In-Office Procedures
We provide a variety of in-office procedures to ensure timely diagnosis and treatment in a comfortable, familiar setting. We encourage patients to review our In-Office Procedure Payment Policy in-office procedure payment policy and available payment plan options.
Comfortable, Dedicated Procedure Rooms
We offer two procedure rooms, designed to provide patient comfort and privacy. Our procedure rooms are staffed by experienced registered nurses who provide skilled, compassionate care.
Expert Pathology Services
All pathology specimens are sent to Seacoast Pathology for processing, where they are interpreted by board-certified pathologists within Spectrum Medical Group. This partnership ensures expert review and reliable diagnostic accuracy for every specimen.
Comfort During Procedures
We offer Nitrous Oxide (laughing gas) as a safe and effective option to help reduce pain and anxiety during procedures.
Important Procedure Policy
If you are under age 55, a pregnancy test is required before most in-office procedures. You will be directed to our lab to leave a urine sample when you arrive for your procedure.
Colposcopy
A colposcopy is a simple, in-office procedure that lets your healthcare provider take a closer look at the cervix, vagina, and vulva using a special magnifying instrument called a colposcope. It is usually recommended after an abnormal Pap smear or if other symptoms require further examination. During the procedure, your provider may take small tissue samples (biopsies) for testing. Colposcopy helps detect abnormal or precancerous cells early, allowing for prompt treatment if needed.
Timing
Can be scheduled at any time, but it’s often easier when you are not on your period.
What to expect
You’ll lie on an exam table like during a Pap smear. A vinegar-like solution is applied to highlight any abnormal cells. If a biopsy is taken, you may feel a quick pinch or cramp.
How to prepare
Avoid vaginal creams, douches, or intercourse for 24 hours before your visit. If you have no allergy to NSAIDs, you may take 600 mg of ibuprofen with food about 45 minutes before your appointment to help with comfort.
LEEP (Loop Electrosurgical Excision Procedure)
LEEP is a simple, in-office procedure used to remove abnormal cells from the cervix. It is usually recommended after a Pap smear and colposcopy show changes that need treatment. This procedure does not mean you have cancer. The removed tissue is carefully examined to ensure all abnormal cells are gone and to confirm the results.
Timing
It is best to have this procedure done immediately following your menstrual period. This procedure cannot be done if you are actively bleeding from your period.
What to expect
The cervix is numbed with local anesthesia. A speculum is placed, and a thin wire loop with a small electrical current removes the abnormal tissue. Mild cramping and light bleeding are normal afterward.
How to prepare
You should not use tampons, vaginal medications, douche, or have sexual intercourse for 48 hours prior to the procedure. If you have no allergy to NSAIDs, you may take 600 mg of ibuprofen with food about 45 minutes before your appointment to help with comfort.
Endometrial Biopsy
An endometrial biopsy (EMB) is a quick, in-office procedure to collect a small sample of the uterine lining. The sample is sent to pathology to help your doctor understand what’s happening. This test may be used to evaluate abnormal, heavy, or postmenopausal bleeding, follow up on certain Pap results, or support infertility evaluation.
Timing
The test is usually performed after your period ends but before ovulation (days 6–12 of your cycle). If you are postmenopausal or experiencing irregular bleeding, it can be performed at any time.
What to expect
Our provider will clean the cervix and place a thin, flexible tube into the uterus to collect the sample. You may feel cramping for a short time during and after the procedure. The tissue is sent to the lab, and results are shared with you when available.
How to prepare
If you have no allergy to NSAIDs, you may take 600 mg of ibuprofen with food about 45 minutes before your appointment to help with comfort.
Sonohysterogram
A sonohysterogram is a specialized ultrasound that provides a detailed view of the inside of the uterus. During the procedure, a small amount of sterile fluid is introduced into the uterine cavity, helping your doctor evaluate the lining and identify abnormalities such as polyps, fibroids, or other changes. Often, an endometrial biopsy is performed at the same time. This safe, minimally invasive office procedure provides valuable information for diagnosis and treatment planning.
