From your first gynecologic exam to post menopause, A Bella baby OBGYN provides a comprehensive array of general, preventive and specialized gynecologic care.
Areas of expertise include:
- Abnormal and pre-cancerous pap smears
- Abnormal vaginal bleeding
- Adolescent concerns
- Bladder infections
- Breast disorder Management
- Hormone replacement therapy, including bioidentical HRT
- Pre-menopausal and menopausal care
- Irregular periods
- Natural Family Planning
- Ovarian cysts
- Polycystic ovarian syndrome (PCOS)
- Preconception counseling
- Pelvic pain
- Routine gynecological exams
- STD testing, treatment, and counseling
- PMS & PMDD
- Uterine fibroids
- Vaginal infections
- Vulvar or external conditions
- Well women care
A Pap Smear is a simple test that is done to detect abnormal cells on the cervix, which can lead to cancer. It is quick and easy, and often takes less than a minute to perform. An instrument known as a speculum is warmed and gently placed into the vagina. The speculum is used to hold open the walls of the vagina there will be a clear view of your cervix. Next, a small brush will be used to gently remove some cells from your cervix. The cells are then put into a container filled with liquid and sent to the lab for testing. Some women experience mild cramping and / or spotting after their pap smear. This is very normal and should resolve within 24-48 hours.
A colposcopy is done when a pap smear shows abnormal cells on the cervix. It provides more information about the abnormal cells to guide appropriate treatment. Like a pap smear, it is performed in the office. A speculum is gently inserted into the vagina and a colposcope, a special magnifying device, is placed just outside the opening of your vagina. The colposcope is used to enhance the view of the cervix and vagina by 2-60 times, which enables the identification of problems that cannot be seen by the naked eye. A liquid solution will then be applied to your cervix and vagina with a cotton swab, which will make abnormal cells easier to see. If any abnormal cells are visualized, a special device will be used to remove a small piece of tissue from the abnormal area to send for further testing. This is called a biopsy. Along with the biopsy an endocervical curettage (ECC) may be performed, which is done by using a special device to remove cells from the cervical canal. If you have a colposcopy with a biopsy, you may have some cramping for 1-2 days and light vaginal bleeding or dark vaginal discharge for a few days. You many need to wear a pad until the bleeding or discharge stops. The dark vaginal discharge is due to a medication that is used to stop bleeding at the biopsy site and is not worrisome. You can return to work directly after the procedure.
Post-Colposcopy Biopsy Instructions:
1. If you have no allergies to Ibuprofen products, you may use Advil or Motrin as directed for cramps.
2. No intercourse, douching, or use of tampons for 10 days.
3. Return to A Bella Baby OBGYN for the results of your test in approximately 1 week. This can be scheduled at the front desk after your procedure.
4. If bleeding that alarms you occurs after your biopsy, contact our office (630) 810-9658
Loop Electrosurgical Excision Procedure (LEEP)
When normal cervical cells become abnormal, they may need to be removed in order to prevent cancer. The LEEP procedure is an effective and simple way of removing abnormal cells. It only takes a few minutes and can be done comfortably in the office. For the procedure, a speculum is gently placed into the vagina, just like a pap smear. Local anesthesia will be given through a needle to prevent pain. You may feel a mild sting, dull ache, or cramping when the anesthesia is being given, but will be free of pain for the rest of the procedure. A thin wire loop that uses an electric current is then used to remove a small portion of your cervix, which will be sent to the lab for further testing. After the procedure, a special paste or electrocautery may be used to stop any bleeding. A brownish-black vaginal discharge for up to two weeks can be very normal. If you desire, you can return to work directly after the procedure.
1. Refrain from marital activity for 4 weeks.
2. Avoid lifting heavy weights.
3. Brownish-black vaginal discharge for a few days to two weeks is normal. However, if the discharge becomes malodorous, use vaginal douches with 1/3 vinegar to 2/3 water, twice a day for five consecutive days. If odor persists, return to the office.
4. If spotting or bleeding persists longer than six days, call the office (630) 810-9658.
5. Return to A Bella Baby OBGYN for your test results in 2 weeks and for a follow up visit in 3-6 months.
An endometrial biopsy is a simple procedure in which a small sample of tissue is removed from the inner lining of the uterus, called the endometrium. There are several reasons an endometrial biopsy may be recommended, such as abnormal menstrual bleeding, bleeding after menopause, or absence of uterine bleeding. The purpose of this type of biopsy is to identify possible cell changes related to hormone levels, the presence of abnormal tissues such as fibroids or polyps, or to check for uterine infections such as endometritis. An endometrial biopsy may also be used to detect the presence of abnormal cells or cancer.
An endometrial biopsy is most often performed in the office, but may also be done in conjunction with other gynecologic procedures in a hospital or surgery center. For most women, the procedure will be done in the comfort of the office of A Bella Baby OBGYN. First, a speculum will be gently placed into your vagina in order to obtain a clear view of your cervix. Next, a thin tube, called a catheter, will be inserted through the cervical opening into the uterus. The catheter has another smaller tube inside it, which will be withdrawn to create suction. The tip of the catheter will be gently rotated in and out to collect small pieces of endometrial tissue. This may cause some cramping. Once an adequate sample has been obtained, the catheter and speculum will be removed and the tissue will be sent to the lab for further testing. After the procedure, you will be given instructions regarding your activity, however, most women are able to return to normal activities immediately following their exam. It is normal to have some mild cramping, spotting, or light vaginal bleeding for a few days after the procedure.
Endometrial ablation is used to treat many causes of heavy bleeding. Ablation is a short procedure that destroys the lining of the uterus and stops the menstrual flow in many women. In some women, menstrual bleeding doesn’t stop completely, but is reduced to normal or lighter levels. Since this procedure treats the lining of the uterus, it does not involve removal of the uterus and does not affect a woman’s hormone levels.
Ablation is done as outpatient surgery, meaning you can go home the same day. There are no incisions involved and recovery takes about 2 hours. After the procedure, some women experience menstrual like cramping for 1-2 days and / or a thin, watery discharge mixed with blood, which can last a few weeks. In most cases, women can expect to go back to work or return to normal activities within 1-2 days following the procedure. It may take several months before the full effects of ablation are reached.
Endometrial ablation works well for many women who suffer from heavy bleeding. If you are interested in having an ablation done, please contact A Bella Baby to schedule an informational visit.