Women's Health Texas – San Antonio

OBGYN Procedures

Our San Antonio OBGYNs offer many procedures to

Bone Mineral Density (BMD) Test

The bone mineral densitometry screening test is a painless, non-invasive way to measure your bone density and screen for osteopenia and osteoporosis. Osteoporosis is a loss of bone mass that causes bones to become weak and brittle and puts you at increased risk for fractures. Osteopenia is a reduction in bone mass that is less severe than osteoporosis.

Colposcopy

Your physician may perform a colposcopy if your Pap test results show abnormalities that may lead to a more serious condition. A colposcopy provides additional information about abnormal changes in the cervix. It can also assess problems, such as abnormal bleeding, cervical polyps or cervicitis.

Your physician will apply a mild solution to your cervix that allows easier visualization of the area. Then, your OBGYN will use a magnifying device called a colposcope to look at your cervix. Your doctor may also take a biopsy and send it to the lab for analysis. Additionally, your physician may take a sample of the cells from the canal of the cervix. This is an ECC (endocervical curettage). We will develop your plan of care once we receive your lab results.

Cryotherapy

Your physician may perform an office procedure called cryotherapy if your Pap or colposcopy results show abnormal cells. During cryotherapy, the doctor freeze the abnormal tissue. You will experience vaginal discharge as your body heals in the weeks following your procedure. The tissue that grows back is most often normal. We will see you back in the office for a follow-up visit to make sure your cervix is healing well.

Endometrial Ablation

Some women experience unusually heavy or long-lasting menstrual periods, also referred to as menorrhagia. A heavy period may be due to fibroids, polyps or hormonal changes. Endometrial ablation is a minimally-invasive procedure for pre-menopausal or peri-menopausal women who don’t want to have more childbearing. This procedure can be an alternative to a hysterectomy.

The doctor inserts a slender wand into the uterus, and a mesh device expands to fit the uterine cavity. Electrical energy then removes the endometrial lining. Most women experience little or no pain after the procedure. They can return to work and regular activities in one to two days.

Endometrial Biopsy

An endometrial biopsy is a diagnostic procedure that involves the removal of a small amount of tissue from the endometrium (inner lining of the uterus). This test can rule out endometrial cancer or hyperplasia in a woman who has abnormal bleeding. This test can also be part of an infertility exam to rule out problems with the development of the endometrium.

To obtain the sample, the doctor inserts an instrument through the cervix into the uterus. He or she then removes a small amount of tissue and sends it to the laboratory for analysis. There is some mild cramping or discomfort with the procedure, but recovery time is minimal.

LEEP

Loop electrosurgical excision procedure (LEEP) is a safe method to remove abnormal tissue from the cervix that might otherwise progress to cancer.

A colposcope allows the physician to see a magnified view of the cervix. A local anesthetic numbs the cervix and the abnormal portion of the cervix is removed with a thin wire loop carrying a small electrical current. The tissue goes to the lab for analysis. You may feel some cramping during the procedure, but the procedure takes only a few minutes. You will have some vaginal discharge and light bleeding after the procedure. Usually, the cervix will heal completely in about one month.

Mammography

Mammography is the process of using low-energy X-rays to examine the human breast. The goal of mammography is the early detection of breast cancer. The FDA now recommends that all women age 40 and older have a screening mammogram every 1-2 years.

Pelvic Floor Physical Therapy

Pelvic floor therapy focuses on the evaluation and rehabilitation of the muscles of the pelvic floor. This type of therapy treats stress uterine incontinence, urge incontinence, generalized pelvic floor laxity and pelvic floor weakness. In addition, conditions such as pelvic pain, pain with intercourse, and post-partum recovery benefit from pelvic floor therapy. Neuromuscular stimulation is used during this process to help identify, strengthen and normalize pelvic tone. A regimen of pelvic floor rehabilitation can decrease symptoms without invasive measures.

Potassium Sensitivity Test

A potassium sensitivity test, or PST, can be a useful tool in diagnosing painful bladder syndrome or interstitial cystitis. Your physician may recommend this procedure if you have  chronic pelvic pain or persistent, painful urinary symptoms.

During this procedure, a small catheter is inserted into the bladder. Distilled water is pushed through the catheter into the bladder and your level of discomfort is recorded. The bladder is drained and then filled with a potassium solution. If you experience a difference in sensation, you may require additional testing. You will have a follow-up appointment with your physician to discuss further treatment options.

Sonohysterograms

A sonohysterogram is a transvaginal ultrasound to diagnose possible causes for abnormal bleeding, infertility or other conditions. We typically perform this exam at a specific point in a woman’s cycle. You will receive specific information and instructions prior to your scheduled appointment.

Using a speculum, a thin, flexible plastic catheter will be inserted through the vagina and cervix into the lower part of the uterine cavity. The speculum is then carefully removed, and a vaginal ultrasound probe is placed into the vagina. Through the catheter, a small amount of saline (sterile salt water) is injected into the uterine cavity to separate the walls. The saline solution allows better visualization of the uterine walls and possible irregularities such as polyps or fibroids. Your physician will discuss any abnormal findings with you, and develop an appropriate plan of care.

Ultrasounds

Ultrasounds, or sonograms, are exams that use sound waves to create images of internal organs. They can assess possible gynecological medical conditions, such as pelvic/abdominal masses, fibroids, and to determine possible causes for pelvic pain and/or abnormal bleeding. During pregnancy, ultrasounds can assess the well-being of the baby. Typical obstetric ultrasounds can show the placement of the fetus and the placenta, the number of fetuses, the heart rate, growth, breathing, and movement of the fetus, and the estimated gestational age of the fetus.

At Women Partners In Health, we perform both transabdominal and transvaginal ultrasounds. A transabdominal ultrasound is performed by rolling a device called a transducer back and forth across the abdomen. A transvaginal ultrasound involves inserting a wand-shaped transducer into the vagina. We have two (2) ultrasound technicians in our office for your convenience. If your physician recommends an ultrasound, we will give you specific information and instructions prior to your appointment.

Urodynamics

Urodynamic testing can help diagnose different types of urinary incontinence. The test assesses the overall function and health of the bladder. The urodynamics test helps to determine how well the nerves and muscles are working together. It also can help determine which type of treatment is best for you.

You will arrive at our office with a full bladder. The urodynamics test will take about one hour. After inserting small catheters into your bladder, our team will measure the amount of urine and the flow rate. We will make ever effort to make you as comfortable as possible during the procedure. You may have mild discomfort for a few hours after these tests. A warm tub bath will help to ease discomfort. You will schedule a follow-up appointment to discuss the results of the test with your doctor.