Timing
The test is usually performed after your period ends but before ovulation (days 6–12 of your cycle). If you are postmenopausal or experiencing irregular bleeding, it can be performed at any time.
What to expect
You may feel mild cramping as the fluid is placed in the uterus. The ultrasound probe is moved gently to capture images.
How to prepare
If you have no allergy to NSAIDs, you may take 600 mg of ibuprofen with food about 45 minutes before your appointment to help with comfort.
Sonohysterogram
A sonohysterogram is a specialized ultrasound that provides a detailed view of the inside of the uterus. During the procedure, a small amount of sterile fluid is introduced into the uterine cavity, helping your doctor evaluate the lining and identify abnormalities such as polyps, fibroids, or other changes. Often, an endometrial biopsy is performed at the same time. This safe, minimally invasive office procedure provides valuable information for diagnosis and treatment planning.
Timing
The test is usually performed after your period ends but before ovulation (days 6–12 of your cycle). If you are postmenopausal or experiencing irregular bleeding, it can be performed at any time.
What to expect
You may feel mild cramping as the fluid is placed in the uterus. The ultrasound probe is moved gently to capture images.
How to prepare
If you have no allergy to NSAIDs, you may take 600 mg of ibuprofen with food about 45 minutes before your appointment to help with comfort.
Sonohysterogram with Bubble Test
A sonohysterogram with a bubble test is a specialized ultrasound used mainly for fertility evaluation. Sterile fluid and tiny air bubbles are placed into the uterus so your doctor can see whether the fallopian tubes are open and assess the uterine cavity and lining. It is safe, minimally invasive, and provides important information to guide fertility treatment.
Timing
After your period ends but before ovulation (days 6–12).
What to expect
You may feel mild cramping as the fluid and bubbles are placed. Your provider watches the bubbles move on ultrasound to check if the tubes are open.
How to prepare
If you have no allergy to NSAIDs, you may take 600 mg of ibuprofen with food about 45 minutes before your appointment to help with comfort.
Hysteroscopy
An in-office hysteroscopy lets your doctor look inside the uterus using a thin, lighted camera under local anesthesia. Your doctor will numb the cervix, gently insert the hysteroscope, and use sterile water to separate the uterine walls for a clear view. This procedure can help evaluate abnormal bleeding, remove polyps, or collect tissue samples.
Timing
Usually performed after your period ends but before ovulation (days 6–12 of your cycle). If you are postmenopausal or experiencing irregular bleeding, it can be done at any time.
What to expect
You will receive local anesthesia to numb the cervix. You may notice some water flow and mild cramping as the uterus is examined.
How to prepare
Eat a healthy meal beforehand. Take 800 mg of ibuprofen the night before and 1 hour before your procedure, unless advised otherwise.
Bladder Botox
Bladder Botox is a minimally invasive, in-office procedure that helps manage overactive bladder symptoms such as urgency and frequency. The medication relaxes the bladder muscle to increase comfort and control. Certain individuals may not be a candidate for bladder Botox – a consult with your provider will determine if this treatment is right for you.
Timing
Can be scheduled at any time.
What to expect
A numbing gel is placed in the urethra and a local anesthetic is placed in the bladder. After about 20–30 minutes, a small camera (cystoscope) is used to inject Botox into several spots in the bladder wall. You may feel mild cramping or pinching. Results usually last 6–9 months.
How to prepare
You may be given antibiotics to prevent infection. Follow your provider’s instructions about taking medication before your appointment.
Vulvar or Vaginal Biopsy
A vulvar or vaginal biopsy is a minor office procedure used to remove a small sample of tissue from the vulva or vagina. The sample is sent to pathology to help your doctor diagnose any changes or concerns. This procedure may be recommended to evaluate unusual growths, persistent irritation, or abnormal cells detected during an exam. It is typically quick, safe, and done with local anesthesia to keep you comfortable.
Timing
Can be done at any time.
What to expect
The area is numbed with a small injection, and you may feel a quick sting. A pinch or pressure is felt as the tissue is removed. Healing may take a few days.
How to prepare
No special preparation is needed.