Seasons Women's Care Gynecology

Colposcopy/ LEEP: In the case of an abnormal pap smear, we may need to perform a colposcopy. This is a more in-depth exam of the cervix during which a biopsy may be taken of abnormal areas on the cervix. This simple procedure can be done in the office and does not require anesthesia.


Depending on the result, some pap smear abnormalities can be followed by serial pap smears set at specific times throughout the year. In some cases, however, a LEEP procedure may be required to remove high grade or persistently abnormal cells on the cervix. This can be done in the office under a local anesthetic. It can also be done in the operating room under IV sedation.


Biopsies: Uterine biopsies may be indicated for various forms of irregular bleeding or ultrasound abnormalities of the uterus. This is an office procedure requiring no anesthesia. Biopsies of the vulvar or vaginal areas can be done under local anesthesia if indicated.


Hysteroscopy: This is a simple procedure in which a thin camera is placed through the cervix into the uterine cavity. It can be used as a diagnostic procedure (for example, to discover the cause of heavy bleeding) and also to treat a number of conditions. These include treatment for fibroids (myomectomy), tubal sterilization (such as Adiana or Essure ™), removal of polyps or scar tissue, and endometrial ablation.


Permanent Birth Control Solutions: Permanent contraception is a made convenient, simple and safe with a minimally invasive procedure that can permanently prevent pregnancy. It works by stimulating your body’s own tissue to grow in and around tiny, inserts that are placed inside your fallopian tubes. At Seasons Women’s Care we offer two options, Essure and Adiana.


With either option, there are no hormones or drugs necessary.  There is minimal cramping during the procedure. We do pre-medicate you with oral pain medication about 30 minutes prior to the procedure. Ten minutes prior to the procedure we perform a local anesthetic block around the cervix. The procedure itself takes about 10 minutes and postoperative discomfort is minimal. Many women can have this performed without general anesthesia and are back to work or usual activities in 1-2 days.


Endometrial Ablation: This is a procedure performed to eliminate or greatly reduce menstrual bleeding. Heavy bleeding is usually defined as bleeding that is disruptive to your life. If you are soaking pads and changing them often or you are having embarrassing bleeding accidents, then you may be a candidate for endometrial ablation. Other indicators may include – If you feel lightheaded or fatigued during your period, are passing clots, are having pain or cramping with your period, or your period is lasting longer than 7 days.  Ablation uses cautery to destroy the uterine lining (endometrium). In most cases this can be performed in less than 20 minutes with most patients able to return to work in 1-2 days.

We provide two options at Seasons Women’s Care NovaSure® system and Thermachoice.


Mirena: Mirena, a soft, flexible IUD (intrauterine device), releases small amounts of hormone locally into your uterus. It can remain in your uterus for up to five years and give you a form of birth control until removed.


Paragard IUD: This is a 10 year copper, hormone free IUD.


Nexplanon: This is a 3 year, subdermal implant in the arm,with hormones.