In Office Procedures

In Office Procedures

It is often more comfortable and less expensive to have in-office procedures than going to the hospital. We offer a variety of procedures, many of which can be done right here, with office anesthesia. Late hours, a friendly staff, and industry leading knowledge combine to provide Atlanta's best gynecological experience.

  • Colposcopy
    A colposcopy is done to further evaluate an abnormal pap smear. Your practitioner gently places an appropriate size speculum into your vagina and identifies your cervix. A cotton swab is then used to apply vinegar to your cervix. The vinegar will cause abnormal cells on the cervix to "light up" . When biopsy specimens are taken, it can feel like a menstrual cramp. A liquid iron solution is placed over the biopsy area to stop any bleeding. Usually, the cramping resolves in a few minutes. This solution causes a discharge that looks like coffee grounds for several days. You should not put anything into your vagina for at least one week after your procedure.
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  • CoolSculpting
    Ideal Gynecology is proud to offer CoolSculpting with the latest technology and certified technicians. Dr. Schapiro has been working with women on healthy habits, diet and exercise for years. Some areas are just stubborn fat and no one wants to have surgery. CoolSculpting offers a safe alternative. It is very effective at reducing that pooch left from pregnancy, that pesky fat that sticks out from your bra, a double chin and love handles. Dr. Schapiro has two machines, so that you can treat both arms, both love handles, etc. in one session, reducing your time spent in half. Call now for your consultation. (470) 312-3696.
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  • Dilation and Curettage (D&C)
    A D&C may be performed for diagnosis or treatment of irregular bleeding or for a miscarriage. If you think you will need a D & C, it is a good idea to take ibuprofen (if you have no contraindications) before coming to the office. When you are ready, we will numb your uterus with a paracervical block.  It may be necessary to stabilize your cervix with an instrument called a tenaculum.  Then, a small tube with a suction implement will be passed through your cervix into the uterine cavity.  The tissue that is obtained will be sent to a pathologist and may tell us why you are having bleeding problems.  Often, the procedure removes enough tissue that the bleeding problem stops. This will probably cause cramping.  Generally, the cramping resolves in a few minutes.
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  • Endometrial Ablation
    After we have diagnosed a benign cause of your heavy and/or irregular bleeding, you may choose to have an endometrial ablation.  An endometrial ablation can be done in the office with a paracervical block and intravenous sedation.  If you are having sedation, you can not have anything to eat or drink from midnight the night before your procedure.  You will meet with the anesthesiologist in the office before the procedure.  You will be asleep before a speculum is placed. Dr. Schapiro will place an appropriately sized speculum and numb your uterus.  She will stabilize your cervix with an instrument called a tenaculum and then introduce a camera through your cervix and into your uterus.  Then, the ablation will be performed.  The entire procedure takes only a few minutes.  All instruments are then removed and you will have time to recover before going home. Someone will need to bring you to the office, bring you home and care for you for the remainder of the day. An endometrial ablation is only an option if you do not…
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  • Endometrial Biopsy
    Your practitioner may suggest an endometrial biopsy if you are having irregular bleeding.  This is done for diagnosis and may let us know if you have a polyp, precancerous uterine cells or even cancer. Your practitioner will introduce an appropriately sized speculum and may numb your uterus with lidocaine. If your cervix is not open, we may need to stabilize your cervix with an instrument called a tenaculum.  A long, thin tube will then be introduced through your cervix and into your uterus. You may feel strong menstrual cramps, which usually resolve within a few minutes. You may resume normal activities after an endometrial biopsy.
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  • Femvue
    Femvue is performed as part of an infertility evaluation.  Your practitioner will place an appropriately sized speculum into your vagina and then thread a small catheter through your cervix.  You may experience cramping as a tiny balloon is inflated to hold the catheter inside your uterus.  The speculum is removed and a vaginal ultrasound probe will be gently placed.  Your practitioner will inject fluid with air through the catheter into the uterus.  The air looks like sparkling white lights and we will hopefully see white lights blinking as fluid comes out of your fallopian tubes.  This can cause cramping, but is usually resolves quickly.
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  • Hysteroscopy
    Hysteroscopy means looking inside the uterus.  This can be done for diagnosis and for treatment.  Dr. Schapiro will give you a paracervical block of lidocaine and then insert a small tube with a camera through your cervix and into your uterus.  This might be done to find a missing or trapped IUD or to diagnose polyps or fibroids in the uterine lining.  If you have polyps or fibroids, you will probably need a procedure in the hospital for their removal.
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  • LEEP
    If you have precancerous cells on your cervix, you may need a LEEP. A LEEP is done for diagnosis and for treatment. It provides the pathologist with a large specimen that hopefully contains all or most of the abnormal cells. A grounding pad will be placed on your leg.  Your practitioner will introduce an appropriate size coated speculum and repeat the colposcopy.  We will then numb your cervix with lidocaine and use a thin electric wire to remove a circumferential section of your cervix. This will probably cause cramping. Generally, the cramping resolves in a few minutes. A combination of cautery and iron solution are used to stop any bleeding. You should not put anything into your vagina for two weeks following this procedure.
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  • Sonohysterogram
    A sonohysterogram is done to diagnose irregular or heavy bleeding, to find out if there are fibroids or polyps in the uterine cavity, commonly called the lining.  Your practitioner will place an appropriately sized speculum into your vagina and then thread a small catheter through your cervix.  You may experience cramping as a tiny balloon is inflated to hold the catheter inside your uterus.  The speculum is removed and a vaginal ultrasound probe will be gently placed.  Your practitioner will inject fluid through the catheter into the uterus. The fluid separates the walls of the uterus so your practitioner can see any growths which might otherwise be hidden from view.
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Contact Us for a Consultation

Here at Ideal Gynecology, we provide top tier gynecology care. We can't wait to meet you. Please give us a call to schedule an appointment.

(470) 312-3696 idealgynecology@gmail.com