In Office Procedures

Gynecologists perform a variety of in-office procedures to diagnose, treat, and monitor women’s reproductive health. Here are some common in-office procedures conducted at a gynecologist clinic:

  • Pap Smears (Pap Tests):

    Screening for cervical cancer by collecting cells from the cervix for examination.

  • Pelvic Exams:

    Physical examination of the pelvic organs, including the uterus, ovaries, and cervix.

  • Colposcopy:

    Visual examination of the cervix, vagina, and vulva using a colposcope for a more detailed assessment, often performed after an abnormal Pap smear.

  • IUD Insertion and Removal:

    Insertion of intrauterine devices (IUDs) for long-term contraception and removal when necessary.

  • Contraceptive Implant Insertion and Removal:

    Insertion and removal of contraceptive implants placed under the skin of the upper arm.

  • Endometrial Biopsy:

    Removal of a small tissue sample from the lining of the uterus for diagnostic purposes, often to investigate abnormal bleeding.

  • Hysteroscopy:

    Visual examination of the uterus using a hysteroscope, often used to diagnose and treat conditions such as uterine polyps and fibroids.

  • Cryotherapy or LEEP (Loop Electrosurgical Excision Procedure):

    Treatment procedures for certain cervical abnormalities, such as precancerous lesions, using freezing or electrical currents.

  • Ultrasound (Transvaginal or Abdominal):

    Imaging of pelvic organs, including the uterus and ovaries, to assess reproductive health, monitor pregnancies, or investigate pelvic pain.

  • Sonohysterogram:

    Ultrasound procedure involving the injection of sterile saline into the uterus to provide a clearer image of the uterine cavity.

  • Non-Stress Test (NST):

    Monitoring fetal heart rate and movement during pregnancy to assess the well-being of the baby.

  • STD Testing and Counseling:

    Testing for sexually transmitted infections and providing counseling on prevention and safe practices.

  • Vulvar and Vaginal Biopsies:

    Removal of small tissue samples from the vulva or vagina for diagnostic purposes, often to investigate abnormalities or lesions.

  • Menopause Management:

    Evaluation and management of symptoms related to menopause, including hormone therapy if deemed appropriate.

  • Gynecological Procedures for Infertility Evaluation:


View Detailed In Office Procedures
Pap Smears

Pap smear, also called a Pap test, is a procedure to test for any premalignant or pre-cancer lesions in the cervix in women. A Pap smear involves collecting cells from your cervix — the lower, narrow end of your uterus that’s at the top of your vagina. Detecting pre-cancer cervical lesions early with a Pap smear gives you a greater chance at a cure way before cancer sets in. It is performed on normal-well women as a screening test. Other tests that can be done as screening tests also include tests for Human Papilloma Virus DNA testing. This is another in-office procedure involving the collection of cervical cells to detect HPV, the commonest subtypes that are linked to cervical cancer performed for women 30 years and above alone or in combination with the Pap test.

IUD And Implant Insertion

IUDs are shaped like a T, with one arm on either side. The doctor will fold down the arms and place the device into an applicator tube, then insert the tube through your cervix into your uterus. Once the IUD is in place, the arms will release and the doctor will remove the applicator tube.

Implants are inserted on the inner side of the arm, a few centimetres from the elbow and just under the skin. A local anaesthetic agent will be applied to the area after cleaning and the implant inserted depending on the type of implant-with a single rod or two rods.

Endometrial Biopsy

An endometrial biopsy is a medical procedure in which a small piece of tissue from the lining of the uterus (the endometrium) is removed for examination under a microscope. The removed tissue is examined for cancer or any other cell abnormalities. It is done to diagnose bleeding problems

In Office Ultrasound

In Office Ultrasound scan uses high-frequency sound waves to create images of the inside of the body. It is suitable for use during pregnancy. In Office Ultrasound scans, or sonography, are safe because they use sound waves or echoes to make an image, instead of radiation

Ultrasound is used for many reasons, including to:

  • View the uterus and ovaries during pregnancy and monitor the developing baby’s health
  • Diagnose gallbladder disease
  • Evaluate blood flow
  • Guide a needle for biopsy or tumor treatment
  • Examine a breast lump
  • Check your thyroid gland
  • Detect genital and prostate problems
  • Assess joint inflammation (synovitis)
  • Evaluate metabolic bone disease
In Office NST

Non Stress Tests (NST) are conducted by:
• Having the Patient strapped with 2 belts around their abdomen, one to measure the baby’s heartbeat and one to monitor for contractions. These will be attached to a fetal monitor.
• The test usually takes 20-30 minutes, but can take longer depending on the activity of the baby or if you are carrying multiples.

What the NST is conducted for?
The fetal heartbeat should be within the normal baseline range of 120-160. The baby’s heartbeat should accelerate in response to movement (these accelerations need to meet a certain requirement to be considered reactive). There should be no ominous signs, such as a deceleration in the heart rate. If you are less than 36 weeks, there should be no contractions. If your NST is not reactive, don’t panic. Usually, there is nothing wrong with the baby. Additional testing, such as ultrasound, or prolonged monitoring, will be ordered to be sure your baby is doing okay.

Why should a patient have the NST?
Non-stress tests are frequently done in high risk pregnancies to determine if the fetus is well enough for the pregnancy to continue or if delivery should be considered, but they are also done in routine pregnancies. Some of the most common reasons for an NST are:

  • Decreased or no fetal movement
  • Diabetes (gestational or pre-exisiting)
  • Multiples (twins, triplets)
  • High blood pressure
  • Preeclampsia
  • Preterm labor or history of preterm delivery
  • Post dates (> 40 weeks)
  • Recurrent pregnancy loss
  • Advanced maternal age
  • Abnormalities in laboratory tests (such as an abnormal triple screen)
  • Thyroid dysfunction

IUDs are removed by a health service provider with the appropriate knowledge and skills. A speculum will be inserted to be able to visualize the strings of the IUD before removal ensuring sterility is maintained. Removal of the IUD or Implant means you may need a new birth control method if you do not intend to conceive. A local anaesthetic agent will be used to numb the area before making a small nick or incision at the site of the inserted implant before removal of the contraceptive implant device.

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