Colposcopy is a magnified examination of the cervix. A colposcope is similar to a pair of binoculars with a light attached. In order to do colposcopy, the cervix is first cleaned with a mild vinegar solution
DILATION AND CURETTAGE is accomplished with a looped metal scraping tool and is usually done with Hysteroscopy (looking inside the uterus) to evaluate or manage abnormal bleeding in a non-pregnant woman.
Endometrial ablation is the removal or destruction of the lining of the uterus (endometrium). It does not require hospitalization, and most women return to normal activities in a day or two.
An IUD is a small plastic device that is inserted into the uterus (womb) to prevent pregnancy. This IUD works mainly by changing the cervical mucus and the lining of the uterus preventing sperm’s ability to reach the egg and thereby prevents fertilization. Mirena is over 99.9 percent effective.
The “LEEP” procedure is the method I prefer to use to treat or remove most significant abnormal pap smear abnormalities. Loop excision uses a fine wire loop with electrical energy flowing through it to remove the abnormal area of the cervix.
Laparoscopic technology has been steadily improving allowing increasingly complex procedures. The “Minimally Invasive” surgical process involves operating inside the abdomen through very small incisions while watching a video monitor.
Hysteroscopy refers to the use of a thin tubular scope that is inserted through the cervix into the uterine cavity. The Hysteroscope is small enough that it can fit through the cervix with minimal or no dilation.
Myomectomy is the surgical procedure in which uterine fibroids are removed from the uterus. Uterine fibroids (also known as myomas) affect at least 30% (up to 70%) of women. While many fibroids do not need treatment, others can cause abnormal uterine bleeding, pain, pressure or other symptoms
PLEASE Notify us if there is ANY risk of pregnancy before your sterilization procedure. You must be totally celibate (avoid ALL intercourse) following the menses just before your surgical procedure. If a woman is 6-8 days pregnant, her pregnancy test might still be negative.
Knowing the answer to this question is critical
The hope for benefits must outweigh the risks of the procedure.
MOST COMMON REASONS:
Hysterectomy: (Laparoscopic or other)
Laparoscopy:
Hysteroscopy Dilation and Curettage with Polypectomy (if needed)
Ablation of the Endometrium
IF A HYSTERECTOMY IS SCHEDULED SHOULD YOU HAVE YOUR OVARIES REMOVED AT THE SAME TIME?
Usually, the answer is NO!
REMOVING THE OVARIES ELECTIVELY: Most current evidence suggests that the elective removal of the ovaries at the time of hysterectomy is associated with INCREASED overall mortality (death rate). Ovarian removal is also associated with an increased risk of coronary artery disease, dementia, and osteoporosis!
WHO SHOULD KEEP THEIR OVARIES: Woman under 60 with no increased risk factors for ovarian cancer (mother/sister with ovarian Cancer or BrCa gene). and no known endometriosis with chronic pelvic pain .
ONLY SLIGHT REDUCTION OF OVARIAN CANCER: Research shows the risk of subsequent ovarian cancer (when the ovaries are retained) is very low (0.3% after 24 years in the Nurses’ Health Study). Therefore, for most women removing the ovaries to reduce ovarian cancer risk does not make sense.
WHO SHOULD ELECTIVELY GIVE UP OVARIES: (At the time of a hysterectomy) It seems reasonable to offer prophylactic oophorectomy to women over age 60, those with increased ovarian cancer risk or those with chronic pelvic pain and known endometriosis.