Hospital-Based Procedures
Hospital-based gynecological procedures provide an advanced level of care that may be needed for the treatment of some conditions. This can include access to anesthesia, advanced surgical tools, and close monitoring.
In such cases, a hospital setting supports both your safety and comfort, while allowing procedures to be performed with precision and appropriate pain control.
At About Women By Women, we provide hospital-based gynecological care with the same personalized, patient-first approach you experience in our office. Our all-female OB/GYN team stays involved in your care throughout the process, from diagnosis through surgery and recovery.
When Hospital-Based Gynecological Care Is Needed
Some gynecological conditions require a higher level of care that goes beyond what’s available in the clinic setting. In these cases, performing a procedure in the hospital allows our care team to use advanced pain control and specialized equipment that aren’t available during in-office procedures, helping us provide the right level of care for your needs.
Hospital care is often recommended for more complex or urgent conditions, such as larger ovarian cysts, suspected torsion, or ectopic pregnancy.
At About Women By Women, hospital procedures are fully coordinated with your office-based care. The same OB/GYN team who evaluates your symptoms and imaging stays involved through any surgical procedures and your recovery at our affiliated hospital, ensuring continuity of care, clear communication, and support throughout the process.
Continuity of Care Before & After Procedures
From your initial evaluation through recovery, we ensure that the same all-female OB/GYN team remains involved, so your care feels connected, clear, and well-supported at every stage.
Surgery and follow-up are managed by the team of providers who understand your history and goals
Imaging, lab work, and surgical planning are coordinated to guide each surgical decision
Pre-operative instructions are explained by our multilingual team in clear, easy-to-understand language, so you feel prepared and know what to expect
In-office follow-up care is scheduled at our Wellesley, Natick, Millis, and Walpole clinics, at the location most convenient for you
Recovery guidance, including pain management and when to return to normal activities, is reviewed with you
Adnexal Surgeries We Perform
Adnexal surgery refers to gynecological procedures involving the ovaries, fallopian tubes, and surrounding tissues. These surgeries are performed when a condition affecting these structures needs closer evaluation or surgical treatment.
Adnexal surgeries may be used to address the following conditions:
- Ovarian Cysts or Tumors
- Ovarian Torsion
- Ectopic Pregnancy
- Infection in the Ovaries or Fallopian Tubes
The decision to proceed with surgery is often based on findings from an ultrasound or lab testing, or when symptoms such as sudden or severe pelvic pain require urgent attention. Our team takes time to explain why surgery is recommended, what it can help address, and what to expect before moving forward with care.
Ovarian Cyst Removal (Cystectomy)
An ovarian cystectomy is performed to remove ovarian cysts that are causing symptoms or appear concerning on imaging tests. These cysts may cause:
- Pelvic pain or pressure
- Persistent discomfort or bloating
- Risk of rupture or other complications
Whenever possible, we prioritize preserving healthy ovarian tissue to protect hormonal health and fertility. Surgery may be recommended based on your symptoms or the size and appearance of the cyst on imaging.
Ovarian Torsion Detorsion
Ovarian torsion occurs when an ovary twists on its supporting structures, cutting off its blood supply. This is a medical emergency that often causes sudden, severe pelvic pain and requires prompt surgical treatment.
The goal of detorsion surgery is to untwist the ovary, restore blood flow, and preserve ovarian function whenever possible. Timely intervention is critical, and our team provides prompt, effective care while keeping you informed and supported throughout the process.
Ectopic Pregnancy Treatment
An ectopic pregnancy occurs when a pregnancy implants outside the uterus, most commonly in the fallopian tube. Since this condition can pose serious health risks, timely treatment is often necessary to protect your safety.
Surgical treatment may be recommended when:
- Medication is not appropriate or effective
- Symptoms are urgent or worsening
- Concern for rupture or internal bleeding
When surgery is needed, our team prioritizes your safety and considers approaches that help preserve future fertility. Throughout the process, we take time to explain your options, answer your questions, and support you through each step of care.
Salpingectomy
A salpingectomy is the surgical removal of one or both fallopian tubes.
This procedure may be recommended to:
- Reduce ovarian cancer risk as a preventive step
- Treat fallopian tube infection or inflammation
- Address fallopian tube damage or abnormalities
- Manage ectopic pregnancy when surgery is needed
- Provide permanent contraception
When both fallopian tubes are removed, often for permanent contraception or cancer risk reduction, it does not affect hormones or menstruation, although a natural pregnancy is not possible. Our team takes time to explain the long-term implications and ensure you feel confident and supported before moving forward.
A salpingectomy is typically done laparoscopically, meaning it’s performed through a few small incisions rather than a larger surgical cut. This technique results in less pain, smaller scars, and a quicker recovery compared to traditional open surgery.
Other Hospital-Based Gynecological Procedures We Offer
In addition to adnexal surgeries, we also perform various other gynecological procedures in the hospital setting to provide the right level of care for your condition. This setting allows for anesthesia, specialized surgical tools, and close monitoring when needed.
Hysterectomy
A hysterectomy involves the removal of the uterus when it is medically necessary. This procedure may be recommended to treat:
- Fibroids
- Abnormal or Heavy Bleeding
- Chronic Pelvic Pain
- Cancer
We take a personalized approach when planning surgery, considering your diagnosis, symptoms, and personal goals. A hysterectomy ends menstruation and affects future fertility. We discuss what this means for your body, your health, and your future with you and share a clear treatment plan before moving forward with this procedure.
Recovery after the procedure typically takes 3 to 8 weeks, depending on the surgical approach used. Our team supports you throughout the recovery process.
Operative Hysteroscopy
An operative hysteroscopy is performed in the hospital when anesthesia is needed or when a procedure requires a more advanced approach. This procedure is recommended for treating conditions within the uterus, such as removing polyps, fibroids, or retained tissue.
We choose hospital-based hysteroscopy when an in-office hysteroscopy isn’t the right fit for your condition. This ensures that your care is both safe and effective while fully addressing the underlying concern.
IUD Placement Under Anesthesia
For some patients, placing an IUD under anesthesia is the most comfortable and supportive birth control option. We may recommend this approach if office placement has been painful in the past, if your anatomy makes insertion more difficult, or if prior pelvic procedures have been physically or emotionally challenging.
Our team takes the time to talk through this option with you, answer your questions, and ensure that your comfort and emotional safety remain a priority throughout the process.
Schedule Your Appointment Today
The thought of hospital-based gynecological procedures can feel overwhelming. However, we want to assure you that our team takes the time to answer all your concerns.
We will explain why a procedure is recommended, what it involves, and what to expect before, during, and after surgery. We’re here to answer your questions and support you through every step.
To schedule a consultation with our experienced OB/GYN team, please call us at (781) 263-0033 or book an appointment online.
