Gynecological Procedures

At Women’s Health and Menopause Center, we prioritize shared decision-making. Your clinician explains why a test or procedure is recommended, how it works, and what you can expect during recovery—so you feel informed, confident, and supported.

Below are several common procedures our OB/GYN physicians perform.

Hysterectomy

What it is: A hysterectomy removes the uterus. In some cases, your clinician may also remove the cervix, fallopian tubes, or ovaries, depending on your diagnosis and personal health goals.

Why we recommend it: We use hysterectomy to treat uterine fibroids, uterine prolapse, endometriosis, abnormal bleeding, chronic pelvic pain, and cancers of the uterus, cervix, or ovaries.

How we perform it: Your surgeon chooses the safest and most effective approach—vaginal, laparoscopic/robotic, or abdominal. Most procedures take place in the hospital.

What to expect after: Recovery varies by surgical method, but minimally invasive options usually allow faster healing and less discomfort. Your care team gives you clear instructions on pain control, activity limitations, and follow-up appointments.

Diagnostic Laparoscopy

What it is: Diagnostic laparoscopy uses a tiny camera inserted through small incisions in the abdomen to examine the uterus, ovaries, fallopian tubes, and surrounding tissues.

Why we recommend it: We use this procedure to confirm or evaluate endometriosis, pelvic pain, ovarian cysts, adhesions, and causes of infertility—especially when exams or imaging leave unanswered questions.

How we perform it: You receive anesthesia, and we gently inflate the abdomen with carbon dioxide to create space for viewing. Most patients go home the same day.

What to expect after: You may feel mild soreness or temporary shoulder pain from the gas. Most patients return to light activity within a few days.

Loop Electrosurgical Excision Procedure (LEEP)

What it is: LEEP removes abnormal cervical cells using a thin, electrically heated wire loop.

Why we recommend it: We use LEEP to treat cervical precancerous changes detected after an abnormal Pap test and colposcopy. It also allows us to collect a precise tissue sample for diagnosis.

How we perform it: Your clinician performs LEEP in the office using local anesthesia. The procedure takes only a few minutes.

What to expect after: Light cramping or spotting is common. We provide clear guidance on activity restrictions and when to return for repeat Pap and HPV testing.

Tubal Ligation (Permanent Contraception)

What it is: Tubal ligation permanently prevents pregnancy by blocking or removing the fallopian tubes.

Why we recommend it: We offer this option to patients who are certain they do not want future pregnancies.

How we perform it: Your clinician may complete the procedure laparoscopically in a hospital or at the time of a cesarean birth. Techniques include sealing, removing, or disconnecting the tubes.

What to expect after: Most patients return home the same day and resume normal activities within a few days. Because it is permanent, we review all contraceptive options with you beforehand.

Endometrial Ablation

What it is: Endometrial ablation treats heavy menstrual bleeding by removing or destroying the uterine lining.

Why we recommend it: We suggest ablation for patients who experience disruptive heavy periods and no longer plan to become pregnant.

How we perform it: We complete the procedure in the office or hospital using heat, cold, fluid, or electrical energy—without any incisions.

What to expect after: Cramping and watery discharge may occur for a few days. Because pregnancy after ablation is unsafe, we help you choose reliable contraception unless you have had permanent sterilization.

Take the Next Step

Every woman’s needs and goals are different. If you’re experiencing symptoms or considering a procedure, schedule a visit with your Women’s Health and Menopause Center clinician. Together, we’ll review your concerns, discuss treatment options, and create a plan that supports your long-term health and well-being.