In Office Procedures

Dr. Kafali Nazarof offers a wide range of in-office services & procedures designed to allow her patients more ease and comfort. By providing several minor surgery options within the comfort of our office, you are able to avoid the need for hospitalization.  This saves you time, costs, and the need for general anesthetic.  The procedures we do in our office are minor, and usually done under local anesthetic.

Reasons Why Women Choose a Cosmetic Gynecology Procedure


  • Sexual Health & Sexual Dysfunction

    Sexual health is a state of physical, emotional, mental, & social well-being in relation to sexuality. Not merely the absence of disease, dysfunction, or infirmity. Sexual dysfunction, on the other hand, is broadly defined as the inability to fully enjoy sexual intercourse. Doctors divide normal sexual function into 3 phases: desire (you want to have sex), arousal (your body undergoes the physical changes that allow you to have sex), and orgasm. Sexual dysfunction occurs when your health, your relationship, or your ideas about sex cause problems in any of these phases. Pain during sex can also cause sexual dysfunction, especially for women.

  • Smoking Cessation & Weight Management

    On average, people who quit smoking gain about 10 pounds, and it can be mainly attributed to two factors; (1) You eat more. If you’re not smoking, you want to put something in your mouth. And since you’re not smoking, you’ll be smelling and tasting foods better, leading to eating more sugary and sweet foods. (2) Your metabolism slows. Nicotine increases your metabolic rate, so when you stop your metabolic rate slows and leads to gradual weight gain. At AWH, we can assist you to not only stop smoking, but also how to best avoid weight gain.

  • Fertility Testing & Referral

    If you’re not pregnant after 1 year of intercourse, or 6 months if you are 35 or older, consider a fertility evaluation. At AWH, we assist women in their 20s, 30s, 40s, and even a bit beyond to when it comes to helping guide you and your partner to best possible results. As your OBGYN, Dr. Kafali-Nazarof will manage your initial evaluation and possibly your initial treatment, which may be all that is needed. In that case that you or your partner need a more specialized approach, our office works with the most respected and successful fertility center in the midwest.

  • Menopausal Management

    Management and treatment of menopausal symptoms depend on each individual woman’s experience. While we do assist many women to manage symptoms through lifestyle measures like good diet & regular physical activity. Other ladies with symptoms that affect their quality of life do need some level of treatment, usually involving varying levels of healthy living, menopause hormone therapy, and/or treatments to help women through some of these unpleasant physical and emotional changes.

  • Hysteroscopy & lost IUD Removal

    In the case that your IUD becomes dislodged or moved, a quick sonogram will help to find if the IUD is still in the uterus, allowing hysterocopy to be used to confirm diagnosis and guide removal of the device with minimal, if any, issues. A blind removal may be both traumatising and unsuccessful, requiring additional attempts.

  • Endometrial Ablation

    This is outpatient procedure that you may consider in cases where you frequently experience bleeding between periods, heavy flow, or have long lasting periods. In cases where medicine does not work, EA can curb bleeding, and in some cases totally stop it.


  • What happens if I have an abnormal pap smear?
    Pap smear results come back as normal, unclear, or abnormal. A positive result means your sample contained abnormal cells, but it doesn’t necessarily mean you have cervical cancer. Dr. Kafali-Nazarof uses two primary procedures to learn more about your cervical tissue. (1) Colposcopy - Dr Kafali uses a microscope to examine the cervix, vagina, and vulva for signs of disease, and sometimes collects a small tissue sample for additional testing. The procedure takes about 20 minutes and is relatively painless. After any biopsy sample, some women will experience light bleeding, vaginal discharge, or slight vaginal pain that may for 1 or 2 days after the procedure. (2) Loop Electrosurgical Excision Procedure (LEEP) is another way to test and treat abnormal cervical cells. This procedure is performed if you have high-grade abnormal cells on your cervix. During the LEEP procedure, Dr Kafali-Nazarof will remove the abnormal tissue so it can be tested for cancer. During the procedure, she applies an anesthetic to the cervix before using the loop to shave off the abnormal cells. the procedure takes about 20 minutes.
  • What is a Pap smear?
    A Pap smear or Pap test is a procedure that detects abnormal cells in the cervix -- the narrow part of the womb that leads to the vagina -- that may indicate cancer. Early-stage cervical cancer has no symptoms, which makes your annual pap smear critical for early detection
  • How are STDs treated?
    STD treatment depends on the type and severity of the disease. Dr Kafali-Nazarof uses antibiotics to treat most bacterial STDs, like syphilis, gonorrhea, and chlamydia. Other infections like HIV & herpes never go away, but can be managed with antiviral drugs. Depending of your case, you may be able to reduce your viral count to virtually undetectable levels. Even if your STD is under control, it is still transmittable, so be sure to discuss safe-sex methods with Dr Kafali-Nazarof. And remember, there is no need to feel shame or embarrassment over an STD, at AWH, Dr Kafali handles every personal health concern with discretion and compassion.
  • What are STD symptoms?
    STDs (Sexually Transmitted Diseases), pass from one person to another through intercourse or other forms of sexual contact. Common symptoms include: (1) Genital order (2) Genital pain or itching (3) Vaginal discharge (4) Pain during intercourse (5) Pain or burning during urination (6) Penile discharge (7) Sores or bumps on mouth, rectal area, or genitals (8) Swollen testicles (9) Spotting between periods Surprisingly, many STDs have no symptoms at all. We recommend complete STD screening when you become sexually active. STDs can also be transmitted through sharing needles, during childbirth, or through breast feeding
  • Do you screen patients for breast cancer?
    During your visit we will perform a clinical breast exam to check for lumps or other indicators of potential breast health problems. Women should have their first mammogram between the ages of 35 and 40. After 40, they should have mammograms annually