In-Office Procedures

NovaSure | Hysteroscopy and Tubal Interruption | LEEP | D&C

NovaSure Abalation

Millions of women experience heavy menstrual bleeding, usually starting in their mid-30s and early 40s. This is not uncommon, as it happens frequently as women approach menopause. These heavy periods are not only inconvenient, but they also can cause fatigue, nausea, abdominal cramps, headaches, depression, mood swings or anxiety.

Our office offers the latest one-time procedure available to alleviate heavy periods – NovaSure®! NovaSure is a 5-minute endometrial ablation procedure. During the procedure, your doctor will remove some or all of your endometrium, a type of tissue that is commonly found on the inside lining of the uterus, that is causing the heavy bleeding. To do so, a slim wand is inserted through your cervix, and a triangular mesh device is opened and expanded to fit accurately inside your uterus. For approximately 90 seconds, your doctor will administer a radio frequency through the device which destroys the endometrium. The triangular device is then folded back inside the thin wand and removed from your body.

To see if NovaSure is right for you, please call our office to schedule a consultation.

Hysteroscopy and Tubal Interruption

For women desiring a permanent method of birth control our doctors can perform hysteroscopic tubal ligation. Using a hysteroscope, which is a thin, lighted and flexible tube, tiny inserts or devices are placed inside the fallopian tubes. To reach the fallopian tubes, the hysteroscope is inserted through the vagina, cervix, and into the uterus. Scar tissue grows in and around the devices, causing a blockage in the fallopian tubes, which prevents sperm from reaching the egg. For comfort, local anesthesia is used.

Many women like hysteroscopic tubal ligation because no incisions are required. Recovery is faster. There is no scarring, and most women can get back to their daily routine within 24 hours. It typically takes about 3 months for the fallopian tubes to become completely blocked. Therefore, a back-up birth control method should be used to prevent pregnancy.


LEEP or the Loop Electrosurgical Excision Procedure is a procedure performed to remove abnormal cells or tissue in the cervix. It is typically done when problems in the vagina or cervix are identified during a pelvic exam, or when the results of a pap smear are abnormal. LEEP may also be used to identify or treat polyps, and human papilloma virus (HPV).

For the procedure, a thin electrified low-voltage wire loop is used to remove abnormal tissue and cells. Any tissue or cells removed will be sent to a lab for further analysis. Typically, a vinegar solution is applied to the cervix. This enables your doctor to see any abnormal cells more clearly.

After the procedure, you may experience mild cramping, spotting and discharge. Take a pain reliever to alleviate discomfort. You should avoid sexual intercourse, heavy lifting and strenuous activity for a couple of weeks.


Dilation and curettage (D&C) is a surgical procedure performed to remove tissue from inside the uterus. Often a D&C is performed to diagnose and/or treat conditions, such as heavy bleeding, and to prevent infection after a miscarriage by clearing out any remaining tissue.

During the procedure, you’ll receive local, regional or general anesthesia. Please do not drink or eat anything after midnight prior to the surgery. Plan on having someone drive you home following the procedure.

After a D&C, you can expect to experience mild to moderate cramping and/or bleeding for a few days. An antibiotic or Methergine (medication used to make your uterus stop bleeding) may be prescribed. It is important to follow your doctor’s instructions for taking these medications; and finish all medicines prescribed. Sexual intercourse should be avoided until the bleeding completely subsides. A post-operative appointment should be scheduled for one week following surgery.