An ultrasound utilizes sound waves to make a picture of the organs and structures in the pelvis. A pelvic ultrasound looks at the bladder and the ovaries, uterus, cervix, and fallopian tubes. There are different methods for pelvic ultrasounds. A small handheld device called a transducer is passed back and forth over the lower belly. A transabdominal ultrasound is commonly performed to identify large uterine fibroids or other problems. A transvaginal ultrasound is performed to identify any problems with fertility.
Pelvic exams are performed during yearly physical examinations, and when a woman is pregnant, to check for infection, or if a woman experiences pain in her pelvic area or lower back. We insert a speculum into the vagina, which can be opened to widen it. This allows us to see the vagina and the cervix. The internal and external organs including the uterus, cervix, fallopian tubes, ovaries, bladder, rectum, and vulva are carefully examined.
The exam typically lasts about 10 minutes. It is important for a woman to schedule her pelvic exam when she is not having her menstrual period. For 48 hours prior to the exam, she should not douche, use a tampon, or have sex.
During the pelvic exam, a Pap smear is performed. This involves taking a sample of cells from the cervix. To test for infection, we may take a sample of fluid from the vagina to check for infection.
We perform a vulvar biopsy to diagnose lesions. A vulvar biopsy may involve excising and treating the entire lesion. The procedure can be performed easily, safely, and comfortably in our office.
Endometrial ablation is used to treat abnormal uterine bleeding. A hysteroscope, a lighted instrument, can be used to see inside the uterus. The uterine lining can be eliminated by utilization of a laser beam, heat, or electricity. This procedure may involve local, spinal, or general anesthesia. Recovery can range from a few days to two weeks.
Abnormal vaginal bleeding can be diagnosed and treated with a hysteroscopy. We fill the uterus with fluid such as glycine or saline. We then insert a hysteroscope through the cervix into the uterus. This enables us to examine the inner surface of the uterus.
This outpatient procedure usually lasts 30 to 45 minutes. General, local, or spinal anesthesia may be used. It is important to avoid drinking for at least four to eight hours before the procedure.
During our procedures, all women are in gentle hands with our gynecologist and obstetrician, Dr. Taryll L. Jenkins. At Jenkins Obstetrics, Gynecology & Reproductive Medicine, our patients will find exceptional care and the most advanced treatments.