- Comprehensive Care
- General Gynecological Care
- Antenatal Care
- Menopause Management
- Cervical Cancer Treatment & Screening
- Ultrasound Monitoring
- Hysteroscopy for Abnormalities of Uterine Bleeding Includes:
- Fibroids
- Polyps
- Hyperplasia
- Reproductive Services/Infertility
- Evaluation and treatment of endometriosis
- Colposcopy & Bioscopies for Abnormal Pap Smears
- Bone Density Testing for Osteoporosis
- Infertility Consult and Follicle Monitoring
Endometrial Ablation
Ablation is a short procedure. It is done as an outpatient surgery in most cases. This means that you can go home the same day. You most likely will be given some form of pain relief or sedative to help you relax before the procedure. The type of pain relief used depends on the type of ablation procedure, where it is done and your wishes. (Discuss this with your doctor)
There are no incisions (cuts) involved in an ablation. Recovery takes about (2) hours, depending on the type of pain relief used. Your doctor will use one of a number of types of energy to burn away the uterine lining. These may include electrical, laser (light), or thermal (heat) ablation. As new techniques emerge, your doctor can explain them.
Risks
There is some risk involved with the many procedures. Most problems result from pain medication, blood loss or infection. The ablation procedure has certain risks. The device used may pass through the uterine wall or bowel. Rarely, the fluid used to expand your uterus may be absorbed into your bloodstream. This may allow too much fluid in your body and can be serious.
After the Procedure
Some minor side effects are common after endometrial ablation:
- Cramping, like menstrual cramps, for 1-2 days
- Small amount of thin, watery discharge mixed with blood, which can last a few weeks
- Frequent urination for 24 hours
- Nausea
Ask your doctor about when you can exercise, have sex, or use tampons. In most cases, you can expect to go back to activities within a day or two. Your doctor will arrange follow-up visits to check your progress. It may take a few months to achieve results.
Finally
Endometrial ablation works well for many women. If other treatments have not worked, endometrial ablation may be an option for a woman who does not wish to become pregnant or have a hysterectomy.
Types of Ablation
A loop or rollerball tool can be used to destroy the thin inner lining of the uterus. For the procedure, the walls of the cervix are widened to allow passage of a device called a hysteroscope. The doctor looks through it to see the inside of your uterus on a monitor. Your uterus is filled with fluid to expand it. Then, the ball or loop is pulled across the endometrial surface. The rollerball or loop applies an electrical current to the surface as it is pulled across the lining. This current destroys the lining.
A Laser device burns the lining using a high-intensity light beam. Like the rollerball and loop, the laser reaches the lining of the uterus through the hysteroscope. The laser then destroys the lining of the uterus.
With thermal ablation, a device or fluid is inserted into your uterus. Heat and energy are applied to increase the temperature and destroy the lining.
Only Bahamian certified in advance endoscopic surgery.
It is an outpatient procedure that allows the physician to look directly into the abdomen and at the reproductive organs through a small telescope inserted through a small incision (cut) below the belly button.
Laparoscopy is an outpatient procedure, minimally invasive and can be used to
• Diagnose endometriosis
• Assess pelvic pain
• Assess ectopic pregnancy
• Check ovarian cysts/masses
The capability to do these surgeries at the Health Center for Women and to treat these conditions with advance operative laparoscopy.
It is a special minimally invasive surgery that uses a special light transmitting telescope to view the inside of the lining of the uterus.
Abnormalities of the uterine lining include:
• Fibroids
• Polyps
• Early precancerous change
• Adhesions/scared tissue
and can be the cause of abnormal uterine bleeding (longer, heavier menstrual bleeding with clots)
At the Health Centre for Women, Hysteroscopy is done as an in-office procedure and generally required no sedation. Patients can watch the procedure on the monitor.
We offer advanced hysteroscopic surgery to treat these conditions as an out-patient surgery as an alternative to hysterectomy.
Infertility is a common medical condition affection approximately 20% of couples in our population.
This increases significantly after 35 years. Causes of infertility include:
• Diseases of fallopian tubes
• Endometriosis
• Infections
• Previous surgery
• Hormonal imbalance
• The male
At the Health Center for Women, we offer the latest technology to assess and treat a couple’s causes of infertility. These include:
• In-house hormone testing
• Sperm preparation for semen analysis
• Intra-uterine insemination (IUI) also known as artificial insemination
• Full range invitro fertilization through IVF Bahamas (IVFB)
• Ultrasound monitoring
Trans vaginal ultrasound (TVS) of follicles (egg development)
• Fertility drug treatment for ovulation induction
• Accurate pregnancy testing of early conception
• Sperm freezing (cryo preservation)