Our Services

Tubal Reversal
In my experience, I have found that what we did when we were younger we may later regret. This is particularly true with some women who have had permanent sterilization. You may think there is no way that you could ever have a child again. Fortunately that may not be true. Since I came to Huguley Hospital, I have had many successful isthmo-ampullary anastomoses. If the isthmic segment of the tube is too short (frequently as the result of tubal fulguration—frame 2 below), it may require a cornu-ampullary attachment; some, including Essure Micro-Insert (frame 1 below), will require implantation of the isthmic segment into the cornual portion of the uterus.

The following pictures illustrate the five most common types of permanent sterilization. Although the Essure (frame 1) and fulguration (frame 2) are more destructive, most can still be reversed. The Falope-Ring (frame 3), Hulka clip (frame 4), and Pomeroy tubal ligation (frame 5) lend themselves very well to a successful outcome.



The picture below on the left shows how that blocking the fallopian tubes almost always prevents the sperm from reaching the egg. The second picture demonstrates a successful TUBAL REVERSAL.

Illustrations from Krames


If you have any further questions regarding TUBAL REVERSAL SURGERY please feel free to contact my office.

A tubal ligation reversal is an operation that affords a woman who has had a tubal ligation a chance at pregnancy again. The desire to have a baby after a tubal ligation is common for women in second marriages, following loss of a child, or a change in circumstances.

Tubal ligation reversal utilizes microsurgical techniques to open and reconnect the fallopian tube segments that remain after a tubal ligation procedure. Typically there are two remaining segments, the proximal tubal segment that emerges from the uterus, and the distal tubal segment that ends with the fimbria next to the ovary. Tubal ligation reversal (microsurgical tubotubal anastomosis) connects these segments. Other terms used to describe this procedure are microsugrical tubal reanastomosis, microsurgical tubal reversal or microsurgical tubal repair.

If you have had a tubal ligation we can help you determine if tubal reversal is right for you.

Infertility assessment and treatment including medicine, blood work and counseling.

Intrauterine Device (IUD)
Dr. Smith inserts as well as removes the Mirena IUD and Paragard IUD. For more information visit mirena-us.com or paragard.com.

HSG (Hysterosalpingography)
HSG is an x-ray test used to view your reproductive organs. This can help diagnose why you are unable to get pregnant. HSG is done in the x-ray center of a hospital or clinic. During the procedure, a radiology technologist or a radiologist (doctor who specializes in the use of x-rays) takes images as a contrast dye flows through the uterus and fallopian tubes. The dye makes it easier to see these organs on x-rays. It can also help pinpoint the location of problems, and then this report will be sent to your healthcare provider.

Reasons for the Procedure
HSG is used to diagnose problems with the fallopian tubes and uterus. These can include:

  • Blockage or narrowing of the fallopian tubes
  • Scarring of the fallopian tubes and uterus
  • Abnormalities in the shape and size of the fallopian tubes and uterus
  • Growths in the uterus
Thin-Prep Pap Smear
The ThinPrep Pap Test is the most trusted, most widely used, most comprehensive pap test available. It is more accurate than a conventional "pap smear", and when combined with the ThinPrep Imaging System, even more disease is detected.

Since FDA approval in 1996, more than 170 independent studies have been published in peer-reviewed medical journals, demonstrating a wide range of clinical benefits of the ThinPrep Pap Test. These benefits include:
  • Increased disease detection
  • More confident diagnoses
  • Better sample preparation
  • Cost effectiveness
Hormone Replacement Therapy
Hormone replacement therapy is used to supplement the body with either estrogen alone or estrogen and progesterone in combination during and after menopause. Estrogen and progesterone are hormones that are produced by a woman's ovaries. When a woman’s ovaries no longer produce adequate amounts of these hormones (as in menopause), hormone replacement therapy can be given to supplement the body with adequate levels of estrogen and progesterone.

Stereotactic Breast Biopsy
More than 1.6 million breast biopsies are performed in the U.S. each year. Fortunately, about 80% of these biopsies turn out to be benign. Most biopsies are still being done by open surgery, which takes several hours and may leave a scar. Stereotactic Breast Biopsy is a reliable diagnostic alternative to open surgical biopsy while minimizing risks. In this procedure, a hollow needle is guided by X-ray to take tiny samples of your breast tissue. The tissue samples are sent to a pathologist who will look at them under a microscope. The results are usually known within two to four days.

Colposcopy
Colposcopy is a procedure that gives your healthcare provider a magnified view of the cervix. It is done using a lighted microscope called a colposcope. In most cases, a sample of cervical cells is taken during a biopsy. The sample can then be studied in a lab. If any problems are found, you and your healthcare provider will discuss treatment options. Problems with the cervix can be treated best when detected early.

Reasons for the Procedure

Colposcopy is usually done as a follow-up exam to help find the cause of an abnormal Pap test. Abnormal Pap tests are often due to an HPV (human papilloma virus) infection. HPV is a large family of viruses. HPV can cause genital warts. It can also cause changes in cervical cells. Colposcopy is also used to assess other problems. These include pain or bleeding during sexual intercourse, or a lesion on the vulva or vagina.

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