Obstetrics & Gynecology:
Diagnostic and Treatment Services


General Gynecology - Our providers offer a wide range of services to women of all ages; from annual exams and contraceptive management to specialized surgical procedures. Gynecologic issues may include: abnormal bleeding, endometriosis, loss of bladder control, menopause, pelvic pain, premenstrual syndrome, problems with pelvic support, and uterine fibroids.

Infertility Services - The Fertility Clinic offers a variety of fertility services that are consistent with the Franciscan heritage. Our goal is to provide high quality personalized care to make your dreams of parenthood come true.

Obstetrics Care & Family Birthplace - Maternity counselors will meet with you initially to start your maternity experience. Our experienced group of midwives and physicians offer excellent care before, during, and after pregnancy. They work closely with Mayo Clinic Maternal-Fetal Medicine specialists, who are available for on site consultation for high risk pregnancies.

The Family Birthplace is there to support you and your family through the next step of exciting changes. Our Baby Friendly facility is the perfect place to welcome your new addition. Our dedicated and compassionate staff will be by your side during your birthing experience and your first days caring for your newborn. Lactation consultants are available to assist one on one for your breast feeding needs.
Many opportunities are available prior to your birth experience to learn about pregnancy, childbirth, lactation, parenting, first aid, CPR, wellness, and smoking cessation. Tours of birthing area are available upon request and are a part of childbirth classes.

Pelvic Floor Clinic - Is a multidisciplinary collaboration that provides exceptional care for women with pelvic support problems, urinary incontinence, fecal incontinence, pelvic pain, and sexual dysfunction. We offer a variety of treatment options that are minimally invasive and may require little to no hospital stay.

Diagnostics: To provide the best possible care for our patients we utilize appropriate diagnostic procedures. The following tests and procedures may be utilized while we care for you.

Colposcopy is an office procedure where providers examine the cervix close up. A microscope is used to look for areas that appear abnormal. If an area is found, the provider may take a biopsy. The biopsy is used to determine if these cells show any signs of pre-cancerous or cancerous cells. The procedure itself takes about 10-15 minutes.

Endometrial Biopsy is a simple procedure usually done in the office setting that is used to rule out a variety of conditions. A thin suction tube is used to obtain a small sample of tissue on the inside of the uterus. You may experience mild to moderate discomfort during the procedure which lasts approximately one minute. This usually resolves shortly after the procedure is complete, but may last up to a few days. 

A Hysterosalpingogram is used to detect causes of infertility or repeated pregnancy loss. A special fluid is placed in the uterus and fallopian tubes and x-ray is used to evaluate shape, size, and any other abnormalities.

Loop Electrosurgical Excision Procedure (LEEP) – When some abnormal cells are found on the cervix, they need to be removed. This procedure allows a wire loop to cut away a portion of the cervix to remove abnormal cells. It is typically done in the office setting and only takes a few minutes. A numbing medication is injected in the cervix for pain relief.

The PAP test is the corner stone of gynecologic screening tests. It is a cost effective and easy way to screen for abnormal cells on the cervix and the presence of HPV or the Human Papillomavirus. The abnormal cells may represent benign, pre-cancerous or cancerous changes. If these changes are detected in the early stages, cervical cancer can be prevented.

Ultrasound is a powerful non-invasive tool for providers working in Obstetrics and Gynecology. It allows us to 'see inside' the pelvis. It is used in pregnant patients to determine the health and development of a pregnancy. In non-pregnant patients, it allows us to view the structure and movement of pelvic organs (bladder, uterus, ovaries, cervix, and fallopian tubes) and blood flow. It may be used to determine the cause of pelvic pain, heavy or irregular bleeding, painful periods, and many other conditions. Ultrasounds may be done abdominally and/or vaginally. Both methods provide distinctly different, but valuable information. Come to your ultrasound appointment with a full bladder to improve the quality of information obtained by your provider.

Urodynamic testing is used to evaluate problems you may be having with storage or elimination of urine. Tests will look at how your bladder empties, how much fluid can be stored, and if and when you leak urine.

Treatment Options (Minimally invasive procedures)

Laparoscopy is a minimally invasive procedure that allows surgeons to look inside the abdomen to diagnose things like endometriosis and ovarian cysts, to investigate infertility, pelvic pain and masses, or to assist in removal of the uterus and/or ovaries. Laparoscopy improves healing time, amount of pain, and time spent in the hospital.

Novasure® Endometrial Ablation is used to treat menorrhagia or heavy/prolonged bleeding. It is a short procedure (up to 120 seconds) that can be done in the office setting with light sedation. A small device is passed into the uterus. Precisely controlled high frequency radio waves are used to remove the lining of the uterus. Novasure® significantly reduces menstrual bleeding in a majority of patients and many report no bleeding at all. Women may experience some discomfort during the procedure which usually resolves quickly. Most women can return to work the next day.

InterStim™ Therapy is used to treat symptoms of urinary urgency and frequency, some types of leakage of urine and urinary retention when other options like lifestyle modifications and medications are not tolerated or not effective. A small device is implanted in the upper buttock along with a wire that is located near the third sacral nerve. This wire sends signals to the nerve to help regulate the bladder. Before implanting the device and wire, a testing phase will determine if InterStim™ therapy will help improve symptoms. If successful, patients may choose to proceed with the full implant.

Transvaginal Obturator Sling is a minimally invasive procedure used to treat stress urinary incontinence, or leakage of urine with coughing, sneezing, and other physical activity. A synthetic mesh sling is placed under the tube that empties the bladder, the urethra. The is very little pain related to the sling. Patients typically spend one night in the hospital after the procedure.