Contraceptive Procedures
IUD insertion and removal and Nexplanon insertion and removal are available as part of individualized contraceptive care.
Treatment
Procedures & Treatments
When a procedure is the right next step, Women First explains why it is being recommended, what to expect, alternatives to consider, and how it fits your goals.
Colposcopy & Cervical Evaluation
Abnormal cervical screening may lead to colposcopy and directed biopsy to examine the cervix more closely and determine whether treatment or surveillance is needed.
Endometrial Biopsy
Sampling the uterine lining can help evaluate abnormal bleeding and other concerns. Dr. Alexander discusses why it is recommended and what to expect.
Ultrasound & Diagnostic Evaluation
Gynecologic ultrasound can help evaluate the uterus, ovaries, fibroids, cysts, bleeding, pain, and other pelvic concerns when clinically appropriate.
Hysteroscopy & LEEP
Hysteroscopy allows evaluation and treatment inside the uterine cavity. LEEP may be recommended for certain cervical precancer changes after appropriate evaluation.
Minimally Invasive Gynecologic Surgery
When surgery is appropriate, options may include laparoscopy, hysteroscopy, hysterectomy, and other minimally invasive approaches based on the condition and individual needs.
Fibroid & Bleeding Treatment
Treatment may range from medication and hormonal options to hysteroscopic or surgical treatment depending on symptoms, anatomy, age, and reproductive goals.
Pelvic Support & Prolapse Procedures
Evaluation and treatment for pelvic organ prolapse and related pelvic-floor concerns are coordinated with the dedicated pelvic reconstruction care offered by Women First.
Common Questions
What Patients Often Want to Know
Will I know what to expect beforehand?
Yes. The purpose, alternatives, preparation, pain-control plan, recovery, and follow-up should be reviewed before a procedure.
Does everyone with fibroids or cysts need surgery?
No. Many conditions can be observed or managed medically. Treatment depends on symptoms, findings, life stage, and personal goals.
Can I ask about alternatives?
Yes. Shared decision-making is central to care at Women First, including discussion of reasonable alternatives when they exist.
Signature Surgical Expertise
Recognized Pelvic Reconstruction Expertise
Dr. Allison Alexander is recognized for her expertise in pelvic reconstructive surgery. For patients with pelvic organ prolapse and related pelvic support disorders, she brings advanced surgical experience together with individualized planning focused on anatomy, function, recovery and each patient’s goals.
Individualized Care, Clear Guidance
Symptoms can have more than one cause, and the right evaluation or treatment depends on your history, examination, goals, and preferences. Dr. Allison Alexander works with patients to understand what is happening and choose an appropriate next step together.
Advanced Pelvic Reconstruction
Complex Childbirth-Related Reconstruction
Severe perineal tears and other complex childbirth injuries can sometimes affect the vagina, pelvic floor, anal sphincter, and pelvic support structures. When routine healing or prior repair does not restore comfort or function, specialized reconstructive evaluation may be appropriate.
Dr. Allison Alexander is recognized for her expertise in pelvic reconstructive surgery, including advanced repair of complex childbirth-related injuries. Treatment is individualized around anatomy, symptoms, function, prior repairs, and the patient’s goals.
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