Office Based Procedures | OBGYN | Together Women’s Health

Office Based Procedures

OFFICE BASED MINIMALLY INVASIVE PROCEDURES

Our surgical suite gives our patients the ability to have certain procedures done in the comfort and privacy of our office. We offer the following procedures in the office:

Dilation and Curettage (D&C)

Dilation and curettage is a procedure that is done for evaluation and treatment of uterine bleeding as well as after a miscarriage. The cervix is gradually dilated and then a small instrument is placed inside to gently scrape the walls of the uterus. After a miscarriage, a suction device is also used to help empty the uterus.
  • IV sedation and local numbing medicine are used for patient comfort
  • The procedure lasts about 15-30 minutes
  • Cramping and spotting are normal for about a week after the procedure

Hysteroscopy

A hysteroscopy is a special procedure that allows your physician to look inside your uterus by placing a small telescope with a camera through the cervix. It is performed to evaluate uterine issues such as abnormal bleeding patterns, uterine polyps or fibroids, or infertility. It also is performed with an endometrial ablation.  No incisions are necessary for the procedure. The benefit of an office-based hysteroscopy is that it allows women to get an immediate diagnosis of their symptoms in a private and safe environment, and to return to normal activities in a short period of time.
  • Do not eat or drink anything six hours prior to the procedure.
  • After the administration of IV sedation by an anesthesiologist to make you more comfortable, your physician will place a local anesthetic around the cervix so that your post-operative discomfort is minimal.
  • The cervix is then slightly dilated to allow the passage of the hysteroscope. A small amount of sterile fluid is then introduced into the uterine cavity to help expand the cavity for better visualization.
  • The uterine cavity is then evaluated for any abnormalities, and if any polyps or scar tissue is noted, can be removed immediately.
  • A normal office hysteroscopy takes no more than 30 minutes.
  • You should bring someone with you to take you home.
  • Risks for the procedure are small and include infection and bleeding.
  • Mild menstrual cramping and bleeding are normal for 3-7 days after the procedure
Your physician will have you return to the office within two weeks to make sure you have recovered well and to decide on follow-up care.

Myosure
Novasure

If you have had a procedure in the office, click here for post-operative instructions.

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