In-Office Procedures

What are gynecological in-office procedures?

Gynecological in-office procedures are minimally invasive diagnostics or treatments for women’s health issues. In-office procedures often use endoscopic instruments that consist of flexible tubes fitted with a light and camera. The camera sends images to a screen for your provider to view.

You might require an in-office procedure for the following problems:

• Heavy periods
• Pelvic pain
• Irregular menstruation
• Infertility
• An abnormal Pap smear

Your provider might recommend an in-office procedure if you have symptoms that other tests can’t diagnose or to confirm a possible diagnosis, such as endometriosis (where endometrial tissue grows outside the uterus).

What gynecological in-office procedures are available?

Procedures the Mira Women’s Health team perform include:

• Endometrial ablation: Endometrial ablation uses heat to remove the endometrium — the uterine lining that bleeds and sheds during menstruation. It reduces or eliminates heavy menstrual bleeding and offers significant relief for women with endometriosis. You should only undergo endometrial ablation if you don’t want children afterward.
• Colposcopy: Colposcopy enables your provider to see your cervix in detail. They dilate your vagina with a speculum as they do when you have a Pap smear and apply a liquid to your cervix that highlights abnormal cells. Your provider positions the colposcope instrument, so they have a magnified view. They may take a biopsy (cell sample) for further testing if they see any abnormal tissues.
• Loop electrosurgical excision procedure (LEEP): LEEP removes abnormal cervical cells for lab analysis. Your provider numbs your cervix and then uses the LEEP instrument to extract a layer of cells.
• Hysteroscopy: A hysteroscopy allows your provider to view the inside of your uterus. They insert the instrument through your cervix, from where the camera transmits images to your provider’s screen. In addition to examining the uterus, the Mira Women’s Health team can use hysteroscopy as a guide during other in-office procedures, such as polypectomy that removes polyps (small, typically noncancerous growths).
• Dilation and curettage (D&C): A D&C removes tissue from inside your uterus using gentle suction. You might need a D&C after a miscarriage or to gather tissue for lab analysis.

Call the office to learn more about the gynecological in-office procedures Mira Women’s Health offers. You can also use the online booking form to request an appointment.