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Office Based Procedures

Due to advances in medical care and technology, many women can safely and comfortably have surgical procedure preformed in an office based setting. We perform hysteroscopy, Novasure endometrial ablation, colposcopy, LEEP, IUD insertion, Nexplanon insertion, urodynamics, hymenectomy, and labial reduction. For more information please call our office. For more information please call our office and visit the following websites:  


A hysteroscope is a scope with a camera that evaluates the internal anatomy of the uterus and cervix. It has various uses in the office setting including locating and removing an IUD, evaluating abnormal uterine bleeding or postmenopausal bleeding, and removing uterine and cervical polyps.

Novasure Endometrial Ablation

Endometrial ablation is a surgical procedure involving the destruction of the endometrium to stop or reduce heavy or irregular menstrual bleeding.  In our office, we utilize the NovaSure Endometrial Ablation technique.  It is a quick method that involves the use of a NovaSure device that uses radio frequency energy to destroy the lining of the uterus.


Colposcopy is a procedure preformed to evaluate the cervix with a microscope called a colposcope.  It is usually done to obtain more information about your cervical tissue if abnormal cells were seen on your Pap smear.  During the procedure, if an area of concern is found your doctor may take a biopsy to remove a small piece of tissue from your cervix. This is sent to the laboratory for testing.  Colposcopy may also be used to evaluate abnormal areas on the vulva.

LEEP (Loop Electrosurgical Excision Procedure)

Loop Electrosurgical Excision Procedure is used to remove part of your cervix containing abnormal cells.  It utilities a very thin wire loop that removes a thin layer of your cervix.  If your Pap smear is abnormal and your cervical biopsy confirms abnormal cells, your doctor may recommend this procedure which is both diagnostic and therapeutic.

IUD Insertion

An intra-uterine device is a type of birth control that is inserted through the vagina and cervix into the uterus to prevent contraception. There are several different types of IUDs.  In our office we offer the Mirena IUD ,Skylar (which both contain the levonorgestrel, a progesterone hormone) and the Paraguard IUD which contains no hormones.

Nexplanon Insertion

The Nexplanon implant is a type of birth control in the shape of a tiny tube that is placed under the skin of a women’s upper arm.  The implant prevents pregnancy and is effective for 3 years.  It implant will be removed in the office after 3 years and can be immediately replaced with a new one.


Urodynamics testing is done in our office to evaluate the cause of bladder problems including incontinence, incomplete emptying, and urinary urgency.  It may be recommended if you are planning surgery for pelvic prolapse.  During this procedure small catheters are placed inside the bladder and vagina (or rectum) to measure how much urine your bladder can hold, what makes you leak urine and whether the are problems emptying the bladder.


The hymen is a thin membrane the surrounds the opening into the vagina.  Some women have extra hymenal tissue at the entrance to the vagina that may make it difficult to insert or remove a tampon or have intercourse.  Hymenectomy is a minor surgical procedure to remove this tissue and can be done with local anesthesia in the office setting or with more sedation in the operating room.

Labial Reduction (Labiaplasty)

Labiaplasty is a surgery done to reshape one or both of the labia.  It should only be considered after puberty has been completed (after the age of 18) and for indications of chronic discomfort, pain with intercourse, chronic irritation or other symptoms that are emotionally distressing.  Some patient may have this procedure in the office setting and others may be more comfortable having it in the operating room with general anesthesia. 

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Additional Provider details:

Frances Filkins, APRN – Manchester OB
Juline Davis, APRN – Manchester OB

Linda Griffiths – Retiring

Bedford Women’s Care Closing January 31, 2023