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In-Office Procedures

Colposcopy is often done when a pap smear shows abnormal cells that could lead to cancer. Colposcopy may also be used to further assess pain, bleeding, polyps, genital warts and cervicitis. It is a special way of looking at the cervix through a magnifying device that can enlarge the normal view by 2-60 times to allow for identification of areas with abnormal cells. A biopsy, removal of abnormal tissue, may be taken from both the external cervix and cervical canal to aid in diagnosis and treatment. Minimal discomfort is reported, and some patients may experience vaginal soreness and light bleeding for a few days.

Loop Electrosurgical Excision Procedure (LEEP)
An effective and simple way to treat cervical dysplasia. Dysplasia is when cervical cells become abnormal, increasing risk for cervical cancer. Abnormal cells are most often detected by the Pap smear and confirmed with biopsies during colposcopy. LEEP uses a thin wire loop with an electrical current, which cuts away a thin layer of the surface cells. Pain medication and local anesthesia are given, with patients reporting a sensation of dull ache or cramping during the  procedure.

Endometrial Biopsy (EMB)
Rapid, safe and inexpensive sampling of the endometrial lining is a common procedure in the workup of women with abnormal vaginal bleeding. Tissue is aspirated from the endometrium using a narrow pipelle. The patient will experience uterine cramping during the short time that the instrument is inside the uterus, with resolution at completion of procedure.

With the addition of office-based anesthesia, we have the ability to perform both diagnostic and treatment procedures in a more comfortable and convenient setting.