Office Procedures

We offer a variety of special office procedures. 

Vulvar Labiaplasty
Loop Electro Excisional Procedure (LEEP)
Colposcopy: Cervical and Vulvar
Pelvic Ultrasounds
Early Termination of Pregnancy
Office Diagnostic Hysteroscopy with Endosee
Endometrial Biopsy
Excision of Vulvar Lesions
Insertion and Removal of Intrauterine Devices (IUD)
Nexplanon Insertion and Removal
Gardasil 9 HPV Vaccine


Vulvar Labiaplasty

We offer highly specialized surgery to restore and enhance the appearance of the vaginal area. These procedures, frequently referred to as “Vaginal Rejuvenation,” “Aesthetic Vaginal Surgery,” “Cosmetic Vaginal Surgery,” or “vaginoplasty,” resurfaces and tightens the tissues to reclaim the youthful appearance and function of the vulvar and vaginal area. In ordinary terms, the procedure is essentially a “face lift” for the vulva and vagina.

Due to the effects of childbirth, aging, trauma, and/or genetics, the vaginal tissue and surrounding muscles can become stretched and lose their strength and tone. The loose and unsatisfying feeling that many women feel can also be felt by their male partner during intercourse. Labial enlargement, unevenness, or traumatic tears from childbirth can also affect the labia to make it look unappealing. This can result in discomfort with intimate contact, chronic rubbing, a pulling sensation, vulvar pain, and an inability to wear certain types of clothes such as tight jeans or swimsuits. Most women simply live with these symptoms but now help is available. Femininity can be restored.

These surgical procedures can increase friction during intercourse and can enhance intimacy. Furthermore, labial contouring, commonly referred to “labiaplasty,” can be performed in the office in an outpatient setting.

Treatment For Abnormal Paps: Loop Electro-Excisional Procedure (Leep)

What is a loop electrosurgical excision procedure (LEEP) and why is it done?
If you have an abnormal Pap test result, we may suggest that you have a loop electrosurgical excision procedure (LEEP) as part of the evaluation or for treatment. LEEP is one way to remove abnormal cells from the cervix by using a thin wire loop that acts like a scalpel (surgical knife). An electric current is passed through the loop, which cuts away a thin layer of the cervix.

How is LEEP performed?
A LEEP should be done when you are not having your menstrual period to give a better view of the cervix. In most cases, LEEP is done in our office. The procedure only takes a few minutes.

During the procedure you will lie on your back and place your legs in stirrups. We will insert a speculum in the same way as for a pelvic exam. Local anesthesia will be used to prevent pain. It is given through a needle attached to a syringe. You may feel a slight sting, then a dull ache or cramp. The loop is inserted into the vagina to the cervix. There are different sizes and shapes of loops that can be used.

After the procedure, a special paste may be applied to your cervix to stop any bleeding. Electrocautery also may be used to control bleeding. The tissue that is removed will be studied in a lab to confirm the diagnosis.

Colposcopy (Evaluation Of Abnormal Pap Smear)

Even though most abnormal Pap tests are caused by an HPV infection that will go away or by an inflammation that can be treated, you will need a follow-up evaluation to make sure your abnormal cell changes have resolved. Your need for treatment will vary depending on whether your abnormal cell changes are mild, moderate, or severe. Abnormal Pap test results may show minor cell changes (most common), moderate to severe cell changes (less common), or cervical cancer (rare). Depending upon the cause and severity of the cervical cell changes, you may need treatment.

If your Pap test shows that a vaginal infection or a treatable sexually transmitted infection (STI) is present, you can be treated with medicine.

Human papillomavirus (HPV) infection is the most common cause of an abnormal Pap test. There are many types of HPV. High-risk types can cause cell changes that could develop into cancer.

Pelvic Ultrasounds

A pelvic ultrasound provides pictures of the structures and organs in the lower abdomen and pelvis.

Ultrasound imaging, also called ultrasound scanning or sonography, involves the use of a small transducer (probe) and ultrasound gel to expose the body to high-frequency sound waves.

Ultrasound is safe and painless, and produces pictures of the inside of the body using sound waves. Ultrasound examinations do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body’s internal organs, as well as blood flowing through blood vessels.

Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions.

Early Termination Of Pregnancy (Medical Abortion Pill , Ru486)

The Abortion Pill (RU-486 or Medication abortion) is a safe way to end a pregnancy in the earliest stages without surgery. Many women choose this method because it feels more natural. They like being at home, having a friend or family member with them, not needing surgery or anesthesia and having more control over their medical care.

While the Abortion Pill method is a private experience, it is not one to go through alone. Having a good support system is essential. Understanding what is ahead is important. We hope the following information will be helpful in making the choice on whether the Abortion Pill is the right method for you.

What is the Abortion Pill and how does it work?
Using a series of carefully prescribed pills, a medication abortion terminates a pregnancy in the privacy of your home and allows you to have loved ones around you.

The first pill you are given is called Mifeprex (Mifepristone) and is taken in our office. This pill stops the pregnancy from growing. The second set of medications and pain medication are given to you to take at home. These expel the pregnancy. Please understand that in some ways the Abortion Pill (RU-486) is very uncomplicated, no surgery, no anesthesia, etc. But, taking these pills involves a greater level of participation from you. Factors such as your emotions, comfort level, family implications, time and place must be considered for a positive outcome.