Services

All deliveries, surgeries, and hospital-based procedures are performed at Rex Hospital. We are fortunate to work with the consultants from the University of North Carolina and Duke University who provide subspecialty consultations in areas of Maternal Fetal Medicine, Gynecological Oncology, Reproductive Endocrinology and Urogynecology.

Mid-Carolina Ob/Gyn Services

Obstetrical Care

Pregnancy, Childbirth, & Postpartum

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Intrauterine Devices (IUD’s)

Device inside the uterus to provide birth control

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Ultrasound Services

Ultrasound imaging used for pregnancy

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Pelvic Rehabilitation

Corrects Overactive Bladder, Pelvic Pain, and Urinary Incontinence concerns

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Telemedicine

Remote patient care from the comfort of your own home.

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Aesthetic Procedures

FemTouch™ and LightSheer Desire laser hair removal
Botox and Fillers

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Office Based Procedures

In our specialty suite, our physicians offer office based ob/gyn procedures, including some that require anesthesia. These procedures are less invasive and have fast recuperation times. In addition, these in office procedures offer a better financial option for most patients.

MyoSure

The MyoSure® procedure takes just 30 minutes for the removal of submucosal fibroids and polyps. This provides the patient with effective relief of heavy bleeding, without any surgical incisions. This one-time treatment is ideal for any woman of any age wishing to keep her uterus intact and functional. There are none of the risks associated with hysterectomy or the potential side effects common with hormones.

Women with heavy or long-lasting periods caused by submucosal fibroids or endometrial polyps may be candidates for the procedure. Please discuss this in greater detail with your provider to see if the procedure is right for you.

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NovaSure

NovaSure^® Endometrial Ablation is a quick, safe, and simple procedure to lighten or stop your periods, without the side effects of hormones or the risks of hysterectomy. It is a one-time in-office procedure that works by removing the endometrium, or the lining of the uterus (the part that causes the bleeding), with a quick delivery of radiofrequency energy. This procedure is also referred to as a uterine ablation.

Why choose the NovaSure® procedure for your heavy period?

Safe: No pills. No hormonal side effects.
Effective: It has been effective for 77.7% of women; menstrual bleeding is dramatically reduced or stopped.
Quick: NovaSure® endometrial ablation is a one-time, five-minute procedure that can be done in your doctor’s office, usually for the cost of your copay.

Not all women are candidates for NovaSure® Endometrial Ablation Procedure. Your doctor will explain the risks of all treatment options. NovaSure® endometrial ablation is for premenopausal women with heavy periods due to benign causes who are finished childbearing. Pregnancy following NovaSure can be dangerous. NovaSure® uterine ablation is not for those who have or suspect uterine cancer, have an active genital, urinary or pelvic infection or an IUD. NovaSure® is not a sterilization procedure. Rare but serious risks include but are not limited to thermal injury, perforation, and infection. Temporary side effects may include cramping, nausea, vomiting, discharge, and spotting.

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Hysteroscopy

A hysteroscopy is a procedure done to look at the lining of your uterus. It is the visualization of the inside of the uterus to diagnose or perform minor surgical procedures.

Reasons for a Hysteroscopy:

To determine the cause of abnormal bleeding, severe cramping or postmenopausal bleeding
To see if there is a problem inside the uterus causing infertility, like scar tissue
To remove growths, such as fibroids or polyps
To take small sample tissue for analysis (biopsy)
To find the cause of repeated miscarriages
To check for endometrial cancer
To place a permanent sterilization contraceptive, Essure.

The Procedure:

Before the procedure, you will be given medication or anesthesia. During the procedure, a thin viewing tool called a hysteroscope is put into your vagina and gently moved through the cervix into the uterus. The hysteroscope has a light and camera hooked to it, so the endometrium can be seen on a video screen. Compared to more invasive procedures, a hysteroscopy is usually a same-day procedure, with short recovery times, and less medication for pain.

LEEP

The loop electrosurgical excision procedure, LEEP, is a minor surgical procedure that takes about 30 minutes to complete and it can be done in our office. The procedure uses a thin, low-voltage electrified wire loop or ball to cut out abnormal cervical tissue that is seen during a colposcopy. In addition, the procedure will remove abnormal cervical tissue in the upper cervical canal that cannot be seen during a colposcopy.

During the procedure, the doctor will insert a lubricated tool called a speculum into your vagina. This will gently spread apart the vaginal walls, allowing proper examination of the cervix. Then you will receive an injection with medication to numb the cervix, a cervical block. Then the doctor will proceed with the removal of the abnormal cells.

After having a LEEP procedures, typical symptoms include:

Mild Cramping happening several hours after the procedure
Dark Brown Discharge during the first week after procedure
Vaginal discharge/spotting can happen up to 3 weeks

In most cases, patients are able to return to normal activities in 1-3 days. However, recovery time does vary depending on the procedure. Sexual intercourse should be avoided for 3 weeks after the procedure. Pads should be used instead of tampons for 3 weeks.

D&C

Dilation and curettage, also know as D&C, is a procedure to remove tissue from inside the uterus. Doctors perform dilation and curettage to diagnose and treat certain uterine conditions. Dilation is when the opening of the lower part of the uterus is widened. Curettage is when the uterine contents are removed with a curette.

You may need a D&C to clear the uterine lining due to heavy bleeding conditions, to remove cysts or tumors, or after a miscarriage or abortion. The procedure does not involve cuts or stitches, it only cleanses the cervix with an antiseptic solution. However, you may receive some type of anesthesia before or during the D&C procedure.

The Procedure:

During a D&C, you lie on your back and place your legs on stirrups, like during a pelvic exam. The doctor will insert a speculum into the vagina and clamp the cervix in place.

During dilation, the doctor may insert a slender rod, laminaria, in order to gradually open the uterus. In some cases, medication may be given in order to soften the cervix to help it widen.

During curettage, in addition to using the curette tool, the doctor may use a cannula to suction remaining contents of the uterus. This can cause cramping. In many cases, that tissue sample will go to the lab for further examination.

D&E

When tissue from the pregnancy remains in the womb after a miscarriage, it can cause heavy bleeding or infection. Electing for a Dilation and Evacuation (D&E) procedure will avoid this. The D&E procedure is a minor surgical procedure which involves dilating the cervix and cleaning out or “evacuating” the uterus. The procedure usually takes about 30 minutes to complete.

When does a Dilation and Evacuation Procedure take place?

After a missed abortion: the embryo or fetus dies, but no bleeding or cervical opening occurs
After inevitable abortion: the embryo or fetus dies, and painful or heavy bleeding occurs

After a D&E, a normal recovery may include:

Irregular bleeding or spotting for the first 2 weeks. During the first week, avoid tampons and use only pads.
Cramps similar to menstrual cramps, which may last from several hours to a few days, as the uterus shrinks back to non-pregnant size.
Emotional reactions for 2-3 weeks. It is normal to feel relief, sadness, grief, or guilt. Hormonal changes during pregnancy can make emotions stronger than usual.

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Mid-Carolina Ob/Gyn Services

Obstetrical Care

Gynecological Care

Mammography

Robotic Surgery

Intrauterine Devices (IUD’s)

Ultrasound Services

Pelvic Rehabilitation

Telemedicine

Aesthetic Procedures

Office Based Procedures

Monday–Thursday Hours

Friday Hours