In-Office Gynecology Procedures At Joya Women's Healthcare

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Today there are a number of procedures safely performed in the comfort of your doctor’s office under local anesthesia. Some eligible patients may have lower out-of-pocket costs if the procedure is performed in this lower cost of care setting, such as a physician office.Your physician will recommend the best approach for you.

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Endometrial Biopsy

Endometrial biopsy is a quick procedure performed in the office in which a small biopsy or sample of the lining of the uterus is extracted through the cervix.  Endometrial biopsy is routinely performed in women with dysfunctional or abnormal bleeding to rule out pathology.  This is also a necessary procedure prior to endometrial ablation or hysterectomy.

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IUD Insertion

The intrauterine device (IUD) is long acting reversible contraceptive (LARC) which can be quickly placed in the office.  There are three common types of IUDs on the market: the Mirena, the Skyla, and the Paragard.  The benefit of the mirena and skyla is the amount of progestin hormone released, which can reduce and completely prevent menstruation.  For this reason, Mirena is a common form of treatment for heavy and uncontrolled menstruation.  The benefit of the Paragard IUD is that it does not have hormones.

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Nexplanon Insertion

The nexplanon is an implantable form of contraception also considered a long acting reversible contraceptive (LARC).  It is a small rod which can be quickly placed in the upper arm with local anesthetic to prevent pain. 

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Colposcopy

Colposcopy is a common procedure performed for those women with sufficiently abnormal pap smear results.  The colposcopy is much like a vaginal exam but is performed with a staining medium placed on the cervix and the cervix evaluated under microscopy.  Cervical biopsies are often performed at the time of colopscopy.

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Loop Electrical Excisional Procedure (LEEP)

The Leep procedure is performed on those patients with biopsy supported abnormalities of the cervical cells.  It is an in office procedure performed under local anesthesia in which the offending portion of the cervix is removed utilizing a electrocoagulation.  Patients routinely have this procedure performed without pain, significant bleeding, and have resolution of abnormal pap smears without progression to cervical cancer.

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