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Dr. Smith is the most caring and understanding doctor I have come across. She really takes the time to make you feel comfortable.
Our Specials

In Office Procedures


Colposcopy

A colposcopy is performed when a Pap smear result shows abnormal cellular changes of the cervix or vagina. A colposcope is a special magnifying instrument that can enlarge the normal view by 2-60 times and is used to examine the cervix or vagina. This procedure allows Dr. Smith to detect problems that cannot be seen by the eye alone.

The procedure is simple and painless and involves applying a mild solution to your cervix and vagina that makes abnormal areas easier to see. If abnormalities are seen, Dr. Smith may take a biopsy using a special instrument. An endocervical curettage may also be performed. This procedure involves taking cells from the inside of the cervix (cervical canal) using a special instrument. This may be a little uncomfortable but is quick and easy.

LEEP (Loop Electrosurgical Procedure)

Loop Electrosurgical Procedure uses a thin wire loop that is connected to a low voltage electrical current that quickly cuts away abnormal cervical tissue detected on pap smear and confirmed by colposcopy and cervical biopsy. This procedure aids in preventing abnormal cells from developing into cervical cancer. It is a simple procedure that is quick and painless and can be performed in the office or hospital. Most women are able to return to their normal daily activities within 1-2 days after the LEEP is performed.

Endometrial Biopsy

An endometrial biopsy is a procedure used to help diagnose problems involving the uterus. It is a procedure performed in the office where Dr. Smith uses a soft, flexible device to suction a small sample of the uterine lining. It is not very painful and fast.

Once the sample is obtained, it is sent to a Pathologist who will examine it under a microscope to detect abnormal cells. An endometrial biopsy can check for cancer cells, and can be used to determine the cause of heavy, prolonged, irregular bleeding.

Essure Sterilization

Essure is a permanent sterilization procedure that does not require abdominal surgery. There are no incisions and it can even be performed in the office. Dr. Smith places tiny inserts through the vagina into the fallopian tubes using a special instrument called a hysteroscope. This instrument is a thin tube with a camera that allows her to see inside the uterus allowing for correct placement of the micro inserts. Over the next 3 months, your body heals over the inserts and forms a barrier that prevents sperm from reaching the egg. As you heal, another form of birth control is needed. After 3 months, a confirmation X-ray test is performed to confirm that your tubes are indeed blocked.

You will need to consult with Dr. Smith to determine if this procedure is a good choice for you.

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Hydrothermal Ablation

The Hydrothermal Ablation (HTA) procedure is used to treat women who suffer from excessive uterine bleeding AND who no longer want to bear children. The procedure involves using a hysteroscope, a special computer-controlled pump and a water heater. During the HTA, the inside of the uterus is flushed with heated water under controlled pressure for 10 minutes. This permanently destroys the inner lining of the uterus. This procedure can be done in the hospital or office, and patients can quickly resume normal activity within one day.

After the procedure, in most cases, patients will experience lighter bleeding and some will have no bleeding. Since the uterine lining is removed, pregnancy after this procedure is not likely. Because of this, it is very important that you are sure you do not want any more children.

Before this procedure can be scheduled, Dr. Smith must make sure that you are an appropriate candidate for HTA. She will perform a pelvic examination and several diagnostic tests to try and find the cause of the abnormal bleeding first. These tests include, but are not limited to, an endometrial biopsy, an ultrasound and blood work. At times, these tests may diagnose abnormal findings such as tumors, polyps or hormonal imbalances that may require other forms of treatment.

Urodynamics

Urodynamics is an in-office series of diagnostic tests to evaluate the function of the bladder and urethra. This testing uses physical measurements, such as urine pressure and flow rate, as well as clinical assessment to determine possible causes for leaky or overactive bladder. The assessment includes a medical history and examination, a urination (voiding) diary, a urine collection with testing and urodynamic studies.

Weakening of the pelvic muscles, infection, certain medications and a variety of other medical illnesses can cause urinary incontinence. About 12 million women are affected with urinary incontinence in the United States. Many women have problems with urinary incontinence but are reluctant to discuss this problem with their doctor. Dr. Smith encourages you to discuss your concerns with her because urinary incontinence is easy to treat and something you don’t "have to live with." She offers a variety of medical and surgical treatments to help alleviate your symptoms and improve your life.

Schedule an appointment with Dr. Smith today for an evaluation.