In-Office Procedures

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At Women’s Health we offer minimally invasive in-office procedures.

Endometrial Biopsy

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.

Colposcopy

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 the week following your biopsy, do not put anything in the vagina (for example: tampons, intercourse). 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.

LEEP (Loop Electrocautery Excisional Procedure)

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 intercourse, douching, using tampons, and using vaginal medications.
What to expect after the procedure- 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.

  • Do not put anything in your vagina or rectum (for example: tampons, douching or intercourse) for 4 weeks after treatment
  • Avoid swimming or heavy exercise for 2 weeks after your LEEP

You may experience some lower abdominal discomfort or cramps for 1-2 days after the procedure. You may take Tylenol or Ibuprofen (as long as you have not been advised to avoid either) 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.

Hysterosalpingogram (HSG)

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. Forty-five minutes prior to your appointment, we advise you take 600mg of Ibuprofen (unless you have been advised against taking NSAID’s such as Motrin – in which case you make take the recommended dosage of Extra Strength Tylenol).
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.

Sonohysterogram – 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.

Intrauterine Device (IUD) insertion – WHCMA offers two types of IUDs, Paraguard: a copper IUD which is effective for up to ten (10) years and the Mirena which contains hormones and is effective for five (5) years.

Endometrial Ablation – Women’s Health offers two types of ablations, Novasure and Therma Choice balloon ablation, both of which can be performed in the office for women suffering from excessive menstrual bleeding. This procedure is only recommended for women who have completed childbearing. Discuss your options with your health care provider.

Permanent Contraception – Women’s Health offers permanent contraception performed in-office: Essure. This procedure requires no incisions, no general anesthesia and no hormones. It is a permanent methods of birth control and only recommended for women who have completed childbearing. Most patients report minimal discomfort and are usually able to return to normal activities within 24 hours.