IN OFFICE SURGERIES

This type of surgery uses a small camera, which is introduced through the cervix to view the cavity of the uterus.  It can be used as a diagnostic tool to determine the presence of polyps, fibroids, scar tissue etc.  It can also be used to remove polyps or fibroids or place a sterilization device.  Often, before having this type of surgery, you will be required to take a specific medication two times the day prior to surgery.  This medication softens the cervix allowing for a more comfortable introduction of the hysteroscope. After the procedure, it is common to experience light bleeding or discharge that can last up to 2-3 weeks.  If you experience a fever, prolonged nausea and vomiting, or severe pain not relieved by an over the counter pain reliever, and bleeding heavier than that associated with a period, you must call your physician.  You must abstain from intercourse, douching, the use of  tampons or tub baths and swimming for at least 2 weeks following your procedure.

This type of procedure is often performed in conjunction with a hysteroscopy.  The cervix is typically dilated to allow instruments to be passed into the uterine cavity.  Once inside the cavity, samples of the uterine lining can be obtained, polyps/fibroids removed, or an endometrial ablation performed.  Any sample that is removed can be sent to pathology for further analysis.  The results are usually available within 7-10 days.  Post-procedure restrictions are the same as for hysteroscopy.

An endometrial ablation is a treatment option for women who have abnormal uterine bleeding.  The goal of this procedure is to scar or destroy the lining of the uterus to terminate menstruation or decrease its incidence.  This type of surgery can only be done for women who have abnormal bleeding due to benign conditions (non-cancerous) and are not considering  future pregnancy.  The evaluation of a patient for an ablation includes an ultrasound to measure the size of the uterus cavity as well as a biopsy of the lining of the uterus.  The endometrial biopsy (described above) is necessary to exclude any pre-cancerous lesions of the uterus.  After these steps are complete, the patient may meet with the physician, and the type of endometrial ablation which is most appropriate can be discussed. It is common to perform this procedure in conjunction with a hysteroscopy D&C.  This can be done in the office or, at times, as an outpatient at the hospital.  After the procedure it is normal to have a thin yellow, peach or bloody discharge that can last for weeks.  It also takes time for the healing/scarring to take place within the uterus.  It is normal that you may have bleeding or even a period after the procedure for up to 6 months.  You should call the office after the procedure if you have a temperature greater than 101, severe abdominal pain, or prolonged/ heavy bleeding.

The Woman’s Group offers cosmetic procedures to improve the appearance of the vulva. Some women may notice that one or both labia are large or cosmetically unappealing. These may pose aesthetic problems when wearing tight fitting clothing, working out, or during intercourse. If you feel that this is a problem for you, make an appointment with a physician for evaluation. Often these cosmetic procedures can be done in the office.