At Gwinnett OB/GYN, we offer in-office procedures. If a procedure has been recommended by the provider, please do not be alarmed. Most are minor, well-tolerated and only take a few minutes to complete.
This is procedure is done to obtain cells from the lining of the uterus. It is used to evaluate bleeding abnormalities. We often perform this procedure right after a sonohysterogram but sometimes it is done by itself.
A sonohysterogram is an ultrasound of the uterus that combines infusion of saline into the endometrial cavity to detect abnormalities such as endometrial polyps or fibroids. It is often used to evaluate infertility or bleeding abnormalities that can affect women of different ages.
This is a progestin-only contraceptive implant used to prevent pregnancy. It is one of the most effective reversible forms of contraception. It is placed underneath the skin of the upper arm and is effective for 3 years. Its insertion and removal is conveniently done in our office.
An intrauterine device is placed inside the uterus to prevent pregnancy. It is a form of long-acting, reversible contraception. We offer all FDA-approved IUDs. The mirena and lilletta IUDs contain progesterone-like hormone and are effective for 5 years. Kyleena IUD is designed for women who do not have children and is also effective for 5 years. The paragard IUD is non-hormonal and lasts for 10 years. All IUDs are 99% effective in preventing pregnancy and are be placed/removed in the office. On a rare occasion, removal is difficult needs to be done under ultrasound guidance or in the operating room.
Colposcopy is done when an abnormal pap smear result is obtained during routine screening. During a pap smear, cells obtained from the cervix are sent in a liquid solution to the lab for examination. If abnormal cells are present, they are given different gradations, some more serious than others. The human papilloma virus (HPV) is the major cause for cervical dysplasia and colposcopy is the first step to treating the condition. Once diagnosed with HPV and/or an abnormal pap smear, it is important to pursue additional testing as recommended by your provider.
Loop electrosurgical excision procedure (LEEP) is a specialized procedure performed to treat cervical dysplasia. In this procedure, a small piece of the outer cervix is removed using a thin wire loop and electric current, effectively curing dysplasia. This procedure will be recommended if moderate to severe cervical dysplasia is diagnosed after colposcopy. While it can be done in the operating room of the hospital, we can also perform it in our office.
Hysteroscopy is a procedure that allows visualization of the endometrial cavity using a small camera that is passed through the cervix. It is performed when abnormalities like polyps or fibroids are suspected. Endometrial ablation is done to burn the lining of the uterus to treat abnormal uterine bleeding in women who are premenopausal and have completed child bearing. An endometrial biopsy is often performed prior to endometrial ablation.
Gwinnett OB/GYN performs a wide range of gynecologic procedures at our Snellville office, including IUD insertion and removal, Nexplanon insertion and removal, colposcopy, endometrial biopsy, LEEP, hysteroscopy, endometrial ablation and sonohysterogram. These procedures do not require a hospital visit, general anesthesia or a separate surgical facility. Your provider will confirm at your consultation whether your procedure can be completed in the office.
Most medically indicated in-office gynecologic procedures are covered by insurance, though coverage depends on your specific plan, deductible and whether prior authorization is required. Nexplanon is typically covered as a contraceptive benefit. LEEP is generally covered as a medically necessary procedure following an abnormal Pap result. Contact your insurance provider before your appointment to confirm your coverage.
Preparation depends on the procedure. For IUD insertion, take an over-the-counter NSAID about an hour beforehand. For a sonohysterogram or hysteroscopy, you may be asked to schedule around your menstrual cycle. Avoid douching and do not use vaginal products before procedures involving cervical or vaginal examination. Your provider will give you specific pre-procedure instructions when your appointment is scheduled.
Endometrial biopsy results are typically available within approximately 1 week, and the office will always call you with results. Colposcopy results depend on whether a biopsy was taken at the visit. After LEEP, some patients notice coffee-ground or mustard-colored discharge for several days, which is normal. Follow-up for colposcopy occurs every 6 months until you receive 2 consecutive normal results. Your provider will review the follow-up plan with you at your procedure visit.
If you are scheduled to deliver in 2027, changes to CMS billing guidelines will affect how your maternity care is billed.
We are happy to answer any questions you may have. Please speak with your care team at your next visit or contact our billing office directly