) the lining of your uterus (endometrium). The goal of endometrial ablation is to reduce menstrual flow. In some women, menstrual flow may stop completely.

No incisions are needed for endometrial ablation. Your doctor inserts slender tools through the passageway between your vagina and uterus (cervix).

The tools vary, depending on the method used to ablate the endometrium. They might include extreme cold, heated fluids, microwave energy or high-energy radiofrequencies.

Some types of endometrial ablation can be done in your doctor’s office. Others must be performed in an operating room. Factors such as the size and condition of your uterus will help determine which endometrial ablation method is most appropriate.

Endometrial Biopsy

An endometrial biopsy is a medical procedure in which a small piece of tissue from the lining of the uterus (the endometrium) is removed for examination under a microscope. The removed tissue is examined for cancer or any other cell abnormalities. It is done to diagnose bleeding problems. The procedure is often done in a doctor’s office.

Intrauterine Device

The IUD is a small, T-shaped, plastic device that is inserted into and left inside the uterus.

The hormonal IUD releases the hormone progestin into the uterus. There are different brands of hormonal IUDs that last for different lengths of time. Depending on the brand, they are approved for up to 3–5 years of use.

Mole removal

First, the provider will give you a numbing injection near the mole. This may pinch a little, but should keep you from feeling any pain during the removal. There are a few different techniques your provider may use to remove the mole.

Nexplanon

Nexplanon is a long-term birth control option that lasts for up to 3 years† to prevent pregnancy. Nexplanon is an implant, not an IUD. It is a small, thin, and flexible contraceptive arm implant that is placed discreetly under the skin of your inner, upper arm by your healthcare provider.

Pessary Fitting/Insertion

The pessary is an effective tool in the management of a number of gynecologic problems. The pessary is most commonly used in the management of pelvic support defects such as cystocele and rectocele. Pessaries can also be used in the treatment of stress urinary incontinence.

Urodynamic Testing

Urodynamic testing is any procedure that looks at how well the bladder, sphincters, and urethra are storing and releasing urine. Most urodynamic tests focus on the bladder’s ability to hold urine and empty steadily and completely.

Vulvar Biopsy

A vulvar/vaginal biopsy takes one or more samples of tissue from the vulva or vagina. The vulva is the outer parts of the female genitals, including the labia, which are often called the lips, and the clitoris.

Vulvar Labiaplasty

Vaginal labiaplasty refers to surgical reduction of the labia minora. Additional goals of this procedure include minimal invasiveness, preservation of the introitus, optimal color/texture match, and maintenance of the neurovascular supply