An endometrial biopsy is a procedure used to evaluate the lining of the uterus. During the biopsy small tissue samples are taken from the uterine lining. The tissue samples are used to evaluate certain medical problems such as heavy or irregular periods or bleeding after menopause. The procedure takes only a few minutes to perform.

Preparing for the procedure- For 24 hours prior to your procedure avoid using vaginal medications and douching. You may wish to take Ibuprofen 600mg 30-45 minutes prior to your appointment to help minimize discomfort during your procedure.

After the procedure- You may experience mild cramping and light bleeding or spotting. Call the office if you have a fever >101° F, foul smelling or unusual discharge, severe abdominal pain, heavy vaginal bleeding (more than one pad per hour for 2 hours), or any other questions or concerns.

A colposcopy is a procedure done to evaluate the cervix after an abnormal pap smear. During the procedure, a speculum is inserted into the vagina and a vinegar solution will be applied to your cervix so the abnormal cells can be seen by your doctor. If abnormal cells are seen, a biopsy (tissue sample) may be taken so the cells can be further examined under the microscope to see if further treatment is needed.

Preparing for the procedure- The procedure is best performed when you are not having your period. For 24 hours prior to the test it is best to avoid sex, douching, using tampons, and using vaginal medications.

After the procedure- You may have some mild spotting for several days. If you have a biopsy, you may have a dark discharge for several days and mild cramping. For 1 week after your biopsy do not have sex, use tampons, or douche. Call the office if you have a fever >101° F, foul smelling or unusual discharge, severe abdominal pain, heavy vaginal bleeding (more than one pad per hour for 2 hours), or any other questions.

A LEEP is a procedure used to treat abnormal cells that if left untreated may progress to cervical cancer. A thin wire loop is used to remove the surface cells of the cervix. During the procedure a speculum will be placed and your cervix will be numbed with local anesthetic. You may experience a dull ache or cramping during the process. The entire procedure usually takes less than 10 minutes.

Preparing for the procedure- The procedure is best performed when you are not having your period. For 24 hours prior to the test it is best to avoid sex, douching, using tampons, and using vaginal medications.

After the procedure- Do not have sex, douche, and do not use tampons until your return visit. Make sure to rest the day of your LEEP. You may return to work or school the day after the procedure. You may have a watery, clear, brown, or bloody discharge. It may have a mild odor. This is normal. Bleeding or spotting 7-10 days after the LEEP can occur and it may be similar to a menstrual period. This is normal. You may experience some lower abdominal discomfort or cramps for 1-2 days after the procedure. You may take Tylenol or Ibuprofen if needed. You may find a heating pad helpful. Call the office if you have a fever >101° F, foul smelling or unusual discharge, severe abdominal pain, heavy vaginal bleeding (more than one pad per hour for 2 hours), or any other questions or concerns.

A HSG is a procedure used to evaluate for blockages in the tubes or to detect abnormalities in the uterine cavity. It is a test routinely used during the evaluation of infertility or recurrent miscarriages. It is performed in the radiology department and takes less than 10 minutes. A speculum will be placed and a catheter will be inserted inside the uterus. Dye will be slowly injected while the radiologist takes films. You may feel some cramping and or pressure during the procedure. You will receive preliminary results at the time of your procedure.

To schedule your HSG please the office at 508-755-4861 on the first day of your menstrual cycle. We will then schedule the procedure between cycle days 7-12. The morning of your test take ibuprofen 600mg 45 minutes prior to your appointment.

After the procedure, you may experience cramping, mild nausea, and slight vaginal bleeding. Call the office if you have a fever >101° F, foul smelling or unusual discharge, severe abdominal pain, heavy vaginal bleeding (more than one pad per hour for 2 hours), or any other questions or concerns.

A sonohysterogram is a specialized ultrasound performed in the office to examine the inside of the uterine cavity. It is used to evaluate abnormal bleeding, infertility, and recurrent miscarriages. When you come to your appointment a standard vaginal ultrasound will be performed first. Then your doctor will come into the ultrasound suite to complete the exam. A speculum will be placed and a small catheter inserted into the uterus. A saline solution will then be injected into the uterus allowing your doctor to assess the inner lining of your uterus. The whole procedure takes less than 10 minutes. You may experience some cramping during the procedure. To help minimize discomfort during the exam, you may take 600mg of Ibuprofen 45 minutes prior to your appointment time.


After the procedure, you may have some mild cramping. Call the office if you have a fever >101° F, foul smelling or unusual discharge, severe abdominal pain, heavy vaginal bleeding (more than one pad per hour for 2 hours), or any other questions or concerns.

An IUD is an intrauterine device used most commonly for contraception, but it may also be used in patients to control abnormal, heavy vaginal bleeding. It is placed in the office and takes only a few minutes to insert. Sometimes it is placed using ultrasound guidance, this decision will be made by your doctor at the time of insertion. During the procedure, you may experience some menstrual type cramping. In order to decrease your discomfort take ibuprofen 600mg 45 minutes prior to your appointment time.

After the procedure, you may have some mild to moderate cramping for 1-2 days after the procedure. Use Ibuprofen as needed. You may also experience irregular vaginal bleeding, this is normal. Call the office if you have a fever >101° F, foul smelling or unusual discharge, severe abdominal pain, heavy vaginal bleeding (more than one pad per hour for 2 hours), or any other questions or concerns.

An endometrial ablation is used to treat heavy vaginal bleeding with no underlying cause. It is a short procedure that destroys the inner lining of the uterus. There are now two types of ablative procedures that can be done in the office.

Ablations are minimally invasive, require no incisions, and can be done in the office under local anesthesia. 90 percent of patients are satisfied with their bleeding after the procedure. After the procedure, it is normal to experience menstrual like cramping, watery discharge, and frequent urination for 24 hours. You should be able to return to work within 24-48 hours after the procedure

Using the Essure coil system, it is now possible to undergo a permanent contraception in the office and avoid the operating room and general anesthesia. Essure uses flexible coil inserts to block the fallopian tubes. The coils are placed under direct visualization using a device called a hysteroscope (a small camera to look inside of the uterus). Once the coils are placed, the tubes adhere to the coils creating a barrier to prevent pregnancy. After approximately 3 months, a special x-ray test (HSG) is used to ensure blockage of the fallopian tubes.

The procedure requires no incisions, no general anesthesia, and no hormones. It is a permanent method of birth control with success rates equal to other types of tubal ligations. Most patients are able to return to normal activities within 24-48 hours. The Essure procedure is covered by most insurance carriers. If you have an allergy to nickel or nickel products, you would not be able to have this procedure done (the coils are made of nickel).