In-office procedures

We are committed to enhancing our surgical techniques and offering you advanced treatment options. As a result, we can perform many gynecological procedures are right here in our office.

Benefits to you

Our ability to provide in-office procedures is more cost-effective, convenient and time-efficient for you.

For most patients, an in-office procedure is much less expensive than outpatient surgery in a hospital.

If you are undergoing an in-office procedure with us, we will provide you with detailed instructions before the procedure and also provide you with information of what to expect afterwards.

Our in-office procedure room

Our in-office procedure room

Summary of our in-office procedures


A colposcopy is done if your Pap test shows changes in the cells of the cervix that could lead to cancer. It provides more information about the abnormal cells. Colposcopy is a way of looking at the cervix through a special magnifying device called a colposcope. It shines a light into the vagina and onto the cervix. A colposcope can enlarge the normal view by 2-60 times so we can find problems that cannot be seen by the eye alone.

Endometrial ablation

If you suffer from heavy periods, an endometrial ablation destroys a thin layer of the lining of the uterus with a heated saline solution to control or stop bleeding altogether.

It does not remove the uterus and is NOT a form of birth control, so you still need to discuss contraceptive options with your doctor.

You may experience some cramping during the treatment portion of the procedure. You may have light spotting or discharge for up to 6 weeks after the procedure.

Dilatation and Curettage ("D&C")

A D&C helps evaluate and treat abnormal uterine bleeding. It may also be done during a miscarriage. During a D&C, the cervix is dilated, and an instrument is passed through the cervical opening to remove any abnormal or thickened tissue from the uterus. It is often performed in conjunction with a hysteroscopy.


A hysteroscopy is used to visualize and evaluate the inside of the uterus and can be used to diagnose or treat some problems within the uterus; usually abnormal bleeding. It is a thin, telescope-like device that is inserted into the uterus through the vagina and cervix. Hysteroscopy is a minor surgical procedure with most patients only experiencing menstrual-like cramping after the procedure.  Most patients are able to return to normal activities within a day.

LEEP (Loop Electrosurgical Excision Procedure)

If your Pap test has an abnormal result and after we perform a colposcopy to identify the abnormal cells in your cervix, we can remove the abnormal cells with LEEP. A fine wire loop with a special high-frequency electrical current allows us to remove the abnormal tissue from your cervix. New, healthy cells will then grow. You will need to continue to have regular exams and Pap tests to continue screening for potential cervical problems.


Essure is PERMANENT birth control and cannot be reversed. We place soft, flexible micro-inserts into the fallopian tubes. No incision is needed. Over the course of a few weeks, a natural barrier forms around the micro-inserts and prevents sperm from reaching eggs. Three months after the procedure, you need to have a test to ensure that you are protected from pregnancy. We use a dye and a special type of x-ray to make sure your fallopian tubes are blocked. You MUST continue to use another form of birth control until your 3-month test confirms that you are protected from an unplanned pregnancy. You will still have periods.