Office-Based Procedures

Endometrial Biopsy

An endometrial biopsy is a procedure to exam the endometrium, the inside lining of the uterus, for abnormalities or signs of cancer. The biopsy is performed by taking a sample of endometrial tissue and examining it under a microscope.

To perform the biopsy, a speculum is inserted into the vagina and a small plastic tube is inserted through the speculum to suction a sample of the lining. Anesthesia may be used but the procedure is usually painless. The biopsy is performed to determine the cause of abnormal menstrual periods, bleeding after menopause or to screen for endometrial cancer.


Colposcopy

If you have an abnormal pap smear or a diagnosis of HPV a colposcopy may be recommended by our providers at One to One FemaleCare. Colposcopy is a diagnostic procedure used to examine, under magnifcation, certain areas of the body and determine abnormalities. A vulvar colposcopy typically examines lesions on the vulva and is used to identify cancer or genital human papillomavirus, also called HPV.

The procedure is done with a colposcope, a microscope that can help identify malignant lesions on the vulva. It is usually performed as a follow-up to an abnormal pap smear. The exam itself is similar to a pap smear in that a speculum is inserted into the vagina so that the cervix is visible. The colposcope is situated so that the physician may view the area in question with a magnification of 10 to 40 times its normal size. If any abnormal cells are noticed, a biopsy of the tissue may be done.

A colposcopy is a safe procedure with few complications. Light bleeding or discharge for up to a week after the procedure is normal.


LEEP Procedure

Loop electrosurgical excision procedure (LEEP) is used to treat abnormal cells found on the surface of the cervix. The physicians at One to One FemaleCare perform the 20-30 minute LEEP procedure in our office, when a pap indicates the presence of abnormal cervical cells, or cervical dysplasia. During the procedure, the abnormal cells are removed to prevent development of cervical cancer.

Wire loops attached to an electrosurgical generator cut away the affected tissue, causing the cells to heat and burst. The tissue removed is sent to a lab for further evaluation, including ensuring that the abnormal area has been fully removed. An assessment as to the cause of the growth of abnormal tissue will also be done. The LEEP procedure takes 20-30 minutes and can be performed in the office. A local anesthetic is administered to minimize pain.


Cryotherapy

At One to One FemaleCare, we perform Cryosurgery only after a colposcopy confirms the presence of abnormal cervical cells. Cervical cryosurgery or cryotherapy is a gynecological treatment that freezes a section of the cervix. Cryosurgery of the cervix is most often done to destroy abnormal cervical cells that show changes that may lead to cancer. These changes are called precancerous cells. Our Clinical staff may use the term cervical dysplasia to explain the affected tissue. Cyrotherapy is also used for the treatment of cervicitis or inflammation of the cervix.

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