Office Procedures

We offer a variety of special office procedures. Click on each of the titles below for more information:

Vulvar Labioplasty

We offer highly specialized surgery to restore and enhance the appearance of the vaginal area. These procedures, frequently referred to as “Vaginal Rejuvenation,” “Aesthetic Vaginal Surgery,” “Cosmetic Vaginal Surgery,” or “vaginoplasty,” resurfaces and tightens the tissues to reclaim the youthful appearance and function of the vulvar and vaginal area. In ordinary terms, the procedure is essentially a “face lift” for the vulva and vagina.

Due to the effects of childbirth, aging, trauma, and/or genetics, the vaginal tissue and surrounding muscles can become stretched and lose their strength and tone. The loose and unsatisfying feeling that many women feel can also be felt by their male partner during intercourse. Labial enlargement, unevenness, or traumatic tears from childbirth can also affect the labia to make it look unappealing. This can result in discomfort with intimate contact, chronic rubbing, a pulling sensation, vulvar pain, and an inability to wear certain types of clothes such as tight jeans or swimsuits. Most women simply live with these symptoms but now help is available. Femininity can be restored.

These surgical procedures can increase friction during intercourse and can enhance intimacy. Furthermore, labial contouring, commonly referred to “labiaplasty,” can be performed in the office in an outpatient setting.

Alternative Insemination

Although Alternative Insemination is often called “artificial insemination,” we prefer the term “alternative” because there is nothing “artificial” about the process.

We provide both intrauterine and vaginal inseminations at our office. Because our program respects the body’s natural fertility cycles, we offer insemination every day and evening.

Treatment For Abnormal Paps: Loop Electro-Excisional Procedure (Leep)

What is a loop electrosurgical excision procedure (LEEP) and why is it done?
If you have an abnormal Pap test result, we may suggest that you have a loop electrosurgical excision procedure (LEEP) as part of the evaluation or for treatment. LEEP is one way to remove abnormal cells from the cervix by using a thin wire loop that acts like a scalpel (surgical knife). An electric current is passed through the loop, which cuts away a thin layer of the cervix.

How is LEEP performed?
A LEEP should be done when you are not having your menstrual period to give a better view of the cervix. In most cases, LEEP is done in our office. The procedure only takes a few minutes.

During the procedure you will lie on your back and place your legs in stirrups. We will insert a speculum in the same way as for a pelvic exam. Local anesthesia will be used to prevent pain. It is given through a needle attached to a syringe. You may feel a slight sting, then a dull ache or cramp. The loop is inserted into the vagina to the cervix. There are different sizes and shapes of loops that can be used.

After the procedure, a special paste may be applied to your cervix to stop any bleeding. Electrocautery also may be used to control bleeding. The tissue that is removed will be studied in a lab to confirm the diagnosis.

Colposcopy (Evaluation Of Abnormal Pap Smear)

Even though most abnormal Pap tests are caused by an HPV infection that will go away or by an inflammation that can be treated, you will need a follow-up evaluation to make sure your abnormal cell changes have resolved. Your need for treatment will vary depending on whether your abnormal cell changes are mild, moderate, or severe. Abnormal Pap test results may show minor cell changes (most common), moderate to severe cell changes (less common), or cervical cancer (rare). Depending upon the cause and severity of the cervical cell changes, you may need treatment.

If your Pap test shows that a vaginal infection or a treatable sexually transmitted infection (STI) is present, you can be treated with medicine.

Human papillomavirus (HPV) infection is the most common cause of an abnormal Pap test. There are many types of HPV. High-risk types can cause cell changes that could develop into cancer.

Pelvic Ultrasounds

A pelvic ultrasound provides pictures of the structures and organs in the lower abdomen and pelvis.

Ultrasound imaging, also called ultrasound scanning or sonography, involves the use of a small transducer (probe) and ultrasound gel to expose the body to high-frequency sound waves.

Ultrasound is safe and painless, and produces pictures of the inside of the body using sound waves. Ultrasound examinations do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels.

Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.

Saline Infusion Sonohysterography (SIS)

Saline infusion sonohysterography is a procedure in which fluid is instilled into the uterine cavity transcervically to provide enhanced visualization of the endometrial lining during transvaginal ultrasound examination. It is recommended in women with abnormal bleeding to evaluate for focal lesions such as polyps and fibroids which may also be causes of reduced fertility. The test is scheduled when the endometrium will be as thin as possible from the last day of the period until three to four days after the bleeding has ended.

Vulvar Colposcopy and Biopsy

Loop Electro Excisional Procedure (LEEP)

Office Diagnostic Hysteroscopy with Endosee

Endometrial Biopsy

Insertion and Removal of Intrauterine Devices (IUD)

Nexplanon Insertion and Removal

Vaccinations: Gardasil 9