Gynecology
Comprehensive and Gynecologic Care
AAt MetroWest Medical Center and MetroWest Physician Services, we care for women through every stage of life. We provide compassionate, personalized care from annual exams and family planning to advanced treatments and minimally invasive procedures, using some of the latest technology to support each woman’s unique health needs with comfort and confidence.
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Conditions Diagnosed and Treated
Adnexal tumors develop on the organs and connective tissues surrounding the uterus. While these tumors are most often noncancerous, some may be malignant and require further evaluation
Bartholin's cysts form when the duct of a Bartholin’s gland becomes blocked, causing a fluid-filled cyst to develop. These glands, located between the vagina and vulva, produce lubrication when stimulated.
Cervical dysplasia refers to the abnormal growth of cells on the surface of the cervix. Considered a precancerous condition, it is typically linked to infection with the Human Papillomavirus (HPV).
Endometriosis occurs when tissue that normally lines the uterus begins to grow outside of it. This common condition can cause significant discomfort and pain for many women who experience it.
Incompetent cervix, also known as cervical insufficiency, arises when weak cervical tissue leads to premature birth or, in some cases, pregnancy loss in an otherwise uncomplicated pregnancy.
Ovarian cysts are fluid-filled sacs that form within the ovaries. Extremely common among women in their childbearing years, these cysts often vary in size and type.
Struma ovarii is a rare ovarian tumor made up of more than 50% thyroid tissue. The tumor may be benign or malignant and is often managed with surgical treatment.
Uterine fibroids are typically benign tumors that grow inside the uterus. Very common among women, they may cause increased or prolonged menstrual bleeding.
Gynecologic Tests
A cervical biopsy involves removing a small sample of tissue from the cervix for laboratory testing. This procedure is typically ordered when another test indicates abnormal or potentially diseased tissue.
Colposcopy is a procedure used to closely examine the vulva, cervix and vagina for signs of disease. Often performed after an abnormal Pap test, tissue from the cervix may be collected and sent for further testing.
During a cystoscopy, a thin scope is used to examine the bladder. This procedure helps identify bladder abnormalities and may also be performed to assist during surgeries involving the urinary tract.
An endometrial biopsy involves collecting a small tissue sample from the uterus's lining. This test helps identify abnormal cells and can be used to determine the cause of unusual bleeding or to check for cancer.
A hysteroscopy is a diagnostic procedure that allows a doctor to look inside the uterus using a small, lighted scope. It is commonly performed to help determine the cause of abnormal bleeding.
NovaSure endometrial ablation is a one-time procedure that removes the uterine lining while preserving the uterus to help reduce heavy menstrual bleeding. Using controlled radiofrequency energy, the treatment takes only a few minutes.
A Pap test is performed during a pelvic exam to screen for cervical cancer. During the procedure, a physician inserts a speculum to view the cervix and vagina, then gently swabs the cervix to collect cells for testing.
Pelvic laparoscopy is a minimally invasive surgical procedure that uses a small, lighted tube inserted through a tiny incision in the abdomen. It can help detect cysts, fibroids and infections, and allows for tissue biopsy if needed.
A pelvic ultrasound uses sound waves to produce images of the pelvic and lower abdominal area. This imaging test provides a clear view of the reproductive organs to help diagnose various conditions.
Gynecologic Treatments
Cryosurgery uses extreme cold to destroy diseased tissue. Depending on the purpose of the procedure, it may be performed in a doctor’s office or an operating room.
Dilation and curettage (D&C) is a surgical procedure commonly performed after a miscarriage. During the procedure, the cervix is gently opened and the contents of the uterus are removed.
A hysterectomy is a surgical procedure to remove the uterus and may also include removal of the cervix, ovaries and fallopian tubes, depending on the patient’s condition.
The LEEP procedure uses a heated wire loop to remove abnormal cells and tissue. It may be performed as part of treatment or to help diagnose cancerous or precancerous conditions.
A myomectomy is a surgical procedure used to remove uterine fibroids, which are typically benign but sometimes uncomfortable tumors that grow within the uterus.
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Additional Services
- Hysterectomy for benign conditions
- Hysterectomy for cancer
- Pelvic organ prolapse surgery
- Myomectomy
- Endometriosis resection
- Minimally invasive procedures, such as laparoscopic tubal ligation, thermal uterine balloon therapy and laser surgery
- Reproductive medicine, infertility treatments and family planning
Minimally Invasive Procedures Available
Additionally, our gynecology surgeons perform a variety of procedures, including hysteroscopy, laparoscopic tubal ligation, loop electrosurgical excision procedures, laparoscopic-assisted hysterectomy, thermal uterine balloon therapy and laser surgery. And we strive to use the least-invasive surgical methods possible to minimize your pain and discomfort and speed your recovery time. Learn more about gynecology surgery and the surgical options we offer at MetroWest.