In Office Procedures

When you need treatment or evaluation for a gynecologic concern, in-office procedures can provide convenient care without a hospital visit. At Lamorinda Women’s Health in Lafayette, California, board-certified gynecologist Karine Hajyan, DO, FACOG, offers personalized in-office procedures focused on your health needs and comfort. Call the office today or schedule an appointment online to learn more about your options.

What in-office procedures are available at Lamorinda Women’s Health?

At Lamorinda Women's Health, in-office procedures are one of the many services Dr. Hajyan provides to address women's health concerns.

In-office gynecologic procedures allow you to receive certain evaluations and treatments in a comfortable office setting instead of a hospital or surgical center. The procedures recommended for you depend on your symptoms, health history, and individual needs.

The practice's in-office procedures include: 

• GE Lunar Prodigy/iDXA® DXA Scanner
• Bone density (DEXA) scanning for osteoporosis and osteopenia screening as part of menopause management.
• Body composition analysis, including fat mass, lean muscle mass, and visceral fat, to support wellness assessments and healthy aging.
• Colposcope
• Colposcopy for evaluation of abnormal Pap smear or HPV results.
• Directed cervical, vaginal, and vulvar biopsies.
• Endocervical curettage (ECC).
• Wallach LL100 Cryosurgical Unit (N₂O)
• Cervical cryotherapy for cervical intraepithelial neoplasia (CIN) following colposcopy.
• Treatment of condyloma (genital warts) affecting the cervix or vaginal walls.
• Cryotherapy for cervical polyps and other benign cervical lesions.
• 3D/4D Ultrasound
• Transvaginal and transabdominal pelvic ultrasound.
• Evaluation of fibroids, ovarian cysts, and endometrial thickness.
• Early pregnancy dating and viability scans.
• Follicle tracking.
• Elective 3D/4D obstetric imaging (bonding scans).
• Saline infusion sonohysterography (SIS).
• SoLá® Pelvic Therapy (Photobiomodulation Laser)
• Treatment for chronic pelvic pain, including myofascial pelvic pain.
• Pelvic floor muscle spasm relief.
• Postpartum vaginal rehabilitation.
• Treatment sessions last approximately three minutes using a vaginal wand and require no anesthesia.
• VISIA® Skin Analysis System
• Multi-spectral facial imaging to evaluate UV damage, pigmentation, vascular/red areas, skin texture, wrinkles, and pores.
• Baseline and progress tracking of hormone therapy-related skin changes.
• Consultation and treatment-planning tool before aesthetic procedures.
• IUD Insertion & Removal
• Hormonal IUDs including Mirena®, Kyleena®, Skyla®, and Liletta®.
• Copper IUD (Paragard®).
• Routine insertion and removal.
• Retrieval of malpositioned or embedded IUDs when necessary.
• Nexplanon® Insertion & Removal
• Insertion and removal of the subdermal contraceptive implant, which provides up to three years of pregnancy prevention.
• Ultrasound-assisted localization and removal of non-palpable implants when needed.
• Endometrial Biopsy
• Evaluation of abnormal uterine bleeding.
• Evaluation of peri- and postmenopausal bleeding.
• Endometrial cancer screening for high-risk patients.
• Baseline evaluation before starting or continuing hormone therapy.
• Pessary Fitting & Management
• Fitting for pelvic organ prolapse.
• Fitting for stress urinary incontinence.
• Trial of multiple pessary sizes and types during the initial fitting.
• Ongoing management, including routine removal, cleaning, and reinsertion visits.
• Vulvar Biopsy
• Evaluation of suspicious vulvar lesions.
• Diagnosis of lichen sclerosus, lichen planus, vulvar intraepithelial neoplasia (VIN), and other vulvar skin conditions.
• Punch biopsy performed under local anesthesia.
• Vaginal Dilator Teaching
• Counseling and hands-on instruction for genitourinary syndrome of menopause (GSM).
• Treatment support for vaginismus.
• Post-radiation vaginal stenosis rehabilitation.
• Post-surgical rehabilitation.
• Progressive sizing program using graduated vaginal dilators.
• Frequently combined with SoLá® Pelvic Therapy and hormone therapy counseling.
• Handgrip Dynamometer
• Grip strength testing to screen for sarcopenia and frailty.
• Functional assessment that correlates with overall muscle mass and fall risk.
• Complements DXA body composition results to provide a comprehensive picture of musculoskeletal health.
• Useful for monitoring functional improvement over time, particularly in patients receiving hormone therapy.
• Red Light Therapy
• Photobiomodulation therapy for chronic pelvic pain and pelvic floor muscle discomfort.
• Skin rejuvenation through collagen stimulation.
• Improvement in fine lines, skin tone, and skin texture.
• Before-and-after treatment monitoring when paired with VISIA® Skin Analysis.
• Support for wound healing and post-procedure recovery.
• General wellness applications, including support for mood, sleep quality, and joint comfort.

During your appointment, Dr. Hajyan explains which options may be appropriate for your situation, answers any questions you have, and develops a personalized treatment plan based on your individual health needs.

What can I expect during an in-office gynecologic procedure?

Your experience depends on the specific procedure you’re having. Before your appointment, Dr. Hajyan talks to you about what to expect, explains the steps involved, and discusses any preparation instructions. You also have time to ask questions and discuss any concerns you may have.

During the procedure, your comfort is a priority. Dr. Hajyan guides you through each step and tells you what’s happening throughout the process. 

Afterward, you receive information about recovery, possible side effects, and when you can return to your normal activities.

What are the benefits of in-office procedures?

In-office procedures may offer several advantages, including:

• A convenient alternative to hospital-based care for certain treatments
• Less time spent at a medical facility
• A comfortable and familiar environment
• Personalized attention from your gynecology team
• The ability to address certain concerns more quickly

These benefits can make in-office procedures an appealing option if you need gynecologic care that’s effective, efficient, and tailored to your needs.

How do I know if an in-office procedure is right for me?

The best way to determine if an in-office procedure is appropriate is to schedule a consultation with Dr. Hajyan. She can provide the guidance you need.

At Lamorinda Women’s Health, Dr. Hajyan is committed to providing thoughtful, personalized care at every stage of life. Contact the office today by phone or online to schedule an appointment and learn more about available in-office procedures.