Procedures Tailored To Your Needs

We prioritize patient safety and comfort, and are pleased to bring trauma-informed procedures to WSNC. Procedures are an important part of accurate diagnosis, so that treatment can be personalized and appropriate.

All procedures are available to members.

To increase access to quality care, we offer procedures to non-members with a referral from a licensed medical provider.

  • An endometrial biopsy (EMB) is to obtain a sample of the lining of the uterus. This is usually done to assess for abnormal uterine bleeding or postmenopausal bleeding. It is typically done by obtaining an ultrasound first, at an outside facility.

  • This is a special type of camera with magnification 4-40x, and it helps us visualize the skin of the vulva more closely. This can be used to better diagnose skin conditions of the clitoris, labia, or vestibule. It can also help better assess clitoral adhesions. It sometimes is used in combination with biopsy. It is also an excellent tool for educating our patients.

    *there is no additional fee for vulvoscopy without biopsy.

  • A vulvar biopsy is a procedure that takes a small sample of skin from the vulva. This is used to diagnosis vulvar skin conditions including lichen sclerosis, psoriasis, contact dermatitis, lichen planus, lichen simplex chronicus, vulvar dysplasia and others.

  • Pelvic floor neurotoxin (Botox), is a wonderful adjunctive tool to help with overactive pelvic floor muscles that causes pain with sex, pain with tampon insertion, vaginismus, pelvic pain that does not fully get better with conservative treatments (local therapies like suppositories and creams) and pelvic floor therapy. We highly recommend working with a skilled pelvic floor therapist after neurotoxin treatment for best results.

  • Nexplanon is a rod-shaped device inserted into the arm for contraception. We can remove and insert. We do not keep these stocked, so if you desire Nexplanon please inform us so we can order.

  • We offer a variety of IUD insertions including Mirena, Kyleena, Liletta, and coming soon the new copper IUD Miudella. We do not keep the IUDs in stock, so if you desire an IUD please let us know. We can remove any IUD, and if the strings are not visible we are equipped to work up a migrated IUD.

  • "We cannot change how gynecology began, but we can choose how faithfully we remember those who bore its burdens. Honoring Anarcha, Lucy, and Betsey, and the countless unnamed women means practicing medicine with humility, attentiveness, and care for those whose voices have historically been discounted."

    -American Medical Women’s Association