Gynecologic Procedures

Gynecologic procedures shouldn't feel like something to dread. Here's what Dr. Toubi offers and how patient comfort is built into every step.

Pap tests, IUD insertion, colposcopy, and biopsies. There are procedures that help women prevent illnesses, maintain cervical health, and also avoid pregnancy. But they can also be sources of worry, especially if you have been in pain or were uncomfortable before. .

In Toubi's opinion, it is the healthcare provider's duty to make pain relief and other methods of pain control a part of gynecological procedure treatments performed in the clinic. You shouldn't need to request it. The choice may be limited to a few methods of anesthesia, such as nerve blocks, regional analgesia, or anesthetics, etc., but it definitely depends on the type of the examination.

Our aim is to give you accurate information regarding the procedure, discuss the best ways to keep your comfort, and always let our patient be comforted as we do her procedure.


Gynecologic Procedures Offered

Cervical screening
Pap smear (annual)

A Pap smear test involves collecting cells from the cervix and using them to determine if you have any abnormal changes in cells. Cancer of the cervix can be found early if screening is done regularly but the screening plan might be different for individual patients depending primarily on age, history of test results, HPV, and risk assessment factors.

As part of gynecology services in Beverly Hills, Dr. Toubi can discuss with you the cancer detection method that is best suited for your needs.<>/proc-label

Follow-up evaluation
Colposcopy & cervical biopsy

If cervical screening results show up as abnormal, you may be advised to have a colposcopy, which lets Dr. Toubi take a more detailed look at the cervix. He usually utilizes a magnifying instrument (colposcope) together with a speculum to closely observe the cervix on the colposcope monitor. A small sample ( biopsy) of cervical tissue is usually removed for lab investigations after this close observation.

Your doctor might give you local anesthetics together with nitrous oxide (laughing gas) to reduce any discomfort during the colposcopy.

Contraception
IUD insertion & removal (ultrasound-guided)

Intrauterine device (IUD) is a contraceptive method that is effective for a long period and can be reversed. In some cases, if a woman's uterus can be seen well on ultrasound, Dr. Toubi can use ultrasound to guide the insertion.

When it's necessary the use of an IUD, especially if the patient has a retroverted or unusual-shaped uterus, a history of difficult insertions, or is worried of malplacement. Pain relief options, which include a paracervical block and nitrous oxide may also be used.

Contraception
Nexplanon insertion & removal

Nexplanon is an implant that measures up to a couple inches and is made up of a small, flexible, progestin-containing rod that gets placed just underneath the upper arm skin. It gradually releases the progestin hormone and provides one of the most effective forms of reversible contraception for up to 3 years.

The insertion and removal of this contraceptive method are done in the doctor's office after giving a local anesthesia. Usually it doesn't take long to restore fertility in women who are going through a reversal or after the removal of the implant.

Uterine health
Endometrial biopsy

An endometrial biopsy, a procedure that involves taking a minuscule piece a part of your uterine lining for the laboratory analysis, can be performed in your gynecologist's office in less than an hour. This procedure is sometimes indicated when you experience postmenopausal bleeding, irregular and/or heavy menstrual bleeding, or any other problem requiring the assessment of your endometrium.

Dr. Toubi offers patients a range of comfortable options such as a local anesthetic (nerve block) and a dental gas ( laughing gas) whenever deemed appropriate by her.

Cervical treatment
LEEP procedure

A loop electrosurgical excision procedure, commonly called LEEP, removes abnormal cervical tissue when certain higher-grade changes have been identified through cervical screening, colposcopy, or biopsy.

The procedure is performed in the office using local anesthesia. Nerve blocks and nitrous oxide may also be available to help with comfort.

Vulvar diagnosis
Vulvar biopsy

A vulvar biopsy removes a small sample of tissue for laboratory examination. It can help diagnose skin and tissue conditions such as lichen sclerosus, lichen planus, vulvar intraepithelial neoplasia (VIN), and other conditions.

The results can help Dr. Toubi determine the appropriate treatment for your specific condition.

Comfort Is Part of the Procedure

A patient's worries, experience, and level of comfort are the primary elements that distinguish one patient from another.

In order to help with an in-office minor procedure, Dr. Toubi will administer a paracervical and/or local nerve block, use a topical anesthetic, and in some cases administer nitrous oxide (commonly referred to as laughing gas).

Pre-procedure, you can be given the chance to go through the options and get answers. Your doctor needs you to know beforehand what the steps involved are in the gynecological procedures of a medical doctor.


Frequently asked questions

Why use ultrasound guidance for IUD insertion?
Every uterus is different in shape, size, and position. Ultrasound provides real-time visualization that can help Dr. Toubi assess placement and confirm the position of the IUD. It can be particularly helpful for patients with a tilted uterus, a history of difficult insertion, or concerns about placement.
Why does Dr. Toubi recommend yearly Pap smears?
Standard guidelines are population-level recommendations. Dr. Toubi takes an individualized approach and recommends annual Pap testing for her patients as part of a proactive well-care philosophy. Cervical cell changes can develop between screenings, and catching them early - when they are minor and easily addressed - is always preferable to discovering them at the next scheduled interval.
What happens if my Pap smear is abnormal?
An abnormal Pap result does not automatically mean that you have cervical cancer. Many abnormal results involve cellular changes that can be monitored or treated. Depending on the result, your age, HPV status, and medical history, you may need additional testing or a colposcopy. During a colposcopy, the cervix is examined more closely and a small biopsy may be taken if needed. Dr. Toubi will explain your results regarding the gynecological procedures in Beverly Hills, recommended next steps so you know what to expect.
Is IUD insertion painful?
IUD insertion can cause cramping or discomfort, and the experience varies from person to person. Dr. Toubi takes pain management seriously and offers options such as paracervical nerve blocks and nitrous oxide for appropriate patients. These options may be especially helpful for patients who are anxious, have had a difficult insertion before, or are concerned about pain. You should have the opportunity to discuss pain-management options before the procedure.
How does Nexplanon work?
Nexplanon is a small, flexible implant placed under the skin of the upper arm. It releases a progestin hormone that helps prevent pregnancy primarily by suppressing ovulation and changing cervical mucus. It provides highly effective contraception for up to three years and is reversible. Fertility generally returns quickly after removal.

Gynecologic Procedures in Beverly Hills

Preventive and diagnostic procedures should not be avoided because of fear or uncertainty about pain.

At Dr. Toubi's Beverly Hills practice, gynecological procedures are approached with careful communication, appropriate medical care, and attention to patient comfort. Whether you need cervical screening, an IUD procedure, a biopsy, or another in-office procedure, you can discuss what to expect and what comfort options may be available.

Schedule a consultation to discuss your gynecologic care and procedure needs.

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Ultrasound-guided IUDNerve blocks & nitrous oxide availableBeverly Hills