In-Office Procedures

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.